75 FR 69571 - World Freedom Day, 2010

Science.gov (United States)

2010-11-15

... A Proclamation The Berlin Wall once stood as a painful barrier between family and friends, a dark... exercise their universal human rights. The 21st anniversary of the fall of the Berlin Wall is an occasion..., Germans from both sides of the wall joined to tear down the hated blockade. World Freedom Day commemorates...

Increasing the Frequency and Timeliness of Pain Assessment and Management in Long-Term Care: Knowledge Transfer and Sustained Implementation

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Thomas Hadjistavropoulos

2016-01-01

Full Text Available Background. Although feasible protocols for pain assessment and management in long-term care (LTC have been developed, these have not been implemented on a large-scale basis. Objective. To implement a program of regular pain assessment in two LTC facilities, using implementation science principles, and to evaluate the process and success of doing so. Methods. The implementation protocol included a pain assessment workshop and the establishment of a nurse Pain Champion. Quality indicators were tracked before and after implementation. Focus groups and interviews with staff were also conducted. Results. The implementation effort was successful in increasing and regularizing pain assessments. This was sustained during the follow-up period. Staff members reported enthusiasm about the protocol at baseline and positive results following its implementation. Despite the success in increasing assessments, we did not identify changes in the percentages of patients reported as having moderate-to-severe pain. Discussion. It is our hope that our feasibility demonstration will encourage more facilities to improve their pain assessment/management practices. Conclusions. It is feasible to implement regular and systematic pain assessment in LTC. Future research should focus on ensuring effective clinical practices in response to assessment results, and determination of longer-term sustainability.

Descending pain modulation and its interaction with peripheral sensitization following sustained isometric muscle contraction in fibromyalgia

DEFF Research Database (Denmark)

Ge, H-Y; Nie, Hongling; Graven-Nielsen, Thomas

2012-01-01

OBJECTIVE: Sustained isometric muscle contraction (fatiguing contraction) recruits segmental and/or extrasegmental descending inhibition in healthy subjects but not in fibromyalgia (FM). We hypothesized that fatiguing contraction may shift descending pain modulation from inhibition towards...

education for sustainability through academic freedom

African Journals Online (AJOL)

Jude

being to acquire knowledge, skills, attitudes and values necessary to shape a sustainable future to make judgments and ... could explore students and create opportunities for them to learn and ... Esther E. Ekon, Department of Science Education, Faculty of Education, University of Calabar, Calabar. Cross River State ...

PENGARUH TERAPI EMOTIONAL FREEDOM TECHNIQUE (EFT TERHADAP PENURUNAN SKALA NYERI DISMENOREA PADA REMAJA

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lenni sastra

2016-07-01

Full Text Available ABSTRACTDysmenorrheal is pain during menstruation. Pain can be minimized using pharmacological and non pharmacological therapies.  One of them is emotional freedom technique (EFT. The purpose of this study was to determine the effect of EFT therapy to decrease pain scale dysmenorrheal in adolescents at high school N 12 of Padang. It was a quasi-experimental, with two group design with pretest-posttest control group. The collection of data was carried at 12 public senior high school Padang. The number of samples  were 40 people, 20 of experimental group and 20 of control group were taken using purposive sampling technique. Combination of numeric rating scale (NRS and Hayward were used to collect data. Data were analyzed using wilcoxon test and mann-whitney statistical test. The results showed that pain pretest adolescent experimental group was 95% moderate pain and pain scale post-test was 100% mild pain, while the pain scale test of the first on adolescent group control is 70% moderate pain and pain scale on the test II 70% pain moderate. Wilcoxon and mann-whitney test obtained p value = 0.00 means there was differences decrease pain scale between the experimental group and control group. Based on the results it can be concluded there was the influence of EFT therapy to decrease pain scale dysmenorrheal for adolescents at 12 public senior high school Padang. Suggestions for teenagers to be able to use EFT therapy to relieve pain during dysmenorrheal and suggestions for schools to be able to provide EFT therapy education.  ABSTRAKDismenorea adalah nyeri sewaktu haid yang sering dialami oleh remaja putri. Nyeri dapat diminimalkan dengan terapi farmakologis dan non farmakologis. Salah satunya adalah terapi emotional freedom technique (EFT. Tujuan penelitian untuk mengetahui pengaruh terapi EFT terhadap penurunan skala  nyeri dismenorea pada remaja di SMA N 12 Kota Padang. Jenis penelitian adalah quasi-eksperiment, dengan two group pretest

Sustained analgesic effect of clonidine co-polymer depot in a porcine incisional pain model

Directory of Open Access Journals (Sweden)

Wilsey JT

2018-04-01

Full Text Available Jared T Wilsey, Julie H Block Medtronic Spine Division, Memphis, TN, USA Background: Previous research suggests that the α2 adrenergic agonist clonidine, a centrally acting analgesic and antihypertensive, may also have direct effects on peripheral pain generators. However, aqueous injections are limited by rapid systemic absorption leading to off target effects and a brief analgesic duration of action. Purpose: The aim of this study was to examine the efficacy of a sustained-release clonidine depot, placed in the wound bed, in a pig incisional pain model. Methods: The depot was a 15 mm ×5 mm ×0.3 mm poly(lactide-co-caprolactone polymer film containing 3% (w/w clonidine HCl (MDT3. Fifty-two young adult mix Landrace pigs (9–11 kg were divided into seven groups. All subjects received a 6 cm, full-thickness, linear incision into the left lateral flank. Group 1 served as a Sham control group (Sham, n=8. Group 2 received three placebo strips (PBO, n=8, placed end-to-end in the subcutaneous wound bed before wound closure. Group 3 received one MDT3 and two PBO (n=8, Group 4 received two MDT3 and one PBO (n=8, and Group 5 received three MDT3 (n=8. Positive control groups received peri-incisional injections of bupivacaine solution (Group 6, 30 mg/day bupivacaine, n=8 or clonidine solution (Group 7, 225 µg/day, n=4. Results: The surgical procedure was associated with significant peri-incisional tactile allodynia. There was a dose-dependent effect of MDT3 in partially reversing the peri-incisional tactile allodynia, with maximum pain relief relative to Sham at 72 hours. Daily injections of bupivacaine (30 mg, but not clonidine (up to 225 µg, completely reversed allodynia within 48 hours. There was a statistically significant correlation between the dose of MDT3 and cumulative withdrawal threshold from 4 hours through the conclusion of the study on day 7. Conclusion: These data suggest that a sustained-release clonidine depot may be a

Architectural freedom and industrialised architecture

DEFF Research Database (Denmark)

Vestergaard, Inge

2012-01-01

Architectural freedom and industrialized architecture. Inge Vestergaard, Associate Professor, Cand. Arch. Aarhus School of Architecture, Denmark Noerreport 20, 8000 Aarhus C Telephone +45 89 36 0000 E-mai l inge.vestergaard@aarch.dk Based on the repetitive architecture from the "building boom" 1960...... customization, telling exactly the revitalized storey about the change to a contemporary sustainable and better performed expression in direct relation to the given context. Through the last couple of years we have in Denmark been focusing a more sustainable and low energy building technique, which also include...... to the building physic problems a new industrialized period has started based on light weight elements basically made of wooden structures, faced with different suitable materials meant for individual expression for the specific housing area. It is the purpose of this article to widen up the different design...

Contextual freedom: absoluteness versus relativity of freedom.

Science.gov (United States)

Pahlavan, Farzaneh; Amirrezvani, Ali

2013-10-01

Our commentary is focused on the idea that "freedom" takes on its full significance whenever its relativistic nature, in the short- and long terms, is taken into account. Given the transformations brought about by "globalization," application of a general model of freedom based on ecological-economic factors clearly seems to be rather untimely. We examine this idea through egocentric and ethnocentric views of the social and environmental analyses of "freedom."

Freedom Of Expression In The View Of Community Law

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Ion Țuțuianu

2014-12-01

Full Text Available AbstractEven if freedom of expression is one of the most disputed topics in the last few years, it’s also true that a democratic society cannot be conceived without respecting this fundamental right. Its regulation was in hands of the doctrine but also of the legal practice and the recent international bodies have given sustained attention through the European Convention on Human Rights:  the Treaty of Establishment of a Constitution for Europe; the Constitutions of the democratic countries and of Romania, the special laws: the Civil Code, the Criminal Code or the Press Law No. 9/1996 but also the article 30 of the Constitution. Freedom of speech does not include the excess of journalists too, that is why there are also limits  in the disclosures made under this right that has to provide legitimate interest, the pronouncement of a court, the right of a sanctioned journalist to appeal to a higher court.  Key words:  law, freedom, Europe, expression

Effects of low-dose IV ketamine on peripheral and central pain from major limb injuries sustained in combat.

Science.gov (United States)

Polomano, Rosemary C; Buckenmaier, Chester C; Kwon, Kyung H; Hanlon, Alexandra L; Rupprecht, Christine; Goldberg, Cynthia; Gallagher, Rollin M

2013-07-01

Examine response patterns to low-dose intravenous (IV) ketamine continuous infusions on multiple pain outcomes, and demonstrate effectiveness, safety, and tolerability of ketamine administration on general wards. Retrospective case series of consecutive patients given low-dose IV ketamine continuous infusions. Walter Reed Army Medical Center, Washington, DC. Nineteen eligible inpatients with neuropathic pain from major limb injuries sustained in combat with inadequate pain control from multimodal analgesia. A 3-day IV infusion of ketamine at doses ≤ 120 μg/kg/h. Daily present (PPI), average (API), and worst (WPI) pain intensity (0-10), global pain relief (GPR) (1 "no relief" to 5 "complete relief"), daily assessments of adverse events, and daily opioid requirements measured during therapy. A significant reduction in PPI (P pain (PLP) (N = 10; P = 0.0436) were observed. Mean percent increase in overall GPR was better for those reporting GPR scores ≤ 3 (N = 13) in the first 24 hours of therapy (P = 0.0153). While not significant, mean opioid requirement (IV morphine equivalents) decreased from 129.9 mgs ± 137.3 on day 1 to 112.14 ± 86.3 24 hours after therapy. Low-dose ketamine infusions for complex combat injury pain were safe and effective, and demonstrated response patterns over time and by baseline pain score stratification and presence or absence of PLP. Wiley Periodicals, Inc.

Seizure Freedom in Children With Pathology-Confirmed Focal Cortical Dysplasia.

Science.gov (United States)

Mrelashvili, Anna; Witte, Robert J; Wirrell, Elaine C; Nickels, Katherine C; Wong-Kisiel, Lily C

2015-12-01

We evaluated the temporal course of seizure outcome in children with pathology-confirmed focal cortical dysplasia and explored predictors of sustained seizure freedom. We performed a single-center retrospective study of children ≤ 18 years who underwent resective surgery from January 1, 2000 through December 31, 2012 and had pathology-proven focal cortical dysplasia. Surgical outcome was classified as seizure freedom (Engel class I) or seizure recurrence (Engel classes II-IV). Fisher exact and nonparametric Wilcoxon ranksum tests were used, as appropriate. Survival analysis was based on seizure-free outcome. Patients were censored at the time of seizure recurrence or seizure freedom at last follow-up. Thirty-eight patients were identified (median age at surgery, 6.5 years; median duration of epilepsy, 3.3 years). Median time to last follow-up was 13.5 months (interquartile range, 7-41 months). Twenty patients (53%) were seizure free and 26 patients (68%) attained seizure freedom for a minimum of 3 months. Median time to seizure recurrence was 38 months (95% confidence interval, 6-109 months), and the cumulative seizure-free rate was 60% at 12 months (95% confidence interval, 43%-77%). Clinical features associated with seizure freedom at last follow-up included older age at seizure onset (P = .02), older age at surgery (P = .04), absent to mild intellectual disability before surgery (P = .05), and seizure freedom for a minimum of 3 months (P freedom included older age at seizure onset, older age at surgery, absent or mild intellectual disability at baseline, and seizure freedom for a minimum of 3 months. Copyright © 2015 Elsevier Inc. All rights reserved.

Functional Freedom: A Psychological Model of Freedom in Decision-Making.

Science.gov (United States)

Lau, Stephan; Hiemisch, Anette

2017-07-05

The freedom of a decision is not yet sufficiently described as a psychological variable. We present a model of functional decision freedom that aims to fill that role. The model conceptualizes functional freedom as a capacity of people that varies depending on certain conditions of a decision episode. It denotes an inner capability to consciously shape complex decisions according to one's own values and needs. Functional freedom depends on three compensatory dimensions: it is greatest when the decision-maker is highly rational, when the structure of the decision is highly underdetermined, and when the decision process is strongly based on conscious thought and reflection. We outline possible research questions, argue for psychological benefits of functional decision freedom, and explicate the model's implications on current knowledge and research. In conclusion, we show that functional freedom is a scientific variable, permitting an additional psychological foothold in research on freedom, and that is compatible with a deterministic worldview.

Functional Freedom: A Psychological Model of Freedom in Decision-Making

Science.gov (United States)

Lau, Stephan; Hiemisch, Anette

2017-01-01

The freedom of a decision is not yet sufficiently described as a psychological variable. We present a model of functional decision freedom that aims to fill that role. The model conceptualizes functional freedom as a capacity of people that varies depending on certain conditions of a decision episode. It denotes an inner capability to consciously shape complex decisions according to one’s own values and needs. Functional freedom depends on three compensatory dimensions: it is greatest when the decision-maker is highly rational, when the structure of the decision is highly underdetermined, and when the decision process is strongly based on conscious thought and reflection. We outline possible research questions, argue for psychological benefits of functional decision freedom, and explicate the model’s implications on current knowledge and research. In conclusion, we show that functional freedom is a scientific variable, permitting an additional psychological foothold in research on freedom, and that is compatible with a deterministic worldview. PMID:28678165

76 FR 58565 - Proposed Information Collection (Operation Enduring Freedom/Operation Iraqi Freedom Seriously...

Science.gov (United States)

2011-09-21

... (Operation Enduring Freedom/ Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet... solicits comments on information provided to Operation Enduring Freedom/Operation Iraqi Freedom veterans... information technology. Title: Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill...

Osteopathic manipulative treatment results in sustained relief from spinal pain in older patients: A pilot crossover study

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Pannunzio A

2016-01-01

Full Text Available Osteopathic Manipulative Treatment is commonly used to complement conventional treatment of back pain. The present study verified whether OMT, associated with training program, reduces spinal pain in older. A pilot randomized, double-blind crossover study was conducted at Sport Association of Milan, Italy. We recruited 19 subjects above 60 years old, with presence of SP for more than 3 weeks and with intensity score higher than 3 (NRS score. All patients underwent a multi-component group exercise program for older adults and were randomized in two groups: in the study group (SG OMT was added, while the control group (CG continued with the exercise only. After 6 weeks a crossover was applied to the 2 groups and OMT was added to CG, while SG continued with the exercise only. Self-reported measures: the Numeric Rating Scale (NRS was used at each time to evaluate treatment outcomes. At pre-crossover, SG had a significant improvement in pain perception (p<0.05, while CG had a not significate improvement in pain perception (p=0.33.At post-crossover, the SG remains relatively stable (p=0.37, while CG after OMT addition have a significant benefit on pain perception (p=0.001. At follow-up, pain improvement is sustained (p=0.32. OMT associated to exercise reduce spinal pain in older patients. Our study suggests that OMT associated to exercise leads to significant improvement on pain relief in patients with chronic SP in a short term and the exercise allows to maintain these improvements for several months

76 FR 72243 - Proposed Information Collection (Operation Enduring Freedom/Operation Iraqi Freedom Veterans...

Science.gov (United States)

2011-11-22

... (Operation Enduring Freedom/ Operation Iraqi Freedom Veterans Health Needs Assessment) Activity; Comment... Operation Enduring Freedom/ Operation Iraqi Freedom veterans and their families. DATES: Written comments and...: Operation Enduring Freedom/Operation Iraqi Freedom Veterans Health Needs Assessment, VA Form 10-21091. OMB...

Postoperative Analgesia Due to Sustained-Release Buprenorphine, Sustained-Release Meloxicam, and Carprofen Gel in a Model of Incisional Pain in Rats (Rattus norvegicus).

Science.gov (United States)

Seymour, Travis L; Adams, Sean C; Felt, Stephen A; Jampachaisri, Katechan; Yeomans, David C; Pacharinsak, Cholawat

2016-01-01

Postoperative analgesia in laboratory rats is complicated by the frequent handling associated with common analgesic dosing requirements. Here, we evaluated sustained-release buprenorphine (Bup-SR), sustained-release meloxicam (Melox-SR), and carprofen gel (CG) as refinements for postoperative analgesia. The aim of this study was to investigate whether postoperative administration of Bup-SR, Melox-SR, or CG effectively controls behavioral mechanical and thermal hypersensitivity in a rat model of incisional pain. Rats were randomly assigned to 1 of 5 treatment groups: saline, 1 mL/kg SC BID; buprenorphine HCl (Bup HCl), 0.05 mg/kg SC BID; Bup-SR, 1.2 mg/kg SC once; Melox-SR, 4 mg/kg SC once; and CG, 2 oz PO daily. Mechanical and thermal hypersensitivity were tested daily from day-1 through 4. Bup HCl and Bup-SR attenuated mechanical and thermal hypersensitivity on days 1 through 4. Melox-SR and CG attenuated mechanical hypersensitivity-but not thermal hypersensitivity-on days 1 through 4. Plasma concentrations, measured by using UPLC with mass spectrometry, were consistent between both buprenorphine formulations. Gross pathologic examination revealed no signs of toxicity in any group. These findings suggest that postoperative administration of Bup HCl and Bup-SR-but not Melox-SR or CG-effectively attenuates mechanical and thermal hypersensitivity in a rat model of incisional pain.

A randomized, placebo controlled, trial of preoperative sustained release Betamethasone plus non-controlled intraoperative Ketorolac or Fentanyl on pain after diagnostic laparoscopy or laparoscopic tubal ligation [ISRCTN52633712

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Piller Marsha D

2003-08-01

Full Text Available Abstract Background Gynecological laparoscopic surgery procedures are often complicated by postoperative pain resulting in an unpleasant experience for the patient, delayed discharge, and increased cost. Glucocorticosteroids have been suggested to reduce the severity and incidence of postoperative pain. Methods This study examines the efficacy of a sustained release betamethasone preparation to reduce postoperative pain and the requirement for pain relief drugs after either diagnostic laparoscopy or tubal ligation. Patients were recruited, as presenting, after obtaining informed consent. Prior to surgery, patients were randomly selected by a computer generated table to receive either pharmacy-coded betamethasone (12 mg IM Celestone™ or an optically identical placebo injection of Intralipid™ and isotonic saline mixture. The effect of non-controlled prophylactic intraoperative treatment with either fentanyl or ketorolac per surgeon's orders was also noted in this study. Blood samples taken at recovery and at discharge times were extracted and analyzed for circulating betamethasone. Visual analog scale data on pain was gathered at six post-recovery time points in a triple blind fashion and statistically compared. The postoperative requirement for pain relief drugs was also examined. Results Although the injection achieved a sustained therapeutic concentration, no beneficial effect of IM betamethasone on postoperative pain or reduction in pain relief drugs was observed during the postoperative period. Indeed, the mean combined pain scores during the 2 hour postoperative period, adjusted for postoperative opioids as the major confounding factor, were higher approaching statistical significance (P = 0.056 in the treatment group. Higher pain scores were also observed for the tubal ligation patients relative to diagnostic laparoscopy. Intraoperative fentanyl treatment did not significantly lower the average pain score during the 2 hour postoperative

Economic Growth, Institutional Development and Personal Freedom: The Educational Needs of China.

Science.gov (United States)

Clarke, Thomas

1999-01-01

To sustain growth requires changes in the Chinese economy and society. The Asian financial crisis shows that independent institutions and individual freedoms are necessary to stimulate entrepreneurship and innovation. Conservative social values often promoted by the education and training system could hinder economic growth. (SK)

Complex Freedom

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Davor Pecnjak

2009-07-01

Full Text Available We have a very strong intuition and a very strong feeling that we, as human beings, generally have freedom of the will and freedom of the action. It seems that in most situations we can do this or that; namely, we can do action A or we can refrain from doing action A under the same conditions. The view which argues that this is not an illusion and that we have genuine freedom is the libertarian view. I would like to examine could that view be plausible under scientific understanding of the world. It seems that physical sciences strongly support determinism. Chaos theory and indeterminism in quantum mechanics could not save freedom because chaos is a deterministic theory and indeterminate events in quantum mechanics happen by pure chance. Pure chance is not something we want as freedom. But, perhaps, we can have freedom reconciled (although maybe in a restricted form if actions or decisions can be described by equations which allow more than one solution and if these solutions can be interpreted as refering to different contents of the will or to different actions.

Sustained analgesic effect of clonidine co-polymer depot in a porcine incisional pain model.

Science.gov (United States)

Wilsey, Jared T; Block, Julie H

2018-01-01

Previous research suggests that the α 2 adrenergic agonist clonidine, a centrally acting analgesic and antihypertensive, may also have direct effects on peripheral pain generators. However, aqueous injections are limited by rapid systemic absorption leading to off target effects and a brief analgesic duration of action. The aim of this study was to examine the efficacy of a sustained-release clonidine depot, placed in the wound bed, in a pig incisional pain model. The depot was a 15 mm ×5 mm ×0.3 mm poly(lactide-co-caprolactone) polymer film containing 3% (w/w) clonidine HCl (MDT3). Fifty-two young adult mix Landrace pigs (9-11 kg) were divided into seven groups. All subjects received a 6 cm, full-thickness, linear incision into the left lateral flank. Group 1 served as a Sham control group (Sham, n=8). Group 2 received three placebo strips (PBO, n=8), placed end-to-end in the subcutaneous wound bed before wound closure. Group 3 received one MDT3 and two PBO (n=8), Group 4 received two MDT3 and one PBO (n=8), and Group 5 received three MDT3 (n=8). Positive control groups received peri-incisional injections of bupivacaine solution (Group 6, 30 mg/day bupivacaine, n=8) or clonidine solution (Group 7, 225 µg/day, n=4). The surgical procedure was associated with significant peri-incisional tactile allodynia. There was a dose-dependent effect of MDT3 in partially reversing the peri-incisional tactile allodynia, with maximum pain relief relative to Sham at 72 hours. Daily injections of bupivacaine (30 mg), but not clonidine (up to 225 µg), completely reversed allodynia within 48 hours. There was a statistically significant correlation between the dose of MDT3 and cumulative withdrawal threshold from 4 hours through the conclusion of the study on day 7. These data suggest that a sustained-release clonidine depot may be a viable nonopioid, nonamide anesthetic therapy for the treatment of acute postsurgical nociceptive sensitization.

Sustained relief of pain from osteosynthesis surgery of rib fracture by using biodegradable lidocaine-eluting nanofibrous membranes.

Science.gov (United States)

Yu, Yi-Hsun; Hsu, Yung-Heng; Chou, Ying-Chao; Fan, Chin-Lung; Ueng, Steve W N; Kau, Yi-Chuan; Liu, Shih-Jung

2016-10-01

Various effective methods are available for perioperative pain control in osteosynthesis surgery, but they are seldom applied intraoperatively. The aim of this study was to evaluate a biodegradable poly([d,l]-lactide-co-glycolide) (PLGA)/lidocaine nanofibrous membrane for perioperative pain control in rib fracture surgery. Scanning electron microscopy showed high porosity of the membrane, and an ex vivo high-performance liquid chromatography study revealed an excellent release profile for both burst and controlled release of lidocaine within 30days. Additionally, the PLGA/lidocaine nanofibrous membrane was applied in an experimental rabbit rib osteotomy model. Implantation of the membrane around the osteotomized rib during osteosynthesis surgery resulted in a significant increase in weight gain, food and water consumption, and daily activity compared to the study group without the membrane. In addition, all osteotomized ribs were united. Thus, application of the PLGA/lidocaine nanofibrous membrane may be effective for sustained relief of pain in oeteosynthesis surgery. Copyright © 2016 Elsevier Inc. All rights reserved.

Speech freedom and press freedom in human security in Rwanda

OpenAIRE

Niyonzima, Oswald

2014-01-01

Treball Final de Màster Universitari Internacional en Estudis de Pau, Conflictes i Desenvolupament. Codi: SAA074. Curs: 2013/2014 Freedom of speech and press freedom are key foundations of all human rights as stipulated in human rights declaration of 1948. Denying people the right to free speech is keeping them away from what is happening in this world, thus, hindering them from participating in decision making. While speech freedom and press freedom are key tools to measure if a country ...

76 FR 73022 - Agency Information Collection (Operation Enduring Freedom/Operation Iraqi Freedom Seriously...

Science.gov (United States)

2011-11-28

... (Operation Enduring Freedom/ Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet... No. 2900-0720.'' SUPPLEMENTARY INFORMATION: Title: Operation Enduring Freedom/Operation Iraqi Freedom... used VA Form 21-0773 as a checklist to ensure they provided Operation Enduring Freedom or Operation...

The Meaning of Freedom

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Luis Eduardo Hoyos

2009-12-01

Full Text Available In the article it is pretended to prepare the conceptual field for the correct use of the attribution of freedom. It is defended the importance to consider the complementarity of freedom of action and freedom of the will and it is argued for a non-metaphysical conception of adscription of freedom. The adequate use of the attribution of freedom is social and normative. This means additionally that the freedom is not a presupposition of the moral responsibility and the authorship, but on the contrary the moral responsibility and the authorship are presuppositions of the attribution of freedom.

77 FR 7243 - Proposed Information Collection (Operation Enduring Freedom/Operation Iraqi Freedom Veterans...

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2012-02-10

... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0728] Proposed Information Collection (Operation Enduring Freedom/ Operation Iraqi Freedom Veterans Health Needs Assessment) Activities Under OMB....'' SUPPLEMENTARY INFORMATION: Title: Operation Enduring Freedom/Operation Iraqi Freedom Veterans Health Needs...

Education, Learning and Freedom

Science.gov (United States)

Hinchliffe, Geoffrey

2017-01-01

This paper takes as its starting point Kant's analysis of freedom in the Critique of Pure Reason. From this analysis, two different types of freedom are discerned, formative and instrumental freedom. The paper suggests that much of what passes for the pedagogy of learning in UK universities takes the form of an instrumental freedom. This, however,…

Freedom Project

Directory of Open Access Journals (Sweden)

Alejandra Suarez

2014-02-01

Full Text Available Freedom Project trains prisoners in nonviolent communication and meditation. Two complementary studies of its effects are reported in this article. The first study is correlational; we found decreased recidivism rates among prisoners trained by Freedom Project compared with recidivism rates in Washington state. The second study compared trained prisoners with a matched-pair control group and found improvement in self-reported anger, self-compassion, and certain forms of mindfulness among the trained group. Ratings of role-plays simulating difficult interactions show increased social skills among the group trained by Freedom Project than in the matched controls.

On freedom, being and transcendence: the quest for relevance in higher education

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Catarina Antunes Gomes

Full Text Available In spite of an extreme diversity in terms of institutional designs, political environment and economic predicaments, the global landscape of higher education systems nowadays faces common trends that raise a number of perplexities and reframe the idea and the practice of the university. Those same trends compel us to analyse the university's contemporary challenges and conundrums, especially in terms of its social function and the core issue of its existence: critical thinking and intellectual freedom. Thus, central to this endeavour is questioning what critical thinking and intellectual freedom are, as well as what both imply in terms of educational practices and knowledge production. Quite beyond their market-oriented usefulness, the exercise of critical thinking and intellectual freedom might be best understood as the founda-tional condition for avoiding coercive normalisation, that is, the tools through which individuals and communities can sustain democratic control over institutions and exercise critical and conscious choices around identity matters and what futures to build. In this sense it is argued that critical thinking - itself an experience of freedom - should be translated into forms of transcendence through which historical limits imposed on individuals and communities can be challenged. The conundrum is to assess, in present-day conditions, how the university can pursue and defend critical thinking and intellectual freedom.

Sustained-release indomethacin in the management of the acute painful shoulder from bursitis and/or tendinitis.

Science.gov (United States)

Calabro, J J; Londino, A V; Eyvazzadeh, C

1985-10-25

Of all the forms of nonarticular rheumatism, by far the most common are bursitis and tendinitis. Yet, the bursae and neighboring tendon sheaths are the most neglected anatomic structures of the body. Moreover, like the joints, they are lined by synovial membrane, secrete synovial fluid, and are common sites of rheumatic problems. The vast majority of painful shoulder problems are caused by acute subacromial (subdeltoid) bursitis and bicipital tendinitis. In the management of these periarticular disorders, the ultimate goal is to preserve shoulder motion. Although this is accomplished by daily range-of-motion exercises, it is clearly facilitated by suppression of periarticular inflammation and discomfort through the use of nonsteroidal anti-inflammatory drugs. Of these, sustained-release indomethacin provides the anti-inflammatory efficacy of indomethacin and by virtue of its sustained-release formulation, may promote patient compliance since it need be given only once or twice daily.

Freedom Of Expression In The View Of Community Law

OpenAIRE

Ion Țuțuianu

2014-01-01

AbstractEven if freedom of expression is one of the most disputed topics in the last few years, it’s also true that a democratic society cannot be conceived without respecting this fundamental right. Its regulation was in hands of the doctrine but also of the legal practice and the recent international bodies have given sustained attention through the European Convention on Human Rights:  the Treaty of Establishment of a Constitution for Europe; the Constitutions of the democratic countries a...

Declaration of Academic Freedom

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Gökhan ÇETİNSAYA

2014-04-01

Full Text Available 1. Universities are the institutions where all the opinions, various truth claims as well as social and political problems are discussed in a liberal and civilized way and the complicated problems are expressed clearly without any oppression and prevention. 2. Academic freedom includes first and foremost the right of freedom of research and thus freedom of using the essential knowledge methods, the right of possessing the necessary tools and conditions required for the research and the rights of scientific production, informing, learning and dissemination. 3. Academics possess the rights to benefit from the academic freedom without any limitation, to research and investigate according to their own preferences and interests, and to teach these without being exposed to any oppression and prevention. 4. This freedom of teaching that the academics have should not be used in a manner restricting students' freedom of learning; academics should avoid from being dogmatic in the research and education processes and respect students' rights of thinking differently and expressing themselves. 5. Academics accordingly should lead the students to evaluate and understand the new thoughts as a whole and to be tolerant to the thoughts they do not agree and to think in various ways. Also, academics should encourage the students to create their own opinions based on evidences and enable them to express these opinions freely and respect their freedom of expression. 6. Campuses should be safe environments where the students can express their own opinions freely. Suppressing the intellectual diversity and the plurality of viewpoints will decrease the productivity of teaching and learning process, restrict students' freedom of learning, and constrain the chance of formation of critical and in-depth thinking. 7. Critical thinking develops only in the campuses where various thoughts are expressed in a liberal way. Students should feel that they would not be prevented

Freedom, structure, and creativity

NARCIS (Netherlands)

Rietzschel, Eric; Reiter-Palmon, Roni; Kaufman, James

2018-01-01

Creativity is commonly thought to depend on freedom and a lack of constraints. While this is true to a large extent, it neglects the creative potential of structure and constraints. In this chapter, I will address the relation between freedom, structure, and creativity. I will explain that freedom,

Executive Functioning in Pediatric Chronic Pain: Do Deficits Exist?

Science.gov (United States)

Weiss, Karen E; Harbeck-Weber, Cynthia; Zaccariello, Michael J; Kimondo, Jacqueline N; Harrison, Tracy E; Bruce, Barbara K

2018-01-01

Despite ample research documenting deficits in executive functioning for adults with chronic pain, the literature on pediatric patients with chronic pain is limited and provides mixed results. The current study sought to further investigate the nature of executive dysfunction in this population and also examine the relationships between pain intensity, duration, and catastrophizing with sustained attention, working memory, and self- and parent-report of executive functioning. Pediatric pain clinic and rehabilitation program. Forty adolescents with chronic pain and their parents participated in this study. Participants completed neuropsychological measures and standardized self-report questionnaires during a 45- to 60-minute testing session. Fifty percent of this sample of adolescents with chronic pain demonstrated significant difficulties on at least one measure, with nine participants indicating difficulties on multiple measures. Pain significantly increased during the testing session. Pain variables of intensity, duration, and catastrophizing are related to sustained attention and working memory. This study adds support to previous findings suggesting subclinical struggles with executive functioning for adolescents with chronic pain. One-half of the sample indicated difficulties in either sustained attention and/or working memory. Future studies that would more thoroughly examine more complex executive functioning skills in this population would be helpful to further guide multidisciplinary treatment of these patients, particularly regarding whether or not school accommodations are warranted. © 2017 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Updating Animal Welfare Thinking: Moving beyond the "Five Freedoms" towards "A Life Worth Living".

Science.gov (United States)

Mellor, David J

2016-03-14

The Five Freedoms have had major impact on animal welfare thinking internationally. However, despite clear initial statements that the words 'freedom from' should indicate 'as free as possible from', the Freedoms have come to be represented as absolute or fundamental freedoms, even rights, by some animal advocate and other groups. Moreover, a marked increase in scientific understanding over the last two decades shows that the Freedoms do not capture the more nuanced knowledge of the biological processes that is germane to understanding animal welfare and which is now available to guide its management. For example, the named negative experiences of thirst, hunger, discomfort and pain, and others identified subsequently, including breathlessness, nausea, dizziness, debility, weakness and sickness, can never be eliminated, merely temporarily neutralised. Each one is a genetically embedded element that motivates animals to behave in particular ways to obtain specific life-sustaining resources, avoid or reduce physical harm or facilitate recovery from infection or injury. Their undoubted negativity creates a necessary sense of urgency to respond, without which animals would not survive. Also, the temporary neutralisation of these survival-critical affects does not in and of itself generate positive experience. This questions the commonly held assumption that good animal welfare will result when these internally generated negative affects are minimised. Animals may also experience other negative affects that include anxiety, fear, panic, frustration, anger, helplessness, loneliness, boredom and depression. These situation-related affects reflect animals' perceptions of their external circumstances. Although they are elicited by threatening, cramped, barren and/or isolated conditions, they can often be replaced by positive affects when animals are kept with congenial others in spacious, stimulus-rich and safe environments which provide opportunities for them to engage in

Sustainable Innovation of Glass Design and Craft

DEFF Research Database (Denmark)

Sparre-Petersen, Maria

2014-01-01

Barely any research has been made into the implementation of sustainable principles in glass design and craft. A common tendency among students and practitioners is to consider it problematic if not impossible to develop a “truly sustainable practice”. Generally glass crafts people and glass...... designers aim to explore new aesthetic possibilities for the material and see sustainability as a hindrance for aesthetic freedom. On the contrary the field of design has strong and growing emphasis on sustainable development. Fry (2009) argues that what he defines as sustain-ability is not an end goal...... but an ongoing process of re-directing the way we design our world and thereby our future. This approach along with further research into sustainable development within the field of design and combined with material specific methodologies may reveal new possibilities for sustainable as well as aesthetic...

Freedom as Satisfaction?

DEFF Research Database (Denmark)

Rostbøll, Christian Fogh

2004-01-01

with harmony in one's entire volitional system, Frankfurt may solve the infi nite regress objection but he does so at the cost of ending up with a description of freedom, which comes very close to being identical to his own description of the wanton. Frankfurt's account leaves open the question of whether......This article is a critical assessment of Harry Frankfurt's hierarchical theory of freedom. It spells out and distinguishes several different and irreconcilable conceptions of freedom present in Frankfurt's work. I argue that Frankfurt is ambiguous in his early formulation as to what conception...... of freedom of the will the hierarchical theory builds on, an avoidability or a satisfaction conception. This ambiguity causes problems in his later attempts to respond to the objections of wantonness of second-order desires and of infi nite regress. With his more recent idea of freedom as being satisfi ed...

Myths About Press Freedom

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Kaarle Nordenstreng

2007-06-01

Full Text Available This article intends to rectify three popular beliefs related to press freedom: (1 that the idea of a free marketplace of ideas with a self-righting truth belongs to original liberalism, (2 that UNESCO’s primary mission is to promote freedom of information, and (3 that the Universal Declaration of Human Rights provides legal safeguards for the media. These beliefs are shown, on the basis of the legacy of liberalism and documents of the international community, to be misleading myths. Instead of accurate readings of the idea of freedom, they serve as ideological positions which are harmful to democracy. The Millennium Declaration provides further proof that the international community has a much more balanced view of freedom of information than that typically held by media professionals. Therefore it is important to liberate the concept of press freedom from its ideological baggage.

Net-Centric Sustainment and Operational Reach on the Modern Battlefield

Science.gov (United States)

2012-05-17

Halliday, Marc L. Robbins , and Kenneth J. Girardini. "Sustainment of Army Forces in Operation Iraqi Freedom: Battlefield Logistics and Effects on Operations... Robbins , Kenneth J. Girardini, Rick Eden, John M. Halliday, and Jeffrey Angers. "Operation Iraqi Freedom: Major Findings and Recommendations...Timothy P. Williams, Tony R. Sherrill, Amy R. McGrath, Morris G. Hayes, Antoniette C. McGrady, and John M. Sheckler. "Logistics Command and Control

Tramadol hydrochloride 75 mg/dexketoprofen 25 mg oral fixed-dose combination in moderate-to-severe acute pain: sustained analgesic effect over a 56-h period in the postoperative setting.

Science.gov (United States)

Montero Matamala, A; Bertolotti, M; Contini, M P; Guerrero Bayón, C; Nizzardo, A; Paredes Lario, I; Pizà Vallespir, B; Scartoni, S; Tonini, G; Capriati, A; Pellacani, A

2017-06-01

Multimodal analgesia constitutes a common strategy in pain management. A tramadol hydrochloride 75 mg/dexketoprofen 25 mg oral fixed combination (TRAM/DKP 75 mg/25 mg) has been recently registered and released in Europe for the treatment of moderate-to-severe acute pain. This paper provides additional analyses on the results of two phase III clinical trials (DEX-TRA-04 and DEX-TRA-05) on postoperative pain to document its sustained effect. The analysis was applied to a modified intention-to-treat population (mITT, n = 933) of patients undergoing active treatment from the first dose, to assess the sustained effect of TRAM/DKP 75 mg/25 mg on pain intensity (PI-VAS 0-100) over 56 h from first drug intake. The superior analgesic effect of TRAM/DKP 75 mg/25 mg over 56 h in terms of difference in PI-VAS (mean [SE]) was shown for DEX-TRA-04 (-11.0 [0.55] over dexketoprofen 25 mg and -9.1 [0.55] over tramadol 100 mg, P ≤ 0.0001) and for DEX-TRA-05 (-10.4 [0.51] over dexketoprofen 25 mg and -8.3 [0.51] over tramadol 100 mg, P ≤ 0.0001). The statistical analysis performed on data coming from both studies confirms the superior sustained analgesia of TRAM/DKP 75 mg/25 mg over tramadol 100 mg and dexketoprofen 25 mg. These results are consistent with the previously published data obtained on the ITT population and strongly support the role of this oral fixed-dose combination in the treatment of moderate-to-severe acute pain. Copyright 2017 Clarivate Analytics.

Let Freedom Ring! Let Peace Reign!

Science.gov (United States)

Moore, Mary Elizabeth Mullino

2012-01-01

True freedom and true peace are cousins, but they can only work together if the freedom of one people is seen in relation to the freedom of another. Struggles for freedom and peace can only enhance each other if the peace people seek is a robust harmony in which conflict is embraced and people are encouraged to imagine a far stronger freedom and…

Freedom & Self-Knowledge

NARCIS (Netherlands)

Ometto, D.L.A.

2016-01-01

Freedom of the will is a never-ending source of puzzlement for academic philosophers. At the same time, it is something deeply familiar to everyone. For the relevant concept of freedom underlies much, if not all, of our ordinary discourse and thinking about ourselves and others. However, our attempt

Semiotic Freedom

DEFF Research Database (Denmark)

Bruni, Luis Emilio

2008-01-01

), but stress also their necessity in the study of any given biological and cognitive system. I draw a distinction between horizontal and vertical emergence in order to arrive at a notion of ‘second order emergence' that affords us a more viable definition of semiotic freedom. I will then attempt to show......The emergence of organic, metabolic, cognitive and cultural codes points us to the need for a new kind of explanatory causality, and a different kind of bio-logic - one dependent on, but different from, the deterministic logic derived from mechanical causality, and one which can account...... for the increase in semiotic freedom which is evident in the biological hierarchy. Building upon previous work (Bruni 2003), in this article I provide a stipulative definition of semiotic freedom and its relation to causality in biological and cognitive systems. To do so, I will first discuss the close relation...

Genitourinary Injuries Sustained by Female U.S. Service Members During Operation Iraqi Freedom and Operation Enduring Freedom

Science.gov (United States)

2017-10-07

2. REPORT TYPE 10/07/2017 Presentation 4. TITLE AND SUBTITLE GENITOURINARY INJURIES SUSTAINED BY FEMALE U.S. SERVICE MEMBERS DURING OPERATION...for increased female GU injuries in future conflicts and the long-term sequelae from these injury patterns. Materials and Methods: The Department of

Personal Freedom beyond Limits

Directory of Open Access Journals (Sweden)

Juan Fernando Sellés

2013-07-01

Full Text Available In this work we distinguish between freedom in the human manifestations (intelligence, will,actions and personal freedom in the personal intimacy. This second is beyond the freedom reached bythe classic and modern thought, since it takes root in the personnel act of being. Because of it, it is not possible to characterize this freedom like the classic description as ‘domain over the own acts’, becauseit is a description of ‘categorial’ order; neither like present day ‘autonomy’ or ‘independence’, becausethe existence of one person alone is impossible, since ‘person’ means relation, personal free openingto other persons, description of the ‘transcendental’ order and, therefore, to the margin of limits.

Human freedom and enhancement.

Science.gov (United States)

Heilinger, Jan-Christoph; Crone, Katja

2014-02-01

Ideas about freedom and related concepts like autonomy and self-determination play a prominent role in the moral debate about human enhancement interventions. However, there is not a single understanding of freedom available, and arguments referring to freedom are simultaneously used to argue both for and against enhancement interventions. This gives rise to misunderstandings and polemical arguments. The paper attempts to disentangle the different distinguishable concepts, classifies them and shows how they relate to one another in order to allow for a more structured and clearer debate. It concludes in identifying the individual underpinnings and the social conditions of choice and decision-making as particularly salient dimensions of freedom in the ethical debate about human enhancement.

Occupational correlates of low back pain among U.S. Marines following combat deployment.

Science.gov (United States)

MacGregor, Andrew J; Dougherty, Amber L; Mayo, Jonathan A; Rauh, Mitchell J; Galarneau, Michael R

2012-07-01

Many U.S. Marines have experienced routine combat deployments during Operation Iraqi Freedom, which present numerous occupational hazards that may result in low back pain (LBP). The objective of this retrospective cohort study was to identify new-onset LBP among Marines following initial deployment to Operation Iraqi Freedom. Active duty Marines deployed to Iraq or Kuwait between 2005 and 2008 were identified from deployment records and linked to medical databases (n = 36,680). The outcome of interest was an International Classification of Diseases, 9th Revision, Clinical Modification code indicating LBP (724.2) within 1 year postdeployment. Multivariate logistic regression examined the effect of occupation on LBP. Overall, 4.1% (n = 1,517) of Marines were diagnosed with LBP. After adjusting for covariates, the service/supply (odds ratio 1.33, 95% confidence interval, 1.12-1.59) and electrical/mechanical/craftsworker occupations (odds ratio 1.31, 95% confidence interval, 1.12-1.53) had higher odds of LBP when compared to the administrative/other referent group. Within these groups, the highest LBP prevalence was in the construction (8.6%) and law enforcement (6.2%) subgroups. Although infantry occupations purposefully engage the enemy and often face sustained physical rigors of combat, LBP was most prevalent in noninfantry occupations. Future studies should include detailed exposure histories to elucidate occupation-specific etiologies of LBP in order to guide prevention efforts.

Enactivism and Freedom Education

Directory of Open Access Journals (Sweden)

Qing Li

2014-11-01

Full Text Available In this paper, we argue, grounded on empirical evidence, that enactivism is a promising philosophical stance with great potential to address challenges brought by our rapidly changing world. We then propose Freedom Education, a new form of teaching and learning founded on the enactivist theory. After discussing what constitutes Freedom Education and what it is not, we recommend several principles to establish a learning world of free-dom education.

America, guns and freedom: Part II - An international perspective.

Science.gov (United States)

Faria, Miguel A

2012-01-01

The need for reducing gun violence is discussed along with the necessity for citizens to assume some responsibility for protecting themselves, their families, and their property from criminal elements because the police cannot physically be everywhere to protect us all of the time. The problem of sensationalization of gun crimes by the media, multiple shootings by deranged individuals, accidents with firearms, suicide rates, and children with guns are discussed.The relationship of civilian disarmament in the context of tyrannical governments and genocide are also explored. Incidents in which liberty has been extinguished because firearms have been banned and citizens have been disarmed by increasingly oppressive governments, and the converse, countries where freedom has been preserved by armed citizens are also described. We conclude that guns in the hands of law-abiding citizens deter crimes, and nations that trust their citizens with firearms have governments that sustain liberty and affirm individual freedom. Governments that do not trust their citizens with firearms tend to be despotic and tyrannical, and are a potential danger to good citizens - and a peril to humanity.

Intellectual Freedom: 2000 and Beyond.

Science.gov (United States)

Holtze, Terri L.; Rader, Hannelore B.

2000-01-01

Focuses on intellectual freedom, discussing the role of libraries, the Berlin Wall and banned books as attempts to restrict intellectual freedom, and controversies surrounding filtering software. Contains an annotated bibliography of intellectual freedom resources, presented in five categories: general; government and legal issues; access and…

INTERVENSI SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE UNTUK MENGURANGI RASA NYERI PASIEN KANKER

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Rr. Tutik Sri Hariyati

2009-12-01

Full Text Available Spiritual emotional freedom technique (SEFT represents an combination technique from body’s energy system and spiritual therapy by tapping at certain points of the body. SEFT focuses on certain words or sentences pronounced several times in a rhythm, follows by resignation to God as in patients’ belief. This research was aimed to explore the effect of SEFT intervention to reduce of cancer pain patients at the Dr Soetomo General Hospital in Surabaya. Quasi experimental were used in this study using pre test and post test design with control group. Samples, 20 respondents (in 2 groups were recruited using consecutive sampling. The intervention group received SEFT intervention combined with analgesic therapy and the control group given only analgesic therapy. SEFT intervention implemented after administrating analgesic, for 5-10 minutes every day during five days. Pain was measured using numeric rating scale (NRS. The combination SEFT intervention and analgesic therapy was more effective than only analgesic therapy. SEFT can be employed for cancer patients to relieve their pain. Nursing intervention with SEFT encourages nurse’s role autonomy and steps to reduce patient’s dependency on analgesic therapy.

Mobilization versus manipulations versus sustain apophyseal natural glide techniques and interaction with psychological factors for patients with chronic neck pain: randomized controlled trial.

Science.gov (United States)

Lopez-Lopez, A; Alonso Perez, J L; González Gutierez, J L; La Touche, R; Lerma Lara, S; Izquierdo, H; Fernández-Carnero, J

2015-04-01

Three different types of manual therapy techniques for patients with neck pain and relationship with psychological factors has not been evaluated. To compare the effectiveness high velocity and low amplitude (HVLA) manipulation vs. posteroanterior mobilization (PA mob) vs. sustain appophyseal natural glide (SNAG) in the management of patients with neck pain and to evaluate the interaction with psychological factors. Randomized clinical trial. Primary Health Care Center. Patients with history of chronic neck pain over the last 3 months were recruited. Patients were randomly assigned to receive treatment with HVLA (N.=15), with PA mob (N.=16) or with SNAG (N.=17). One session was applied. Pain intensity of neck pain, pressure pain threshold over processus spinosus of C2 (PPT_C2) and cervical range of motion (CROM) were measured pre- and post-intervention. Pain catastrophizing, depression, anxiety and kinesiophobia were assessed in baseline. ANOVAs were performed, with main effects, two-way (treatment x time) and three-way interactions (treatment x psychological variable x time) were examined. Fourthy-eight patients (mean±SD age, 36.5±8.7 years; 87.5% female). A significant interaction treatment x time was observed for VAS-rest in HVLA and AP mob groups (Ptechniques have similar immediate effects over neck pain and while under high anxiety levels a better outcome is expected after mobilization intervention, under low anxiety levels a better prognosis is expected after manipulation and SNAG intervention.

Academic Freedom Requires Constant Vigilance

Science.gov (United States)

Emery, Kim

2009-01-01

Traditionally, academic freedom has been understood as an individual right and a negative liberty. As William Tierney and Vincente Lechuga explain, "Academic freedom, although an institutional concept, was vested in the individual professor." The touchstone document on academic freedom, the American Association of University Professor's (AAUP)…

Sustainable Consumption Dilemmas

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Kees Vringer

2017-06-01

Full Text Available To examine which considerations play a role when individuals make decisions to purchase sustainable product varieties or not, we have conducted a large scale field experiment with more than 600 participating households. Households can vote on whether the budgets they receive should only be spent on purchasing the sustainable product variety, or whether every household in a group is free to spend their budget on any product variety. By conducting several treatments, we tested whether people tend to view sustainable consumption as a social dilemma or as a moral dilemma. We find little support for the hypothesis that social dilemma considerations are the key drivers of sustainable consumption behaviour. Participants seem to be caught in a moral dilemma in which they not only weigh their individual financial costs with the sustainable benefits but they also consider the consequences of restricting other people’s freedom of choice. Complementary survey results further substantiate this claim and show that many people are reluctant to impose restrictions on their peers, but, at the same time, our results also suggest substantial support for the government to regulate the availability of unsustainable product varieties.

Intellectual Workers and Essential Freedoms.

Science.gov (United States)

Edley, Christopher Jr.

2000-01-01

Journalists and college professors deserve certain privileges, including freedom of speech and academic freedom, but they must adapt their work to increasingly diverse populations. They must confront public mistrust, convince people that these freedoms are worthwhile, and protect essential public rights through what they study and teach and to…

CUTTING THE CORD: SUSTAINING UNTETHERED AIR SUPERIORITY OPERATIONS IN THE PACIFIC

Science.gov (United States)

2016-06-01

AU/ACSC/2016 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY CUTTING THE CORD: SUSTAINING UNTETHERED AIR SUPERIORITY OPERATIONS IN THE PACIFIC...advanced their weapons systems may be. Since the end of the Cold War, the USAF has generated sorties from main operating bases ( MOB ) in support of...Operations Desert Storm, Allied Force, Enduring Freedom, and Iraqi Freedom. MOBs in rear sanctuaries allow aircraft to operate safely from enemy attack

Academic Freedom and the Diminished Subject

Science.gov (United States)

Hayes, Dennis

2009-01-01

Discussions about freedom of speech and academic freedom today are about the limits to those freedoms. However, these discussions take place mostly in the higher education trade press and do not receive any serious attention from academics and educationalists. In this paper several key arguments for limiting academic freedom are identified,…

Towards an ethics of freedom

DEFF Research Database (Denmark)

Jørgensen, Kenneth Mølbjerg

2018-01-01

Based upon the work of Arendt’s notion of action as freedom and Butler’s rework of this notion into a collective, embodied and material performance, this paper proposes an ethics of freedom, which is discussed as a politics of storytelling in organizations. Freedom, it is argued, is closely related...

Use of ibuprofen sustained release for treating osteoarthritic pain: findings from 15 general medical practices in Egypt

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Khalifa N

2014-05-01

Full Text Available Nabil Khalifa,1 Timour El-Husseini,1 Ahmed Morrah,2 Elshenawy Mostafa,3 Hesham Hamoud41Department of Orthopedic Surgery, Ain Shams University, Cairo, Egypt; 2Department of Orthopedic Surgery, Cairo University, Cairo, Egypt; 3Department of Orthopedic Surgery, Mansoura University, Mansoura, Egypt; 4Department of Rheumatology, Azhar University, Cairo, EgyptPurpose: Ibuprofen sustained release (SR has been shown to provide effective symptomatic pain relief in chronic arthritic conditions such as osteoarthritis in European and US patient populations. Few studies have been conducted in other patient populations. A 4-week prospective multicenter open-label observational study was designed to explore and describe the combined effect of ibuprofen SR and standard medical care in patients suffering from osteoarthritis in 15 general medical practices in Egypt.Patients and methods: In total, 519 patients were prescribed ibuprofen SR 2 ×800 mg once daily for 4 weeks.Results: Ibuprofen SR combined with standard medical care significantly improved day and night pain, with 99.4% of the patients reporting improvement. The treatment reduced the symptom severity of joint tenderness/stiffness and the duration of morning stiffness, and allowed more patients to carry out normal activities. Overall compliance with the prescribed ibuprofen SR regimen was 98.6%. Ibuprofen SR was generally well tolerated with no serious adverse events reported during the study. There was no increase in blood pressure or heart rate.Conclusion: The combined treatment provided effective relief of pain in patients with osteoarthritis in a large real-life general medical practice setting in Egypt. Owing to its convenient once-daily dosing regimen, ibuprofen SR may enhance patient compliance.Keywords: chronic arthritis, compliance, pain score, real-life

Nerve Root Compression Increases Spinal Astrocytic Vimentin in Parallel With Sustained Pain and Endothelial Vimentin in Association With Spinal Vascular Reestablishment.

Science.gov (United States)

Smith, Jenell R; Lee, Jasmine; Winkelstein, Beth A

2017-10-01

Temporal immunohistochemistry analysis of spinal cord tissue from a rat model of cervical radiculopathy. The goal was to measure spinal endothelial and astrocytic vimentin expression after a painful nerve root compression to define spinal cellular expression of vimentin in the context of pain. The intermediate filament, vimentin, is expressed in a variety of cell types in the spinal cord and is modulated in response to neural pathologies. Early after nerve root compression spinal astrocytes become activated and blood-spinal cord barrier (BSCB) breakdown occurs in parallel with development of pain-related behaviors; these spinal responses remain activated as does the presence of pain. In addition to vimentin, glial fibrillary acidic protein (GFAP) expression is a hallmark of astrocyte activation. In contrast, vascular endothelial cells down-regulate vimentin expression in parallel with vascular breakdown. It is not known whether spinal astrocytes and endothelial cells modulate their expression of vimentin in response to a painful neural injury. Mechanical hyperalgesia was measured and spinal cord tissue was harvested at days 1 and 7 after a unilateral nerve root compression in rats. Vimentin was coimmunolabeled with GFAP to label astrocytes and von Willebrand factor (VWF) for endothelial cells in the spinal cord on the side of injury. Spinal astrocytic vimentin increases by day 7 after nerve root compression, corresponding to when mechanical hyperalgesia is maintained. Spinal endothelial vimentin increases as early as day 1 after a painful compression and is even more robust at day 7. The delayed elevation in spinal astrocytic vimentin corresponding to sustained mechanical hyperalgesia supports its having a relationship with pain maintenance. Further, since BSCB integrity has been shown to be reestablished by day 7 after a painful compression, endothelial expressed vimentin may help to fortify spinal vasculature contributing to BSCB stability. N/A.

Freedom in mundane mobilities

DEFF Research Database (Denmark)

Mikkelsen, Marie V.; Cohen, Scott A.

2015-01-01

Freedom is a widely discussed and highly elusive concept, and has long been represented in exoticised, masculinised and individualised discourses. Freedom is often exemplified through the image of a solitary male explorer leaving the female space of home and familiarity and going to remote places...... of the world. Through in-situ interviews with families caravanning in Denmark, the primary aim of this study is to challenge existing dominant discourses surrounding the subject of freedom within leisure and tourism studies. Second, we shed further light on an under-researched medium of mobility......, that of domestic caravanning. This serves to not only disrupt representations of freedom as occurring through exoticised, masculinised and individualised practices, but to give attention to the domestic, banal contexts where the everyday and tourism intersect, which are often overlooked. This novel repositioning...

The Congress for Cultural Freedom seen from the dynamics of the Cold War

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Francisco Javier Ruiz Durán

2014-01-01

Full Text Available The aim of this paper is to show how, at the height of the Cold War, the British intelligence services responded to the new spy system created by the Comintern developing a secret campaign of political and cultural propaganda, under the cover of prestigious foundations to channel intellectuals in defense of a liberal democracy. This spy system expected to carry out propaganda secret operations and manipulate the intellectuals from almost the very beginning of the Soviet Revolution. The keystone to win the battle of consciences was the Congress for Cultural Freedom and its editorials, magazines, exhibitions, scholarships, concerts, congresses and conferences. Finally, it will be noted how the Congress for Cultural Freedom implemented the political conception of "non-communist left" to sustain the social democracy in the Western bloc.

The efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain.

Science.gov (United States)

Ali, Abid; Shakil-Ur-Rehman, Syed; Sibtain, Fozia

2014-07-01

To determine the efficacy of Sustained Natural Apophyseal Glides (SNAGs) with and without Isometric Exercise Training Program (IETP) in Non-specific Neck Pain (NSNP) Methods: This randomized control trial of one year duration was conducted at out-patient department of Physiotherapy and Rehabilitation, Khyber Teaching Hospital (KTH) Peshawar, Pakistan from July 2012 to June 2013. The sample of 102 patients of NSNP were randomly selected through simple random sampling technique, and placed into two groups. The SNAGs manual physical therapy technique with IETP was applied on 51 patients in group A and SNAGs manual physical therapy techniques was applied alone on 51 patients in group B. The duration of intervention was 6 weeks, at 4 times per week. The Neck Disability Index (NDI) and Visual Analog Scale (VAS) for neck pain were assessment tools used for all patients before and after 6 weeks of physical therapy intervention. All the patients were assessed through NDI and VAS before intervention and at the completion of 6 weeks program. The data of all 102 was analyzed by SPSS-20 and statistical test was applied at 95% level of significance determine the efficacy of both the treatments interventions and compare with each other. The patients in group A, treated with SNAGs and followed by IETP for 6 weeks, demonstrated more improvement in pain and physical activity as assessed by VAS (p=0.013) and NDI (p=0.003), as compared to the patients treated with SNAGS alone, as pain and function assessed by VAS (p=0.047) and NDI (p=0.164). In group A the NDI score improved from 40 to 15 and VAS from 7 to 4, while in group B the NDI score improved from 42 to 30 and VAS from 7 to 4. Patients with non-specific neck pain treated with SNAGs manual physical therapy techniques and followed by IETP was more effective in reduction of pain and enhancement of function, as compared to those patients treated with SNAGs manual physical therapy techniques alone.

Temporal characteristics of cold pain perception.

Science.gov (United States)

Frölich, Michael A; Bolding, Mark S; Cutter, Gary R; Ness, Timothy J; Zhang, Kui

2010-08-09

Adaptation to a sustained stimulus is an important phenomenon in psychophysical experiments. When studying the response to an experimental task, the investigator has to account for the change in perceived stimulus intensity with repeated stimulus application and, if the stimulus is sustained, for the change in intensity during the presentation. An example of a sustained stimulus is the cold pressor task (CPT). The task has been used both as an experimental pain task and to study cardiovascular physiology. In functional imaging research, the CPT has been used to evaluate cognitive processing of a noxious stimulus. Investigators typically model the stimulus in a block design as a categorical (on-off) stimulus and do not account for a temporal change in stimulus perception. If the perceived stimulus changes over time, the results may be misleading. Therefore, we characterized the time course of cold pain in human volunteers and developed a model of the temporal characteristics of perceived cold pain. Fifteen healthy participants underwent cold pain testing by immersing their right foot into a container filled with ice water (2 degrees C) for 30s alternating with a 30s immersion into a container filled with tepid water 32 degrees C (control). Participants rated the pain intensity using an electronic slide algometer. Using a mixed general linear model (effectively a polynomial regression model), we determined that pain ratings follow a crescendo-decrescendo pattern that can be described well using a quadratic model. We conclude that the time course of quantitative perception differs fundamentally from the time course of stimulus presentation. This may be important when looking for the physiological correlates of perception as opposed to the presence of a stimulus per se. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

Disaggregating Corporate Freedom of Religion

DEFF Research Database (Denmark)

Lægaard, Sune

2015-01-01

The paper investigates arguments for the idea in recent American Supreme Court jurisprudence that freedom of religion should not simply be understood as an ordinary legal right within the framework of liberal constitutionalism but as an expression of deference by the state and its legal system...... to religion as a separate and independent jurisdiction with its own system of law over which religious groups are sovereign. I discuss the relationship between, on the one hand, ordinary rights of freedom of association and freedom of religion and, on the other hand, this idea of corporate freedom of religion...

Which Freedom of the Press?

DEFF Research Database (Denmark)

Rytter, Jens Elo

2010-01-01

The article surveys the historical and current meaning of "Freedom of the Press" in constitutional and human rights law. Two different conceptions exist, the narrow one defining freedom of the press as the freedom of every one to publish without prior restraint, the broader one defining it as a...... privileged freedom of the organised press to gather and report on information of public interest. These two conceptions have very different answers to the question of whether the press should enjoy some privilege to be exempt from ordinary legislation when such legislation restricts the access of the press to inform...

Sociological Discourse(s) on Freedom

DEFF Research Database (Denmark)

Bertilsson, Margareta

The concept of freedom is often thought of as antithetical to sociology. The discipline is more prone to detect and unveil forms of unfreedom, as Zygmunt Bauman (1988) has pointed out. The question remains if any academic discipline, however, including sociology can do away with the concept...... of freedom al together! In matters of science, the problem of determinism vs. chance and spontaneity is essential. Hence, freedom, in one sense or the other, is necessarily at bottom also of sociological discourse. This text is an attempt to map the predominant forms of freedom found in sociological...... discourses. While starting out with the classic liberal concept informing theories of modernity followed by the various critiques directed against liberalism, not the least the most recently occurring (Lyotard, Agamben), the aim here is to spot possible trajectories in our comprehension of freedom, also...

The College Student's Freedom of Expression

Science.gov (United States)

Gibbs, Annette

1974-01-01

Discussion of means to ensure freedom of expression by college students. Areas of expression noted are student newspapers, lectures by off-campus speakers, freedom to assemble peaceably and freedom to associate. (EK)

Academic Freedom: Its Nature, Extent and Value

Science.gov (United States)

Barrow, Robin

2009-01-01

Academic freedom does not refer to freedom to engage in any speech act, but to freedom to hold any belief and espouse it in an appropriately academic manner. This freedom belongs to certain institutions, rather than to individuals, because of their academic nature. Academic freedom should be absolute, regardless of any offence it may on occasion…

America, guns and freedom: Part II — An international perspective

Science.gov (United States)

Faria, Miguel A.

2012-01-01

The need for reducing gun violence is discussed along with the necessity for citizens to assume some responsibility for protecting themselves, their families, and their property from criminal elements because the police cannot physically be everywhere to protect us all of the time. The problem of sensationalization of gun crimes by the media, multiple shootings by deranged individuals, accidents with firearms, suicide rates, and children with guns are discussed. The relationship of civilian disarmament in the context of tyrannical governments and genocide are also explored. Incidents in which liberty has been extinguished because firearms have been banned and citizens have been disarmed by increasingly oppressive governments, and the converse, countries where freedom has been preserved by armed citizens are also described. We conclude that guns in the hands of law-abiding citizens deter crimes, and nations that trust their citizens with firearms have governments that sustain liberty and affirm individual freedom. Governments that do not trust their citizens with firearms tend to be despotic and tyrannical, and are a potential danger to good citizens — and a peril to humanity. PMID:23227440

Globalization and Economic Freedom

DEFF Research Database (Denmark)

Bjørnskov, Christian

2006-01-01

This paper employs a panel data set to estimate the effect of globalization on four measures of economic freedom. Contrary to previous studies, the paper distinguishes between three separate types of globalization: economic, social and political. It also separates effects for poor and rich...... countries, and autocracies and democracies. The results show that economic globalization is negatively associated with government size and positively with regulatory freedom in rich countries; social globalization is positively associated with legal quality in autocracies and with the access to sound money...... in democracies. Political globalization is not associated with economic freedom...

Economic Growth, Economic Freedom, and Governance

OpenAIRE

Cebula, Richard; Ekstrom, Marcus

2008-01-01

This exploratory study examines the impact of various forms of economic freedom and various dimensions of governance, as well as a number of economic factors, on economic growth among OECD nations. Empirical estimation finds that the natural log of per capita purchasing-power-parity adjusted real GDP in OECD nations is positively impacted by business freedom, monetary freedom, trade freedom, and property rights security. Economic growth is found to be negatively affected by perceived governme...

Nursing Music Protocol and Postoperative Pain.

Science.gov (United States)

Poulsen, Michael J; Coto, Jeffrey

2018-04-01

Pain has always been a major concern for patients and nurses during the postoperative period. Therapies, medicines, and protocols have been developed to improve pain and anxiety but have undesirable risks to the patient. Complementary and alternative medicine therapies have been studied but have not been applied as regular protocols in the hospital setting. Music is one type of complementary and alternative medicine therapy that has been reported to have favorable results on reducing postoperative pain, anxiety, and opioid usage. However, music lacks a protocol that nurses can implement during the perioperative process. This paper is an in-depth literature review assessing a best practice recommendation and protocol that establishes a consensus in the use of music therapy. The results suggest that music therapy may consist of calming, soft tones of 60-80 beats per minute for at least 15-30 minutes at least twice daily during the pre- and postoperative periods. It is suggested that music only be used in conjunction with standards of care and not as the primary intervention of pain or anxiety. This evidence suggests that proper use of music therapy can significantly reduce surgical pain. Implementing these protocols and allowing the freedom of nursing staff to use them may lead to greater reductions in surgical pain and anxiety and a reduction in opioid use. Copyright © 2017 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Freedom: Toward an Integration of the Counseling Profession

Science.gov (United States)

Hanna, Fred J.

2011-01-01

Freedom is presented as an overarching paradigm that may align and bring together the counseling profession's diverse counseling theories and open a doorway to a new generation of counseling techniques. Freedom is defined and discussed in terms of its 4 modalities: freedom from, freedom to, freedom with, and freedom for. The long-standing problem…

Operant conditioning of enhanced pain sensitivity by heat-pain titration.

Science.gov (United States)

Becker, Susanne; Kleinböhl, Dieter; Klossika, Iris; Hölzl, Rupert

2008-11-15

Operant conditioning mechanisms have been demonstrated to be important in the development of chronic pain. Most experimental studies have investigated the operant modulation of verbal pain reports with extrinsic reinforcement, such as verbal reinforcement. Whether this reflects actual changes in the subjective experience of the nociceptive stimulus remained unclear. This study replicates and extends our previous demonstration that enhanced pain sensitivity to prolonged heat-pain stimulation could be learned in healthy participants through intrinsic reinforcement (contingent changes in nociceptive input) independent of verbal pain reports. In addition, we examine whether different magnitudes of reinforcement differentially enhance pain sensitivity using an operant heat-pain titration paradigm. It is based on the previously developed non-verbal behavioral discrimination task for the assessment of sensitization, which uses discriminative down- or up-regulation of stimulus temperatures in response to changes in subjective intensity. In operant heat-pain titration, this discriminative behavior and not verbal pain report was contingently reinforced or punished by acute decreases or increases in heat-pain intensity. The magnitude of reinforcement was varied between three groups: low (N1=13), medium (N2=11) and high reinforcement (N3=12). Continuous reinforcement was applied to acquire and train the operant behavior, followed by partial reinforcement to analyze the underlying learning mechanisms. Results demonstrated that sensitization to prolonged heat-pain stimulation was enhanced by operant learning within 1h. The extent of sensitization was directly dependent on the received magnitude of reinforcement. Thus, operant learning mechanisms based on intrinsic reinforcement may provide an explanation for the gradual development of sustained hypersensitivity during pain that is becoming chronic.

Freedom of Expression

Directory of Open Access Journals (Sweden)

Guilherme Canela

2007-06-01

Full Text Available The freedoms of expression and of the press are basic pillars of the western democracies. The contemporary theoretical framework which gives support to these rights was generated in the wake of the liberal revolutions which took place in Western Europe and in North America starting from the second half of the 1600s. Our purpose in this text is to present the current scene regarding this topic, focusing whenever pertinent on the Brazilian case, and seeking to question the unconditional defense of the freedoms of expression and of the press made by the thinkers who founded these principles vis-á-vis contemporary issues of the communicational universe. Going beyond theoretical-conceptual refl ections, we present and analyze the results of a content analysis showing how 53 Brazilian newspapers and 4 magazines with nationwide circulation report (or not topics relating to freedom of expression and of the press.

[Drug addiction and freedom].

Science.gov (United States)

Albuquerque, M A

1982-03-01

The author, in a historical and philosophical approach, analyses the concept of freedom as opposed to slavery. He also refers to the legal and social restrictions and studies the determinism and free will as the causes of human behaviour. Quoting Spinoza, the author states that man accepts the idea of freedom because he realizes the "how" of his options but ignores "why". Without the hypothesis of causality and determinism, there seems to have no science. Without freedom, there seems to be no anthropos man (Jimeno Valdez). The principles of anticausality, of nonreproducibility and of differentiation characterize the human freedom, but are contrary to the way science works. According to the social and political point of view, it was established that the State has the right to oblige and to violently limit freedom. Practically speaking, though, the State is violent just for being the State; the dominant groups are the government because they are and they have been violent. There is a need to limit and to discipline this right of the State of being violent within the dilemma of safety and freedom. By working, the slave avoided the whip. And by doing this, he encouraged the behaviour of the one who whipped him. The non-aversive attitudes limit the freedom in the modern world more and more for they also enchain our will, a rebellion becoming impossible. One is not granted the freedom; it shall be conquered and kept. Freedom, either as a concept or a phenomenon, is always relative. The concept of toxicomania or pharmacodependance is analysed according to the same perspective. The conclusion is that this is always more a problem of the society than of the individual, and this is how it has to be understood and treated. The present world is described as a millenial human culture specifically characterized by eight groups of phenomena: 1. Transport increased human mobility, reduced the relative dimensions of the earth, mixed peoples, compared cultures and created

Scientific Freedom and Human Rights

Science.gov (United States)

Munoz, Elisa

2000-03-01

As part of her ongoing work monitoring issues at the intersection of science and human rights, Ms. Munoz has highlighted violations of academic freedom in Serbia and Iran, the denial of visas and travel licenses to U.S. and Cuban scientists, interference with scientific freedom in Brazil, Mexico, Russia, and the Ukraine, the use of organs from executed prisoners in China, legislation jeopardizing women's health in Iran, and the closure of centers for the treatment of torture survivors in Turkey. Such violations contravene international human rights principles listed in the Universal Declaration of Human Rights and other international human rights covenants. Ms. Munoz will describe current violations of scientific freedom and the relevant international principles on which these freedoms rest.

75 FR 3843 - Religious Freedom Day, 2010

Science.gov (United States)

2010-01-22

... protect our freedom of religion, including the freedom to practice none at all. Many faiths are now..., declaring freedom of religion as the natural right of all humanity--not a privilege for any government to... Religious Freedom Day, 2010 By the President of the United States of America A Proclamation Long before our...

Medically unexplained chronic pain in Australia: difficulties for rehabilitation providers and workers in pain.

Science.gov (United States)

Wales, Coralie; Matthews, Lynda R; Donelly, Michelle

2010-01-01

In Australia, evidence of an ageing population and a skills shortage are imminent challenges for employers [5,50]. A further concern arises from the work injury and motor accident compensation schemes, where many claims for soft tissue injuries result in permanent impairment depriving the community of otherwise productive workers [85]. In many cases, it is chronic pain that becomes the major barrier to a return to productive work. This study will review the operation of rehabilitation within Australian Workers' and Motor Accidents compensation systems in order to identify values and attitudes underpinning the vocational rehabilitation ethos. The models underlying current practice will also be identified. A comprehensive review of published literature and policy documents was undertaken. We identified a variety of contextual factors that influenced progress back into the workforce for people living with persistent pain. The conceptual models underpinning these factors within rehabilitation systems were explored. They were all driven by a strong focus on early return to work and at the same time the sustainability of rehabilitation as a profitable industry. Implications of these findings on the relationship between the rehabilitation provider and the person in pain are discussed. Rehabilitation professionals are influenced by and in turn influence the context in which chronic pain is experienced. Empirical data about the experiences of vocational rehabilitation professionals in Australian personal injury rehabilitation systems is lacking, yet the implications of the cost of chronic pain to the nation are significant. It is recommended that rehabilitation providers increase their awareness of the perhaps unforeseen traps within the various practice models they might be using on the goal of sustainable return to work for people living with pain.

Epistemic Freedom and Education

Science.gov (United States)

Hinchliffe, Geoffrey

2018-01-01

First of all, I define the concept of epistemic freedom in the light of the changing nature of educational practice that prioritise over-prescriptive conceptions of learning. I defend the 'reality' of this freedom against possible determinist-related criticisms. I do this by stressing the concept of agency as characterised by 'becoming'. I also…

The Chains Around Academic Freedom in Teaching-Learning.

Science.gov (United States)

Condon, Barbara Backer

2017-04-01

Freedom as a concept has been much debated. Is freedom an innate part of being, or does freedom even truly exists? These are questions that have gleaned countless hours of discourse over the years. Two components of freedom that can influence nurse higher education are freedom of speech, in the form of media, and academic freedom. The author of this column first introduces three views of freedom to demonstrate the differences surrounding it. A discussion of the media's use or misuse of freedom of speech and its influence on nursing education is then presented, followed by an examination of current threats to academic freedom in today's institutes of higher learning and specifically in the nursing education arena. The author concludes with suggestions on being a nurse educator through living as a humanbecoming professional while navigating issues surrounding nursing education.

Old Dilemmas Renewed: Fear of Freedom vs. Freedom from Fear

Directory of Open Access Journals (Sweden)

Aleksandra Gruszczyk

2016-07-01

Full Text Available Contemporary societies are currently subjected to very rapid and radical social changes and, as a consequence, struggle with their outcomes. The results range from the unforeseen repercussions of globally shifting political powers, through rising nationalisms, to prolonged economic, environmental, political and humanitarian crises. Critical analysis of the theories focused on the phenomena of authoritarianism, escapism, political myth, and conformity allows for outlining a comprehensive picture of the universally recognized opposition between freedom and security. From the distinction between the positive and negative freedom to the ambiguity surrounding the concept of “freedom from fear”, the fundamental dilemma is viewed from a historical perspective and illustrated with modern examples, emphasizing its current validity, insightfulness and potential in analyzing contemporary global problems. This approach allows for in-depth analyses of diversified social and political issues, such as the North African-European refugee crisis, rising nationalisms in the Western world, or a marked shift in political and social perspectives worldwide, from modern escapism to the birth of new myths of state.

Academic Freedom as Fundamental Right

OpenAIRE

Cippitani, Roberto

2015-01-01

[EN] The paper aims at defining in particular the concept of academic freedom within the context of the European legal sources. Even though the idea of a special corporative status for professors was born during the Middle Ages, it was only during the second half of the twentieth century that the Constitutions recognised academic freedom as an individual’s legal right.. Such an individual right is regulated within the category of the freedom of expression, even if it is characteri...

Comparison of percutaneous electrical nerve stimulation with transcutaneous electrical nerve stimulation for long-term pain relief in patients with chronic low back pain.

Science.gov (United States)

Yokoyama, Masataka; Sun, Xiaohui; Oku, Satoru; Taga, Naoyuki; Sato, Kenji; Mizobuchi, Satoshi; Takahashi, Toru; Morita, Kiyoshi

2004-06-01

The long-term effect of percutaneous electrical nerve stimulation (PENS) on chronic low back pain (LBP) is unclear. We evaluated the number of sessions for which PENS should be performed to alleviate chronic LBP and how long analgesia is sustained. Patients underwent treatment on a twice-weekly schedule for 8 wk. Group A (n = 18) received PENS for 8 wk, group B (n = 17) received PENS for the first 4 wk and transcutaneous electrical nerve stimulation (TENS) for the second 4 wk, and group C (n = 18) received TENS for 8 wk. Pain level, degree of physical impairment, and the daily intake of nonsteroidal antiinflammatory drugs (NSAIDs) were assessed before the first treatment, 3 days after Week 2, Week 4, and Week 8 treatments, and at 1 and 2 mo after the sessions. During PENS therapy, the pain level decreased significantly from Week 2 in Groups A and B (P pain level decreased significantly only at Week 8 (P TENS for chronic LBP but must be continued to sustain the analgesic effect. A cumulative analgesic effect was observed in patients with chronic low back pain (LBP) after repeated percutaneous electrical nerve stimulation (PENS), but this effect gradually faded after the treatment was terminated. Results indicate that although PENS is effective for chronic LBP, treatments need to be continued to sustain analgesia.

Influence of glutamate-evoked pain and sustained elevated muscle activity on blood oxygenation in the human masseter muscle.

Science.gov (United States)

Suzuki, Shunichi; Arima, Taro; Kitagawa, Yoshimasa; Svensson, Peter; Castrillon, Eduardo

2017-12-01

This study aimed to investigate the effect of glutamate-evoked masseter muscle pain on intramuscular oxygenation during rest and sustained elevated muscle activity (SEMA). Seventeen healthy individuals participated in two sessions in which they were injected with glutamate and saline in random order. Each session was divided into three, 10-min periods. During the first (period 1) and the last (period 3) 10-min periods, participants performed five intercalated 1-min bouts of masseter SEMA with 1-min periods of 'rest'. At onset of the second 10-min period, glutamate (0.5 ml, 1 M; Ajinomoto, Tokyo, Japan) or isotonic saline (0.5 ml; 0.9%) was injected into the masseter muscle and the participants kept the muscle relaxed in a resting position for 10 min (period 2). The hemodynamic characteristics of the masseter muscle were recorded simultaneously during the experiment by a laser blood-oxygenation monitor. The results demonstrated that glutamate injections caused significant levels of self-reported pain in the masseter muscle; however, this nociceptive input did not have robust effects on intramuscular oxygenation during rest or SEMA tasks. Interestingly, these findings suggest an uncoupling between acute nociceptive activity and hemodynamic parameters in both resting and low-level active jaw muscles. Further studies are needed to explore the pathophysiological significance of blood-flow changes for persistent jaw-muscle pain conditions. © 2017 Eur J Oral Sci.

Mechanisms of, and Adjuvants for, Bone Pain.

Science.gov (United States)

Figura, Nicholas; Smith, Joshua; Yu, Hsiang-Hsuan Michael

2018-06-01

Metastatic bone pain is a complex, poorly understood process. Understanding the unique mechanisms causing cancer-induced bone pain may lead to potential therapeutic targets. This article discusses the effects of osteoclast overstimulation within the tumor microenvironment; the role of inflammatory factors at the tumor-nociceptor interface; the development of structural instability, causing mechanical nerve damage; and, ultimately, the neuroplastic changes in the setting of sustained pain. Several adjuvant therapies are available to attenuate metastatic bone pain. This article discusses the role of pharmacologic therapies, surgery, kyphoplasty, vertebroplasty, and radiofrequency ablation. Copyright © 2018 Elsevier Inc. All rights reserved.

Religious freedom and political correctness in United Europe.

Directory of Open Access Journals (Sweden)

Ks. Artur Aleksiejuk

2014-11-01

Full Text Available We live in times that are particularly sensitive to issues such as freedom and are differentiated by strong aspirations for personal and societal freedom. One speaks of political-societal freedom, freedom of religion, artistic freedom and freedom to choose one’s own lifestyle. It would be possible to make a long list of the various kinds or manifestations of freedom, which modern individuals indentify in their lives. My essay considers the ways the law functions in regards to religious freedom in the context of the currently prevailing and implemented political visions in United Europe. Strictly speaking, this paper concerns the definition of place, which was assigned for religious convictions of citizens of the European Union and their role in shaping their personal and societal lives.

Adaptations of upper trapezius muscle activity during sustained contractions in women with fibromyalgia

DEFF Research Database (Denmark)

Falla, Deborah Lorraine; Andersen, Helle; Danneskiold-Samsøe, Bente

2010-01-01

a topographical map of the distribution of muscle activity. The pain level rated by the patients at the beginning of the sustained contraction was 5.9+/-1.5. The peak pain intensity for the control group following the injection of hypertonic saline was 6.0+/-1.6. During the sustained contractions, the EMG...

Negative freedom and death in the United States.

Science.gov (United States)

Ackerson, Leland K; Subramanian, S V

2010-11-01

Personal freedoms have been characterized as "positive" (freedom to pursue opportunities) and "negative" (freedom from external constraints on decision making). An ecological analysis of US data revealed a strong positive association (r = 0.41; P = .003) between state-level negative personal freedom (defined in terms of regulation of personal behavior) and state-level age-adjusted rates of unintentional injury. A conceptual emphasis on positive freedom construed as freedom to pursue a life without risk of unintentional injury could help motivate a conversation to improve public health.

Effectiveness and Safety of Transdermal Buprenorphine Versus Sustained-release Tramadol in Patients With Moderate to Severe Musculoskeletal Pain: An 8-Week, Randomized, Double-Blind, Double-Dummy, Multicenter, Active-controlled, Noninferiority Study.

Science.gov (United States)

Leng, Xiaomei; Li, Zhanguo; Lv, Houshan; Zheng, Yi; Liu, Yi; Dai, Kerong; Yao, Chen; Yan, Xiaoyan; Zeng, Xiaofeng

2015-07-01

The aim of this noninferiority study was to investigate clinical effectiveness and safety of buprenorphine transdermal system (BTDS) in patients with moderate to severe musculoskeletal pain inadequately controlled with nonsteroidal anti-inflammatory drugs, compared with sustained-release tramadol tablets. Eligible patients were randomized (1:1) to receive low-dose 7-day BTDS (5, 10, and 20 μg/h, maximum dosage of 20 μg/h) or sustained-release tramadol tablets (100 mg, maximum dosage of 400 mg/d) over an 8-week double-blind treatment period (3-week titration, 5-week maintenance). The primary endpoint was the difference in the visual analogue scale (VAS) pain scores from baseline to treatment completion. Noninferiority was assumed if the treatment difference on the VAS scale was within ±1.5 cm, this threshold indicating a clinically meaningful result. ClinicalTrials.gov identifier: NCT01476774. Two hundred eighty patients were randomized to BTDS (n=141) or to tramadol (n=139). Both treatments were associated with a significant reduction in pain by the end of the treatment. The least squares mean difference of the change from baseline in VAS scores between the BTDS and tramadol groups were 0.45 (95% confidence interval, -0.02 to 0.91), which was within the ±1.5 cm predefined threshold, indicating that the effectiveness of BTDS was not inferior to the effectiveness of sustained-release tramadol tablets. The incidence of adverse events was comparable between the 2 treatment groups. Our results suggest that BTDS is a good therapeutic option for patients experiencing chronic musculoskeletal pain of moderate to severe intensity that is insufficiently controlled by nonsteroidal anti-inflammatory drugs.

Influence of Mild Traumatic Brain Injury (TBI) and Posttraumatic Stress Disorder (PTSD) on Pain Intensity Levels in OEF/OIF/OND Veterans.

Science.gov (United States)

Stojanovic, Milan P; Fonda, Jennifer; Fortier, Catherine Brawn; Higgins, Diana M; Rudolph, James L; Milberg, William P; McGlinchey, Regina E

2016-11-01

Mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) are common among US veterans of Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND). We postulated that these injuries may modulate pain processing in these individuals and affect their subjective pain levels. Cross-sectional. 310 deployed service members of OEF/OIF/OND without a lifetime history of moderate or severe TBI were included in this study. All participants completed a comprehensive evaluation for Blast Exposure, mTBI, PTSD, and Pain Levels. The Boston Assessment of TBI-Lifetime Version (BAT-L) was used to assess blast exposure and potential brain injury during military service. The Clinician-Administered PTSD Scale (CAPS) characterized presence and severity of PTSD. The Visual Analog Scale (VAS) was used to assess pain intensity over the previous month before the interview, with higher scores indicative of worse pain. Statistical analysis was performed by ANOVA and results were adjusted for co-morbidities, clinical characteristics and demographic data. In comparison to control participants (veterans without mTBI or current PTSD), veterans with both current PTSD and mTBI reported the highest pain intensity levels, followed by veterans with PTSD only (P Pain levels in veterans with mTBI only were comparable to control participants. Comorbid PTSD and mTBI is associated with increased self-reported pain intensity. mTBI alone was not associated with increased pain. Published by Oxford University Press on behalf of the American Academy of Pain Medicine 2016. This work is written by US Government employees and is in the public domain in the US.

Development as Freedom - And As What Else?

NARCIS (Netherlands)

D.R. Gasper (Des); I.P. van Staveren (Irene)

2003-01-01

markdownabstractAbstract To what extent can Amartya Sen’s ideas on freedom, especially his conceptualization of development as freedom, enrich feminist economics? Sen’s notion of freedom (as the capability to achieve valued ends) has many attractions and provides important opportunities to

[On freedom of scientific research].

Science.gov (United States)

Folkers, G

2013-07-01

Debates about science and, more specifically, about scientific research quickly bring up the question about its freedom. Science is readily blamed for technological disasters or criticized for nursing fantasies of omnipotence and commercial gain. This prompts the call for a restriction of its freedom. At the same time, society's demands on science are enormous, to the effect that science and technology have acquired the status of a deus-ex-machina: they are expected to furnish short-term, affordable, and convenient solutions to a wide range of problems, including issues of health, transportation, food and, more generally, a comfortable life. What kind of freedom is required to meet these expectations? Who is in a position to grant it? What does freedom for science mean and how is it linked to responsibility? The paper examines the current situation of freedom in scientific research and of its restrictions, many of which are mentally or economically conditioned. It calls for the involvement of an informed, self-confident bourgeoisie in research decisions and for the educational measures this necessitates. Finally, it demands a greater appreciation of education (rather than training) as the basis of social trust, and the recognition of continuous education as a productive investment of time and a crucial element in the employment of social goods.

The Liberal Struggle for Press Freedom

DEFF Research Database (Denmark)

Mogensen, Kirsten

In this paper, the public debate following the re-ligion-motivated assassination of Dutch filmmaker Theo van Gogh in November 2004 is examined. The paper aims at describ-ing religious as well as secular positions in the Danish debate about freedom of speech and press in relation to religious issues....... Historically, the concept of press freedom was linked to a fight for religious freedom in London, as described by Siebert....

ETHICS, POLITICS AND FREEDOM IN HEGEL’S PHILOSOPHY

Directory of Open Access Journals (Sweden)

BÜNYAMİN BEZCİ

2013-06-01

Full Text Available The concept of freedom constitutes the relationship between ethics and politics in Hegel’s thought. Contrary to Kantian understanding of the concept of freedom in which the concept is autonomous from nature and society, Hegel attempts to reconcile the social and individual existence of human being. The first condition of freedom for individual is to have a self-consciousness, that is being aware of himself. But freedom that could not being comprimized with being social is not the real freedom. Hegel also examines freedom in its historal manner. Freedom, in its historical manner, has reached its completed meaning only in Western societies. Hegel thinks that freedom becomes concrete in practical and political manner in Prussian State, in other words, in modern state. According to Hegel the modern state is a state in which justice and power is united. That is, the state has a both political and ethical existence. Hegel suggests that social institutions are legitimized only by realization of freedom. State is also the supreme normative insitution which concretize ethical life. The aim of this study is to understand Hegel’s attempt of synthesizing individual and society by using ethical and political concepts.

Development as Freedom : And as What Else?

NARCIS (Netherlands)

Staveren, I.P. van; Gasper, D.

2007-01-01

To what extent can Amartya Sen’s ideas on freedom, especially his conceptualization of development as freedom, enrich feminist economics? Sen’s notion of freedom (as the capability to achieve valued ends) has many attractions and provides important opportunities to analyze gender inequalities. At

Development as Freedom. And as What Else?

NARCIS (Netherlands)

Gasper, D.; Staveren, I.P. van

2005-01-01

To what extent can Amartya Sen’s ideas on freedom, especially his conceptualization of development as freedom, enrich feminist economics? Sen’s notion of freedom (as the capability to achieve valued ends) has many attractions and provides important opportunities to analyze gender inequalities. At

Development as Freedom. And as What Else?

NARCIS (Netherlands)

Gasper, D.; Staveren, I.P. van

2006-01-01

To what extent can Amartya Sen’s ideas on freedom, especially his conceptualization of development as freedom, enrich feminist economics? Sen’s notion of freedom (as the capability to achieve valued ends) has many attractions and provides important opportunities to analyze gender inequalities. At

FREEDOM CHOICE OF THE ROMANIAN ENTERPRISES TO CORPORATE RESPONSIBILITY & SUSTAINABILITY COMPETITIVENESS

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Lucretia Mariana Constantinescu

2013-12-01

Full Text Available The declared aim of this paper is to be an attempt to analyze the opinions regarding the corporate sustainability and responsibility that’s providing to formulate a combination of diagnosis and prognosis, assessing the past and present conditions of corporate responsibility and the way ahead by the investors of the Romanian economy during the last economic recession crisis years.

Intellectual Freedom Manual. Eighth Edition

Science.gov (United States)

ALA Editions, 2010

2010-01-01

Updated for the first time since 2005, this indispensable volume includes revised interpretations of the Library Bill of Rights along with key intellectual freedom guidelines and policies, including: (1) A new chapter, "Interactivity and the Internet," and other fresh material on intellectual freedom and privacy in online social…

Academic Freedom in Higher Education

Directory of Open Access Journals (Sweden)

Tokay GEDİKOĞLU

2013-12-01

Full Text Available In this study, the concept ‘academic freedom’ is discussed, its implications and value for the academics, institutions of higher education, and the society are focused, and a few suggestions for the Turkish higher education are made. Academic freedom is defined as the freedom of the academic staff to look for and to find the truth in their scientific field, to publish the findings, and to teach these findings to their students without any external intervention. The concept has gained a further definition with inclusion of research activities into academic freedom as part of the reform attempts started in the German higher education in the 19th century. Therefore, academic freedom is at the very core of the missions of the institutions of higher education; that is, teaching-learning and research. On the point of academic staff and their academic activities of the academic freedom, the subjects such as the aim of the course, choosing the teaching materials and textbooks, the lecturer, and the criteria for the measurement and evaluation of the course take place. And he point of research covers the aim of the study, academicians can’t be imposed the involve in an academic and artistic studies that conflict their values and beliefs; researchers should comply with codes of ethical principles and practices during the process of researching; and research outputs should be reported accurately and honestly without any misleading manipulation. Academic freedom does not provide any exemption from accountability in academic activities of the faculty, nor does it provide any right to act against the well-being of the society, current laws and regulations, and codes of ethical principles and practices.

Efficacy of mulligan's self-sustained natural apophyseal glides in decreasing pain, disability, and improving neck mobility among the nursing professional suffering from work-related neck pain

Directory of Open Access Journals (Sweden)

Shagun Aggarwal

2018-01-01

Full Text Available Background and Aim: Prevalence of neck pain in nursing professionals (NPs is much higher than in the general population. However, concrete evidence is not available regarding the efficacy of the therapeutic intervention for treating neck pain among them. The purpose of this study was to compare the efficacy of Mulligan's self-sustained natural apophyseal glides (SNAGs and conventional physiotherapy in the management of work-related neck pain (WRNP among the NPs. Materials and Methods: A total of 38 NPs with WRNP were recruited using the simple random sampling (lottery method to participate in this two group such as pretest–posttest and single-blinded randomized controlled study from recognized tertiary care teaching hospital. Recruited NPs were randomly allocated into two groups such as Group A and Group B. NP in Group A taught self-SNAGs with a towel and instructed to perform 10 repetitions ×1 set/two hour ×4 times/day for 5 days/week ×2 weeks. Whereas in Group B, NPs received conventional physiotherapy treatment, consist of neck isometrics, and performed for 10 s ×10 repetitions ×1 set/day ×5 days/week ×2 weeks. Both groups were asked to use the hot pack for 15 min, before their intervention. Visual Analog Scale (VAS score, neck disability index (NDI, and cervical range of motion (ROM were documented at baseline, 2nd-week postintervention, and 4th-week follow-up period and analyzed. Results: Group A revealed statistical significance difference (P < 0.05 in VAS, NDI, and neck ROM when compared to Group B. Conclusion: Mulligan's self-SNAGs have proved to be more beneficial over the conventional physiotherapy in the management of WRNP among the NPs.

Work characteristics predict the development of multi-site musculoskeletal pain

NARCIS (Netherlands)

Oakman, J.; Wind, A. de; Heuvel, S.G. van den; Beek, A.J. van der

2017-01-01

Purpose. Musculoskeletal pain in more than one body region is common and a barrier to sustaining employment. We aimed to examine whether work characteristics predict the development of multi-site pain (MSP), and to determine differences in work-related predictors between age groups. Methods. This

Individual Freedom and Institutional Frameworks in Development

Science.gov (United States)

Allen, Nicholas

2012-01-01

In this article I explore Amartya Sen's contention that individual freedom represents both the objective of development and the means through which development is to take place. Examining the conceptualisation of freedom central to Sen's capability approach, I distinguish between two notions of freedom, autonomy and agency, where the former…

Academic Freedom and Indentured Students

Science.gov (United States)

Williams, Jeffrey J.

2012-01-01

Discussion of academic freedom usually focuses on faculty, and it usually refers to speech. That is the gist of the 1915 "General Report of the Committee on Academic Freedom and Academic Tenure," appearing in the inaugural AAUP "Bulletin" as a kind of mission statement. Given the conditions of the American system of higher education--decentralized…

Academic Freedom in the 21st Century

Science.gov (United States)

Tierney, William G.; Lechuga, Vicente M.

2005-01-01

Throughout the 20th century, academic freedom was a foundational value for the academy in the United States. The concept of academic freedom pertains to the right of faculty to enjoy considerable autonomy in their research and teaching. The assumption that drives academic freedom is that the country benefits when faculty are able to search for…

Actuator with Multi Degrees of Freedom(Actuator)

OpenAIRE

矢野, 智昭; Tomoaki, YANO; 産業技術総合研究所

2006-01-01

The advantages, problems and the recent developments of the actuator with multi degrees of freedom are presented. At first, the advantages of the actuator with multi degrees of freedom are described. Next, the problems needed to solve for practical use are presented. The recent applications of the actuator with multi degrees of freedom are also reviewed.

Introduction--the Socially Sustainable Egg Production project.

Science.gov (United States)

Swanson, J C; Mench, J A; Thompson, P B

2011-01-01

The social and political pressure to change egg production from conventional cage systems to alternative systems has been largely driven by the desire to provide more behavioral freedom for egg-laying hens. However, a change of this magnitude can affect other components of the production system and may result in unintended outcomes. To understand this issue, a Socially Sustainable Egg Production project was formed to 1) conduct a holistic and integrated systematic review of the current state of knowledge about various aspects of sustainable egg production, and 2) develop a coordinated grant proposal for future extramural funding based on the research priorities identified from the review. Expert study groups were formed to write evidence-based papers in 5 critical sustainability areas: hen health and welfare, economics, food safety and quality, public attitudes, and environmental impacts. These papers were presented as the PSA Emerging Issues Symposium on Social Sustainability of Egg Production at the 2010 Poultry Science Association meeting.

Freedom of Speech: The M Word

OpenAIRE

Murphy, Timothy; Olsen, Kristina; Andersen, Christopher; Reichhardt, Line

2015-01-01

The first objective of the project is to show how freedom of speech and democracy are dependent on one another in Denmark. The project’s next focal point is to look at how freedom of speech was framed in relation to the Mohammed publications in 2005. To do this, it identifies how freedom of speech was used by many Danish and European newspapers to justify the publications. Arguments against the publications by both the Danish media and the Muslim community (within Denmark and abroad) are also...

Accountable disease management of spine pain.

Science.gov (United States)

Smith, Matthew J

2011-09-01

The health care landscape has changed with new legislation addressing the unsustainable rise in costs in the US system. Low-value service lines caring for expensive chronic conditions have been targeted for reform; for better or worse, the treatment of spine pain has been recognized as a representative example. Examining the Patient Protection and Affordable Care Act and existing pilot studies can offer a preview of how chronic care of spine pain will be sustained. Accountable care in an organization capable of collecting, analyzing, and reporting clinical data and operational compliance is forthcoming. Interdisciplinary spine pain centers integrating surgical and medical management, behavioral medicine, physical reconditioning, and societal reintegration represent the model of high-value care for patients with chronic spine pain. Copyright © 2011 Elsevier Inc. All rights reserved.

Measuring Economic Freedom: Better Without Size of Government.

Science.gov (United States)

Ott, Jan

2018-01-01

The Heritage Foundation and the Fraser Institute measure economic freedom in nations using indices with ten and five indicators respectively. Eight of the Heritage indicators and four of the Fraser-indicators are about specific types of institutional quality, like rule of law, the protection of property, and the provision of sound money. More of these is considered to denote more economic freedom. Both indices also involve indicators of 'big government', or levels of government activities. More of that is seen to denote less economic freedom. Yet, levels of government spending, consumption, and transfers and subsidies appear to correlate positively with the other indicators related to institutional quality, while this correlation is close to zero for the level of taxation as a percentage of GDP. Using government spending, consumption transfers and subsidies as positive indicators is no alternative, because these levels stand for very different government activities, liberal or less liberal. This means that levels of government activities can better be left out as negative or positive indicators. Thus shortened variants of the indices create a better convergent validity in the measurement of economic freedom, and create higher correlations between economic freedom and alternative types of freedom, and between economic freedom and happiness. The higher correlations indicate a better predictive validity, since they are predictable in view of the findings of previous research and theoretical considerations about the relations between types of freedom, and between freedom and happiness.

Predictors of Sustained Walking among Diabetes Patients in Managed Care: The Translating Research into Action for Diabetes (TRIAD) Study

Science.gov (United States)

Gerzoff, Robert B.; Brown, Arleen F.; Karter, Andrew J.; Kim, Catherine; Kountz, David; Narayan, K. M. Venkat; Schneider, Stephen H.; Tseng, Chien-Wen; Waitzfelder, Beth; Mangione, Carol M.

2008-01-01

BACKGROUND Although patients with diabetes may benefit from physical activity, few studies have examined sustained walking in this population. OBJECTIVE To examine the factors associated with sustained walking among managed care patients with diabetes. DESIGN Longitudinal, observational cohort study with questionnaires administered 2.5 years apart. PARTICIPANTS Five thousand nine hundred thirty-five patients with diabetes walking at least 20 minutes/day at baseline. MEASUREMENTS The primary outcome was the likelihood of sustained walking, defined as walking at least 20 minutes/day at follow-up. We evaluated a logistic regression model that included demographic, clinical, and neighborhood variables as independent predictors of sustained walking, and expressed the results as predicted percentages. RESULTS The absence of pain was linked to walking behavior, as 62% of patients with new pain, 67% with ongoing pain, and 70% without pain were still walking at follow-up (p = .03). Obese patients were less likely (65%) to sustain walking than overweight (71%) or normal weight (70%) patients (p = .03). Patients ≥65 years (63%) were less likely to sustain walking than patients between 45 and 64 (70%) or ≤44 (73%) years (p = .04). Only 62% of patients with a new comorbidity sustained walking compared with 68% of those who did not (p walking in this cohort of active walkers. CONCLUSIONS Pain, obesity, and new comorbidities were moderately associated with decreases in sustained walking. Whereas controlled intervention studies are needed, prevention, or treatment of these adverse conditions may help patients with diabetes sustain walking behavior. PMID:18452046

Kant, Freedom as Independence, and Democracy

DEFF Research Database (Denmark)

Rostbøll, Christian F.

2016-01-01

While the influence of Kant’s practical philosophy on contemporary political theory has been profound, it has its source in Kant’s autonomy-based moral philosophy rather than in his freedom-based philosophy of Right. Kant scholars have increasingly turned their attention to Kant’s Rechtslehre......, but they have largely ignored its potential contribution to discussions of democracy. However, Kant’s approach to political philosophy can supply unique insights to the latter. His notion that freedom and the public legal order are co-constitutive can be developed into a freedom argument for constitutional...

FREEDOM IN THE SENSE OF THE HEIDELBERG CATECHISM ...

African Journals Online (AJOL)

It instructs us that we have to understand the word not as a freedom ... Produced by SUN MeDIA Bloemfontein .... mouth of the governor of Alabama, George Wallace, who fought resolutely ..... The right freedom is essentially a social freedom.

Psychological Distress and Pain Reporting in Australian Coal Miners

Directory of Open Access Journals (Sweden)

Kristy N. Carlisle

2014-12-01

Conclusion: The study findings support the existence of widespread musculoskeletal pain among the coal-mining workforce, and this pain is associated with increased psychological distress. Operators (truck drivers and workers reporting poor sleep quality during work periods are most likely to report increased distress, which highlights the importance of supporting the mining workforce for sustained productivity.

Successful treatment of mixed (mainly cancer) pain by tramadol preparations.

Science.gov (United States)

Kawahito, Shinji; Soga, Tomohiro; Mita, Naoji; Satomi, Shiho; Kinoshita, Hiroyuki; Arase, Tomoko; Kondo, Akira; Miki, Hitoshi; Takaishi, Kazumi; Kitahata, Hiroshi

2017-01-01

The patient, a 70-year-old Japanese woman diagnosed with parotid gland cancer, underwent wide excision and reconstruction (facial nerve ablation, nerve transposition). At 1 month after the surgery, she was brought to our hospital's pain medicine department because her postoperative pain and cancer-related pain were poorly controlled. She had already been prescribed a tramadol (37.5 mg)/acetaminophen (325 mg) combination tablet (5 tablets/day). However, in addition to the continuous pain in her face and lower limbs, she was troubled by a trigeminal neuralgia-like prominence ache. Because this pain could not be controlled by an increase to eight combination tablets per day, we switched her medication to a tramadol capsule. At 11 months post-surgery, we then switched her medication to an orally disintegrating tramadol tablet to improve medication adherence of the drug. From 14 months post-surgery, the patient also used a sustained-release tramadol preparation, and she was then able to sleep well. Her current regimen is an orally disintegrating sustained-release tablet combination (total 300 mg tramadol) per day, and she achieved sufficient pain relief. Because tramadol is not classified as a medical narcotic drug, it widely available and was shown here to be extremely useful for the treatment of our patient's mixed (mainly cancer) pain. J. Med. Invest. 64: 311-312, August, 2017.

Nursing and human freedom.

Science.gov (United States)

Risjord, Mark

2014-01-01

Debates over how to conceptualize the nursing role were prominent in the nursing literature during the latter part of the twentieth century. There were, broadly, two schools of thought. Writers like Henderson and Orem used the idea of a self-care deficit to understand the nurse as doing for the patient what he or she could not do alone. Later writers found this paternalistic and emphasized the importance of the patient's free will. This essay uses the ideas of positive and negative freedom to explore the differing conceptions of autonomy which are implicit in this debate. The notion of positive freedom has often been criticized as paternalistic, and the criticisms of self-care in the nursing literature echo criticisms from political philosophy. Recent work on relational autonomy and on the relationship between autonomy and identity are used to address these objections. This essay argues for a more nuanced conception of the obligation to support autonomy that includes both positive (freedom to) and negative (freedom from) dimensions. This conception of autonomy provides a moral foundation for conceptualizing nursing in something like Henderson's terms: as involving the duty to expand the patient's capacities. The essay concludes by generalizing the lesson. Respect for autonomy on the part of any health care provider requires both respect for the patient's choices and a commitment to expand the patient's ability to actualize their choices. © 2013 John Wiley & Sons Ltd.

Meson degrees of freedom in nuclei

International Nuclear Information System (INIS)

Delorme, J.

1982-01-01

A review is presented of the successes and shortcomings of the theory of meson degrees of freedom in nuclei with special emphasis on recent progress and on the necessity to bridge the gap with the degrees of freedom of QCD theory. (orig.)

Gunshot Wounds in Military Working Dogs in Operation Enduring Freedom and Operation Iraqi Freedom: 29 cases (2003-2009)

Science.gov (United States)

2013-01-01

oxygenmask held in proximity to the dog’s face or taped to a basket-style muzzle ) during evacuation to the VTF. None of the WIA dogs received IV crystalloid...military working dogs in Operation Enduring Freedom and Operation Iraqi Freedom: 29 cases (2003–2009) Janice L. Baker, DVM; Karyn A. Havas, DVM; Laura A...received on the battlefield, and ultimate outcome of U.S. military working dogs that incurred gunshot wound (GSW) injury in Operation Enduring Freedom

Freedom: A Promise of Possibility.

Science.gov (United States)

Bunkers, Sandra Schmidt

2015-10-01

The idea of freedom as a promise of possibility is explored in this column. The core concepts from a research study on considering tomorrow (Bunkers, 1998) coupled with humanbecoming community change processes (Parse, 2003) are used to illuminate this notion. The importance of intentionality in human freedom is discussed from both a human science and a natural science perspective. © The Author(s) 2015.

78 FR 6216 - Freedom of Information Act Regulations

Science.gov (United States)

2013-01-30

... DEPARTMENT OF THE INTERIOR Office of the Secretary 43 CFR Part 2 RIN 1093-AA15 Freedom of... regulation revises the Department's Freedom of Information Act regulations. DATES: Effective January 30, 2013... 31, 2012, revising the Department of the Interior Freedom of Information Act (FOIA) regulations. This...

Catechol-O-methlytransferase inhibition alters pain and anxiety-related volitional behaviors through activation of β-adrenergic receptors in the rat

Science.gov (United States)

Kline, R. H.; Exposto, F. G.; O’Buckley, S. C.; Westlund, K. N.; Nackley, A. G.

2015-01-01

Reduced catechol-O-methyltransferase (COMT) activity resulting from genetic variation or pharmacological depletion results in enhanced pain perception in humans and nociceptive behaviors in animals. Using phasic mechanical and thermal reflex tests (e.g. von Frey, Hargreaves), recent studies show that acute COMT-dependent pain in rats is mediated by β-adrenergic receptors (βARs). In order to more closely mimic the characteristics of human chronic pain conditions associated with prolonged reductions in COMT, the present study sought to determine volitional pain-related and anxiety-like behavioral responses following sustained as well as acute COMT inhibition using an operant 10–45°C thermal place preference task and a light/dark preference test. In addition, we sought to evaluate the effects of sustained COMT inhibition on generalized body pain by measuring tactile sensory thresholds of the abdominal region. Results demonstrated that acute and sustained administration of the COMT inhibitor OR486 increased pain behavior in response to thermal heat. Further, sustained administration of OR486 increased anxiety behavior in response to bright light, as well as abdominal mechanosensation. Finally, all pain-related behaviors were blocked by the non-selective βAR antagonist propranolol. Collectively, these findings provide the first evidence that stimulation of ARs following acute or chronic COMT inhibition drives cognitive-affective behaviors associated with heightened pain that affects multiple body sites. PMID:25659347

Sustainable outsourcing : Trends in the clothing industry

OpenAIRE

Backelin, Diana; Welchermill, Patrik

2013-01-01

Globalization has led to freedom of trade between countries and allowed people to accessitems that were previously unavailable to them. This has in turn also lead to competitive pricing, making it possible for businesses to access much wider markets. Firms are able to optimize their resources more easily, thus increasing profits by working toward a more sustainable economy. But globalization is not only positive. There are disadvantages too. Globalization has increased the level of unemployme...

Reading Educational Philosophies in "Freedom Writers"

Science.gov (United States)

Choi, Jung-Ah

2009-01-01

The 2007 film "Freedom Writers" portrays the real-life experiences of Erin Gruwell, a teacher at an inner-city high school in Long Beach, California. This article discusses the educational theories underpinning Gruwell's pedagogical practice, as seen in "Freedom Writers", and identifies four themes--rewriting curriculum,…

Medical Logistics Lessons Observed During Operations Enduring Freedom and Iraqi Freedom.

Science.gov (United States)

Dole, Mark J; Kissane, Jonathan M

2016-01-01

Medical Logistics (MEDLOG) is a function of the Army's integrated System for Health that provides the medical products and specialized logistics services required to deliver health protection and care under all operational conditions. In unified land operations, MEDLOG is an inherent function of Health Service Support (HSS), which also includes casualty care and medical evacuation. This paper focuses on a few key lessons observed during Operations Enduring Freedom and Iraqi Freedom with direct implications for the support of HSS in future operations as envisioned in the Army Operating Concept and the Joint Concept for Health Services. It also examines a few key enablers that helped mitigate these challenges that are not yet fully acknowledged in Army Medical Department doctrine, policy, and planning.

Re-Framing Student Academic Freedom: A Capability Perspective

Science.gov (United States)

Macfarlane, Bruce

2012-01-01

The scholarly debate about academic freedom focuses almost exclusively on the rights of academic faculty. Student academic freedom is rarely discussed and is normally confined to debates connected with the politicisation of the curriculum. Concerns about (student) freedom of speech reflect the dominant role of negative rights in the analysis of…

Group Freedom : A Social Mechanism Account

NARCIS (Netherlands)

Hindriks, Frank

2017-01-01

Many existing defenses of group rights seem to rely on the notion of group freedom. To date, however, no adequate analysis of this notion has been offered. Group freedom is best understood in terms of processes of social categorization that are embedded in social mechanisms. Such processes often

Negative freedom and the liberal paradoxes

NARCIS (Netherlands)

van Hees, M.V.B.P.M

In their game-theoretic formulations, the liberal paradoxes of Amartya Sm and Alan Gibbard show a tension between freedom on the one hand, and Pareto optimality and stability on the other. This article examines what happens to the liberal paradoxes if a negative conception of freedom is used. Given

Freedom of the Press – two concepts

Directory of Open Access Journals (Sweden)

Markus Meckl

2015-03-01

Full Text Available In 1644 the debate for freedom of expression started in modern times thanks to John Milton’s Areopagitica, where he still argued about God in order to justify his quest for freedom. With the enlightenment God lost his unifying role for society and could no longer serve as justification. Two arguments were brought then forward to justify freedom of the press: One by the continental movement of the enlightenment; the other from within the movement of utilitarianism, and most influentially by John Stuart Mill. Both underlined the importance of truth; however, they differed in their understanding on what truth was good for. This difference in their arguments had a lasting impact on the debate on the limits of freedom of the press.

Intellectual Freedom

Science.gov (United States)

Knox, Emily

2011-01-01

Support for intellectual freedom, a concept codified in the American Library Association's Library Bill of Rights and Code of Ethics, is one of the core tenets of modern librarianship. According to the most recent interpretation of the Library Bill of Rights, academic librarians are encouraged to incorporate the principles of intellectual freedom…

Academic Freedom: A Global Comparative Approach

Science.gov (United States)

Marginson, Simon

2014-01-01

Academic freedom is best understood not as an abstract universal principle or an ideal state of being but as concrete university practices nested in specific relational environments. As such, practices of academic freedom vary across the world, according to variations in political cultures, educational cultures and state-university relations. The…

Sustained Local Release of Methylprednisolone From a Thiol-Acrylate Poly(Ethylene Glycol) Hydrogel for Treating Chronic Compressive Radicular Pain.

Science.gov (United States)

Slotkin, Jonathan R; Ness, Jennifer K; Snyder, Kristin M; Skiles, Amanda A; Woodard, Eric J; OʼShea, Timothy; Layer, Rick T; Aimetti, Alex A; Toms, Steven A; Langer, Robert; Tapinos, Nikos

2016-04-01

A preclinical animal model of chronic ligation of the sciatic nerve was used to compare the effectiveness of a slow-release hydrogel carrying methylprednisolone to methylprednisolone injection alone, which simulates the current standard of care for chronic compressive radiculopathy (CR). To extend the short-term benefits of steroid injections by using a nonswelling, biodegradable hydrogel as carrier to locally release methylprednisolone in a regulated and sustained way at the site of nerve compression. CR affects millions worldwide annually, and is a cause of costly disability with significant societal impact. Currently, a leading nonsurgical therapy involves epidural injection of steroids to temporarily alleviate the pain associated with CR. However, an effective way to extend the short-term effect of steroid treatment to address the chronic component of CR does not exist. We induced chronic compression injury of the sciatic nerves of rats by permanent ligation. Forty-eight hours later we injected our methylprednisolone infused hydrogel and assessed the effectiveness of our treatment for 4 weeks. We quantified mechanical hyperalgesia using a Dynamic Plantar Aesthesiometer (Ugo Basile, Stoelting Co., IL, USA), whereas gait analysis was conducted using the Catwalk automated gait analysis platform (Noldus, Leesburg, VA, USA). Macrophage staining was performed with immunohistochemistry and quantification of monocyte chemoattractant protein-1 in sciatic nerve lysates was performed with multiplex immunoassay using a SECTOR Imager 2400A (Meso Scale Discovery, Rockville, MA, USA). We demonstrate that using the hydrogel to deliver methylprednisolone results in significant (P pain in an animal model of chronic CR. Our steroid-infused hydrogel could be an effective extender of the short-term benefits of epidural steroid injections for patients with chronic compression-induced radicular pain. N/A.

Axel Honneth: The law of freedom – Institutionalization of freedom in modern societies - A reconstruction and some remarks

DEFF Research Database (Denmark)

Rendtorff, Jacob Dahl

2012-01-01

This paper reconstructs the argument of Axel Honneth's recent book Das Recht der Freiheit as a theory of the institutionalization of freedom in modern society. In particular, it looks at Honneth's argument for the realization of freedom in law and morality that is proposed as a contemporary re......-interpretation of Hegel's Philosophy of Right. Then I discuss Honneth's argument for the reality of freedom in the ethical spheres of civil society, in particular in the family, the market and in democracy. Finally, the paper proposes some critical remarks to Honneth's theory....

Axel Honneth: The law of freedom – Institutionalization of freedom in modern societies - A reconstruction and some remarks

Directory of Open Access Journals (Sweden)

Jacob Dahl Rendtorff

2012-03-01

Full Text Available This paper reconstructs the argument of Axel Honneth's recent book Das Recht der Freiheit as a theory of the institutionalization of freedom in modern society. In particular, it looks at Honneth's argument for the realization of freedom in law and morality that is proposed as a contemporary re-interpretation of Hegel's Philosophy of Right. Then I discuss Honneth's argument for the reality of freedom in the ethical spheres of civil society, in particular in the family, the market and in democracy. Finally, the paper proposes some critical remarks to Honneth's theory.

Freedom and the Non-Instrumental Value of Democracy

DEFF Research Database (Denmark)

Rostbøll, Christian F.

This paper is an intervention in two debates, one concerning the instrumental vs noninstrumental value of democracy, the other concerning the relationship between freedom and democracy. I reject the purely instrumental justification of democracy and defend the idea that democracy has noninstrumen......This paper is an intervention in two debates, one concerning the instrumental vs noninstrumental value of democracy, the other concerning the relationship between freedom and democracy. I reject the purely instrumental justification of democracy and defend the idea that democracy has...... noninstrumental value. I see the noninstrumental value of democracy in terms of freedom rather than the now more common reference to equality or fairness. The freedom argument can better show the noninstrumenal value of democracy and can better respond to some core objections to democratic noninstrumentalism than...... the equality argument. A main aim of this paper is to show that freedom and democracy are not merely instrumentally linked but, rather, intrinsically related. I argue this mainly via a critical engagement with Philip Pettit’s conception of freedom as nondomination. My defense of the noninstrumental value...

Freedom of Speech Newsletter, September, 1975.

Science.gov (United States)

Allen, Winfred G., Jr., Ed.

The Freedom of Speech Newsletter is the communication medium for the Freedom of Speech Interest Group of the Western Speech Communication Association. The newsletter contains such features as a statement of concern by the National Ad Hoc Committee Against Censorship; Reticence and Free Speech, an article by James F. Vickrey discussing the subtle…

Exemplary Teachers: Teaching for Intellectual Freedom

Science.gov (United States)

Collinson, Vivienne

2012-01-01

Intellectual freedom has long been a desirable ideal and a foundational value for supporting democratic governance. Since 1948, it has been a universal human right. Given the unique nature of education in democratic societies, schools serve as a crucible for helping children understand and practise the rudiments of intellectual freedom. Drawing on…

Freedom of Conscience and Catholic Schools

Science.gov (United States)

Donlevy, J. K.; Gereluk, D.; Patterson, P.; Brandon, J.

2014-01-01

This paper's purpose is to extensively review the historical understanding of conscience and the current juridical interpretation of freedom of conscience under section 2(a) of the Canadian Charter of Rights and Freedoms (1982). It then briefly notes that given the challenge faced by Ontario's Catholic schools in providing for inclusionary…

Clinical trial: factors associated with freedom from relapse of heartburn in patients with healed reflux oesophagitis--results from the maintenance phase of the EXPO study.

Science.gov (United States)

Labenz, J; Armstrong, D; Zetterstrand, S; Eklund, S; Leodolter, A

2009-06-01

Ability to predict freedom from heartburn relapse during maintenance therapy for healed reflux oesophagitis may facilitate optimal treatment choices for individual patients. To determine factors predicting freedom from heartburn relapse during maintenance proton pump inhibitor therapy in patients with healed reflux oesophagitis. This post-hoc analysis used data from the maintenance phase of the EXPO study (AstraZeneca study code: SH-NEG-0008); 2766 patients with healed reflux oesophagitis and resolved heartburn received once-daily esomeprazole 20 mg or pantoprazole 20 mg for 6 months. Multiple logistic regression analysis determined factors associated with freedom from heartburn relapse. Heartburn relapse rates were lower with esomeprazole than pantoprazole in all subgroups analysed. Esomeprazole treatment was the factor most strongly associated with freedom from heartburn relapse (odds ratio 2.08; P heartburn relapse were Helicobacter pylori infection, greater age, non-obesity, absence of epigastric pain at baseline, pre-treatment nonsevere heartburn and GERD symptom duration heartburn relapse during maintenance proton pump inhibitor therapy for healed reflux oesophagitis, the strongest being choice of proton pump inhibitor. These findings outline the importance of optimizing acid control and identifying predictors of relapse for effective long-term symptom management in reflux oesophagitis patients.

Comparative Sustainable Development in Sub-Saharan Africa

OpenAIRE

Asongu, Simplice

2017-01-01

Motivated by sustainable development challenges in Sub-Saharan Africa, this study assesses the comparative persistence of environmental unsustainability in a sample of 44 countries in the sub-region for the period 2000 to 2012. The empirical evidence is based on Generalised Method of Moments. Of the six hypotheses tested, it is not feasible to assess the hypothesis on resource-wealth because of issues in degrees of freedom. As for the remaining hypotheses, the following findings are establis...

Operation Iraqi Freedom/Operation Enduring Freedom: exploring wartime death and bereavement.

Science.gov (United States)

Harrington Lamorie, Jill

2011-01-01

Military deaths are often sudden, unanticipated, traumatic, and/or violent in nature and involve the death of a young adult. More than 5,500 service members have died as a result of their service in the wars in Afghanistan (2001) and Iraq (2003) in combat- or non-combat- related incidences. As the death toll continues to rise, service members and their families struggle with the visible and invisible wounds of war. This article explores wartime death, trauma, and bereavement experienced by those survivors affected by service members who have died as a result of their military service in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). It recognizes the circumstantial and cultural factors of the death as well as the grief and trauma experiences of survivors. Resources and suggested interventions of support are highlighted.

Catechol-O-methyltransferase inhibition alters pain and anxiety-related volitional behaviors through activation of β-adrenergic receptors in the rat.

Science.gov (United States)

Kline, R H; Exposto, F G; O'Buckley, S C; Westlund, K N; Nackley, A G

2015-04-02

Reduced catechol-O-methyltransferase (COMT) activity resulting from genetic variation or pharmacological depletion results in enhanced pain perception in humans and nociceptive behaviors in animals. Using phasic mechanical and thermal reflex tests (e.g. von Frey, Hargreaves), recent studies show that acute COMT-dependent pain in rats is mediated by β-adrenergic receptors (βARs). In order to more closely mimic the characteristics of human chronic pain conditions associated with prolonged reductions in COMT, the present study sought to determine volitional pain-related and anxiety-like behavioral responses following sustained as well as acute COMT inhibition using an operant 10-45°C thermal place preference task and a light/dark preference test. In addition, we sought to evaluate the effects of sustained COMT inhibition on generalized body pain by measuring tactile sensory thresholds of the abdominal region. Results demonstrated that acute and sustained administration of the COMT inhibitor OR486 increased pain behavior in response to thermal heat. Further, sustained administration of OR486 increased anxiety behavior in response to bright light, as well as abdominal mechanosensation. Finally, all pain-related behaviors were blocked by the non-selective βAR antagonist propranolol. Collectively, these findings provide the first evidence that stimulation of βARs following acute or chronic COMT inhibition drives cognitive-affective behaviors associated with heightened pain that affects multiple body sites. Copyright © 2015 IBRO. Published by Elsevier Ltd. All rights reserved.

Freedom and Restrictions in Language Use.

Science.gov (United States)

O'Donnell, Roy C.

Since freedom of thought and expression is essential in a democracy, censorship of language is rightly regarded as a threat to all other freedoms. Still, it is inevitable that certain restrictions will occasionally be imposed on language in America and in other societies. Restrictions on language date back to the Ten Commandments, which condemned…

Do We Still Need Academic Freedom?

Science.gov (United States)

Shils, Edward

1993-01-01

This review of academic freedom in U.S. universities focuses on the role of the American Association of University Professors, which originally linked academic freedom and tenure but now views equality of genders, races, and cultures and the normality of homosexuality as the only real values, whereas truth is seen as illusory, even exploitative.…

Social justice and the formal principle of freedom

Directory of Open Access Journals (Sweden)

Nikolić Olga

2017-01-01

Full Text Available The aim of this paper is to show, contra the right-libertarian critique of social justice, that there are good reasons for defending policies of social justice within a free society. In the first part of the paper, we will present two influential right-libertarian critiques of social justice, found in Friedrich Hayek’s Law, Legislation and Liberty and Robert Nozick’s Anarchy, State and Utopia. Based on their approach, policies of social justice are seen as an unjustified infringement on freedoms of individual members of a society. In response to this critique, we will introduce the distincion between formal and factual freedom and argue that the formal principle of freedom defended by Hayek and Nozick does not suffice for the protection of factual freedom of members of a society, because it does not recognize (1 the moral obligation to help those who, without their fault, lack factual freedom to a significant degree, and (2 the legal obligation of the state to protect civic dignity of all members of a society. In the second part of the paper, we offer an interpretation of Kant’s argument on taxation, according to which civic dignity presupposes factual freedom, in order to argue that Kant’s justification of taxation offers good reasons for claiming that the state has the legal obligation to protect factual freedom via the policies of social justice.

Freedom of Communication - Problematic Aspects in the Horizon of International Relations

Directory of Open Access Journals (Sweden)

Ionuţ Ştefan

2011-06-01

Full Text Available The issue of freedom is one of the fundamental issues of the philosophical thought. In theEuropean cultural area, there is a strong tradition in this respect, starting from the Greek antiquity andreaching to the philosophies of the 20th century. Existentialism, as an exemplary philosophical trendof the last century, is founded in the horizon of freedom. Freedom is an element which allows us toclassify the political regimes in democratic and non-democratic. The democratic regimes are definedas forms of government which allow for the manifestation of freedom, while the non-democratic onesare defined as governments which forbid individual freedoms. The concept of freedom is theoreticallyshaped in the philosophical thought. We distinguish between the individual’s inner freedom and hisouter freedom. According to the philosophical doctrines, each individual’s inner freedom may bealmost immune to any type of constraint, while our outer freedom is problematic. Constraints areexerted in the horizon of the individuals’ outer freedoms. This outer freedom makes itself felt in thepublic space and it is the only form of freedom which can manifest concretely, visibly. The concept offreedom is related to the concepts of communication, policy, and politics. These elementstheoretically shape the issue of the freedom of speech. The truth and correctness of the informationpresented to the public opinion will be correlated with the issue of the freedom of communication andthe issue of the freedom of speech in the public arena. In order to highlight this aspect even better, wehave presented a case concerning the freedom of speech in recounting the facts in the Gaza Strip. Atan international level, the public opinion is informed that in that area of eternal conflict there are“good characters”, namely the Jews, and “bad characters”, namely the Palestinians. But things are farfrom being that simple. To conclude, the issue of the freedom of speech in the

Expert system for accelerator single-freedom nonlinear components

International Nuclear Information System (INIS)

Wang Sheng; Xie Xi; Liu Chunliang

1995-01-01

An expert system by Arity Prolog is developed for accelerator single-freedom nonlinear components. It automatically yields any order approximate analytical solutions for various accelerator single-freedom nonlinear components. As an example, the eighth order approximate analytical solution is derived by this expert system for a general accelerator single-freedom nonlinear component, showing that the design of the expert system is successful

Case Report: Neuropathic pain in a patient with congenital insensitivity to pain [v2; ref status: indexed, http://f1000r.es/5iu

Directory of Open Access Journals (Sweden)

Daniel W. Wheeler

2015-06-01

Full Text Available We report a unique case of a woman with Channelopathy-associated Insensitivity to Pain (CIP Syndrome, who developed features of neuropathic pain after sustaining pelvic fractures and an epidural hematoma that impinged on the right fifth lumbar (L5 nerve root. Her pelvic injuries were sustained during painless labor, which culminated in a Cesarean section. She had been diagnosed with CIP as child, which was later confirmed when she was found to have null mutations of the SCN9A gene that encodes the voltage-gated sodium channel Nav1.7. She now complains of troubling continuous buzzing in both legs and a vice-like squeezing in the pelvis on walking. Quantitative sensory testing showed that sensory thresholds to mechanical stimulation of the dorsum of both feet had increased more than 10-fold on both sides compared with tests performed before her pregnancy. These findings fulfill the diagnostic criteria for neuropathic pain. Notably, she mostly only experiences the negative symptoms (such as numbness and tingling, but also electric shocks, and she has not reported sharp or burning sensations, although the value of verbal descriptors is somewhat limited in a person who has never felt pain before. However, her case strongly suggests that at least some of the symptoms of neuropathic pain can persist despite the absence of the Nav1.7 channel. Pain is a subjective experience and this case sheds light on the transmission of neuropathic pain in humans that cannot be learned from knockout mice.

Cross-country Association of Press Freedom and LGBT freedom with prevalence of persons living with HIV: implication for global strategy against HIV/AIDS.

Science.gov (United States)

Chen, Xinguang; Elliott, Amy L; Wang, Shuang

2018-01-01

Human behaviors are affected by attitudes and beliefs, which in turn are shaped by higher-level values to which we have ascribed. In this study, we explore the relationship between two higher-level values, press freedom and LGBT freedom, and HIV infection with national data at the population level. Data were the number of persons living with HIV (PLWH, n  = 35,468,911) for 148 countries during 2011-15, press freedom index (PFI) determined by the Reporters Without Borders, and LGBT freedom index (LGBT-FI) based on laws regulating same-sex relationships and expression. PLWH prevalence (1/1000), PFI and LGBT-FI were mapped first. Multiple regression was thus used to associate the logarithm of PLWH prevalence with PFI, LGBT-FI and PFI × LGBT-FI interaction, controlling for per capita GDP and weighted by population size. Global prevalence of PLWH during 2011-15 was 0.51 per 1000 population. The prevalence showed a geographic pattern moving from high at the south and west ends of the world map to low at the north and east. Both PFI and LGBT-FI were positively associated with PLWH prevalence with a negative interaction between the two. More people are infected with HIV in countries with higher press freedom and higher LGBT freedom. Furthermore, press freedom can attenuate the positive association between levels of LGBT freedom and risk of HIV infection. This study demonstrated the urgency for and provided data supporting further research to investigate potential cultural and socioecological mechanisms underpinning the complex relationship among press freedom, LGBT freedom and HIV infection, with data collected at the individual level.

Dostoevsky’s and Frank’s ideas of freedom

Directory of Open Access Journals (Sweden)

Shmakov Vladimir

2017-08-01

Full Text Available One of the most important questions of the religious-philosophical anthropological concept of S.L. Franck are questions about the close relationship between man and God, about sin and suffering, and about the definition of the boundaries of his freedom. In the definition of freedom and its main points, it proceeds not only from Western philosophical thought, but also from the anthropological views and ideas of F. M. Dostoevsky. According to Frank, as in Dostoevsky, the disclosure of the fullness of freedom in man is interconnected with the doctrine of human freedom as self-determination in good and in God, accepting sufering as an indispensable component in his salvation. The article is devoted to the comparison of the basic anthropological and personality concepts, as well as the idea of freedom and its characteristics in the works and works of both thinkers, in order to trace the continuity of Dostoevsky’s tradition with Frank in the framework of his anthropology and personalism in order to prove that for him human freedom and self-Man is an absolute value, his anthropology can be viewed in the context of his philosophy of unity and not contradict it.

MRI-guided cryoablation of the posterior femoral cutaneous nerve for the treatment of neuropathy-mediated sitting pain

International Nuclear Information System (INIS)

Joshi, Dharmdev H.; Thawait, Gaurav K.; Fritz, Jan; Del Grande, Filippo

2017-01-01

Neuropathy of the posterior femoral cutaneous nerve may manifest as pain and paresthesia in the skin over the inferior buttocks, posterior thigh, and popliteal region. Current treatment options include physical and oral pain therapy, perineural injections, and surgical neurectomy. Perineural steroid injections may provide short-term pain relief; however, to our knowledge, there is currently no minimally invasive denervation procedure for sustained pain relief that could serve as an alternative to surgical neurectomy. Percutaneous cryoablation of nerves is a minimally invasive technique that induces a sustained nerve conduction block through temporary freezing of the neural layers. It can result in long-lasting pain relief, but has not been described for the treatment of neuropathy-mediated PFCN pain. We report a technique of MR-guided cryoablation of the posterior femoral cutaneous nerve resulting in successful treatment of PFCN-mediated sitting pain. Cryoablation of the posterior femoral cutaneous nerve seems a promising, minimally invasive treatment option that deserves further investigation. (orig.)

MRI-guided cryoablation of the posterior femoral cutaneous nerve for the treatment of neuropathy-mediated sitting pain

Energy Technology Data Exchange (ETDEWEB)

Joshi, Dharmdev H.; Thawait, Gaurav K.; Fritz, Jan [Johns Hopkins University School of Medicine, Section of Musculoskeletal Radiology, Russell H. Morgan Department of Radiology and Radiological Science, Baltimore, MD (United States); Del Grande, Filippo [Johns Hopkins University School of Medicine, Section of Musculoskeletal Radiology, Russell H. Morgan Department of Radiology and Radiological Science, Baltimore, MD (United States); Ospedale Regionale di Lugano, Servizio di Radiologia, Lugano, Ticino (Switzerland)

2017-07-15

Neuropathy of the posterior femoral cutaneous nerve may manifest as pain and paresthesia in the skin over the inferior buttocks, posterior thigh, and popliteal region. Current treatment options include physical and oral pain therapy, perineural injections, and surgical neurectomy. Perineural steroid injections may provide short-term pain relief; however, to our knowledge, there is currently no minimally invasive denervation procedure for sustained pain relief that could serve as an alternative to surgical neurectomy. Percutaneous cryoablation of nerves is a minimally invasive technique that induces a sustained nerve conduction block through temporary freezing of the neural layers. It can result in long-lasting pain relief, but has not been described for the treatment of neuropathy-mediated PFCN pain. We report a technique of MR-guided cryoablation of the posterior femoral cutaneous nerve resulting in successful treatment of PFCN-mediated sitting pain. Cryoablation of the posterior femoral cutaneous nerve seems a promising, minimally invasive treatment option that deserves further investigation. (orig.)

77 FR 27151 - Implementing the Freedom of Information Act

Science.gov (United States)

2012-05-09

... Memoranda on ``The Freedom of Information Act'' and ``Transparency and Open Government,'' as well as... OFFICE OF SCIENCE AND TECHNOLOGY POLICY 32 CFR Part 2403 Implementing the Freedom of Information... Policy (OSTP) is proposing to issue regulations implementing the Freedom of Information Act (FOIA). The...

Now and Then: Combat Casualty Care Policies for Operation Iraqi Freedom and Operation Enduring Freedom Compared With Those of Vietnam

National Research Council Canada - National Science Library

Cordts, Paul R; Brosch, Laura A; Holcomb, John B

2008-01-01

Between December 2004 and June 2007, 13 key Operation Iraqi Freedom/ Operation Enduring Freedom combat casualty care policies were published to inform medical practice in the combat theater of operations...

FREEDOM FRANCHISING AS AN ALTERNATIVE TO THE CLASSIC FRANCHISING

OpenAIRE

L. A. Solovova

2016-01-01

The article is devoted to the model of freedom franchising and to its comparison with the classic franchising model. The aim of the article is to systemize and enrich the knowledge in the sphere of the franchising model evolution. The author’s task was to identify the key features of the freedom franchising model, to compare the freedom franchising with classic franchising and to formulate the conditions under which the freedom franchising model can be developed. To achieve this the analysis,...

The rat intervertebral disk degeneration pain model: relationships between biological and structural alterations and pain.

Science.gov (United States)

Kim, Jae-Sung; Kroin, Jeffrey S; Li, Xin; An, Howard S; Buvanendran, Asokumar; Yan, Dongyao; Tuman, Kenneth J; van Wijnen, Andre J; Chen, Di; Im, Hee-Jeong

2011-01-01

Degeneration of the interverterbral disk is as a cause of low-back pain is increasing. To gain insight into relationships between biological processes, structural alterations and behavioral pain, we created an animal model in rats. Disk degeneration was induced by removal of the nucleus pulposus (NP) from the lumbar disks (L4/L5 and L5/L6) of Sprague Dawley rats using a 0.5-mm-diameter microsurgical drill. The degree of primary hyperalgesia was assessed by using an algometer to measure pain upon external pressure on injured lumbar disks. Biochemical and histological assessments and radiographs of injured disks were used for evaluation. We investigated therapeutic modulation of chronic pain by administering pharmaceutical drugs in this animal model. After removal of the NP, pressure hyperalgesia developed over the lower back. Nine weeks after surgery we observed damaged or degenerated disks with proteoglycan loss and narrowing of disk height. These biological and structural changes in disks were closely related to the sustained pain hyperalgesia. A high dose of morphine (6.7 mg/kg) resulted in effective pain relief. However, high doses of pregabalin (20 mg/kg), a drug that has been used for treatment of chronic neuropathic pain, as well as the anti-inflammatory drugs celecoxib (50 mg/kg; a selective inhibitor of cyclooxygenase 2 (COX-2)) and ketorolac (20 mg/kg; an inhibitor of COX-1 and COX-2), did not have significant antihyperalgesic effects in our disk injury animal model. Although similarities in gene expression profiles suggest potential overlap in chronic pain pathways linked to disk injury or neuropathy, drug-testing results suggest that pain pathways linked to these two chronic pain conditions are mechanistically distinct. Our findings provide a foundation for future research on new therapeutic interventions that can lead to improvements in the treatment of patients with back pain due to disk degeneration.

New threats to academic freedom.

Science.gov (United States)

Minerva, Francesca

2014-05-01

Using a specific case as an example, the article argues that the Internet allows dissemination of academic ideas to the general public in ways that can sometimes pose a threat to academic freedom. Since academic freedom is a fundamental element of academia and since it benefits society at large, it is important to safeguard it. Among measures that can be taken in order to achieve this goal, the publication of anonymous research seems to be a good option. © 2013 John Wiley & Sons Ltd.

Educational Vouchers: Freedom to Choose?

OpenAIRE

Reel, Jordan; Block, Walter E.

2013-01-01

Milton Friedman is famous for his book title: “Free to Choose.” He also favors educational vouchers, which denies the freedom to choose to people who do not wish to subsidize the education of other people’s children. Thus, he is guilty of a logical contradiction. Why is it important to assess whether Friedman’s views on educational vouchers are logically consistent with his widespread reputation as an advocate of free enterprise, and, thus, freedom to chose? It is important to assess all figu...

Low pain intensity after opioid withdrawal as a first step of a comprehensive pain rehabilitation program predicts long-term nonuse of opioids in chronic noncancer pain.

Science.gov (United States)

Krumova, Elena K; Bennemann, Philipp; Kindler, Doris; Schwarzer, Andreas; Zenz, Michael; Maier, Christoph

2013-09-01

In specialized pain clinics there is an increasing number of patients with severe chronic noncancer pain (CNCP) despite long-term opioid medication. Few clinical studies show short-term pain relief after opioid withdrawal (OW). We have evaluated the relation between pain intensity after OW and long-term opioid nonuse. One hundred two consecutive patients with severe CNCP despite opioid medication (mean treatment duration, 43 mo) reported pain intensity (numerical rating scale, 0 to 10), Pain Disability Index, mood (CES-D), and quality of life (Short Form 36) before, shortly, and 12 to 24 months after inpatient OW. Total opioid withdrawal (n = 78) or significant dose reduction (DR; n = 24, mean reduction, 82%) was performed after individual decision. Opioid intake 12 to 24 months later, respectively dose increase ≥ 100% (DR group), was considered relapse. T tests, multivariable analysis of variance, logistic regression. After OW current pain intensity significantly decreased on an average by 41% (6.4 ± 2.4 vs. 3.8 ± 2.5), maximal and average pain by 18% and 24%, respectively. Twelve to 24 months later 42 patients (41%) relapsed (31 of the total opioid withdrawal group, 6 of the DR group, 5 lost). Patients without later relapse showed significantly lower pain scores than the later relapsed patients already shortly after OW (5.0 ± 2.2 vs. 5.9 ± 2.1) and 12 to 24 months later (5.5 ± 2.4 vs. 6.5 ± 2.0). There was a significant relation between relapse probability and pain intensity immediately after OW. In many patients with severe CNCP, despite opioid medication, sustainable pain relief can be achieved if OW is included in the rehabilitation program. Consequently, we recommend OW for opioid-resistant CNCP before any opioid escalation. Lower pain intensity shortly after OW may predict the long-term opioid nonuse probability.

Health promotion and the freedom of the individual.

Science.gov (United States)

Taylor, Gary; Hawley, Helen

2006-03-01

This article considers the extent to which health promotion strategies pose a threat to individual freedom. It begins by taking a look at health promotion strategies and at the historical development of health promotion in Britain. A theoretical context is then developed in which Berlin's distinction between negative and positive liberty is used alongside the ideas of John Stuart Mill, Charles Taylor and T.H. Green to discuss the politics of health promotion and to identify the implications of conflicting perspectives on freedom. The final section looks at current health promotion policy in Britain and beyond and argues that, if freedom is seen in terms of empowerment, health promotion can enhance individual freedom.

Knowledge Yearning for Freedom

Directory of Open Access Journals (Sweden)

Ljiljana Gavrilović

2016-02-01

Full Text Available The paper is concerned with the restriction of access to knowledge/books in the contemporary digitalized global world, in which the access to knowledge has to be paid for, and wherein definitions of modes of payment control who has or doesn’t have the right to knowledge. The second part of the article deals with the struggle for the freedom of words/knowledge, and actions through which the authors/producers of knowledge and art fight the restrictions not only to the freedom of speech, but also creativity and innovation, which should be the aim of all copyright and intellectual right laws, the contemporary application of which has become its own opposite.

John Stuart Mill on Freedom, Education, and Social Reform.

Science.gov (United States)

Carbone, Peter F.

1983-01-01

Examines the social philosophy of John Stuart Mill, emphasizing his views on freedom, education, and social reform. Considers Mill's individualism and reformism, the conflict between freedom and control that characterizes his work, and the importance of freedom and education. Suggests caution in drawing educational implications from his work. (DAB)

Response to Haskell's "Academic Freedom ... & Student Evaluation"

Directory of Open Access Journals (Sweden)

Jeffrey E. Stake

1997-03-01

Full Text Available Haskell (1997 argued that the administrative practice of student evaluation of faculty is a threat to academic freedom. However, before that claim can be substantiated, several prior questions must be addressed: To whom does academic freedom belong? Individual faculty? The academy? Whose actions can violate the right? Can any lines be drawn based on whether the substance or form of classroom behavior is influenced? And still another crucial point is whether a body can violate academic freedom without any intent to interfere with or control the substance of what is said to students.

Freedom of Information Requests Survey (FIRS) : Preliminary Results

OpenAIRE

Dowding, Martin; Murray, Frederic; Saunders, Jeremiah

2006-01-01

At the request of the BC Freedom of Information and Privacy Association (FIPA), Dr. Martin Dowding, Assistant Professor at the School of Library, Archival and Information Studies (SLAIS), University of British Columbia recruited and supervised Jeremiah Saunders and Frederic Murray, MLIS candidates, to design and conduct a survey in 2005-2006 that would measure the process of and satisfaction with making a freedom of information request for public information through British Columbia's Freedom...

Academic Freedom in Athletic Training Education: Food for Thought

Science.gov (United States)

Payne, Ellen K.; Berry, David C.; Lowry, John E.

2012-01-01

Academic freedom is defined as the "freedom of the individual scholar to pursue truth wherever it leads, without fear of punishment or of termination of employment for having offended some political, methodological, religious, or social orthodoxy." Currently there is paucity of literature addressing the issue of academic freedom specific to…

Space Station Freedom food management

Science.gov (United States)

Whitehurst, Troy N., Jr.; Bourland, Charles T.

1992-01-01

This paper summarizes the specification requirements for the Space Station Food System, and describes the system that is being designed and developed to meet those requirements. Space Station Freedom will provide a mix of frozen, refrigerated, rehydratable, and shelf stable foods. The crew will pre-select preferred foods from an approved list, to the extent that proper nutrition balance is maintained. A galley with freezers, refrigerators, trash compactor, and combination microwave and convection ovens will improve crew efficiency and productivity during the long Space Station Freedom (SSF) missions.

Complexity of the Relationships of Pain, Posttraumatic Stress, and Depression in Combat-Injured Populations: An Integrative Review to Inform Evidence-Based Practice.

Science.gov (United States)

Giordano, Nicholas A; Bader, Christine; Richmond, Therese S; Polomano, Rosemary C

2018-04-01

Understanding the complex interrelationships between combat injuries, physical health, and mental health symptoms is critical to addressing the healthcare needs of wounded military personnel and veterans. The relationship between injury characteristics, pain, posttraumatic stress disorder (PTSD), and depression among combat-injured military personnel is unique to modern conflicts and understudied in the nursing literature. This integrative review synthesizes clinical presentations and relationships of combat injury, PTSD, depression, and pain in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) United States military service members and veterans. A literature search was conducted using relative key terms across databases to identify peer-reviewed publications between 2001 and 2016 that examined health outcomes of combat-injured persons in OEF and OIF. The quality of evidence was evaluated and results synthesized to examine the association of combat injury as a risk factor for PTSD, the relationship of PTSD and depression pre- and postinjury, and pain management throughout care. Twenty-two articles were included in this review. Greater injury and pain severity poses risks for developing PTSD following combat injury, while early symptom management lessens risks for PTSD. Depression appears to be both a contributing risk factor to postinjury PTSD, as well as a comorbidity. Findings demonstrate a compelling need for improvements in standardized assessment of pain and mental health symptoms across transitions in care. This integrative review informs nurse researchers and providers of the clinical characteristics of pain, PTSD, and depression following combat injury and offers implications for future research promoting optimal surveillance of symptoms. © 2018 Sigma Theta Tau International.

Particle Damping with Granular Materials for Multi Degree of Freedom System

Directory of Open Access Journals (Sweden)

Masanobu Inoue

2011-01-01

Full Text Available A particle damper consists of a bed of granular materials moving in cavities within a multi degree-of-freedom (MDOF structure. This paper deals with the damping effects on forced vibrations of a MDOF structure provided with the vertical particle dampers. In the analysis, the particle bed is assumed to be a single mass, and the collisions between the granules and the cavities are completely inelastic, i.e., all energy dissipation mechanisms are wrapped into zero coefficient of restitution. To predict the particle damping effect, equations of motion are developed in terms of equivalent single degree-of-freedom (SDOF system and damper mass with use made of modal approach. In this report, the periodic vibration model comprising sustained contact on or separation of the damper mass from vibrating structure is developed. A digital model is also formulated to simulate the damped motion of the physical system, taking account of all vibration modes. Numerical and experimental studies are made of the damping performance of plural dampers located at selected positions throughout a 3MDOF system. The experimental results confirm numerical prediction that collision between granules and structures is completely inelastic as the contributing mechanism of damping in the vertical vibration. It is found that particle dampers with properly selected mass ratios and clearances effectively suppress the resonance peaks over a wide frequency range.

Creating the Environment for Entrepreneurship through Economic Freedom

OpenAIRE

Joshua C. Hall; Robert A. Lawson; Saurav Roychoudhury

2015-01-01

In this paper we argue that the ability of people to freely trade, enter into contracts, and start businesses in a system of private property and the rule of law is crucial for productive entrepreneurship. One measure of how freely individuals can engage in economic activity is the Economic Freedom of the World (EFW) index. After examining the economic policies that harm economic freedom and possibly entrepreneurship, we highlight the correspondence between economic freedom and a number of me...

Religious Speech in the Military: Freedoms and Limitations

Science.gov (United States)

2011-01-01

abridging the freedom of speech .” Speech is construed broadly and includes both oral and written speech, as well as expressive conduct and displays when...intended to convey a message that is likely to be understood.7 Religious speech is certainly included. As a bedrock constitutional right, freedom of speech has...to good order and discipline or of a nature to bring discredit upon the armed forces)—the First Amendment’s freedom of speech will not provide them

Academic Freedom in Europe: Reviewing UNESCO's "Recommendation"

Science.gov (United States)

Karran, Terence

2009-01-01

This paper examines the compliance of universities in the European Union with the UNESCO Recommendation concerning the Status of Higher-Education Teaching Personnel, which deals primarily with protection for academic freedom. The paper briefly surveys the European genesis of the modern research university and academic freedom, before evaluating…

The interaction between religious freedom, equality and human dignity

African Journals Online (AJOL)

Personal Computer

acknowledged church dogma or religious belief, and is of such a nature that it passes the test of a nuanced and context-sensitive form of balancing of these freedoms and the right to human dignity and equality of persons affected by them. 1. BACKGROUND. Religious freedom (s 15(1)) and freedom of religious communities ...

The fragility of freedom of speech.

Science.gov (United States)

Shackel, Nicholas

2013-05-01

Freedom of speech is a fundamental liberty that imposes a stringent duty of tolerance. Tolerance is limited by direct incitements to violence. False notions and bad laws on speech have obscured our view of this freedom. Hence, perhaps, the self-righteous intolerance, incitements and threats in response to Giubilini and Minerva. Those who disagree have the right to argue back but their attempts to shut us up are morally wrong.

Time to improvement of pain and sleep quality in clinical trials of pregabalin for the treatment of fibromyalgia.

Science.gov (United States)

Arnold, Lesley M; Emir, Birol; Pauer, Lynne; Resnick, Malca; Clair, Andrew

2015-01-01

To determine the time to immediate and sustained clinical improvement in pain and sleep quality with pregabalin in patients with fibromyalgia. A post hoc analysis of four 8- to 14-week phase 2-3, placebo-controlled trials of fixed-dose pregabalin (150-600 mg/day) for fibromyalgia, comprising 12 pregabalin and four placebo treatment arms. A total of 2,747 patients with fibromyalgia, aged 18-82 years. Pain and sleep quality scores, recorded daily on 11-point numeric rating scales (NRSs), were analyzed to determine time to immediate improvement with pregabalin, defined as the first of ≥2 consecutive days when the mean NRS score was significantly lower for pregabalin vs placebo in those treatment arms with a significant improvement at endpoint, and time to sustained clinical improvement with pregabalin, defined as a ≥1-point reduction of the baseline NRS score of patient responders who had a ≥30% improvement on the pain NRS, sleep NRS, or Fibromyalgia Impact Questionnaire (FIQ) from baseline to endpoint, or who reported "much improved" or "very much improved" on the Patient Global Impression of Change (PGIC) at endpoint. Significant improvements in pain and sleep quality scores at endpoint vs placebo were seen in 8/12 and 11/12 pregabalin treatment arms, respectively (P < 0.05). In these arms, time to immediate improvements in pain or sleep occurred by day 1 or 2. Time to sustained clinical improvement occurred significantly earlier in pain, sleep, PGIC, and FIQ responders (P < 0.02) with pregabalin vs placebo. Both immediate and sustained clinical improvements in pain and sleep quality occurred faster with pregabalin vs placebo. Wiley Periodicals, Inc.

Freedom deprivation punishment in Serbia during 1804-1860

Directory of Open Access Journals (Sweden)

Mirković Zoran

2013-01-01

Full Text Available This text is on freedom deprivation punishment in Serbia during the first half of 19th century, i.e. since the beginning of the First Serbian uprising in 1804 and till passing the Criminal law in 1860. Author first emphasises that the freedom deprivation punishment doesn't have long tradition, although in medieval Serbia and under Turkish rule existed imprisonment in dungeon, but it was foremost some form of custody before a trial, and subsequently as keeping a prisoner after the verdict until its effectuation. It wasn't a freedom deprivation punishment in modern sense. During 1804 - 1813 there was so called 'haps' i.e. apprehension, though Uprising authorities built also 'real' prisons for punishment purpose. Imprisonment of culprits was a condition for compulsory labour, which could be very useful utilized under given circumstances. Since the beginning 1820-ties when first Serbian courts were established, beside 'haps' appears also imprisonment in heavy shackles. However there was no substantial difference between apprehension and imprisonment. In this time the sentence to imprisonment was combined with the punishment with beating (or sometimes with the flogging at the end of imprisonment. The Regulation of County courts from January 26th 1840 mentions several forms of freedom deprivation punishment, but in praxis freedom deprivation was reduced on either 'eternal' imprisonment or time-sentenced imprisonment. Since the beginning of 1840-ties freedom deprivation was more frequently used as punishment and its implementation was continually spreading. For heaviest crimes was instead death penalty and running gauntlet sentenced freedom deprivation, either from courts or from supreme authority in the amnesty process. Imprisonment was effectuated either at police reformatories (for shorter penalties or at the penitentiary institutions (for longer imprisonment. By the end of 1830-ties an issue of imprisonment of female perpetrators emerged, together

Authority Through Freedom. On Freire’s Radicalisation of the Authority-Freedom Problem in Education

Directory of Open Access Journals (Sweden)

Jones Irwin

2018-01-01

Full Text Available Paulo Freire’s approach to the question of ‘authority and freedom’ in education and teaching (as well as in the political sphere, takes its cue from his early and radical approach to literacy education in Brazil in the 1960s. However, the radical democratic thrust of this educational vision meets very significant political resistance in Brazil and Freire spends 30 years in exile. This essay explores how this Freirean approach needs to be contextualised in the specifically Brazilian context. However, it also explores his original contribution to the wider problematic of authority and freedom in the Philosophy of Education. In Freire, there is a simultaneous critique of traditionalism and progressivism (not dissimilar to Dewey’s in Experience and Education and this allows Freire to reconceptualise the relation between authority and freedom in education. We explore how Freire’s 1968 text Pedagogy of the Oppressed articulates this understanding very clearly and from a very strong conceptual-philosophical perspective. In the latter part of the essay, we look at how Freire’s later work, in for example Pedagogy of Hope: Reliving Pedagogy of the Oppressed, represents a return to a more experiential analysis of the question of authority and freedom in education. Nonetheless, while recognising the need for a philosophy of education to develop «in a manner in keeping with the times», there is also a very strong continuity between the early and later work in this understanding. In brief, in both his earlier and later work, Freire develops an understanding of an «authority through freedom», a co-dependent relationship between these two variables in pedagogy, as also in political life.

Attention and Working Memory in Female Adolescents With Chronic Pain and Pain-free Female Adolescents: A Preliminary Pilot Study.

Science.gov (United States)

Mifflin, Katherine; Chorney, Jill; Dick, Bruce

2016-07-01

Adolescents with chronic pain often report inattention and poor memory. There has been little research on cognitive function in this population. The goal of this preliminary pilot study was to examine differences in cognitive function between adolescents with chronic pain to pain-free adolescents. All participants completed baseline assessments of pain, school absences, depression, anxiety, and sleep habits. Standardized neurocognitive tests were used to examine cognitive function with a focus on working memory and attention. Recruitment from the chronic pain clinic resulted in a female sample of 13 individuals (largely reflective of the clinical population). Pain-free age-matched and sex-matched individuals (n=12) were therefore also recruited as controls. Individuals with chronic pain had significantly lower working memory scores than controls. Differences were found between groups on the most difficult selective attention task and not on tests of sustained attention, divided attention, or attentional switching. In a stepwise regression with baseline characteristics entered in the first step, pain accounted for approximately 15% of the variance in working memory and medication score counted for 49% of the variance. This pilot study is the first study to examine differences in working memory and attention between participants with chronic pain and pain-free adolescents. Our findings suggest that chronic pain may negatively affect adolescents' working memory function and highlights the risk for cognitive difficulties and problems with educational progression in addition to negative health and social effects associated with chronic pain. The study provides a starting point for more research and has the potential to direct better identification and treatment of these cognitive deficits.

HYPNOTIZABILITY AND PAIN MODULATION: A Body-Mind Perspective.

Science.gov (United States)

Varanini, Maurizio; Balocchi, Rita; Carli, Giancarlo; Paoletti, Giulia; Santarcangelo, Enrica L

2018-01-01

The study investigated whether the cardiac activity and cognitive-emotional traits sustained by the behavioral inhibition/activation system (BIS/BAS) may contribute to hypnotizability-related pain modulation. Nociceptive stimulation (cold-pressor test) was administered to healthy participants with high (highs) and low (lows) hypnotizability in the presence and absence of suggestions for analgesia. Results showed that heart rate increased abruptly at the beginning of nociceptive stimulation in all participants. Then, only in highs heart rate decreased for the entire duration of hand immersion. During stimulation with suggestions of analgesia, pain threshold negatively correlated with heart rate. BIS/BAS activity partially accounted for the observed hypnotizability-related differences in the relation between cardiac interoception and pain experience.

Where are the black-hole entropy degrees of freedom?

International Nuclear Information System (INIS)

Das, Saurya; Shankaranarayanan, S

2007-01-01

Understanding the area proportionality of black-hole entropy (the 'area law') from an underlying fundamental theory has been one of the goals of all models of quantum gravity. A key question that one asks is: where are the degrees of freedom giving rise to black-hole entropy located? Taking the point of view that entanglement between field degrees of freedom inside and outside the horizon can be a source of this entropy, we show that when the field is in its ground state, the degrees of freedom near the horizon contribute most to the entropy, and the area law is obeyed. However, when it is in an excited state, degrees of freedom far from the horizon contribute more significantly, and deviations from the area law are observed. In other words, we demonstrate that horizon degrees of freedom are responsible for the area law

Intellectual Freedom and Censorship in the Library

Science.gov (United States)

Cooper, Jessica L.

2010-01-01

The article gives a brief description of intellectual freedom and censorship in order to set a foundation for looking into the library community's role in advocating for intellectual freedom and combating censorship. Focus is given to the unique challenges of school libraries in fulfilling the larger library community's expectations in these two…

The Space Station Freedom - International cooperation and innovation in space safety

Science.gov (United States)

Rodney, George A.

1989-01-01

The Space Station Freedom (SSF) being developed by the United States, European Space Agency (ESA), Japan, and Canada poses novel safety challenges in design, operations, logistics, and program management. A brief overview discloses many features that make SSF a radical departure from earlier low earth orbit (LEO) space stations relative to safety management: size and power levels; multiphase manned assembly; 30-year planned lifetime, with embedded 'hooks and scars' forevolution; crew size and skill-mix variability; sustained logistical dependence; use of man, robotics and telepresence for on-orbit maintenance of station and free-flyer systems; closed-environment recycling; use of automation and expert systems; long-term operation of collocated life-sciences and materials-science experiments, requiring control and segregation of hazardous and chemically incompatible materials; and materials aging in space.

Challenges and Opportunities of Operation Enduring Freedom/Operation Iraqi Freedom Veterans with Disabilities Transitioning into Learning and Workplace Environments

Science.gov (United States)

Ostovary, Fariba; Dapprich, Janet

2011-01-01

This article presents issues related to disabled military servicemen and women who are transitioning to civilian life. The emphasis is on the experience of veterans serving in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) as they reintegrate into civilian workplace and learning environments. The authors begin with an…

Pain and suicidality: Insights from reward and addiction neuroscience

OpenAIRE

Elman, Igor; Borsook, David; Volkow, Nora D.

2013-01-01

Suicidality is exceedingly prevalent in pain patients. Although the pathophysiology of this link remains unclear, it may be potentially related to the partial congruence of physical and emotional pain systems. The latter system’s role in suicide is also conspicuous during setbacks and losses sustained in the context of social attachments. Here we propose a model based on the neural pathways mediating reward and anti-reward (i.e., allostatic adjustment to recurrent activation of the reward cir...

Neuropathic pain-like alterations in muscle nociceptor function associated with vibration-induced muscle pain.

Science.gov (United States)

Chen, Xiaojie; Green, Paul G; Levine, Jon D

2010-11-01

We recently developed a rodent model of the painful muscle disorders induced by occupational exposure to vibration. In the present study we used this model to evaluate the function of sensory neurons innervating the vibration-exposed gastrocnemius muscle. Activity of 74 vibration-exposed and 40 control nociceptors, with mechanical receptive fields in the gastrocnemius muscle, were recorded. In vibration-exposed rats ∼15% of nociceptors demonstrated an intense and long-lasting barrage of action potentials in response to sustained suprathreshold mechanical stimulation (average of 2635 action potentials with frequency of ∼44Hz during a 1min suprathreshold stimulus) much greater than that has been reported to be produced even by potent inflammatory mediators. While these high-firing nociceptors had lower mechanical thresholds than the remaining nociceptors, exposure to vibration had no effect on conduction velocity and did not induce spontaneous activity. Hyperactivity was not observed in any of 19 neurons from vibration-exposed rats pretreated with intrathecal antisense for the IL-6 receptor subunit gp130. Since vibration can injure peripheral nerves and IL-6 has been implicated in painful peripheral neuropathies, we suggest that the dramatic change in sensory neuron function and development of muscles pain, induced by exposure to vibration, reflects a neuropathic muscle pain syndrome. Copyright © 2010 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

Your True Freedom

Directory of Open Access Journals (Sweden)

Jena Rausch

2015-02-01

Full Text Available Your True Freedom is about my journey teaching inmates the fundamental truths of self worth, self acceptance and self love--through writing, mindfulness meditation and emotional healing. It is a journey that continues to enlighten me and to heal and free the inmates with whom I work.

Freedom of Speech and Philosophy of Education

Science.gov (United States)

Harris, Roy

2009-01-01

Why is freedom of speech so seldom raised as an issue in philosophy of education? In assessing this question, it is important to distinguish (i) between a freedom and its exercise, and (ii) between different philosophies of education. Western philosophies of education may be broadly divided into classes derived from theories of knowledge first…

Happiness and economic freedom: Are they related?

Directory of Open Access Journals (Sweden)

Yilmaz Ilkay

2016-01-01

Full Text Available In this article we investigate the linkage between economic freedom and happiness (subjective well-being. We attempt to understand which economic institutions (rule of law, limited government, regulatory efficiency, open markets have influence on subjective well-being. For this purpose we use a panel dataset and analyze the effect of economic freedom on subjective well-being while using various control variables such as government expenditures as percentage of GDP, human development, social support, freedom of choice and generosity. Our pooled FGLS estimations indicate that all pillars of economic freedom have a strong influence on the average subjective well-being in society. Three of these pillars, namely rule of law, regulatory efficiency and open markets, positively affect subjective well-being. To our surprise we have found a negative relationship between limited government and subjective wellbeing. This might be due to the situation that reducing the size of government possibly leads to lower government expenditures and higher unemployment, which in turn results in lower subjective well-being.

Freedom and security: a sometimes delicate balance

CERN Multimedia

2015-01-01

Like any academic institution, CERN celebrates freedom: freedom of expression, freedom of thought and freedom of movement. Occasionally, however, circumstances beyond our control oblige us to impose certain restrictions.   Friday, 26 June was just such an occasion. On that day, terrorists chose to commit unfathomable atrocities in France, near Lyon, as well as in Kuwait and Tunisia. The brutality exhibited in all three attacks is beyond comprehension, and I am sure that we all feel for the victims and all those touched by these hideous acts. At times such as this, and on the basis of information that I receive from external agencies, it is my responsibility as Director-General to decide whether measures are needed at CERN, and to apply them at an appropriate level if I deem it necessary. On Friday, based on the information I had at my disposal, I decided that the situation merited extra vigilance at the entrances to CERN for the sake of ensuring the safety and security of everyone on site. I...

FREEDOM OF PRESS IN CURRENT SOCIO-POLITICAL ENVIRONMENT IN ROMANIA

OpenAIRE

Georgiana STĂNESCU; Ionuț SUCIU

2017-01-01

This study analyses the way journalists’ freedom of expression is protected in current socio/political context. It has started from the fact that Mass Media is the guarantee of any modern democracy, and respect for freedom of expression is essential in the current European environment. We have shown that Romania guarantees through the Constitution, but also through other international treaties to which it is a signatory, the freedom of expression of every citizen, and, implicitly, the freedom...

Pain worlds: towards the integration of a sociocultural perspective of pain in clinical physical therapy.

Science.gov (United States)

Killick, Lara; Davenport, Todd E

2014-12-01

The World Health Organization's International Classification of Functioning, Disability and Health (WHO-ICF) model has been advocated as a model of function to conceptualize physical therapist practice. Among its advances, the WHO-ICF model explicitly recognizes the existence of social factors that may influence patients' and clients' understanding of pain. However, understandings of the historical, social and cultural processes that shape the individual and collective experiences of pain and the therapeutic relationship remain limited. We call for a more intentional and sustained dialogue between clinical practice and sociology to help elucidate the nature, characteristics, complexities and clinical implications of one specific element of the WHO-ICF model, environmental factors. The purpose of this review is to advocate for the continued adoption of a sociological lens to help physical therapists better understand the broader networks of people, ideologies and practices in which people 'in pain' are enmeshed and the historical, geographical and cultural spaces in which they operate. In this review, we discuss existing empirical findings in sociology to introduce the concept of 'pain worlds', which can be applied by physical therapists to help characterize the sociocultural factors identified in the WHO-ICF model. Pain worlds is designed to complement the WHO-ICF model and assist in developing interdisciplinary research agendas that illuminate and examine the role, significance and clinical implications of sociocultural and environmental dimensions of pain. We conclude with a brief set of recommendations for the development of such translational research agendas and call for the integration of pain worlds in clinical practice. Copyright © 2014 John Wiley & Sons, Ltd.

Differential Predictors of Pain and Disability in Patients with Whiplash Injuries

Directory of Open Access Journals (Sweden)

Michael JL Sullivan

2002-01-01

Full Text Available The psychological predictors of pain and disability were examined in a sample of people who sustained whiplash injuries during rear-end motor vehicle accidents. Sixty-five patients referred to a specialty pain clinic with a diagnosis of whiplash injury completed measures of depression, anxiety, catastrophizing, pain and perceived disability. Regression analysis revealed that psychological variables accounted for 18% of the variance in pain ratings. The magnification subscale of the Pain Catastrophizing Scale was the only variable that contributed significant, unique variance to the prediction of pain. Psychological variables accounted for 37% of the variance in perceived disability scores. In the latter analysis, however, none of the independent variables contributed significant, unique variance to the prediction of perceived disability. Psychological variables accounted for significant variance in disability ratings, even when controlling for pain intensity. Discussion focuses on the need to draw clearer distinctions between determinants of pain and disability, and directions for interventions aimed at minimizing disability following whiplash injury are suggested.

Theoretical Value in Teaching Freedom of Speech.

Science.gov (United States)

Carney, John J., Jr.

The exercise of freedom of speech within our nation has deteriorated. A practical value in teaching free speech is the possibility of restoring a commitment to its principles by educators. What must be taught is why freedom of speech is important, why it has been compromised, and the extent to which it has been compromised. Every technological…

Lens positioner with five degrees of freedom

International Nuclear Information System (INIS)

Kobierecki, M.W.; Rienecker, F. Jr.

1978-01-01

A device for positioning lenses precisely with five degrees of freedom (three translations and two angular rotations). The unique features of the device are its compact design, large clear aperture, and high degree of positioning accuracy combined with five degrees of freedom in axis motion. Thus, the device provides precision and flexibility in positioning of optical components

Religious Freedoms In Republic Of Macedonia

Directory of Open Access Journals (Sweden)

Metaj-Stojanova Albana

2015-12-01

Full Text Available With the independence of Republic of Macedonia and the adoption of the Constitution of Macedonia, the country went through a substantial socio-political transition. The concept of human rights and freedoms, such as religious freedoms in the Macedonian Constitution is based on liberal democratic values. The Macedonian Constitution connects the fundamental human rights and freedoms with the concept of the individual and citizen, but also with the collective rights of ethnic minorities, respecting the international standards and responsibilities taken under numerous international human rights conventions and treaties, of which the country is a party. Republic of Macedonia has ratified all the so called “core human right treaties” and now the real challenge lies in the implementation of the international standards. Some of these international conventions and treaties of the United Nations and of the Council of Europe are inherited by succession from the former Yugoslavian federation. Religious freedoms are guaranteed by the Universal Declaration of human rights (1948, the International Covenant on Civil and Political Rights (1966, the European Convention on Human Rights (1953, the Declaration on the Elimination of All Forms of Intolerance and of Discrimination Based on Religion or Belief (1981 (all documents ratified by the Republic of Macedonia. According to the Constitution of the Republic of Macedonia “The freedom of religious confession is guaranteed. The right to express one's faith freely and publicly, individually or with others, is guaranteed„. After the conflict of 2001 the Ohrid Framework Agreement secured group rights for ethnicities that are not in majority in the Republic of Macedonia. The present Law on the legal status of the church, religious communities and religious groups of 2007, repealed the Law on religion and religious groups of 1997.

Freedom of Expression.

Science.gov (United States)

Update on Law-Related Education, 1988

1988-01-01

Presents an activity which uses hypothetical situations to explore the proper boundaries of freedom of expression and the role of the U.S. Supreme Court in interpreting its limits. Appropriate for grades 4-12, the lesson includes such topics as the "clear and present danger" clause, student expression, obscenity, and defamation. (GEA)

Thinking Academic Freedom

Science.gov (United States)

Lange, Lis

2016-01-01

This lecture argues that the politicisation and instrumentalisation of the university caused by neoliberal frames has as a result the depoliticisation of knowledge and of the academic as individual. This depoliticisation has turned academic freedom into a right to disengage not only from the political fight around these issues but also from the…

Two-step irradiance schedule versus single-dose tramadol sustained-release tablets for pain control during topical 5-aminolevulinic acid-photodynamic therapy of condyloma acuminatum in Chinese patients: a randomized comparative study.

Science.gov (United States)

Mchepange, Uwesu O; Huang, Chun-Yan; Sun, Yi; Tu, Ya-Ting; Tao, Juan

2014-07-01

Photodynamic therapy with 5-aminolevulinic acid (ALA-PDT) offers promising results for the treatment of condyloma acuminatum. However, patients have to dwell with pain to benefit from this otherwise effective and safe "off-label" treatment modality. Several techniques have been explored to control ALA-PDT-induced pain, but the desperate search for a universally accepted method is still ongoing. This study compares the two-step irradiance approach with single-dose administration of 100 mg tramadol sustained-release tablets for pain induced by ALA-PDT of condyloma acuminatum in Chinese patients. Adult Chinese patients with condyloma acuminatum were enrolled in a randomized comparative study. Pain levels were compared using the Numeric Rating Scale (NRS) at pre-defined assessment points during and after irradiation. The pain was dominated by characteristics such as burning and pricking and was almost always local and superficial. The median pain scores were lower in the two-step irradiance group at 1 minute (U = 621.5, P = 0.002) but higher at 20 minutes (U = 585.5, P = 0.002). The median pain scores between the two groups did not differ significantly at other assessment points. The pain was moderate in both groups and peaked earlier in the analgesics group (median: 5 minutes) but later in the two-step irradiance group (median: 15 minutes). The pain was generally mild. The median pain scores were equal at each assessment point, except at 3 hours where the median was lower in the analgesics group (1.0) as compared with the two-step irradiance group (2.0) (U = 725.0, P = 0.056). Pain in the two-step irradiance protocol is irradiance-dependent. The two-step irradiance approach produces significant benefits over analgesics during the initial stages of therapy but analgesics offer significant benefits thereafter. There are potential benefits of combining the two approaches in minimizing ALA-PDT-induced pain. © 2014 Wiley Periodicals

Problems with veteran-family communication during operation enduring freedom/operation Iraqi freedom military deployment.

Science.gov (United States)

Hinojosa, Ramon; Hinojosa, Melanie Sberna; Högnäs, Robin S

2012-02-01

Twenty Reserve component (Army and Marines) and Army National Guard male veterans of Operational Enduring Freedom/Operation Iraqi Freedom discuss their deployment and postdeployment family reintegration experiences. A Grounded Theory approach is used to highlight some of the ways in which family miscommunication during deployment can occur. Communication with civilian family members is affected by the needs of operational security, technical problems with communication tools, miscommunication between family members, or because veterans have "nothing new to say" to family back home. These communication difficulties may lead to an initial gulf of understanding between veterans and family members that can cause family strain during postdeployment family reintegration. We end with a discussion of veteran family reintegration difficulties.

A Utilitarian Case for Intellectual Freedom in Libraries.

Science.gov (United States)

Doyle, Tony

2001-01-01

Outlines the history of censorship and intellectual and expressive freedom in American libraries; discusses the two main types of ethical theory, utilitarianism and deontology; and maintains that libraries have a special role to play in promoting unconditional intellectual freedom. (Author/LRW)

Climato-economic habitats support patterns of human needs, stresses, and freedoms.

Science.gov (United States)

Van de Vliert, Evert

2013-10-01

This paper examines why fundamental freedoms are so unevenly distributed across the earth. Climato-economic theorizing proposes that humans adapt needs, stresses, and choices of goals, means, and outcomes to the livability of their habitat. The evolutionary process at work is one of collectively meeting climatic demands of cold winters or hot summers by using monetary resources. Freedom is expected to be lowest in poor populations threatened by demanding thermal climates, intermediate in populations comforted by undemanding temperate climates irrespective of income per head, and highest in rich populations challenged by demanding thermal climates. This core hypothesis is supported with new survey data across 85 countries and 15 Chinese provinces and with a reinterpretative review of results of prior studies comprising 174 countries and the 50 states in the United States. Empirical support covers freedom from want, freedom from fear, freedom of expression and participation, freedom from discrimination, and freedom to develop and realize one's human potential. Applying the theory to projections of temperature and income for 104 countries by 2112 forecasts that (a) poor populations in Asia, perhaps except Afghans and Pakistanis, will move up the international ladder of freedom, (b) poor populations in Africa will lose, rather than gain, relative levels of freedom unless climate protection and poverty reduction prevent this from happening, and (c) several rich populations will be challenged to defend current levels of freedom against worsening climato-economic livability.

Academic freedom, analysis, and the Code of Professional Conduct.

Science.gov (United States)

Snelling, Paul C; Lipscomb, Martin

2004-11-01

Despite nursing's move into higher education, academic freedom has received little attention within the literature. After discussing the concept of academic freedom, this paper argues that there is a potential tension between academic freedom and the requirement to educate student nurses who are fit for practice. One way in which this tension might be revealed is in the marking of student assignments. We ask the question--how should nurse educators mark an essay which is sufficiently analytical but reaches moral conclusions that lie outside the Code of Professional Conduct? We argue that despite an understandable temptation to penalise such an essay, invoking the Code of Professional Conduct to do so, no penalty should be applied, and academic freedom for students within higher education should be encouraged. This is because first, academic freedom is a good in itself especially as it allows unconventional and unpalatable conclusions to be discussed and rebutted, and second, applying a penalty on these grounds is necessarily inconsistent.

Intellectual Freedom in Academic Libraries: Surveying Deans about Its Significance

Science.gov (United States)

Oltmann, Shannon M.

2017-01-01

In this study, deans and directors of academic libraries were surveyed about intellectual freedom. The survey found that most respondents said they rarely think about intellectual freedom yet said it was "somewhat" or "very" important in their libraries. Most did not have formal intellectual freedom policies; they often relied…

Hegel's concept of freedom and law

OpenAIRE

Slović, Srđan Ž.

2016-01-01

Hegel's philosophy of state and law is based on ethical principles. Pursuant to these principles, the man realises himself through activity. The activity is not to be the category coming from outside, but it is immanent to human nature. By explaining human activity, Hegel ignores particularism and completely pleads for universalism, by which he is tracking the road to human freedom. Freedom is for Hegel only possible while acting as a rational being. The subject of our activity should be in a...

The Economic Freedom Index : A Review

OpenAIRE

Ruperto P. Alonzo

2002-01-01

The economic freedom index (EFI) is one of several cross-country yardsticks that incorporate dimensions of progress and well-being that go beyond what conventional economic indicators tell us. It is a composite of 21 indicators that include “personal choice, protection of private property, and freedom of exchange.” It is one of the few measures where the Philippines ranks higher than most of its neighbors; the Philippines was in fact 29th among 123 countries rated for 1999, while neighboring ...

Censorship and Intellectual Freedom: A Bibliography, 1970-1981.

Science.gov (United States)

Busha, Charles H.

1982-01-01

This bibliography contains citations for 94 books and unpublished library science doctoral dissertations, the majority of which pertain to problems in the United States dealing with censorship, intellectual freedom, legal aspects of freedom of expression, and problems associated with obscenity and pornography. (EJS)

Case report: efficacy and tolerability of ketamine in opioid-refractory cancer pain.

Science.gov (United States)

Amin, Priya; Roeland, Eric; Atayee, Rabia

2014-09-01

A 36-year-old female with metastatic breast cancer involving bones, liver, lung, and pleura/chest wall with worsening back pain received weight-based intravenous (IV) ketamine and was transitioned to oral ketamine for cancer-related neuropathic pain. She had responded poorly to outpatient pain regimen of oxycodone sustained and immediate release, hydromorphone, gabapentin, and duloxetine (approximate 480 mg total oral morphine equivalents [OME]), reporting an initial pain score of 10/10. She was started on hydromorphone parenteral patient-controlled analgesia (PCA) bolus dose in addition to her outpatient regimen. Despite escalating doses of opioids and the addition of a lidocaine 5% patch, the patient's pain remained uncontrolled 6 days after admission. On hospital day 7, utilizing a hospital weight-based ketamine protocol, the patient was started on subanesthetic doses of ketamine at 0.2 mg/kg/h (288 mg/24 h) and titrated over 2 days to 0.4 mg/kg/h (576 mg/24 h). Then, a 3-day rotation from intravenous to oral ketamine was initiated, and the patient was discharged on ketamine oral solution, 75 mg every 8 hours. When the patient's dose was increased to 0.4 mg/kg/h, adequate pain relief was charted by the nurse within 120 minutes, "patient pain free and resting comfortably." Her pain continued to be well managed, with an average pain score of 5/10 with the ketamine continuous infusion and sustained with conversion to oral ketamine without any report of side effects. This was a 37% reduction in pain scores. With the patient's stabilized dose of ketamine, opioid requirements decreased by 61.4% (1017.5 mg reduction in total OME). The use of weight-based dosing of IV continuous infusion and transition to oral ketamine was effective and tolerable in the management of opioid-refractory, neuropathic cancer pain. It is hoped that this case report promotes a discussion regarding ketamine dosing in refractory neuropathic cancer pain.

Escape from Freedom: Towards the Political Realm

Science.gov (United States)

Dillon, Katrina

2014-01-01

In this paper, the author contends that the ability to create a political realm is dependent upon one's state of freedom. She questions what it means to be free and whether assumptions of the definitions of this concept are always good or beneficial. After discussing some of the known theories about freedom, she states that schools are some…

Freedom of Movement and Position in the First Stage of Labor

Directory of Open Access Journals (Sweden)

Ana Cristina Canhoto Ferrão

2017-04-01

Full Text Available Objective: To analyse the scientific evidence, in the literature published between january 2007 and february 2016, about the benefits of freedmon of movement and position in the first stage of labor. Method: Review of literature with articles researched in selected databases on plataforms b-On and EBSCOhost, using descriptors: first stage of labour/labor, ambulation, upright positions, benefits and midwife/midwives. Results: Sample with 15 studies that showed, almost unanimously, that the free movement associated with the vertical position provides numerous benefits, especially in the progression of the first stage of labor, reduction of pain and increased maternal satisfaction, in the quality of uterine contractions and maternal-fetal circulation compared to the dorsal lithotomy position. Conclusion: Woman should have the right of choice as to freedom of movement and position during first stage of labor, being informed about the benefits of this intervention by the nurse midwife who cares for her.

Mário de Andrade and the formalizing freedom

Directory of Open Access Journals (Sweden)

Sonia Inez Fernandez

2016-07-01

Full Text Available Within the plethora of reading possibilities of Mário de Andrade’s works and the analysis of his artistic persona, seeking  knowledge about him, about the other, about Brazil, and about art,  sounds richer, since it challenges the researcher to face some issues of philosophy, such as will power, consciousness, freedom, subjectivity. In order to support our ideas, we refer to Hegel, mainly his article Aesthetics delimitation and refutation of some objections against Art Philosophy (Aesthetics Course I, 2001 from which we have taken the concept of formalizing freedom, since it can be considered adequate to understand Mário de Andrade’s artistic trajectory. Besides, the concepts of thinking freedom and thinking knowledge freedom, also dealt with in the same article, are pertinent to the present essay since, they are related to issues concerning autonomy, judgment and consciousness regarding art.

A PLGA-PEG-PLGA Thermosensitive Gel Enabling Sustained Delivery of Ropivacaine Hydrochloride for Postoperative Pain Relief.

Science.gov (United States)

Fu, Xudong; Zeng, Huilin; Guo, Jiaping; Liu, Hong; Shi, Zhen; Chen, Huhai; Li, Dezong; Xie, Xiangyang; Kuang, Changchun

2017-01-01

Postoperative pain is a complex physiological response to disease and tissue injury. Moderate-to-severe pain typically occurs within 48 h after surgery. Amino amide local anesthetics are widely applied to manage postoperative pain, and they have high efficacy, a low risk for addiction and limited side effects. However, these anesthetics also have short half-lives, often necessitating continuous injection to obtain satisfactory pain relief. In the current work, we used a poly(lactic-co-glycolic acid) (PLGA)-polyethylene glycol (PEG)-PLGA (PLGA-PEG-PLGA) temperature-sensitive gel to deliver a local anesthetic, ropivacaine hydrochloride (RP), to prolong its analgesic effect. We investigated the influence of polymer and drug concentration on gelation temperature and the in vitro drug release rate from the temperature-sensitive gel. RP-loaded PLGA-PEG-PLGA solution is a liquid at room temperature and forms a gel at temperatures slightly lower than body temperature. With regard to the gel's drug release rate, 37.5, 51.3 and 72.6% of RP was released at 12, 24 and 48 h, respectively. This in vitro drug release profile conformed to the Higuchi equation. To assess pain control efficacy when using the gel, we evaluated the mechanical paw withdrawal reflex threshold, thermal pain threshold and incision cumulative pain scores in a rat incisional model. The results showed that the anti-pain effect of a single injection of RP-loaded gel at the incision site lasted for 48 h, which is significantly longer than the effect produced by injection of RP solution alone. The use of RP-loaded thermosensitive gels could provide a promising method for managing postoperative pain.

Freedom of Speech: A Clear and Present Need to Teach. ERIC Report.

Science.gov (United States)

Boileau, Don M.

1983-01-01

Presents annotations of 21 documents in the ERIC system on the following subjects: (1) theory of freedom of speech; (2) theorists; (3) research on freedom of speech; (4) broadcasting and freedom of speech; and (5) international questions of freedom of speech. (PD)

78 FR 16611 - Freedom of Information Act; Correction

Science.gov (United States)

2013-03-18

... FEDERAL TRADE COMMISSION 16 CFR Part 4 Freedom of Information Act; Correction AGENCY: Federal Trade Commission. ACTION: Final rule; correction. SUMMARY: The Federal Trade Commission published a... instruction in our final rule entitled ``Freedom of Information Act'' published February 28, 2013 (78 FR 13472...

Freedom in the sense of the Heidelberg Catechism – an orientation ...

African Journals Online (AJOL)

... the text shows the context in which we have to understand “freedom”. It instructs us that we have to understand the word not as a freedom “from” and, therefore, not as freedom only for myself, but as freedom “for” a life with others. The reason for this is that real freedom is founded in the gift of the divine liberator, who loves ...

[Sexual pain disorders in females and males].

Science.gov (United States)

Monforte, M; Mimoun, S; Droupy, S

2013-07-01

The occurrence of pain during sex is one of the most common complaints in gynecological and sexological practice but nonetheless one of the most difficult problems to deal with and treat effectively. A literature review was conducted on Medline considering the articles listed until January 2012 dealing with sexual pain in women and men. The different descriptions of painful intercourse (dyspareunia, vestibulo-vulvodynies, vaginismus) are not separate entities but the result of the interaction of many factors including genital pain, emotional and behavioral responses to penetration, caresses, desire and excitement, in a context of possible organic pathology (infection, endometriosis, inflammatory or dermatological disease, morphological or pelvic abnormality, hormonal deficiency) sometimes associated with chronic pain phenomena self-sustained by neurogenic inflammation. The clinical expression of sexual pain is as variable as its causes are many. The etiological investigation is essential but should not omit the sexological context and the need for appropriate management. The neurogenic inflammation and hypersensitivity impose an algological approach associated to etiological and sexological treatment. Chronic sexual pains, whether they are superficial or deep, can be the sign of organic or psycho-sexual (primary or secondary) disorders. The development of a "therapeutic program" helps patients, allows them to restore self-confidence and leads to the disappearance of the symptom in more than half cases. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

Asymptotic freedom without guilt

International Nuclear Information System (INIS)

Ma, E.

1979-01-01

The notion of asymptotic freedom in quantum chromodynamics is explained on general physical grounds, without invoking the formal arguments of renormalizable quantum field theory. The related concept of quark confinement is also discussed along the same line. 5 references

Efficacy and Safety of Two Methadone Titration Methods for the Treatment of Cancer-Related Pain: The EQUIMETH2 Trial (Methadone for Cancer-Related Pain).

Science.gov (United States)

Poulain, Philippe; Berleur, Marie-Pierre; Lefki, Shimsi; Lefebvre, Danièle; Chvetzoff, Gisèle; Serra, Eric; Tremellat, Fibra; Derniaux, Alain; Filbet, Marilène

2016-11-01

In the European Association for Palliative Care recommendations for cancer pain management, there was no consensus regarding the indications, titration, or monitoring of methadone. This national, randomized, multicenter trial aimed to compare two methadone titration methods (stop-and-go vs. progressive) in patients with cancer-related pain who were inadequately relieved by or intolerant to Level 3 opioids. The primary end point was the rate of success/failure at Day 4, defined as pain relief (reduction of at least two points on the visual scale and a pain score methods were considered equally easy to perform by nearly 60% of the clinicians. Methadone is an effective and sustainable second-line alternative opioid for the treatment of cancer-related pain. The methods of titration are comparable in terms of efficacy, safety, and ease of use. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

Ontological and epistemological discourse(s) on sustainable ...

African Journals Online (AJOL)

This article addresses philosophical discourses (ontology and epistemology) that have framed researchers' position on topical issues relating to sustainable development, particularly in relation to Sierra Leone. The country is a nation full of memories; that which has brought lasting pain in the minds of people and the use of ...

Zoo agent's measure in applying the five freedoms principles for animal welfare.

Science.gov (United States)

Demartoto, Argyo; Soemanto, Robertus Bellarminus; Zunariyah, Siti

2017-09-01

Animal welfare should be prioritized not only for the animal's life sustainability but also for supporting the sustainability of living organism's life on the earth. However, Indonesian people have not understood it yet, thereby still treating animals arbitrarily and not appreciating either domesticated or wild animals. This research aimed to analyze the zoo agent's action in applying the five freedoms principle for animal welfare in Taman Satwa Taru Jurug (thereafter called TSTJ) or Surakarta Zoo and Gembira Loka Zoo (GLZ) of Yogyakarta Indonesia using Giddens structuration theory. The informants in this comparative study with explorative were organizers, visitors, and stakeholders of zoos selected using purposive sampling technique. The informants consisted of 19 persons: 8 from TSTJ (Code T) and 10 from GLZ (Code G) and representatives from Natural Resource Conservation Center of Central Java (Code B). Data were collected through observation, in-depth interview, and Focus Group Discussion and Documentation. Data were analyzed using an interactive model of analysis consisting of three components: Data reduction, data display, and conclusion drawing. Data validation was carried out using method and data source triangulations. Food, nutrition, and nutrition level have been given consistent with the animals' habit and natural behavior. Animal keepers always maintain their self-cleanliness. GLZ has provided cages according to the technical instruction of constructing ideal cages, but the cages in TSTJ are worrying as they are not consistent with standard, rusty, and damaged, and animals have no partner. Some animals in GLZ are often sick, whereas some animals in TSTJ are dead due to poor maintenance. The iron pillars of cages restrict animal behavior in TSTJ so that they have not had freedom to behave normally yet, whereas, in GLZ, they can move freely in original habitat. The animals in the two zoos have not been free from disruption, stress, and pressure due to the

Zoo agent's measure in applying the five freedoms principles for animal welfare

Directory of Open Access Journals (Sweden)

Argyo Demartoto

2017-09-01

Full Text Available Background: Animal welfare should be prioritized not only for the animal's life sustainability but also for supporting the sustainability of living organism's life on the earth. However, Indonesian people have not understood it yet, thereby still treating animals arbitrarily and not appreciating either domesticated or wild animals. Aim: This research aimed to analyze the zoo agent's action in applying the five freedoms principle for animal welfare in Taman Satwa Taru Jurug (thereafter called TSTJ or Surakarta Zoo and Gembira Loka Zoo (GLZ of Yogyakarta Indonesia using Giddens structuration theory. Materials and Methods: The informants in this comparative study with explorative were organizers, visitors, and stakeholders of zoos selected using purposive sampling technique. The informants consisted of 19 persons: 8 from TSTJ (Code T and 10 from GLZ (Code G and representatives from Natural Resource Conservation Center of Central Java (Code B. Data were collected through observation, in-depth interview, and Focus Group Discussion and Documentation. Data were analyzed using an interactive model of analysis consisting of three components: Data reduction, data display, and conclusion drawing. Data validation was carried out using method and data source triangulations. Results: Food, nutrition, and nutrition level have been given consistent with the animals' habit and natural behavior. Animal keepers always maintain their self-cleanliness. GLZ has provided cages according to the technical instruction of constructing ideal cages, but the cages in TSTJ are worrying as they are not consistent with standard, rusty, and damaged, and animals have no partner. Some animals in GLZ are often sick, whereas some animals in TSTJ are dead due to poor maintenance. The iron pillars of cages restrict animal behavior in TSTJ so that they have not had freedom to behave normally yet, whereas, in GLZ, they can move freely in original habitat. The animals in the two zoos

Sustainable development in a post-Brundtland world

Energy Technology Data Exchange (ETDEWEB)

Sneddon, Chris [Environmental Studies Program and Department of Geography, Dartmouth College, Hanover, NH 03755 (United States); Howarth, Richard B. [Environmental Studies Program, Dartmouth College, Hanover, NH 03755 (United States); Norgaard, Richard B. [Energy and Resources Group, University of California, Berkeley, CA 94720 (United States)

2006-05-01

Not yet two decades after the publication of Our Common Future, the world's political and environmental landscape has changed significantly. Nonetheless, we argue that the concept and practice of sustainable development (SD) - as guiding institutional principle, as concrete policy goal, and as focus of political struggle - remains salient in confronting the multiple challenges of this new global order. Yet how SD is conceptualized and practiced hinges crucially on: the willingness of scholars and practitioners to embrace a plurality of epistemological and normative perspectives on sustainability; the multiple interpretations and practices associated with the evolving concept of 'development'; and efforts to open up a continuum of local-to-global public spaces to debate and enact a politics of sustainability. Embracing pluralism provides a way out of the ideological and epistemological straightjackets that deter more cohesive and politically effective interpretations of SD. Using pluralism as a starting point for the analysis and normative construction of sustainable development, we pay particular attention to how an amalgam of ideas from recent work in ecological economics, political ecology and the 'development as freedom' literature might advance the SD debate beyond its post-Brundtland quagmire. Enhanced levels of ecological degradation, vast inequalities in economic opportunities both within and across societies, and a fractured set of institutional arrangements for global environmental governance all represent seemingly insurmountable obstacles to a move towards sustainability. While these obstacles are significant, we suggest how they might be overcome through a reinvigorated set of notions and practices associated with sustainable development, one that explicitly examines the linkages between sustainability policies and sustainability politics. (author)

H. David Politzer, Asymptotic Freedom, and Strong Interaction

Science.gov (United States)

dropdown arrow Site Map A-Z Index Menu Synopsis H. David Politzer, Asymptotic Freedom, and Strong Interaction Resources with Additional Information H. David Politzer Photo Credit: California Institute of Technology H. David Politzer has won the 2004 Nobel Prize in Physics 'for the discovery of asymptotic freedom

78 FR 48083 - Freedom of Information Act Administration

Science.gov (United States)

2013-08-07

... PEACE CORPS 22 CFR Part 303 RIN 0420-AA29 Freedom of Information Act Administration AGENCY: Peace Corps. ACTION: Proposed rule. SUMMARY: The proposed rule updates Peace Corps regulations on the Freedom of Information Act (FOIA) to implement guidance given by the President and the Attorney General...

Visions of Freedom. About the Central Question in Simmel

Directory of Open Access Journals (Sweden)

Esteban Jorge Vernik

2017-10-01

Full Text Available From his first sociological book, On social differentiation of 1890, to his posthumous book of 1918, The view of life. Four metaphysical essays, George Simmel speaks at length about the notion of freedom. This topic is recurring also in his main works. However, throughout his production, the author develops different meanings and dimensions of the concept of freedom, in relation to the trends toward differentiation and individualization characteristic of modern societies, in which the main symbol is money. This article reconstructs and analyzed such different meanings of freedom, with special emphasis in its sociological usages. Finally, a suggestion is made to consider the concept of freedom as the main topic and guiding thread of the totality of Simmel’s work.

Asymptotic freedom

International Nuclear Information System (INIS)

Meyer, P.

1978-01-01

After having established the renormalization group equations and the possibilities of fixed points for the effective coupling constants the non abelian gauge theories are shown to have the property of asymptotic freedom. These results are applied to the colour gauge group of the strong interactions of quarks and gluons. The behavior of the moments of the structure functions of the deep inelastic scattering of leptons on nucleons (scaling and its logarithmic violations) is then deduced with using the Wilson's operator product expansion [fr

THE ROLE OF THE LOCAL GOVERNMENT IN ENSURING THE ECONOMIC FREEDOM

Directory of Open Access Journals (Sweden)

Verginia Vedinaș

2013-11-01

Full Text Available The study aims to examine the role that local government plays in ensuring the economic freedom. It briefly examines the status of local authorities, deliberative and executive, and also the powers that they have to create the conditions for the exercise of economic freedom. The study also examines the constitutional regime of this fundamental freedom which is part of the rights and freedoms of the first generation. The purpose of the research aimed both identifying the role of local government in ensuring this basic freedom but also to determine possible means of action to be considered by the government within the territory.

Nefopam hydrochloride loaded microspheres for post-operative pain management: synthesis, physicochemical characterization and in-vivo evaluation.

Science.gov (United States)

Sharma, Neelam; Arora, Sandeep; Madan, Jitender

2018-02-01

Once-daily oral dosage of nefopam hydrochloride loaded sustained release microspheres (NPH-MS) was investigated as novel therapeutic strategy for post-operative pain management. Microspheres were synthesized using poly-3-hydroxybutyrate and poly-(ɛ-caprolactone) by double emulsion solvent evaporation technique. NPH-MS were characterized through FTIR, PXRD and SEM. In-vitro drug release study revealed sustained behavior till 24 h. Haemolysis was pain model, reversal of mechanical allodynia and thermal hyperalgesia by NPH-MS was statistically significant (p < .001) as compared with NPH till 24 h post-dose.

Bioethics and academic freedom.

Science.gov (United States)

Singer, Peter

1990-01-01

The author describes the events surrounding his attempts to lecture on the subject of euthanasia in West Germany in June 1989. Singer, who defends the view that active euthanasia for some newborns with handicaps may be ethically permissible, had been invited to speak to professional and academic groups. Strong public protests against Singer and his topic led to the cancellation of some of his engagements, disruptions during others, and harrassment of the German academics who had invited him to speak. These incidents and the subject of euthanasia became matters of intense national debate in West Germany, but there was little public or academic support for Singer's right to be heard. Singer argues that bioethics and bioethicists must have the freedom to challenge conventional moral beliefs, and that the events in West Germany illustrate the grave danger to that freedom from religious and political intolerance.

On conditioned and directed freedom of contrats between business entity

Directory of Open Access Journals (Sweden)

Đurđević Marko

2016-01-01

Full Text Available The term conditioned freedom of contracts appeared in our legal theory before the adoption of the Obligations Relations Act, whereas the term directed freedom of contracts occurred after the Act's entry into force. Both terms were used to signify transformation of freedom of con tracts within the legal system based on ideology of socialism, social ownership of the means of production and government ruled economy and, afterwards, 'coordinated economy'. Conditioned freedom of contracts originated from the right to use the means of production in social ownership. This right, which belonged to social (state-owned companies, consisted of two components. The first, public-law component conditioned the second, private law component, by means of norms in individual administrative acts and administrative regulations. As these norms were an expression of state power, they make the contract subordinate: individual administrative act is a condition for the conclusion of contract, and administrative regulations for its validity. Directed freedom of contracts is freedom of making contracts directed by economic order established by the Constitution, systemic laws, and partially by the norms of the basic principles of the Obligations Relations Act which are related to social companies. As regards freedom of contracts it can be said that even today it is directed by legal principles and norms of economic-legal public policy through which the state interferes in business enterprises.

7 CFR 319.69-2 - Freedom from pests.

Science.gov (United States)

2010-01-01

... 7 Agriculture 5 2010-01-01 2010-01-01 false Freedom from pests. 319.69-2 Section 319.69-2 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION... § 319.69-2 Freedom from pests. All packing materials allowed entry under restriction shall be free from...

Freedom of Expression, the University, and the Media.

Science.gov (United States)

Dennis, Everette E.

1992-01-01

Discusses the University of Oregon's long and proud tradition of protecting freedom of speech in light of the current controversy over freedom of expression on U.S. campuses and in the community at large. Discusses multiculturalism and political correctness on campus, and advocates more dispute resolution through public discussion. (SR)

Spiritual Politics, Political Religion, and Religious Freedom in Burma

DEFF Research Database (Denmark)

Gravers, Mikael

2013-01-01

A state of the art artcle on academic work on religion, politics, and religious freedom in Burma......A state of the art artcle on academic work on religion, politics, and religious freedom in Burma...

Slavery, antislavery, freedom

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Bridget Brereton

2002-01-01

Full Text Available [First paragraph] Empire and Antislavery: Spain, Cuba, and Puerto Rico, 1833-1874. CHRISTOPHER SCHMIDT-NOWARA. Pittsburgh PA: University of Pittsburgh Press, 1999. xv + 239 pp. (Cloth US$ 50.00, Paper US$ 22.95 Beyond Slavery: Explorations of Race, Labor, and Citizenship in Postemancipation Societies. FREDERICK COOPER, THOMAS C. HOLT & REBECCA J. SCOTT. Chapel Hill: University of North Carolina Press, 2000. xiii + 198 pp. (Cloth US$ 34.95, Paper US$ 15.95 From Slavery to Freedom: Comparative Studies in the Rise andFall of Atlantic Slavery. SEYMOUR DRESCHER. New York: New York University Press, 1999. xxv + 454 pp. (Cloth US$ 45.00 Terms of Labor: Slavery, Serfdom, and Free Labor. STANLEY L. ENGERMAN (ed.. Stanford CA: Stanford University Press, 1999. vi + 350 pp. (Cloth US$ 55.00 These four books explore antislavery movements in the Atlantic world, and consider some of the consequences of abolition in postemancipation societies. They are immensely rich studies which engage one of the liveliest areas of enquiry in modern historiography - the transition from slavery to freedom in New World societies - and which represent U.S. historical scholarship at its finest. Each falls into a different category of academic publication.

Freedom of Speech and Adolescent Public School Students

Science.gov (United States)

Hussain, Murad

2008-01-01

Some legal cases on the freedom of speech in adolescent public school students are discussed. It is suggested that schools, social scientists and psychologists should build a social consensus on the extent to which the freedom of speech for abusive students can be allowed so as not to affect development of other students.

The True Gravitational Degrees Of Freedom

International Nuclear Information System (INIS)

Murchadha, N. o

2011-01-01

More than 50 years ago it was realized that General Relativity could be expressed in Hamiltonian form. Unfortunately, just like electromagnetism and Yang-Mills theory, the Einstein equations split into evolution equations and constraints which complicates matters. The 4 constraints are expressions of the gauge freedom of the theory, general covariance. One can cleanly pose initial data for the gravitational field, but this data has to satisfy the constraints. To find the independent degrees of freedom, one needs to factor the initial data by the constraints. There are many ways of doing this. I can do so in such a way as to implement the model suggested by Poincare for a well-posed dynamical system: Pick a configuration space and give the free initial data as a point of the configuration space and a tangent vector at the same point. Now, the evolution equations should give a unique curve in the same configuration space. This gives a natural definition of what I call the true gravitational degrees of freedom. (author)

Does mutual compensation of the cognitive effects induced by pain and opioids exist?

DEFF Research Database (Denmark)

Kurita, Geana Paula; Malver, Lasse Paludan; Andresen, Trine

2015-01-01

hypotheses: (1) the analgesic effect of opioids improves cognitive function by decreasing pain, and (2) pain antagonizes cognitive effects of opioids. METHODS: Randomized, placebo-controlled, crossover study. Three experiments were conducted with 22 healthy males. Sustained attention, memory and motor...... function/attention/mental flexibility were evaluated by continuous reaction time (CRT), verbal fluency test (VFT) and trail making test-B (TMT-B), respectively. In the 1st experiment, the cognitive effects of experimental tonic pain of mild and moderate intensities produced by a computer...

How robust is the relationship between economic freedom and economic growth?

NARCIS (Netherlands)

Sturm, JE; De Haan, J

Using various indicators for economic freedom, it is shown that increases in economic freedom are robustly related to economic growth. This conclusion holds even if the impact of outlying observations is taken into account. The level of economic freedom is not related to growth.

77 FR 15555 - Freedom of Information Act and Privacy Act Procedures

Science.gov (United States)

2012-03-16

... Freedom of Information Act and Privacy Act Procedures AGENCY: Special Inspector General for Afghanistan... Freedom of Information Act (FOIA) and the Privacy Act of 1974. These procedures will facilitate public..., Freedom of information, Privacy. Authority and Issuance For the reasons set forth above, SIGAR establishes...

Ketamine infusion was effective for severe pain of Non-Hodgkin lymphoma

Directory of Open Access Journals (Sweden)

Tomoki Nishiyama

2017-10-01

Full Text Available A 52 years old man with a Non-Hodgkin lymphoma had severe pain at right buttock and lower leg. Sustained-release tablet of morphine 90 mg/day, intravenous morphine 40 mg/day, granisetron 9 mg/day, metoclopramide 30 mg/day, domperidone suppository 60 mg/day, intravenous hydroxyzine 25 mg/day, and haloperidol 20 mg/day did not decrease pain and side effects. Intravenous ketamine 10 mg in 15 min was quite effective for analgesia. Then infusion of ketamine started with 7 mg/h and increased to 10 mg/h with morphine 20 mg/day, which could control pain well with no side effects until his death. Keywords: Ketamine, Morphine, Cancer pain, Terminal

Assessing Freedom of Movement for Counterinsurgency Campaigns

Science.gov (United States)

2012-01-01

basic elements of life,” while an official NATO documentary video on the contribution of Afghan security forces to FoM declared, “Freedom of...narrowly—some people walk or use donkeys , horse-drawn carts, bicycles, and other conveyances to travel. 27 Locals who are intent on selling such equipment...Organization, “NATO in Afghanistan—Freedom of Movement,” video , November 12, 2008. As of September 16, 2011: http://www.youtube.com/watch?v

Outcomes of prolotherapy in chondromalacia patella patients: improvements in pain level and function.

Science.gov (United States)

Hauser, Ross A; Sprague, Ingrid Schaefer

2014-01-01

We retrospectively evaluated the effectiveness of prolotherapy in resolving pain, stiffness, and crepitus, and improving physical activity in consecutive chondromalacia patients from February 2008 to September 2009. Sixty-nine knees that received prolotherapy in 61 patients (33 female and 36 male) who were 18-82 years old (average, 47.2 years) were enrolled. Patients received 24 prolotherapy injections (15% dextrose, 0.1% procaine, and 10% sarapin) with a total of 40 cc in the anterior knee. At least 6 weeks after their last prolotherapy session, patients provided self-evaluation of knee pain upon rest, activities of daily living (ADL) and exercise, range of motion (ROM), stiffness, and crepitus. Symptom severity, sustained improvement of symptoms, number of pain pills needed, and patient satisfaction before treatment and improvement after treatment were recorded. Following prolotherapy, patients experienced statistically significant decreases in pain at rest, during ADL, and exercise. Stiffness and crepitus decreased after prolotherapy, and ROM increased. Patients reported improved walking ability and exercise ability after prolotherapy. For daily pain level, ROM, daily stiffness, crepitus, and walking and exercise ability, sustained improvement of over 75% was reported by 85% of patients. Fewer patients required pain medication. No side effects of prolotherapy were noted. The average length of time from last prolotherapy session was 14.7 months (range, 6 months to 8 years). Only 3 of 16 knees were still recommended for surgery after prolotherapy. Prolotherapy ameliorates chondromalacia patella symptoms and improves physical ability. Patients experience long-term improvement without requiring pain medications. Prolotherapy should be considered a first-line, conservative therapy for chondromalacia patella.

New masculinities and pedagogy of freedom

Directory of Open Access Journals (Sweden)

Oriol Rios

2015-09-01

Full Text Available Purpose: The research on masculinity in education has mainly been focused on analyze the organization of schools and the attention given to the students. This analysis has confirmed the existence of gender inequalities in schools, within them gender violence. This article will start from this background but has as objective to provide new knowledge about the pedagogy of freedom in the promotion of new alternative masculinities. Design/methodology: From a communicative-oriented qualitative methodology the voices of young boys and adult men that have been involved in educational actions, based on a pedagogy of freedom which have contributed to foster new alternative masculinities, have been collected. Findings: The results explain why the pedagogy of freedom can contribute to foster new alternative masculinities. Special attention is paid in the evolution of oppressed traditional masculinities (OTM to new alternative masculinities (NAM. In this regard, it is highlighted how OTM, that not contributes to gender violence but overcome neither, are walking to become NAM thanks to the organizational approach of the pedagogy of freedom. Practical implications: To provide scientific knowledge which could be used as a basis of the educational practices addressed to prevent gender violence. Social implications: The social impact refers to the effect of scientific knowledge in the educational quality and in the socialization of alternative masculinities which overcome harassment and gender violence. Originality/value: The article provides of new knowledge on the coeducational field which allows overcoming the double standards and the attraction against the violence reproduced in the traditional masculinity models.

Persons or property – freedom and the legal status of animals

NARCIS (Netherlands)

Schmidt, Andreas

2018-01-01

Is freedom a plausible political value for animals? If so, does this imply that animals are owed legal personhood rights or can animals be free but remain human property? Drawing on different conceptions of freedom, I will argue that while positive freedom, libertarian self-ownership, and republican

The relationship between income, economic freedom, and BMI.

Science.gov (United States)

Lawson, R A; Murphy, R H; Williamson, C R

2016-05-01

What explains increases in BMI (and obesity) over time and across countries? Although many microeconomic forces are likely explanations, increasingly scholars are arguing that macroeconomic forces such as market liberalism and globalization are root causes of the obesity epidemic. The purpose of this paper is to examine the impact of economic freedom on obesity conditional on the level of income and other factors. We use an unbalanced pooled cross section of up to 135 countries for 1995 and 2000-2009. Our statistical model specifications include pooled OLS and fixed effects. First, we find that controlling for fixed effects siphons off much of the relationship previously documented between economic freedom and BMI. Second, economic freedom is associated with slightly higher BMIs but only for men in developing nations. Lastly, we show that economic freedom increases life expectancy for both men and women in developing countries. Therefore, policies aimed at reducing obesity that limit economic liberalism may come at the expense of life expectancy in the developing world. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Doxastic and Epistemic Freedom

NARCIS (Netherlands)

de Bruin, Boudewijn

This paper offers a new view of doxastic voluntarism, epistemic agency and doxastic responsibility. It assumes the perspective of political freedom and uses the stit-theoretic framework from modal logic to investigate the obstacles that other individuals could place in the way of the adoption of

Knowledge Governance for Sustainable Development: A Review

Directory of Open Access Journals (Sweden)

Lorrae van Kerkhoff

2014-03-01

Full Text Available Sustainable development is a knowledge intensive process, but plagued by persistent concerns over our apparent inability to connect what we know with more sustainable practices and outcomes. While considerable attention has been given to ways we may better understand and enhance the knowledge-based processes that support the governance of social-­ecological systems, relatively few have examined the governance of knowledge itself. The institutions—rules and norms—that govern knowledge may shed light on the persistence of 'gaps' between knowledge and action. In this review I seek to answer the question: can interdisciplinary knowledge governance literature contribute to understanding and analysing the institutional knowledge-based dimensions of sustainable development? I present and analyse the concept of knowledge governance as it is emerging in a range of disciplines and practice areas, including private sector management literature and public regulation theory and practice. I then integrate the findings from this review into a model of sustainable development proposed by Nilsson et al. [1]. I show that knowledge governance (as a scale above knowledge management can inform Nilsson et al.'s three "nested" dimensions of sustainability: human wellbeing (through access to knowledge and freedom to exercise informed choice; resource-base management (though enhancing regulation and innovation and transitions from exclusive to inclusive knowledge systems; and global public goods (by balancing public and private interests and fostering global innovation systems. This review concludes by presenting a framework that places sustainable development in the context of broader socio-political struggles towards more open, inclusive knowledge systems.

Freedom and the Collective

Directory of Open Access Journals (Sweden)

Straume, Ingerid S.

2008-12-01

Full Text Available Since Isaiah Berlin’s epitomizing Cold War-essay, "Two Concepts of Liberty, " thinkers who emphasize collective concepts of social life have carried the burden of proof against charges of totalitarian tendencies. The background is a ground figure in contemporary political thought that sets notions of collectivity against individual freedom, in a zero sum game: Either one is in favour of the individual, or one is in favour of the collective, and hence, so the bias has it, willing to sacrifice the rights and liberties of individuals. Since it is impossible to favour the latter position and remain liberal, in the wide sense of the term, this dichotomy serves to rob contemporary political thought of both its classical and revolutionary connotations, leaving only individual initiatives like lobbying and voting. Cornelius Castoriadis offers a way around this – arguably false – dichotomy, by regarding individual and collective freedom as two sides of the same coin.

A word expressing affective pain activates the anterior cingulate cortex in the human brain: an fMRI study.

Science.gov (United States)

Osaka, Naoyuki; Osaka, Mariko; Morishita, Masanao; Kondo, Hirohito; Fukuyama, Hidenao

2004-08-12

We present an fMRI study demonstrating that an onomatopoeia word highly suggestive of subjective pain, heard by the ear, significantly activates the anterior cingulate cortex (ACC) while hearing non-sense words that did not imply affective pain under the same task does not activate this area in humans. We concluded that the ACC would be a pivotal locus for perceiving affective pain evoked by an onomatopoeia word that implied affective pain closely associated with the unpleasantness of pain. We suggest that the pain affect sustained by pain unpleasantness may depend on ACC-prefrontal cortical interactions that modify cognitive evaluation of emotions associated with word-induced pain.

Academic Freedom, Critique and the Humanities: some current ...

African Journals Online (AJOL)

This article presents some of the current challenges facing academic freedom and the humanities in South Africa as well as across the world. It focuses first on the shifting fortunes of academic freedom in South Africa, contrasting the pride of place given to it in the pre-1994 social imaginary with its current undermining in ...

45 CFR 1218.6 - Freedom to present views.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Freedom to present views. 1218.6 Section 1218.6 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VISTA VOLUNTEERS-HEARING OPPORTUNITY § 1218.6 Freedom to present views. The expression by a volunteer of his views with respect to the...

A 76-year old man with a torn Freedom SOLO bioprosthesis.

Science.gov (United States)

Wollersheim, Laurens W; Li, Wilson W; van der Meulen, Jan; de Mol, Bas A

2014-01-01

We describe a case of a 76-year old male who presented with progressive dyspnoea. He underwent an aortic valve replacement with a Freedom SOLO bioprosthesis 6 years ago. Transthoracic echocardiography showed a moderate-to-severe leakage of the Freedom SOLO bioprosthesis. During surgical reintervention, a partial tear of the left coronary cusp was seen from the commissure of the right coronary cusp to its base. After radiographic and microscopic examination, no clear cause was found for the failure of this Freedom SOLO bioprosthesis. To our knowledge, this is the third failure of a Freedom SOLO bioprosthesis reported in the literature. When the long-term follow-up of the Freedom SOLO bioprosthesis is available, it has to be compared with other bioprosthesis for long-term durability.

Adapting concepts of media freedom to a changing media environment: Incorporating new media and citizen journalism into the Freedom of the Press Index

Directory of Open Access Journals (Sweden)

Courtney C. RADSCH

2012-01-01

Full Text Available The present article discusses how the new category of “citizen journalist” fits into the overall media environment and how the Freedom House Freedom of the Press methodology has been changed to incorporate this category.

PRESS FREEDOM IN SINGAPORE AND MALAYSIA: DEFAMATION

OpenAIRE

Georgia Kate Chapman

2015-01-01

This paper focuses on the arguments around restriction on freedom of the press in the Strong States of Singapore and Malaysia. It assesses the presence of constraints on press freedoms in democratic western countries imposed by corporation rather than state and the similar effects that these constraints may have on bias present in publicly accessible news reporting. It argues that independence of the press does not just require protection from legal and executive regulation, but also protecti...

Pulsed Radiofrequency Application for the Treatment of Pain Secondary to Sacroiliac Joint Metastases.

Science.gov (United States)

Yi, Yu Ri; Lee, Na Rea; Kwon, Young Suk; Jang, Ji Su; Lim, So Young

2016-01-01

Sacroiliac (SI) joint pain can result from degeneration, infection, malignancy, and trauma. Patients with metastatic bone pain who do not respond to conventional treatment may need more aggressive neuroinvasive approaches. Recently, pulsed radiofrequency (PRF) neuromodulation has emerged as a promising treatment alternative for refractory cases of SI joint pain. Nevertheless, there is no report on the treatment of pain arising from SI joint metastases with PRF. We are reporting about a 63-year-old woman suffering from buttock pain due to breast cancer metastases in the SI joint. We treated this patient with PRF neuromodulation of the L4-S3 primary dorsal rami and lateral branches using a rotating curved needle technique. The patient tolerated the procedures well, without any complications. She experienced about 70% reduction in pain, and pain relief was sustained for 10 months. This result suggests that PRF neuromodulation is a safe, effective treatment for pain from SI joint metastases.

Challenge of improving postoperative pain management: case studies of three acute pain services in the UK National Health Service.

Science.gov (United States)

Powell, A E; Davies, H T O; Bannister, J; Macrae, W A

2009-06-01

Previous national survey research has shown significant deficits in routine postoperative pain management in the UK. This study used an organizational change perspective to explore in detail the organizational challenges faced by three acute pain services in improving postoperative pain management. Case studies were conducted comprising documentary review and semi-structured interviews (71) with anaesthetists, surgeons, nurses, other health professionals, and managers working in and around three broadly typical acute pain services. Although the precise details differed to some degree, the three acute pain services all faced the same broad range of inter-related challenges identified in the organizational change literature (i.e. structural, political, cultural, educational, emotional, and physical/technological challenges). The services were largely isolated from wider organizational objectives and activities and struggled to engage other health professionals in improving postoperative pain management against a background of limited resources, turbulent organizational change, and inter- and intra-professional politics. Despite considerable efforts they struggled to address these challenges effectively. The literature on organizational change and quality improvement in health care suggests that it is only by addressing the multiple challenges in a comprehensive way across all levels of the organization and health-care system that sustained improvements in patient care can be secured. This helps to explain why the hard work and commitment of acute pain services over the years have not always resulted in significant improvements in routine postoperative pain management for all surgical patients. Using this literature and adopting a whole-organization quality improvement approach tailored to local circumstances may produce a step-change in the quality of routine postoperative pain management.

On Effective Degrees of Freedom in the Early Universe

Directory of Open Access Journals (Sweden)

Lars Husdal

2016-12-01

Full Text Available We explore the effective degrees of freedom in the early Universe, from before the electroweak scale at a few femtoseconds after the Big Bang until the last positrons disappeared a few minutes later. We look at the established concepts of effective degrees of freedom for energy density, pressure, and entropy density, and introduce effective degrees of freedom for number density as well. We discuss what happens with particle species as their temperature cools down from relativistic to semi- and non-relativistic temperatures, and then annihilates completely. This will affect the pressure and the entropy per particle. We also look at the transition from a quark-gluon plasma to a hadron gas. Using a list a known hadrons, we use a “cross-over” temperature of 214 MeV, where the effective degrees of freedom for a quark-gluon plasma equals that of a hadron gas.

Lidocaine patches reduce pain in trauma patients with rib fractures.

Science.gov (United States)

Zink, Karen A; Mayberry, John C; Peck, Ellen G; Schreiber, Martin A

2011-04-01

Rib fracture pain is notoriously difficult to manage. The lidocaine patch is effective in other pain scenarios with an excellent safety profile. This study assesses the efficacy of lidocaine patches for treating rib fracture pain. A prospectively gathered cohort of patients with rib fracture was retrospectively analyzed for use of lidocaine patches. Patients treated with lidocaine patches were matched to control subjects treated without patches. Subjective pain reports and narcotic use before and after patch placement, or equivalent time points for control subjects, were gathered from the chart. All patients underwent long-term follow-up, including a McGill Pain Questionnaire (MPQ). Twenty-nine patients with lidocaine patches (LP) and 29 matched control subjects (C) were analyzed. During the 24 hours before patch placement, pain scores and narcotic use were similar (LP 5.3, C 4.6, P = 0.19 and LP 51, C 32 mg morphine, P = 0.17). In the 24 hours after patch placement, LP patients had a greater decrease in pain scores (LP 1.2, C 0.0, P = 0.01) with no change in narcotic use (LP -8.4, C 0.5-mg change in morphine, P = 0.25). At 60 days, LP patients had a lower MPQ pain score (LP 7.7, C 12.2, P rib fracture pain. Lidocaine patches resulted in a sustained reduction in pain, outlasting the duration of therapy.

Internet Freedom in Asia: Case of Internet Censorship in China

OpenAIRE

MONGGILO, ZAINUDDIN MUDA

2016-01-01

Internet can develop the communication and information freedom on society but unfortunately in some nations, especially in Asia, it cannot be fully accessed because of government censorship. This report explains the relationship between the practice of Internet censorship imposed by the Chinese government and the freedom of its citizens (in the internet surfing experience) as the realization of human rights in the freedom of expression and opinion (seek, receive-use, and communicate informati...

Nabokov’s Freedom: An Uneven Battle against the Sinister Narrator

Directory of Open Access Journals (Sweden)

Fazel Asadi Amjad

2017-10-01

Full Text Available With the recent inclination toward reading for ideological aspects of his works, Nabokov, who had been pervasively regarded as a mere ingenious aesthete, both during his life and for a long time after his death, has proved more puzzling in interpretation than what scholars believed. In this research, in order to understand what concept of freedom Nabokov has developed in his Bend Sinister, we focus on the two of his salient concerns: reality and individuality. Consequently, our narratological reading of Bend Sinister is concentrated first on the interpretation of the whatness of reality and its contribution to realize freedom, and second on analyzing the significance of retaining individuality to procure freedom; ultimately, out of delving into these two issues, the concept of freedom that the narrative techniques of the novel render, in correspondence to the peculiarities of the mid-twentieth century, is found out. Regarding the notion of the reality, in this novel, the unremitting propaganda of the totalitarian system presented the materialistic world as the ultimate truth, confining citizens in the prison of a fake world and not permitting them to gain the slightest awareness of the endless freedom possible in eternity. As to the individuality, Krug’s attempts not to succumb to the desired system of padograph lead him to maintain his individuality and partly realize his freedom of mind. And finally, it is shown how totalitarianism has reached such absolute power that no thorough freedom of mind is now conceivable for humanity.

Does computer use affect the incidence of distal arm pain? A one-year prospective study using objective measures of computer use

DEFF Research Database (Denmark)

Mikkelsen, S.; Lassen, C. F.; Vilstrup, Imogen

2012-01-01

PURPOSE: To study how objectively recorded mouse and keyboard activity affects distal arm pain among computer workers. METHODS: Computer activities were recorded among 2,146 computer workers. For 52 weeks mouse and keyboard time, sustained activity, speed and micropauses were recorded with a soft......PURPOSE: To study how objectively recorded mouse and keyboard activity affects distal arm pain among computer workers. METHODS: Computer activities were recorded among 2,146 computer workers. For 52 weeks mouse and keyboard time, sustained activity, speed and micropauses were recorded...... with a software program installed on the participants' computers. Participants reported weekly pain scores via the software program for elbow, forearm and wrist/hand as well as in a questionnaire at baseline and 1-year follow up. Associations between pain development and computer work were examined for three pain...... were not risk factors for acute pain, nor did they modify the effects of mouse or keyboard time. Computer usage parameters were not associated with prolonged or chronic pain. A major limitation of the study was low keyboard times. CONCLUSION: Computer work was not related to the development...

Freedom of Speech: Its Exercise and Its Interpretation

Science.gov (United States)

Turner, David A.

2010-01-01

Professor Roy Harris (2009) criticises me for ignoring freedom of speech in order to focus on "soft" issues, such as game theory, decision theory and chaos theory. In this response, I accept most of his arguments relating to freedom of speech, but argue that, in order to develop better systems of education, we need to pay more attention to the…

What is freedom--and does wealth cause it?

Science.gov (United States)

Iyer, Ravi; Motyl, Matt; Graham, Jesse

2013-10-01

The target article's climato-economic theory will benefit by allowing for bidirectional effects and the heterogeneity of types of freedom, in order to more fully capture the coevolution of societal wealth and freedom. We also suggest alternative methods of testing climato-economic theory, such as longitudinal analyses of these countries' histories and micro-level experiments of each of the theory's hypotheses.

Economic Freedom and Entrepreneurial Activity

DEFF Research Database (Denmark)

Bjørnskov, Christian; Foss, Nicolai Juul

While much attention has been devoted to analyzing how the institutional framework and entrepreneurship impact growth, how economic policy and institutional design affect entrepreneurship appears to be much less analyzed. We try to explain cross-country differences in the level of entrepreneurship...... by differences in economic policy and institutional design. Specifically, we use the measures of economic freedom to ask which elements of economic policy making and the institutional framework that are responsible for the supply of entrepreneurship (our data on entrepreneurship are derived from the Global...... Entrepreneurship Monitor). The combination of these two datasets is unique in the literature. We find that the size of government is negatively correlated with entrepreneurial activity but that sound money is positively correlated with entrepreneurial activity. Other measures of economic freedom...

Freedom of Expression in Distributed Networks

Directory of Open Access Journals (Sweden)

Ejvind Hansen

2012-10-01

Full Text Available This paper proposes the following question: Is it possible to transfer human rights like the freedom of expression – or at least to preserve the formal protections guarding speech acts from arbitrary suppression – in a post-national setting? The question arises as an urgent matter in the context of our global system of connected markets and distributed telecommunications networks – the Internet – since, as many academics and policy makers have noted, the two tend to undermine nationals boundaries, putting into question the power of individual states to continue function as the traditional legal and identity-generating entities of last resort.   If this analysis is reliable the dialectical union between the autonomous individual citizen and the legally regulated nation state is broken. In this paper I will draw the consequences of that supposed break, exploring the question of the extent to which it makes sense to accord “rights” – freedom of expression – to entities that are not classical autonomous humans, and to confer them by entities that no longer bear the marks of nation-state sovereignty. The question thus is: Is it possible to transfer the normative approach of the classic liberal nation states into a global system?   The paper explores this question through an elaboration of problems for the preservation of the human right to freedom of expression: On the one hand communication on the Internet is regulated by an immense legal body, but on the other hand, the machinery for enforcement controlled by this legal body is dependent on various agencies that don’t necessarily recognize its legitimacy. I will then explore whether a more technologically oriented approach could be a more fruitful approach in defining the actual limitations to freedom of expression in the new global system. My answer is that ultimately the control paradigm fails, because it is too clumsy at incorporating self-correcting measures. Thirdly, I

Freedom of Speech on Campus: Rights and Responsibilities in UK Universities

Science.gov (United States)

Universities UK, 2011

2011-01-01

This report considers the role of universities in promoting academic freedom and freedom of speech, and some of the constraints surrounding these freedoms. These issues are not straightforward and are often contested. The report does not offer easy solutions or absolute rules but seeks to map out the different considerations that might need to be…

On the relationship between economic freedom and economic growth

NARCIS (Netherlands)

Haan, Jakob de; Sturm, Jan-Egbert

1999-01-01

Often it is maintained that economic freedom may further high levels of economic growth. This paper compares various indicators for economic freedom. It is concluded that although these measures differ somewhat in their coverage, they show similar rankings for the countries covered. Some elements in

Nanjing Library’s Efforts on Intellectual Freedom

Directory of Open Access Journals (Sweden)

Wang Bing

2015-06-01

Full Text Available In a civilized society, free and equal access to information resources is every citizen's basic constitutional rights. Although the library is not the sole means to guarantee citizens’ right to freedom of knowledge, it undoubtedly plays a very important role. In recent years, provincial public libraries in China have made great efforts in guaranteeing citizens’ intellectual freedom. This article describes Nanjing Library’s progress and achievements in improving public service, convenience, equality, and free and easy access.

A Neuromotor Device for Reducing Phantom Limb Pain in Individuals with Spinal Cord Injury

Directory of Open Access Journals (Sweden)

Cui Lei

2016-01-01

Full Text Available Phantom Limb Pain is a disorder that can be experienced by individuals after amputation or spinal cord injury. In spinal cord injury the paralysis or paresis is often bilateral, thus limiting the application of apparent movement as a therapeutic model for phantom limb pain. This project aimed to develop a robotic rehabilitation device that replicated apparent movement to apply the same therapeutic principles with individuals with lower limb phantom pain that have bilateral paralysis of paresis. The proposed device achieved lower limb planar motion of the knee by a six-bar linkage of a single degree of freedom (DOF. It is driven by a linear actuator while the ankle motion is achieved by a gear motor, reaching an effective 70° range of motion for both joints. The system features closed loop control using feedback from surface electromyography sensors, limit switches and position sensors with an Arduino microcontroller as the control unit. This device will be used to further our understanding of the disorder and create opportunities for robot aided treatment for individuals with phantom limb pain as a result of spinal cord injury.

Academic freedom and the obligation to ensure morally responsible scholarship in nursing.

Science.gov (United States)

Johnstone, Megan-Jane

2012-06-01

Academic freedom is generally regarded as being of critical importance to the development, improved understanding, and dissemination of new knowledge in a field. Although of obvious importance to the discipline of nursing, the nature, extent and value of academic freedom and the controversies surrounding it have rarely been considered in the nursing literature. It is a key aim of this paper to redress this oversight by providing a brief examination of: (i) the principle of academic freedom; (ii) the distinction between academic freedom, freedom of speech, and the academic freedom to publish; (iii) the problem of ideological judgments being dressed up as scientific or discipline judgments to supports 'bad' conclusions; and (iv) the standards that might otherwise be appealed to for determining whether maverick manuscripts supporting morally abhorrent conclusions should be accepted for publication. It is suggested that the tenets of academic freedom require robust international debate, with due attention being given to such issues as the development of an international declaration on academic freedom to publish in nursing, how to ensure a robust rebuttal system in nursing journals to counter specious scholarship, and how to better promote the letters pages of nursing journals as a venue for facilitating debate on controversial issues. © 2011 Blackwell Publishing Ltd.

Competing degrees of freedom in nuclear structure theory. Final Report for 1999-2002

International Nuclear Information System (INIS)

Johnson, Calvin W.

2003-01-01

The central focus of this research was the interplay between three generic classes of degrees of freedom relevant to nuclear structure theory: single-particle degrees of freedom, collective degrees of freedom, and statistical degrees of freedom, which can be thought of as an incoherent mean field or a thermal bath

The Volterra's integral equation theory for accelerator single-freedom nonlinear components

International Nuclear Information System (INIS)

Wang Sheng; Xie Xi

1996-01-01

The Volterra's integral equation equivalent to the dynamic equation of accelerator single-freedom nonlinear components is given, starting from which the transport operator of accelerator single-freedom nonlinear components and its inverse transport operator are obtained. Therefore, another algorithm for the expert system of the beam transport operator of accelerator single-freedom nonlinear components is developed

A Place from where to Speak: The University and Academic Freedom

Science.gov (United States)

Badley, Graham

2009-01-01

The university is promoted as "a place from where to speak". Academic freedom is examined as a crucial value in an increasingly uncertain age which resonates with Barnett's concern to encourage students to overcome their "fear of freedom". My concern is that the putative university space of freedom and autonomy may well become constricted by those…

FREEDOM OF SPEECH IN INDONESIAN PRESS: INTERNATIONAL HUMAN RIGHTS PERSPECTIVE

OpenAIRE

Clara Staples

2016-01-01

This paper will firstly examine the International framework of human rights law and its guidelines for safeguarding the right to freedom of speech in the press. Secondly, it will describe the constitutional and other legal rights protecting freedom of speech in Indonesia and assess their compatibility with the right to freedom of speech under the International human rights law framework. Thirdly it will consider the impact of Indonesia's constitutional law and criminal and civil law, includin...

Intellectual Freedom and Racism.

Science.gov (United States)

Interracial Books for Children Bulletin, 1977

1977-01-01

This issue of the "Interracial Books for Children Bulletin" contains a special section focusing on the film called, "The Speaker". This film purports to deal with an assault on the First Amendment and with the necessity for eternal vigilance in defense of U.S. Constitutional freedom. The setting is an integrated high school…

Record management in the Nigerian public sector and freedom of ...

African Journals Online (AJOL)

Record management in the Nigerian public sector and freedom of ... government relies upon policy documents, budget papers, procurement records, property ... play in administrative efficiency and success of Freedom of Information Act 2011.

FREEDOM FRANCHISING AS AN ALTERNATIVE TO THE CLASSIC FRANCHISING

Directory of Open Access Journals (Sweden)

L. A. Solovova

2016-01-01

Full Text Available The article is devoted to the model of freedom franchising and to its comparison with the classic franchising model. The aim of the article is to systemize and enrich the knowledge in the sphere of the franchising model evolution. The author’s task was to identify the key features of the freedom franchising model, to compare the freedom franchising with classic franchising and to formulate the conditions under which the freedom franchising model can be developed. To achieve this the analysis, synthesis, comparison and longitude methods were used. Classic franchising model includes the transfer of both visible (design, brand style and invisible to the customers (business processes, know-how elements from the franchisor to the franchisee. Such a business model enables the franchise to preserve the high quality of products and services and to grow the net at high rate. The drawback of the classic model is the complexity of bringing up innovations by the franchisee – new ideas are strictly chosen by the franchisor and then implemented within the network only after the successful experience in control points of contact. Nevertheless, there is the franchising business model in which franchisees can experiment with front-of-house (visible elements of the system (such as point’s of contact design on the one hand, and on the other – in which new ideas and initiatives from the franchisee are welcomed by the franchisor. The model is called “freedom franchising”. It is important to point out that key system elements are standardized in both models as standardized production processes help preserve high quality within the franchising net. Freedom franchising model is not applicable in the spheres where full business standardization is needed as well as in the business that is focusing on fast growth. But it helps franchisees to implement new ideas within the whole network. The article would be of interest to franchisors for creating franchise

Outcomes of Prolotherapy in Chondromalacia Patella Patients: Improvements in Pain Level and Function

Directory of Open Access Journals (Sweden)

Ross A. Hauser MD

2014-01-01

Full Text Available We retrospectively evaluated the effectiveness of prolotherapy in resolving pain, stiffness, and crepitus, and improving physical activity in consecutive chondromalacia patients from February 2008 to September 2009. Sixty-nine knees that received prolotherapy in 61 patients (33 female and 36 male who were 18–82 years old (average, 47.2 years were enrolled. Patients received 24 prolotherapy injections (15% dextrose, 0.1% procaine, and 10% sarapin with a total of 40 cc in the anterior knee. At least 6 weeks after their last prolotherapy session, patients provided self-evaluation of knee pain upon rest, activities of daily living (ADL and exercise, range of motion (ROM, stiffness, and crepitus. Symptom severity, sustained improvement of symptoms, number of pain pills needed, and patient satisfaction before treatment and improvement after treatment were recorded. Following prolotherapy, patients experienced statistically significant decreases in pain at rest, during ADL, and exercise. Stiffness and crepitus decreased after prolotherapy, and ROM increased. Patients reported improved walking ability and exercise ability after prolotherapy. For daily pain level, ROM, daily stiffness, crepitus, and walking and exercise ability, sustained improvement of over 75% was reported by 85% of patients. Fewer patients required pain medication. No side effects of prolotherapy were noted. The average length of time from last prolotherapy session was 14.7 months (range, 6 months to 8 years. Only 3 of 16 knees were still recommended for surgery after prolotherapy. Prolotherapy ameliorates chondromalacia patella symptoms and improves physical ability. Patients experience long-term improvement without requiring pain medications. Prolotherapy should be considered a first-line, conservative therapy for chondromalacia patella.

g-boson degree of freedom in vibrational regions

International Nuclear Information System (INIS)

Di Yaomin

1991-01-01

The g-boson degree of freedom in the vibrational regions is discussed in term of the energies and the electromagnetic transitions. Several closed expressions for the rates of M1, E2 transitions and the E2, M1 mixing ratios are obtained. Some survey is made and it reveals it is meaningful to investigate the g-boson degree of freedom in those regions

FREEDOM OF SPEECH IN INDONESIAN PRESS: INTERNATIONAL HUMAN RIGHTS PERSPECTIVE

Directory of Open Access Journals (Sweden)

Clara Staples

2016-06-01

Full Text Available This paper will firstly examine the international framework of human rights law and its guidelines for safeguarding the right to freedom of speech in the press. Secondly, it will describe the constitutional and other legal rights protecting freedom of speech in Indonesia and assess their compatibility with the right to freedom of speech under the international human rights law framework. Thirdly it will consider the impact of Indonesia’s constitutional law and criminal and civil law, including sedition and defamation laws, and finally media ownership, on the interpretation and scope of the right to freedom of speech in the press. Consideration of these laws will be integrated with a discussion of judicial processes. This discussion will be used to determine how and in what circumstances the constitutional right to freedom of speech in the press may be facilitated or enabled, or on the other hand, limited, overridden or curtailed in Indonesia. Conclusions will then be drawn regarding the strengths and weaknesses of Indonesian laws in safeguarding the right to freedom of speech in the press and the democratic implications from an international human rights perspective. This inquiry will be restricted to Indonesian laws in existence during the post-New Order period of 1998 to the present, and to the information and analysis provided by English-language sources.

Human Rights, Fundamental Freedoms and Universal Values in International Relations

Directory of Open Access Journals (Sweden)

Lev S. Voronkov

2016-01-01

Full Text Available The author analyzes the evolution of human rights and fundamental freedoms in domestic political life of individual states and in international relations as well over the latest two centuries. The article traces the role of struggle for liberal political human rights and civilian freedoms in the dismantling of the feudal-absolutist regimes as well as the challenges of radical left-wing (communist and far right-wing (national-socialistic threats to be met by the supporters of liberal political rights and civil freedoms in the interwar period. The list of human rights and fundamental freedoms had constantly been updating in the postwar period, including by the efforts of the UNO and other international organizations, and fixing in different international documents. The author emphasizes the import role of the Conference on Security and Cooperation in Europe (CSCE in transforming the issues of human rights and fundamental freedoms into the essential element of public diplomacy of contemporary states. He traces the process of the increasing utilization of liberal political rights and civilian freedoms, which are usually the effective tools for domestic democratic transformation, within the framework of diplomatic practice of European and North-American states, aimed at ensuring their political and economic interests on the world stage. In this regard the author addresses the attempts of Western countries to legalize "humanitarian"interventions in circumvention of the UN Security Council. The article emphasizes the necessity to replenish the understanding of universal human rights and freedoms by the values, developed both by the international community within the framework of implementing the Millennium Development Goals and by various countries and peoples, which in sum constitute the modern international civilizational baggage.

Freedom of the Press In the Scope of Human Rights

Directory of Open Access Journals (Sweden)

Sri Ayu Astuti

2014-01-01

Full Text Available Freedom of expression and press freedom is the embodiment of the recognition of human rights. Freedom of expression is also the existence of press to disclose the news with honesty and do not get a pressure to deliver the news to the public space, which in news production is known as a work of journalism. Now the  press has gained freedom of expression in the news production process which is guaranteed in the state constitution. Although Article 28 of the Constitution of the Republic of Indonesia 1945 does not point directly at the press, However, Article 28 F emphasis on processing and storage as well as ownership, excavations to information. It also contains provisions on the freedom of expression of others, which should be valued and respected. It shows equality for everyone in his position before the law in accordance with Article 27 1945 Constitution, which emphasizes the recognition of constitutional rights that belong to every person in the state of law in the Republic of Indonesia. Thus the press, which have freedom of expression in the writings of journalistic works are required to be responsible for the published news. So as not to face the legal issues and criminalization, then press should perform tasks and functions to enforce ethics as the precautionary principle when processing the news and broadcast it to the public space, as well as upholding human rights. How To Cite: Astuti, S. (2014. Freedom of the Press In the Scope of Human Rights. Rechtsidee, 1(1, 101-118. doi:http://dx.doi.org/10.21070/jihr.v1i1.96

Academic and Artistic Freedom.

Science.gov (United States)

Strossen, Nadine

1992-01-01

Issues and recent events concerning censorship of the arts in the United States are examined, and the threat to artistic freedom posed by recent Supreme Court decisions is examined. Focus is on erosion of the actual or imminent harm requirement of the law and on the court's class-based approach to free speech. (MSE)

78 FR 19477 - Freedom Falls, LLC; Notice of Availability of Environmental Assessment

Science.gov (United States)

2013-04-01

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [ Project No. 14421-000--ME] Freedom... from licensing for the Freedom Falls Hydroelectric Project, to be located on Sandy Stream, in the Town of Freedom, Waldo County, Maine, and has prepared an Environmental Assessment (EA). In the EA...

FREEDOM OF CONTRACT AND ITS LIMITATIONS IN THE ROMANIAN CIVIL CODE

Directory of Open Access Journals (Sweden)

EUGENIA VOICHECI

2013-05-01

Full Text Available This study aims to present the vision of the Romanian Civil Code about the freedom of contracting. The Romanian legislator has restated in terminis that the principle of contractual freedom is a fundament of the conventions but has also established its restraints: the law, the public order and the moral values. In order to attain the stated goal of this research, the effort was directed toward: presenting the freedom to contract as a principle of the private law, evoking the autonomy of the will theory as a fundament for the freedom to contract and toward systemically enunciating the competing theories and the decline of the actual autonomy of the will theory. The effort was also directed toward presenting the restraints of the freedom to contract, as they are stated in the Civic Code and the different categories of contracts which are the consequence of those restraints.

Relationship between Economic Freedom and Pro-poor Growth: Evidence from Pakistan (1995-2010

Directory of Open Access Journals (Sweden)

Khalid ZAMAN

2011-07-01

Full Text Available The relationship between economic freedom and pro-poor growth is examined in Pakistan from 1995-2010. The concept of pro-poor growth is derived from the literature of Kakwani and Pernia (2000 and Kakwani and Son (2003. The domino effect shows that there is a strong link between economic freedom indicators and pro-poor growth. Econometric analysis proves a strong relationship between economic freedom, poverty reduction and income inequality. Results reveal that larger the business freedom and / or trade freedom, greater the economic growth. This will ultimately reduce poverty in the country.

Long-term follow-up in sacroiliac joint pain patients treated with radiofrequency ablative therapy

Directory of Open Access Journals (Sweden)

Flávio Ramalho Romero

2015-06-01

Full Text Available Sacroiliac joint (SIJ pain is responsible for up to 40% of all cases of lumbar back pain. Objective Report the long-term efficacy of radiofrequency denervation for sacroiliac joint pain at six, twelve and eighteen months.Method Third-two adults’ patients with sacroiliac join pain diagnosis were included for a prospective study. Primary outcome measure was pain intensity on the Numeric Rating Scale (NRS. Secondary outcome measure was Patient Global Impression of Change Scale (PGIC.Results Short-term pain relief was observed, with the mean NRS pain score decreasing from 7.7 ± 1.8 at baseline to 2.8 ± 1.2 at one month and to 3.1 ± 1.9 at six months post-procedure (p < 0.001. Long-term pain relief was sustained at twelve and eighteen months post-procedure, with NRS pain remaining at 3.4 ± 2.1 and 4.0 ± 2.7, respectively.Conclusion Radiofrequency denervation of the SIJ can significantly reduce pain in selected patients with sacroiliac syndrome.

No freedom of action without emotional energy

DEFF Research Database (Denmark)

Poder, Poul

. The paper further develops such a social and relational approach by arguing that freedom is also based on emotional energy and not merely on priveleges and power (cf. Bauman). Agency cannot be taken for granted as a generic feature of humans beings (cf. Layder, Bauman, Campbell) founded in consciousnes...... and intentionality (Fuchs). In a differential and generative sense freedom/agency is based on emotional energy. For example, to act personally, cooperately with others or on behalf on institutions individuals need feeling self-confidence, trust or loyalty (Barbalet). Such emotions are resources inmplicated...

The History of Human Freedom and Dignity in Western Civilization

DEFF Research Database (Denmark)

Jacobsen, Anders-Christian

2016-01-01

Kort introduktion til et europæisk forskningsprojekt "The History of Human Freedom and Dignity in Western Civilisation'......Kort introduktion til et europæisk forskningsprojekt "The History of Human Freedom and Dignity in Western Civilisation'...

Efficient conditioned pain modulation despite pain persistence in painful diabetic neuropathy.

Science.gov (United States)

Granovsky, Yelena; Nahman-Averbuch, Hadas; Khamaisi, Mogher; Granot, Michal

2017-05-01

Alleviation of pain, by either medical or surgical therapy, is accompanied by transition from less efficient, or pro-nociceptive, to efficient conditioned pain modulation (CPM). Spontaneous decrease or resolution of pain with disease progression is reported for some patients with painful diabetic neuropathy (PDN). To explore whether CPM changes similarly in parallel to spontaneous resolution of pain in PDN patients. In this cross-sectional study, thirty-three patients with PDN underwent psychophysical assessment of pain modulation on the forearm, remote from the clinical pain. Pain duration was not correlated with neuropathic pain intensity, yet, it correlated with CPM efficiency; patients with longer pain duration had same pain level, but more efficient CPM than those with short-pain duration (ρ = -0.417; P = 0.025, Spearman correlation). Patients with pain more than 2 years (median split) expressed efficient CPM that was not different from that of healthy controls. These patients also had lower temporal summation of pain than the short-pain duration patients group ( P < 0.05). The 2 patient groups did not differ in clinical pain characteristics or use of analgesics. Pro-nociception, expressed by less efficient CPM and high temporal summation that usually accompanies clinical painful conditions, seems to "normalize" with chronicity of the pain syndrome. This is despite continuing pain, suggesting that pro-nociceptivity in pain syndromes is multifactorial. Because the pain modulation profile affects success of therapy, this suggests that different drugs might express different efficacy pending on duration of the pain in patients with PDN.

28 CFR 513.62 - Freedom of Information Act requests by former inmates.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Freedom of Information Act requests by... GENERAL MANAGEMENT AND ADMINISTRATION ACCESS TO RECORDS Release of Information Freedom of Information Act Requests for Information § 513.62 Freedom of Information Act requests by former inmates. Former federal...

Casting Freedom, 1860-1862

Science.gov (United States)

Social Education, 2005

2005-01-01

Thomas Crawford, an American Sculptor, created the full-size figure of Freedom in clay. Molds were made, from which a full-size positive plaster model was cast in five main sections. This model is on view today in the basement rotunda of the Russell Senate Office Building. Clark Mills was a self-taught American sculptor with experience in casting…

Academic freedom, public reactions, and anonymity.

Science.gov (United States)

Häyry, Matti

2014-05-01

Academic freedom can be defined as immunity against adverse reactions from the general public, designed to keep scholars unintimidated and productive even after they have published controversial ideas. Francesca Minerva claims that this notion of strict instrumental academic freedom is supported by Ronald Dworkin, and that anonymity would effectively defend the sphere of immunity implied by it. Against this, I argue that the idea defended by Minerva finds no support in the work by Dworkin referred to; that anonymity would not in most cases effectively protect the kind of immunity sought after; and that in some cases it would not even be desirable to protect scholars from public reactions to their controversial claims. © 2014 John Wiley & Sons Ltd.

The +vbar breakout during approach to Space Station Freedom

Science.gov (United States)

Dunham, Scott D.

1993-01-01

A set of burn profiles was developed to provide bounding jet firing histories for a +vbar breakout during approaches to Space Station Freedom. The delta-v sequences were designed to place the Orbiter on a safe trajectory under worst case conditions and to try to minimize plume impingement on Space Station Freedom structure.

Academic Freedom in International Higher Education: Right or Responsibility?

Science.gov (United States)

Gibbs, Alexis

2016-01-01

This paper explores the conceptual history of academic freedom and its emergence as a substantive right that pertains to either the academic or the university. It is suggested that historical reconceptualisations necessitated by contingent circumstance may have led to academic freedom being seen as a form of protection for those working within…

Fostering change in back pain beliefs and behaviors: when public education is not enough.

Science.gov (United States)

Gross, Douglas P; Deshpande, Sameer; Werner, Erik L; Reneman, Michiel F; Miciak, Maxi A; Buchbinder, Rachelle

2012-11-01

Mass media campaigns designed to alter societal views and individual behaviors about back pain have been undertaken and evaluated in multiple countries. In contrast to the original Australian campaign, subsequent campaigns have been less successful, with improvements observed in beliefs without the corresponding changes in related behaviors. This article summarizes the results of a literature review, expert panel, and workshop held at the Melbourne International Forum XI: Primary Care Research on Low Back Pain in March 2011 on the role and interplay of various social behavior change strategies, including public education, law and legislation, healthy public policy, and social marketing in achieving a sustained reduction in the societal burden of back pain. Given the complexities inherent to health-related behaviors change, the Rothschild framework is applied in which behavior change strategies are viewed on a continuum from public education at one end through law and health policy at the other. Educational endeavors should likely be augmented with social marketing endeavors and supportive laws and health policy to foster sustained change in outcomes such as work disability and health utilization. Practical suggestions are provided for future interventions aimed at changing back pain-related behaviors. Evaluation of previous back pain mass media campaigns reveals that education alone is unlikely to foster positive and persisting behavioral change without concomitant strategies. Copyright © 2012 Elsevier Inc. All rights reserved.

The American Dilemma: Freedoms or Security

National Research Council Canada - National Science Library

Gentner, Judith

1997-01-01

.... Can a law-abiding nation, conceived in liberty and dedicated to individual freedoms, effectively protect itself and its citizens against terrorism without infringing on these fundamental principles...

Religious Freedom Ethic’s Dimensions: Individual vs. Communitarian

Directory of Open Access Journals (Sweden)

Ben-Oni Ardelean

2011-07-01

Full Text Available Vivid debates were encountered in recent years on the subject of religious freedom ethics. The politic correctness attitude became many times a coercion instrument for suppressing the communitarian interests by promoting individual interests, instituting the minority tyranny that reduced to silence the communitarian interests. This might also create a disproportional representation in society for communitarian religious interests. The question is: whose religious interests should prevail? Should there be more guarantees given by the governments for the long existing, larger, and traditional religious groups, compare with the guarantees provided for the newer and smaller religious groups? Those questions provide a glimpse of the existing tension in the society on the subject of religious freedom. The present paper should answer these types of questions, explaining the tension and giving possible answers from a religious freedom normative approach.

Economic Freedom and Entrepreneurial Activity: Evidence from EU 11 Countries

Directory of Open Access Journals (Sweden)

Mandić Dragan

2017-12-01

Full Text Available In this paper, we will present the results of our survey on economic freedom and entrepreneurial activity. We have conducted our analysis on EU 11countries (Belgium, Denmark, France, Germany, Greece, Ireland, Italy, Netherlands, Spain, Sweden and United Kingdom for the time period 2000- 2014. To measure the entrepreneurial activity we have used data from the Global Entrepreneurship Monitor, and to measure economic freedom, we have used data from Fraiser Institute. Our results suggest strong positive and statistically significant, long term impact of economic freedom on entrepreneurial activity.

75 FR 36535 - Freedom of Information Act, Privacy Act of 1974; Implementation

Science.gov (United States)

2010-06-28

... DEPARTMENT OF THE TREASURY Office of the Secretary 31 CFR Part 1 Freedom of Information Act... Freedom of Information Act (FOIA) and its regulations concerning the Privacy Act of 1974 (Privacy Act). It... correct those errors. List of Subjects in 31 CFR Part 1 Freedom of Information; Privacy. 0 Accordingly...

Neuropsychological assessment of chronic non-malignant pain patients treated in a multidisciplinary pain centre

DEFF Research Database (Denmark)

Sjøgren, Per; Christrup, Lona Louring; Petersen, Morten Aa

2005-01-01

for information processing and working memory and Mini Mental State Examination (MMSE). CRT and FTT were impaired in the total patient sample. Treatment with opioids was associated with poorer performance of PASAT. High scores of PVAS and SVAS were associated with poor performance of PASAT and CRT, respectively...... with a combination of long-term oral opioids and antidepressants and/or anticonvulsants. Assessments comprised pain (PVAS) and sedation (SVAS), Continuous Reaction Time (CRT) testing for sustained attention, Finger Tapping Test (FTT) testing for psychomotor speed, Paced Auditory Serial Addition Task (PASAT) testing...

Does computer use affect the incidence of distal arm pain? A one-year prospective study using objective measures of computer use

DEFF Research Database (Denmark)

Mikkelsen, Sigurd; Lassen, Christina Funch; Vilstrup, Imogen

2012-01-01

PURPOSE: To study how objectively recorded mouse and keyboard activity affects distal arm pain among computer workers. METHODS: Computer activities were recorded among 2,146 computer workers. For 52 weeks mouse and keyboard time, sustained activity, speed and micropauses were recorded with a soft......PURPOSE: To study how objectively recorded mouse and keyboard activity affects distal arm pain among computer workers. METHODS: Computer activities were recorded among 2,146 computer workers. For 52 weeks mouse and keyboard time, sustained activity, speed and micropauses were recorded...... with a software program installed on the participants' computers. Participants reported weekly pain scores via the software program for elbow, forearm and wrist/hand as well as in a questionnaire at baseline and 1-year follow up. Associations between pain development and computer work were examined for three pain...... were not risk factors for acute pain, nor did they modify the effects of mouse or keyboard time. Computer usage parameters were not associated with prolonged or chronic pain. A major limitation of the study was low keyboard times. CONCLUSION: Computer work was not related to the development...

Pain and suicidality: insights from reward and addiction neuroscience.

Science.gov (United States)

Elman, Igor; Borsook, David; Volkow, Nora D

2013-10-01

Suicidality is exceedingly prevalent in pain patients. Although the pathophysiology of this link remains unclear, it may be potentially related to the partial congruence of physical and emotional pain systems. The latter system's role in suicide is also conspicuous during setbacks and losses sustained in the context of social attachments. Here we propose a model based on the neural pathways mediating reward and anti-reward (i.e., allostatic adjustment to recurrent activation of the reward circuitry); both are relevant etiologic factors in pain, suicide and social attachments. A comprehensive literature search on neurobiology of pain and suicidality was performed. The collected articles were critically reviewed and relevant data were extracted and summarized within four key areas: (1) physical and emotional pain, (2) emotional pain and social attachments, (3) pain- and suicide-related alterations of the reward and anti-reward circuits as compared to addiction, which is the premier probe for dysfunction of these circuits and (4) mechanistically informed treatments of co-occurring pain and suicidality. Pain-, stress- and analgesic drugs-induced opponent and proponent states of the mesolimbic dopaminergic pathways may render reward and anti-reward systems vulnerable to sensitization, cross-sensitization and aberrant learning of contents and contexts associated with suicidal acts and behaviors. These findings suggest that pain patients exhibit alterations in the brain circuits mediating reward (depressed function) and anti-reward (sensitized function) that may affect their proclivity for suicide and support pain and suicidality classification among other "reward deficiency syndromes" and a new proposal for "enhanced anti-reward syndromes". We suggest that interventions aimed at restoring the balance between the reward and anti-reward networks in patients with chronic pain may help decreasing their suicide risk. Published by Elsevier Ltd.

Academic Freedom: Its Relevance and Challenges for Public Universities in Ghana Today

Science.gov (United States)

Owusu-Ansah, Collins

2015-01-01

There have been various shapes of opinions shared on the concept of academic freedom. This concept means different things to many and different people. Those outside the University view academic freedom with some level of suspicion. Even among the academia, academic freedom is rarely understood. To foster the growth of knowledge and its…

Toward a Normative Theory of Freedom of the Press.

Science.gov (United States)

Jensen, Dwight Wm.

In considering the possibility of a normative theory of freedom of the press, this paper examines arguments about such freedom in the Third World and elsewhere. Some of the arguments discussed in the paper are derived from the theories of John Locke and Karl Marx; others are drawn from the concepts of divine rights, elitism, liberal democracy, and…

Examining the Time to Therapeutic Effect of Pregabalin in Spinal Cord Injury Patients With Neuropathic Pain.

Science.gov (United States)

Cardenas, Diana D; Emir, Birol; Parsons, Bruce

2015-05-01

In 2 large-scale, placebo-controlled trials, pregabalin improved both pain and pain-related sleep interference in patients with neuropathic pain due to spinal cord injury (SCI). In both trials, pregabalin found statistically significant improvement compared with placebo after 1 week of treatment. However, the effects of pregabalin in the days immediately after initiation of treatment are unknown. The purpose of the present analysis was to determine timing of pregabalin's therapeutic effect in the days after initiation of treatment. Data were derived from 2 trials of pregabalin in patients with SCI-related neuropathic pain. Each day patients rated severity of pain and pain-related sleep interference over the past 24 hours on a scale from 0 to 10, with higher scores indicating greater severity. To quantify timing of therapeutic effect, we compared (pregabalin [vs] placebo) daily average pain and pain-related sleep interference scores over the first 14 days of treatment. Significant improvement was defined as the first day, of ≥2 consecutive days, that pregabalin significantly (P pain and pain-related sleep interference score among patients with a clinically meaningful and sustained response (≥30% improvement from baseline to end point) by using a time-to-event analysis method. Kaplan-Meier analyses were used to estimate the median (or 25th quartile) time (in days) required to achieve a ≥1-point improvement, among these responders, in pain and pain-related sleep interference scores. Comparisons between pregabalin and placebo were made with a log-rank test. In both trials, significant improvement of pain and pain-related sleep interference occurred within 2 days of initiating treatment with pregabalin. Among patients reporting a clinically meaningful and sustained response to treatment (patients with ≥30% improvement from baseline to end point), the time to a ≥1-point improvement of pain and pain-related sleep interference occurred significantly earlier among

Using military friendships to optimize postdeployment reintegration for male Operation Iraqi Freedom/Operation Enduring Freedom veterans.

Science.gov (United States)

Hinojosa, Ramon; Hinojosa, Melanie Sberna

2011-01-01

Social relationships are important to health out comes. The postdeployment family reintegration literature focuses on the role of the civilian family in facilitating the transition from Active Duty military deployment to civilian society. The focus on the civilian family relationship may miss other important personal connections in veterans' lives. One such connection is the relationship many veterans have with former military unit members who served with them when deployed. Drawing on interviews with male Operation Iraqi Freedom/Operation Enduring Freedom veterans conducted from 2008 to 2009, we argue that the members of a military unit, especially during armed conflict, should be considered a resource to help the "family" reintegration process rather than impede it. This research has implications for current reintegration policy and how best to assist veterans transitioning into civilian society.

Intra-Articular Analgesia and Steroid Reduce Pain Sensitivity in Knee OA Patients

DEFF Research Database (Denmark)

Jørgensen, Tanja Schjødt; Graven-Nielsen, Thomas; Ellegaard, Karen

2014-01-01

Objectives. To assess the effects of intra-articular therapy on pain sensitivity in the knee and surrounding tissues in knee OA patients. Methods. Twenty-five knee OA patients with symptomatic knee OA were included in this interventional cohort study. Pressure pain thresholds (PPT) were recorded...... muscles (control site). Results. Significantly increased PPTs were found following intra-articular injection, at both the knee (P effects were sustained for two weeks, and at some points the effect was even greater at two weeks (P 

Academic Freedom and University Autonomy: A Higher Education Policy Perspective

Science.gov (United States)

Ren, Kai; Li, Jun

2013-01-01

This article reflects upon three seminal articles published in "Higher Education Policy" ("HEP") on academic freedom and university autonomy. The reflections indicate that "HEP" research contributes to a sophisticated and systematic understanding of the complexity of academic freedom, addressing both the original…

Access, Intellectual Freedom and Libraries.

Science.gov (United States)

Darling, Richard L.

1979-01-01

Reviews attitudes toward censorship in the United States throughout its history in relation to the nation and its institutions. The library is recognized as an institution in which censorship has no place, due to its creed of information access and intellectual freedom for all. (MBR)

Einstein equations and Fermion degrees of freedom

International Nuclear Information System (INIS)

Luetz, E.F.; Vasconcellos, C.A.Z.

2001-01-01

When Dirac derived the special relativistic quantum equation which brings his name, it became evident that the spin is a consequence of the space-time geometry. However, taking gravity into account (as for, instance, in the study of neutron stars), most authors do not take into account the relation between hyperbolic geometry and spin and derive an Einstein equation which implicitly takes into account only boson degrees of freedom. In this work we introduce a consistent quantum general relativistic formalism which allows us to study the effects of the existence of fermion degrees of freedom. (author)

Einstein equations and Fermion degrees of freedom

Energy Technology Data Exchange (ETDEWEB)

Luetz, E.F.; Vasconcellos, C.A.Z. [Rio Grande do Sul Univ., Porto Alegre, RS (Brazil). Inst. de Fisica

2001-07-01

When Dirac derived the special relativistic quantum equation which brings his name, it became evident that the spin is a consequence of the space-time geometry. However, taking gravity into account (as for, instance, in the study of neutron stars), most authors do not take into account the relation between hyperbolic geometry and spin and derive an Einstein equation which implicitly takes into account only boson degrees of freedom. In this work we introduce a consistent quantum general relativistic formalism which allows us to study the effects of the existence of fermion degrees of freedom. (author)

Facilitated pronociceptive pain mechanisms in radiating back pain compared with localized back pain

DEFF Research Database (Denmark)

Vaegter, Henrik Bjarke; Palsson, Thorvaldur Skuli; Graven-Nielsen, Thomas

2017-01-01

Facilitated pain mechanisms and impaired pain inhibition are often found in chronic pain patients. This study compared clinical pain profiles, pain sensitivity, as well as pro-nociceptive and anti-nociceptive mechanisms in patients with localized low back pain (n=18), localized neck pain (n=17......), low back and radiating leg pain (n=18), or neck and radiating arm pain (n=17). It was hypothesized that patients with radiating pain had facilitated pain mechanisms and impaired pain inhibition compared with localized pain patients. Cuff algometry was performed on the non-painful lower leg to assess...... threshold (HPT) at the non-painful hand were also assessed. Clinical pain intensity, psychological distress, and disability were assessed with questionnaires. TSP was increased in patients with radiating back pain compared with localized back pain (Ppain or localized low...

Activity-related summation of pain and functional disability in patients with whiplash injuries.

Science.gov (United States)

Sullivan, Michael J L; Larivière, Christian; Simmonds, Maureen

2010-11-01

This study investigated the relation between repetition-induced summation of activity-related pain (RISP) and indicators of functional disability in a sample of 62 individuals who had sustained whiplash injuries. Participants completed measures of pain severity, pain catastrophizing, fear of movement and depression prior to lifting a series of 36 weighted canisters. An index of RISP was computed as the increase in pain reported by participants over successive lifts of the weighted canisters. Measures of functional disability included physical lifting tolerance, self-reported disability and perceived work demands. Regression analyses revealed that the index of RISP accounted for significant variance in measures of lifting tolerance and perceived work demands, even when controlling for age, sex and pain severity. The index of RISP was also significantly correlated with pain catastrophizing and pain duration. The discussion addresses the mechanisms by which physiological and psychological factors might contribute to increases in pain during repeated physical activity. Discussion also addresses whether RISP might represent a risk factor for problematic recovery outcomes following whiplash injury. Copyright © 2010 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

Violation of local realism with freedom of choice.

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Scheidl, Thomas; Ursin, Rupert; Kofler, Johannes; Ramelow, Sven; Ma, Xiao-Song; Herbst, Thomas; Ratschbacher, Lothar; Fedrizzi, Alessandro; Langford, Nathan K; Jennewein, Thomas; Zeilinger, Anton

2010-11-16

Bell's theorem shows that local realistic theories place strong restrictions on observable correlations between different systems, giving rise to Bell's inequality which can be violated in experiments using entangled quantum states. Bell's theorem is based on the assumptions of realism, locality, and the freedom to choose between measurement settings. In experimental tests, "loopholes" arise which allow observed violations to still be explained by local realistic theories. Violating Bell's inequality while simultaneously closing all such loopholes is one of the most significant still open challenges in fundamental physics today. In this paper, we present an experiment that violates Bell's inequality while simultaneously closing the locality loophole and addressing the freedom-of-choice loophole, also closing the latter within a reasonable set of assumptions. We also explain that the locality and freedom-of-choice loopholes can be closed only within nondeterminism, i.e., in the context of stochastic local realism.

Neuropathic pain due to fibromatosis: Does anticancer treatment help?

Directory of Open Access Journals (Sweden)

David Mathew

2011-01-01

Full Text Available Desmoid fibromatosis, although histologically benign, infiltrates local structures. The involvement of neural structures can lead to difficult neuropathic pain and the escalating use of analgesics. We report a patient with desmoid fibromatosis of the chest wall causing brachial plexus infiltration. As the tumor was locally invasive and unresectable, he was treated with radiation therapy and oral tamoxifen. On follow-up, there was significant pain relief, sustained reduction in the tumor size, and reduced analgesic requirement. Antineoplastic treatments like local radiation therapy and targeted systemic therapy with hormones or other agents can be considered in the management of selected unresectable desmoid fibromatosis to improve symptom control and reduce polypharmacy.

Pain intensity and cervical range of motion in women with myofascial pain treated with acupuncture and electroacupuncture: a double-blinded, randomized clinical trial

Science.gov (United States)

Aranha, Maria F. M.; Müller, Cristina E. E.; Gavião, Maria B. D.

2015-01-01

BACKGROUND: Acupuncture stimulates points on the body, influencing the perception of myofascial pain or altering physiologic functions. OBJECTIVE: The aim was to evaluate the effect of electroacupuncture (EAC) and acupuncture (AC) for myofascial pain of the upper trapezius and cervical range of motion, using SHAM acupuncture as control. METHOD: Sixty women presenting at least one trigger point at the upper trapezius and local or referred pain for more than six months were randomized into EAC, AC, and SHAM groups. Eight sessions were scheduled and a follow-up was conducted after 28 days. The Visual Analog Scale assessed the intensity of local and general pain. A fleximeter assessed cervical movements. Data were analyzed using paired t or Wilcoxon's tests, ANOVA or Friedman or Kruskal-Wallis tests and Pearson's correlation (α=0.05). RESULTS: There was reduction in general pain in the EAC and AC groups after eight sessions (P<0.001). A significant decrease in pain intensity occurred for the right trapezius in all groups and for the left trapezius in the EAC and AC groups. Intergroup comparisons showed improvement in general pain in the EAC and AC groups and in local pain intensity in the EAC group (P<0.05), which showed an increase in left rotation (P=0.049). The AC group showed increases in inclination (P=0.005) sustained until follow-up and rotation to the right (P=0.032). CONCLUSION : EAC and AC were effective in reducing the pain intensity compared with SHAM. EAC was better than AC for local pain relief. These treatments can assist in increasing cervical range of motion, albeit subtly. PMID:25714602

Hadronic degrees of freedom in relativistic heavy-ion collisions

International Nuclear Information System (INIS)

Otsuka, Naohiko

2001-01-01

Relativistic heavy-ion collisions at AGS energies are studied by using an new developed hadronic cascade model, HANDEL which includes a few hadronic degrees of freedom. The spectra of hadron-hadron, hadron-nucleus and nucleus-nucleus reactions at AGS energies are well reproduced by HANDEL. It is confirmed that the infinite matter described by HANDEL has particle fractions which are expected from grand canonical ensemble. When we compare the thermal evolution of Au+Au collision from HANDEL with the result from JAM which has larger hadronic degree of freedoms, we find both models give similar evolution of temperature, against naive expectation. We argue that this results can be interpretated if the particles in formation time works as the additional effective hadronic degrees of freedom. (author)

Development of society and human rights and freedom

Directory of Open Access Journals (Sweden)

Vilić Dragana

2015-01-01

Full Text Available This paper examines the direct connection between the development of human society and progress in the realization of and respect for human rights and freedoms, as well as a number of problems that stand in the way for their full realization. The Company to its characteristics should allow the free development of man to protect his rights, freedom and autonomy. On the other hand, an individual has an active role in building a society whose form is: economic development, permanent democratization of social relations, development and dissemination of human rights and freedoms, the existence of the rule of law and so on. Degree of respect for human rights and freedoms measured level of development achieved and the characteristics of democracy in a society. The main causes of their violations and neglect, as well as the social climate and miles of contributing to this are: domination of one ideology, cultural closeness, economic underdevelopment and the like. As an example, of vulnerable groups in the realization of human rights can be given: the poor, women, children, immigrants, same-sex oriented persons, etc. The paper presents the view Alain Touraine in the development of human society and, related to it, the development of human rights, who was going in the direction of the transformation of rights from abstract to concrete rights, with particular emphasis on cultural rights.

A novel and effective acupuncture modality as a complementary therapy to acute pain relief in inpatients with rib fractures

Directory of Open Access Journals (Sweden)

Hsin-Yi Ho

2014-06-01

Full Text Available Background: Pain control has been emphasized as a priority for both practitioners and inpatients with rib fractures, since analgesia could only offer limited relief from severe pain. A prospective and randomized controlled trial was conducted to analyze the efficacy and efficiency of acupuncture in acute pain relief for inpatients with rib fractures. Methods: A total of 58 inpatients were recruited and allocated to two groups, receiving identical doses of conventional oral analgesics as well as filiform needles as treatment and thumbtack intradermal (TI needles placed upon the skin surface as a control, respectively, via novel acupuncture modality once daily for three consecutive days. The effect of pain relief was evaluated during activities that induce pain, and sustained maximal inspiration (SMI lung volumes and sleep quality were assessed. Results: The patients treated with filiform needles had more effective pain relief than those in the TI needle group during deep breathing, coughing, and turning over the body (p < 0.05, and the effect persisted for at least 6 h in most patients. Sustained maximal inspiration lung volumes and sleep quality did not show improvement through every acupuncture intervention, and they could not respond accurately to pain relief via acupuncture. Conclusion: The active evaluation could provide a more adaptive model for assessing pain intensity due to rib fractures. This novel acupuncture modality in which the needle insertion sites are corresponding to the pain spots can be a safe and viable therapy for relieving pain in inpatients with rib fractures.

Combined analgesics in (headache pain therapy: shotgun approach or precise multi-target therapeutics?

Directory of Open Access Journals (Sweden)

Fiebich Bernd L

2011-03-01

Full Text Available Abstract Background Pain in general and headache in particular are characterized by a change in activity in brain areas involved in pain processing. The therapeutic challenge is to identify drugs with molecular targets that restore the healthy state, resulting in meaningful pain relief or even freedom from pain. Different aspects of pain perception, i.e. sensory and affective components, also explain why there is not just one single target structure for therapeutic approaches to pain. A network of brain areas ("pain matrix" are involved in pain perception and pain control. This diversification of the pain system explains why a wide range of molecularly different substances can be used in the treatment of different pain states and why in recent years more and more studies have described a superior efficacy of a precise multi-target combination therapy compared to therapy with monotherapeutics. Discussion In this article, we discuss the available literature on the effects of several fixed-dose combinations in the treatment of headaches and discuss the evidence in support of the role of combination therapy in the pharmacotherapy of pain, particularly of headaches. The scientific rationale behind multi-target combinations is the therapeutic benefit that could not be achieved by the individual constituents and that the single substances of the combinations act together additively or even multiplicatively and cooperate to achieve a completeness of the desired therapeutic effect. As an example the fixesd-dose combination of acetylsalicylic acid (ASA, paracetamol (acetaminophen and caffeine is reviewed in detail. The major advantage of using such a fixed combination is that the active ingredients act on different but distinct molecular targets and thus are able to act on more signalling cascades involved in pain than most single analgesics without adding more side effects to the therapy. Summary Multitarget therapeutics like combined analgesics broaden

Combined analgesics in (headache) pain therapy: shotgun approach or precise multi-target therapeutics?

Science.gov (United States)

2011-01-01

Background Pain in general and headache in particular are characterized by a change in activity in brain areas involved in pain processing. The therapeutic challenge is to identify drugs with molecular targets that restore the healthy state, resulting in meaningful pain relief or even freedom from pain. Different aspects of pain perception, i.e. sensory and affective components, also explain why there is not just one single target structure for therapeutic approaches to pain. A network of brain areas ("pain matrix") are involved in pain perception and pain control. This diversification of the pain system explains why a wide range of molecularly different substances can be used in the treatment of different pain states and why in recent years more and more studies have described a superior efficacy of a precise multi-target combination therapy compared to therapy with monotherapeutics. Discussion In this article, we discuss the available literature on the effects of several fixed-dose combinations in the treatment of headaches and discuss the evidence in support of the role of combination therapy in the pharmacotherapy of pain, particularly of headaches. The scientific rationale behind multi-target combinations is the therapeutic benefit that could not be achieved by the individual constituents and that the single substances of the combinations act together additively or even multiplicatively and cooperate to achieve a completeness of the desired therapeutic effect. As an example the fixesd-dose combination of acetylsalicylic acid (ASA), paracetamol (acetaminophen) and caffeine is reviewed in detail. The major advantage of using such a fixed combination is that the active ingredients act on different but distinct molecular targets and thus are able to act on more signalling cascades involved in pain than most single analgesics without adding more side effects to the therapy. Summary Multitarget therapeutics like combined analgesics broaden the array of therapeutic

Combined analgesics in (headache) pain therapy: shotgun approach or precise multi-target therapeutics?

Science.gov (United States)

Straube, Andreas; Aicher, Bernhard; Fiebich, Bernd L; Haag, Gunther

2011-03-31

Pain in general and headache in particular are characterized by a change in activity in brain areas involved in pain processing. The therapeutic challenge is to identify drugs with molecular targets that restore the healthy state, resulting in meaningful pain relief or even freedom from pain. Different aspects of pain perception, i.e. sensory and affective components, also explain why there is not just one single target structure for therapeutic approaches to pain. A network of brain areas ("pain matrix") are involved in pain perception and pain control. This diversification of the pain system explains why a wide range of molecularly different substances can be used in the treatment of different pain states and why in recent years more and more studies have described a superior efficacy of a precise multi-target combination therapy compared to therapy with monotherapeutics. In this article, we discuss the available literature on the effects of several fixed-dose combinations in the treatment of headaches and discuss the evidence in support of the role of combination therapy in the pharmacotherapy of pain, particularly of headaches. The scientific rationale behind multi-target combinations is the therapeutic benefit that could not be achieved by the individual constituents and that the single substances of the combinations act together additively or even multiplicatively and cooperate to achieve a completeness of the desired therapeutic effect.As an example the fixed-dose combination of acetylsalicylic acid (ASA), paracetamol (acetaminophen) and caffeine is reviewed in detail. The major advantage of using such a fixed combination is that the active ingredients act on different but distinct molecular targets and thus are able to act on more signalling cascades involved in pain than most single analgesics without adding more side effects to the therapy. Multitarget therapeutics like combined analgesics broaden the array of therapeutic options, enable the completeness

The Right to Freedom of Expression: The Mother of our Democracy

Directory of Open Access Journals (Sweden)

Willem Johannes van Vollenhoven

2015-12-01

Full Text Available This paper explores student-teachers' understanding of the right to freedom of expression in education. Analyses of case law and legal principles affirm that the right to freedom of expression is an essential prerequisite to protect and promote democracy. Based on qualitative research, the empirical evidence indicates that although student-teachers are aware of the fact that the right to freedom of expression is not absolute and may be limited, they have a superficial knowledge of the application of this right. Student-teachers have a sense of the importance of the right to freedom of expression in a democracy, but they have not yet internalised the mechanism or process of balancing the right in praxis. This does not bode well as the school system will fail to be a market place of ideas. In order to enable learners to reach their full potential as critical thinkers and autonomous citizens in a developing democracy, it is imperative that teachers should understand and master the application of the right to freedom of expression in schools.

78 FR 32595 - Revision of Freedom of Information Act Regulation

Science.gov (United States)

2013-05-31

... Revision of Freedom of Information Act Regulation AGENCY: Office of the Secretary, HUD. ACTION: Proposed rule. SUMMARY: This proposed rule would amend HUD's regulations implementing the Freedom of Information... with speech or hearing impairments may access this number via TTY by calling the toll-free Federal...

Viral vectors encoding endomorphins and serine histogranin attenuate neuropathic pain symptoms after spinal cord injury in rats.

Science.gov (United States)

Nasirinezhad, Farinaz; Gajavelli, Shyam; Priddy, Blake; Jergova, Stanislava; Zadina, James; Sagen, Jacqueline

2015-01-07

The treatment of spinal cord injury (SCI)-induced neuropathic pain presents a challenging healthcare problem. The lack of available robust pharmacological treatments underscores the need for novel therapeutic methods and approaches. Due to the complex character of neuropathic pain following SCI, therapies targeting multiple mechanisms may be a better choice for obtaining sufficient long-term pain relief. Previous studies in our lab showed analgesic effects using combinations of an NMDA antagonist peptide [Ser1]histogranin (SHG), and the mu-opioid peptides endomorphins (EMs), in several pain models. As an alternative to drug therapy, this study evaluated the analgesic potential of these peptides when delivered via gene therapy. Lentiviruses encoding SHG and EM-1 and EM-2 were intraspinally injected, either singly or in combination, into rats with clip compression SCI 2 weeks following injury. Treated animals showed significant reduction in mechanical and thermal hypersensitivity, compared to control groups injected with GFP vector only. The antinociceptive effects of individually injected components were modest, but the combination of EMs and SHG produced robust and sustained antinociception. The onset of the analgesic effects was observed between 1-5 weeks post-injection and sustained without decrement for at least 7 weeks. No adverse effects on locomotor function were observed. The involvement of SHG and EMs in the observed antinociception was confirmed by pharmacologic inhibition using intrathecal injection of either the opioid antagonist naloxone or an anti-SHG antibody. Immunohistochemical analysis showed the presence of SHG and EMs in the spinal cord of treated animals, and immunodot-blot analysis of CSF confirmed the presence of these peptides in injected animals. In a separate group of rats, delayed injection of viral vectors was performed in order to mimic a more likely clinical scenario. Comparable and sustained antinociceptive effects were observed in

Chronic Pain and Mental Health Disorders: Shared Neural Mechanisms, Epidemiology, and Treatment.

Science.gov (United States)

Hooten, W Michael

2016-07-01

Chronic pain and mental health disorders are common in the general population, and epidemiological studies suggest that a bidirectional relationship exists between these 2 conditions. The observations from functional imaging studies suggest that this bidirectional relationship is due in part to shared neural mechanisms. In addition to depression, anxiety, and substance use disorders, individuals with chronic pain are at risk of other mental health problems including suicide and cigarette smoking and many have sustained sexual violence. Within the broader biopsychosocial model of pain, the fear-avoidance model explains how behavioral factors affect the temporal course of chronic pain and provides the framework for an array of efficacious behavioral interventions including cognitive-behavioral therapy, acceptance-based therapies, and multidisciplinary pain rehabilitation. Concomitant pain and mental health disorders often complicate pharmacological management, but several drug classes, including serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, and anticonvulsants, have efficacy for both conditions and should be considered first-line treatment agents. Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

Freedom of Information Act (FOIA) Plan

Data.gov (United States)

Office of Personnel Management — Executive Order (E.O.) 13,392 mandates that each federal agency shall have a Freedom of Information Act (FOIA) working plan with established goals and time frames to...

Freedom or security - the unsolvable dilemma of atomic energy

International Nuclear Information System (INIS)

Rossnagel, A.

1989-01-01

The threat of a non-peaceful use of atomic energy is not a fixed quantity. The hazard may increase depending on the social situation and the insentity of social crises emerging. In view of the damage potential involved with atomic energy, the principle of 'dynamic protection of civil rights' requires security measures to be intensified according to growing threat. The restrictions of freedom connected with enhanced security measures are to be felt already today. The pressure for security of nuclear installations or material creates a dilemma: any security step-up will be done at the expense of freedom, and conserving freedom will mean reducing security. The pressure for security which is achieved by the instruments of balancing the objects of legal protection and following the principle of reasonablenesse, will eventually lead to a de facto decline of the civil rights by way of a clandestine and gradual change of legal terms and definitions. We even then would be living in a constitutional state. But what will freedom then mean? The civil rights would still be incorporated in our Basic Law, but protection in practical life will have been decreased. (orig./HSCH) [de

Freedom of conscience in health care: distinctions and limits.

Science.gov (United States)

Murphy, Sean; Genuis, Stephen J

2013-10-01

The widespread emergence of innumerable technologies within health care has complicated the choices facing caregivers and their patients. The escalation of knowledge and technical innovation has been accompanied by an erosion of moral and ethical consensus among health providers that is reflected in the abandonment of the Hippocratic Oath as the immutable bedrock of medical ethics. Ethical conflicts arise when the values of health professionals collide with the expressed wishes of patients or the dictates of regulatory bodies and administrators. Increasing attempts by groups outside of the medical profession to limit freedom of conscience for health providers has raised concern and consternation among some health professionals. The personal and professional impact of health professionals surrendering freedom of conscience and participating in actions they deem malevolent or unethical has not been adequately studied and may not be inconsequential when considering the recognized impact of other circumstances of coerced complicity. We argue that the distinction between the two ways that freedom of conscience is exercised (avoiding a perceived evil and seeking a perceived good) provides a rational basis for a principled limitation of this fundamental freedom.

Existentialist Freedom, Distorted Normativity, and Emancipation

Directory of Open Access Journals (Sweden)

Sorin Baiasu

2015-09-01

Full Text Available Usually associated with a view of freedom as absolute, Sartre’s philosophy seems particularly able to account for the indeterminacy that we experience today in most areas of human experience that have a normative dimension. Without denying that this is a plausible reading, it will be argued here that it is nevertheless a problematic interpretation. On this reading, existentialism seems unable to account for the fact that we are powerfully conditioned by a significant number of factors, which limit our freedom and, in certain situations, make emancipation a normative requirement. It is held here that this problem can be addressed and a less problematic interpretation of Sartre can be defended, once we start to acknowledge that in Sartre we have a variety of notions of freedom that can provide a robust account of our freedom, of authentic choice and of responsibility. Habitualmente asociada a una visión de la libertad como un concepto absoluto, la filosofía de Sartre parece especialmente capaz de representar la indeterminación que experimentamos hoy en día en la mayoría de las áreas de la experiencia humana que tienen una dimensión normativa. Sin negar que ésta es una lectura convincente, no obstante, se va a argumentar que es una interpretación problemática. Con esta lectura parece que el existencialismo es incapaz de representar el hecho de que estamos fuertemente condicionados por un número importante de factores que limitan nuestra libertad y, en algunas situaciones, hacen de la emancipación una necesidad normativa. En este artículo se defiende que se puede abordar este problema, y se puede defender una interpretación de Sartre menos problemática, una vez empecemos a reconocer que en Sartre se pueden encontrar una variedad de nociones de libertad que permiten ofrecer una explicación sólida de nuestra libertad, de elección auténtica y de responsabilidad. DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=2622045

The Specific Value of Freedom

NARCIS (Netherlands)

van Hees, Martin

2010-01-01

Freedom is among the most important values in political life, yet there has always been a great deal of disagreement about what this value demands from us. Libertarians argue that it requires that we protect each person's right to own and exchange private property. Liberals argue that it requires

On Procedural Freedom of Choice

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Arlegi, R.; Dimitrov, D.A.

2004-01-01

Numerous works in the last decade have analyzed the question of how to compare opportunity sets as a way to measure and evaluate individual freedom of choice.This paper defends that, in many contexts, external procedural aspects that are associated to an opportunity set should be taken into account

Annotated Bibliography; Freedom of Information Center Reports and Summary Papers.

Science.gov (United States)

Freedom of Information Center, Columbia, MO.

This bibliography lists and annotates almost 400 information reports, opinion papers, and summary papers dealing with freedom of information. Topics covered include the nature of press freedom and increased press efforts toward more open access to information; the press situation in many foreign countries, including France, Sweden, Communist…

Freedom and the state: nanny or nightwatchman?

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Pettit, P

2015-08-01

There are two rival images often offered of the state. In one the state serves like a nanny to provide for the welfare of its members; in the other it requires people to look after themselves, providing only the service of a night-watchman. But this dichotomy, which is routinely invoked in debates about public health and welfare provision in general, is misleading. What the rival images turn on is not competing pictures of how the state should function in people's lives but competing pictures of what it is to guard the freedom of its people. On the neo-liberal theory, which has been dominant over the last century or so, providing for people's freedom means leaving them to their own devices and fortunes. On the neo-republican theory, which answers to a much longer tradition, it means democratically identifying a common set of basic liberties in the exercise of which everyone should be protected by law and, if necessary, resourced. This older way of thinking about freedom has important merits missing in the newer and argues strongly against the nightwatchman state. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Pain and pain behavior in burning mouth syndrome: a pain diary study.

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Forssell, Heli; Teerijoki-Oksa, Tuija; Kotiranta, Ulla; Kantola, Rosita; Bäck, Marjaliina; Vuorjoki-Ranta, Tiina-Riitta; Siponen, Maria; Leino, Ari; Puukka, Pauli; Estlander, Ann-Mari

2012-01-01

To characterize pain related to primary burning mouth syndrome (BMS) in terms of intensity, interference, and distress caused by the pain, as well as factors influencing the pain across a period of 2 weeks, and to study the use of coping and management strategies on a daily basis. Fifty-two female patients with primary BMS completed a 2-week pain diary. Pain intensity, interference, distress, and mood on a 0 to 10 numeric rating scale (NRS), as well as pain amplifying and alleviating factors, were recorded three times a day. The use of treatments (medication or other means) and coping strategies were recorded at the end of each day. Coefficient of variation, repeated measures analysis of variance, and correlative methods were used to assess the between- and within-subject variation, pain patterns, and associations between various pain scores. The overall mean pain intensity score of the 14 diary days was 3.1 (SD: 1.7); there was considerable variation in pain intensity between patients. Most patients experienced intermittent pain. On average, pain intensity increased from the morning to the evening. Intercorrelations between pain intensity, interference, distress, and mood were high, varying between rs = .75 and rs = .93 (P < .001). Pungent or hot food or beverages, stress, and tiredness were the most frequently mentioned pain-amplifying factors. The corresponding pain-alleviating factors were eating, sucking pastilles, drinking cold beverages, and relaxation. Thirty (58%) patients used pain medication and 35% reported using other means to alleviate their BMS pain. There was large variation in the use of coping strategies -between subjects. There were considerable differences in pain, in factors influencing the pain, and in pain behavior across BMS patients. This indicates that patient information and education as well as treatment of BMS pain should be individualized.

What Can I Do? Foucault on Freedom and the Question of Teacher Agency.

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Pignatelli, Frank

1993-01-01

Discusses aspects of Foucault's philosophy that demonstrate the intensity of his concern for freedom. The paper examines the significance of freedom regarding teacher agency and suggests that Foucault's project of freedom can inform current discussion about educational reform and school restructuring, particularly regarding teachers' roles as…

The physical gravitational degrees of freedom

International Nuclear Information System (INIS)

Anderson, E; Barbour, J; Foster, B Z; Kelleher, B; Murchadha, N O

2005-01-01

When constructing general relativity (GR), Einstein required 4D general covariance. In contrast, we derive GR (in the compact, without boundary case) as a theory of evolving three-dimensional conformal Riemannian geometries obtained by imposing two general principles: (1) time is derived from change; (2) motion and size are relative. We write down an explicit action based on them. We obtain not only GR in the CMC gauge, in its Hamiltonian 3 + 1 reformulation, but also all the equations used in York's conformal technique for solving the initial-value problem. This shows that the independent gravitational degrees of freedom obtained by York do not arise from a gauge fixing but from hitherto unrecognized fundamental symmetry principles. They can therefore be identified as the long-sought Hamiltonian physical gravitational degrees of freedom

The experience of freedom in decisions - Questioning philosophical beliefs in favor of psychological determinants.

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Lau, Stephan; Hiemisch, Anette; Baumeister, Roy F

2015-05-01

Six experiments tested two competing models of subjective freedom during decision-making. The process model is mainly based on philosophical conceptions of free will and assumes that features of the process of choosing affect subjective feelings of freedom. In contrast, the outcome model predicts that subjective freedom is due to positive outcomes that can be expected or are achieved by a decision. Results heavily favored the outcome model over the process model. For example, participants felt freer when choosing between two equally good than two equally bad options. Process features including number of options, complexity of decision, uncertainty, having the option to defer the decision, conflict among reasons, and investing high effort in choosing generally had no or even negative effects on subjective freedom. In contrast, participants reported high freedom with good outcomes and low freedom with bad outcomes, and ease of deciding increased subjective freedom, consistent with the outcome model. Copyright © 2014 Elsevier Inc. All rights reserved.

Education in the New Era: The Dissemination of Education for Sustainable Development in the Political Science Programmes at Notre Dame University--Louaize

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Labaki, Georges

2012-01-01

Sustainable development is continuous process of change requiring painful choices resting on political will. This paper examines the developments needed to engage with sustainable development in the field of political science through the following: the reform in political science programmes to cope with the need for sustainable development in…

77 FR 64496 - Freedom Falls, LLC; Notice of Application Ready for Environmental Analysis and Soliciting...

Science.gov (United States)

2012-10-22

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 14421-000] Freedom Falls... 1, 2012. d. Applicant: Freedom Falls, LLC. e. Name of Project: Freedom Falls Hydroelectric Project. f. Location: On Sandy Stream, in the Town of Freedom, Waldo County, Maine. The project would not...

Freedom of choice in birth, abortion and the place of conscientious objection.

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Kristan, I

1998-01-01

The Constitution of the Republic of Slovenia includes two statutes: (a) the freedom to decide about the birth of one's own child (freedom of birth-decision), and (b) the right of conscientious objection, including the right to abortion. This discussion focuses on the principles of "free choice and womens'reproductive freedom". The right of conscientious objection in relation to the right to abortion is also discussed.

[Ethic charter of the German Society for the Study of Pain (DGSS)].

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Reiter-Theil, S; Graf-Baumann, T; Kutzer, K; Müller-Busch, H C; Stutzki, R; Traue, H C; Willweber-Strumpf, A; Zimmermann, M; Zenz, M

2008-04-01

The German Society for the Study of Pain has formed an interdisciplinary committee to answer urgent ethical questions on the diagnosis and treatment of pain and to give an ethical orientation on the care of pain and palliative patients. The treatment of pain is a fundamental objective of medicine. Competent and adequate relief of pain in all stages of life is a basic characteristic of a humane medicine oriented to the quality and meaning of life for people. However, there are substantial deficits in all areas, especially in the knowledge of physicians and patients, in training and further education, diagnosis and therapy. Freedom from pain is a substantial element of quality of life. A central duty of all physicians is an adequate diagnosis and treatment of acute pain and thereby the prophylaxis of chronic pain. If pain persists over a longer period of time, it loses the warning function and becomes taken for granted. Alterations, disabilities and limitations of the physical, psychic and social levels are the consequences. For these patients an interdisciplinary approach is necessary by which various medical disciplines, psychologists and physiotherapists are involved and all collaborate on the diagnosis and therapy of pain. All patients have the right to sufficient and individually tailored treatment of pain. Special attention must be paid to vulnerable patient groups, such as newborns, children and adolescents, as well as aged and mentally retarded patients. For cancer patients pain relief of their tumor pain is totally in the forefront. Indications of "unbearable pain" must not lead to resignation or even be seen as an argument for legalization of "death on request". The nursing of terminally ill patients necessitates a special measure not only of clinical, but also ethical competence, communication and multiprofessional collaboration. The modern options for palliative care are real alternatives to demands for legalization of "death on request". Physician

In defence of academic freedom: bioethics journals under siege.

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Schüklenk, Udo

2013-05-01

This article analyses, from a bioethics journal editor's perspective, the threats to academic freedom and freedom of expression that academic bioethicists and academic bioethics journals are subjected to by political activists applying pressure from outside of the academy. I defend bioethicists' academic freedom to reach and defend conclusions many find offensive and 'wrong'. However, I also support the view that academics arguing controversial matters such as, for instance, the moral legitimacy of infanticide should take clear responsibility for the views they defend and should not try to hide behind analytical philosophers' rationales such as wanting to test an argument for the sake of testing an argument. This article proposes that bioethics journals establish higher-quality requirements and more stringent mechanisms of peer review than usual for iconoclastic articles.

[Therapeutic restraint and freedom of movement, changing practices].

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Perrin-Niquet, Annick

From confinement to the philosophy of care in the community, the history of psychiatry testifies to the evolution of practices in the matter of the restriction of freedom. The French National Health Authority still too often recommends practices based on restraint. Caregivers, in relation to the clinical aspect of the patients, need clearly identified therapeutic projects. While training can be vital for them, risk management policies can prove to be a hindrance to patients' freedom. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Non-invasive nursing technologies for pain relief during childbirth--the Brazilian nurse midwives' view.

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Vargens, Octavio M C; Silva, Alexandra C V; Progianti, Jane M

2013-11-01

to describe the non-invasive care technologies most frequently used by nurse midwives to relieve childbirth pain, and provide a synthesis of studies published by Brazilian nurse midwives on the use of such technologies. a systematic literature review focusing on the non-invasive pain relief strategies used by nurse midwives in Brazil. Surveys of three databases (BDENF, CINAHL and MEDLINE) were conducted between 2002 and 2012. The inclusion criteria were: (1) full-text article available; (2) published between 2002 and 2012; (3) written by Brazilian nurse midwives, and (4) fitting the descriptors: childbirth pain; non-invasive technologies; labour; and pain relief. For purposes of analysis, the technologies mentioned were classified into four main categories of support as they relate to environment, position, tactile stimulation, and energy level. we located 21 scientific articles that met the inclusion criteria and addressed the non-invasive technologies that nurse midwives use to provide pain relief during labour. The technologies most used was: stimulation of breathing and relaxation; use of massage with essential oils; encouraging freedom to move, to walk and the free choice for vertical positioning; use of showers and baths; use of birth ball. Brazilian nurse midwives have made efforts to focus care during delivery on the parturient. By studying and publishing about the non-invasive care technologies they have strengthened de-medicalised knowledge, based on scientific evidence and good outcomes in pain relief during labour. the study presented ideas towards improved theoretical foundations and strategies for establishing practice consonant with humanised care. Copyright © 2012 Elsevier Ltd. All rights reserved.

Inverted hierarchy and asymptotic freedom in grand unified supersymmetric theories

International Nuclear Information System (INIS)

Aratyn, H.

1983-01-01

The interrelation between an inverted hierarchy mechanism and asymptotic freedom in supersymmetric theories is analyzed in two models for which we performed a detailed analysis of the effective potentials and effective couplings. We find it difficult to accommodate an inverted hierarchy together with asymptotic freedom for the matter-Yukawa couplings. (orig.)

Tenure, Academic Freedom, and Governance.

Science.gov (United States)

Perley, James E.

1995-01-01

Tenure itself is not the central issue in the debate over faculty tenure; honest faculty evaluation, adequate faculty development, and termination when appropriate are the real issues as are fears that abandonment of the tenure principle would amount to abandonment of the principles of academic freedom and shared governance. (MSE)

Hemicrania continua: Case series presenting in an orofacial pain clinic.

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Hryvenko, Iryna; Cervantes-Chavarría, Andrés R; Law, Alan S; Nixdorf, Donald R

2018-01-01

Aim of investigation Hemicrania continua (HC) is an uncommon primary headache and little is known of the characteristics of such patients managed in an orofacial pain setting. This study provides clinical features of HC, its association with other disorders, and treatment outcomes of patients managed in the TMD and Orofacial Pain Clinic at the University of Minnesota. Methods A retrospective review of patient records was undertaken. Inclusion criteria were a diagnosis of HC and confirmation at follow-up. Results Six of the 1617 new patients seen between 2015 and 2017 met the selection criteria. Four patients presented with "facial pain", one with "toothache" and one with "jaw pain". All were female with mean age 55 ± 10.5 years (range = 41-69). Headache characteristics included unilateral (R:L = 1:1) pain of moderate intensity with severe exacerbations in the distribution of V 1 (1/6), V 1  + V 2 (3/6) and V 1  + V 2  + V 3 (2/6). Lacrimation and photophobia were the most common associated symptoms. Patient presentations were complicated by multiple medical and comorbid diagnoses. All were diagnosed with temporomandibular disorder (TMD). Indomethacin alone was sufficient for adequate headache control in 2/6 patients with several add-on medications providing sustained pain relief. Conclusions Comorbid pain conditions can be expected in patients with HC presenting to orofacial pain clinics. Symptom presentation varies, and multimodal treatment approach is necessary for success.

The Association between Freedom of Choice and Effectiveness of Home Care Services.

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Steffansson, Marina; Pulliainen, Marjo; Kettunen, Aija; Linnosmaa, Ismo; Halonen, Miikka

2016-03-31

The aim of this paper is to study home care clients' freedom to choose their services, as well the association between the effectiveness of home care services and freedom of choice, among other factors. A structured postal survey was conducted among regular home care clients (n = 2096) aged 65 or older in three towns in Finland. Freedom of choice was studied based on clients' subjective experiences. The effectiveness of the services was evaluated by means of changes in the social-care-related quality of life. Regression analyses were used to test associations. As much as 62% of home care recipients reported having some choice regarding their services. Choosing meals and visiting times for the care worker were associated with better effectiveness. The basic model, which included needs and other factors expected to have an impact on quality of life, explained 15.4% of the changes in quality of life, while the extended model, which included the freedom-of-choice variables, explained 17.4%. The inclusion of freedom-of-choice variables increased the adjusted coefficient of determination by 2%. There was a significant positive association between freedom of choice and the effectiveness of public home care services. Freedom of choice does not exist for all clients of home care who desire it. By changing social welfare activities and structures, it is possible to show respect for clients' opinions and to thereby improve the effectiveness of home care services.

Pain-relevant anxiety affects desire for pain relief, but not pain perception

Directory of Open Access Journals (Sweden)

Adriana Banozic

2017-01-01

Full Text Available Background: Pain context plays a significant role in the perception of pain. Despite recent interest in vicarious learning and anxiety in pain modulation, there have been no attempts to explore pain modulation by specific environmental cues. Aims: Therefore, the present study evaluated pain responses in the condition that was attributed as either anxiety relevant (AR or anxiety irrelevant. Materials and Methods: Participants were exposed to both conditions through social observational learning. Pain perception was assessed by means of a visual analog scale ranging from 0 = no pain to 10 = maximum imaginable pain. State anxiety, empathy, expectancy, and desire for pain relief were also measured at both neutral and emotionally inducing conditions. Results: No effect of relevancy of anxiety for the pain context on any of the pain-related constructs was found. However, participants in the AR condition reported an increased desire for pain relief. Maximizing similarities between observed and experienced pain context did not enhance observational learning effects in the emotionally inducing condition regardless of its relevance, but significant changes were found in comparison to the affectively neutral group. Conclusions: These results could have potentially significant clinical implications suggesting that even though observing painful procedures does not increase pain it could affect medication usage.

Freedom of Information Act (FOIA) Policy

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This policy establishes EPA requirements for complying with the Freedom of Information Act (FOIA) as amended, EPA FOIA regulations, and guidance issued by the U. S. Department of Justice and the National Archives and Records Administration.

Efficient conditioned pain modulation despite pain persistence in painful diabetic neuropathy

Directory of Open Access Journals (Sweden)

Yelena Granovsky

2017-06-01

Conclusion:. Pro-nociception, expressed by less efficient CPM and high temporal summation that usually accompanies clinical painful conditions, seems to “normalize” with chronicity of the pain syndrome. This is despite continuing pain, suggesting that pro-nociceptivity in pain syndromes is multifactorial. Because the pain modulation profile affects success of therapy, this suggests that different drugs might express different efficacy pending on duration of the pain in patients with PDN.

Screening and assessment of chronic pain among children with cerebral palsy: a process evaluation of a pain toolbox.

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Orava, Taryn; Provvidenza, Christine; Townley, Ashleigh; Kingsnorth, Shauna

2018-06-08

best practice and offers a range of validated tools that can be incorporated in ambulatory clinic settings to meet varied client needs. Considering unique clinical contexts (i.e., opportunities for use, provider engagement, staffing absences/turnover) is required to optimize and sustain chronic pain screening and assessment practices in rehabilitation outpatient settings.

Juridical Freedom and Its Social Pathologies according to Honneth

Directory of Open Access Journals (Sweden)

Marcos Luiz da Silva

2017-03-01

Full Text Available This article deals with Axel Honneth's theory about the right to freedom and the spheres of social ethics, particularly in regard to legal freedom, in which he highlights its reasons, limits and pathologies. In this sense, he sought to analyze his concept of juridification of social relations in private and family environments, in order to identify the applicability of legal pathologies in contemporary Brazilian society.

12 CFR 407.7 - Relationship to Freedom of Information Act.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Relationship to Freedom of Information Act. 407.7 Section 407.7 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES REGULATIONS GOVERNING PUBLIC OBSERVATION OF EX-IM BANK MEETINGS § 407.7 Relationship to Freedom of Information Act. Nothing in...

Protecting the human right to freedom of expression in international law.

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Howie, Emily

2018-02-01

Since its inclusion in Article 19 of the Universal Declaration of Human Rights, the right to freedom of opinion and expression has been protected in all of the relevant international human rights treaties. In international law, freedom to express opinions and ideas is considered essential at both an individual level, insofar as it contributes to the full development of a person, and being a foundation stone of democratic society. Free speech is a necessary precondition to the enjoyment of other rights, such as the right to vote, free assembly and freedom of association, and is essential to ensure press freedom. However, there is a clear and worrying global trend, including in western democracies, of governments limiting vibrant discussion and debate within civil society and among civil society, political leaders and government. Two examples illustrate this trend. First, anti-protest laws in Australia and the United States threaten the ability of people to stand together and express views on issues they care deeply about. Secondly, metadata retention laws jeopardise press freedom by undermining the confidentiality of journalists' sources and dissuading people from speaking freely on matters of public importance.

The Problem of Freedom in Norbert Elias in Dialogue with the Neurosciences [ENG

Directory of Open Access Journals (Sweden)

Joan Lacomba

2013-01-01

Full Text Available This paper focuses on the social theory of freedom proposed by Norbert Elias, as opposed to classic philosophical views. Firstly, it analyses the basic features of the metaphysical theories of freedom which Elias rejects. Then the key points on which Norbert Elias?s social theory of freedom is based are developed. Finally, two Eliasian classic empirical examples are briefl y discussed: the cases of Louis XIV and Mozart. The above is intended to show that Elias has a legitimate voice in the current scientifi c debate about freedom, especially within Neuroscience.

Academic Freedom: A Lawyer's Perspective

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Davies, Mark

2015-01-01

Academic freedom is central to ideas of higher education, yet in the United Kingdom it is facing challenges from changing managerial approaches within some universities and changing governmental expectations. Universities are increasingly expected to focus upon knowledge which can be shown to have value and to exploit the results of academic…

Dostoevsky’s and Frank’s ideas of freedom

Directory of Open Access Journals (Sweden)

_ _

2017-12-01

in his salvation. The article is devoted to the comparison of the basic anthropological and personality concepts, as well as the idea of freedom and its characteristics in the works and works of both thinkers, in order to trace the continuity of Dostoevsky’s tradition with Frank in the framework of his anthropology and personalism in order to prove that for him human freedom and self-Man is an absolute value, his anthropology can be viewed in the context of his philosophy of unity and not contradict it.

Intranasal Oxytocin for the Treatment of Pain Associated with Interstitial Cystitis

Science.gov (United States)

2015-11-01

study. It may be that the current delivery system was ineffective in allowing the entire dose of oxytocin to reach its target and/or be absorbed... lidocaine (PSD597) offers sustained relief from symptoms of interstitial cystitis and painful bladder syndrome. BJU Int 103(7): 910-18, 2009. 3. O’Leary

The Virtue of Freedom in Capitalism.

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Machan, Tibor R.

1986-01-01

Argues that the sort of liberty associated with a capitalist economic system is of particular value because it ensures moral self-responsibility. Two conceptions of freedom are developed and related to private property and public virtue. (Author/JDH)

Dialogue of Freedom. Asian Voices Challenge Cultural Assumptions about Democracy.

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Pon, Cynthia

2001-01-01

Discusses the concept of freedom in a global context, focusing on the Asian perspectives of three spokespersons: Zhuangzi or Chuang Tzu, a Daoist (Taoist) poet-philosopher in 4th-century-BCE China; Indian-born Nobel economist Amartya Sen, whose work on poverty links development with freedom; and Aung San Suu Kyi, Burmese democratic leader and…

Freedom Reconsidered: Heteronomy, Open Subjectivity, and the "Gift of Teaching"

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Zhao, Guoping

2014-01-01

This paper analyzes the entanglement of the modern concepts of freedom, autonomy, and the modern notion of the subject and how a passion for and insistence on freedom has undermined the reconstruction of human subjectivity in Heidegger and Foucault, and how such passion has also limited the educational effort at addressing the problems brought to…

Conditioned pain modulation in patients with nonspecific chronic back pain with chronic local pain, chronic widespread pain, and fibromyalgia.

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Gerhardt, Andreas; Eich, Wolfgang; Treede, Rolf-Detlef; Tesarz, Jonas

2017-03-01

Findings considering conditioned pain modulation (CPM) in chronic back pain (CBP) are contradictory. This might be because many patients with CBP report pain in further areas of the body, and altered CPM might influence spatial extent of pain rather than CBP per se. Therefore, we compared CPM in patients with CBP with different pain extent. Patients with fibromyalgia syndrome (FMS), for whom CPM impairment is reported most consistently, were measured for comparison. Based on clinical evaluation and pain drawings, patients were categorized into chronic local back pain (CLP; n = 53), chronic widespread back pain (CWP; n = 32), and FMS (n = 92). Conditioned pain modulation was measured by the difference in pressure pain threshold (test stimuli) at the lower back before and after tonic heat pain (conditioning stimulus). We also measured psychosocial variables. Pressure pain threshold was significantly increased in CLP patients after tonic heat pain (P pain modulation in CLP was significantly higher than that in CWP and FMS (P painful areas (0-10) were associated with lower CPM (r = 0.346, P = 0.001) in CBP but not in FMS (r = -0.013, P = 0.903). Anxiety and depression were more pronounced in FMS than in CLP or CWP (P values pain inhibition seem to be more indicated the higher the pain extent.

Isobar degrees of freedom in nuclei

International Nuclear Information System (INIS)

Muether, H.

1979-01-01

A report is given on some recent investigations of the influence of isobar degrees of freedom on the ground state properties of finite nuclei like e.g. 16 O. The nucleon-nucleon (NN) interaction is constructed in the freamework of an extended one-boson-exchange (OBE) model using non-covariant, time-dependent perturbation theory. The explicit consideration of fourth-order iterative diagrams involving NΔ and ΔΔ intermediate states gives an effective NN interaction in the nuclear many-body system which is less attractive than those which are obtained treating these terms phenomenologically. Therefore the binding energy calculated in the Brueckner-Hartree-Fock approximation is smaller if these effects of isobar degrees of freedom are taken into account. This repulsive effect of isobar configurations is partly counterbalanced by the attraction obtained for three-nucleon terms with intermediate NNΔ states. (Auth.)

Effective hadron degrees of freedom in nuclei

International Nuclear Information System (INIS)

Mulders, P.J.

1988-01-01

This paper discusses several topics. The first one is the importance of a consistent treatment of extended nucleons and the subsequent requirement of accounting for quark antisymmetrization. It will probably be possible to account for these effects through quark exchange currents in much of the same way as meson exchange currents at lower values of Q 2 . In order to obtain more definite answers on intrinsic properties of nucleons and other hadronic degrees of freedom in nuclei it is important to establish to which extent hadronic degrees of freedom behaving like quasi-free nuclear constituents can be used to describe the nuclear response in inclusive and semi-inclusive electron scattering at intermediate energies

U.S. Initiatives to Promote Global Internet Freedom: Issues, Policy, and Technology

Science.gov (United States)

2010-09-08

Amendment of the U.S. Bill of Rights ensuring freedom of speech , assembly, and religion. Secretary Clinton argued that these principles were reaffirmed in...Act or VOICE Act (Sec. 1242) Expresses the sense of the Senate in support of the universal values of freedom of speech , the press, and expression... freedom of speech , expression, and assembly. Authorizes appropriations to the Fund. (Sec. 1246) Directs the President to report annually to Congress on

Renormalization group and asymptotic freedom

International Nuclear Information System (INIS)

Morris, J.R.

1978-01-01

Several field theoretic models are presented which allow exact expressions of the renormalization constants and renormalized coupling constants. These models are analyzed as to their content of asymptotic free field behavior through the use of the Callan-Symanzik renormalization group equation. It is found that none of these models possesses asymptotic freedom in four dimensions

The Constitution and Academic Freedom.

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Gilbertson, Eric R.

During the past 150 years U.S. courts have demonstrated a special protectiveness toward academics and academic institutions. Academic freedom was not a concern when the U.S. Constitution and the First Amendment were drafted and is not mentioned in the "Federalist Papers." However, decisions by a series of Supreme Court justices led to…

An exploratory study of the association of acute posttraumatic stress, depression, and pain to cognitive functioning in mild traumatic brain injury.

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Massey, Jessica S; Meares, Susanne; Batchelor, Jennifer; Bryant, Richard A

2015-07-01

Few studies have examined whether psychological distress and pain affect cognitive functioning in the acute to subacute phase (up to 30 days postinjury) following mild traumatic brain injury (mTBI). The current study explored whether acute posttraumatic stress, depression, and pain were associated with performance on a task of selective and sustained attention completed under conditions of increasing cognitive demands (standard, auditory distraction, and dual-task), and on tests of working memory, memory, processing speed, reaction time (RT), and verbal fluency. At a mean of 2.87 days (SD = 2.32) postinjury, 50 adult mTBI participants, consecutive admissions to a Level 1 trauma hospital, completed neuropsychological tests and self-report measures of acute posttraumatic stress, depression, and pain. A series of canonical correlation analyses was used to explore the relationships of a common set of psychological variables to various sets of neuropsychological variables. Significant results were found on the task of selective and sustained attention. Strong relationships were found between psychological variables and speed (r(c) = .56, p = .02) and psychological variables and accuracy (r(c) = .68, p = .002). Pain and acute posttraumatic stress were associated with higher speed scores (reflecting more correctly marked targets) under standard conditions. Acute posttraumatic stress was associated with lower accuracy scores across all task conditions. Moderate but nonsignificant associations were found between psychological variables and most cognitive tasks. Acute posttraumatic stress and pain show strong associations with selective and sustained attention following mTBI. (c) 2015 APA, all rights reserved).

Freedom and imperative: mutual care between older spouses with physical disabilities.

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Torgé, Cristina Joy

2014-05-01

This article explores mutual caregiving between older spouses aging with physical disabilities. Nine older couples, where both partners had lived long lives with physical disabilities, were interviewed as dyads about mutual caregiving. The couples not only had access to different kinds and degrees of formal support but also provided mutual care to each other in a variety of ways. Interview coding using grounded theory led to two overarching categories from which motivation for mutual caregiving could be understood. These categories were Mutual care as freedom and Mutual care as imperative. The results extend understanding about how older couples with disabilities attached meaning to their mutual caregiving, and why mutual care was sometimes preferable, despite the availability of other sources of help and despite practical difficulties of providing this help. These findings suggest that health care professionals need to be sensitive to the dynamics of the couple relationship and carefully explore the couple's preferences for how formal support can best be provided in ways that honor and sustain the integrity of the couple relationship.

Evaluation of radiation therapy for bone metastases: pain relief and quality of life

International Nuclear Information System (INIS)

Gilbert, H.A.; Kagan, A.R.; Nussbaum, H.; Rao, A.R.; Satzman, J.; Chan, P.; Allen, B.; Forsythe, A.

1977-01-01

The records of 158 patients irradiated for bone metastases were reviewed to evaluate the effectiveness of pain relief and to judge the effect of treatment on overall quality of life. Within 3 months 73% of the sites treated had pain relief, with 55 to 65% having sustained relief up to 1 year or death. Of patients surviving more than 3 months, 63% maintained a satisfactory quality of life and were able to take care of most personal needs. The median survival of all patients was 1 year from initial treatment for bone metastasis. Radiation dose and the primary tumor site do not seem to be significant prognostic factors for initial pain relief or quality of life

Culture and National Well-Being: Should Societies Emphasize Freedom or Constraint?

Science.gov (United States)

Harrington, Jesse R; Boski, Pawel; Gelfand, Michele J

2015-01-01

Throughout history and within numerous disciplines, there exists a perennial debate about how societies should best be organized. Should they emphasize individual freedom and autonomy or security and constraint? Contrary to proponents who tout the benefits of one over the other, we demonstrate across 32 nations that both freedom and constraint exhibit a curvilinear relationship with many indicators of societal well-being. Relative to moderate nations, very permissive and very constrained nations exhibit worse psychosocial outcomes (lower happiness, greater dysthymia, higher suicide rates), worse health outcomes (lower life expectancy, greater mortality rates from cardiovascular disease and diabetes) and poorer economic and political outcomes (lower gross domestic product per capita, greater risk for political instability). This supports the notion that a balance between freedom and constraint results in the best national outcomes. Accordingly, it is time to shift the debate away from either constraint or freedom and focus on both in moderation.

FREEDOM OF EXPRESSION IN ETHIOPIA: THE ...

African Journals Online (AJOL)

eliasn

freedom of expression as provided under the FDRE Constitution. Then, some ... M (CEU); Addis Ababa University School of Law, Currently on .... The other line of reasoning that is adopted to justify the protection of speech is one that makes ...

Painful Intercourse Is Significantly Associated with Evoked Pain Perception and Cognitive Aspects of Pain in Women with Pelvic Pain

Directory of Open Access Journals (Sweden)

Meryl J. Alappattu, DPT, PhD

2015-03-01

Conclusions: Differences in local pain ratings suggest that women with pelvic pain perceive stimuli in this region as more painful than pain-free women although the magnitude of stimuli does not differ. Alappattu MJ, George SZ, Robinson ME, Fillingim RB, Moawad N, LeBrun EW, and Bishop MD. Painful intercourse is significantly associated with evoked pain perception and cognitive aspects of pain in women with pelvic pain. Sex Med 2015;3:14–23.

The will: from metaphysical freedom to normative functionalism.

Science.gov (United States)

Felthous, Alan R

2008-01-01

Free will is regarded by some as the most and by others as the least relevant concept for criminal responsibility. Contributions from religious and philosophical thinkers over the classical and medieval Christian eras demonstrate that, despite the passionate and historically consequential debates over the meaning of "freedom," the unifying theme that joined the will with the intellect remained persistent and pervasive. Leading historical jurists in England eventually dropped the descriptor "free," but retained the central importance of the will to criminal responsibility and emphasized its dependence on the intellect to function properly. Modern rationalist philosophers denied the will's metaphysical freedom, but not its existence. Today the neurosciences reveal more and more about how the will functions, even as lawyers and psychiatrists hesitate to utter the word. In properly avoiding metaphysical freedom within forensic inquiry and discourse, it is a grave conceptual mistake to overlook the will itself. Once greater conceptual clarity on the empirical nature of the will is achieved and accepted, the law itself could rediscover the core mental faculty behind human agency, the will.

Mesonic and isobar degrees of freedom in nuclei

International Nuclear Information System (INIS)

Muether, H.

1978-01-01

A study is made in 16 O of the effects of mesonic and isobar degrees of freedom. Taking these degrees of freedom explicitly into account causes a change of the bare nucleon-nucleon (NN) interaction going from the description of the two-nucleon system (NN-scattering, deuteron) to the many-body system of complex nuclei. Three main effects are discussed: First, the mesonic degrees of freedom, taken into account in a noncovariant perturbation theory, introduce and additional density dependence into the NN interaction. In a Brueckner-Hartree-Fock calculation for 16 O this leads to an improvement of the radius with a small change of the energy. Second, fourth-order iterative diagrams involving NΔ-and ΔΔ-intermediate states give less medium range attraction in complex nuclei than a NN-potential which is also fitted to the NN-data but does not treat these terms explicitly. Third, effective three-N forces, caused by excitation of isobars, give rise to a small amount of attraction only. For 16 O the additional binding energy is only about 0.5 MeV per particle. (author)

Features Consolidation and the Right to Freedom Personality in Law of Modern Russia

Directory of Open Access Journals (Sweden)

Alexander Kalyuzhnyi

2016-08-01

Full Text Available The article substantiates the urgency of countering the spread of attacks on freedom of the individual; analyzes the provisions of the Russian legislation on the declaration, and securing the rights to freedom of the individual; a classification of the investigated legal acts; substantiates the content structure of each of the listed groups of regulations;the content of the right to freedom of movement and the prohibition of forced labor in the legislation of Russia, analyzes the limits of jurisdiction of the Russian Federation and its members in matters of freedom of the individual; The problems of the existing mechanisms for the implementation of the provisions of the investigated legal acts; the features of the current state of the legal regulation of the right to individual freedom and draws conclusions on the content of the article.

Wired to freedom

DEFF Research Database (Denmark)

Jepsen, Kim Sune Karrasch; Bertilsson, Margareta

2017-01-01

dimension of life science through a notion of public politics adopted from the political theory of John Dewey. We show how cochlear implantation engages different social imaginaries on the collective and individual levels and we suggest that users share an imaginary of being “wired to freedom” that involves...... new access to social life, continuous communicative challenges, common practices, and experiences. In looking at their lives as “wired to freedom,” we hope to promote a wider spectrum of civic participation in the benefit of future life science developments within and beyond the field of Cochlear...

BBG 2009 Freedom of Information Act Repot

Data.gov (United States)

Broadcasting Board of Governors — The Broadcasting Board of Governors' annual Freedom of Information Act (FOIA) report includes detailed statistics on the number and disposition of FOIA requests,...

BBG 2008 Freedom of Information Act Report

Data.gov (United States)

Broadcasting Board of Governors — The Broadcasting Board of Governors' annual Freedom of Information Act (FOIA) report includes detailed statistics on the number and disposition of FOIA requests,...

No School like Freedom School

Science.gov (United States)

Williamson, Lisa Ann

2013-01-01

"You are the hope of the future." That's the message Marian Wright Edelman, executive director of the Children's Defense Fund (CDF), gave more than 1,500 excited college students and recent graduates as they began a week-long training for the CDF's Freedom Schools. She was preparing them for a daunting task--that of transforming the…

A 76-year old man with a torn Freedom SOLO bioprosthesis

NARCIS (Netherlands)

Wollersheim, Laurens W.; Li, Wilson W.; van der Meulen, Jan; de Mol, Bas A.

2014-01-01

We describe a case of a 76-year old male who presented with progressive dyspnoea. He underwent an aortic valve replacement with a Freedom SOLO bioprosthesis 6 years ago. Transthoracic echocardiography showed a moderate-to-severe leakage of the Freedom SOLO bioprosthesis. During surgical

Further evidence on the relationship between economic freedom and economic growth

NARCIS (Netherlands)

De Haan, J; Siermann, CLJ

Often it is maintained that economic freedom may further high levels of economic growth. Using various measures of economic freedom constructed by Scully and Slottje, the robustness of this relationship is examined. Both direct and indirect effects of lack of liberties are analysed. Our main

The importance and use of asymptotic freedom beyond the leading order

International Nuclear Information System (INIS)

Duke, D.W.

1979-05-01

The theoretical and phenomenological importance of asymptotic freedom beyond the leading order is discussed. The two main topics are (1) the determination of the fundamental scale Λ, and (2) ambiguities in parton model definitions when using the higher order effects of asymptotic freedom. (author)

Limits of Freedom Expression: Analasys of HC 82.424/RS CASE

Directory of Open Access Journals (Sweden)

Nayara Gallieta Borges

2016-12-01

Full Text Available The right to freedom of expression is constitutionally guaranteed in the Brazilian democratic polity. However, this right is not absolute: it finds limits of ethics and law. The limits of freedom of expression are evident when we apply the principle of proportionality and balance with other rights provided for in our legal system in the light of the case. The relativization of freedom of expression in the judgment of HC 82,424 / RS has been a major paradigm shift in the jurisprudence of the Supreme Court and a case of great symbolic importance in the fundamental rights field.

Classical analog for electronic degrees of freedom in nonadiabatic collision processes

International Nuclear Information System (INIS)

Meyer, H.; Miller, W.H.

1979-01-01

It is shown how a formally exact classical analog can be defined for a finite dimensional (in Hilbert space) quantum mechanical system. This approach is then used to obtain a classical model for the electronic degrees of freedom in a molecular collision system, and the combination of this with the usual classical description of the heavy particle (i.e., nuclear) motion provides a completely classical model for the electronic and heavy particle degrees of freedom. The resulting equations of motion are shown to be equivalent to describing the electronic degrees of freedom by the time-dependent Schroedinger equation, the time dependence arising from the classical motion of the nuclei, the trajectory of which is determined by the quantum mechanical average (i.e., Ehrenfest) force on the nuclei. Quantizing the system via classical S-matrix theory is shown to provide a dynamically consistent description of nonadiabatic collision processes; i.e., different electronic transitions have different heavy particle trajectories and, for example, the total energy of the electronic and heavy particle degrees of freedom is conserved. Application of this classical model for the electronic degrees of freedom (plus classical S-matrix theory) to the two-state model problem shows that the approach provides a good description of the electronic dynamics

James Baldwin: Biographical Dispatches on a Freedom Writer

Directory of Open Access Journals (Sweden)

Phillip Luke Sinitiere

2016-12-01

Full Text Available This essay presents the idea of James Baldwin as a freedom writer, the organizing idea of my biography in progress. As a freedom writer, Baldwin was a revolutionary intellectual, an essayist and novelist committed unfailingly to the realization of racial justice, interracial political equality, and economic democracy. While the book is still in process, this short essay narrates autobiographically how I came to meet and know Baldwin’s work, explains in critical fashion my work in relation to existing biographies, and reflects interpretively my thoughts-in- progress on this fascinating and captivating figure of immense historical and social consequence.

Non-dipolar degrees of freedom in neptunium dioxide

International Nuclear Information System (INIS)

Santini, Paolo; Amoretti, Giuseppe

2002-01-01

We discuss the role of degrees of freedom different from the magnetic dipole in NpO 2 . Electric-quadrupole degrees of freedom appear to produce a large splitting of the main crystal-field (CEF) transition, due to the formation of mixed CEF-phonon states. A phase transition occurs at 25 K, and its phenomenology is inconsistent with a magnetic-dipole or an electric-quadrupole order parameter (OP). A magnetic-octupole of Γ 2 symmetry appears to be the best candidate OP. Such quantity can be detected in principle in a neutron diffraction experiment. The corresponding form factor is discussed. (author)

Educative Non-Privative Measures of Freedom

Directory of Open Access Journals (Sweden)

Zau Raul-Teodor

2017-06-01

Full Text Available Infractionality or criminality in minor rank, even if it is a component of a general infractional phenomenon, it shows some particularities determined by biological, psychological and social characteristics of minor persons which Romanian legislature had in mind when it had foreseen their criminal liability. For this, The New riminal Code, stipulates some regulations on the educational measures regarding non privacy of freedom - three conditions from the file - Recommandations R nr. 16/1992 of the European Committee. Measures regarding the non privacy of freedom are sanctions applied by the court and the young defendant is still in the society with some obligations on his side or institution which was bound by the court in the name of the law. The issue of this measure is to educate and reeducate the minor person who commited a crime, to ensure a change in his conscience to respect social values.

Low-Dose Ketamine Infusion for Emergency Department Patients with Severe Pain.

Science.gov (United States)

Ahern, Terence L; Herring, Andrew A; Miller, Steve; Frazee, Bradley W

2015-07-01

Use of low-dose ketamine infusions in the emergency department (ED) has not previously been described, despite routine use in perioperative and other settings. Our hypothesis was that a low-dose ketamine bolus followed by continuous infusion would 1) provide clinically significant and sustained pain relief; 2) be well tolerated; and 3) be feasible in the ED. We prospectively administered 15 mg intravenous ketamine followed immediately by continuous ketamine infusion at 20 mg/h for 1 hour. Optional morphine (4 mg) was offered at 20, 40, and 60 minutes. Pain intensity, vitals signs, level of sedation, and adverse reactions were assessed for 120 minutes. A total of 38 patients were included with a median initial numerical rating scale (NRS) pain score of 9. At 10 minutes, the median reduction in pain score was 4, with 7 patients reporting a score of 0. At 60 and 120 minutes, 25 and 26 patients, respectively, reported clinically significant pain reduction (decrease NRS score > 3). Heart rate, blood pressure, respiratory rate, and oxygen saturation remained stable. Mild or moderate side effects including dizziness, fatigue, and headache were common. Patient satisfaction was high; 85% reported they would have this medication again for similar pain. A low-dose ketamine infusion protocol provided significant pain relief with mostly mild side effects and no severe adverse events. Wiley Periodicals, Inc.

Freedom of Education as a Prerequisite for the Development of Creativity

Directory of Open Access Journals (Sweden)

Svetlana Hanaba

2014-07-01

Full Text Available The article focuses on the need to modernize the education sector as an area of freedom. That educational space of freedom is a necessary condition for the development of creativity. This space, which grows with its context through acts of creativity, creates a new context. Methodological guidance in considering this problem is to understand the phenomenon of freedom as a special be-ing a person that opposes the principle of necessity as being of nature. Freedom is an opportunity and the ability to be a human and to be an open to changes in various modes of social and personal realization. The learning process is not perceived as the cultivation of a certain abstract image, under which definite personality “is shaping “, but as a process of discovering its inner creative original building. In such circumstances, the creative process is focused on cultural transformation rather than social adaptation of educational interaction participants.

Culture and National Well-Being: Should Societies Emphasize Freedom or Constraint?

Directory of Open Access Journals (Sweden)

Jesse R Harrington

Full Text Available Throughout history and within numerous disciplines, there exists a perennial debate about how societies should best be organized. Should they emphasize individual freedom and autonomy or security and constraint? Contrary to proponents who tout the benefits of one over the other, we demonstrate across 32 nations that both freedom and constraint exhibit a curvilinear relationship with many indicators of societal well-being. Relative to moderate nations, very permissive and very constrained nations exhibit worse psychosocial outcomes (lower happiness, greater dysthymia, higher suicide rates, worse health outcomes (lower life expectancy, greater mortality rates from cardiovascular disease and diabetes and poorer economic and political outcomes (lower gross domestic product per capita, greater risk for political instability. This supports the notion that a balance between freedom and constraint results in the best national outcomes. Accordingly, it is time to shift the debate away from either constraint or freedom and focus on both in moderation.

Determinants of economic freedom of the Association of Southeast Asian Nation economic community

Directory of Open Access Journals (Sweden)

Karen Debbie C. Magallon

2016-01-01

Full Text Available One of the determinants of the well-being of people across the world is economic freedom. It is the freedom to choose the ways to produce, sell, and use your private resources, while respecting rights of the other to practice the same. The primordial intention of the study was to investigate the factors affecting economic freedom in the Association of Southeast Asian Nations (ASEAN Economic Community. Human Development Index (HDI, Corruption Perceptions Index (CPI and GDP per capita are dimensions considered to characterize the level of a country’s economic freedom. Trend performance of AEC in these indexes was also determined. The empirical estimate was based on a panel dataset covering 6 member-countries of the ASEAN Economic Community from 2001 to 2010. The model was estimated through Ordinary Least Squares (OLS multiple linear regression analysis. For the trend performance of the indexes, Singapore found to have a remarkable performance. The empirical result strongly suggests that CPI and GDP per capita foster economic freedom. For every 1% decrease in CPI would lead to an increase in economic freedom index by.121 % and for every 1% increase in GDP per capita, EFI will increase by .019%.

Calculating the Philosophical Significance of the Concept of Religious Freedom in Islam

OpenAIRE

Roswantoro, Alim

2014-01-01

The writing attemps to explore the philosophical meaning of the theological messages of Islam on religious freedom. The article do not study the empirical facts of religious freedom practiced by muslims today, but it scrutinizes the theological messages as written in the Qur'an and as showed by the real examples of the God's Messenger. Through understanding some Qur'anic verses, we will find that Islam strongly encourages the life of different religious people based on the value of freedom. F...

Freedom of Information Act (FOIA) Tracking System

Data.gov (United States)

Office of Personnel Management — Tracking system which allows for the input of the Freedom of Information Act (FOIA) request date, compiles the due date, information pertaining to the request, name...

Colorectal surgery patients' pain status, activities, satisfaction, and beliefs about pain and pain management.

Science.gov (United States)

Brown, Carolyn; Constance, Kristel; Bédard, Denise; Purden, Margaret

2013-12-01

This study describes surgical colorectal cancer patients' pain levels, recovery activities, beliefs and expectations about pain, and satisfaction with pain management. A convenience sample of 50 adult inpatients who underwent colorectal surgery for cancer participated. Patients were administered the modified American Pain Society Patient Outcome Questionnaire on postoperative day 2 and asked to report on their status in the preceding 24 hours. Patients reported low current (mean 1.70) and average (mean 2.96) pain scores but had higher scores and greater variation for worst pain (mean 5.48). Worst pain occurred mainly while turning in bed or mobilizing, and 25% of patients experienced their worst pain at rest. Overall, patients expected to have pain after surgery and were very satisfied with pain management. Patients with worst pain scores >7 reported interference with recovery activities, mainly general activity (mean 5.67) and walking ability (mean 5.15). These patients were likely to believe that "people can get addicted to pain medication easily" (mean 3.39 out of 5) and that "pain medication should be saved for cases where pain gets worse" (mean 3.20 out of 5). These beliefs could deter patients from seeking pain relief and may need to be identified and addressed along with expectations about pain in the preoperative nursing assessment. Copyright © 2013 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Religious Education and Freedom of Religion and Belief. Religion Education and Values. Volume 2

Science.gov (United States)

Parker, Stephen, Ed.; Freathy, Rob, Ed.; Francis, Leslie J., Ed.

2012-01-01

What opportunities and challenges are presented to religious education across the globe by the basic human right of freedom of religion and belief? To what extent does religious education facilitate or inhibit "freedom of religion" in schools? What contribution can religious education make to freedom in the modern world? This volume…

Do People Really Want Freedom of Choice? Assessing preferences of pension participants

OpenAIRE

van Dalen, H.P.; Henkens, K.

2017-01-01

Reforms in private pension plans across the world are opening up more options for pension participants to make choices to suit their preferences. Freedom of choice is however not a unidimensional concept as it is commonly perceived by policy makers. People can value both the freedom to choose as well as the freedom not to choose This observation can have far-reaching implications for pension policy design. By using a unique panel survey among Dutch employees we are able to offer a more refine...

UNDER THE ASPECT OF ETERNITY: THINKING FREEDOM IN SPINOZA’S ETHICS

Directory of Open Access Journals (Sweden)

Adam Arola

2013-11-01

Full Text Available This paper offers an interpretation of the role of freedom in Spinoza’s Ethics. Given that Spinoza is usually thought of as a thinker of determinism (or better: necessity, I explain how his thinking of freedom only makes sense insofar as one recognizes the importance of what he describes as the three kinds of knowing, in relation to the affects. The difference between freedom and slavery lies in how one receives and interprets the affects, i.e. the force of the external world. To affirm the necessity of your disposition and thrownness is to take part in the free necessity that Spinoza describes.

Dancing in pain: pain appraisal and coping in dancers.

Science.gov (United States)

Anderson, Ruth; Hanrahan, Stephanie J

2008-01-01

This study investigated the relationships between the type of pain experienced (performance pain and injury pain), the cognitive appraisal of pain and pain coping styles in dancers. Fifty-one professional ballet and contemporary dancers (17 males and 34 females), with the mean age of 25.9 years, completed a general pain questionnaire, the Pain Appraisal Inventory, the Survey of Pain Attitudes Control Subscale, and the Sports Inventory for Pain. Multivariate analyses of variance indicated that both the cognitive appraisal of the pain and pain coping styles did not differ according to the type of pain experienced or the pain severity. However, it was found that dancers with performance pain of either low or high severity were more likely to dance in pain than dancers experiencing injury pain. Multiple regression analyses indicated that the appraisal of pain as threatening was predictive of the use of avoidance and catastrophizing pain coping styles. Overall, results indicated that dancers may not differentiate between performance pain and injury pain, or modify their appraisal and coping strategies according to the characteristics of the pain experienced. The study highlighted an opportunity for increased education for dancers in recognizing the difference between pain considered to be a routine aspect of training and pain which is a signal of serious injury.

Academic Freedom in Canadian Higher Education: Universities, Colleges, and Institutes Were Not Created Equal

Science.gov (United States)

Hogan, Barry E.; Trotter, Lane D.

2013-01-01

There has been substantial discussion, research, and debate about the role of academic freedom within higher education, primarily centered on the university model. Not as well documented or understood is the issue of academic freedom within colleges and institutes in Canada. In this paper, we examine the current state of academic freedom in…

'Freedom from all forms of violence'

African Journals Online (AJOL)

SA CRIME QUARTERLY NO. 50 • DECEMBER 2014. 'Freedom from all forms of violence'. Using Zimbabwe's new. Constitution to encourage rape law reform ... Zimbabwean law that present potential obstacles to achieving justice for rape survivors: the definition of the crime of ...... compiled by Fungayi Jessie Majome MP.

Freedom of Expression in Elementary School.

Science.gov (United States)

Zirkel, Perry A.

2003-01-01

Uses question and answer format to discuss scope of elementary students' First Amendment freedom of expression rights. For example, does the First Amendment prevent the disciplining of a sixth grader for writing a sexually inappropriate remark in another student's notebook? Answer: No. (Contains 13 references.) (PKP)

Freedom and privacy in ambient intelligence

NARCIS (Netherlands)

Brey, Philip A.E.

2006-01-01

This paper analyzes ethical aspects of the new paradigm of Ambient Intelligence, which is a combination of Ubiquitous Computing and Intelligent User Interfaces (IUI’s). After an introduction to the approach, two key ethical dimensions will be analyzed: freedom and privacy. It is argued that Ambient

76 FR 3815 - Religious Freedom Day, 2011

Science.gov (United States)

2011-01-20

... Statute for Religious Freedom, in which Thomas Jefferson wrote that ``all men shall be free to profess... country that is tolerant, just, and strong. My Administration continues to defend the cause of religious...

77 FR 2907 - Religious Freedom Day, 2012

Science.gov (United States)

2012-01-20

... centuries, men and women have immigrated to America's shores in pursuit of religious freedom. Hailing from... discrimination because of their beliefs. My Administration continues to stand with all who are denied the ability...

Fear of pain in children and adolescents with neuropathic pain and complex regional pain syndrome.

Science.gov (United States)

Simons, Laura E

2016-02-01

A significant proportion of children and adolescents with chronic pain endorse elevated pain-related fear. Pain-related fear is associated with high levels of disability, depressive symptoms, and school impairment. Because of faulty nerve signaling, individuals with neuropathic pain and complex regional pain syndrome may be more prone to develop pain-related fear as they avoid use of and neglect the affected body area(s), resulting in exacerbated symptoms, muscle atrophy, maintenance of pain signaling, and ongoing pain-related disability. Not surprisingly, effective treatments for elevated pain-related fears involve exposure to previously avoided activities to downregulate incorrect pain signaling. In the context of intensive interdisciplinary pain treatment of youth with neuropathic pain, decreasing pain-related fear is associated with improved physical and psychological functioning, whereas high initial pain-related fear is a risk factor for less treatment responsiveness. An innovative approach to targeting pain-related fear and evidence of a neural response to treatment involving decoupling of the amygdala with key fear circuits in youth with complex regional pain syndrome suggest breakthroughs in our ability to ameliorate these issues.

Trans Fat Bans and Human Freedom

Science.gov (United States)

Resnik, David

2014-01-01

A growing body of evidence has linked consumption of trans fatty acids to cardiovascular disease. To promote public health, numerous state and local governments in the United States have banned the use of artificial trans fats in restaurant foods, and additional bans may follow. Although these policies may have a positive impact on human health, they open the door to excessive government control over food, which could restrict dietary choices, interfere with cultural, ethnic, and religious traditions, and exacerbate socioeconomic inequalities. These slippery slope concerns cannot be dismissed as far-fetched, because the social and political pressures are place to induce additional food regulations. To protect human freedom and other values, policies that significantly restrict food choices, such as bans on types of food, should be adopted only when they are supported by substantial scientific evidence, and when policies that impose fewer restrictions on freedom, such as educational campaigns and product labeling, are likely to be ineffective. PMID:20229412

Spontaneous pain attacks: neuralgic pain

NARCIS (Netherlands)

de Bont, L.G.

2006-01-01

Paroxysmal orofacial pains can cause diagnostic problems, especially when different clinical pictures occur simultaneously. Pain due to pulpitis, for example, may show the same characteristics as pain due to trigeminal neuralgia would. Moreover, the trigger point of trigeminal neuralgia can either

Exercising freedom and control in the supermarket from an overweight perspective

DEFF Research Database (Denmark)

Nielsen, Annemette

2005-01-01

choices. We cannot consume anything if we want to be or become someone! Thus consumption of goods may be described as an arena, where freedom of choice is enacted alongside self-control over what and how to consume. This paper provides examples of how self-control and freedom is exercised in the context...

Academic Freedom for Whom? Experiences and Perceptions of Faculty of Color

Science.gov (United States)

Locher, Holley M.

2013-01-01

Academic freedom is a cornerstone principle to the U. S. system of higher education and is intended to exist for all faculty. Thus, the dominant discourse is that academic freedom is neutral. Utilizing the framework of critical race theory, this research demonstrates that faculty of color can differentially experience and perceive their academic…

Who will have Sustainable Employment After a Back Injury? The Development of a Clinical Prediction Model in a Cohort of Injured Workers

DEFF Research Database (Denmark)

Shearer, Heather M.; Côté, Pierre; Boyle, Eleanor

2017-01-01

to develop the predictive models. We constructed receiver operator curves and used the c-index to measure predictive accuracy. Results Seventy-nine percent and 77 % of workers had sustainable employment at 1 and 6 months, respectively. Sustainable employment at 1 month was predicted by initial back pain...... intensity, mental health-related quality of life, claim litigation and employer type (c-index = 0.77). At 6 months, sustainable employment was predicted by physical and mental health-related quality of life, claim litigation and employer type (c-index = 0.77). Adding health-related and work......-related variables to models improved predictive accuracy by 8.5 and 10 % at 1 and 6 months respectively. Conclusion We developed clinically-relevant models to predict sustainable employment in injured workers who made a workers’ compensation claim for LBP. Inquiring about back pain intensity, physical and mental...

On heterogeneity of treatment effects and clinical freedom.

Science.gov (United States)

Sacristán, J A; Avendaño-Solá, C

2015-01-01

Three decades ago, John R Hampton announced the death of clinical freedom. Since then, evidence-based medicine has been the predominant paradigm in clinical research. By applying a population-based approach, the randomised controlled trial has become the cornerstone for demonstrating the overall effect of a treatment and for developing guidelines. The new patient-centred medicine movement is rediscovering the important implications of heterogeneity of treatment effects for clinical practice and that a better understanding of such variability can contribute to improve health outcomes for individual patients through practicing a science-based clinical freedom. © 2015 The Authors. International Journal of Clinical Practice Published by John Wiley & Sons Ltd.

Holographic cosmology and its relevant degrees of freedom

International Nuclear Information System (INIS)

Dawid, Richard

1999-01-01

We reconsider the options for cosmological holography. We suggest that a global and time-symmetric version of the Fischler-Susskind bound is the most natural generalization of the holographic bound encountered in AdS and De Sitter space. A consistent discussion of cosmological holography seems to imply an understanding of the notion of ''number of degrees of freedom'' that deviates from its simple definition as the entropy of the current state. The introduction of a more adequate notion of degree of freedom makes the suggested variation of the Fischler-Susskind bound look like a stringent and viable bound in all 4-dimensional cosmologies without a cosmological constant

Political Ideology and Economic Freedom across Canadian Provinces

DEFF Research Database (Denmark)

Bjørnskov, Christian; Potrafke, Niklas

This paper examines how political ideology influenced economic freedom in the Canadian provinces. We analyze the dataset of economic freedom indicators compiled by the Fraser Institute in 10 Canadian provinces over the 1981-2005 period and introduce two different indices of political ideology......: government and parliament ideology. The results suggest that government ideology influenced labor market reforms: market-oriented governments promoted liberalization of the labor market. Parliamentary ideology did not influence economic liberalization at all. This finding (1) identifies differences between...... leftist and rightwing governments concerning the role of government in the economy and (2) indicates that ideological polarization concerns governments but less parliamentary fractions in the Canadian provinces. ...

Our History of Educational Freedom: What It Should Mean for Families Today. Policy Analysis.

Science.gov (United States)

Gryphon, Marie; Meyer, Emily A.

This paper examines the American tradition of educational freedom, following its ebb and flow at various points in history. America's ethos of educational freedom has always been strong, tied to its values of pluralism, tolerance, and free inquiry. However, its legacy of freedom has suffered repeated assaults by individuals and groups who wish to…

Pain Relief in CRPS-II after Spinal Cord and Motor Cortex Simultaneous Dual Stimulation.

Science.gov (United States)

Lopez, William Oc; Barbosa, Danilo C; Teixera, Manoel J; Paiz, Martin; Moura, Leonardo; Monaco, Bernardo A; Fonoff, Erich T

2016-05-01

We describe a case of a 30-year-old woman who suffered a traumatic injury of the right brachial plexus, developing severe complex regional pain syndrome type II (CRPS-II). After clinical treatment failure, spinal cord stimulation (SCS) was indicated with initial positive pain control. However, after 2 years her pain progressively returned to almost baseline intensity before SCS. Additional motor cortex electrode implant was then proposed as a rescue therapy and connected to the same pulse generator. This method allowed simultaneous stimulation of the motor cortex and SCS in cycling mode with independent stimulation parameters in each site. At 2 years follow-up, the patient reported sustained improvement in pain with dual stimulation, reduction of painful crises, and improvement in quality of life. The encouraging results in this case suggests that this can be an option as add-on therapy over SCS as a possible rescue therapy in the management of CRPS-II. However, comparative studies must be performed in order to determine the effectiveness of this therapy. Chronic neuropathic pain, Complex regional pain syndrome Type II, brachial plexus injury, motor cortex stimulation, spinal cord stimulation.

Freedom of Expression, Deliberation, Autonomy, and Respect

DEFF Research Database (Denmark)

Rostbøll, Christian Fogh

for freedom of expression in terms of its relationship to different dimensions of autonomy. In response to the objection that Enlightenment theories pose a threat to cultures that reject autonomy, it is argued that autonomy-based democracy is not only compatible with but necessary for respect for cultural......The strongest versions of the democracy argument for freedom of expression rely on the deliberative conception of democracy. Deliberative democracy entails both an ideal of political autonomy and of autonomous preference formation. This paper elaborates the deliberative democracy argument...... diversity. On the basis of an intersubjective epistemology, I argue that citizens cannot know how to live on mutually respectful terms without engaging in public deliberation. Moreover, to be successful deliberation must foster some degree of personal autonomy, at least the ability to distinguish what...

Helisaeus Röslin and freedom of religion

Directory of Open Access Journals (Sweden)

Miguel A. Granada

2014-06-01

Full Text Available Helisaeus Röslin does not figure significantly in historical surveys of religious tolerance. Nevertheless, Carlos Gilly has shown in several works that the Swabian-Alsatian physician tirelessly defended throughout his life the need to uphold the freedom of religion and of conscience, both as a religious postulate and as a factor for economic progress and social peace. This article focuses on Röslin’s concept of religious freedom in relation to his concept of history, his work on chronology and his interpretation of the celestial novelties of the period, particularly the nova of 1604 and Galileo’s discovery of the Medicean planets in 1610, just as they appear in two of Röslin’s later works: Mitternächtige Schiffarth (1611 and the Tabella des Welt Spiegels (1612.

Histories and Freedom of the Present

DEFF Research Database (Denmark)

Vucina, Naja; Drejer, Claus Munch; Triantafillou, Peter

2011-01-01

This paper compares the ways in which Michel Foucault and Quentin Skinner’s historical analyses seek to unsettle the limits on present forms of freedom. We do so by comparing their ways of analyzing discourse, rationality and agency. The two authors differ significantly in the ways they deal...

Freedom Train: Building an Underground Railroad.

Science.gov (United States)

Hickman, Wayne

1999-01-01

Describes an activity called the "Freedom Train": a simulation for eighth grade students that enables them to gain an understanding of the importance and dangers of the Underground Railroad. Explains that the project encourages students to work cooperatively while also reinforcing their research and map skills. Provides follow-up…

Sponsored Research & the Freedom of Publication.

Science.gov (United States)

Packham, David

This paper examines conflicts and collaboration between industry and universities regarding sponsored research and freedom of publication, particularly in the United Kingdom. An opening section notes that the values of the market and the university are in fundamental conflict which presents problems for institutions attempting to work in…

Pain-related worry in patients with chronic orofacial pain.

Science.gov (United States)

Davis, C Ervin; Stockstill, John W; Stanley, William D; Wu, Qiang

2014-07-01

Pain-related worry is distinct from, but related to, pain catastrophizing (PC) and anxiety. Worry and its relationship with other variables have been studied in people with chronic pain but not in people with chronic orofacial pain. The authors explored the prevalence of trait, general and pain-related worry and the association of worry with higher pain levels and other variables. The authors assessed people who had a diagnosis of chronic orofacial pain by using nonpain-related trait worry, state anxiety, trait anxiety, PC and pain measures. The participants' answers to an open-ended question about what they were most worried about led to the identification of worry domains, including worry about pain. The authors found that worrying about pain was related significantly to worst and least pain levels, pain interference and pain duration, as well as moderated trait worry in predicting pain interference. Although trait worry was not correlated directly with pain, when moderated by PC, it made substantial contributions in predicting pain interference. Participants with chronic orofacial pain reported experiencing substantial levels of trait worry, anxiety, PC and worry about pain that related to pain ratings directly and indirectly. Clinicians should assess pain-related worry in patients with chronic orofacial pain to understand the effects of worry on pain and functioning. Clinicians could treat these patients more effectively by helping them reduce their levels of pain-related worry and focusing on improved coping.

Mindfulness-Meditation-Based Pain Relief Is Not Mediated by Endogenous Opioids.

Science.gov (United States)

Zeidan, Fadel; Adler-Neal, Adrienne L; Wells, Rebecca E; Stagnaro, Emily; May, Lisa M; Eisenach, James C; McHaffie, John G; Coghill, Robert C

2016-03-16

Mindfulness meditation, a cognitive practice premised on sustaining nonjudgmental awareness of arising sensory events, reliably attenuates pain. Mindfulness meditation activates multiple brain regions that contain a high expression of opioid receptors. However, it is unknown whether mindfulness-meditation-based analgesia is mediated by endogenous opioids. The present double-blind, randomized study examined behavioral pain responses in healthy human volunteers during mindfulness meditation and a nonmanipulation control condition in response to noxious heat and intravenous administration of the opioid antagonist naloxone (0.15 mg/kg bolus + 0.1 mg/kg/h infusion) or saline placebo. Meditation during saline infusion significantly reduced pain intensity and unpleasantness ratings when compared to the control + saline group. However, naloxone infusion failed to reverse meditation-induced analgesia. There were no significant differences in pain intensity or pain unpleasantness reductions between the meditation + naloxone and the meditation + saline groups. Furthermore, mindfulness meditation during naloxone produced significantly greater reductions in pain intensity and unpleasantness than the control groups. These findings demonstrate that mindfulness meditation does not rely on endogenous opioidergic mechanisms to reduce pain. Endogenous opioids have been repeatedly shown to be involved in the cognitive inhibition of pain. Mindfulness meditation, a practice premised on directing nonjudgmental attention to arising sensory events, reduces pain by engaging mechanisms supporting the cognitive control of pain. However, it remains unknown if mindfulness-meditation-based analgesia is mediated by opioids, an important consideration for using meditation to treat chronic pain. To address this question, the present study examined pain reports during meditation in response to noxious heat and administration of the opioid antagonist naloxone and placebo saline. The results

Pain Adaptability in Individuals With Chronic Musculoskeletal Pain Is Not Associated With Conditioned Pain Modulation.

Science.gov (United States)

Wan, Dawn Wong Lit; Arendt-Nielsen, Lars; Wang, Kelun; Xue, Charlie Changli; Wang, Yanyi; Zheng, Zhen

2018-03-27

Healthy humans can be divided into the pain adaptive (PA) and the pain nonadaptive (PNA) groups; PA showed a greater decrease in pain rating to a cold pressor test (CPT) than PNA. This study examined if the dichotomy of pain adaptability existed in individuals with chronic musculoskeletal pain. CPTs at 2°C and 7°C were used to assess the status of pain adaptability in participants with either chronic nonspecific low back pain or knee osteoarthritis. The participants' potency of conditioned pain modulation (CPM) and local inhibition were measured. The strengths of pain adaptability at both CPTs were highly correlated. PA and PNA did not differ in their demographic characteristics, pain thresholds from thermal and pressure stimuli, or potency of local inhibition or CPM. PA reached their maximum pain faster than PNA (t 41 = -2.76, P adaptability exists in musculoskeletal pain patients. Consistent with the healthy human study, the strength of pain adaptability and potency of CPM are not related. Pain adaptability could be another form of endogenous pain inhibition of which clinical implication is yet to be understood. The dichotomy of pain adaptability was identified in healthy humans. The current study confirms that this dichotomy also exists in individuals with chronic musculoskeletal pain, and could be reliably assessed with CPTs at 2°C and 7°C. Similar to the healthy human study, pain adaptability is not associated with CPM, and may reflect the temporal aspect of pain inhibition. Copyright © 2018 The American Pain Society. Published by Elsevier Inc. All rights reserved.

Subnuclear degrees of freedom in the nucleus

International Nuclear Information System (INIS)

Krewald, S.

1985-03-01

The aim of the present thesis is to study the possible influence of subnuclear degrees of freedom as the Δ 33 -resonance and relativistic effects on the structure of nuclear excited states. (orig./HSI) [de

String description of quarks degrees of freedom

International Nuclear Information System (INIS)

Hadasz, L.

1994-01-01

This work presents a simple way of incorporating quark degrees of freedom (spin, charge and colour) into the classical string model. We introduce the model and derive from it the classical equations of motion. (author)

Maintenance of Pain in Children With Functional Abdominal Pain.

Science.gov (United States)

Czyzewski, Danita I; Self, Mariella M; Williams, Amy E; Weidler, Erica M; Blatz, Allison M; Shulman, Robert J

2016-03-01

A significant proportion of children with functional abdominal pain develop chronic pain. Identifying clinical characteristics predicting pain persistence is important in targeting interventions. We examined whether child anxiety and/or pain-stooling relations were related to maintenance of abdominal pain frequency and compared the predictive value of 3 methods for assessing pain-stooling relations (ie, diary, parent report, child report). Seventy-six children (7-10 years old at baseline) who presented for medical treatment of functional abdominal pain were followed up 18 to 24 months later. Baseline anxiety and abdominal pain-stooling relations based on pain and stooling diaries and child- and parent questionnaires were examined in relationship to the persistence of abdominal pain frequency. Children's baseline anxiety was not related to persistence of pain frequency. Children who, however, displayed irritable bowel syndrome (IBS) symptoms at baseline maintained pain frequency at follow-up, whereas in children in whom there was no relationship between pain and stooling, pain frequency decreased. Pain and stool diaries and parent report of pain-stooling relations were predictive of pain persistence but child-report questionnaires were not. The presence of IBS symptoms in school-age children with functional abdominal pain appears to predict persistence of abdominal pain over time, whereas anxiety does not. Prospective pain and stooling diaries and parent report of IBS symptoms were predictors of pain maintenance, but child report of symptoms was not.

Indifference to pain syndrome in a twelve-year-old boy (case report

Directory of Open Access Journals (Sweden)

Baghdadi T

2007-08-01

Full Text Available Background: People vary greatly in their response to painful stimuli, from those with a low pain threshold to those with indifference to pain. However, insensitivity to pain is a rare disorder, characterized by the lack of usual subjective and objective responses to noxious stimuli. Patients who have congenital indifference to pain sustain painless injuries beginning in infancy, but have sensory responses that are otherwise normal on examination. Perception of passive movement, joint position, and vibration is normal in these patients, as are tactile thresholds and light touch perception. Case report: A twelve-year-old boy was admitted to the hospital for a painless deformity, degeneration in both knees and a neglected femoral neck fracture that was inappropriately painless. Further examination revealed normal sensory responses, perception of passive movement, joint position, vibration tactile thresholds and light touch perception. Spinal cord and brain MRI were normal as was the electromyography and nerve conduction velocity (EMG/NCV examination. There was no positive family history for this disorder. Conclusion: The deficits present in the different pain insensitivity syndromes provide insight into the complex anatomical and physiological nature of pain perception. Reports on pain asymbolia, in which pain is perceived but does not cause suffering, and related cortical conditions illustrate that there can be losses that independently involve either the sensory-discriminative component or the affective-motivational component of pain perception, thus highlighting their different anatomical localization. The paucity of experience with this entity and the resultant diagnostic problems, the severity of the associated disabling arthropathy and underscore the importance of this case report of indifference to pain.

Self-Ownership and Freedom: Reasons for Maintaining a Traditional Connection

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Tutui Viorel

2016-07-01

Full Text Available Abstract: In this paper I present and analyze the classical libertarian thesis according to which there is an intimate connection between humans‟ right to self-ownership and their freedom, and I provide some reasons for preserving this traditional connection against its egalitarian contesters, represented by Gerald Allan Cohen. The principle states that humans have a right of property over their persons and powers, and any interference with this right is equivalent to a violation of their freedom. This is the reason why an egalitarian thinker like Cohen tries to reject the principle and its connection with freedom in order to legitimate redistribution of property in the benefit of the underprivileged: he argues that the principle itself (and particularly Robert Nozick‟s version of it has no special relation with freedom and lacks any real significance for political philosophy. I will reject his argumentation and evidentiate that the traditional connection still stands and the principle is indeed useful. In the last section I will formulate what I believe to be a more robust justification of it and offer some suggestions about the central role it could play in a general explanation of social and political legitimacy and normativity.

FREEDOM OF PRESS IN CURRENT SOCIO-POLITICAL ENVIRONMENT IN ROMANIA

Directory of Open Access Journals (Sweden)

Georgiana STĂNESCU

2017-08-01

Full Text Available This study analyses the way journalists’ freedom of expression is protected in current socio/political context. It has started from the fact that Mass Media is the guarantee of any modern democracy, and respect for freedom of expression is essential in the current European environment. We have shown that Romania guarantees through the Constitution, but also through other international treaties to which it is a signatory, the freedom of expression of every citizen, and, implicitly, the freedom of press. But in laws and treaties things seem simple, while in reality in the courts, the situation is completely different and, above all, extremely complicated. The study highlights the case of a journalist from Constanţa, who was sued by the former mayor of the city on the grounds that his image was damaged in a TV show on a local television station. Thus, the views of the Romanian institutions, on the one hand, and the one of the European Court of Human Rights on the other, were analyzed. The ECHR ruled for the journalist in the case against the former mayor of Constanţa (Ghiulfer vs. Romania, instead, two Romanian courts forced the journalist to pay moral damages and make him publicly apologize in a large circulation newspaper.

Altering gender role expectations: effects on pain tolerance, pain threshold, and pain ratings.

Science.gov (United States)

Robinson, Michael E; Gagnon, Christine M; Riley, Joseph L; Price, Donald D

2003-06-01

The literature demonstrating sex differences in pain is sizable. Most explanations for these differences have focused on biologic mechanisms, and only a few studies have examined social learning. The purpose of this study was to examine the contribution of gender-role stereotypes to sex differences in pain. This study used experimental manipulation of gender-role expectations for men and women. One hundred twenty students participated in the cold pressor task. Before the pain task, participants were given 1 of 3 instructional sets: no expectation, 30-second performance expectation, or a 90-second performance expectation. Pain ratings, threshold, and tolerance were recorded. Significant sex differences in the "no expectation" condition for pain tolerance (t = 2.32, df = 38, P differ in their pain tolerance, pain threshold, or pain ratings. This is the first empirical study to show that manipulation of expectations alters sex differences in laboratory pain.

Evaluation of a novel biodegradable thermosensitive keto-hydrogel for improving postoperative pain in a rat model.

Science.gov (United States)

Wu, Meng-Huang; Shih, Ming-Hung; Hsu, Wei-Bin; Dubey, Navneet Kumar; Lee, Wen-Fu; Lin, Tsai-Yu; Hsieh, Meng-Yow; Chen, Chin-Fu; Peng, Kuo-Ti; Huang, Tsung-Jen; Shi, Chung-Sheng; Guo, Ren-Shyang; Cai, Chang-Jhih; Chung, Chiu-Yen; Wong, Chung-Hang

2017-01-01

This study evaluates the sustained analgesic effect of ketorolac-eluting thermosensitive biodegradable hydrogel in the plantar incisional pain model of the rat hind-paw. A ketorolac-embedded 2, 2'-Bis (2-oxazolin) (BOX) linking methoxy-poly(ethylene glycol) and poly(lactide-co-glycolide) (mPEG-PLGA) diblock copolymer (BOX copolymer) was synthesized as keto-hydrogel based on optimal sol-gel phase transition and in vitro drug release profile. The effect of keto-hydrogel on postoperative pain (POP) was assessed using the established plantar incisional pain model in hind-paw of rats and compared to that of ketorolac solution. Pain and sensory threshold, as well as pain scoring, were evaluated with behavioral tests by means of anesthesiometer and incapacitance apparatus, respectively. Pro-inflammatory cytokine levels (TNF-α, IL-6, VEGF, and IL-1β) around incisional wounds were measured by ELISA. Tissue histology was assessed using hematoxylin and eosin and Masson's trichrome staining. Ten mg/mL (25 wt%) keto-hydrogel showed a sol-gel transition at 26.4°C with a 10-day sustained drug release profile in vitro. Compared to ketorolac solution group, the concentration of ketorolac in tissue fluid was higher in the keto-hydrogel group during the first 18 h of application. Keto-hydrogel elevated pain and sensory threshold, increased weight-bearing capacity, and significantly reduced the levels of TNF-α, IL-6, and IL-1β while enhanced VEGF in tissue fluid. Histologic analysis reveals greater epithelialization and collagen deposition around wound treated with keto-hydrogel. In conclusion, our study suggests that keto-hydrogel is an ideal compound to treat POP with a secondary gain of improved incisional wound healing.

Evaluation of a novel biodegradable thermosensitive keto-hydrogel for improving postoperative pain in a rat model.

Directory of Open Access Journals (Sweden)

Meng-Huang Wu

Full Text Available This study evaluates the sustained analgesic effect of ketorolac-eluting thermosensitive biodegradable hydrogel in the plantar incisional pain model of the rat hind-paw. A ketorolac-embedded 2, 2'-Bis (2-oxazolin (BOX linking methoxy-poly(ethylene glycol and poly(lactide-co-glycolide (mPEG-PLGA diblock copolymer (BOX copolymer was synthesized as keto-hydrogel based on optimal sol-gel phase transition and in vitro drug release profile. The effect of keto-hydrogel on postoperative pain (POP was assessed using the established plantar incisional pain model in hind-paw of rats and compared to that of ketorolac solution. Pain and sensory threshold, as well as pain scoring, were evaluated with behavioral tests by means of anesthesiometer and incapacitance apparatus, respectively. Pro-inflammatory cytokine levels (TNF-α, IL-6, VEGF, and IL-1β around incisional wounds were measured by ELISA. Tissue histology was assessed using hematoxylin and eosin and Masson's trichrome staining. Ten mg/mL (25 wt% keto-hydrogel showed a sol-gel transition at 26.4°C with a 10-day sustained drug release profile in vitro. Compared to ketorolac solution group, the concentration of ketorolac in tissue fluid was higher in the keto-hydrogel group during the first 18 h of application. Keto-hydrogel elevated pain and sensory threshold, increased weight-bearing capacity, and significantly reduced the levels of TNF-α, IL-6, and IL-1β while enhanced VEGF in tissue fluid. Histologic analysis reveals greater epithelialization and collagen deposition around wound treated with keto-hydrogel. In conclusion, our study suggests that keto-hydrogel is an ideal compound to treat POP with a secondary gain of improved incisional wound healing.

Aortic Valve Replacement With the Stentless Freedom SOLO Bioprosthesis: A Systematic Review

NARCIS (Netherlands)

Wollersheim, Laurens W.; Li, Wilson W.; Bouma, Berto J.; Repossini, Alberto; van der Meulen, Jan; de Mol, Bas A.

2015-01-01

This systematic review examined the clinical and hemodynamic performance of the stentless Freedom SOLO (Sorin Group, Milan, Italy) aortic bioprosthesis. The occurrence of postoperative thrombocytopenia was also analyzed. The Freedom SOLO is safe to use in everyday practice, with short cross-clamp

Cognitive Capitalism: Economic Freedom Enhances the Effects of Intellectual and Average Classes

OpenAIRE

Rindermann, Heiner; Coyle, Thomas R.

2015-01-01

Conclusions- Country IQs strongly predict productivity (r = .50 to .80)- Effects slightly stronger for intellectual classes (95%)- Freedom magnified IQ effects on STEM (both groups)- Virtuous cycle? High freedom may increase innovation by attracting STEM talent and stimulating investment  

Reactance versus rationalization: divergent responses to policies that constrain freedom.

Science.gov (United States)

Laurin, Kristin; Kay, Aaron C; Fitzsimons, Gavan J

2012-02-01

How do people respond to government policies and work environments that place restrictions on their personal freedoms? The psychological literature offers two contradictory answers to this question. Here, we attempt to resolve this apparent discrepancy. Specifically, we identify the absoluteness of a restriction as one factor that determines how people respond to it. Across two studies, participants responded to absolute restrictions (i.e., restrictions that were sure to come into effect) with rationalization: They viewed the restrictions more favorably, and valued the restricted freedoms less, compared with control participants. Participants responded in the opposite way to identical restrictions that were described as nonabsolute (i.e., as having a small chance of not coming into effect): In this case, participants displayed reactance, viewing the restrictions less favorably, and valuing the restricted freedoms more, compared with control participants. We end by discussing future research directions.

EMC effect: asymptotic freedom with nuclear targets

International Nuclear Information System (INIS)

West, G.B.

1984-01-01

General features of the EMC effect are discussed within the framework of quantum chromodynamics as expressed via the operator product expansion and asymptotic freedom. These techniques are reviewed with emphasis on the target dependence. 22 references

Predicting postoperative pain by preoperative pressure pain assessment.

Science.gov (United States)

Hsu, Yung-Wei; Somma, Jacques; Hung, Yu-Chun; Tsai, Pei-Shan; Yang, Chen-Hsien; Chen, Chien-Chuan

2005-09-01

The goal of this study was to evaluate whether preoperative pressure pain sensitivity testing is predictive of postoperative surgical pain. Female subjects undergoing lower abdominal gynecologic surgery were studied. A pressure algometer was used preoperatively to determine the pressure pain threshold and tolerance. A visual analog scale (VAS) was used to assess postoperative pain. A State-Trait Anxiety Inventory was used to assess patients' anxiety. Subjects received intravenous patient-controlled analgesia for postoperative pain control. The preoperative pain threshold and tolerance were compared with the postoperative VAS pain score and morphine consumption. Forty women were enrolled. Their preoperative pressure pain threshold and tolerance were 141 +/- 65 kPa and 223 +/- 62 kPa, respectively. The VAS pain score in the postanesthesia care unit and at 24 h postoperatively were 81 +/- 24 and 31 +/- 10, respectively. Highly anxious patients had higher VAS pain scores in the postanesthesia care unit (P pain tolerance was significantly correlated with the VAS at 24 h postoperatively (P pain tolerance after fentanyl administration (mean, 272 +/- 68 kPa) correlated significantly with morphine consumption in the first 24 h postoperatively (P pain tolerance is significantly correlated with the level of postoperative pain. Pain tolerance assessment after fentanyl was administered and fentanyl sensitivity predicted the dose of analgesics used in the first 24 h after surgery. The algometer is thus a simple, useful tool for predicting postoperative pain and analgesic consumption.

Rudolf Steiner's Philosophy of Freedom as a Basis for Spiritual Education?

Science.gov (United States)

Oberski, Iddo

2011-01-01

The spiritual well-being of children is often thought to be an important goal and outcome of education. Such spiritual well-being is also implicitly assumed by the Human Rights Act, which includes the right to "freedom of thought, conscience and religion" [Article 18]. I argue that such freedom requires an education that fosters development of…

Ideals of Freedom and the Ethics of Thought--Meaning and Mystique

Science.gov (United States)

Yun, Suninn

2016-01-01

This paper considers prominent forms of discourse in educational research, the nature of their appeal and the force of the idea of freedom within that appeal. For this, two different aspects of research are juxtaposed, aspects in which the value of freedom is articulated in contrasting ways. First, evidence-based education (EBE) is considered as a…

Improvement of burn pain management through routine pain monitoring and pain management protocol.

Science.gov (United States)

Yang, Hyeong Tae; Hur, Giyeun; Kwak, In-Suk; Yim, Haejun; Cho, Yong Suk; Kim, Dohern; Hur, Jun; Kim, Jong Hyun; Lee, Boung Chul; Seo, Cheong Hoon; Chun, Wook

2013-06-01

Pain management is an important aspect of burn management. We developed a routine pain monitoring system and pain management protocol for burn patients. The purpose of this study is to evaluate the effectiveness of our new pain management system. From May 2011 to November 2011, the prospective study was performed with 107 burn patients. We performed control group (n=58) data analysis and then developed the pain management protocol and monitoring system. Next, we applied our protocol to patients and performed protocol group (n=49) data analysis, and compared this to control group data. Data analysis was performed using the Numeric Rating Scale (NRS) of background pain and procedural pain, Clinician-Administered PTSD Scale (CAPS), Hamilton Depression Rating Scale (HDRS), State-Trait Anxiety Inventory Scale (STAIS), and Holmes and Rahe Stress Scale (HRSS). The NRS of background pain for the protocol group was significantly decreased compared to the control group (2.8±2.0 versus 3.9±1.9), and the NRS of procedural pain of the protocol group was significantly decreased compared to the control group (4.8±2.8 versus 3.7±2.5). CAPS and HDRS were decreased in the protocol group, but did not have statistical significance. STAIS and HRSS were decreased in the protocol group, but only the STAIS had statistical significance. Our new pain management system was effective in burn pain management. However, adequate pain management can only be accomplished by a continuous and thorough effort. Therefore, pain control protocol and pain monitoring systems need to be under constant revision and improvement using creative ideas and approaches. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

Page STATUTORY LIMITATIONS TO TESTAMENTARY FREEDOM

African Journals Online (AJOL)

Fr. Ikenga

possible, give effect to the desires of the deceased testator as stated in his will. .... personality in ways which may not have been possible in life. ... Testamentary Freedom to Testamentary Duty: Finding the Balance,” The ...... would work hardship on such family member or dependant, such person should be reasonably.

Determinants of economic freedom of the Association of Southeast Asian Nation economic community

OpenAIRE

Karen Debbie C. Magallon

2016-01-01

One of the determinants of the well-being of people across the world is economic freedom. It is the freedom to choose the ways to produce, sell, and use your private resources, while respecting rights of the other to practice the same. The primordial intention of the study was to investigate the factors affecting economic freedom in the Association of Southeast Asian Nations (ASEAN) Economic Community. Human Development Index (HDI), Corruption Perceptions Index (CPI) and GDP per capita are...

Characterizing individual painDETECT symptoms by average pain severity

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Sadosky A

2016-07-01

Full Text Available Alesia Sadosky,1 Vijaya Koduru,2 E Jay Bienen,3 Joseph C Cappelleri4 1Pfizer Inc, New York, NY, 2Eliassen Group, New London, CT, 3Outcomes Research Consultant, New York, NY, 4Pfizer Inc, Groton, CT, USA Background: painDETECT is a screening measure for neuropathic pain. The nine-item version consists of seven sensory items (burning, tingling/prickling, light touching, sudden pain attacks/electric shock-type pain, cold/heat, numbness, and slight pressure, a pain course pattern item, and a pain radiation item. The seven-item version consists only of the sensory items. Total scores of both versions discriminate average pain-severity levels (mild, moderate, and severe, but their ability to discriminate individual item severity has not been evaluated.Methods: Data were from a cross-sectional, observational study of six neuropathic pain conditions (N=624. Average pain severity was evaluated using the Brief Pain Inventory-Short Form, with severity levels defined using established cut points for distinguishing mild, moderate, and severe pain. The Wilcoxon rank sum test was followed by ridit analysis to represent the probability that a randomly selected subject from one average pain-severity level had a more favorable outcome on the specific painDETECT item relative to a randomly selected subject from a comparator severity level.Results: A probability >50% for a better outcome (less severe pain was significantly observed for each pain symptom item. The lowest probability was 56.3% (on numbness for mild vs moderate pain and highest probability was 76.4% (on cold/heat for mild vs severe pain. The pain radiation item was significant (P<0.05 and consistent with pain symptoms, as well as with total scores for both painDETECT versions; only the pain course item did not differ.Conclusion: painDETECT differentiates severity such that the ability to discriminate average pain also distinguishes individual pain item severity in an interpretable manner. Pain

77 FR 36524 - Freedom Falls, LLC; Notice of Application Tendered for Filing With the Commission and Soliciting...

Science.gov (United States)

2012-06-19

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 14421-000] Freedom Falls.... c. Date filed: June 1, 2012. d. Applicant: Freedom Falls, LLC. e. Name of Project: Freedom Falls Hydroelectric Project. f. Location: On Sandy Stream, in the Town of Freedom, Waldo County, [[Page 36525