WorldWideScience

Sample records for sviluppo sociale ed

  1. Tour operators, environment and sustainable development; Tour operator, ambiente e sviluppo sostenibile

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L.; Chirico, R.; Declich, P. [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    The purpose of this work is to characterize the role of the tour operators in achieving sustainable development meaning a process of development which leaves at least the same amount of capital, natural and man-made, to future generations as current generations have access to. Tourism is one of the largest and fastest growing global industries, creating significant employment and economic development, particularly in many developing countries. Tourism can also have negative environmental and social impact resulting from resource consumption, pollution, generation of wastes and from the compromise of local culture while introducing new activities. Most tour operators has started to recognised that a clean environment is critical to their success, but few tour operators have the management tools or experience to design and conduct tours that minimize their negative environmental and social impacts. A group of tour operators from different parts of the world have joined forces to create the Tour Operators' Initiative for Sustainable Tourism Development. With this initiatives, tour operators are moving towards sustainable tourism by committing themselves to address the environmental, social, and cultural aspects of sustainable development within the tourism sector. [Italian] Lo scopo del presente lavoro e' individuare il ruolo dei Tour Operator nel perseguire uno sviluppo sostenibile ossia un processo di sviluppo che lasci alle generazioni future lo stesso capitale, naturale e creato dall'uomo, di cui dispone l'attuale generazione. Il turismo e' tra le industrie globali piu' vaste ed in rapida crescita che crea una occupazione ed uno sviluppo economico significativo, particolarmente in molti paesi in via di sviluppo. Il turismo puo' anche generare impatti sia ambientali che sociali derivanti dallo sfruttamento delle risorse, dall'inquinamento, dalla produzione di rifiuti e dalla compromissione delle culture locali introducendo

  2. Nuclear energy for a sustainable development; L'energia nucleare da fissione per uno sviluppo sostenibile

    Energy Technology Data Exchange (ETDEWEB)

    Guerrini, B.; Oriolo, F. [Pisa Univ., Pisa (Italy). Dipt. di Ingegneria Meccanica, Nucleare e della Produzione

    2001-03-01

    Nuclear power currently produces over 628 M tep of the generated energy in 1997 avoiding about 1978 Mt of CO{sub 2} emission and gives a significant contribution to reducing greenhouse gas emission. The competitive position of nuclear power might be strengthened, if market forces or government policy were able to give energy security and to control greenhouse gas, relying upon market mechanism and including environmental costs in economic analysis. In this case, taking into account the entire up-stream and down-stream chains for electricity generation, it can be seen that the greenhouse emission from nuclear plants, is lower than that of renewable energy chains. This paper investigates the potential role of nuclear power in global energy supply up to 2020 and analyzes the opportunities and the challenges for research, governments and nuclear industries of a broad nuclear power development in response to environmental concerns. The authors think that nuclear energy will have to compete in the same framework and under the same conditions as all other energy sources and so analyze the possibility of re-launching nuclear energy: it will have to couple nuclear safety and economic competitiveness. [Italian] Il presente articolo indaga le potenzialita' di sviluppo ed il contributo che il nucleare di potenza potra' dare alla produzione di energia elettrica ed analizza le opportunita' e le sfide che i governi, l'industria nucleare e la ricerca dovranno affrontare nell'ambito di uno sviluppo sostenibile ed in condizioni di libero mercato. Gli autori partono dalla convinzione che anche l'energia dovra' rispondere alle logiche di mercato ed analizzano le potenzialita' e possibilita' di rilanciare l'energia elettronucleare: essa dovra' basarsi sul binomio inscindibile sicurezza-competitivita' economica e dovra' risolvere i nodi politici dell'accettabilita' sociale, della non proliferazione delle armi

  3. Ripetizione rituale e sviluppo narrativo

    Directory of Open Access Journals (Sweden)

    Daniele Barbieri

    2016-06-01

    Full Text Available La serialità moderna condivide numerosi aspetti con quella che potremmo chiamare serialità primaria, differenziandosi sostanzialmente da essa per la presenza di una periodicità alla sua base. A separarle storicamente sta la nascita e lo sviluppo del romanzo, come forma narrativa unitaria, la cui esistenza stessa permette il porsi del problema teorico della natura della serialità. Ma tra la serialità primaria e quella moderna si trova anche la nascita e lo sviluppo della stampa periodica, la quale finisce per essere il modello della nostra serialità. Nella comprensione del rapporto tra serialità e narrazione, giocano un ruolo particolare le saghe, le più difficili da ricondurre al modello narrativo standard. È possibile osservare che in alcune saghe la dinamica narrativa non è in verità al centro dell'interesse del lettore, e si limita a costruire il quadro di una sorta di accesso al mito. Che cosa succede, infine, quando la serialità moderna si riavvicina a quella primaria, neutralizzando la periodicità (per esempio, attraverso la pubblicazione dei telefilm nel Web?

  4. Sviluppo dei materiali innovativi e studio della loro interazione con sistemi biologici e biomimetici

    OpenAIRE

    Malferrari, Danilo

    2012-01-01

    Nell’ambito della Chimica Sostenibile e dell’applicazione dei suoi principi per la salvaguardia dell’ambiente, il progetto di dottorato ha riguardato lo sviluppo di materiali innovativi e lo studio della loro interazione con sistemi biologici e biomimetici. In particolare l’attività si è focalizzata sulla sintesi di liquidi ionici ed indagini delle interazioni con membrane cellulari e sull’utilizzo ed isolamento di molecole da fonti rinnovabili. I liquidi ionici sono sali organici liquidi ...

  5. Teaching Elementary School Social Studies Methods under edTPA

    Science.gov (United States)

    An, Sohyun

    2016-01-01

    This article reports a self-study that analyzes my experience as a teacher educator navigating a turbulent educational landscape with the advent of edTPA. The data consist of my journal entries, the syllabi, handouts, work submitted by my students, and course evaluations. Data were analyzed by using an inductive process to describe how the edTPA…

  6. Exploratory social network analysis with Pajek. - 2nd ed.

    NARCIS (Netherlands)

    de Nooy, W.; Mrvar, A.; Batagelj, V.

    2011-01-01

    This is an extensively revised and expanded second edition of the successful textbook on social network analysis integrating theory, applications, and network analysis using Pajek. The main structural concepts and their applications in social research are introduced with exercises. Pajek software

  7. Dono ed economie altre: per un nuovo contratto sociale

    Directory of Open Access Journals (Sweden)

    Antonietta Di Vito

    2014-04-01

    Full Text Available The article focuses on the recent debate, about gift and the non-market economies, born especially around the new lecture of classical texts of Marcel Mauss and Karl Polanyi. The article is meant to show that the renewed interest is rooted in the contemporary crisis of relationships, of social ties, and in the effects of commodification of the utilitarian market economies. The theme of the gift is a narrative and theorethical tool to rethinking about the exchange and the social relationships throughout, both from the affective and private point of view than economical and collective too.

  8. Stanislaw Widlak (ed.), Italianità ed Italianistica nell'Europa Centrale ...

    African Journals Online (AJOL)

    User

    nel futuro ad intensi scambi e collaborazioni tra italianisti che sono necessari allo sviluppo ed alla crescita di ogni disciplina. I partecipanti al congresso sono stati circa una cinquantina, tra studiosi e studenti, provenienti da una ventina di università e da una dozzina di paesi. Gli argomenti trattati nei loro interventi sono stati ...

  9. HigherEd 2.0: Using social media in engineering education

    OpenAIRE

    Berger, Edward

    2014-01-01

    Social media (blogs, wikis, video, and a digital authoring culture) has emerged in the last decade as a dominant feature of the technology landscape, especially for our current generation of digital-native students. Leveraging these tools for higher education in general, and engineering education in particular, should be of immediate and pressing concern for engineering educators. This discussion summarizes the HigherEd 2.0 project, the creative convergence of higher education and “web 2.0” t...

  10. Sviluppo e crisi. Per una prospettiva della compresenza

    Directory of Open Access Journals (Sweden)

    Andrea Pirni

    2011-02-01

    Full Text Available Il paradigma della modernità, adottando il concetto di sviluppo come tema chiave, ha elaborato moltissime teorie del mutamento: qui sviluppo e crisi risultano necessariamente contrapposti sia sotto il profilo teorico che empirico. La complessità crescente delle società europee contemporanee mette in discussione la capacità interpretativa del mutamento che le coinvolge attualmente e suggerisce l’elaborazione di nuove prospettive che focalizzino il processo di trasformazione in corso piuttosto che soffermarsi sul risultato. Dopo aver sinteticamente inquadrato il concetto di sviluppo nell’ambito del paradigma della modernità l’articolo intende sostenere l’utilità di una prospettiva che considera congiuntamente crisi e sviluppo per analizzare il mutamento delle democrazie contemporanee.

  11. Sustainable development applied to the Italian territorial planning, sustainable management of the renewable and un renewable resources; Problematiche territoriali relative al suolo, al sottosuolo, alle acque e contributo allo sviluppo sostenibile nazionale

    Energy Technology Data Exchange (ETDEWEB)

    Basili, M.; Colonna, N.; Del Ciello, R.; Grauso, S.; Napoleoni, S.; Zarlenga, F. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dipt. Ambiente

    1998-07-01

    The paper carries out on analysis on the state of the art about sustainable development applied to the territorial planning. Tree types of approach to the sustainability are described: social, economic and environmental, using a large bibliography starting from the Bruntland report. The Italian situation is discussed. An operative proposal on the sustainable management of the renewable and un renewable resources: groundwater, soil and building materials are defined for the Italian context. [Italian] Nel lavoro vengono descritti i principi generali dello sviluppo sostenibile ed i tre tipi di approccio derivanti dall'analisi dell'imponente bibliografia degli ultimi quindici anni, a partire dal rapporto Bruntland che per primo ne ha preso in considerazione i concetti. Vengono proposte tre architetture logiche per procedure di gestione sostenibile delle risorse nel contesto istituzionale italiano.

  12. Voluntary Medication Error Reporting by ED Nurses: Examining the Association With Work Environment and Social Capital.

    Science.gov (United States)

    Farag, Amany; Blegen, Mary; Gedney-Lose, Amalia; Lose, Daniel; Perkhounkova, Yelena

    2017-05-01

    Medication errors are one of the most frequently occurring errors in health care settings. The complexity of the ED work environment places patients at risk for medication errors. Most hospitals rely on nurses' voluntary medication error reporting, but these errors are under-reported. The purpose of this study was to examine the relationship among work environment (nurse manager leadership style and safety climate), social capital (warmth and belonging relationships and organizational trust), and nurses' willingness to report medication errors. A cross-sectional descriptive design using a questionnaire with a convenience sample of emergency nurses was used. Data were analyzed using descriptive, correlation, Mann-Whitney U, and Kruskal-Wallis statistics. A total of 71 emergency nurses were included in the study. Emergency nurses' willingness to report errors decreased as the nurses' years of experience increased (r = -0.25, P = .03). Their willingness to report errors increased when they received more feedback about errors (r = 0.25, P = .03) and when their managers used a transactional leadership style (r = 0.28, P = .01). ED nurse managers can modify their leadership style to encourage error reporting. Timely feedback after an error report is particularly important. Engaging experienced nurses to understand error root causes could increase voluntary error reporting. Published by Elsevier Inc.

  13. Green Chemistry; Sviluppo sostenibile. L'industria ha bisogno del contributo di tutti

    Energy Technology Data Exchange (ETDEWEB)

    Ingallina, P. [EniTecnologie SpA, San Donato Milanese, MI (Italy)

    2001-02-01

    Everyone acknowledges that chemistry is a key science in order to study and solve the problems of the environment: a successful arranging technological progress with environment protection is one of the main challenge of the next millennium. The Green Chemistry (or Sustainable Chemistry) represents the specific contribution that chemists can supply for an environmentally compatible development. [Italian] Fabrizio d'Adda, attualmente Presidente di EniChem e membro di Cefic (European Chemical Industry Council), ha aperto il seminario {sup T}he Greening of Chemistry{sup (}EniTecnologie - 31 Ottobre 2000) con un breve discorso. Ha espresso parole di fiducia riguardo al futuro dell'industria chimica, l'unica a suo giudizio, in grado di avviare un nuovo modello di sviluppo nel rispetto delle implicazioni ambientali, sociali ed economiche.

  14. Un indice per lo sviluppo sostenibile (An Index for Sustainable Development

    Directory of Open Access Journals (Sweden)

    Enrico Casadio Tarabusi

    2012-04-01

    Full Text Available As a possible improvement to the United Nations' Human Development Index (HDI, we propose including in the set of individual variables some of an environmental or social nature. Thus, by rescaling all the variables non-linearly it is possible to mitigate the effect of outliers and synthesize by principal components, or alternatively by a different averaging method that takes sustainability into account and penalizes unbalances among different aspects of development. Both methods are easy to implement and calibrate. The ensuing effect on the ranking of world countries is compared to the HDI ranking. Come possibile miglioramento dell'Indice di Sviluppo Umano (ISU elaborato dall'Organizzazione delle Nazioni Unite proponiamo di includere nell'insieme di variabili individuali alcune di natura ambientale o sociale, di riscalare opportunamente tutte le variabili non linearmente in modo da mitigare l'effetto deglioutliers, e di sintetizzare mediante le componenti principali, oppure attraverso un diverso metodo di media che, tenendo conto della sostenibilità, penalizza gli squilibri tra diversi aspetti dello sviluppo. Entrambi i metodi sono facili da implementare e da calibrare. Il loro effetto sulla graduatoria dei paesi mondiali viene raffrontata con quella dell'ISU.  JEL Codes: I31, O47Keywords: Development, Human Development, Indice

  15. I sistemi biometrici lo sviluppo dei mercati negli Usa, UE e nel mondo. La normativa frena quello italiano

    Directory of Open Access Journals (Sweden)

    Franco Zucchetti

    2007-04-01

    Full Text Available Negli ultimi anni il settore biometrico sta compiendo, a livello mondiale, importanti passi in avanti soprattutto in termini di sviluppo e di diffusione. Questo trend positivo riguarda il mondo anglosassone e, in particolare, la realtà statunitense dove i sistemi biometrici vengono utilizzati, nelle più svariate situazioni, sia come controllo della sicurezza fisica delle persone, sia come terminali per l’autorizzazione all’accesso. La stessa diffusione non è riscontrabile nella maggior parte dei Paesi europei e in Italia dove raffrontiamo una realtà assai atipica nella quale la biometria fa un gran parlare di sé ma, in concreto, viene utilizzata con molta difficoltà. Tuttavia, un punto di contatto tra tutti gli attori europei ed extraeuropei può essere individuato nello sviluppo del settore relativo al riconoscimento biometrico applicato ai passaporti ed alle carte di identità. Il processo di globalizzazione ha generato, infatti, grandi masse di individui in continuo e costante movimento da un Paese all’altro e, contestualmente, ha prodotto una crescente domanda di sicurezza soprattutto nei confronti della minaccia terroristica. Appare chiaro, quindi, come l’identificazione certa delle persone diventi una necessità e debba presentare tecnologie simili per essere utilizzate ovunque.

  16. Waterway e sviluppo del territorio: nuova mobilità e turismo sostenibile

    Directory of Open Access Journals (Sweden)

    Oriana Giovinazzi

    2010-10-01

    Full Text Available Spesso origine dei primi insediamenti urbani, i corsi d’acqua sono stati nei secoli fonte di sostentamento per le popolazioni e strumento di scambio tra genti e culture. Proprio per il loro scorrere attraverso il territorio, essi sono per definizione luoghi di relazione, di intersezione tra diverse realtà urbane dove si incontrano ambiente, architettura, pianificazione, trasporti ma anche arte, cultura e turismo. Per questa loro caratteristica, le vie d’acqua rappresentano una grande potenzialità per lo sviluppo del territorio sia in termini di mobilità – di merci e di persone - che di turismo sostenibile. La loro riqualificazione permette di recuperare il ruolo di spazio pubblico e di paesaggio rurale, urbano e turistico di qualità; luoghi di fruizione turistica, culturale, gastronomica e sportiva, quindi di qualità della vita. Dopo decenni di oblio, sollecitata dal rinnovato interesse verso questi assi e anche dalle direttive dell’Unione Europee, l’Italia e, in particolare il Nord del paese, muove i primi passi verso la valorizzazione delle waterway a fini turistico-culturali, aprendo nuove possibilità di sviluppo del territorio. Sia pur con ritardo rispetto ad altri Paesi, che da anni e in diverse forme valorizzano e “sfruttano” le vie d’acqua, si avverte anche in Italia un cambio di mentalità che vede nell’uso e nel recupero di tale risorsa uno strumento importante per garantire la sostenibilità ambientale ed economica e il recupero di una identità culturale quasi dimenticata.

  17. Immagini dietro le sbarre: l’utilizzo della fotografia per lo sviluppo dell’intelligenza emotiva dei detenuti

    Directory of Open Access Journals (Sweden)

    Emanuela Saita

    2015-12-01

    Full Text Available Nel presente contributo verrà descritto un intervento che utilizza tecniche fotografiche in attività trattamentali rivolte a soggetti in condizione di detenzione, attività le cui finalità sono la risocializzazione e la rieducazione del reo. Scopo dell'intervento è favorire lo sviluppo dell'intelligenza emotiva (IE, intesa come la capacità di comprendere e riconoscere i propri e gli altrui stati emotivi; essa infatti è associata in letteratura ad una riduzione della recidiva e ad un aumentato benessere dei soggetti reclusi. Le tecniche fotografiche costituiscono uno strumento in grado di superare barriere linguistico-culturali ed eventuali resistenze individuali per far emergere contenuti simbolici connessi a stati emotivi, credenze o percezioni. L'intervento descritto prevede incontri di gruppo, una tipologia di setting che diviene possibile strumento di apprendimento, riflessione sul sé, oltre che luogo di confronto e possibile cambiamento. La struttura degli incontri è tale da perseguire sia l'obiettivo generale (sviluppo dell'IE che obiettivi più specifici, calibrati su differenti categorie di detenuti. Ad esempio, favorire il reinserimento dopo la detenzione in caso di pene medio/brevi, piuttosto che l’accettazione della pena e l’adattamento alla vita carceraria, nel caso di pene più lunghe. Il contributo si chiude con un’apertura sulle possibili modalità di valutazione di tale intervento, al fine di giungere alla formulazione di un protocollo generalizzabile e applicabile a differenti contesti.

  18. Sviluppo economico e classi sociali in Italia

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    Paolo Sylos Labini

    2014-03-01

    Full Text Available The author investigates the long-term development of social stratification in Italy, comparing it with the economic and industrial development in the country during the 1880s-1960s period. The growth the middle class impresses as a trend in stark contrast to Karl Marx’s laws of development of capitalism, though a precise economic definition of such “quasi-class” is very problematic.   JEL codes: Z13, O12, B12 Keywords:  economic development, social classes, Italy                

  19. Stabilità dei prezzi ed equilibrio dei conti pubblici quale condizione per uno sviluppo duraturo

    Directory of Open Access Journals (Sweden)

    Carlo Azeglio Ciampi

    2012-04-01

    Full Text Available The article illustrates Italy's economie recovery as part of a process of re­newal involving the institutions, every area of the economy and ltalian socie­tyas a whole. After the turning point in 1992, a generaI consensus emerged that European integration was necessary and fully consistent with the natio­nal interest. In this context, the three components of economie policy ­budgetary policy, incomes policy, monetary policy -are working in tandem, ensuring stability, the essential condition for any lasting and sustainable growth. Thus inflation has now been beaten; the balance of payments on current account has recorded increasing and substantial surpluses, and there has been a huge reduction in the budget deficit, with a large primary surplus. The sustainability of these results is ensured by the implementation of structural reforms: tax reform, reform of centraI government budget, reform of the civil service, pensions reform and reform of Italy's commercial system.  JEL Codes: E65 

  20. Ancestors in Borneo Societies. Death, Transformation and Social Immortality, Pascal Couderc & Kenneth Sillander, ed.

    Directory of Open Access Journals (Sweden)

    Antonio Guerreiro

    2013-06-01

    Full Text Available The volume Ancestors in Borneo Societies, edited by P. Couderc and K. Sillander assembles a series of ethnographically grounded studies. This book, stemming for a panel organized at the 8th Borneo Research Council Biennal Conference in Kuching, Sarawak (July 2006, adresses important questions relating to the ancestor cult and generally the conceptualization of ancestry on the island. As the subtitle to the book indicates (Death, Transformation and Social Immortality, the contributions explo...

  1. Ancestors in Borneo Societies. Death, Transformation and Social Immortality, Pascal Couderc & Kenneth Sillander, ed.

    OpenAIRE

    Antonio Guerreiro

    2013-01-01

    The volume Ancestors in Borneo Societies, edited by P. Couderc and K. Sillander assembles a series of ethnographically grounded studies. This book, stemming for a panel organized at the 8th Borneo Research Council Biennal Conference in Kuching, Sarawak (July 2006), adresses important questions relating to the ancestor cult and generally the conceptualization of ancestry on the island. As the subtitle to the book indicates (Death, Transformation and Social Immortality), the contributions explo...

  2. Environmental analysis of a tourist development project; Analisi ambientale per un progetto di sviluppo turistico

    Energy Technology Data Exchange (ETDEWEB)

    Forni, A.; Colonna, N.; Olivetti, I. [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    delle condizioni ambientali ottimali per il territorio e per la comunita' antropica residente. Le tematiche ambientali hanno dovuto quindi orientare e integrare anche il processo di stesura del Master Plan del Golfo degli Angeli. La relazione tra turismo ed ambiente passa attraverso l'integrazione di tre soggetti: la popolazione, i turisti e il paesaggio. Tutti e tre ricevono vantaggi e svantaggi dall'attivita' turistica e nell'interagire tra loro. Il turismo come bisogno viene soddisfatto mettendo in stretta relazione le proprie personali caratteristiche e le caratteristiche del territorio, fino a raggiungere intense utilizzazioni dello stesso. Il paesaggio e' il concetto con cui si sintetizza l'insieme dell'ambiente naturale ed antropico del territorio, ed il portato della normale attivita' economica produttiva locale. Per realizzare uno sviluppo sostenibile incentrato sul turismo le autorita' competenti in materia ambientale devono valutare la possibilita' di inserire le tematiche ambientali nell'ambito degli investimenti e della formazione in campo turistico. L'ipotesi di sviluppo esplicitata nel progetto per il Golfo degli Angeli comporta il raddoppio delle presenze antropiche nel periodo turistico, con conseguenti aumenti di utilizzazione di risorse naturali, suolo (edificabile e non), acqua (potabile e non), energia (elettrica e non) e di produzione di rifiuti, liquidi e solidi. Tale aumento del carico antropico, concentrato in brevi stagioni dell'anno, comporta la necessita' di avere una notevole attenzione per l'ambiente, in termini gestionali/organizzativi ed anche tecnologici. Il lavoro analizza in dettaglio il turismo, i suoi impatti ambientali e le criticita' ambientali dell'area approfondendo in specifico i seguenti temi: le insufficienze e/o inefficienze degli impianti di depurazione delle acque, l'approvigionamento idrico, le insufficienze degli impianti di

  3. Book Review: Gomez, Edmund Terence, and Johan Saravanamuttu (eds (2012, The New Economic Policy in Malaysia: Affirmative Action, Ethnic Inequalities and Social Justice

    Directory of Open Access Journals (Sweden)

    Frederik Holst

    2013-01-01

    Full Text Available Book Review of the edited compilation: Gomez, Edmund Terence, and Johan Saravanamuttu (eds (2012, The New Economic Policy in Malaysia: Affirmative Action, Ethnic Inequalities and Social Justice; Singapore: NUS Press, ISBN 978-697-5832-67-3, 412 pages

  4. Examining Internet Access and Social Media Application Use for Online Nutrition Education in SNAP-Ed Participants in Rural Illinois.

    Science.gov (United States)

    Loehmer, Emily; Smith, Sylvia; McCaffrey, Jennifer; Davis, Jeremy

    2018-01-01

    To examine Internet access and interest in receiving nutrition education via social media applications among low-income adults participating in the Supplemental Nutrition Assistance Program Education (SNAP-Ed). A cross-sectional survey was distributed during 25 SNAP-Ed classes throughout the 16 southernmost counties of Illinois. From 188 responses, the majority of participants had Internet access (76%). Among participants aged 18-32 years (n = 51), 92% owned a smartphone with Internet access and 57% indicated that they would use online nutrition education, with most interest in e-mail (41%), Facebook (40%), and text messaging (35%). There was little interest in using blogs, Vine, Twitter, Tumblr, and Pinterest. Overall, 49% of middle-aged adults aged 33-64 years and 87% of seniors aged ≥65 years reported they would not use online nutrition education. Results indicated similar Internet accessibility in southern Illinois among low-income populations compared with national rural rates. Interest in using online nutrition education varied among SNAP-Ed participants according to age. Young adults appeared to be the most captive audience regarding online nutrition education. Results may be useful to agencies implementing SNAP-Ed to supplement current curriculum with online nutrition education for audiences aged ≤32 years. Copyright © 2017 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  5. A proposito di software per lo sviluppo del pensiero logico strategico

    Directory of Open Access Journals (Sweden)

    Mauro Tavella

    2005-01-01

    Full Text Available Presentazione di alcuni giochi informatici utilizzati nel ambito del progetto SoLE: GNOME ATAXX, GNOME SAME, GNOME TETRAVEX. Il progetto aveva come obiettivo lo sviluppo e il consolidamento delle abilità logico matematiche nella scuola di base. I programmi funzionano su sistema operativo Linux, ma sono anche inseriti nel cd live SoDiLinux.

  6. Targets of industrial development and environmental indicators; Obiettivi di sviluppo industriale e indicatori di prestazioni ambientali. Relazioni di sintesi

    Energy Technology Data Exchange (ETDEWEB)

    Forni, A.; Olivetti, I.; Scipioni, F. [ENEA, Div. Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Frascati, Frascati, RM (Italy); Orasi, A. [Rome Univ. La Sapienza, Rome (Italy). Facolta' di Statistica

    2001-07-01

    georeferenced representations. Conclusive lines regard not only the attitude of enterprises and their approach to environmental themes; the point of view is open to programming choices of regions and other local authorities regarding economic development and environmental protection, both their correlation with a very important national law referring to the funds for industrial development (which gives to regions remarkable role) and the answers of enterprises. [Italian] La ricerca ha inteso monitorare l'uso da parte delle imprese degli indicatori di performance ambientale, in relazione all'accesso a programmi di finanziamento nazionali e/o comunitari, e analizzare il rapporto tra programmazione dello sviluppo industriale e politiche territoriali degli enti locali e dello stato centrale. La ricerca ha focalizzato l'attenzione sulla Legge 488/92 che, tra gli strumenti di incentivazione diretta alle imprese, costituisce la legge di finanziamento piu' rilevante per diversi motivi. Anzitutto per l'impegno finanziario pubblico in quanto e perche' rappresenta la principale legge di finanziamento allo sviluppo dell'imprenditoria e di sostegno all'innovazione nelle aree depresse del Paese (ex aree ob. 1, 2 e 5 b.) Soprattutto, pero', la legge ricorre a degli indicatori ambientali per la valutazione del finanziamento ed ha un rinnovato e piu' ampio ruolo di strumento di attuazione della strategia ambientale del PON sviluppo imprenditoria locale nell'attuale periodo di programmazione dei fondi comunitari, 2000-2006. La delicatezza dell'argomento di studio che coinvolge piu' amministrazioni centrali dello stato e le istituzioni locali con ampie responsabilita', aggiunta alla sua complessita' (economica, sociologica ed ambientale) hanno indotto il gruppo di ricerca ad adottare un metodo di confronto il piu' ampio possibile con elementi scientifici e giuridici/programmatici gia' accettati ed in essere

  7. Sviluppo sostenibile e inclusione sociale: l’importanza del rispetto della diversità culturale tramite l’esercizio della cittadinanza / Développement durable et inclusion sociale: l’importance du respect de la diversité culturelle sur la base de la pratique de la citoyenneté / Sustainable Development and Social Inclusion: The importance of respecting cultural diversity through exercising citizenship

    Directory of Open Access Journals (Sweden)

    Pinto Ferreira SilvioJunior

    2012-10-01

    Full Text Available Cet article se concentre sur deux aspects : 1 la valorisation de la culture après le Sommet de la Terre à Rio (ECO-92 dans un contexte de croissance et développement durable ; 2 la culture parmi les engagements de l’Agenda 21 global et local. Aujourd’hui plus que jamais, les pays se rendent compte que la reconnaissance de l’identité culturelle de leurs sociétés est un élément clé de transformation en tout genre (économique, social ou environnemental. Il est également clair que l’intégration de ces aspects ne serait possible que sur la base de l’inclusion sociale et de la pratique de la citoyenneté, afin de respecter la diversité. Dans cet article, l’auteur veut aussi mettre en évidence l’importance du patrimoine culturel des peuples, des sociétés, des groupes et des communautés et les moyens de profiter des politiques publiques mises en œuvre pour garantir la liberté des sociétés d’exprimer leur culture à l’époque de la mondialisation. Pour une société plus juste, plus sûre, plus inclusive et avec une meilleure qualité de vie, il est primordial de favoriser un état d’harmonie parmi les trois piliers du développement durable (environnemental, économique et socio-culturel. The objectives of this article are the following: 1 to present the importance of the valorisation of culture in the context of growth and sustainable development after the Earth Summit ECO-92 (Rio de Janeiro, Brazil; 2 to discuss the insertion of culture in the Agenda 21 Global and Local Commitments, taking the example of the city of São Paulo in Brazil. Today, more than ever, countries perceive that the recognition of cultural identity of their societies is a basic element of any type of transformation – economic, social or environmental. It is clear as well that the integration of these aspects will only be possible on the basis of social inclusion and exercising citizenship, in order to respect diversity. This article also

  8. Aoife Nolan, Rory O’Connell, Colin Harvey (eds., Human Rights and Public Finance: Budgets and the Promotion of Economic and Social Rights (Oxford and Portland: Hart Publishing, 2013

    Directory of Open Access Journals (Sweden)

    Floriana Ferro

    2014-03-01

    Full Text Available A review of: Aoife Nolan, Rory O’Connell, Colin Harvey (eds., Human Rights and Public Finance: Budgets and the Promotion of Economic and Social Rights (Oxford and Portland: Hart Publishing, 2013

  9. C. Walker-Said and J. D. Kelly (eds), Corporate Social Responsibility? Human Rights in the New Global Economy (Chicago, IL: The University of Chicago Press, 2015), 392 pp

    DEFF Research Database (Denmark)

    Whelan, Glen

    2017-01-01

    Book review of: Charlotte Walker-Said and John D. Kelly (eds), Corporate Social Responsibility? Human Rights in the New Global Economy (Chicago, IL: The University of Chicago Press, 2015), 392 pp.......Book review of: Charlotte Walker-Said and John D. Kelly (eds), Corporate Social Responsibility? Human Rights in the New Global Economy (Chicago, IL: The University of Chicago Press, 2015), 392 pp....

  10. Review of Pütz et al., eds: Cognitive Sociolinguistics: Social and Cultural Variation in Cognition and Language Use

    DEFF Research Database (Denmark)

    Jensen, Kim Ebensgaard

    2015-01-01

    Positive review of Cognitive Sociolinguistics: Social and Cultural Variation in Cognition and Language Use (2014)......Positive review of Cognitive Sociolinguistics: Social and Cultural Variation in Cognition and Language Use (2014)...

  11. Review of Pütz et al., eds: Cognitive Sociolinguistics: Social and Cultural Variation in Cognition and Language Use (2014)

    DEFF Research Database (Denmark)

    Jensen, Kim Ebensgaard

    2015-01-01

    Positive review of 'Cognitive Sociolinguistics: Social and Cultural Variation in Cognition and Language Use'.......Positive review of 'Cognitive Sociolinguistics: Social and Cultural Variation in Cognition and Language Use'....

  12. Lo social y lo virtual (Francisco Tirado Serrano y Miquel Domènech i Argemí, Eds.

    Directory of Open Access Journals (Sweden)

    Tomás Sánchez-Criado

    2008-01-01

    Full Text Available Lo social y lo virtual” se trata principalmente de un libro conceptual que trabaja a través de ejemplos empíricos (por ejemplo, la teleasistencia y la transformación del espacio del cuidado social, las pulseras electrónicas y los cambios en las tecnologías de vigilancia.

  13. Le prime globalizzazioni: il processo di sviluppo e l'integrazione economica tra Mediterraneo ed Atlantico (secc. XVI-XX

    Directory of Open Access Journals (Sweden)

    Amedeo Lepore

    2008-12-01

    Full Text Available Los más recientes estudios de historia económica internacional han proporcionado nuevas líneas de investigación sobre el origen de la “globalización”, así como sobre sus causas y consecuencias. En particular, el concepto mismo de globalización no es sólo aplicado a la actualidad inmediata, al retrotraerse a la luz de eventos históricos de primera importancia, especialmente en el curso de varias fases de la época moderna y contemporánea de la humanidad. La “mundialización” no es una novedad. De hecho, según una esquematización muy interesante, podemos individualizar al menos otros dos períodos en cuyo término de tiempo y espacio han mutado profundamente sus caracteres, como son: la época del descubrimiento del Nuevo Mundo y la fase de la considerada “revolución industrial”.______________________ABSTRACT:The latest researches in international economic history have begun new lines of examining the “globalization” origins, as well as the causes and the relative consequences. In particular, the globalization concept itself can be post-dated and verified by the light of historical events of great importance, occurred during several periods of the humanity Modern and Contemporary Age. The globalization is not a piece of news. In fact, according to an elemental simplification, at list two other periods can be characterized in which the time and spaces terms have deeply changed their character, have been considerably reduced: the New World discovery and the stage of the assumed 'industrial revolution'.

  14. Review: Cornelia Schweppe (Ed. (2003. Qualitative Forschung in der Sozialpädagogik [Qualitative Research in Social Pedagogy

    Directory of Open Access Journals (Sweden)

    Wilhelm Schwendemann

    2006-03-01

    Full Text Available Cornelia SCHWEPPE's anthology provides us with a map for finding a way through the various discussions and methods of research concerning social pedagogy, keeping in mind the chasm that exists between the actual conception of social pedagogy that exists in higher education, i.e., at universities and universities of applied sciences (formerly known as polytechnics. The book is by no means a systematic documentation of the subject but, rather, is divided up between topics concerning theory and those regarding methodology. The central question is: How do social researchers in all of their different areas of specialization view the essence of their work? The wide spectrum of approaches to social pedagogy is, likewise, a theoretical issue since this plethora is an indicator of the lack of interdisciplinary understanding of the subject. We can thank the author for triggering discussions amongst the various professionals and researchers in the field of social pedagogy and for demonstrating that communication is possible between the various parties concerned. URN: urn:nbn:de:0114-fqs060283

  15. INNOVAZIONE CULTURALE E SVILUPPO LOCALE. MATERA COME DISTRETTO CULTURALE

    Directory of Open Access Journals (Sweden)

    Michela Felicetti

    2015-12-01

    Full Text Available Is culture a strategic tool for local development? Do cultural resources foster physical, economic and social renewal? We have attempted to answer yes throughout our analysis of the Matera 2019 cultural capital project, using some fundamental drivers like: quality of cultural supply, quality of production knowledge, development of local talent and attraction of external talent, capability building, education of the local community and internal or external networking. The Matera case study configures an extremely thorough ag- gregation of Universities, Research Centres, Associations and Enterprise and, more importantly, a strong social mobilisation in the field of cultural production. This aspect occur in the wide use of open data and in the networking of cultural circles, film archives as well as history archives with the aim to invent and re-invent forms of collaborative memory. Above all in Matera, culture is a system of coordination among local actors within a social learning activity focused on innovation process.

  16. Protección social y lucha contra la pobreza en Brasil, Colombia y Chile: ¿graduarse de los PTC o salir de la pobreza?

    Directory of Open Access Journals (Sweden)

    Paula Ruiz

    2016-06-01

    Full Text Available Reseña del libro: Tassara, Carlo (ed.; Ibarra, Antonio y Vargas Faulbaum, Luis Hernán Protección social y lucha contra la pobreza en Brasil, Colombia y Chile. ¿Graduarse de los PTC o salir de la pobreza? Programa EUROsociAL, 2015 Con la colaboración del Instituto ÍtaloLatinoamericano (IILA y del Comitato Internazionale per lo Sviluppo dei Popoli (CISP (En línea en acceso abierto 212 págs. ISBN 978-88-99592-00-4 La versión electrónica se puede descargar gratuitamente en el siguiente enlace: https://www.academia.edu/16840419/Protecci%C3%B3n_social_y_lucha_contra_la_pobreza_en_Brasil_Colombia_y_Chile._Graduarse_de_los_ PTC_o_salir_de_la_pobreza

  17. Inform@ed space

    DEFF Research Database (Denmark)

    Bjerrum, Peter; Olsen, Kasper Nefer

    2001-01-01

    Inform@ed space Sensorial Perception And Computer Enchancement - bidrag til Nordisk Arkitekturforskningsforenings IT-konference, AAA april 2001.......Inform@ed space Sensorial Perception And Computer Enchancement - bidrag til Nordisk Arkitekturforskningsforenings IT-konference, AAA april 2001....

  18. Dissidenze statali contemporanee. Guerra, internazionalizzazione e sviluppo informale nel Somaliland

    Directory of Open Access Journals (Sweden)

    Luca Ciabarri

    2015-03-01

    Full Text Available Il termine somalizzazione sembra in questo inizio secolo aver completamente sostituito l’espressione balcanizzazione, suo omologo perfetto per i secoli XIX e XX, per alludere ad un rischio a cui molte crisi internazionali (Siria, Libia, Mali, Afghanistan… vi è in effetti un lungo elenco potrebbero tendere: il rischio cioè del precipitare nell’anarchia e nel disordine totale, nella lotta settaria, così rappresentata, senza logica e senza sbocco. L’articolo intende analizzare da un punto di vista etnografico uno specifico paesaggio sociale all’interno di queste aree di crisi, in particolare all’interno dell’area somala, per mettere in luce, piuttosto che la disconnessione e l’eccezionalità di queste zone, le forme della loro connessione con il mondo degli Stati più ampio. Il commercio informale transfrontaliero, e la sovrapposizione tra movimenti di beni, di persone e di denaro, è preso ad esempio in questo studio di caso per mostrare le profonde ambiguità e contraddizioni di queste forme di relazione. Dinamiche regionali che intrecciano percorsi di persone e merci, che alimentano confini reali e ideologici, che avvicinano o allontanano gli attori in campo in forme inattese e che sono irriducibili rispetto a macro discorsi fondati sul pericolo di radicalizzazioni islamiche o violenze settarie sono qui proposte come determinanti decisive per poter comprendere i percorsi verso il conflitto e verso la pace nelle aree contemporanee di dissidenza e vuoto statale.

  19. Review: Lupicinio Íñiguez (Ed. (2006. Análisis del Discurso. Manual para las ciencias sociales [Discourse Analysis. Textbook for Social Sciences

    Directory of Open Access Journals (Sweden)

    Luz Mª Martínez

    2007-05-01

    Full Text Available This review evaluates the contributions of a book which, in spite of being a compilation of several authors, presents itself as a handbook of discourse analysis, understood as both a theoretical-methodological perspective and a research tool. Thus, this review a sets the proposal of this book in its original context, that of critical social psychology, while pointing at its interdisciplinary sources; b offers a map of contexts of the different contributions; c analyses the common ground which confers unity upon these different chapters, that show the complexity of the field without over-simplification. This review argues that the book is able to render a coherent perspective despite its plurality, precisely because of this common, unifying core: the contributions of the linguistic turn and of ethnomethodology and, above all, the FOUCAULTian notion of discourse and its political implications. URN: urn:nbn:de:0114-fqs0702187

  20. Ed Watson 1940-2006

    CERN Document Server

    2006-01-01

    Ed Watson arrived at CERN in March 1973 to work on digital electronics and CAMAC systems under Bob Dobinson, after many years at Rolls Royce in Scotland. He joined the European Muon Collaboration in 1976, where he played a major role in the design, deployment and running of its data acquisition system (DAQ) with David Botterill, Bob Dobinson, and Vicky White. The CAMAC-ROMULUS system was by far the largest and most advanced of its time, and it became a defining standard for DAQ systems for years to come. Ed was deeply involved in the detailed planning of the control rooms and the experiment cabling, as well as sharing the responsibility for the CAMAC readout system. He had a real talent for trouble shooting and played a vital part in supporting the experiment throughout its lifetime. He offered great moral support to the younger members of the collaboration and helped them a great deal with their work. The EMC had a wonderful social life to which Ed was a major contributor - who can forget its barbecues?  In...

  1. Ann Banfield, Lo sviluppo storico dello stile narrativo Ann Banfiled, The historical development of narrative style

    Directory of Open Access Journals (Sweden)

    Sara Sullam

    2010-06-01

    Full Text Available Il capitolo tratto da Unspeakable Sentences (1982 presenta un'ipotesi circa la nascita e lo sviluppo dello stile narrativo e in particolare dello stile indiretto libero. In opposizione alle teorie che ritengono che quest'ultimo si sia diffuso per imitazione, Banfield – lavorando all'interno del paradigma generativista – propone una teoria per cui esso sarebbe una pos- sibilità innata del linguaggio, che si realizza per la prima volta, e già nella sua forma compiuta, con la nascita del genere romanzo.The paper briefly summarizes the proposal made in 1965 that "Poetic Competence" is the basis for creating and evaluating poetry. That this competence lives on, but is different from linguistic competence is exemplified by a close look at the segmental and supra-segmental, morpho-syntactic, lexical, and conceptual structure of Hölderlin's poem An Zimmern, revealing a surprisingly complex and balanced structure of the apparently simple four lines. The second part of the paper discusses the question whether judgments about poetry are to be studied as based on the relation between specific properties of poems and persons. Finally the problem is raised, whether literary art is based on a specific Poetic Competence, or instantiates a general aesthetic ability applied to linguistic objects. This is construed as a speculative, but still empirical question.

  2. Lo sviluppo della dimensione sociale della Criminologia in Italia: l’insegnamento universitario della Sociologia della devianza fra passato e futuro / The development of the social dimension of the Criminology in Italy: teaching Sociology of deviance at the Universities between past and future / Le développement de la dimension sociale de la Criminologie en Italie: l'enseignement de la Sociologie de la déviance dans les universités entre passé et futur

    Directory of Open Access Journals (Sweden)

    Bertelli B.

    2008-12-01

    Full Text Available Dans cet article il sera souligné que le développement de la sociologie de la déviance en Italie peut être considéré dans une double perspective. D'une part, il s'agit de la réaffirmation de la perspective sociologique dans le domaine de la criminologie, qui en Italie a une longue tradition d'étude, en particulier dans le milieu clinique et judiciaire. D'autre part, il s'agit de l'imposition d'une discipline 'nouvelle' qui tend à l'autonomie des voies de recherche, résolument orientée sur les approches et les «instruments» de la sociologie. L'hypothèse qui est agréée est que les deux disciplines scientifiques, la sociologie de la déviance et la criminologie, sont fortement complémentaires et à la fois utile et indispensable pour la formation des professionnels de la prévention et du contrôle des déviances.AbstractIn this article I will emphasise that the development of the sociology of deviance in Italy can be viewed from a dual perspective. Firstly, as the reaffirmation of sociological perspective in the subject area of Criminology, which in Italy has a long tradition of study, especially in clinical and forensic cases; and, on the other hand, it is a matter of imposing a “new” discipline that tends to autonomous pathway for research, geared decidedly towards the approaches and the “instruments” of Sociology. The accredited hypothesis is that of two scientific disciplines, the sociology of deviance and the Criminology, that are strongly complementary and both useful and essential for the training of professionals in the prevention and control of social deviances.

  3. PREFACE: EDS2010 Preface

    Science.gov (United States)

    Heggie, Malcolm I.

    2011-03-01

    The biennial international conference on Extended Defects in Semiconductors started in 1978 with a meeting in Hünfeld, Germany. Subsequent meetings rotated between Poland, France, Great Britain, Germany, Russia and Italy, culminating in EDS2004 in Chernogolovka, EDS2006 in Halle and EDS2008 in Poitiers. EDS2010 was held at the University of Sussex at Brighton, UK from September 19th to 24th. An extension of the tabulation of this history, which first appeared on the EDS2006 website, is given in the attached PDF. It is with sadness that we note one of the founders of the series, Prof. Dr Helmut Alexander, passed away on 3 December 2009 and we were proud to dedicate EDS2010 to his memory. It has become a tradition to make an award in his name, and this year it was made to Ivan Isacov for his poster "Electrical levels of dislocation networks in p- and n-type silicon". A short and warm celebration of Prof. Dr Alexander's life by his friends and colleagues, Prof. Drs Helmut Gottschalk, Eicke Weber and Wolfgang Schröter, is included in this volume. The conference was a forum for the state-of-the-art of investigation and modelling of extended defects in semiconductors. Scientists from universities, research institutes and industry made contributions to a deeper understanding of extended defects, their interaction with point defects and their role in the development of semiconductor technology. The remit of the conference included extended defects, nanostructures, nanoparticles, quantum dots and interfaces within semiconducting materials ranging from narrow to wide band gaps, including graphene-derived materials and diamond. Scientific interests range from defect geometry, electronic structure, dynamics, spectroscopy, microscopy, reactions and chemistry to introduction mechanisms, such as implantation and strained layers and the operation of devices such as integrated circuits, heterostructures, and solar cells. The organisers were confronted with a long period between

  4. Differente effetto di diete iperlipidiche ricche in lardo o olio di pesce sull’insorgenza dell’obesità, steatosi epatica ed insulino-resistenza.

    OpenAIRE

    Gaita, Marcello

    2010-01-01

    Il lavoro sperimentale è stato focalizzato sullo studio dell’effetto di differenti diete iperlipidiche, ricche in lardo e olio di pesce, sullo sviluppo dell’obesità, steatosi epatica ed insulino-resistenza. E' noto da tempo l'effetto benefico dell’olio di pesce nel ridurre le patologie cardiovascolari e le metaboliche. Proprio per questo motivo ho condotto delle analisi volte ad accertare come l’utilizzo di olio di pesce in diete iperlipidiche somministrate a ratti potesse agire sull’efficien...

  5. School, environment and sustainable development eco-management and audit scheme (EMAS) applied to schools; Scuola, ambiente e sviluppo sostenibile. L'adesione degli istituti di istruzione al regolamento (CE) N. 761/2001 EMAS

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L.; Ceccacci, R. [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    The topic discussed in this report can be inserted within the context of the activities carried out by ENEA - Environment and Territory Division - in the field of the EC Environmental Management and Audit Scheme (EMAS) promotion. EMAS, that is a voluntary environmental policy instrument, intend to replace the conflicting relationship between control authority and firm with a relationship focused on a conflicting relationship between control authority and firm with a relationship focused on a dialogue and action agreed upon by the parties, on the basis of impartial and reliable information. This report illustrates in a preliminary phase, contents and aims of the EDUCH-EMAS Pilot Project which could be used as a guideline for the application of Regulation n. 761/2000/EC to Schools in Italy. [Italian] L'argomento trattato nel presente lavoro e' stato sviluppato nell'ambito delle attivita' di promozione del Sistema comunitario di Ecogestione e Audit (EMAS), condotte dalla Divisione Caratterizzazione dell'Ambiente e del Territorio dell'ENEA. Lo strumento EMAS, che ha caratterre di volontarieta', intende sostituire un rapporto di tipo conflittuale tra autorita' di controllo ed impresa, con un rapporto centrato su un dialogo ed un'azione concentrata tra le parti, sulle basi di un'informativa obiettiva ed affidabile. Il presente rapporto, illustra in fase preliminare i contenuti e gli obiettivi del progetto Pilota EUDUCH EMAS, che si propone come sviluppo successivo di descrivere il percorso per l'applicazione del Regolamento CE N. 761/2000 (EMAS) alle strutture scolastiche italiane.

  6. LO SVILUPPO DELLA PERSONALITÀ INTERCULTURALE NELLA RELAZIONE DIDATTICA UNO A UNO: STUDI DI CASO

    Directory of Open Access Journals (Sweden)

    Marcella Panascì

    2014-07-01

    Full Text Available Questa ricerca si pone l’obiettivo di identificare strategie efficaci nella gestione dell’insegnamento uno a uno in contesti professionali. A partire da un’attenta riflessione sulle peculiarità di questo ambito di insegnamento, si analizzano i possibili percorsi di apprendimento che l’insegnante può intraprendere al fine di impostare una azione didattica incisiva. Si esaminano in particolare lo sviluppo della competenza strategica e metacognitiva e la costruzione della personalità interculturale come possibili chiavi di accesso a un apprendimento più consapevole e autonomo. Attraverso lo studio di tre casi differenti, questo contributo intende fornire idonei strumenti di analisi che possano guidare l’insegnante nel riconoscimento di un profilo non solo linguistico, ma anche cognitivo, metacognitivo e socio-affettivo dell’apprendente e nell’impostazione di una diversa azione didattica in armonia con le caratteristiche dell’allievo. The development of the intercultural personality in one-to-one teaching: case studies Marcella Panascì This study aims at identifying effective strategies in one-to-one teaching in professional contexts. Starting from a careful consideration of the peculiarities of this type of teaching, this study analyses the possible learning paths which the teacher can take in order to plan successful didactic actions. The development of strategic and meta-cognitive competences and the construction of an intercultural personality will be examined as possible way to a more independent and conscious way of learning. Through three different case studies, this article offers analysis strategies so that the teacher can recognize a student’s profile not only linguistically, but also which including cognitive, meta-cognitive and affective aspects in order to plan ad hoc didactic actions in harmony with the learner’s characteristics. 

  7. Politics and instruments for a sustainable development; Politiche e strumenti per uno sviluppo sostenibile

    Energy Technology Data Exchange (ETDEWEB)

    Luciani, R.; Andriola, L. [ENEA, Casaccia (Italy). Dipt. Ambiente

    1999-06-01

    The new industrial political tools based on the sustainable development of productive activities, and originating at the Rio Conference in 1992, late introduced by the EU, the Government and voluntary organizations (ISO, CEM, UNI) are gradually entering the market, thereby underling their effect in terms of industrial competitiveness. The main tools were examined in the report and mostly refer to the voluntary ones which, in surpassing the 'command and control' logic, increasingly tend to get close to traditional fiscal, tariff and financial ones. Voluntary agreements, environmental management systems (EMAS, ISO 14001), the risk prevention systems (UNI 10617), certification (Eco label, ISO 14040) and environment communication tools (environment balance sheet, environmental report, environmental statement) are synthetically described. [Italian] I nuovi strumenti di politica industriale orientati allo sviluppo sostenibile delle attivita' produttive che traggono origene dalla conferenza di Rio del 1992 e sono stati introdotti successivamente da parte della Comunita' Europea, dal Governo e dagli organismi di normazione volontaria (ISO, CEN, UNI), stanno gradualmente penetrando sul mercato fecendo valere i loro effetti anche in termini di competitivita' delle imprese. Nel rapporto sono stati esaminati i principali tra questi strumenti con particolare riferimento a quelli volontari che sempre piu', nel superamento della logica del 'command-control', tendono ad affiancarsi a quelli tradizionali di carattere fiscale, tariffario e finanziario. In particolare vengono descritti sinteticamente gli accordi volontari, i sistemi di gestione ambientali e della sicurezza (EMAS, norme ISO 14001 e UNI 10617), certificazione di prodotto (Ecolabel, norma ISO 14040) e gli strumenti di comunicazione ambientale (bilancio ambientale, rapporto ambientale, dichiarazione ambientale).

  8. Il fenomeno abachistico a supporto dei cambiamenti socio-economici: Arezzo tra il XIII ed il XVI secolo = The role of the abacus tradition for the economic and social development of the society: evidence from Tuscany (Italy between XIII and XVI century

    Directory of Open Access Journals (Sweden)

    Maria Pia Maraghini

    2011-12-01

    techniques to do arithmetic operations and practical rules to solve commercial and financial questions. The objective of this research is to further investigate the study of abacus schools and books, in order to recover and highlight the role held by the abacus phenomenon in the origins of the “accounting art” and, in general, the role of the “abacus tradition” for the economic and social development of the society during the medieval and renaissance period. To achieve this goal, the study relies upon some evidences from Tuscany (Italy between XIII and XVI century. By combining theoretical and empirical insights, the analysis points out the contribution the abacus tradition has given to the better development of public life in the city-republic during the medieval and renaissance period, that is to say to the best and most effective exercise of duty and civic right. This contribution has been the basis to the growing interest shown towards the abacus culture by the then city-republic authorities.La presente ricerca indaga sulle “origini” dell’arte contabile tendente a memorizzare i comportamenti economici. In particolare, essa esamina i primi “ambienti” specifici predisposti e organizzati per l’insegnamento delle conoscenze contabili e i “mezzi” di studio per il loro trasferimento: le scuole e i libri d’abaco. Diffusisi prevalentemente in Italia tra il XIII ed il XVI secolo, essi avevano il principale scopo di trasmettere quelle conoscenze generalmente definite di “matematica pratica”, quali le tecniche per eseguire le operazioni aritmetiche e le regole pratiche per la risoluzione di problemi commerciali e finanziari.L’obiettivo della ricerca è quello di approfondire lo studio delle scuole e dei libri d’abaco, evidenziandone il ruolo rivestito nella “genesi” della contabilità per le aziende e, quindi, nel più generale sviluppo socio-economico in epoca medioevale e nei primi secoli del Rinascimento.A tal fine, la ricerca si avvale

  9. Review of 'The Social Psychology of Morality' by J.P. Forgas, L. Jussim & P.A.M. Van Lange (eds.), Routledge, 2016

    OpenAIRE

    Andreea Bobb

    2017-01-01

    This volume, that brings together the papers presented at the annual Sydney Symposium of Social Psychology, cannot but be enjoyed by the growing community of social psychologists interested in the field of morality. This is only the second book on morality that has the expression “social psychology” in its title after the Social Psychology of Morality: Exploring the Causes of Good and Evil (2012), edited by Mikulincer and Shaver. Forgas, Jussim and Van Lange (2016, p. 1) belief is that „Homo ...

  10. TED-Ed lessons & TED-Ed clubs: Educational activities to amplify students' voices

    Science.gov (United States)

    Villias, Georgios

    2017-04-01

    TED-Ed lessons and TED-Ed clubs are two powerful educational tools that can be used in today's school classrooms in order to create an educational environment that is engaging for the students and favors their active participation, created and fostered by TED-Ed. TED-Ed is TED's educational initiative, committed to create lessons worth sharing and amplify the voices and ideas of teachers and students around the world. TED-Ed animated lessons are fully organized lessons structured around an animated video that introduces new topics to learners in an exciting, thought-provoking way. These lessons have been created as a result of the cooperation between expert educators and animators and have been uploaded at the TED-Ed platform (http://ed.ted.com). On the other hand, TED-Ed Clubs are also an interesting way to offer students the chance, the voice and the opportunity to express their thoughts, engage actively on these matters and connect with each other, both at a local, as well as at an international level (http://ed.ted.com/clubs). By developing new TED-Ed lessons or by customizing appropriately existing animated TED-Ed lessons (translating, modifying the questions asked, introducing new discussion topics), I have created and implemented in my student-centered, didactic approach, a series of TED-ED animated lessons directly connected with the Greek national science syllabus that were used to spark students curiosity and initiate a further analytical discussion or introduce other relevant educational activities (http://gvillias.wixsite.com/education). Furthermore, at my school, we established Varvakeio TED-Ed Club, an environment that supports and empowers our students to research, develop and disseminate their own personal ideas that worth spreading. During the year, our members were inspired by watching TED talks presented by experts on their field on various different areas, including social, economical, environmental and technological-scientific issues. Our aim

  11. Review of 'The Social Psychology of Morality' by J.P. Forgas, L. Jussim & P.A.M. Van Lange (eds., Routledge, 2016

    Directory of Open Access Journals (Sweden)

    Andreea Bobb

    2017-07-01

    Full Text Available This volume, that brings together the papers presented at the annual Sydney Symposium of Social Psychology, cannot but be enjoyed by the growing community of social psychologists interested in the field of morality. This is only the second book on morality that has the expression “social psychology” in its title after the Social Psychology of Morality: Exploring the Causes of Good and Evil (2012, edited by Mikulincer and Shaver. Forgas, Jussim and Van Lange (2016, p. 1 belief is that „Homo moralis is no less an appropriate term to describe humans as is Homo spaiens” and that social psychology has the privilege to unravel and understand human morality.

  12. Natural gas fuelled vehicles, energetic and environmental problems; Il gas naturale in autotrazione, aspetti energetici ed ambientali

    Energy Technology Data Exchange (ETDEWEB)

    Ciancia, A.; Pede, G. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dipt.Energia

    1998-03-01

    The present report deals with the analysis and the presentation of the main problems concerning the introduction of the natural gas fuel for vehicles. The offer and demand side of the NGV market are analyzed, together with the presently available NG fuelled vehicles and the status of the technology for engines and on-board storage systems, with particular regard to the energetic and environmental performance of the system. Finally the NGV market development is presented, and the actors on the stage, showing the opportunities together with the possible obstacle to a wider diffusion of this technology. [Italiano] Il rapporto e` dedicato all`esposizione ed all`analisi delle principali tematiche afferenti all`introduzione del metano nel settore dell`autotrazione. Vengono quindi esaminati nell`ordine la situazione del mercato della domanda e dell`offerta di metano, le realizzazioni veicolari oggi disponibili, la tecnologia e le prestazioni dei motori alimentati a metano e quelle dei sistemi di accumulo a bordo, l`impatto ambientale di questi veicoli. Vengono infine trattati i temi dello sviluppo del mercato e degli attori di questo sviluppo, evidenziandone i possibili sbocchi insieme agli ostacoli che ne limitano la diffusione.

  13. Review: Matthias Grundmann, Thomas Dierschke, Stephan Drucks & Iris Kunze (Eds. (2006. Soziale Gemeinschaften. Experimentierfelder für kollektive Lebensformen [Social Communities. Experiments in Collective Living

    Directory of Open Access Journals (Sweden)

    Thorsten Berndt

    2008-10-01

    Full Text Available The authors of this book call for enhanced scientific exploration of a basic sociological category: community. Theoretical preparation for further research in this area is provided by a focus on "intentional communities" and analysis of classical and anthropological definitions. The empirical analysis shows the experimental value of examining intentional communities in order to understand possibilities for sustainable social progress. The book's strengths would have been added to by the integration of existing empirical studies to emphasize the process of collectivization and by the provision of a clear definition of the authors' position on the question of value-free social science. URN: urn:nbn:de:0114-fqs0901208

  14. Social and Emotional Learning: A Resource Guide and New Approach to Measurement in ExpandED Schools. A TASC Resource Guide

    Science.gov (United States)

    ExpandED Schools, 2014

    2014-01-01

    This guide is a list of tools that can be used in continued implementation of strong programming powered by Social and Emotional Learning (SEL) competencies. This curated resource pulls from across the landscape of policy, research and practice, with a description of each tool gathered directly from its website.

  15. Bebbington, Anthony (ed.). Minería, movimientos sociales y respuestas campesinas. Una ecología política de transformaciones territoriales

    OpenAIRE

    Bedoya G., César

    2014-01-01

    Una lectura atenta de los reportes mensuales sobre conflictos sociales, que elabora y difunde la Defensoría del Pueblo del Perú, muestra que los conflictos relacionados con el medio ambiente se han duplicado, en comparación con el año pasado. El escenario de dichos conflictos son básicamente las zonas alto andinas y los actores directamente involucrados son las empresas mineras, las comunidades campesinas o distritos rurales y el Estado. Recientemente, la convocatoria a una consulta vecinal, ...

  16. Review: Thomas S. Eberle, Sabine Hoidn & Katarina Sikavica (Eds. (2007. Fokus Organisation. Sozialwissenschaftliche Perspektiven und Analysen [Focus Organization: Social Scientific Perspectives and Analyses

    Directory of Open Access Journals (Sweden)

    Jo Reichertz

    2008-11-01

    Full Text Available This transdisciplinary anthology was published on the occasion of the 65th birthday of Emil WALTER-BUSCH, an organization scientist from St. Gallen, Switzerland. Alongside discussions of current theories about the character of organizations, the collection introduces and evaluates international management research as well as approaches to organizational change. All the articles are embedded in a reflexive approach to the production of social-scientific knowledge. This anthology, as interesting for organization researchers as for sociologists of knowledge and science, is particularly successful in not only taking up and developing the thoughts of Emil WALTER-BUSCH but also in capturing the spirit of his scientific work. URN: urn:nbn:de:0114-fqs0901219

  17. Review: Bernt Schnettler & Hubert Knoblauch (Eds. (2007. Powerpoint-Präsentationen. Neue Formen der gesellschaftlichen Kommunikation von Wissen [Powerpoint Presentations: New Forms of Social Communication of Knowledge

    Directory of Open Access Journals (Sweden)

    Thomas Hestermann

    2009-03-01

    Full Text Available The book "Powerpoint-Präsentationen. Neue Formen der gesellschaftlichen Kommunikation von Wissen" (Powerpoint Presentations: New Forms of Social Communication of Knowledge, edited by SCHNETTLER und KNOBLAUCH, is devoted to a previously underresearched subject: the features and effects of presentations supported by software, and in particular by Microsoft's "PowerPoint," The authors explain that, from sociological and linguistic viewpoints, presentations have a greater impact on content than the bare texts and pictures on the slides. The slides shown during a presentation gain in meaning when supported by a presenter who not only speaks but uses body language and various presentation techniques. Difficulties in communication can arise when organizations replace traditional reports with powerpoint slides. The book is considered in the context of current research and opinions on powerpoint. A critical look is taken at the claim that powerpoint per se is responsible for disasters such as the crash of the Columbia space shuttle. The decisive factor seems to be more a question of how competent users are in using presentation software and the associated communication techniques. URN: urn:nbn:de:0114-fqs0902135

  18. EDS becomes CERN Openlab contributor

    CERN Multimedia

    2007-01-01

    "EDS today announced that it has become an official contributor to CERN openlab. The purpose of the joint project between CERN and EDS is to carry out research and development in the field of monitoring, management and operaiton of grid services." (2/3 page)

  19. Rebooting the EdD

    Science.gov (United States)

    Wergin, Jon F.

    2011-01-01

    In this essay, Jon Wergin reminds readers of the philosophical and historical foundations of the doctor of education (EdD) degree. He argues that the EdD should be based, in large part, on John Dewey's progressive ideals of democratization and Paulo Freire's concepts of emancipatory education. Drawing on theories of reflective practice,…

  20. EDS becoms CERN Openlab contributor

    CERN Multimedia

    2007-01-01

    "EDS announced that it has become an official contributor to CERN openlab. The purpose of the joint project beteween CERN and EDS is to carry out research and development in the field of monitoring, management and operation of grid services." (1 page)

  1. I musei di identità: un'opportunità per lo sviluppo locale e turistico delle aree marginali. Esperienze in Sardegna, Romania e Marocco

    Directory of Open Access Journals (Sweden)

    Andrea Corsale

    2010-01-01

    Full Text Available Questo studio analizza la relazione virtuosa che può instaurarsi tra i musei di identità, il turismo culturale e lo sviluppo locale di comunità a economia debole. Vengono riportate le esperienze dei villaggi di Mamoiada (Italia, Sibiel (Romania e Ait Iktel (Marocco, nei quali, di recente, sono stati istituiti dei musei che valorizzano il patrimonio locale, in specie legato alla cultura contadina. Per tutti e tre i casi analizzati, i risultati ottenuti testimoniano l'esistenza di processi di crescita del turismo culturale con implicazioni positive per lo sviluppo locale. In particolare, è emerso che, finora, le attività svolte e promosse dai musei si sono inserite nel più ampio sistema locale, aggiungendo valore alle risorse del territorio e alle capacità produttive delle comunità di riferimento.

  2. <書評> Cockcroft, Eva Sperling and Holly Barnet-Sanchez eds., Signs from the Heart : California Chicano Murals., Social and Public Art Resource Center and University of New Mexico Press. 1990, (サインズ・フロム・ザ・ハート:カリフォルニアのチカーノ壁画)

    OpenAIRE

    熊谷, 高秋

    2006-01-01

    Cockcroft, Eva Sperling and Holly Barnet-Sanchez eds., Signs from the Heart : California Chicano Murals., Social and Public Art Resource Center and University of New Mexico Press. 1990, (サインズ・フロム・ザ・ハート:カリフォルニアのチカーノ壁画)

  3. APPROCCI DIDATTICI, PLURALI E COMPARATIVI PER LO SVILUPPO DI ‘COMMUNITY COHESION’

    Directory of Open Access Journals (Sweden)

    Anna Ciliberti

    2015-02-01

    Full Text Available Il tema affrontato nell’articolo si configura in due parti: la prima in chiave pedagogico-didattica affronta problema relativo al come promuovere, in contesti educativi, una competenza ed una educazione interculturale; la seconda parte propone invece una riflessione sulla nozione di ‘integrazione’ e, più in generale, relativa alla scelta di un modello che permetta di vivere in modo pacifico ed armonico con persone ‘diverse’ da noi, cioè persone che hanno convinzioni, tradizioni, lingua e cultura diverse dalle nostre.  Plural and comparative approaches to teaching to develop ‘community cohesion’ The issue addressed in the article is divided into in two parts: the first, from a pedagogical-teaching methods point of view, addresses the problem of how to promote expertise and intercultural education in educational contexts. The second section presents a reflection on the notion of ‘integration’ and, more generally, on the choice of a model that promotes peace and harmony with people ‘different’ from us, that is, people who have beliefs, traditions, language and culture different from ours.

  4. LUCI ED OMBRE NELL’ATTUAZIONE DEL SISTEMA DI RISOLUZIONE ALTERNATIVA DELLE CONTROVERSIE NEL CONTENZIOSO TRIBUTARIO ITALIANO ED IN QUELLO CROATO

    Directory of Open Access Journals (Sweden)

    Marco Greggi

    2017-01-01

    Full Text Available Nel lavoro gli autori esaminano il sistema della risoluzione alternativa delle controversie (ADR - Alternative Dispute Resolution nelle questioni fi scali in un’ottica comparatistica, ovvero alla luce delle legislazioni e delle dottrine italiana e croata. Nella prima parte del lavoro l’attenzione è rivolta all’esperienza italiana di attuazione del sistema ADR; mentre la seconda parte del lavoro è dedicata all’evoluzione del quadro normativo croato nei tentativi di costruzione di meccanismi di ADR. Il lavoro in entrambe le sue parti contiene una rassegna degli orientamenti dottrinali e attraverso i vari capitoli si sottolinea l’aspetto storico e teorico della questione esaminata. Gli autori dibattono ed espongono sul piano comparatistico anche le implicazioni dell’attuazione del sistema in esame; mentre l’infl uenza della dottrina di diritto pubblico sulla comparsa e lo sviluppo del sistema ADR viene evidenziata mediante l’esposizione della recente prassi italiana e croata del sistema di risoluzione dei contenziosi tributari.

  5. TechEdSat Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The overall goal of the Technical Education Satellite (TechEdSat) is to employ a small spacecraft to evaluate, demonstrate, and validate two new technologies for...

  6. Attraverso il corpo. Donne di una bidonville di Haiti e doni dello sviluppo

    Directory of Open Access Journals (Sweden)

    Pia Maria Koller

    2014-04-01

    Full Text Available Living in Cité Soleil, the largest haitian slum, is in itself a stigma, hindering access to social services and humanitarian aid. Repression and the increasing presence of armed gangs imposed a culture of silence. Violence became normality, particularly against women. Their survival strategies can be summarized by kalkile, calculate, pervading the individual and social body. When confronted with inequity in health, choices may turn into acts of resistance.Still, women continue to organize collectively. Some counteract their despair with works of art, reproducing the beauty of what in their memory remains "the pearl of the Antilles": Haiti. 

  7. La valutazione delle trasformazioni urbane e ambientali nei siti UNESCO dei paesi in via di sviluppo: applicazioni di rappresentazione digitale nel sito monumentale di An-Ninh presso la città di Hue, Vietnam

    Directory of Open Access Journals (Sweden)

    Giovanni Issini

    2009-12-01

    Full Text Available Le trasformazioni urbane e ambientali in atto nei paesi in via di sviluppo interessano spesso anche siti di alto valore storico-monumentale che necessitano quindi di metodi e strumenti atti a salvaguardarne l’integrità fisica e percettiva. Il presente lavoro tratta delle ricerche svolte sull’area di An-Ninh, presso Hue, in Vietnam, città UNESCO dal 1993. Tale area infatti rientra nei programmi di sviluppo turistico-culturale delle amministrazioni locali, essendo caratterizzata dalla presenza di uno dei siti templari più importanti del paese, integrato ad un contesto ambientale e paesaggistico di elevata qualità. La città di Hue si presenta infatti come un sistema monumentale diffuso ed integrato al territorio, dove i fenomeni di espansione urbana legati alla crescita economica ancora tardano a manifestarsi. Le opere di valore storico-artistico riconosciuto possono essere classificate in tre insiemi principali: La Cittadella contente la Città Proibita e il sistema di edifici a servizio della Corte Imperiale; l’insieme degli edifici diffusi sui rilievi montuosi circostanti, in particolare le Tombe Imperiali; l’area di espansione coloniale Francese a sud e l’area templare di An-Ninh, oggetto della presente ricerca. Il gruppo di ricerca del Dardus, congiuntamente con l’Università di Hue e il Hue Monuments Conservation Centre dopo avere realizzato un processo di conoscenza e documentazione rigoroso delle architetture e del territorio inclusi nel sito di An-Ninh, ha provveduto alla realizzazione di un ambiente virtuale che potesse costituire lo scenario adeguato per la valutazione della sostenibilità di nuovi interventi di architettura. Il processo di modellazione ha tradotto le informazioni acquisite nelle campagne di rilievo e di ricerca della documentazione storica in un oggetto virtuale articolato secondo diversi livelli di dettaglio e gerarchie di valori. Ogni emergenza monumentale è stata rappresentata tenendo conto del

  8. LA DIETA MEDITERRANEA UNESCO. UN MODELLO DI SVILUPPO SOSTENIBILE TRA MITO E REALTÀ

    Directory of Open Access Journals (Sweden)

    Elisabetta Moro

    2016-06-01

    Full Text Available This paper deals with the Mediterranean Diet as a potential tool for increasing knowledge and promoting a sustainable development especially in least developed and developing regions. The confirmation of the MD as an Intangible Heritage of Humanity, recognized by UNESCO in 2010, is producing a significant social effect in the seven nations and communities involved. In addition in 2012 the MD has been included by the FAO at the top of the list of the most sustainable diets in the planet. The double recognition of this life style is generating a new approach to this cultural heritage by the stakeholders who are progressively recognizing that it may become a new tool to develop green economy and eco-tourism. To this end the author analyses the real and mythological genealogy of the MD in order to bring out its cultural, economic and social potentiality.

  9. Democrazia ed élites

    Directory of Open Access Journals (Sweden)

    N. BOBBIO

    2014-07-01

    Full Text Available L’articolo si propone di mostrare che la teoria della classe politica, formulata ed elaborata da scrittori conservatori con precisi intenti di polemica antidemocratica, è stata utilizzata anche da scrittori decoratici; in secondo luogo di confermare la tesi cara a Pareto, secondo cui altro è il valore scientifico di una teoria politica, altro il suo uso ideologico

  10. Mitigating Higher Ed Cyber Attacks

    Science.gov (United States)

    Rogers, Gary; Ashford, Tina

    2015-01-01

    In this presentation we will discuss the many and varied cyber attacks that have recently occurred in the higher ed community. We will discuss the perpetrators, the victims, the impact and how these institutions have evolved to meet this threat. Mitigation techniques and defense strategies will be covered as will a discussion of effective security…

  11. 35 years of EDS software.

    Science.gov (United States)

    Schamber, Frederick H

    2009-12-01

    The computerized multichannel analyzer running software specifically designed for X-ray analysis appeared very early in the commercialization of the energy dispersive X-ray spectrometer (EDS) and, like the solid-state X-ray detector itself, was built on a technology foundation originally developed for nuclear spectroscopy. However, software techniques employed for gamma-ray spectra could not accommodate the continuum component of EDS spectra, and a new approach was required. Least-squares fitting with "top-hat" filtered spectra proved to be an effective solution that is still widely used today. Though modern computer technology has subsequently contributed greatly to the speed and convenience of present-day EDS software, it seems that the achievable accuracy and precision of spectrum analysis has not fundamentally improved, and most of the early challenges are still quite relevant, although they may appear in new guises. The availability of the high speed silicon drift detector, however, may provide both the incentive and the data precision to drive future advances. This article traces the formative years of EDS software from the personalized perspective of a participant. Factors that shaped the development of the industry are identified, and future directions are speculated.

  12. Ed Watson - 1940-2006

    CERN Multimedia

    2006-01-01

    Ed Watson passed away suddenly on 1 August in Geneva, he was 66. He leaves his wife and two children. Ed Watson arrived at CERN in March 1973 to work on digital electronics and CAMAC systems under Bob Dobinson, after many years at Rolls Royce in Scotland. He joined the European Muon Collaboration in 1976, where he played a major role in the design, deployment and running of its data acquisition system (DAQ) with David Botterill, Bob Dobinson, and Vicky White. The CAMAC-ROMULUS system was by far the largest and most advanced of its time, and it became a defining standard for DAQ systems for years to come. Ed was deeply involved in the detailed planning of the control rooms and the experiment cabling, as well as sharing the responsibility for the CAMAC readout system. He had a real talent for trouble shooting and played a vital part in supporting the experiment throughout its lifetime. He offered great moral support to the younger members of the collaboration and helped them a great deal with their work. The...

  13. Proposal of development of an advanced IORT system; Proposta di sviluppo di un sistema IORT di avanguardia

    Energy Technology Data Exchange (ETDEWEB)

    Ronsivalle, C. [ENEA, Centro Ricerche Frascati, Rome (Italy). Unita tecnico scientifica Tecnologie Fisiche Avanzate; Casali, F. [Bologna Univ., Bologna (Italy), Dipartimento di fisica; Colavita, E. [Calabria Univ., Arcavacata (Italy). Diparimento di fisica; Lamanna, E. [Magna Graecia Univ., Germaneto (Italy). Dipartimento di medicina sperimentale e clinica

    2005-07-15

    In the last years there has been an increasing interest on IORT (Intraoperative Radiation Therapy), also because of the development of dedicated accelerators. This technique represents a very effective oncological treatment consisting in delivering a single high dose on a tumour bed soon after surgery resection. In the following we present the proposal of development of a last generation IORT system based on the use of a linear accelerator with variable energy in the range 3-15 MeV, operating in C band (5712 MHz). Respect to the accelerator used in the commercial IORT systems operating at a typical frequency of 2998 MHz (S band) limited to a maximum energy of 12 MeV, the use of a higher RF frequency allows an increase of the maximum energy. This extends the use of the IORT technique to a wider field of tumors and an improvement of the system in terms of compactness and weight reduction. In addition the machine will be provided with a devoted absolute dosimetry system that will strongly simplify the procedures of dosimetric characterization. We intend to develop the system by a collaboration between ENEA, some Universities (Bologna, Catanzaro and Cosenza) and the national industry. [Italian] Negli ultimi anni si e sviluppato un sempre maggior interesse intorno alla Radioterapia IntraOperatoria (IORT), una particolare tecnica radioterapica che permette di irradiare la zona interessata da un tumore durante un intervento chirurgico utilizzando un fascio di elettroni prodotto da un acceleratore. La diffusione di questa metodica e stata favorita dalla presenza sul mercato di acceleratori installabili direttamente in sala operatoria. Come conseguenza di questa disponibilita sono emerse sia nuove esigenze legate alle particolari applicazioni cliniche, sia richieste di facilita di utilizzo e perfomances sempre piu sofisticate. Viene qui presentata una proposta di sviluppo di un sistema IORT di ultima generazione basato sull'utilizzo di un acceleratore lineare con

  14. Characterization of wastewater and of bioprocess kinetics by respirometric and titrimetrics biosensors; Caratterizzazione delle acque reflue delle cinetiche di processo mediante biosensori respirometrici ed a titolazione

    Energy Technology Data Exchange (ETDEWEB)

    Rozzi, A.; Antonelli, A. [Milan Politecnico (Italy). Dipt. di Ingegneria Idraulica, Ambientale e del Rilevamento, Sez. Ambientale; Massone, A. [Austep s.r.l., Milan (Italy)

    1998-05-01

    Respirometric and titrimetric biosensors are among the most interesting instruments which are at present developed to monitor wastewater (domestic and industrial) treatment plants. The former allow to measure oxygen consumption by the microbial biomass while the latter allow to determine both the activity and the substrate concentration related to specific bacterial populations such as nitrifyers and denitrifyers. In this paper, the general characteristics of biosensor are first described and then the most representative respirometric and titrometric biosensor, to be used on activated sludge plants, are analysed and commented. [Italiano] Tra gli strumenti piu` promettenti in stato di avanzato sviluppo per il monitoraggio degli impianti di trattamento delle acque di scarico, sia urbane che industriali, vi sono i biosensori respirometrici, che misurano il consumo di ossigeno da parte della biomassa, ed i biosensori a titolazione, che permettono di misurare sia l`attivita` che la concentrazione di substrato di popolazioni microbiche quali i nitrificanti ed i denitrificanti. Nel presente lavoro vengono prima di tutto descritte le caratteristiche generali dei biosensori e successivamente analizzati i piu` rappresentativi tra i biosensori respirometrici ed a titolazione applicabili ai processi a fanghi attivi.

  15. 78 FR 55684 - ConnectED Workshop

    Science.gov (United States)

    2013-09-11

    ... National Telecommunications and Information Administration ConnectED Workshop AGENCY: National... in the United States to next- generation broadband. This Notice announces that the ConnectED Workshop... ConnectED Workshop will discuss the growing bandwidth needs of K-12 schools as more schools use mobile...

  16. AdvancED Flex 4

    CERN Document Server

    Tiwari, Shashank; Schulze, Charlie

    2010-01-01

    AdvancED Flex 4 makes advanced Flex 4 concepts and techniques easy. Ajax, RIA, Web 2.0, mashups, mobile applications, the most sophisticated web tools, and the coolest interactive web applications are all covered with practical, visually oriented recipes. * Completely updated for the new tools in Flex 4* Demonstrates how to use Flex 4 to create robust and scalable enterprise-grade Rich Internet Applications.* Teaches you to build high-performance web applications with interactivity that really engages your users.* What you'll learn Practiced beginners and intermediate users of Flex, especially

  17. MobilED: a step backwards to look ahead

    CSIR Research Space (South Africa)

    Van Den Berg, M

    2008-10-01

    Full Text Available of technology development and the widespread integration of the device in social and cultural practices (Kress & Pachler, 2007), has created unique opportunities for educators, researchers and practitioners. Mobile learning has developed from a few small scale... only ever reach a small fraction of them, while the network of invisible computers continues its exponential penetration into those same regions, below the radar(Selanikio, 2008). MobilED (Mobile Education) (2005) started as an international...

  18. Fumo attivo e passivo, consumo di caffè ed effetti sulla gravidanza: uno studio caso controllo in Italia

    Directory of Open Access Journals (Sweden)

    G. Fantuzzi

    2003-05-01

    Full Text Available

    Obiettivi: alcune abitudini di vita possono influenzare lo sviluppo fetale durante il periodo di gravidanza. Lo scopo di questo studio è stato quello di indagare gli effetti di alcune abitudini voluttuarie sulle nascite premature e sul basso peso alla nascita.

    Metodi: è stato condotto uno studio caso controllo nel periodo ottobre 1999 settembre 2000 in 9 città italiane (Genova, Udine, Modena, Parma, Siena, Roma, L’Aquila, Napoli e Catania. Sono stati identificati come casi 525 neonati pretermine (26ma, 38ma settimana di gravidanza e 317 neonati a termine ma con peso ‹ al 10° P. Sono stati arruolati come controllo 871 bambini nati a termine e normopeso. Le informazioni relative all’esposizione al fumo attivo e passivo e al consumo di caffè e i dati personali sono stati raccolti attraverso un apposito questionario.

    Risultati: dai risultati dell’analisi univariata è emerso un maggior rischio di basso peso alla nascita nei bambini le cui madri avevano fumato durante l’ultimo trimestre di gravidanza, con un chiaro effetto dose risposta. (OR: 2.09, 95% CI:1.45 - 3.00 per 1 9 sigarette/giorno, e OR= 2.76, 95% CI: 1.67 - 4.45 per 10 ed oltre sigarette al giorno. Anche la nascita pretermine sembra influenzata dall’abitudine tabagica della madre anche se in modo meno evidente. OR: 1.47, 95% CI: 1.05 - 2.04 per 1 9 sigarette/giorno e un OR: 1,30 95% CI: 0.78 - 4.81 per 10 e più sigarette/giorno. Per quanto riguarda l’esposizione al fumo passivo (più di due fumatori nelle abitazioni è stata osservata una positiva associazione con il basso peso alla nascita (OR: 3.05, 95% CI: 1.19 - 7.79. Il consumo di caffè non sembra influenzare lo sviluppo fetale. La regressione logistica multipla ha confermato solo l’influenza del fumo attivo della madre sulla basso peso alla nascita. (AOR= 2.49, 95% CI: 1.74 - 3.56.

    Conclusioni: questo studio conferma che

  19. Review: Ulrike Freikamp, Matthias Leanza, Janne Mende, Stefan Müller, Peter Ullrich & Heinz-Jürgen Voß (Eds. (2008. Kritik mit Methode? Forschungsmethoden und Gesellschaftskritik [Criticism as an Approach? Research Methods and Social Criticism

    Directory of Open Access Journals (Sweden)

    Vanessa-Isabelle Reinwand

    2010-11-01

    Full Text Available The anthology "Criticism as an Approach? Research Methods and Social Criticism", edited by an interdisciplinary research team consisting of U. FREIKAMP, M. LEANZA, J. MENDE, S. MÜLLER, P. ULLRICH and H.-J. VOß, deals with a commonly disregarded topic: the relationship between research methods in the social and human sciences and social criticism. The sixteen articles are combined into four sections: 1 criticism relating to social structures, 2 critical consideration of subjects and their social position, 3 criticism on methods and science in relation to exemplary disciplines, and 4 dialectic as a critical method. Due to its comprehensive topic and wide appeal, this volume can generally be recommended for researchers in every scientific field. Certain articles, however, will prove more useful for specific discourses than for supporting general discussions on the critical capability of research methods and critiques of science. http://nbn-resolving.de/urn:nbn:de:0114-fqs110143

  20. #Proana: Pro-Eating Disorder Socialization on Twitter.

    Science.gov (United States)

    Arseniev-Koehler, Alina; Lee, Hedwig; McCormick, Tyler; Moreno, Megan A

    2016-06-01

    Pro-eating disorder (ED) online movements support engagement with ED lifestyles and are associated with negative health consequences for adolescents with EDs. Twitter is a popular social media site among adolescents that provides a unique setting for Pro-ED content to be publicly exchanged. The purpose of this study was to investigate Pro-ED Twitter profiles' references to EDs and how their social connections (followers) reference EDs. A purposeful sample of 45 Pro-ED profiles was selected from Twitter. Profile information, all tweets, and a random sample of 100 of their followers' profile information were collected for content analysis using the Twitter Application Programming Interface. A codebook based on ED screening guidelines was applied to evaluate ED references. For each Pro-ED profile, proportion of tweets with ED references and proportion of followers with ED references in their own profile were evaluated. In total, our 45 Pro-ED profiles generated 4,245 tweets for analysis. A median of 36.4% of profiles' tweets contained ED references. Pro-ED profiles had a median of 173 followers, and a median of 44.5% of followers had ED references. Pro-ED profiles with more tweets with ED references also tended to have more followers with ED references (β = .37, p Twitter might provide social support, but in the Pro-ED context this activity might also reinforce an ED identity. Copyright © 2016 The Society for Adolescent Health and Medicine. All rights reserved.

  1. Le human capabilities per lo sviluppo umano e sociale: la prospettiva della pedagogia (The human capabilities for human and social development: the perspective of pedagogy

    Directory of Open Access Journals (Sweden)

    Angela MUSCHITIELLO

    2016-06-01

    Full Text Available The present essay, moving from a definition of the concept of capabilities in terms of attitudes to ‘make possible’—i.e., inner abilities of every person which, if adequately exploited, permit to operate in a free and responsible way within the society or the institution where he or she lives—aims at highlighting its strong pedagogical value. The definition of capabilities, though developed in economic contexts, exhibits pedagogical foundations inasmuch it emphasizes the centrality of the person as an actor free in his or her choices and thus responsible for his or her destiny. The topics dealt with in the paper are the produce of several studies and researches; they are relevant for a large audience: experts of education, managers, teachers, but also students willing to consciously pass through their educational, formative and professional assignments.

  2. Banks, environment and sustainable development. EMAS regulation n. 761/2001/EC applied to the financial institutions; Banche, ambiente e sviluppo sostenibile l'adesione degli istituti finanziari al regolamento EMAS

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L.; Ingrisano, G.; Sampognaro, G. [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    The purpose of this work is to characterize the role of the financial institutions in achieving sustainable development meaning a process of development which leaves at least the same amount of capital, natural and man-made, to future generations as current generations have access to. This makes it clear that sustainable development is about capital allocation and thus should be at the core of financial markets activity. On a more practical level the different ways banks affect environment are analyzed: as investors - supplying the investments with environmental perspective; as lenders - developing new financial products to encourage sustainable development; as valuers - estimating risks and opportunities in project-financing; as powerful stake holders - as shareholders and lenders they can exercise considerable influence over companies; - as polluters - while not dirty industries, financial institutions do consume natural resources. By the study of these environmental aspects it comes out that bank should introduce the environmental variable in internal management to reduce their own impacts and, above all, in credit assessment, in development of new financial products to encourage businesses to invest in duty technologies and adopt environmental management systems (EMAS, ISO 14001), and in helping small shareholders in deciding how to invest their own money, for example advising Green funds. [Italian] Lo scopo del presente lavoro e' individuare il ruolo delle istituzioni finanziarie nel perseguire uno sviluppo sostenibile ossia un processo di sviluppo che lasci alle generazioni future lo stesso capitale, naturale e creato dall'uomo, di cui dispone l'attuale generazione. Da tale affermazione risulta evidente che lo sviluppo sostenibile e' relazionato alle scelte di investimento e dovrebbe dunque essere il core-business dei mercati finanziari. Piu' in dettaglio vengono analizzati i differenti modi con cui la banca influenza l

  3. Eco-compatible products and processes development. ENEA promotion actions; Sviluppo di prodotti e processi ecocompatibili. Le attivita' dell'ENEA

    Energy Technology Data Exchange (ETDEWEB)

    Luciani, R. [ENEA, Divisione Tecnologie Ingegneria e Servizi Ambientali, Centro Ricerche Casaccia, Rome (Italy); Andriola, L. [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    The new industrial political tools based on the Sustainable development of productive activities and originating at the Rio Conference in 1992, late introduced by the EU, the Government and voluntary organizations (ISO, CEM, UNI) are gradually entering the market, thereby underlying their effect in terms of industrial competitiveness. The main tools were examined in this report and mostly refer to the voluntary ones which, in surpassing the Command and Control logic, increasingly tend to get close to traditional fiscal, tariff and financial ones. [Italian] I nuovi strumenti di politica industriale orientali allo Sviluppo Sostenibile delle attivita' produttive che traggono origine dalla Conferenza di Rio del 1992 e sono stati introdotti successivamente da pare della Comunita' Europea, dal Governo e dagli Organismi di normazione volontaria (ISO, CEN, UNI), stanno gradualmente penetrando sul mercato facendo valere i loro effetti in termini di competitivita' delle imprese. Nel rapporto sono stati esaminati i principali tra questi strumenti con particolare riferimento a quelli volontari che sempre piu', nel superamento della logica del Command-Control, tendono ad affiancarsi a quelli tradizionali di carattere fisale, tariffario e finanziario.

  4. Social Entrepreneurship and Mobilisation of Social Capital in European Social Enterprise - (Korean translation)

    DEFF Research Database (Denmark)

    Hulgård, Lars; Spear, Roger

    2011-01-01

    Korean translation of ”Social Entrepreneurship and Mobilisation of Social Capital in European Social Enterprise”, with Roger Spear. In Marthe Nyssens (ed.) Social Enterprises: between Market, Public Policies and Community. London: Routledge.......Korean translation of ”Social Entrepreneurship and Mobilisation of Social Capital in European Social Enterprise”, with Roger Spear. In Marthe Nyssens (ed.) Social Enterprises: between Market, Public Policies and Community. London: Routledge....

  5. Review: Reiner Keller, Andreas Hirseland, Werner Schneider & Willy Viehöver (Eds. (2006. Handbuch Sozialwissenschaftliche Diskursanalyse. Band I: Theorien und Methoden [Handbook on Discourse Analysis in Social Sciences. Theories and Methods

    Directory of Open Access Journals (Sweden)

    Steffen Großkopf

    2008-01-01

    Full Text Available The handbook gives a general overview of the established—but increasingly complex—theoretical and methodological practice of discourse analysis. The attempt is made to systematize the diversity of discourse analysis, with its different historical roots and fields of research in the social sciences, even though the focus is mainly on FOUCAULT's approach. Thus, the handbook has to be understood as an important step towards a insertion of discourse analysis into social science. Although there are unavoidable contradictions between the articles—almost because of the open theoretical foundations—the handbook characterizes, as a whole, discourse analysis as a heterogeneous strategy of research rather than as a stringent method. With this approach, it can be a helpful guide for the reader’s own research projects. However, if one is looking for a precise method, the investment of time in discourse analysis could be wasted. URN: urn:nbn:de:0114-fqs0801143

  6. New EdF's three challenges; Les trois defis du nouvel EdF

    Energy Technology Data Exchange (ETDEWEB)

    Lepetit, V

    2005-11-15

    The opening of 15% of Electricite de France (EdF) capital to the private sector will allow the first world electric utility to raise 7 billions of euros of cash flow. EdF will have also to face the new European situation: a strained market, several consolidations to come and many competitors to deal with. EdF has to re-launch its production tool and to reinforce its interconnection capacities if it wants to stay the number one of power exports in Europe. The integration of Edison company (Italy) by EdF gives access to new gas capacities but other resources have to be found if EdF wants to enlarge its gas offer. A new concentration era is foreseen in Europe and EdF will have to seize the economic growth opportunities in particular in Europe and China. (J.S.)

  7. Biofuel technology handbook. 2. ed.

    Energy Technology Data Exchange (ETDEWEB)

    Rutz, Dominik; Janssen, Rainer

    2008-01-15

    This comprehensive handbook was created in order to promote the production and use of biofuels and to inform politicians, decision makers, biofuel traders and all other relevant stakeholders about the state-of-the-art of biofuels and relevant technologies. The large variety of feedstock types and different conversion technologies are described. Explanations about the most promising bio fuels provide a basis to discuss about the manifold issues of biofuels. The impartial information in this handbook further contributes to diminish existing barriers for the broad use of biofuels. Emphasis of this handbook is on first generation biofuels: bio ethanol, Biodiesel, pure plant oil, and bio methane. It also includes second generation biofuels such as BTL-fuels and bio ethanol from lingo-cellulose as well as bio hydrogen. The whole life cycle of bio fuels is assessed under technical, economical, ecological, and social aspect. Characteristics and applications of bio fuels for transport purposes are demonstrated and evaluated. This is completed by an assessment about the most recent studies on biofuel energy balances. This handbook describes the current discussion about green house gas (GHG) balances and sustainability aspects. GHG calculation methods are presented and potential impacts of biofuel production characterized: deforestation of rainforests and wetlands, loss of biodiversity, water pollution, human health, child labour, and labour conditions.

  8. Riqualificazione e sviluppo del sito minerario di Balangero e Corio: una proposta per la miniera d’amianto più grande d’Europa

    Directory of Open Access Journals (Sweden)

    Luca Giacobazzi

    2011-12-01

    Full Text Available Il Sito di bonifica di Interesse Nazionale di Balangero e Corio ha prodotto crisotilo a partire dal 1918 e negli anni ‘70 si è affermato come la miniera d’amianto più grande d’Europa, causando una notevole contaminazione dell’area. La miniera venne chiusa nel 1990 poiché il D.L. 257/92 vietò l’estrazione, l’importazione, l’esportazione, il commercio e la produzione dell’amianto. L’obiettivo del concorso non era solamente bonificare un’area contaminata, ma anche valorizzare la cultura e il paesaggio, preservare la memoria storica e promuovere iniziative che coinvolgano la popolazione locale riaffermando la forza sociale ed economica della regione. Il progetto propone la conversione degli edifici industriali in spazi di documentazione dedicati alla storia del sito, luoghi per la produzione e promozione dell’arte e una serie di strutture ricettive volte a stimolare differenti forme di turismo.

  9. Hearing of Mr. Francois Roussely, President of EdF; Audition de M. Francois Roussely, President d'EdF

    Energy Technology Data Exchange (ETDEWEB)

    Roussely, F. [Electricite de France (EDF), 75 - Paris (France)

    2005-07-01

    This document is the proceedings of the hearing of F. Roussely, President of Electricite de France (EdF), at the commission of economic affairs of the French house of commons, about the advisability of the construction of the EPR (European pressurized reactor) demonstration plant and about its possible financing by EdF. In a first part, F. Roussely recalls the European context of deregulation of energy markets and its impact of the French electric power industry (opening of the French market, industrial and social actions of EdF, need of a new generation of nuclear reactor, preservation of EdF's energy mix, warranty of public utility, un-bundling between energy trade and distribution, EdF's turnover and profitability, EdF's foreign daughter companies). In a second part, F. Roussely answers a series of questions asked by the different members of the commission concerning the different points presented in the first part. (J.S.)

  10. The new industrial political tools based on the sustainable development of productive activities; Gli strumenti attuativi di una politica di sviluppo sostenibile dell'impresa

    Energy Technology Data Exchange (ETDEWEB)

    Luciani, R.; Andriola, L. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dipt. Ambiente

    1999-07-01

    The new industrial political tools based on the sustainable development of productive activities, and originating at the Rio Conference in 1992, late introduced by the European Union, the Government and voluntary organizations (ISO, CEM, UNI) are gradually entering the market, thereby underling their effect in terms of industrial competitiveness. The main tools were examined in the report and mostly refer to the voluntary ones which, in surpassing the command and control logic, increasingly tend to get close to traditional fiscal, tariff and financial ones. Voluntary agreements, environmental management systems (EMAS, ISO14000), the risk prevention systems (UNI 10617), certification (Ecolabel, ISO 14040) and environment communications tools (environment balance sheet, environmental report, environmental statement) are synthetically described. Finally, the tools regarding the incentives still under Government concern an their diffusion are examined. [Italian] I nuovi strumenti di politica industriale orientati allo sviluppo sostenibile delle attivita' produttive che traggono origine dalla Conferenza di Rio del 1992 e sono stati introdotti successivamente da parte della Comunita' Europea, dal Governo e dagli organismi di normazione volontaria (ISO, CEN, UNI), stanno gradualmente penetrando sul mercato facendo valere i loro effetti anche in termini di competitivita' delle imprese. Nel rapporto sono stati esaminati i principali tra questi strumenti con particolare riferimento a quelli volontari che sempre piu', nel superamento della logica del {sup c}ommand-control{sup ,} tendono ad affiancarsi a quelli tradizionali di carattere fiscale, tariffario e finanziario. In particolare vengono descritti sinteticamente gli accordi volontari, i sistemi di gestione ambientali e della sicurezza (EMAS, norme ISO 14001 e UNI 10617), la certificazione di prodotto (Ecolabel, norma ISO 14040) e gli strumenti di comunicazione ambientale (bilancio ambientale, rapporto

  11. Canadian EdGEO National Workshop Program

    Science.gov (United States)

    Clinton, L. A.; Haidl, F. M.; Hymers, L. A.; van der Flier-Keller, E.

    2009-05-01

    Established in the early 1970s, EdGEO supports locally driven geosciences workshops for Canadian teachers. Workshops are organized by geoscientists and teachers, and typically have field, laboratory and classroom components. Grants of up to $3000 per workshop are available from the National EdGEO Program. By providing educational opportunities for today's teachers and, through them, their students, EdGEO seeks to cultivate a heightened awareness of our planet. EdGEO workshops provide teachers with potential fieldtrip sites for their students and the knowledge, enthusiasm and materials to inspire their students to engage in geoscience. Networking opportunities with local experts promote the importance of the geoscience profession. The expected result is an improved capacity on the part of Canadians to understand the Earth and to make informed decisions, especially with regard to the use of mineral and energy resources, the maintenance and remediation of the environment, and response to geological hazards. There exists a critical need to provide teachers with training and resources to tackle their Earth science curricula. In 2008, EdGEO supported fourteen workshops, with an unprecedented 521 teachers attending. These teachers then used our resources to reach an estimated 14,000 students during that single academic year. EdGEO workshops are locally driven and are therefore very diverse. Workshops are strongly tied to the provincial curriculum, focus on a specific geoscience topic, or may be largely field-based to demonstrate and practice how field activities could be incorporated into Earth science teaching. Many strive to include all of these important components. Geoscientists and teachers work collaboratively to develop and deliver EdGEO workshops to ensure that the activities can be effectively used in the classroom. The length of these professional development opportunities range from two-hour sessions to several days, and can generally accommodate up to twenty

  12. Ed Lorenz: Father of the 'Butterfly Effect'

    Indian Academy of Sciences (India)

    IAS Admin

    Ed Lorenz, rightfully acclaimed as the father of the 'Butterfly Effect', was an American math- ematician and meteorologist whose early work on weather prediction convinced the world at large about the unpredictability of weather. His seminal work on a simplified model for convec- tions in the atmosphere led to the modern ...

  13. (ED) by men in Edo state, Nigeria

    African Journals Online (AJOL)

    E. (Eshiobo) Irekpita

    2017-05-03

    May 3, 2017 ... of men in Edo state with regards to ED. The secondary objective .... Variables with sta- tistically significant correlation with IIEF score were respondents' location (P = 0.000), respondents' educational level (P = 0.000), number of wives (P ... between this variable and the level of education of the respondents.

  14. Clinical outcomes of ED patients with bandemia.

    Science.gov (United States)

    Shi, Eileen; Vilke, Gary M; Coyne, Christopher J; Oyama, Leslie C; Castillo, Edward M

    2015-07-01

    Although an elevated white blood cell count is a widely utilized measure for evidence of infection and an important criterion for evaluation of systemic inflammatory response syndrome, its component band count occupies a more contested position within clinical emergency medicine. Recent studies indicate that bandemia is highly predictive of a serious infection, suggesting that clinicians who do not appreciate the value of band counts may delay diagnosis or overlook severe infections. Whereas previous studies focused on determining the quantitative value of the band count (ie, determining sensitivity, threshold for bandemia, etc.), this study directs attention to patient-centered outcomes, hypothesizing that the degree of bandemia predisposes patients to subsequent negative clinical outcomes associated with underappreciated severe infections. This retrospective study of electronic medical records includes patients who initially presented to the emergency department (ED) with bandemia and were subsequently discharged from the ED. These patients were screened for repeat ED visits within 7 days and death within 30 days. In patients with severe bandemia who were discharged from the ED, there was a 20.9% revisit rate at 7 days and a 4.9% mortality rate at 30 days, placing severely bandemic patients at 5 times significantly greater mortality compared to nonbandemic patients (P = .032). Our review of patient outcomes suggests that the degree of bandemia, especially in the setting of concurrent tachycardia or fever, is associated with greater likelihood of negative clinical outcomes. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. New Zealand's emergency department target - did it reduce ED length of stay, and if so, how and when?

    Science.gov (United States)

    Tenbensel, Tim; Chalmers, Linda; Jones, Peter; Appleton-Dyer, Sarah; Walton, Lisa; Ameratunga, Shanthi

    2017-09-26

    In 2009, the New Zealand government introduced a hospital emergency department (ED) target - 95% of patients seen, treated or discharged within 6 h - in order to alleviate crowding in public hospital EDs. While these targets were largely met by 2012, research suggests that such targets can be met without corresponding overall reductions in ED length-of-stay (LOS). Our research explores whether the NZ ED time target actually reduced ED LOS, and if so, how and when. We adopted a mixed-methods approach with integration of data sources. After selecting four hospitals as case study sites, we collected all ED utilisation data for the period 2006 to 2012. ED LOS data was derived in two forms-reported ED LOS, and total ED LOS - which included time spent in short-stay units. This data was used to identify changes in the length of ED stay, and describe the timing of these changes to these indicators. Sixty-eight semi-structured interviews and two surveys of hospital clinicians and managers were conducted between 2011 and 2013. This data was then explored to identify factors that could account for ED LOS changes and their timing. Reported ED LOS reduced in all sites after the introduction of the target, and continued to reduce in 2011 and 2012. However, total ED LOS only decreased from 2008 to 2010, and did not reduce further in any hospital. Increased use of short-stay units largely accounted for these differences. Interview and survey data showed changes to improve patient flow were introduced in the early implementation period, whereas increased ED resources, better information systems to monitor target performance, and leadership and social marketing strategies mainly took throughout 2011 and 2012 when total ED LOS was not reducing. While the ED target clearly stimulated improvements in patient flow, our analysis also questions the value of ED targets as a long term approach. Increased use of short-stay units suggests that the target became less effective in 'standing

  16. Lo sviluppo come fenomeno multidimensionale. Confronto tra l’ISU e un indice di sviluppo sostenibile (Development as Multi-dimensional Phenomenon: Comparison between the HDI and an Index of Sustainable Development

    Directory of Open Access Journals (Sweden)

    Paolo Palazzi

    2004-09-01

    Full Text Available On the basis of the UNDP data used to calculate the Human Development Index (HDI, the paper applies a methodology to determine a different development index able to show disequilibria between the different aspects of development (in this case income, life expectancy and education. The basic idea is that the concept of total substitutability between the variables utilized to calculate the HDI must be abandoned, and it is therefore important to take into account the unbalance between the various aspects characterizing the development level when calculating the index. The author utilizes the concept of the social sustainability of development over time, assuming that it will show a higher value with a more even balance between the various aspects of development. The concave average methodology proposed in Casadio Tarabusi ePalazzi (2004 is able to "penalize" development levels proportionally to the disequilibrium of the variables utilized to measure it. In the paper the new indicator is calculated for 162 countries for the years 1997-2001. Comparison between HDI and the new index shows notable differences not only in the ranking of the countries, but also in the time dynamics of the two indicators, now of the opposite sign for many countries. Finally, utilizing multivariate statistical analysis the presence of disequilibria in the various countries is evidenced together with their dynamics over time.

  17. Lo sviluppo come fenomeno multidimensionale. Confronto tra l’ISU e un indice di sviluppo sostenibile (Development as Multi-dimensional Phenomenon: Comparison between the HDI and an Index of Sustainable Development

    Directory of Open Access Journals (Sweden)

    Paolo Palazzi

    2012-04-01

    Full Text Available On the basis of the UNDP data used to calculate the Human Development Index (HDI, the paper applies a methodology to determine a different development index able to show disequilibria between the different aspects of development (in this case income, life expectancy and education. The basic idea is that the concept of total substitutability between the variables utilized to calculate the HDI must be abandoned, and it is therefore important to take into account the unbalance between the various aspects characterizing the development level when calculating the index. The author utilizes the concept of the social sustainability of development over time, assuming that it will show a higher value with a more even balance between the various aspects of development. The concave average methodology proposed in Casadio Tarabusi ePalazzi (2004 is able to "penalize" development levels proportionally to the disequilibrium of the variables utilized to measure it. In the paper the new indicator is calculated for 162 countries for the years 1997-2001. Comparison between HDI and the new index shows notable differences not only in the ranking of the countries, but also in the time dynamics of the two indicators, now of the opposite sign for many countries. Finally, utilizing multivariate statistical analysis the presence of disequilibria in the various countries is evidenced together with their dynamics over time.  JEL Codes: C43, O10, O15, Q01Keywords: Development, Education, Human Development, Indice

  18. Strategies and methods of development of information systems; Strategie e metodi di sviluppo dei sistemi informativi aziendali

    Energy Technology Data Exchange (ETDEWEB)

    Moretti, M.; Lucchetti, M.C. [Rome Univ. 3, Rome (Italy). Facolta' di Economia Federico Caffe' ; Di Marco, R.A. [ENEA, Funzione Centrale Informatica, Sede Centrale, Rome (Italy)

    2001-07-01

    Informative system is a relevant and current subject in the modern business studies. Although, in many economics books, is often marginally presented and considered by only one point of view. In this way, many students have a fragmented and incomplete knowledge of the subject, which doesn't allow using all the potentialities of this fundamental corporate resource. The thesis gives just a little contribution to find the fragment of theory dispersed in many field of business studies. The first step was exactly finding these fragments in: strategy, organization, quality, business administration, and business management. Analysed the different definitions and all the various notions to follow up with the speech, is described the impact of I.C.T. in the different business activities. The point of view adopted has been always the Informative System. Using a different approach, the thesis analysed the various business field related with the informative system. The key word of this thesis is: Change. Change is the business structures, strategy, quality, and in the qualifications required by the personal. Following this path, the thesis focuses opportunities offered by new technologies, in many companies during the definition of business strategy. In this second part is studied a business case, ENEA. ENEA is the national department for new technologies and environment. By on-site work, meetings with the personal, reading of the internal documents, and by all the studies done in the first part, are appeared some issues exploiting the Informative System. Are also considered some possible solutions to these issues, they are conform to the theory and law, and easy to realize. The research ends with tree interesting appendix, two about some ENEA's projects and one about hosting and housing. [Italian] I sistemi informativi sono un argomento sicuramente molto rilevante ed attuale. Proprio per questa caratteristica di relativa novita', molto spesso nei libri

  19. Sustainable Mechanism to Reduce Emergency Department (ED) Length of Stay: The Use of ED Holding (ED Transition) Orders to Reduce ED Length of Stay.

    Science.gov (United States)

    Haydar, Samir A; Strout, Tania D; Baumann, Michael R

    2016-07-01

    The objective was to evaluate the effect of an emergency clinician-initiated "ED admission holding order set" on emergency department (ED) treatment times and length of stay (LOS). We further describe the impact of a performance improvement strategy with sequential plan-do-study-act (PDSA) cycles used to influence the primary outcome measures, ED LOS, and disposition decision to patient gone (DDTPG) time, for admitted patients. We developed and implemented an expedited, emergency physician-facilitated admission protocol that bypassed typical inpatient workflows requiring inpatient evaluations prior to the placement of admission orders. During the 48-month study period, ED flow metrics generated during the care of 27,580 admissions from the 24-month period prior to the intervention were compared to the 29,978 admissions that occurred during the 24-month period following the intervention. The intervention was the result of an in-depth, five-phase PDSA cycle quality improvement intervention evaluating ED flow, which identified the requirement of bedside inpatient evaluations prior admission order placement as being a "non-value-added" activity. ED output flow metrics evaluating the admission process were tracked for 24 months following the intervention and were compared to the 24 months prior. The use of an emergency physician-initiated admission holding order protocol resulted in sustainable reductions in ED LOS when comparing the 2 years prior to the intervention, with median LOS of 410 (interquartile range [IQR] = 295 to 543) and 395 (IQR = 283 to 527) minutes, to the 2 calendar years following the intervention, with the median LOS of 313 (IQR = 21 to 431) and 316 (IQR = 224 to 438) minutes, respectively. This overall reduction in ED LOS of nearly 90 minutes was found to be primarily the result of a decrease in the time from the emergency physician's admitting DDTPG times with median times of 219 (IQR = 150 to 306) and 200 (IQR = 136 to 286) minutes for the 2 years

  20. Risk factors for ED use among homeless veterans.

    Science.gov (United States)

    Tsai, Jack; Rosenheck, Robert A

    2013-05-01

    Despite national concern about homeless veterans, there has been little examination of their use of emergency department (ED) services. This study examines factors related to the use of ED services in the Veterans Affairs (VA) healthcare system, where insurance is not a barrier to ambulatory healthcare. National VA administrative data from fiscal year 2010 are used to describe the proportions of ED users among homeless and domiciled VA patients. A case-control design is then used to compare homeless ED and non-ED users on sociodemographic and clinical correlates, as well as use of ambulatory care and psychotropic medications. Sixteen percent of domiciled VA patients used EDs at least once during the year and 1% were frequent ED users (>4 ED visits) compared to 45% of homeless VA patients, 10% who were frequent ED users. Among homeless VA patients, those who used EDs were more likely to have a range of psychiatric and medical conditions, and had more service visits and psychotropic medication prescriptions than non-ED users. Multivariate analyses suggest their risk for psychiatric and medical conditions increase their likelihood of using ED services. The high rate of ED use among homeless veterans is associated with significant morbidity, but also greater use of ambulatory care and psychotropics suggesting their ED use may reflect unmet psychosocial needs. Published by Elsevier Inc.

  1. Ecologia, sviluppo e sostenibilità: problematiche ambientali e sociali della Forest Policy nell’India contemporanea

    Directory of Open Access Journals (Sweden)

    Stefano Beggiora

    2013-12-01

    Full Text Available This article proposes some reflections on the themes of ecology, development and sustainability, investigating a number of issues related to environmental protection legislation, the Forest Policy and the rights of ethnic minorities in tribal India. Based on the scientific assumption that the manipulation of ecosystems strongly matters as an anthropological feature probably associated with us since time immemorial and that the elements of the natural environment surrounding the community significantly become integral part of the cultural system, the proposed article wants to analyze the symbiotic relationship between man and environment among the Primitive Tribal Groups of India. The cultural heritage of the ‘Indigenous Knowledge on the Forest’ and its sacred complex preserves important notions pertaining to the field of botany, pharmacology and land use that can be regarded as key elements in thinking about sustainability. This article describes how environmental changes due to deforestation have led to social change and the loss of a great part this cultural heritage. The rich ethnographic data collected here are based on many years of fieldwork conducted among the tribes of Lanja Saora and Kuttia Kondh of Orissa.

  2. Come promuovere la cultura dell’etica e della legalità per uno sviluppo sostenibile delle comunità

    Directory of Open Access Journals (Sweden)

    Concettina Titty Siciliano

    2015-10-01

    Full Text Available The article develops with a multidisciplinary approach the theme of the policies of contrast, prevention and repression of “corruption”, the latter understood as a factor of socio-anthropological degradation that threatens the well-being of individuals in the communities in which they live, work and interact. According to the context analysis of an attentive monitoring carried out by the European Union, corruption is a “systemic” phenomenon, opposition to which calls for more effective political commitment as it “seriously harms the economy and society as a whole”.A serious and effective policy of opposition to the corruptive phenomenon identifies itself by at least two dynamic and interacting aspects: for the capacity of vision and interaction of a general, planning and systemic type between different levels, and for the ability of (penetration action in the context, correction and punishment, according to a short, medium and long-term perspective. The effectiveness and success of a serious (public action of opposition to corruption, therefore, depends on the willingness to respond to a pervasive phenomenon with appropriateness of investigation, knowledge, method and instruments that allows actions to be planned and arranged and differentiating them over a sufficient time-period, because of the concrete risk found in the various sectors and levels of Government. That is, instruments are needed that strengthen the capacity of control and of ethical enhancement of the human capital of organisations for the areas of intervention, having an influence on the inherent risk of corruption in each social-political-organisational system.Prevention through the culture of ethics and legality takes on a crucial role together with the training and orientation of the human capital towards positive values of integrity, of the selection of merit and the guarantee of equal opportunities. Prevention policies that promote the culture and dissemination

  3. edX e-learning course development

    CERN Document Server

    Gilbert, Matthew A

    2015-01-01

    If you are an educator creating a course for edX or a corporate trainer using Open edX for large-scale learning and development initiatives, then edX E-Learning Course Development is the ideal book for you.

  4. La Costituzione Islandese: storia ed evoluzione

    Directory of Open Access Journals (Sweden)

    Fabio Quartino

    2011-03-01

    Full Text Available "La Costituzione Islandese: storia ed evoluzione" is a degree thesis defended on 15th July 2009 by Fabio Quartino under the supervision of Prof. Andrea Canepa of the University of Genoa, Italy. It offers an extensive overview of Icelandic history aimed at finding out the roots of the nation's constitutional order, which is currently in the process of being revised by the first ever elected constitutional assembly in the life of the country. Fabio Quartino's work wishes to be a source of useful information for Italian-speaking scholars who have an interest in Iceland's constitutional history and may not have access to comprehensive overviews in their native tongue.

  5. Perceptions of empowerment among ED nurses.

    Science.gov (United States)

    DeVivo, Diane; Quinn Griffin, Mary T; Donahue, Moreen; Fitzpatrick, Joyce J

    2013-11-01

    Nurses' perceptions of empowerment have been linked to a number of variables in the hospital workplace, including job satisfaction, autonomy, and work effectiveness. Yet there have been no previous studies of perceptions of empowerment specifically among emergency department (ED) nurses. Registered nurses (RNs) employed in the EDs of 6 hospitals in a major health care system in the eastern United States were surveyed regarding their perceptions of empowerment. Of the 240 RNs eligible to participate, there were 167 usable surveys. There was a moderate level of empowerment among the RNs who participated, consistent with the level of empowerment reported in several other studies of staff nurses and nurses in other positions. The moderate level of empowerment in this sample may be attributed to the many opportunities for RN involvement in the hospitals within this health care system. Nurse leaders can initiate programs focused on enhancing RN perceptions of empowerment. In addition, there is a need for further research among RNs with different specialty preparation. Copyright © 2013. Published by Mosby, Inc.

  6. Social Entrepreneurship and the Mobilization of Social Capital in European Social Enterprises

    DEFF Research Database (Denmark)

    Hulgård, Lars; Spear, Roger

    2013-01-01

    The article is originally published in Social Enterprise: At the Crossroads of Market, Public Policies and Civil Society (Marthe Nyssens, ed.)......The article is originally published in Social Enterprise: At the Crossroads of Market, Public Policies and Civil Society (Marthe Nyssens, ed.)...

  7. The social use of media

    OpenAIRE

    Bilandzic, Helena

    2012-01-01

    The social use of media : cultural and social scientific perspectives on audience research / ed. by Helena Bilandzic ... - Bristol u.a. : Intellect Books, 2012. - VI, 282 S. - (European Communication Research and Education Association)

  8. District heating in Italy; Genesi ed evoluzione del district heating in Italia

    Energy Technology Data Exchange (ETDEWEB)

    Sacchi, E. [Milan Politecnico (Italy). Dip. di energetica

    1998-12-01

    The legislative act establishing the electric monopoly virtually shut out the district heating associated with electricity cogeneration, while other laws, issued to counteract the effects of oil shocks, allowed municipal utilities to do so. Thus, district heating has experienced some development, though well below its possibilities. The article analyses the reasons for this lagging, reports district heating data and projects its forecasts against the Kyoto Protocol objectives. [Italiano] La legge istitutiva del monopolio elettrico ha di fatto impedito il district heating associato alla cogenerazione di elettricita`, mentre le leggi tese a contrastare gli effetti delle crisi energetiche lo hanno reso possibile ad opera delle aziende municipali: un certo sviluppo si e` verificato, seppure ben al di sotto delle possibili potenzialita`. L`articolo analizza i motivi di questo rallentato sviluppo, riporta i dati del district heating e ne proietta le previsioni lungo gli obiettivi del Protocollo di Kyoto.

  9. Citar e referenciar : APA 6ª ed.

    OpenAIRE

    Marcos, Isabel Marques

    2016-01-01

    A elaboração correta dos trabalhos científicos pressupõe o respeito por um conjunto de princípios normativos de citação e referenciação bibliográfica que salvaguardam os autores das criações intelectuais do uso indevido das mesmas. Partindo de três conceitos: citação, referência bibliográfica e lista de referências apresentam-se as normas da APA 6ª ed. nos seus elementos essenciais. Estas normas, da área da informação e documentação, definem regras para a normalização das referências bibliogr...

  10. Giocare, tra violenza ed ecologia della mente.

    Directory of Open Access Journals (Sweden)

    Enrico Euli

    2008-07-01

    Full Text Available L'articolo riflette sulle relazioni tra comunicazione, violenza e gioco, nel tentativo di rintracciare tra loro convergenze, affinità e contrasti. Le nostre relazioni, infatti, ci immettono inerzialmente in dilemmi e paradossi di così alta complessità da rendere spesso inadeguati gli strumenti 'logici' ed 'analitici': dal che può derivare un senso di impotenza, rabbia, paralisi, ma anche un desiderio potente di controllo e di soluzione degli eventi. Entrambe queste strade ci conducono dentro le false alternative della violenza. La cultura del gioco, invece, ci propone (attraverso le sue pratiche, ma anche negli scritti teorici di Freud, Winnicott, Bateson, qui riassunti e rivisitati una modalità più creativa e nonviolenta, più prossima ad un' ecologia della mente e ad un'estetica delle emozioni.

  11. Completing EdTPA: TSOL Candidate Performance and Reflection

    Science.gov (United States)

    Micek, Timothy A.

    2017-01-01

    edTPA is a pre-service assessment process designed to determine if a new teacher is ready for the job. edTPA is part of a national movement towards the use of performance assessments in teacher education. As of 2014, 41 states (a) require a state-approved performance assessment like edTPA for program completion or for state licensure and/or state…

  12. 'Psych ed' helps speed throughput time by 9%.

    Science.gov (United States)

    2006-02-01

    Adequate staffing, proper location, and design of psychiatric ED services area are critical to successful implementation. One ED cut average throughput time by 9%. Have mental health workers available to determine the level of care each patient needs. Have your psych area set apart from the main ED to avoid excessive noise and confusion. Have a minimal amount of equipment in the rooms so that patients cannot harm themselves.

  13. An association between snowfall and ED presentation of cardiac arrest.

    Science.gov (United States)

    Spitalnic, S J; Jagminas, L; Cox, J

    1996-10-01

    Studies from several cities have reported increased cardiovascular mortality associated with snowfall; whether this weather also results in increased emergency department (ED) presentation of cardiac arrests is not known. A retrospective review was conducted of cardiac arrest patients presenting to a New England ED during the months of October through May, from 1991 to 1994. Comparing daily frequency of cardiac arrest patients with climactic data, a 27% increase was observed in the frequency of cardiac arrest presentation to the ED on days with snowfall (P = .0004). ED physicians and staff should anticipate an increased frequency of cardiac arrest patients on days with snowfall.

  14. Minor injury attendance times to the ED.

    LENUS (Irish Health Repository)

    Conlon, Ciaran

    2009-07-01

    The Health Service Executive (HSE) highlights the need for effective patient throughput and management, whilst providing appropriate staffing and therapeutic interventions. It acknowledges that patient need is integral to the development of a nurse led service and advocates planning staffing levels to reflect arrival times of patients. An observational study of all patients who presented to the emergency department in July 2005 and February 2006 was undertaken (n=7768). The study identified 1577 patients suitable for treatment by the Advanced Nurse Practitioner (ANP) in these two months, which represents 20% of all patient attendances to the ED in this time period. A data collection tool was devised collectively by the ANPs to identify appropriate patients. The findings of the study revealed that 73% of patients suitable for the ANP service presented between the hours of 0800 and 2000, of which 54% attended between 0800 and 1600 h. Sunday emerged as the busiest day in July 2005 whereas Monday was found to be the busiest day in February 2006. Friday was found to be consistently busy for both months.

  15. Unique program aims to connect frequent ED utilizers with medical homes, resources to meet complex needs.

    Science.gov (United States)

    2014-10-01

    Sinai Hospital of Baltimore in Baltimore, MD, is partnering with HealthCare Access Maryland, a non-profit organization in the state, to link patients who frequent the ED for care with medical homes and other resources that can better meet their medical and social needs. Under the Access Health Program, ED-based care coordinators intervene with patients who meet program criteria, linking them with medical homes and other resources that address their complex needs. The hospital has devised a flag to notify the ED when a frequent-utilizing patient presents in the department for care. Care coordinators then meet with these patients and get their consent to participate in the program. Within a week of the ED visit, care coordinators schedule a home visit with the patient to establish a care plan containing specific goals and a time frame to carry out these goals. Patients remain in the program for 90 days as care coordinators work to hand them off to longer-term resources. Many of the patients enrolled in the program have substance abuse and mental health problems. Patients are also often uninsured and/or homeless. Within two months of launching the program, care coordinators enrolled 74 patients, with the goal of eventually bringing that number to 200.

  16. Affective predictors of the severity and change in eating psychopathology in residential eating disorder treatment: The role of social anxiety.

    Science.gov (United States)

    Smith, Kathryn E; Mason, Tyler B; Leonard, Rachel C; Wetterneck, Chad T; Smith, Brad E R; Farrell, Nicholas R; Riemann, Brad C

    2018-01-01

    Despite evidence documenting relationships between eating disorder (ED) psychopathology, depression, and anxiety, little is known regarding how social anxiety is related to ED symptoms in treatment. Therefore this study examined associations between depression, general anxiety, social anxiety, and ED psychopathology at the beginning and end of treatment (EOT) among patients (N = 380) treated in a residential ED program. Participants completed measures of ED psychopathology and affective variables. Higher depression and general anxiety, but not social anxiety, were related to higher ED psychopathology at baseline. However, social anxiety emerged as a unique predictor of ED psychopathology at EOT such that participants with higher social anxiety evidenced less improvement in ED psychopathology. Findings suggest that social anxiety has specific relevance to treatment in EDs, which may reflect shared mechanisms and underlying deficits in emotion regulation.

  17. TechEdSat Nano-Satellite Series Fact Sheet

    Science.gov (United States)

    Murbach, Marcus; Martinez, Andres; Guarneros Luna, Ali

    2014-01-01

    TechEdSat-3p is the second generation in the TechEdSat-X series. The TechEdSat Series uses the CubeSat standards established by the California Polytechnic State University Cal Poly), San Luis Obispo. With typical blocks being constructed from 1-unit (1U 10x10x10 cm) increments, the TechEdSat-3p has a 3U volume with a 30 cm length. The project uniquely pairs advanced university students with NASA researchers in a rapid design-to-flight experience lasting 1-2 semesters.The TechEdSat Nano-Satellite Series provides a rapid platform for testing technologies for future NASA Earth and planetary missions, as well as providing students with an early exposure to flight hardware development and management.

  18. ED leadership competency matrix: an administrative management tool.

    Science.gov (United States)

    Propp, Douglas A; Glickman, Seth; Uehara, Dennis T

    2003-10-01

    A successful ED relies on its leaders to master and demonstrate core competencies to be effective in the many arenas in which they interact and are responsible. A unique matrix model for the assessment of an ED leadership's key administrative skill sets is presented. The model incorporates capabilities related to the individual's cognitive aptitude, experience, acquired technical skills, behavioral characteristics, as well as the ability to manage relationships effectively. Based on the personnel inventory using the matrix, focused evaluation, development, and recruitment of ED key leaders occurs. This dynamic tool has provided a unique perspective for the evaluation and enhancement of overall ED leadership performance. It is hoped that incorporation of such a model will similarly improve the accomplishments of EDs at other institutions.

  19. Origini e conseguenze dello stato sociale: 1883-1983. (Origins and impact of the welfare state, 1883-1983

    Directory of Open Access Journals (Sweden)

    A. MADDISON

    2013-12-01

    Full Text Available L' articolo riguarda la grande e continua crescita delle spese per lo "stato sociale" . Esso analizza le ragioni per la nascita dello Stato sociale e il suo impatto sulla crescita economica . Il lavoro è inteso come una diagnosi di questa crescita dal 1883 , esaminando le forze causali dietro l'espansione e il suo impatto nel mitigare i conflitti sociali che Marx ha rilevato nei primi decenni del moderno sviluppo capitalistico .E' anche considerato che lo stato sociale ha raggiunto limiti disfunzionali che ostacolano le prestazioni economiche . L'autore aumenta il record storico con l'analisi cross-country di sviluppo nelle cinque grandi economie capitaliste più i Paesi Bassi , al fine di raccogliere prove convincenti The article is concerned with the large and continuous growth of “welfare state” expenditures. It analyses the reasons for the emergence of the welfare state and its impact on economic growth. The work is intended as a diagnosis of this growth since 1883, examining the causal forces behind expansion and its impact in mitigating the social conflicts which Marx detected in the first decades of modern capitalist development. Also considered is whether the welfare state has reached dysfunctional limits which impede economic performance. The author augments the historical record with cross-country analysis of development in the five big capitalist economies plus the Netherlands, in order to assemble convincing evidence. JEL: H53, I38

  20. Sustainability accounting and accountability (2nd ed.)

    NARCIS (Netherlands)

    Bebbington, J.; Unerman, J.; O'Dwyer, B.

    2014-01-01

    The management and balancing of social, environmental and economic sustainability is one of the most complex and urgent challenges facing both private and public sector organizations today; with these challenges of sustainability posing many risks to, and many opportunities for, advancing the aims

  1. Using Kentucky State Standards as Benchmarks: Quantifying Incoming Ed.S. Students' Knowledge as They Journey toward Principalship

    Science.gov (United States)

    Hearn, Jessica E.

    2015-01-01

    Principal preparation programs in Kentucky can use the items in the Dispositions, Dimensions, and Functions for School Leaders (EPSB, 2008) as mastery benchmarks to quantify incoming Educational Specialist (Ed.S) students' perceived level of mastery. This can serve both internal and external purposes by providing diagnostic feedback to students…

  2. Apprendimento sociale, narrazione e costruzione della realtà

    Directory of Open Access Journals (Sweden)

    Roberta Fadda

    2015-08-01

    Full Text Available Learning, Narrative, and Construction of Reality Abstract: In La narrazione nello sviluppo del bambino Dolores Rollo describes the pedagogical effects of mother-child bookreading activities reviewing the literature on the specific characteristics of this phenomenon that might influence the development of language, cognition, emotions and early literacy in infancy. Rollo suggests that further research is needed to better define which aspects of the bookreading activities best promote children’s development. Moreover, she suggests that it might be of interest to investigate the social deficits in children with Autism Spectrum Disorders. In our opinion, the understanding of joint attention processes might benefit from research in developmental social neuroscience that might contribute to clarifying the pivotal role of neural networks supporting joint attention in the development of language, cognition, Theory of Mind and the sense of self.

  3. Cateterismo vescicale: appropriatezza dell´uso ed esiti clinici nell´Azienda Sanitaria Ospedaliera "Maggiore della Caritá" di Novara

    Directory of Open Access Journals (Sweden)

    M. Luparia

    2003-05-01

    Full Text Available

    Obiettivi: valutare le relazioni intercorrenti tra i livelli di appropriatezza di indicazione e di gestione del cateterismo vescicale e lo sviluppo delle IVU.

    Materiali e metodi: studio descrittivo condotto in una giornata con rilevazione basata su cartelle cliniche ed infermieristiche. Le relazioni intercorrenti tra la cateterizzazione vescicale e l’insorgenza dell’IVU sono stati studiati mediante modelli di regressione logistica in grado di valutare l’appropriatezza del processo assistenziale e per identificare i determinanti dell’esitto. Risultati: nel giorno dell’indagine son risultati ricoverati 166 pazienti, di questi 57 (34,34%; IC 95% 28,06- 40,62% erano portatori di catetere urinario. In totale sono state analizzate oltre 1200 procedure. La prevalenza di infezioni nosocomiali delle vie urinarie è stata del 12,28% (IC 95% 7,98-16,50%. Tutti i cateterizzati avevano un sistema di drenaggio di tipo chiuso. I modelli di regressione logistica hanno dimostrato un accresciuto rischio di mancato lavaggio delle mani in presenza di un regime di ricovero d’urgenza e in unità operativa chirurgica (p‹0,01, parimenti si è evidenziato un minor livello di controllo del meato urnario in presenza del regime del ricovero d’urgenza in unità operativa chirurgica (p‹0,01.

    Conclusioni: le raccomandazioni fornite dalla letteratura in relazione all’inserimento e alla gestione del cateterismo vescicale sono solo in parte seguite nella pratica quotidiana. In particolare il lavaggio delle mani, anche se è una procedura semplice e poco costosa risulta comunque poco seguita, soprattutto in regime di urgenze e nelle chirurgie, dove per la tipologia delle prestazioni effettuata, l’aderenza a queste procedure dovrebbe essere massima. Questi comportamenti “scorretti” rendono inefficace l’utilizzo del cateterismo vescicale a ciclo chiuso. Nonostante queste problematicità la

  4. lsnjbhakta@gmail.com A Comparative SEM-EDS Elemental ...

    African Journals Online (AJOL)

    Michael Horsfall

    X25) and microscopic. (X5000) pictures of the mud exhibited a wide range of shapes and surface texture for individual particle. Elemental criteria: EDS analysis showed the clear distribution criteria of ten elements, Carbon,. Phosphorous,. Sulfur ...

  5. Erectile Dysfunction Herbs: A Natural Treatment for ED?

    Science.gov (United States)

    ... erectile dysfunction: A natural treatment for ED? Some herbs claim to help erectile dysfunction. Find out the ... You've likely seen advertisements for erectile dysfunction herbs or supplements to "increase your sexual performance." Could ...

  6. Review: Gravers, Mikael (ed. (2007, Exploring Ethnic Diversity in Burma

    Directory of Open Access Journals (Sweden)

    Roland Mischung

    2009-01-01

    Full Text Available Review of the edited volume: Gravers, Mikael (ed., Exploring Ethnic Diversity in Burma, Copenhagen: NIAS Press (= NIAS Studies in Asian Topics Series, 39, 2007, ISBN 9788791114960, 283 pages

  7. Elementi ed esercizi di geometria analitica e proiettiva

    CERN Document Server

    Francia, Giovanni

    1950-01-01

    La retta : preliminario ; coordinate cartesiane nel piano, equazioni della retta, distanze ed angoli ; cambiamento delle coordinate, coordinate polari ; il cerchio ; le coniche come luoghi geometrici : l'ellisse, l'iperbole, parabola.

  8. Structure of catalase determined by MicroED

    Science.gov (United States)

    Nannenga, Brent L; Shi, Dan; Hattne, Johan; Reyes, Francis E; Gonen, Tamir

    2014-01-01

    MicroED is a recently developed method that uses electron diffraction for structure determination from very small three-dimensional crystals of biological material. Previously we used a series of still diffraction patterns to determine the structure of lysozyme at 2.9 Å resolution with MicroED (Shi et al., 2013). Here we present the structure of bovine liver catalase determined from a single crystal at 3.2 Å resolution by MicroED. The data were collected by continuous rotation of the sample under constant exposure and were processed and refined using standard programs for X-ray crystallography. The ability of MicroED to determine the structure of bovine liver catalase, a protein that has long resisted atomic analysis by traditional electron crystallography, demonstrates the potential of this method for structure determination. DOI: http://dx.doi.org/10.7554/eLife.03600.001 PMID:25303172

  9. Nuclear Medicine Physics: The Basics. 7th ed.

    Science.gov (United States)

    Mihailidis, Dimitris

    2012-10-01

    Nuclear Medicine Physics: The Basics. 7th ed. Ramesh Chandra, Lippincott Williams and Wilkins, a Wolters Kluwer Business. Philadelphia, 2012. Softbound, 224 pp. Price: $69.99. ISBN: 9781451109412. © 2012 American Association of Physicists in Medicine.

  10. Disaster movies ed emozioni in emergenza

    Directory of Open Access Journals (Sweden)

    Fabio Sbattella

    2012-09-01

    Full Text Available This article aims to investigate the relationship between movie representation of disasters and sharing of emotions that have been experienced personally in real emergency situations. The theme is addressed in the first place referring to clinical observations and accounts of survivors, which explicitly use some images from specific films in their narratives. The hypothesis explored here is that the film genre known as disaster movie provides to individuals in distress in our culture some representations and symbolic tools which are useful to encode exceptional events and to cope with and share the emotions aroused by them. A thorough knowledge of the genre can therefore help to better listen, understand and support the narratives of the people who survived to serious emergencies and now need social legitimization and acceptation of their emotions.

  11. Social Perspective Taking

    Science.gov (United States)

    2009-09-01

    an examination of the developmental states of childhood ( Piaget , 1924), scales of moral development (Kohlberg, 1969), and their combination into...sequence: The cognitive - developmental approach to socialization. In D. A. Goslin (Ed.), Handbook of socialization theory and research. Chicago: Rand...exchange or reversal. Taken together, many of the definitions and developmental theories of perspective taking incorporate an individual’s

  12. Ambienti Circumstellari ed Interstellari di Supernovae di vario Tipo ed Applicazioni Astrofisiche

    Science.gov (United States)

    Boffi, Francesca R.

    Nella presente tesi vengono studiati gli ambienti circumstellari ed interstellari di supernovae (anche SNe; singolare SN) di vario tipo. In particolare si descrivono alcune applicazioni astrofisiche, relative a questi ambienti, che permettono di desumere informazioni sui sistemi stellari progenitori delle supernovae o di determinare le distanze a tali oggetti. L' emissione radio da supernovae, prodotta nell' ambiente circumstellare ad opera dell'interazione idrodinamica del gas di SN con l' ambiente circostante, puo' essere impiegata come mezzo di indagine del sistema di pre-supernova. In particolare si e' introdotta l'idea che tale emissione possa essere impiegata nel caso delle SNe di tipo Ia come test dei sistemi progenitori di tipo simbiotico. Il test e' stato effettuato sulla SN 1986G, per la quale avevamo ottenuto limiti superiori a lunghezze d'onda radio. Nel caso che un sistema simbiotico sia responsabile di una SN Ia, l'interazione tra l' ejecta e una shell circumstellare origina, in un'epoca molto prossima al massimo di luce, un'emissione radio rivelabile con strumenti tipo Very Large Array. Inoltre l'emissione radio fornisce informazioni circa gli stadi di pre-supernova nel caso di altri tipi di supernova. In questo lavoro di tesi vengono presentati i risultati ottenuti nel caso delle SNe di tipo II 1984E e 1986E. Queste due SNe non mostrano emissione radio: la prima, in prossimita del massimo ottico, stava interagendo con una shell circumstellare prodotta da un episodio di perdita di massa di breve durata in fase di pre-supernova; la seconda, invece e' la prima SN ``vecchia'' ad essere rivelata nell' ottico ma non nel radio (l' oggetto non ha ancora iniziato la fase di supernova remnant ed emette radiazione ottica prodotta ancora per interazione circumstellare). In ambiente circum-interstellare, gli echi di luce, prodotti dallo scattering della luce della supernova ad opera della polvere presente, possono essere utilizzati per determinare le distanze

  13. Patient anxiety may influence the efficacy of ED pain management.

    Science.gov (United States)

    Craven, Philip; Cinar, Orhan; Madsen, Troy

    2013-02-01

    The aim of this study was to evaluate the incidence of anxiety and rates of anxiety treatment in emergency department (ED) patients presenting with pain-related complaints. We prospectively evaluated patients in an urban academic tertiary care hospital ED from 2000 through 2010. We enrolled a convenience sample of adult patients presenting with pain and recorded patient complaint, medication administration, satisfaction, and pain and anxiety scores throughout their stay. We stratified patients into 4 different groups according to anxiety score at presentation (0, none; 1-4, mild; 5-7, moderate; 8-10, severe). We enrolled 10 664 ED patients presenting with pain-related complaints. Patients reporting anxiety were as follows: 25.7%, none; 26.1%, mild; 23.7%, moderate; and 24.5%, severe. Although 48% of patients described moderate to severe anxiety at ED presentation and 60% were willing to take a medication for anxiety, only 1% received anxiety treatment. Thirty-five percent of patients still reported moderate/severe anxiety at discharge. Severe anxiety at ED presentation was associated with increased demand for pain medication (odds ratio [OR], 1.40; 95% confidence interval [CI], 1.10-1.79) and anxiety medication (OR, 4.34; 95% CI, 3.68-5.11) during the ED stay and decreased satisfaction with the treatment of pain (β coefficient = -0.328; P < .001). After adjusting for age, sex, and presentation pain scores, patients who reported severe anxiety were more likely to receive an analgesic (OR, 1.33; 95% CI, 1.19-1.50) and an opioid (OR, 1.25; 95% CI, 1.11-1.41) during the ED stay. Anxiety may be underrecognized and undertreated in patients presenting with pain-related complaints. Patients reporting severe anxiety were less likely to report satisfaction with the treatment of their pain, despite higher rates of analgesic administration. Copyright © 2013 Elsevier Inc. All rights reserved.

  14. MANY MEN USED ED TREATMENT WITHOUT THEIR PARTNERS’ KNOWLEDGE

    Directory of Open Access Journals (Sweden)

    Tan HM

    2007-01-01

    Full Text Available This paper aimed to identify and explore the understanding and perception of erectile dysfunction (ED using exploratory qualitative approaches. This study was conducted in Klang Valley, Malaysia. Purposive sampling was used to recruit 17 urban men aged 40-75 years. A semi-structural interview guide was used to explore men’s understanding of ED, impacts on their well-being and experiences with treatments. The focus groups revealed that ED was perceived to be an important loss in men’s lives as sexual performance was closely related to manhood. The men associated ED with a loss of masculinity and self-esteem. Men’s understanding of ED treatments was restricted to phophodiesterase type 5 inhibitors (PDE-5 inhibitors and traditional therapies. Although PDE-5 inhibitors were perceived to be effective, they were concerned about their safety and costs. Some of the men have learned to cope with ED rather than to seek help, particularly among older men, who attributed their decreased sexual capacities and erection difficulties to aging, and therefore conditioned themselves to accepting it. In contrast, younger men who have erectile difficulties are considered as ‘abnormal’, and are more likely to seek help and receive treatment for their sexual problem. Men’s knowledge of and experience with modern treatments of ED were mainly associated with PDE-5 inhibitors. Their perception towards PDE-5 inhibitors was largely influenced by personal experience, information from mass media and friends. The high cost and fear of side effects were two main deterrents in the use of PDE-5 inhibitors. Many men had conceded their use of PDE-5 inhibitors without their partners’ knowledge. They worried that their partners would view the matter with suspicion and mistrust.

  15. A new incentive for energy audit EMAS development according to regulation 1836; Un nuovo incentivo alla diagnosi energetica sviluppo dell`EMAS secondo il regolamento 1836

    Energy Technology Data Exchange (ETDEWEB)

    Degli Atti, F. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dipt. Energia

    1997-11-01

    Environment`s respect is nowadays a primary requirement for industries because it affects manufacture`s costs and efficiency for what is regarding production, confrontation with social classes, with workers and resident for what is regarding environmental impact, improving moreover corporate and product`s image. On this basis european common rules are necessary and European Commission issued Regulation 1836/93 known also as EMAS - Environmental Management and Audit Scheme-that is proposing to industries a voluntary adhesion to it. Rational Use of Energy can be integrated in this Management and Audit scheme because of his direct effect on emission and resources` consumption. Therefore energy efficiency is a primary need for an industry not only for its social aspect but also for its strategic impact on market success.

  16. AICAT-CNR - Associazione Italiana dei Club degli Alcolisti in Trattamento - Istituto di Fisiologia Clinica del CNR: Lo sviluppo del Progetto DATACLUB2005

    OpenAIRE

    Curzio, Olivia; Fortunato, Loredana; Lorenzoni, Valentina; Molinaro, Sabrina; Mariani, Fabio; Tilli, Angela; Guidoni, Guido

    2009-01-01

    The experience of the Clubs of Treated Alcoholics according to the social-ecological model developed by Prof. Vladimir Hudolin, with respect to the alcohologic field, started in 1964 in Croatia, and since 1979 in Italy. Nowadays it represents one of the most significant operating models within the programs for alcohol related and mixed problems. The Clubs commit themselves to achieve and preserve a condition of abstinence from psychoactive substances and to produce a change in community's gen...

  17. Automated SEM-EDS GSR Analysis for Turkish Ammunitions

    Science.gov (United States)

    Cakir, Ismail; Uner, H. Bulent

    2007-04-01

    In this work, Automated Scanning Electron Microscopy with Energy Dispersive X-ray Spectrometry (SEM-EDS) was used to characterize 7.65 and 9mm cartridges Turkish ammunition. All samples were analyzed in a SEM Jeol JSM-5600LV equipped BSE detector and a Link ISIS 300 (EDS). A working distance of 20mm, an accelerating voltage of 20 keV and gunshot residue software was used in all analysis. Automated search resulted in a high number of particles analyzed containing gunshot residues (GSR) unique elements (PbBaSb). The obtained data about the definition of characteristic GSR particles was concordant with other studies on this topic.

  18. New psych unit eases patient burden in ED.

    Science.gov (United States)

    2008-06-01

    Creating a special unit for psychiatric patients frees up beds in your ED, ensures better care for that patient population, and improves the atmosphere in the main department for the rest of your patients. Consider these suggestions: The creation of a psych unit can be extremely costly. Be prepared to demonstrate projected savings when pitching the idea to administration. Make sure an ED physician has overall responsibility for each patient at all times. Keep a regular group of nurses in rotation. This setup will help ensure smooth handoffs.

  19. Valorizzazione del patrimonio culturale e sviluppo dell’“albergo diffuso”: interdipendenze e sinergie / Cultural heritage enhancement and the development of the “albergo diffuso”: interdependences and synergies

    Directory of Open Access Journals (Sweden)

    Patrizia Silvestrelli

    2011-11-01

    In particolare, alla luce delle innovazioni gestionali ed organizzative che hanno caratterizzato il settore turistico, l’impresa alberghiera può rappresentare uno strumento efficace per realizzare la riqualificazione del patrimonio culturale, come dimostra il caso dell’«albergo diffuso» qui trattato, che ci consente di affermare che sostenibilità e valore non sono in antitesi tra loro, ma rappresentano variabili interdipendenti e coevolutive. Cultural heritage preservation and enhancement represent a challenging topic for the scholars on management disciplines.The difficulty of defining strategies for the management and enhancement of this heritage depends not only on the heterogeneity of cultural products, but also on the variety of the organizations involved, directly or indirectly, within the process of value creation. This implies that the value of heritage is not only cultural, but also social and economic; it is thus a multidimensional value.The aim of this paper is to highlight the synergies generating value, which derive from the interdependence among enhancement of cultural heritage, local development and tourism. Particularly, in the light of the managerial and organizational innovations characterizing the tourism sector, the hotels can contribute in qualifying and conserving cultural heritage through the ability of its entrepreneur to innovate.The case of the “albergo diffuso” here illustrated shows that the enhancement of a historic village leads to tourism development, which, in turn, improves the competitiveness of its geographical area, thus generating value and sustainability for all stakeholders. From this point of view, value and sustainability do not exclude each other but are interdependent and coevolutive variables.

  20. Structural requirements for the interaction between peptide antigens and I-Ed molecules

    DEFF Research Database (Denmark)

    Sette, A; Adorini, L; Appella, E

    1989-01-01

    amino acid substitution analogues of one good I-Ed binder, hen egg lysozyme 107-116, were analyzed for their capacity to bind to I-Ed molecules and to activate two different I-Ed-restricted T cell hybridomas. The results illustrate the great permissiveness of I-Ed-peptide interaction and the great......We have analyzed the structural characteristics of the interaction between I-Ed molecules and their peptide ligands. It was found that unrelated good I-Ed binders share structurally similar "core" regions that were experimentally demonstrated to be crucial for binding to I-Ed molecules. Single...

  1. Selezione dell'habitat ed effetto delle caratteristiche ambientali sulle densità di lepri nel Parco Regionale dello Stirone (PR

    Directory of Open Access Journals (Sweden)

    Laura Bontardelli

    2003-10-01

    Full Text Available Tra i fattori che agiscono sulla densità delle popolazioni di lepre quelli ambientali hanno, insieme alla pressione venatoria, gli effetti più consistenti e diretti. La specie, originaria delle praterie e delle steppe con scarsa copertura cespugliare, trova condizioni particolarmente favorevoli negli ecosistemi agricoli, soprattutto se caratterizzati da una buona variabilità colturale. Tali condizioni si riscontrano nel territorio del Parco dello Stirone, localizzato in un?area pedecollinare della bassa pianura emiliana, dove è stato condotto questo studio. Per determinare la consistenza della popolazione di lepri, nel biennio 2000-2002, sono stati effettuati censimenti in battuta su aree campione e censimenti da autovettura su percorso con sorgente di luce. I dati ottenuti con questi metodi sono stati elaborati in funzione delle caratteristiche ambientali, misurate tramite un SIT. Questo ha consentito di confrontare (one-way ANOVA e t di Student le densità rilevate nelle aree in cui il parco è stato suddiviso: sia in base alle caratteristiche morfologiche e colturali (un?area di pianura ed una a prevalenza collinare; sia in base al grado di tutela dell?area (parco vero e proprio e pre-parco. Per valutare l?influenza dell?ambiente sulla densità sono state effettuate analisi di correlazione e analisi di Regressione Multipla mentre, tramite l?Indice di preferenza di Jacobs, è stato possibile determinare la selezione dell?habitat della lepre durante le ore di alimentazione. Le densità rilevate sono state maggiori, con entrambi i metodi, nel settore di pianura e nel territorio del parco. Densità maggiori sono state rilevate nei cereali, nelle foraggere con più di 5 anni, negli incolti e negli arati. Le siepi e le aree antropiche hanno avuto effetto positivo sulle densità primaverili, mentre su quelle autunnali lo hanno avuto le altre colture (non cerealicole né a foraggio e le siepi. La stessa analisi condotta sui dati dei censimenti in

  2. Inside the Sex Ed Studio: An Interview with Peggy Brick

    Science.gov (United States)

    Taverner, William J.

    2008-01-01

    "Inside the Sex Ed Studio" profiles leaders in the field of sexuality education. Peggy Brick, former director of Planned Parenthood of Greater Northern New Jersey's Center for Family Life Education (CFLE) and author of numerous sexuality education resources used worldwide, is the subject of this interview. Ms. Brick was interviewed by…

  3. Psychological and psychopathological variables associated with eating disorders (ED

    Directory of Open Access Journals (Sweden)

    Antonio Fernández-Delgado

    2016-07-01

    Full Text Available Objective: The aim of this study was to compare some psychological and psychopathological variables usually associated with different types of patients with eating disorders (ED. A total of 22 variables (psychological, psychopathological and specifically related to TCA were analyzed in three groups of patients with anorexia nervosa (AN, bulimia nervosa (BN and eating disorders not otherwise specified (EDNOS. Method: The sample consisted of 76 patients diagnosed with ED (mean age 20.13 ± 6.28 years; 69 women and 7 men. The following questionnaires were administered: Rosenberg's Self-Esteem Scale (SES, Symptom Checklist-90-Revised (SCL-90-R, Beck's Depression Inventory (BDI, State-Trait Anxiety Inventory (STAI, Body Shape Questionnaire (BSQ, Body Appreciation Scale (BAS, Eating Disorder Inventory-2 (EDI-2 and Body Image Quality of Life Inventory (BIQLI-SP. Results: Generally no significant differences between groups, except for the variables related to the BSQ and EDI-2 questionnaires, were found. The study of the correlations among the different variables specifically related to eating disorders and others, showed differences between groups. Conclusions: The present study shows few differences with respect to psychopathological symptoms among the different types of ED. Bearing in mind future studies, it would be interesting to use a bigger sample size, to include more men, and to distinguish between restricted/purging types of ED.

  4. Diagnostic utility of the genital Gram stain in ED patients.

    Science.gov (United States)

    Stefanski, Peter; Hafner, John W; Riley, Shanda L; Sunga, Kharmene L Y; Schaefer, Timothy J

    2010-01-01

    The study aimed to determine the diagnostic usefulness of the genital Gram stain in an emergency department (ED) population. A linked-query of an urban, tertiary-care, university- affiliated hospital laboratory database was conducted for all completed Chlamydia trachomatis and Neisseria gonorrhoeae DNA probes, Trichomonas vaginalis wet preps, and genital Gram stains performed on ED patient visits between January and December 2004. Positive criteria for a Gram stain included greater than 10 white blood cells per high-power field, gram-negative intracellular/extracellular diplococci (suggesting N gonorrhoeae), clue cells (suggesting T vaginalis), or direct visualization of T vaginalis organisms. DNA probes were used as the gold standard definition for N gonorrhoeae and C trachomatis infection. Of 1511 initially eligible ED visits, 941 were analyzed (genital Gram stain and DNA probe results both present), with a prevalence of either C trachomatis or N gonorrhoeae of 11.4%. A positive genital Gram stain was 75.7% sensitive and 43.3% specific in diagnosing either C trachomatis and/or N gonorrhoeae infection, and 80.4% sensitive and 32.2% specific when the positive cutoff was lowered to more than 5 white blood cells/high-power field. No Gram stains were positive for T vaginalis (with 47 positive wet mounts), and clue cells were noted on 117 Gram stains (11.6%). Gram stains in isolation lack sufficient diagnostic ability to detect either C trachomatis or N gonorrhoeae infection in the ED.

  5. I>Lo specchio frammentato ed il pagliaccio piangente : alienation ...

    African Journals Online (AJOL)

    Quest'articolo esamina il modo in cui il cinema di Nanni Moretti usa uno sguardo autoriflessivamente critico per parlare della condizione frammentata ed alienata di un soggetto maschile, italiano e di sinistra, nella tarda età capitalista. L'articolo mette a fuoco come l'uso morettiano dell' umorismo, con palesi tratti ...

  6. Mai alguses linastub dokfilm "Sinimäed" / Andris Feldmanis

    Index Scriptorium Estoniae

    Feldmanis, Andris, 1982-

    2006-01-01

    Valminud on 6-osalise ajaloodokumentaalide sarja "Kuum külm sõda" teine film "Sinimäed" : stsenaristid Kiur Aarma, Mart Laar, Eerik-Niiles Kross, Raimo Jõerand : režissöör Raimo Jõerand : Ruut Pictures

  7. Creating a Minnesota Statewide SNAP-Ed Program Evaluation

    Science.gov (United States)

    Gold, Abby; Barno, Trina Adler; Sherman, Shelley; Lovett, Kathleen; Hurtado, G. Ali

    2013-01-01

    Systematic evaluation is an essential tool for understanding program effectiveness. This article describes the pilot test of a statewide evaluation tool for the Supplemental Nutrition Assistance Program-Education (SNAP-Ed). A computer algorithm helped Community Nutrition Educators (CNEs) build surveys specific to their varied educational settings…

  8. Murray Pittock, ed., The Edinburgh Companion to Scottish Romanticism.

    Directory of Open Access Journals (Sweden)

    Manfred Malzahn

    2013-10-01

    Full Text Available Murray Pittock, ed., The Edinburgh Companion to Scottish Romanticism. Edinburgh: Edinburgh University Press, 2011. Pp. 251. ISBN 978-0-7486-3845-1 (hardback. £ 65.00. ISBN 978-0-7486-3846-8 (paperback. £ 21.99.

  9. Impact of Physician Navigators on productivity indicators in the ED.

    Science.gov (United States)

    Leung, Alexander K; Puri, Gaurav; Chen, Bingshu E; Gong, Zhenxian; Chan, Eddie; Feng, Edward; Duic, Marko

    2018-01-01

    We created Physician Navigators in our ED to help improve emergency physician (EP) productivity. We aimed to quantify the effect of Physician Navigators on measures of EP productivity: patient seen per hour (Pt/hr), and turn-around time (TAT) to discharge. Secondary objectives included examining their impact on measures of ED throughput for non-resuscitative patients: ED length of stay (LOS), door-to-physician time and left-without-being-seen rates (LWBS). In this retrospective study, 6845 clinical shifts worked by 20 EPs at a community ED in Newmarket, Canada from 1 January 2012 to 31 March 2015 were evaluated. Using a clustered design, we compared productivity measures between shifts with and without Physician Navigators, by physician. We used a linear mixed model to examine mean changes in Pt/hr and TAT to discharge for EPs who employed Physician Navigators. For secondary objectives, autoregressive modelling was performed to compare ED throughput metrics before and after the implementation of Physician Navigators for non-resuscitative patients. Patient volumes increased by 20 patients per day (p<0.001). Mean Pt/hr increased by 1.07 patients per hour (0.98 to 1.16, p<0.001). The mean TAT to discharge decreased by 10.6 min (-13.2 to -8.0, p<0.001). After implementation of the Physician Navigator programme, overall mean LOS for non-resuscitative patients decreased by 2.6 min (p=0.007), and mean door-to-physician time decreased by 7.4 min (p<0.001). LBWS rates decreased from 1.13% to 0.63% of daily patient volume (p<0.001). Despite an ED volume increase, the use of a Physician Navigator was associated with significant improvements in EP productivity, and significant reductions in ED throughput times. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  10. Understanding the critical role of social work in safety net medical settings: framework for research and practice in the emergency department.

    Science.gov (United States)

    Moore, Megan; Ekman, Eve; Shumway, Martha

    2012-01-01

    Social workers in Emergency Departments (ED) provide counseling, community resource linkage, and discharge planning. The ED is a critical intervention point for patients with multiple unmet medical, psychological, and social needs, and little or no other contact with service providers. In part because of its role as a medical safety net for underserved populations, use of the ED has steadily increased over time. There is limited research examining the utility of social services in the ED. This article provides a brief history of hospital social work and a literature review of ED social work research with the goal of advancing current research and practice agendas.

  11. TrED: the Trichophyton rubrum Expression Database

    Directory of Open Access Journals (Sweden)

    Liu Tao

    2007-07-01

    Full Text Available Abstract Background Trichophyton rubrum is the most common dermatophyte species and the most frequent cause of fungal skin infections in humans worldwide. It's a major concern because feet and nail infections caused by this organism is extremely difficult to cure. A large set of expression data including expressed sequence tags (ESTs and transcriptional profiles of this important fungal pathogen are now available. Careful analysis of these data can give valuable information about potential virulence factors, antigens and novel metabolic pathways. We intend to create an integrated database TrED to facilitate the study of dermatophytes, and enhance the development of effective diagnostic and treatment strategies. Description All publicly available ESTs and expression profiles of T. rubrum during conidial germination in time-course experiments and challenged with antifungal agents are deposited in the database. In addition, comparative genomics hybridization results of 22 dermatophytic fungi strains from three genera, Trichophyton, Microsporum and Epidermophyton, are also included. ESTs are clustered and assembled to elongate the sequence length and abate redundancy. TrED provides functional analysis based on GenBank, Pfam, and KOG databases, along with KEGG pathway and GO vocabulary. It is integrated with a suite of custom web-based tools that facilitate querying and retrieving various EST properties, visualization and comparison of transcriptional profiles, and sequence-similarity searching by BLAST. Conclusion TrED is built upon a relational database, with a web interface offering analytic functions, to provide integrated access to various expression data of T. rubrum and comparative results of dermatophytes. It is devoted to be a comprehensive resource and platform to assist functional genomic studies in dermatophytes. TrED is available from URL: http://www.mgc.ac.cn/TrED/.

  12. Social anhedonia and work and social functioning in the acute and recovered phases of eating disorders.

    Science.gov (United States)

    Harrison, Amy; Mountford, Victoria A; Tchanturia, Kate

    2014-08-15

    Interpersonal difficulties are proposed to maintain eating disorders (EDs). This study explored whether social anhedonia (SA) was an additional social emotional maintenance factor which might also explain work/social problems in EDs. Additionally, the study explored SA and work and social adjustment in recovered participants. Women with anorexia nervosa (AN; n=105), bulimia nervosa (BN; n=46), recovered from AN (RAN; n=30) and non-ED controls (n=136) completed the Work and Social Adjustment Scale (WSAS) and the Revised Social Anhedonia Scale. ED participants reported greater SA and WSAS scores than non-ED controls; the RAN group reported an intermediate profile. AN participants had poorer work/social adjustment than BN participants. SA was associated with longer illness duration. SA, current severity (BMI) and lifetime severity (lowest adult BMI) significantly predicted work/social difficulties. Recovered participants scoring in the clinical range for SA experienced significantly greater work/social difficulties than recovered participants scoring outside the clinical range for SA. EDs are associated with clinical levels of SA and poor work/social functioning which reduce in recovery. SA may maintain the interpersonal functioning difficulties. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  13. Verso la rappresentazione e valutazione dello sviluppo delle aziende : i limiti dell'informativa economico-finanziaria e il contributo di alcuni approcci informativi complementari

    Directory of Open Access Journals (Sweden)

    Sergio Paternostro

    2009-06-01

    Full Text Available Firms are dynamic entities in continuous change. This dynamism can lead to an improvement or worsening of the firm. Only in the first situation we can say that a firm is developing. The notion of firm's development does not have in literature an univocal interpretation and for this reason the first aim of the article is to illustrate an interpretation for a better understanding of this notion, which remains incomplete without appropriate instruments for the representation and evaluation of firm's development. The main purpose of this article is to reflect upon the manner to represent and to value this complex phenomenon. The analysis highlights, on the one hand, the limits of the financial statements and, on the other hand, the possible contribution of complementary informative instruments like: social report, intellectual capital report, balanced scorecard, business storytelling.Las empresas son entidades dinámicas en continua transformación. Este dinamismo puede conducir a una situación de mejora o a un empeoramiento de la empresa. Solamente en la primera situación se puede decir que la empresa está recorriendo un sendero de desarrollo. La noción de desarrollo de empresa no tiene en literatura una interpretación unívoca y por esta razón el primer objetivo del artículo es presentar una clave para comprender este concepto. La idea de desarrollo queda incompleta sin apropiados instrumentos operativos para representar y valorar el nivel de desarrollo alcanzado por las empresas. La principal finalidad del articulo es, por tanto, reflexionar sobre las modalidades a través de las que se puede dar una representación y evaluación a este fenómeno complejo. El análisis ha evidenciado, por una parte, los límites del balance y, por otra, la posible contribución de instrumentos informativos complementarios como: balance social, balance intelectual, balanced scorecard, narración de empresa.

  14. Marcos Fernández L., Prisión común, imaginario social e identidad, Chile, 1870-1920, Santiago de Chile, Ed. Andrés Bello y DIBAM, Colección Sociedad y Cultura XXXIII, 2004, 243 páginas.

    OpenAIRE

    Palma, Daniel

    2005-01-01

    En los últimos años hemos presenciado un interés creciente en actores tradicionalmente despreciados o ignorados por la historiografía chilena. Prostitutas, locos, delincuentes, trabajadoras sociales, presos, mapuche, la ‘gente en la calle’, están siendo objeto de estudios que develan los aspectos cotidianos de la dominación social e ideológica en nuestra historia y la persistencia de micromundos y microhistorias en permanente tensión con los resortes del poder. El libro de Fernández se inscri...

  15. Microbiologic methods utilized in the MAL-ED cohort study.

    Science.gov (United States)

    Houpt, Eric; Gratz, Jean; Kosek, Margaret; Zaidi, Anita K M; Qureshi, Shahida; Kang, Gagandeep; Babji, Sudhir; Mason, Carl; Bodhidatta, Ladaporn; Samie, Amidou; Bessong, Pascal; Barrett, Leah; Lima, Aldo; Havt, Alexandre; Haque, Rashidul; Mondal, Dinesh; Taniuchi, Mami; Stroup, Suzanne; McGrath, Monica; Lang, Dennis

    2014-11-01

    A central hypothesis of The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) study is that enteropathogens contribute to growth faltering. To examine this question, the MAL-ED network of investigators set out to achieve 3 goals: (1) develop harmonized protocols to test for a diverse range of enteropathogens, (2) provide quality-assured and comparable results from 8 global sites, and (3) achieve maximum laboratory throughput and minimum cost. This paper describes the rationale for the microbiologic assays chosen and methodologies used to accomplish the 3 goals. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  16. Safe Handling of Snakes in an ED Setting.

    Science.gov (United States)

    Cockrell, Melanie; Swanson, Kristofer; Sanders, April; Prater, Samuel; von Wenckstern, Toni; Mick, JoAnn

    2017-01-01

    Efforts to improve consistency in management of snakes and venomous snake bites in the emergency department (ED) can improve patient and staff safety and outcomes, as well as improve surveillance data accuracy. The emergency department at a large academic medical center identified an opportunity to implement a standardized process for snake disposal and identification to reduce staff risk exposure to snake venom from snakes patients brought with them to the ED. A local snake consultation vendor and zoo Herpetologist assisted with development of a process for snake identification and disposal. All snakes have been identified and securely disposed of using the newly implemented process and no safety incidents have been reported. Other emergency department settings may consider developing a standardized process for snake disposal using listed specialized consultants combined with local resources and suppliers to promote employee and patient safety. Copyright © 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  17. Prepared for the unthinkable: EDs respond to terrorist attacks.

    Science.gov (United States)

    2001-11-01

    The response to the terrorist attacks at the World Trade Center and the Pentagon provided many key lessons for disaster preparedness. Volunteer physicians were not used in most cases, but EDs recognized the need for a system to check credentials. Communication from disater sites was problem. Injured patients went to the nearest hospital, even if it was not the most appropriate hospital. Experts recommend using existing disaster plans as templates to design or update your own.

  18. Interact-ed interwinning nature of virtual reality

    OpenAIRE

    Özenç, Kürşat Fatih; Ozenc, Kursat Fatih

    2004-01-01

    In our highly computerized world, we live in an environment which resembles an intertwining mobius of 'real' and 'virtual'. In interact-ed's visual context, the virtual and the real have been quettioned with respect to this interrelation. The investigation is moreover done with the concept of dreams. Dreams, like virtual environments, affect our life 'apperently'; not 'really'. As affective experiences, virtual (environments) and dreams are tightly related to each other. In somne conditions t...

  19. Active Intervention Can Decrease Burnout In Ed Nurses.

    Science.gov (United States)

    Wei, Rong; Ji, Hong; Li, Jianxin; Zhang, Liyao

    2017-03-01

    The aim of this study was to evaluate whether active intervention can decrease job burnout and improve performance among ED nurses. This study was carried out in the emergency departments of 3 hospitals randomly selected from 8 comprehensive high-level hospitals in Jinan, China. A total of 102 nurses were enrolled and randomly divided into control and intervention groups. For 6 months, nurses in intervention groups were treated with ordinary treatment plus comprehensive management, whereas nurses in the control group were treated with ordinary management, respectively. Questionnaires were sent and collected at baseline and at the end of the study. The Student t test was used to evaluate the effect of comprehensive management in decreasing burnout. All ED nurses showed symptoms of job burnout at different levels. Our data indicated that comprehensive management significantly decreased emotional exhaustion and depersonalization (P burnout in ED nurses and contribute to relieving work-related stress and may further protect against potential mental health problems. Copyright © 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  20. Teachers are students in ZPG program called 'Pop Ed.'.

    Science.gov (United States)

    Schline, S

    1977-01-01

    Zero Population Growth's Population Education (Pop Ed) program began in 1975 as an ongoing effort to bring the "real world" into the classroom by demonstrating the relationships among population trends, food and energy resources, and environmental and economic problems. The training workshops which last for a day or 2 have the following goals: 1) to offer a brief demographic overview for teachers, 2) to provide lesson plans and techniques readily usable in the classroom, 3) to alert teachers to the best written and audiovisual materials available, 4) to identify local resources for teaching Pop Ed, and 5) to provide sample materials. In the 1st year of program operation 10 workshops were held. These workshops are credited, at least partly, with the subsequent population instruction that reached over 10,400 students and 1600 teachers. Another 15 workshops were held in the 2nd year of operation. Obstacles to the program are the assumption on the part of some teachers that Pop Ed belongs in disciplines other than their own and the belief on the part of many teachers that they will require extensive training.

  1. States leverage telepsychiatry solutions to ease ED crowding, accelerate care.

    Science.gov (United States)

    2015-02-01

    Many states are having success turning to telepsychiatry-based solutions to connect mental health patients with needed care while also decompressing crowded EDs. Just one year into a statewide telepsychiatry initiative in North Carolina (NC-STeP), administrators say the approach has saved as much as $7 million, and hospital demand for the service is higher than anticipated. In Texas, mental health emergency centers (MHEC) that use telepsychiatry to connect patients in rural areas with needed psychiatric care are freeing up EDs to focus on medical care. In just 11 months, 91 North Carolina hospitals have at least started the process to engage in NC-STeP. Much of the savings from NC-STeP come from involuntary commitment orders being overturned as a result of the telepsychiatry consults, reducing the need for expensive inpatient care. Implementing NC-STeP has involved multiple hurdles including credentialing difficulties and technical/firewall challenges. The Texas model provides 24/7 availability of psychiatrists via telemedicine through a network of MHECs. In-person staff at the MHECs perform basic screening tests and blood draws so that medical clearance can be achieved without the need for an ED visit in most cases. Funding for the MHECs comes from the state, hospitals in the region, and local governmental authorities that reap savings or benefits from the initiative.

  2. More Appropriate Information Systems and Services for the Social Scientist: Time to Put Our Findings to Work. A review of: Line, Maurice B. “The Information Uses and Needs of Social Scientists: An Overview of INFROSS.” Aslib Proceedings 23.8 (1971): 412‐34. Rpt. in Lines of Thought: Selected Papers. Ed. L.J. Anthony. London: Bingley, 1988. 45‐66.

    OpenAIRE

    R. Laval Hunsucker

    2007-01-01

    Objective – The study reported in this article was conceived in order to answer a question of very large scope: What are the information systems and services requirements of social scientists? Inherent in this question was the correlative question: How do social scientists tend to use such systems and services, and what resources and information access approaches do they by choice employ? The choice for such an approach was well‐considered, given that 1) there were at the time almost no rese...

  3. Analysis of microtraces in invasive traumas using SEM/EDS.

    Science.gov (United States)

    Vermeij, E J; Zoon, P D; Chang, S B C G; Keereweer, I; Pieterman, R; Gerretsen, R R R

    2012-01-10

    Scanning electron microscopy in combination with energy-dispersive X-ray spectrometry (SEM/EDS) is a proven forensic tool and has been used to analyze several kinds of trace evidence. A forensic application of SEM/EDS is the examination of morphological characteristics of tool marks that tools and instruments leave on bone. The microtraces that are left behind by these tools and instruments on the bone are, however, often ignored or not noticed at all. In this paper we will describe the use of SEM/EDS for the analysis of microtraces in invasive sharp-force, blunt-force and bone-hacking traumas in bone. This research is part of a larger multi-disciplinary approach in which pathologists, forensic anthropologists, toolmark and microtrace experts work together to link observed injuries to a suspected weapon or, in case of an unknown weapon, to indicate a group of objects that could have been used as a weapon. Although there are a few difficulties one have to consider, the method itself is rather simple and straightforward to apply. A sample of dry and clean bone is placed into the SEM sample chamber and brightness and contrast are set such that bone appears grey, metal appears white and organic material appears black. The sample is then searched manually to find relevant features. Once features are found their elemental composition is measured by an energy dispersive X-ray spectrometer (EDS). This method is illustrated using several cases. It is shown that SEM/EDS analysis of microtraces in bone is a valuable tool to get clues about an unknown weapon and can associate a specific weapon with injuries on the basis of appearance and elemental composition. In particular the separate results from the various disciplines are complementary and may be combined to reach a conclusion with a stronger probative value. This is not only useful in the courtroom but above all in criminal investigations when one have to know for what weapon or object to look for. Copyright © 2011

  4. Health care utilization before and after an outpatient ED visit in older people.

    Science.gov (United States)

    Horney, Carolyn; Schmader, Kenneth; Sanders, Linda L; Heflin, Mitchell; Ragsdale, Luna; McConnell, Eleanor; Hocker, Michael; Hastings, S Nicole

    2012-01-01

    Older adults in the United States receive a significant amount of care in the emergency department (ED), yet the associations between ED and other types of health care utilization have not been adequately studied in this population. The goals of this study were to examine the relationships between health care use before and after an ED visit among older adults. This retrospective cohort study examined health care use among 308 patients 65 years or older discharged from a university-affiliated ED. Proportional-hazards models were used to assess the relationship between pre-ED health care use (primary care physician [PCP], specialist, ED, and hospital) and risk of return ED visits. Older ED patients in this study had visited other types of providers frequently in the previous year (median number of PCP and specialist visits, 4). Patients who used the ED on 2 or more occasions in the previous year were found to have visited their PCP more often than those without frequent ED use (median number of visits, 7.0 vs 4.0; P < .001). Despite more PCP use in this population, frequent ED use was associated with increased risk of a repeat ED visit (hazard ratio, 2.20; 95% confidence interval, 1.15-4.21), in models adjusted for demographics and health status. Older adults who use the ED are also receiving significant amounts of care from other sources; simply providing additional access to care may not improve outcomes for these vulnerable individuals. Published by Elsevier Inc.

  5. EDS coal liquefaction process development. Phase V. EDS commercial plant study design update. Illinois coal. Volume 1. Main report

    Energy Technology Data Exchange (ETDEWEB)

    Epperly, W. R.

    1981-03-01

    The objectives of the Study Design Update (SDU) were to identify the technical issues facing a potential commercial-size EDS plant design; to provide a reliable basis for estimating the cost of EDS products; and to furnish research guidance to the EDS Project. The SDU consists of two distinct studies in which different processing schemes are used to produce the hydrogen and fuel gas required by the plant. These studies are referred to as the Base Case and the Market Flexibility Sensitivity Case. In the Base Case, hydrogen is generated by steam reforming of the light hydrocarbon gases produced in the plant. Fuel gas is generated by feeding the bottoms stream from the liquefaction section vacuum pipestill to a FLEXICOKING unit. In the FLEXICOKING unit reactor, the bottoms stream is converted to coke; additional liquid product is also recovered. The coke is converted to low-Btu fuel gas in the FLEXICOKING unit gasifier. In the Market Flexibility Sensitivity (MFS) Case, the bottoms stream from the vacuum pipestill is split, and about half is sent to the FLEXICOKING unit for recovery of additional liquid product and production of fuel gas. The remainder of the bottoms stream is converted to hydrogen in a Partial Oxidation Unit. Hence the MFS Case does not consume light hydrocarbon gases produced and they are available for sale. The study of these two cases has demonstrated the importance of bottoms process selection to the economics and thermal efficiency of an EDS plant. Volume 1 - Main Report has been developed to be a stand-alone document. Both the Base Case and Market Flexibility Sensitivity (MFS) Case are covered. This volume includes an overview and detailed case summaries. It also covers economics, product recovery factors, material and energy balances, cost estimates and enviromental considerations.

  6. Prevalence and correlates of erectile dysfunction (ED) and treatment seeking for ED in Asian Men: the Asian Men's Attitudes to Life Events and Sexuality (MALES) study.

    Science.gov (United States)

    Tan, Hui-Meng; Low, Wah Yun; Ng, Chirk Jenn; Chen, Kuang-Kuo; Sugita, Minoru; Ishii, Nobuhisa; Marumo, Ken; Lee, Sung Won; Fisher, William; Sand, Michael

    2007-11-01

    There have been limited multiregional studies in Asia examining the parameters of men's general and sexual health and quality of life in the general population vs. those in clinical cohorts of patients with erectile dysfunction (ED). The aims of the Asian Men's Attitudes to Life Events and Sexuality (Asian MALES) study were to investigate the prevalence of ED, associated health conditions, and ED treatment-seeking patterns in the general male population in five regions of Asia (China, Japan, Korea, Malaysia, and Taiwan). Standardized questionnaire previously used in a similar multiregional study and modified to ensure culturally appropriate content for Asia. Phase I of the study involved 10,934 adult men, aged 20-75 years, who were interviewed using the standardized questionnaire. Phase II of the study involved men with self-reported ED recruited from Phase I and via physician referral, invitations in general practitioner offices, and street interception (total Phase II sample, N = 1,209). The overall prevalence of self-reported ED in the Phase I study population was 6.4%. ED prevalence varied by region and significantly increased with age (P quality of life (P = 0.0001), compared with men without ED. Phase II of the study revealed that fewer than half of men with self-reported ED had sought treatment for their problem. Men were more likely to seek help for erection difficulties from Western doctors than from traditional medicine practitioners (P = 0.0001). A man's partner/spouse was the most common influencer of treatment seeking in all regions except Malaysia. The findings confirm those of existing research on ED in both Asian and non-Asian males: ED is a prevalent condition; the prevalence of ED increases with age and is strongly associated with comorbid conditions; and the majority of men have never sought treatment for their condition. This study highlights a substantial need for the evaluation and treatment of ED in Asian men.

  7. Treatment of Nausea and Vomiting in Pregnancy: Factors Associated with ED Revisits

    Directory of Open Access Journals (Sweden)

    Brian R. Sharp

    2016-09-01

    Full Text Available Introduction: Nausea and vomiting in pregnancy (NVP is a condition that commonly affects women in the first trimester of pregnancy. Despite frequently leading to emergency department (ED visits, little evidence exists to characterize the nature of ED visits or to guide its treatment in the ED. Our objectives were to evaluate the treatment of NVP in the ED and to identify factors that predict return visits to the ED for NVP. Methods: We conducted a retrospective database analysis using the electronic medical record from a single, large academic hospital. Demographic and treatment variables were collected using a chart review of 113 ED patient visits with a billing diagnosis of “nausea and vomiting in pregnancy” or “hyperemesis gravidarum.” Logistic regression analysis was used with a primary outcome of return visit to the ED for the same diagnoses. Results: There was wide treatment variability of nausea and vomiting in pregnancy patients in the ED. Of the 113 patient visits, 38 (33.6% had a return ED visit for NVP. High gravidity (OR 1.31, 95% CI [1.06-1.61], high parity (OR 1.50 95% CI [1.12-2.00], and early gestational age (OR 0.74 95% CI [0.60-0.90] were associated with an increase in return ED visits in univariate logistic regression models, while only early gestational age (OR 0.74 95% CI [0.59-0.91] was associated with increased return ED visits in a multiple regression model. Admission to the hospital was found to decrease the likelihood of return ED visits (p=0.002. Conclusion: NVP can be difficult to manage and has a high ED return visit rate. Optimizing care with aggressive, standardized treatment in the ED and upon discharge, particularly if factors predictive of return ED visits are present, may improve quality of care and reduce ED utilization for this condition.

  8. Patient-Centered Care Transition for Patients Admitted through the ED: Improving Patient and Employee Experience

    OpenAIRE

    Andrea Algauer BSN, RN; Stephanie Rivera BSN, RN; Robert Faurote BSN, RN

    2015-01-01

    With increasing wait times in emergency departments (ED) across America, there is a need to streamline the inpatient admission process in order to decrease wait times and more important, to increase patient and employee satisfaction. One inpatient unit at New York-Presbyterian Weill Cornell Medical Center initiated a program to help expedite the inpatient admission process from the ED. The goal of the ED Bridge program is to ease the patient's transition from the ED to an inpatient unit by vi...

  9. Self-Esteem and Emotional Intelligence among B.Ed Trainees of Tsunami Affected Coastal Belt

    Science.gov (United States)

    Babu M, Sameer

    2008-01-01

    Through this study the author investigates the relationship between self-esteem and emotional intelligence among B.Ed trainees of Tsunami affected coastal belt of Alappey district of Kerala, India. Stream of study, marital status and age based comparisons were made among the B.Ed trainees. 92 B.Ed trainees were the participants in the study. It…

  10. EDS V26 Containment Vessel Explosive Qualification Test Report

    Energy Technology Data Exchange (ETDEWEB)

    Crocker, Robert W. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Haroldsen, Brent L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Stofleth, Jerome H. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2013-11-01

    The objective of the test was to qualify the vessel for its intended use by subjecting it to a 1.25 times overtest. The criteria for success are that the measured strains do not exceed the calculated strains from the vessel analysis, there is no significant additional plastic strain on subsequent tests at the rated design load (shakedown), and there is no significant damage to the vessel and attached hardware that affect form, fit, or function. Testing of the V25 Vessel in 2011 established a precedent for testing V26 [2]. As with V25, two tests were performed to satisfy this objective. The first test used 9 pounds of Composition C-4 (11.25 lbs. TNT-equivalent), which is 125 percent of the design basis load. The second test used 7.2 pounds of Composition C-4 (9 lbs. TNT-equivalent) which is 100 percent of the design basis load. The first test provided the required overtest while the second test served to demonstrate shakedown and the absence of additional plastic deformation. Unlike the V25 vessel, which was mounted in a shipping cradle during testing, the V26 vessel was mounted on the EDS P2U3 trailer prior to testing. Visual inspections of the EDS vessel, surroundings, and diagnostics were completed before and after each test event. This visual inspection included analyzing the seals, fittings, and interior surfaces of the EDS vessel and documenting any abnormalities or damages. Photographs were used to visually document vessel conditions and findings before and after each test event.

  11. More Appropriate Information Systems and Services for the Social Scientist: Time to Put Our Findings to Work. A review of: Line, Maurice B. “The Information Uses and Needs of Social Scientists: An Overview of INFROSS.” Aslib Proceedings 23.8 (1971: 412‐34. Rpt. in Lines of Thought: Selected Papers. Ed. L.J. Anthony. London: Bingley, 1988. 45‐66.

    Directory of Open Access Journals (Sweden)

    R. Laval Hunsucker

    2007-12-01

    Full Text Available Objective – The study reported in this article was conceived in order to answer a question of very large scope: What are the information systems and services requirements of social scientists? Inherent in this question was the correlative question: How do social scientists tend to use such systems and services, and what resources and information access approaches do they by choice employ? The choice for such an approach was well‐considered, given that 1 there were at the time almost no research results available in this area; 2 the investigators feared that approaches developed earlier for the natural sciences and technology would be uncritically adopted for the social sciences as well; and 3 “the social science information system was developing anyway, and if it was to develop in appropriate ways, some guidance had to be provided quickly” (412. The Investigation into Information Requirements of the Social Sciences (INFROSS project team believed that there was “no point” (412 in embarking first on a series of more narrowly focused studies. The express intention was to derive findings that would be usable “for the improvement of information systems, or for the design of new ones” (414. For more on the project's conceptual underpinnings, see Line’s “Information Requirements.” Design – Exploratory study employing both quantitative and qualitative approaches over a period of three and a half years, beginning in the autumn of 1967.Setting – The whole of the United Kingdom. The project was funded by that country’s Office for Scientific and Technical Information (OSTI, which had been established in 1965.Subjects – Almost 1,100 randomly selected academic social science researchers, plus a substantial number of government socialscience researchers and social science “practitioners” (“college of education lecturers, schoolteachers, and individuals in social work and welfare” [413]. For the purposes of the study, the

  12. SVILUPPO DI SOLUZIONI SOFTWARE PER LA SISMOLOGIA

    OpenAIRE

    Lanucara, Piero; Ruggiero, Vittorio; Zampini, Stefano; Ferraro, Luca

    2012-01-01

    Sviluppare soluzioni software per la sismologia è diventato, ormai, indispensabile per comprendere i complessi fenomeni che regolano il funzionamento del sistema Terra, come ad esempio: lo studio degli effetti di Sito che consentono di caratterizzare con estrema precisione l’impatto in superficie di un terremoto potenzialmente distruttivo; la derivazione di modelli per lo studio della deformazione cosismica prodotta da grandi terremoti; le simulazioni dirette per il calcolo dei campi di defor...

  13. La narrazione nello sviluppo del bambino

    Directory of Open Access Journals (Sweden)

    Dolores Rollo

    2015-08-01

    Full Text Available Narrative in Infant’s Development - Many recent works recall the pioneering work on joint picture book reading of Bruner and Ninio, sharing with the original study the idea that this interactive situation represents an important developmental event, in which the parent can communicate knowledge about things and the way things happen. The narrative format of joint picture book reading has been linked to children’s language development, print concepts, emergent readings, as well as to cognitive, socio-emotional and theory of mind development during the preschool years. In fact, the narrative form refers to a mundane event, with a specific setting in time and place, recounts a central achievement or goal, its motivation, accompanying emotions, as well as a conclusion and evaluation. The purpose of this study is to explore joint book reading as a systemic context in which there are three fundamental components: a book reader, a child and a book. Joint Picture Book, Narrative, Children’s Development, Theory of Mind, Language

  14. Geopolimeri: "ceramiche" per uno sviluppo sostenibile

    OpenAIRE

    Medri, Valentina

    2009-01-01

    Geopolymers are inorganic polymeric materials developed in 70's by Joseph Davidovits. Geopolymers mimic natural minerals and they are the products of a geo-synthesis, i.e. a reaction that chemically integrates minerals. Geopolymers belong to the class of the chemically bonded ceramics (CBCs): they are synthesised at low temperature from a variety of materials including recycled resources and mineral wastes, reducing the energy demands and environmental impact during their production. For this...

  15. Book review: Psychology in a work context (2nd Ed.

    Directory of Open Access Journals (Sweden)

    Nanette Tredoux

    2003-10-01

    Full Text Available Bergh, Z. & Theron, A.L. (Eds (2003 Psychology in a work context (2nd Ed.. Cape Town: Oxford University Press. This book is an overview and introduction to Industrial and Organisational Psychology. It is a work of ambitious scope, and it is clear that the contributors have invested a great deal of thought and effort in the planning and execution of the book. The current version is the second edition, and it looks set to become one of those standard textbooks that are revised every few years to keep up with changing times. It is a handsome volume, produced to a high standard of editorial care, pleasingly laid out and organised well enough to be useful as an occasional reference source. An English-Afrikaans glossary, tables of contents for every chapter as well as for the entire book, a comprehensive index and extensive bibliography make it easy to retrieve the information relating to a particular topic. Every chapter ends with a conclusion summarising the gist of the material covered. Quality illustrations lighten the tone and help to bring some of the concepts to life. Learning outcomes and self-assessment exercises and questions for every chapter will be useful to the lecturer using the book as a source for a tutored course, and for the student studying by distance learning. If sold at the suggested retail price, the book represents good value compared to imported textbooks that cover similar ground.

  16. A humanisation approach for the management of Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome-Hypermobility Type (JHS/EDS-HT)

    Science.gov (United States)

    Clark, Carol J.; Knight, Isobel

    2017-01-01

    ABSTRACT Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome—Hypermobility Type (JHS/EDS-HT) is a complex and multisystemic condition which significantly impacts on a person’s health and well-being and is challenging for health professionals (HPs) to manage. People with JHS/EDS-HT and HPs recognise the individual nature and the complexities of the condition. There is a requirement to understand the condition within the context of the individual human dimensions of illness and healing. The aim of this paper is to explore the management of this condition using a theoretical model referred to as the Humanisation Framework.  It is suggested that using the philosophical dimensions of this framework will empower HPs and those with JHS/EDS-HT to work together to proactively manage this condition. The eight dimensions of the Humanisation Framework facilitate an experiential understanding of the person within their context and environment, providing a constructive adjunct to the evidence-based management of those with JHS/EDS-HT. The humanisation framework was developed for health and social care and uses the philosophy behind well-being and what makes well-being possible. This paper explores how HPs may use aspects of the framework to understand the condition and empower and motivate those with JHS/EDS-HT to be active participants in their own well-being. PMID:28866967

  17. EMERGENCY DEPARTMENT (ED OVERCROWDING: EVIDENCE-BASED ANSWERS TO FREQUENTLY ASKED QUESTIONS

    Directory of Open Access Journals (Sweden)

    RJ Salway

    2017-03-01

    Full Text Available Overcrowding in emergency departments is a problem in many countries around the world, including the United States and Chile. Emergency department (ED overcrowding causes problems for patients and staff, including increased waiting times, increased ambulance diversion, increased length of stay, increased medical errors, increased patient mortality, and increased harm to hospitals due to financial losses. This article aims to describe the etiology of ED overcrowding and potential solutions through an examination of the evidence. Ultimately, ED overcrowding originates from hospital overcrowding and thus the solutions to this complex problem lie in the ED itself as well as outside of the ED.

  18. Improving ED specimen TAT using Lean Six Sigma.

    Science.gov (United States)

    Sanders, Janet H; Karr, Tedd

    2015-01-01

    Lean and Six Sigma are continuous improvement methodologies that have garnered international fame for improving manufacturing and service processes. Increasingly these methodologies are demonstrating their power to also improve healthcare processes. The purpose of this paper is to discuss a case study for the application of Lean and Six Sigma tools in the reduction of turnaround time (TAT) for Emergency Department (ED) specimens. This application of the scientific methodologies uncovered opportunities to improve the entire ED to lab system for the specimens. This case study provides details on the completion of a Lean Six Sigma project in a 1,000 bed tertiary care teaching hospital. Six Sigma's Define, Measure, Analyze, Improve, and Control methodology is very similar to good medical practice: first, relevant information is obtained and assembled; second, a careful and thorough diagnosis is completed; third, a treatment is proposed and implemented; and fourth, checks are made to determine if the treatment was effective. Lean's primary goal is to do more with less work and waste. The Lean methodology was used to identify and eliminate waste through rapid implementation of change. The initial focus of this project was the reduction of turn-around-times for ED specimens. However, the results led to better processes for both the internal and external customers of this and other processes. The project results included: a 50 percent decrease in vials used for testing, a 50 percent decrease in unused or extra specimens, a 90 percent decrease in ED specimens without orders, a 30 percent decrease in complete blood count analysis (CBCA) Median TAT, a 50 percent decrease in CBCA TAT Variation, a 10 percent decrease in Troponin TAT Variation, a 18.2 percent decrease in URPN TAT Variation, and a 2-5 minute decrease in ED registered nurses rainbow draw time. This case study demonstrated how the quantitative power of Six Sigma and the speed of Lean worked in harmony to improve

  19. GeoEd - Teaching teachers for a better GeoEducation in Germany

    Science.gov (United States)

    Bergner, Andreas; Bookhagen, Britta; Ellger, Christoff; Schneider, Simon

    2015-04-01

    In Germany, diverse activities have been developed over the last couple of years to make Geosciences more visible and support teachers for interdisciplinary teaching Geosciences in class room. This is important, because Geosciences are not an obligatory classroom topic in Germany and geo-related topics are taught primarily under a social science perspective. To overcome this situation, diverse attempts from educational organizations, industry and administration have been developed to provide adequate hands-on materials for teachers and students in in elementary and secondary school. Parallel, research departments fostered their efforts to provide school materials in the course of newly designed outreach activities. In 2013, a new Germany-wide initiative GeoEd was set up as a platform to (1) link existing teaching materials and (2) provide access to these materials through teacher-focused workshops. For the workshops, GeoEd partners with natural science museums in order to profit from the experience of the museum's teaching professionals. Also, natural science museums provide own materials, which are an additional source of information for the presented geo-scientific topics. After the kickoff in fall 2013, first workshops on Rare Earth Elements have been established and an online searchable database of existing teaching materials was established. Simultaneously, further requirements for classroom teaching material will be contented (e.g. prepared lesson plans in combination with hands-on material) and professional teacher's training will be organized. Ultimately, we hope to enlighten teachers and students for the highly interdisciplinary variety of geosciences and provide links to everyday life.

  20. Aneuploidie in spermatozoi ed ovociti maturati in vitro in bovini di razza Frisona Italiana e Bruna italiana mediante microdissezione cromosomica e ibridazione fluorescente in situ (FISH)

    OpenAIRE

    Nicodemo, Davide

    2008-01-01

    Le aneuploidie sono responsabili di sbilanciamenti genetici che impediscono il normale processo di sviluppo dell’embrione e sono tra le cause principali di mortalità embrionale e fetale. Negli animali domestici esiste una quasi totale mancanza di dati rispetto all’incidenza di aneuploidie nelle cellule germinali, nonostante l’importanza che queste rivestono sia dal punto di vista zootecnico, in quanto causa di riduzione della fertilità, sia dal punto di vista biomedico, come modello da cui de...

  1. Fisica e fumetti: Paperone ed il deposito sotterraneo

    CERN Document Server

    Bagnoli, Franco

    2011-01-01

    I fumetti, come i film, spesso utilizzano idee scientifiche "fantasiose". Non ci riferiamo qui alla violazione implicita delle leggi della fisica, cosa permessa in un mondo di fantasia, quanto piuttosto all'uso di spiegazioni fisiche errate che vengono usate in buona fede perch\\'e a riflettono convinzioni molto diffuse, ma sbagliate, sull'interpretazione di fenomeni a partire dai principi fisici. D'altra parte questi errori possono servire a illustrare la corretta applicazione della fisica in una maniera molto pi\\`u accattivante rispetto alla modalit\\'a tradizionale di presentazione. Analizziamo qui l'avventura Paperone ed il deposito sotterraneo di Pezzin e Cavezzano. ----- Comics and cartoon movies sometimes exploit fictitious scientific ideas. It is often the case that these ideas, althought wrong, actually reflect the popular vision of some natural phenomenon. We do not refer here to the implicit violation of physical laws in fictions, a practice allowed by the underlining "poetic licence" of comics. Howe...

  2. Proteste ed emancipazione alla frontiera europea. Il caso di Lampedusa

    Directory of Open Access Journals (Sweden)

    Annalisa Lendaro

    Full Text Available Riassunto Questo articolo si propone di approfondire a livello teorico i legami tra proteste ed emancipazione dei migranti senza status legale, che si trovano in situazione di detenzione amministrativa sull’isola italiana di Lampedusa. Il presente contributo mette in evidenza il fatto che l’agency dei migranti, seppur privi di libertà e di uno status legale, è determinante per sbloccare una situazione di crisi in un contesto simile allo stato di eccezione descritto da Agamben. Più precisamente, la protesta dei migranti di Lampedusa mostra in che modo la sospensione dello stato di diritto apra degli spiragli per, non solo denunciare l’ingiustizia di alcune norme, ma anche per agire.

  3. EDS'09: 13th International Conference on Elastic & Diffractive Scattering

    CERN Multimedia

    CERN. Geneva

    2009-01-01

    The series of International Conferences on Elastic and Diffractive Scattering was founded in 1985 in the picturesque old French town of Blois, famous for its XIV - XVIIth century château, inside of which the first meeting took place. Since then, meetings have been organised every two years in different places of the world: New York (1987), Evanston (1989), Isola d'Elba (1991), Providence (1993), Blois (1995), Seoul (1997), Protvino (1999), Prague (2001), Helsinki (2003), Blois (2005) and Hamburg (2007). The conference will focus on the most recent experimental and theoretical results in particle physics with an emphasis on Quantum Chromodynamics (QCD). http://cern.ch/eds09/ The conference agenda is now full. No further contributions can be accepted.

  4. Pivot Nursing: An Alternative to Traditional ED Triage.

    Science.gov (United States)

    Christensen, Maria; Rosenberg, Mark; Mahon, Eileen; Pineda, Sharon; Rojas, Eva; Soque, Victoria; Johansen, Mary L

    2016-09-01

    A 7.2% increase in patient volume from 130,700 to 140,800 in 2012 prompted St Joseph's Regional Medical Center Emergency Department to review existing triage processes to decrease turnaround time. "Pivot triage" is a new, efficient intake process that entails use of 4 rather than 8 determinants to identify acuity levels. The purpose of this performance improvement project was to create alternatives to traditional triage to decrease ED length of stay and door-to-physician time. After education, the pivot process was implemented using 4 determinants established by a multidisciplinary team. The pivot process was slowly implemented for 6 hours over a 1-week period to work out processing issues. Arrival time, door-to-physician time, and departure time from the emergency department were elements used to calculate the patient's turnaround time. Length of ED stay was collected monthly beginning in the fourth quarter of 2011. Comparisons were made after Pivot implementation in the fourth quarter of 2012. Despite the increasing volume, the mean door-to-physician time decreased from 71 to 40 minutes, a 43.7% reduction. The overall turnaround time decreased from 220 to 181 minutes, representing approximately a 17.7% reduction. The percentage of patients who left without being seen decreased from 2.5% to 1.0%. The pivot process improved patient flow in the emergency department, reducing time spent by the patient in the department. The pivot process is a viable alternative to traditional triage. Nurses are able to accurately pivot patients with a reduced amount of information. Copyright © 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  5. ED services: the impact of caring behaviors on patient loyalty.

    Science.gov (United States)

    Liu, Sandra S; Franz, David; Allen, Monette; Chang, En-Chung; Janowiak, Dana; Mayne, Patricia; White, Ruth

    2010-09-01

    This article describes an observational study of caring behaviors in the emergency departments of 4 Ascension Health hospitals and the impact of these behaviors on patient loyalty to the associated hospital. These hospitals were diverse in size and geography, representing 3 large urban community hospitals in metropolitan areas and 1 in a midsized city. Research assistants from Purdue University (West Lafayette, IN) conducted observations at the first study site and validated survey instruments. The Purdue research assistants trained contracted observers at the subsequent study sites. The research assistants conducted observational studies of caregivers in the emergency departments at 4 study sites using convenience sampling of patients. Caring behaviors were rated from 0 (did not occur) to 5 (high intensity). The observation included additional information, for example, caregiver roles, timing, and type of visit. Observed and unobserved patients completed exit surveys that recorded patient responses to the likelihood-to-recommend (loyalty) questions, patient perceptions of care, and demographic information. Common themes across all study sites emerged, including (1) the area that patients considered most important to an ED experience (prompt attention to their needs upon arrival to the emergency department); (2) the area that patients rated as least positive in their actual ED experience (prompt attention to their needs upon arrival to the emergency department); (3) caring behaviors that significantly affected patient loyalty (eg, making sure that the patient is aware of care-related details, working with a caring touch, and making the treatment procedure clearly understood by the patient); and (4) the impact of wait time to see a caregiver on patient loyalty. A number of correlations between caring behaviors and patient loyalty were statistically significant (P caring behaviors that are most closely linked to patient loyalty but that occurred least frequently. The

  6. Lack of information underlies women's perceptions of erectile dysfunction (ED) drugs in Japan.

    Science.gov (United States)

    Mita, Koji; Kakehashi, Masayuki; Hasegawa, Yasuhisa; Inoue, Yoji; Shigeta, Masanobu; Matsubara, Akio; Usui, Tsuguru

    2008-12-01

    Some Japanese women are known to have negative attitudes toward erectile dysfunction (ED) drugs, but the environment underlying these perceptions is unclear. To reveal the underlying environment that shapes women's perceptions of ED drugs in Japan. A web-based questionnaire was conducted through an Internet-based market research company. A total of 2,593 women in five age groups (20s, 30s, 40s, 50s, and 60s or older) were randomly invited to participate in this study, with an almost equal number in each age group. The questionnaire contained 30 items related to individual background and sexual information, concerns about the image of ED drugs, ED drug-related perceptions, and attitude toward sexual information media. The women's attitude and the independent predictors that affect their partner's use of ED drugs were clarified. Answers were obtained from 1,077 women, of whom 35.4% (n=381) had a negative image of ED drugs. Although 69.5% (n=749) agreed that a sexual relationship with a male partner was important, only 26.7% (n=288) agreed that this remained important if ED drugs were used. However, 56.7% (n=611) and 57.7% (n=621) of respondents, respectively, answered that they would allow their partner's use of ED drugs if they imagined that they understood the safety and effectiveness of ED drugs and that their quality of life was improved by their partner's use of the drugs. Lack of information about ED drugs was a significant predictor for acceptance of a partner's use of ED drugs among women with a negative image of ED drugs, since they were more likely to accept the use of these drugs if they were convinced about their safety and effectiveness or positive effect on quality of life. Lack of information about ED drugs may influence the perception of women in Japan regarding these drugs.

  7. RT-PCR Analysis of ED-A,ED-B, and IIICS Fibronectin Domains: A New Screening Marker For Bladder Cancer

    Directory of Open Access Journals (Sweden)

    M Ahmadi Javid

    2004-12-01

    Full Text Available Background: Fibronectin seems to play a very important role in the progression and invasion of bladder cancer. EDA, EDB, and IIICS domains of fibronectin are not expressed in the adult persons but they’re expressed in different cancers. The aim of this study is to investigate the mRNA of fibronectin in transitional carcinoma cells (TCC of bladder to study these domains. Methods: A total of 20 patients with known bladder cancer were studied. Two of them excluded since their excised tissues were not enough for both the pathological examination and RNA study. Another 20 (control group were normal volunteers who needed bladder operations. The excised tissue was immediately transferred to RNAlater (Ambion,TX. RNA was extracted via RNAWIZ (Ambion, TX. cDNA was made via RevertAid First Strand cDNA Synthesis Kit (Fermentas. PCR of the cDNAs was performed using primers for EDA, EDB, and IIICS (Eurogentec,Belgium. Results: For the first time, we present the expression of the oncofetal fibronectin mRNA in the transitional cell carcinoma of bladder. The high grade muscle invasive (G3T2 tumor, expressed ED-A, ED-B, and IIICS. Expression of ED-A, ED-B, and IIICS was confirmed in the two patients with G3T1 TCC. The four patients with G2Ta and G3Ta expressed both ED-A and ED-B. The four patients with G1T1 tumor expressed ED-A only, similar to the nine patients with G1Ta tumor. None of the normal volunteers expressed the oncofetal extra domains. The sensitivity of ED-A positive fibronectin RNA for detecting TCC of any kind is 100%, and of ED-B was only 35%. The specificity of ED-B positive fibronectin RNA for the high grade TCC is 100%. Conclusion: ED-A, ED-B, and IIICS could be used as useful markers for the diagnosis and following up of bladder carcinoma. Keywords: Transitional Cell Carcinoma, bladder cancer, fibronectin, RT-PCR, oncofetal.

  8. An Evidence-Based Alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) Curriculum for Emergency Department (ED) Providers Improves Skills and Utilization

    Science.gov (United States)

    Bernstein, Edward; Bernstein, Judith; Feldman, James; Fernandez, William; Hagan, Melissa; Mitchell, Patricia; Safi, Clara; Woolard, Robert; Mello, Mike; Baird, Janette; Lee, Cristina; Bazargan-Hejazi, Shahrzad; Broderick, Kerry; LaPerrier, Kathryn A.; Kellermann, Arthur; Wald, Marlena M.; Taylor, Robert E.; Walton, Kim; Grant-Ervin, Michelle; Rollinson, Denise; Edwards, David; Chan, Theodore; Davis, Dan; Marshall, Jean Buchanan; Aseltine, Robert; James, Amy; Abu-Hasaballah, Khamis; Schilling, Elizabeth; Baumann, Brigitte M.; Boudreaux, Edwin D.; Maio, Ronald; Cunningham, Rebecca; Murrell, Teresa; Doezema, David; Bauer, Michael J.; Anglin, Deirdre; Eliassen, Adriana; Martin, Marcus; Pines, Jesse; Buchanan, Leslie; Turner, James; D'Onofrio, Gail; Degutis, Linda C.; Owens, Patricia

    2014-01-01

    SUMMARY Objective Emergency Departments (EDs) offer an opportunity to improve the care of patients with at-risk and dependent drinking by teaching staff to screen, perform brief intervention and refer to treatment (SBIRT). We describe here the implementation at 14 Academic EDs of a structured SBIRT curriculum to determine if this learning experience improves provider beliefs and practices. Methods ED faculty, residents, nurses, physician extenders, social workers, and Emergency Medical Technicians (EMTs) were surveyed prior to participating in either a two hour interactive workshops with case simulations, or a web-based program (www.ed.bmc.org/sbirt). A pre-post repeated measures design assessed changes in provider beliefs and practices at three and 12 months post-exposure. Results Among 402 ED providers, 74% reported < 10 hours of prior professional alcohol-related education and 78% had < 2 hours exposure in the previous year. At 3-month follow-up, scores for self-reported confidence in ability, responsibility to intervene, and actual utilization of SBIRT skills all improved significantly over baseline. Gains decreased somewhat at 12 months, but remained above baseline. Length of time in practice was positively associated with SBIRT utilization, controlling for gender, race and type of profession. Persistent barriers included time limitations and lack of referral resources. Conclusions ED providers respond favorably to SBIRT. Changes in utilization were substantial at three months post-exposure to a standardized curriculum, but less apparent after 12 months. Booster sessions, trained assistants and infrastructure supports may be needed to sustain changes over the longer term. PMID:18077305

  9. Patient-Centered Care Transition for Patients Admitted through the ED: Improving Patient and Employee Experience

    Directory of Open Access Journals (Sweden)

    Andrea Algauer BSN, RN

    2015-05-01

    Full Text Available With increasing wait times in emergency departments (ED across America, there is a need to streamline the inpatient admission process in order to decrease wait times and more important, to increase patient and employee satisfaction. One inpatient unit at New York-Presbyterian Weill Cornell Medical Center initiated a program to help expedite the inpatient admission process from the ED. The goal of the ED Bridge program is to ease the patient's transition from the ED to an inpatient unit by visiting the patient in the ED and introducing and setting expectations for the inpatient environment (i.e. telemetry alarms, roommates, hourly comfort rounds. Along with improving the patient experience, this program intends to improve the collaboration between ED nurses and inpatient nurses. With the continued support of our nurse management, hospital administrators and most important, our staff, this concept is aimed to increase patient satisfaction scores and subsequently employee satisfaction.

  10. Patient-Centered Care Transition for Patients Admitted through the ED: Improving Patient and Employee Experience.

    Science.gov (United States)

    Algauer, Andrea; Rivera, Stephanie; Faurote, Robert

    2015-05-01

    With increasing wait times in emergency departments (ED) across America, there is a need to streamline the inpatient admission process in order to decrease wait times and more important, to increase patient and employee satisfaction. One inpatient unit at New York-Presbyterian Weill Cornell Medical Center initiated a program to help expedite the inpatient admission process from the ED. The goal of the ED Bridge program is to ease the patient's transition from the ED to an inpatient unit by visiting the patient in the ED and introducing and setting expectations for the inpatient environment (i.e. telemetry alarms, roommates, hourly comfort rounds). Along with improving the patient experience, this program intends to improve the collaboration between ED nurses and inpatient nurses. With the continued support of our nurse management, hospital administrators and most important, our staff, this concept is aimed to increase patient satisfaction scores and subsequently employee satisfaction.

  11. SED-ED, a workflow editor for computational biology experiments written in SED-ML.

    Science.gov (United States)

    Adams, Richard R

    2012-04-15

    The simulation experiment description markup language (SED-ML) is a new community data standard to encode computational biology experiments in a computer-readable XML format. Its widespread adoption will require the development of software support to work with SED-ML files. Here, we describe a software tool, SED-ED, to view, edit, validate and annotate SED-ML documents while shielding end-users from the underlying XML representation. SED-ED supports modellers who wish to create, understand and further develop a simulation description provided in SED-ML format. SED-ED is available as a standalone Java application, as an Eclipse plug-in and as an SBSI (www.sbsi.ed.ac.uk) plug-in, all under an MIT open-source license. Source code is at https://sed-ed-sedmleditor.googlecode.com/svn. The application itself is available from https://sourceforge.net/projects/jlibsedml/files/SED-ED/.

  12. X-linked anhidrotic ectodermal dysplasia (ED1 in men, mice, and cattle

    Directory of Open Access Journals (Sweden)

    Drögemüller Cord

    2003-06-01

    Full Text Available Abstract Ectodermal dysplasias are a large group of rare genetic disorders characterized by impaired development of hair, teeth, and eccrine glands in humans, mice, and cattle. Here, we review the cloning, mutation analyses, and functional studies of the known causative genes for the X-chromosomal anhidrotic ectodermal dysplasia (ED1 in these species. Mutations in the ectodysplasin 1 (ED1 gene are responsible for X-linked anhidrotic ectodermal dysplasia. The ED1 gene encodes a signaling molecule of the tumor necrosis factor family that is involved in development of ectodermal appendages. The bovine disorder may serve as an animal model for human ED1.

  13. A Preliminary Examination of Loss of Control Eating Disorder (LOC-ED) in Middle Childhood

    Science.gov (United States)

    Matherne, Camden E.; Tanofsky-Kraff, Marian; Altschul, Anne M.; Shank, Lisa M.; Schvey, Natasha A.; Brady, Sheila M.; Galescu, Ovidiu; Demidowich, Andrew P.; Yanovski, Susan Z.; Yanovski, Jack A.

    2015-01-01

    Loss of Control Eating Disorder (LOC-ED) has been proposed as a diagnostic category for children 6–12y with binge-type eating. However, characteristics of youth with LOC-ED have not been examined. We tested the hypothesis that the proposed criteria for LOC-ED would identify children with greater adiposity, more disordered eating attitudes, and greater mood disturbance than those without LOC-ED. Participants were 251 youth (10.29y ± 1.54, 53.8% female, 57.8 % White, 35.5% Black, 2.0% Asian, 4.8% Hispanic, 53.0% overweight). Youth were interviewed regarding eating attitudes and behaviors, completed questionnaires to assess general psychopathology, and underwent measurements of body fat mass. Using previously proposed criteria for LOC-ED, children were classified as LOC-ED (n = 19), LOC in the absence of the full disorder (subLOC, n = 33), and youth not reporting LOC (noLOC, n = 199). LOC-ED youth had higher BMIz (p = 0.001) and adiposity (p = 0.003) and reported greater disordered eating concerns (p disordered eating attitudes (p = 0.02). SubLOC youth had greater disordered eating concerns (p disordered eating cognitions and anthropometric measures compared to youth without LOC-ED. Longitudinal studies are needed to determine if those with LOC-ED are at particularly increased risk for progression of disordered eating and excess weight gain. PMID:25913008

  14. 8 Different approaches needed to manage ED demand among different age-groups.

    Science.gov (United States)

    Rimmer, Melanie; Ablard, Suzanne; O'Keeffe, Colin; Mason, Suzanne

    2017-12-01

    A variety of interventions have been proposed to manage rising demand for Emergency and Urgent Care, described by an NHS England review as unsustainable in the long term. However it is unlikely that any suggested approach will be equally suitable for the diverse population of ED users.We aimed to understand the patterns of demand amongst different types of patients attending ED. We also sought to understand the intended and unintended effects of demand management initiatives. Our study combined insights from routine data, a survey of ED patients, and qualitative interviews with ED staff. This paper describes the results of our analysis of the interviews. We conducted semi-structured interviews with 25 ED and Urgent Care Centre staff across 7 hospital sites in Yorkshire and Humber between 25 April and 11 July 2016. The interview topic guide asked about 4 broad areas; job role, description of patients and their impact on demand, description of inappropriate attendance, and current/future initiatives to deal with rising demand. Interviews were transcribed verbatim and analysed using framework analysis. We analysed the results to identify groups of patients with different patterns of use of ED services. We also explored ED staff experiences of demand management initiatives, and their suggestions for future initiatives. Although we did not ask specifically about patients' age, our analysis revealed that ED staff categorised attenders as children and young people, working age people, and older people. These groups had different reasons for attendance, different routes to the ED, different rate of non-urgent attendance, and different issues driving demand. Staff also described variation in the time taken to treat patients of different ages, with the oldest and youngest patients described as requiring the most time.There was no consensus amongst staff about the effectiveness of initiatives for managing demand. A strikingly wide variety of initiatives were mentioned

  15. Social appearance anxiety and bulimia nervosa.

    Science.gov (United States)

    Koskina, A; Van den Eynde, F; Meisel, S; Campbell, I C; Schmidt, U

    2011-06-01

    Social appearance anxiety is an unexplored concept in eating disorders (ED). It refers to social anxiety surrounding overall appearance, including body shape, and fear of negative evaluation by others. It is potentially relevant to those with bulimia nervosa (BN) as both social anxiety and body image disturbance are commonly experienced by patients. Thirty women with BN and forty healthy controls (HC) completed the Social Appearance Anxiety Scale (SAAS), a 16-item self-report questionnaire. ED cognitions and behaviours were assessed with the Eating Disorders Examination-Questionnaire. Women with BN have significantly higher SAAS scores than HC (z=-6.79, p<0.001). In BN, SAAS scores show significant positive correlation with global ED subscales and dietary restraint. In HC, SAAS scores are correlated with shape, weight, eating concern, and global eating disturbance subscales. Preliminary findings suggest the SAAS is potentially useful in future research concerning overall risk factors for eating disturbance and treatment outcome in BN.

  16. The MAL-ED cohort study in Mirpur, Bangladesh.

    Science.gov (United States)

    Ahmed, Tahmeed; Mahfuz, Mustafa; Islam, Md Munirul; Mondal, Dinesh; Hossain, Md Iqbal; Ahmed, Am Shamsir; Tofail, Fahmida; Gaffar, Sm Abdul; Haque, Rashidul; Guerrant, Richard L; Petri, William A

    2014-11-01

    The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) study site in Bangladesh is located in the capital city of Dhaka in an urban slum that has one of the highest population densities in the world. The site is in the Bauniabadh area of Mirpur, Dhaka. A typical squatter settlement, the average family size of households in Mirpur Bauniabadh is 4.5, with 48% females. About 20% of households have a monthly income of only US$62. About 30% of mothers never attended school, and only 3% obtained secondary school education. The majority of the people are day laborers, garment workers, and transport workers. About 72% of caregivers always wash their hands after helping the child defecate and 6.6% never wash their hands. The diarrheal attack rate for Mirpur is 4.69 episodes per child per year. The study site is representative of a typical urban slum of Dhaka city in terms of demographics, socioeconomic status, and general health indicators. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  17. On E.D. Jones' MICROCOSMOLOGY

    Energy Technology Data Exchange (ETDEWEB)

    Noyes, H. Pierre

    2003-01-08

    By taking seriously the limits on observability which come from combining relativistic quantum mechanics with general relativity, Ed Jones has shown that the current measurements of the cosmological constant density {Omega}{sub {Lambda}} {approx} 0.7 imply that the temperature scale at which it becomes possible to discuss cosmological models is {approx} 5 Tev (5.8 x 10{sup 16} K). This is self-consistent with the assumption that the number of Planck masses which make some sort of ''phase transition'' to this state is N{sub Pk} {approx} 4 x 10{sup 61}. We review Jones' argument and the bit-string physics calculation which gives the baryon-photon ratio at nucleosynthesis as {approx} 2/256{sup 4}, the dark matter-baryon ratio as {approx} 12.7, and hence {Omega}{sub m} {approx} 0.3, in agreement with current observations. Accepting these values for the two energy densities {Omega}{sub {Lambda}} + {Omega}{sub m} {approx} 1 in accord with recent analyses of fluctuations in the CMB showing that space is flat to about 6%. We conclude that experiments with particle accelerators in the 5-10 Tev range must either show that current theory can adequately describe the currently observed structure of our universe or force us to revise our ideas about physics at a very fundamental level.

  18. Spazio, movimento, prospettiva ed empatia: un prototipo di videogame didattico

    Directory of Open Access Journals (Sweden)

    Pio Alfredo Di Tore

    2014-09-01

    Full Text Available Questo lavoro presenta la cornice teorica che sta alla base della progettazione di un videogame didattico pensato per valutare le abilità di perspective taking (capacità di adottare la prospettiva altrui e di mental rotation (rotazione mentale dei giocatori. Lo studio mira a rilevare come tali abilità siano coinvolte nella relazione empatica e a verificarne le implicazioni in campo educativo. Il lavoro adotta la definizione di empatia riconducibile ad Alain Berthoz ed alla teoria spaziale dell’empatia qui presentata con i relativi sistemi di riferimento spaziale. È inoltre fornita una rapida revisione della letteratura sulla rappresentazione dello spazio nel bambino e sulla rappresentazione dello spazio nel gioco (su base visiva. Infine, il lavoro descrive il prototipo di gioco – realizzato presso l’Università di Salerno – in cui il giocatore si trova alle prese con tre differenti compiti di cui due progettati per misurare le abilità di perspective taking mentre il terzo è calibrato sulle abilità di mental rotation.

  19. Home modification to prevent falls by older ED patients.

    Science.gov (United States)

    Gerson, Lowell W; Camargo, Carlos A; Wilber, Scott T

    2005-05-01

    This trial was conducted at 11 EDs to test the effectiveness of distributing fall prevention information to patients 65 years or older. Intervention patients were given 2 brochures and received a reminder call 2 weeks later. All patients were called at 1 month and asked if they made home safety modifications. Three hundred ninety-seven patients were enrolled (118 control, 279 intervention). Seventy-six percent had complete follow up interviews. Nine percent of control and 8% of intervention patients reported a home modification (95% confidence interval on difference, -8.1% to 5.5%). Patients who fell in the prior year had a 2.0 increased odds (95% confidence interval, 0.8-4.6) of making a home modification. The similar home modification rates in the 2 study groups suggest that even minimum discussion (eg, the informed consent procedure) may increase patients' fall prevention activities. The stronger association in patients who fell suggests that a targeted program may have added benefit.

  20. Spirometrie v prostředí LabVIEW

    OpenAIRE

    Pernicová, Lenka

    2010-01-01

    Tato bakalářská práce se zabývá funkčním vyšetřením plic – spirometrií. Skládá se ze dvou základních částí. V první části je důležité seznámit se s jednotlivými metodami funkčního vyšetření plic. Na základě důkladného prostudování parametrů popisujících funkci plic a zaměření se na spirometrickou křivkou, bylo možné přejít k druhé části této práce, tzn. k realizaci spirometru v grafickém prostředí LabVIEW. Vytvořený virtuální přístroj nám umožňuje zobrazení spirometrické křivky, následnou ana...

  1. Alprostadil plus Vacuum (VITARUM in severe erectile dysfunction (ED

    Directory of Open Access Journals (Sweden)

    Franco Mantovani

    2017-06-01

    Full Text Available Objectives: Severe erectile dysfunction (ED is not uncommon, as can be seen from the epidemiological literature, and there are several possible causes, which are not always known, or leastways evident. Having ascertained the ineffectiveness, intolerance to or rejection of pharmacological aids, the option of prosthetic surgery remains, but before this, it may be wise when feasible to use Alprostadil cream in association with Vacuum device. Material and methods: 12 patients, aged between 55 and 65 years, with severe erectile dysfunction without palpable cavernous fibrosis, were instructed to self-insert into the urethral meatus, 3 mg of Alprostadil cream, sufficient to make it easy to place the Vacuum device over the penis. Results: In the cases observed, the preliminary use of Alprostadil cream fast produced an erection with enough rigidity to place the Vacuum. A sufficient erection was maintained, obviously using an elastic ring at the base of the penis, to achieve penetration. The reproducibility of the use of Alprostadil cream with Vacuum device was then confirmed at home, to the satisfaction of the patients.

  2. Ready-JET-Go: Split Flow Accelerates ED Throughput.

    Science.gov (United States)

    Bish, Peter A; McCormick, Mary A; Otegbeye, Mojisola

    2016-03-01

    Struggling to keep up with The Centers for Medicare and Medicaid Services out-patient throughput metrics, an adult emergency department serving Burlington and Camden Counties, New Jersey, sought to redefine its care delivery model by adopting the patient segmentation initiatives of the split-flow process of patient care. A multidisciplinary team of ED clinicians collaboratively defined the patient segmentation criteria. A joint assessment team approach to patient care was instituted. A 3-pronged approach was adopted to prepare staff for the patient care changes in line with an existing framework specified by the Institute of Medicine. Simulation and queuing analyses were used to estimate the accompanying resource needs. Since implementing split flow, the emergency department has witnessed significant improvements in patient throughput and patient satisfaction, despite a sustained 10% increase in patient volumes after split-flow implementation. The median length of stay for discharged patients and the door-to-diagnostic evaluation time are now down to 112 minutes and 30 minutes, respectively, compared with pre-split-flow values of 192 minutes and 72 minutes, respectively. Working collaboratively with all stakeholders to define the right patient care delivery model, combined with an understanding of the right resource assignments to optimally support that care delivery model, an emergency department can institute cost-effective changes to realize and sustain significant patient throughput improvements. Copyright © 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  3. Book Review: Digital Forensic Evidence Examination (2nd ed.

    Directory of Open Access Journals (Sweden)

    Gary Kessler

    2010-06-01

    Full Text Available Cohen, F. (2010. Digital Forensic Evidence Examination (2nd ed.. Livermore, CA: ASP Press. 452 pages, ISBN: 978-1-878109-45-3, US$79.Reviewed by Gary C. Kessler, Gary Kessler Associates & Edith Cowan University (gck@garykessler.netOn the day that I sat down to start to write this review, the following e-mailcame across on one of my lists:Person A and Person B write back and forth and create an email thread. Person A then forwards the email to Person C, but changes some wording in the email exchange between A & B. What is the easiest way (and is it even possible to find out when that earlier email message was altered before sent to Person C?Before you try to answer these questions, read Fred Cohen's Digital Forensic Evidence Examination. His book won't actually tell you how to answer these questions but it will help you understand the difficulty in even trying to answer them with any level of certainty.(see PDF for full review

  4. Verbo come elemento della frase in friulano ed in frances

    Directory of Open Access Journals (Sweden)

    David Bizjak

    2003-12-01

    Full Text Available Il presente lavoro e dedicato a una parte della sfera del verbo nel friulano  lettera­ rio della seconda meta del ventesimo secolo, alla perifrasi verbale e alla locuzione verbale. Nella definizione della perifrasi verbale (PV ho seguito il modello dei lin­ guisti spagnoli Javier Garcia Gonzales, Fernandez de Castro e Leonard Gomez Torrego, essendo ilpunto di partenza ilmio postulato che la PV rappresenti in friu­ lano una categoria grammaticale a parte o, almeno, una categoria in via di gramma­ ticalizzazione. Parallelamente alla situazione in friulano osservo quella nel francese scritto contemporaneo, con lo scopo di constatare delle eventuali somiglianze e diffe­ renze. Tenendo in considerazione la realta linguistica nella regione Friuli-Venezia Giulia, dove le interferenze fra l'italiano, il friulano ed il veneto sono tali che un non-friulanofono non riesce facilmente a distinguere quando si tratta di un sintag­ ma di origine friulana e quando di un calco sintattico sull'italiano, sembra oppor­ tuno, in numerosi casi, confrontare ilsintagma friulano e quello francese anche con la variante corrispondente in italiano letterario moderno; inoltre, nel capitolo in cui sono trattati i cosiddetti tempi bicomposti, vengono citati alcuni esempi nelle diver­ se varieta venete.

  5. Etica ed evoluzionismo: la proposta di Marc Hauser

    Directory of Open Access Journals (Sweden)

    Irene Pilloni

    2013-11-01

    Full Text Available Le recenti scoperte nell’ambito della psicologia evoluzionistica potrebbero offrire una risposta al dibattito sull’origine evoluzionistica della facoltà morale dell’Homo sapiens. In passato, il tentativo di spiegare il comportamento morale a partire dalla teoria dell’evoluzione è stato intrapreso dal padre fondatore dell’evoluzionismo Charles Darwin, successivamente da T.H. Huxley e da H. Spencer e infine dal sociobiologo E. Wilson a metà degli anni ‘70 del Novecento. Oggi questa impresa è stata ereditata dallo psicologo evoluzionista Marc Hauser, le cui indagini prendono avvio da un’analogia tra facoltà morale e facoltà linguistica. Questa analogia gli consente di affermare che la pluralità di codici morali adottati dagli uomini nelle differenti culture dipende da un numero limitato di principi morali, nello stesso modo in cui la varietà di lingue con cui gli uomini si esprimono, dipende da un numero limitato di principi linguistici universali. Dunque, sembrerebbe che l’evoluzione biologica abbia plasmato dei principi morali universali e uniformi che si presentano costanti in tutti gli uomini a prescindere dalla loro appartenenza culturale. Come vadano intesi i principi morali universali e quale rapporto intercorre tra di essi e i vari codici morali sarà l’argomento di questo saggio, il quale tenterà di analizzare la proposta di Marc Hauser all’interno della cornice dei rapporti tra etica ed evoluzionismo.

  6. Sappiamo davvero come far apprendere? Credenza ed evidenza empirica.

    Directory of Open Access Journals (Sweden)

    Roberto Trinchero

    2013-08-01

    Full Text Available “I ragazzi con più stimoli apprendono di più e meglio di quelli sottoposti a meno stimoli!”, “In questa scuola non possiamo fare didattica attiva perché non abbiamo i laboratori!”, “I ragazzi imparano meglio se li si lascia sperimentare e costruire i concetti da soli!”, “La lezione frontale? Ormai è una strategia didattica superata!”, “Se hai capito il concetto una volta, poi lo saprai applicare sempre!”, “I ragazzi imparano meglio quando fanno lavori di gruppo!”. Quante volte avete sentito insegnanti ed educatori pronunciare queste frasi? Ma cosa dice la ricerca in proposito? Queste sono solo credenze o hanno davvero un fondamento empirico? Il presente articolo intende fornire alcune evidenze per supportare, confutare, chiarire le condizioni di validità degli asserti suddetti. Le evidenze sono tratte dalla ricerca sul funzionamento della mente e dalle meta-analisi che si sono occupate di sintetizzare i principali studi empirici riguardanti l’impatto di varie strategie didattiche sull’apprendimento dei soggetti in formazione.

  7. A Disability Studies in Education Analysis of the edTPA through Teacher Candidate Perspectives

    Science.gov (United States)

    Bacon, Jessica; Blachman, Sheila

    2017-01-01

    This analysis of the Special Education edTPA is written by two professors who co-taught a student teaching seminar at one institution and supported the first groups of teacher candidates required to submit the edTPA for certification in New York State. Data were gathered over three semesters and included open-ended student surveys, student…

  8. Multiple Intelligence and Digital Learning Awareness of Prospective B.Ed Teachers

    Science.gov (United States)

    Gracious, F. L. Antony; Shyla, F. L. Jasmine Anne

    2012-01-01

    The present study Multiple Intelligence and Digital Learning Awareness of prospective B.Ed teachers was probed to find the relationship between Multiple Intelligence and Digital Learning Awareness of Prospective B.Ed Teachers. Data for the study were collected using self made Multiple Intelligence Inventory and Digital Learning Awareness Scale.…

  9. A Review of "Older, Wiser, Sexually Smarter: 30 Sex Ed Lessons for Adults Only"

    Science.gov (United States)

    Garrity, Joan Mogul

    2010-01-01

    While virtually all sex ed curricula are designed to be used with children, teens and young adults, "Older, Wiser, Sexually Smarter: 30 Sex Ed Lessons for Adults Only" ([C] 2009, Planned Parenthood of Greater Northern New Jersey) offers lessons to help participants fully embrace the possibility of sexual pleasure and intimacy from mid-life through…

  10. Is There a Future for Teacher Ed Curriculum? An Answer from History and Moral Philosophy

    Science.gov (United States)

    Null, J. Wesley

    2008-01-01

    Is there a future for teacher ed "curriculum"? The author contends that he is not sure if there is a future for teacher ed curriculum, but if such a future is to exist, the answer will come only from history and moral philosophy. In this article, the author opines that individuals cannot make good decisions about the future of teacher ed…

  11. Does routine symptom screening with ESAS decrease ED visits in breast cancer patients undergoing adjuvant chemotherapy?

    Science.gov (United States)

    Barbera, L; Sutradhar, R; Howell, D; Sussman, J; Seow, H; Dudgeon, D; Atzema, C; Earle, C; Husain, A; Liu, Y; Krzyzanowska, M K

    2015-10-01

    In 2007, the provincial cancer agency in Ontario, Canada initiated a wide-scale program to screen for symptoms in the cancer population using the Edmonton Symptom Assessment Scale (ESAS). The purpose of this study is to evaluate the impact of screening with ESAS on emergency department (ED) visit rates in women with breast cancer receiving adjuvant chemotherapy. This retrospective cohort study used linked administrative health care data from across the province of Ontario, Canada. The cohort included all women aged ≥18 who were diagnosed with stage I-III breast cancer between January 2007 and December 2009 and received adjuvant chemotherapy within 6 months of diagnosis. Using an adjusted recurrent event model, we examined the association of screening with ESAS at a clinic visit on the ED visit rate. The relative rate of ED visits was 0.57 when prior ESAS screening occurred compared to when it did not. The relative rate of ED visits was 0.83 when the prior number of ESAS screens was modeled as a continuous variable. Alternatively stated, the rate of ED visits was 43 % lower among patients previously screened with ESAS compared to those not previously screened. For each additional prior ESAS assessment, there was a 17 % decreased rate of ED visits. Our results demonstrate that screening with ESAS is associated with decreased ED visits. To our knowledge, this is the first report on the effectiveness of routinely documenting a patient reported outcome on ED visits, in a real-world setting.

  12. Book Review: John M. Hobson and Leonard Seabrooke (2007) (eds) Everyday Politics of the World Economy

    DEFF Research Database (Denmark)

    Strange, Michael Stewart

    2009-01-01

    Book Review: John M. Hobson and Leonard Seabrooke (2007) (eds) Everyday Politics of the World Economy (Cambridge: Cambridge University Press), 254pp. Udgivelsesdato: 2009......Book Review: John M. Hobson and Leonard Seabrooke (2007) (eds) Everyday Politics of the World Economy (Cambridge: Cambridge University Press), 254pp. Udgivelsesdato: 2009...

  13. Mental Health and Academic Achievement among M.Ed. Students in Kerala

    Science.gov (United States)

    Moradi Sheykhjan, Tohid; K., Rajeswari; Jabari, Kamran

    2017-01-01

    The present research endeavor was aimed to assess relationship between Mental Health and Academic Achievement among M.Ed. students in Kerala. The sample of the study consisted of 314 M.Ed. students in Kerala. The method used for the present study was survey method. Mental Health Status Scale (M.H.S. Scale) was used and the study used the total…

  14. Agro obacter pop rium m pular In mediate ndica r ed gen rice Ra ...

    African Journals Online (AJOL)

    SAM

    ed equally. e and Skoog, 2 remain perma e mediate ndica r. ¥, Swadesh. Plant Patholog unge Circular ge, 1/1, Suren hutosh Colleg ceived 27 Januar ansformation ing a binary ed. Various p. , bacterial co nd the conce equence an requency we ormation tech m tumefacien ry food crop population, h and proteom two third of t.

  15. Connecting Teachers and Ed-Tech Developers: Lessons from NYC's "Gap App" Program. Technical Appendices

    Science.gov (United States)

    Villavicencio, Adriana; Siman, Nina; Lafayette, Camille; Kang, David

    2016-01-01

    In 2011, with support from a federal Investing in Innovation grant, the NYC Department of Education launched Innovate NYC Schools. The initiative was designed to address two, related challenges to effectively integrating education technology (ed-tech) into classrooms: First, procurement of ed-tech tools is often hampered by a disconnect between…

  16. Connecting Teachers and Ed-Tech Developers: Lessons from NYC's "Gap App" Program. Report

    Science.gov (United States)

    Villavicencio, Adriana; Siman, Nina; Lafayette, Camille; Kang, David

    2016-01-01

    In 2011, with support from a federal Investing in Innovation grant, the NYC Department of Education launched Innovate NYC Schools. The initiative was designed to address two, related challenges to effectively integrating education technology (ed-tech) into classrooms: First, procurement of ed-tech tools is often hampered by a disconnect between…

  17. A mechanistic nitrogen limitation model for CLM(ED)

    Science.gov (United States)

    Ali, A. A.; Xu, C.; McDowell, N. G.; Rogers, A.; Wullschleger, S. D.; Fisher, R.; Vrugt, J. A.

    2014-12-01

    Photosynthetic capacity is a key plant trait that determines the rate of photosynthesis; however, in Earth System Models it is either a fixed value or derived from a linear function of leaf nitrogen content. A mechanistic leaf nitrogen allocation model have been developed for a DOE-sponsored Community Land Model coupled to the Ecosystem Demography model (CLM-ED) to predict the photosynthetic capacity [Vc,max25 (μmol CO2 m-2 s-1)] under different environmental conditions at the global scale. We collected more than 800 data points of photosynthetic capacity (Vc,max25) for 124 species from 57 studies with the corresponding leaf nitrogen content and environmental conditions (temperature, radiation, humidity and day length) from literature and the NGEE arctic site (Barrow). Based on the data, we found that environmental control of Vc,max25 is about 4 times stronger than the leaf nitrogen content. Using the Markov-Chain Monte Carlo simulation approach, we fitted the collected data to our newly developed nitrogen allocation model, which predict the leaf nitrogen investment in different components including structure, storage, respiration, light capture, carboxylation and electron transport at different environmental conditions. Our results showed that our nitrogen allocation model explained 52% of variance in observed Vc,max25 and 65% variance in observed Jmax25 using a single set of fitted model parameters for all species. Across the growing season, we found that the modeled Vc,max25 explained 49% of the variability in measured Vc,max25. In the context of future global warming, our model predicts that a temperature increase by 5oC and the doubling of atmospheric carbon dioxide reduced the Vc,max25 by 5%, 11%, respectively.

  18. Francesco Fiorentino (ed., Figure e forme della memoria culturale

    Directory of Open Access Journals (Sweden)

    Paola Di Gennaro

    2012-12-01

    Full Text Available Lavorare la memoria, obliare, ricordare, riscrivere il passato con gli strumenti del presente, è questo il soggetto e l’oggetto dei saggi riuniti in questo volume da Francesco Fiorentino, che li introduce attraverso l’operazione artistica di Robert Rauschenberg, il quale, dopo aver chiesto un disegno a de Kooning, maestro dell’Espressionismo astratto, lo espone cancellato. Questa «sottile meditazione iconologica sul tempo edipico dell’arte moderna» (7-8 annuncia uno dei leitmotiv del volume, verità ovvia ma necessaria: se la novità ha valore estetico, come è vero dal Settecento, allora il passato diventa fondamentale come sistema interno dell’arte. È su questo necessario filtro di selezione che agiscono le memorie citate nei saggi seguenti: intersezioni di tracce e cancellazioni, di cui si indagano autenticità, costruzione, ricostruzione, senza che i confini siano tra l’altro mai definiti – ed è questo, forse, che crea l’arte, per suo mezzo e scopo, tramite l’inaffidabilità della memoria: arte che è, come il quadro di Rauschenberg, «rappresentazione della permanenza e, insieme, dell’inattingibilità di ciò che è cancellato» (11. È insomma la «dimensione performativa dell’agire culturale» che viene messa in evidenza in questo volume, memoria che è culturale, appunto, umana e storica, e che, come il Wunderblock di Freud, si cancella ma mai completamente, e mai innocuamente. L’irriconoscibilità finale del ricordo rappresenta quindi il risultato della dimenticanza, e il suo prodotto più creativo. È proprio l’infedeltà della memoria a renderla oggetto sostanziale dell’arte, così come di questo lavoro, oggetto autoriflessivo della memoria collettiva.

  19. Accuracy of ED Bedside Ultrasound for Identification of Gallstones: Retrospective Analysis of 575 Studies

    Directory of Open Access Journals (Sweden)

    Scruggs, William

    2008-01-01

    Full Text Available Study Objective: To determine the ability of emergency department (ED physicians to diagnose cholelithiasis with bedside ultrasound. Methods: ED gallbladder ultrasounds recorded over 37 months were compared to radiology ultrasound interpretation. Results: Of 1,690 ED gallbladder ultrasound scans performed during this period, radiology ultrasound was performed in 575/1690 (34% cases. ED physician bedside interpretation was 88% sensitive [95% CI, 84-91] and 87% specific [95% CI, 82-91], while positive predictive value (PPV was 91% [88- 94%] and negative predictive value (NPV was 83% [78-87%], using radiology interpretation as the criterion reference. Conclusion: ED physician ultrasound of the gallbladder for cholelithiasis is both sensitive and specific.

  20. High-Resolution Macromolecular Structure Determination by MicroED, a cryo-EM Method

    Science.gov (United States)

    Rodriguez, J.A.; Gonen, T.

    2017-01-01

    Microelectron diffraction (MicroED) is a new cryo-electron microscopy (cryo-EM) method capable of determining macromolecular structures at atomic resolution from vanishingly small 3D crystals. MicroED promises to solve atomic resolution structures from even the tiniest of crystals, less than a few hundred nanometers thick. MicroED complements frontier advances in crystallography and represents part of the rebirth of cryo-EM that is making macromolecular structure determination more accessible for all. Here we review the concept and practice of MicroED, for both the electron microscopist and crystallographer. Where other reviews have addressed specific details of the technique (Hattne et al., 2015; Shi et al., 2016; Shi, Nannenga, Iadanza, & Gonen, 2013), we aim to provide context and highlight important features that should be considered when performing a MicroED experiment. PMID:27572734

  1. The influence of sonority on the production of words ending in -ed by Brazilian EFL learners

    Directory of Open Access Journals (Sweden)

    Fernanda Delatorre

    2010-11-01

    Full Text Available This study investigated the influence of sonority on the production of vowel epenthesis in verbs ending in -ed by Brazilian learners of English. Participants were twenty-six upper-intermediate Brazilian EFL learners who read and audio-recorded ten paragraphs containing 91 verbs ending in ed. The results demonstrated that sonority influenced mispronunciations since the least sonorous obstruents preceding -ed induced more vowel epenthesis than the more sonorous sonorants, which in turn induced more epenthesis than vowels in the same position. The results also demonstrated that within the class of obstruents, affricates preceding -ed induced more epenthesis than stops, which induced more epenthesis than fricatives, and that, within the class of sonorants, nasals induced more epenthesis than liquids. These results suggest that markedness in terms of sonority affects the production of vowel epenthesis in words ending in -ed.

  2. The influence of sonority on the production of words ending in -ed by Brazilian EFL learners

    Directory of Open Access Journals (Sweden)

    Fernanda Delatorre

    2008-01-01

    Full Text Available http://dx.doi.org/10.5007/2175-8026.2008n55p83 This study investigated the influence of sonority on the production of vowel epenthesis in verbs ending in -ed by Brazilian learners of English. Participants were twenty-six upper-intermediate Brazilian EFL learners who read and audio-recorded ten paragraphs containing 91 verbs ending in ed. The results demonstrated that sonority influenced mispronunciations since the least sonorous obstruents preceding -ed induced more vowel epenthesis than the more sonorous sonorants, which in turn induced more epenthesis than vowels in the same position. The results also demonstrated that within the class of obstruents, affricates preceding -ed induced more epenthesis than stops, which induced more epenthesis than fricatives, and that, within the class of sonorants, nasals induced more epenthesis than liquids. These results suggest that markedness in terms of sonority affects the production of vowel epenthesis in words ending in -ed.

  3. Joseph Femia (ed., Vilfredo Pareto (London: Ashgate, 2009

    Directory of Open Access Journals (Sweden)

    Giorgio Baruchello

    2012-03-01

    Full Text Available All contemporary textbooks in the social sciences hail Vilfredo Pareto (1848—1923 as one of the founding fathers of modern sociology, alongside celebrated classics such as Auguste Comte, Max Weber and Emile Durkheim. Moreover, Pareto's contribution extends to the field of economics as well, which is an accomplishment that none of the other great sociological minds can boast for himself.

  4. Dapo Adelugba and Philip Ogo Ujomu, eds., . Dakar, CODESRIA ...

    African Journals Online (AJOL)

    ANBR

    core focus on national security, high politics has conventionally been contrasted with economic and social issues that ... efforts as a threat to their own security. What is more, the 'idea of human security' ... details how non-belonging, gender inequality, segregation, the institutionalization of violence and the masculinization of ...

  5. (ed.) . d 1981. COSTUME AND MAKE UP IN CULTURAL

    African Journals Online (AJOL)

    Precious

    designs. Besides, it can tell about a people or culture and even the times in which they lived. Furthermore, actors' social status, and tasks are revealed which aid the audience or viewers, in understanding ... costumes, professional costumes, gala costumes, contemporary costumes ... architecture, and artefacts in set design.

  6. Sviluppo industriale nei paesi in via di sviluppo e ruolo degli interventi pubblici

    Directory of Open Access Journals (Sweden)

    S. LALL

    2013-10-01

    Full Text Available The work argues that while export orientation (in the sense of providing neutral incentives between foreign and domestic markets is desirable, the experience of successful industrialisers does not support the minimalist government role prescribed. On the contrary, the most successful industrialisers have been dynamic precisely because they intervened heavily in the process of building up technological capabilities. Their interventions were both “functional” and “selective”, though the extent and choice of intervention varied greatly. JEL Codes: O14 

  7. Attention-deficit/hyperactivity disorder and social skills in youth: a moderated mediation model of emotion dysregulation and depression.

    Science.gov (United States)

    Bunford, Nora; Evans, Steven W; Becker, Stephen P; Langberg, Joshua M

    2015-02-01

    Although studies document an association between Attention-Deficit/Hyperactivity Disorder (ADHD) and social problems, little is known about mediating or moderating mechanisms underlying this association. We examined whether, among youth, emotion dysregulation (ED) mediates the negative association between ADHD and social skills, and whether this mediational process is moderated by symptoms of depression. A total of 171 youth with ADHD (76 % male; Mage = 12.15, SD = 0.95) and their parents completed measures of ED, depression, and social skills. Results indicated that, after controlling for oppositional defiant disorder, the negative association between ADHD and social skills was mediated by ED. Further, this indirect effect was relevant for youth with non-clinical and subclinical levels of depression but not for those with clinical levels of depression. These findings underscore the importance of ED in the association between ADHD and social functioning among youth and suggest a need for additional research to understand how and when ED impacts such functioning.

  8. When high pressure, system constraints, and a social justice mission collide: A socio-structural analysis of emergency department social work services.

    Science.gov (United States)

    Moore, Megan; Cristofalo, Margaret; Dotolo, Danae; Torres, Nicole; Lahdya, Alexandra; Ho, Leyna; Vogel, Mia; Forrester, Mollie; Conley, Bonnie; Fouts, Susan

    2017-04-01

    The emergency department (ED) can be a critical intervention point for many patients with multifaceted needs. Social workers have long been part of interdisciplinary ED teams. This study aimed to contribute to the limited understanding of social worker-patient interactions and factors influencing social work services in this setting. This paper reports a qualitative content analysis of social work medical record notes (N = 1509) of services provided to trauma patients in an urban, public, level 1 trauma center and an in-depth analysis of semi-structured interviews with ED social workers (N = 10). Eight major social work roles were identified: investigator, gatekeeper, resource broker, care coordinator, problem solver, crisis manager, advocate, discharge planner. Analyses revealed a complex interplay between ED social work services and multi-layered contexts. Using a social-ecological framework, we identified the interactions between micro or individual level factors, mezzo or local system level factors and macro environmental and systemic factors that play a role in ED interactions and patient services. Macro-level contextual influences were socio-structural forces including socioeconomic barriers to health, social hierarchies that reflected power differentials between providers and patients, and distrust or bias. Mezzo-level forces were limited resources, lack of healthcare system coordination, a challenging hierarchy within the medical model and the pressure to discharge patients quickly. Micro-level factors included characteristics of patients and social workers, complexity of patient stressors, empathic strain, lack of closure and compassion. All of these forces were at play in patient-social worker interactions and impacted service provision. Social workers were at times able to successfully navigate these forces, yet at other times these challenges were insurmountable. A conceptual model of ED social work and the influences on the patient-social worker

  9. AB006. Erectile dysfunction (ED) as a marker for cardiovascular diseases (CVD)

    Science.gov (United States)

    Torres, Luiz Otavio

    2015-01-01

    In 1973 V. Michal, a vascular surgeon said “Erectile dysfunction (ED) is related to diseases of the vascular bed”. And this makes sense since ED and cardiovascular diseases (CVD) share many risk factors like aging, obesity, inactivity, smoking, depression, dyslipidemia, hypertension, diabetes/insuline resistance. These conditions may lead to an oxidative stress which ultimately can promote vasoconstriction, thrombosis, atherosclerosis and finally ED and CVD. One of the most accepted Idea is that small vessels plug earlier, it means, small arteries when have for example 50% of obstruction will probably have a clinical manifestation before bigger arteries!

  10. [Efficacy of low-dose tadalafil on ED assessed by Self-Esteem and Relationship Questionnaire].

    Science.gov (United States)

    Li, Jing-Ping; Li, Fei; Guo, Wen-Bin; Zhou, Qi-Zhao; Liu, Cun-Dong; Mao, Xiang-Ming; Tan, Wan-Long; Zheng, Shao-Bin

    2010-12-01

    To explore the effects of low-dose oral tadalafil on self-esteem, confidence and sexual relationship in ED patients. We treated 17 ED patients with oral tadalafil at the low dose of 5 mg once daily for 12 weeks, and used the paired t test to compare their scores on The Self-Esteem and Relationship Questionnaire (SEAR) and IIEF-5 and the results of nocturnal penile tumescence (NPT) obtained by nocturnal electrobioimpedance volumetric assessment (NEVA) before and after the medication. The scores on SEAR and IIEF-5 were significantly increased (P self-esteem, confidence, sexual relationship satisfaction and NPT of ED patients.

  11. College students' use of energy drinks, social problem-solving, and academic performance.

    Science.gov (United States)

    Trunzo, Joseph J; Samter, Wendy; Morse, Christopher; McClure, Kelly; Kohn, Carolynn; Volkman, Julie E; O'Brien, Kaylene

    2014-01-01

    Energy drink (ED) use among college students to improve academic performance (AP) has skyrocketed. A growing body of literature indicates that the risks associated with ED use may outweigh the perceived benefits. In this study, 486 undergraduates were surveyed on their general substance and ED usage, Social Problem-Solving (SPS) ability, and AP. It was hypothesized that: (1) ED use would be a negative predictor of AP; (2) SPS would be a positive predictor of AP; (3) SPS would be a negative predictor of ED use; and (4) SPS and ED use would account for a significant amount of the variance in AP. A linear multiple regression for AP was conducted, with predictor variables entered in the following order: total drug use, non-ED caffeine use, SPS, and ED use. The overall model was significant and accounted for approximately 7% of the variance in AP. The hypotheses of the study were supported, indicating that ED use may be related to decreased AP, SPS ability may be related to increased AP, or that students with poor AP and less effective SPS skills are more likely to use EDs. Implications of these findings are important for college students and other users of ED products.

  12. APORTACIONES DE LA INVESTIGACIÓN EUROPEA INCLUD-ED PARA LA REDUCCIÓN DEL ABANDONO ESCOLAR PREMATURO

    Directory of Open Access Journals (Sweden)

    Maria Padrós Cuxart

    2011-05-01

    Full Text Available The challenge of reducing early school leaving in Europe, with special pressure in Spain, leads to the need of evidence based educational policies and measures. This paper presents measures to prevend and reduce early school leaving that have been identified within the research Project INCLUD-ED. Strategies for inclusion and social cohesion in Europe from education. This is the research Project with a higher level and resources developed  since now  in Europe regarding school education. The identified solutions are already being addressed in documents of the European Commission, such as the recent Communication to the European Parliament "Tackiling early school leaving: a key contribution to the Europe 2020 Agenda".

  13. Review: Funston, John (ed. (2009, Divided Over Thaksin: Thailand’s Coup and Problematic Transition

    Directory of Open Access Journals (Sweden)

    Paul Chambers

    2010-04-01

    Full Text Available Review of the edited volume: Funston, John (ed. (2009, Divided Over Thaksin: Thailand’s Coup and Problematic Transition, Chiangmai: Silkworm Books, Singapore: ISEAS. ISBN 978-981-230-961-7, 203 pages.

  14. Patient-Centered Care Transition for Patients Admitted through the ED: Improving Patient and Employee Experience

    National Research Council Canada - National Science Library

    Algauer, Andrea; Rivera, Stephanie; Faurote, Robert

    2015-01-01

    With increasing wait times in emergency departments (ED) across America, there is a need to streamline the inpatient admission process in order to decrease wait times and more important, to increase patient and employee satisfaction...

  15. Hispaania võib oma väed Iraagist ära tuua / Erkki Bahovski

    Index Scriptorium Estoniae

    Bahovski, Erkki, 1970-

    2004-01-01

    Hispaania parlamendivalimised võitnud sotsialistliku partei liider, arvatav uus peaminister Jose Luis Rodriguez Zapatero lubas Hispaania väed Iraagist ära tuua. Diagrammid: Hispaania valimistulemused

  16. Jean Libis, Fabio Ferreira, Catherine Gublin, Sarah Mezaguer (eds., Les Lectures de Gaston Bachelard. Index bibliographique

    Directory of Open Access Journals (Sweden)

    Aurosa Alison

    2012-10-01

    Full Text Available Jean Libis, Fabio Ferreira, Catherine Gublin, Sarah Mezaguer (eds., Les Lectures de Gaston Bachelard. Index bibliographique (Paris, Presse Universitaire de Franche-Comté, 2011 ISBN: 978-2-84867-392 di     Aurosa Alison

  17. G. L. Castelli, principe di Torremuzza, numismatico ed antichista ad Halaesa Archonidea

    National Research Council Canada - National Science Library

    Antonino Crisà

    2009-01-01

    ... dell’antiquaria siciliana del XVIII secolo. Questo contributo esamina l’attività di ricerca di Castelli, interessato alla monetazione ed alle evidenze archeologiche di Halaesa Archonidea, oggi identificata nei pressi di Tusa (ME). È proposta...

  18. In a dynamic health care environment, take steps to fully leverage case managers in the ED.

    Science.gov (United States)

    2013-09-01

    In an effort to create more capacity while also improving the patient experience, the University of Virginia Medical Center (UVAMC) in Charlottesville, VA, has taken steps to better leverage case managers in the ED. Under the new approach, case managers work alongside clinicians on the floor. They step in when added resources are needed or services need to be arranged before discharge. Administrators say the new ED case manager role has helped UVAMC reduce medically unnecessary length-of-stay by 34 minutes, enabling the hospital to see up to 4,000 additional patients per year. The ED-based case managers learn of patients who may benefit from their involvement by regularly participating in flow rounds with clinicians on the floor. Administrators are eyeing future improvements from the approach, including a concentrated effort to reduce visits to the ED by frequent utilizers.

  19. Drying Time and Quality of EDS-Treated Compared to Untreated Beech Wood (Fagus japonica

    Directory of Open Access Journals (Sweden)

    Mihaela CAMPEAN

    2017-09-01

    Full Text Available The paper presents the results of an experimental study performed with Japanese beech timber heattreated by the EDS method (Japanese patent and then dried in order to evaluate the effects of this treatment upon the drying rate and the drying uniformity. The obtained results demonstrate benefitting effects of the EDS treatment both upon the drying time and the drying quality. The drying rate of EDS-treated beech wood is by 29% higher in the case of wood without red heart and by 11% higher in the case of wood with red heart. As far as the drying uniformity is concerned, the minimum moisture content gradient across the 50mm thickness of the timber boards was recorded for the EDS-treated beech wood with red heart (∆MC=1.66, by 21.7% lower than in the case of untreated beech wood with red heart.

  20. 2003 annual results of EdF group; Resultats annuels 2003 du groupe EDF

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-03-01

    The Electricite de France (EdF) group Board of Directors, meeting on March 11, 2004, under the Chairmanship of Francois Roussely, reviewed the audited consolidated financial statements for the year ended 12/31/2003. This document presents the consolidated results of EdF group for 2003: consolidated financial statements, highlights of the year, focus on 2003 events, commercial results, EDF in Europe and worldwide, EDF France highlights, key figures. (J.S.)

  1. Bedside point of care toxicology screens in the ED: Utility and pitfalls

    OpenAIRE

    Bhalla, Ashish

    2014-01-01

    Exposure to drugs and toxins is a major cause for patients’ visits to the emergency department (ED). For most drugs-of-abuse intoxication, ED physicians are skeptical to rely on results of urine drug testing for emergent management decisions. This is partially because immunoassays, although rapid, have limitations in sensitivity and specificity and chromatographic assays, which are more definitive, are more labor intensive. Testing for toxic alcohols is needed, but rapid commercial assays are...

  2. Test Review: Gilliam, J. E. (2015), "Attention-Deficit/Hyperactivity Disorder Test" (2nd Ed) [Assessment Instrument]. Austin, TX: Pro-Ed.

    Science.gov (United States)

    Perdue, Elizabeth A.

    2016-01-01

    The "Attention-Deficit/Hyperactivity Disorder Test-Second Edition" (ADHDT-2) is published through Pro-Ed in Austin, Texas. It was formally published in 2014, following critical revisions of the ADHDT, the reportedly popular initial version of this test that was published in 1995. The ADHDT-2 purports to act as a screener for individuals…

  3. EdF-Gaz de France. No merger without dismembering; EdF-Gaz de France. Pas de fusion sans depecage

    Energy Technology Data Exchange (ETDEWEB)

    Lepetit, V

    2007-03-15

    Gathering together the two historical French energy monopolies, Electricite de France (EdF) and Gaz de France (GdF), and warranting low electricity and gas prices is still an attractive idea for some political and syndicate representatives. However, such a merger would create a dominating position which is forbidden with respect to Brussels criteria. (J.S.)

  4. Review: Gregory C. Stanczak (Ed. (2007. Visual Research Methods

    Directory of Open Access Journals (Sweden)

    Boris Traue

    2009-03-01

    Full Text Available In this edited volume, research methods employing the camera as a means of documentation in the context of ethnographic research are presented and discussed. To a lesser extent, the volume deals with research strategies for dealing with images produced by social actors, such as propaganda photography and video diaries. Special attention is given to the way the camera facilitates the process of communication in ethnographic research. This collection may be very helpful for readers looking for a discussion of methodological problems and practical advice for the use of cameras, especially in the context of ethnographic research. Theoretical issues of visuality and visual performance in contemporary societies are mentioned, but not treated in depth. URN: urn:nbn:de:0114-fqs090265

  5. Impact of revised triage to improve throughput in an ED with limited traditional fast track population.

    Science.gov (United States)

    Gardner, Ryan M; Friedman, Nathan A; Carlson, Michael; Bradham, Tamala S; Barrett, Tyler W

    2018-01-01

    Emergency department (ED) crowding is associated with patient safety concerns, increased patients left without being seen (LWBS), low patient satisfaction, and lost ED revenue. The objective was to measure the impact of a revised triage process on ED throughput. This study took place at an urban, university-affiliated, adult ED with an annual census of 70,000 and admission rate of 34%. The revised triage approach included: identifying eligible patients at triage based on complaint, comorbidities, and illness acuity; and reallocating a nurse practitioner (NP) into our triage area. We trialed the intervention from 1100-2300 on weekdays from January 13-26, 2016. Adult patients who were not likely to require intensive evaluations were eligible. Primary outcomes were throughput measures including: time to provider, ED length of stay (LOS), and LWBS. Pre- and post-intervention metrics were compared using the Mann-Whitney U test, given the non-normal distribution of the metrics. The NP evaluated 120 patients of which 101 (84%) were discharged, 3 (2.5%) admitted, and 16 (13%) required more intense evaluation. Time to provider decreased from a median (IQR) of 42 (16, 114) to 27 (12.4, 81.5) minutes (ptriage intervention was associated with improvements in several ED throughput metrics and a reduction in LWBS. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Registered nurse scope of practice and ED complaint-specific protocols.

    Science.gov (United States)

    Castner, Jessica; Grinslade, Susan; Guay, Jennifer; Hettinger, A Zach; Seo, Jin Young; Boris, Lenore

    2013-09-01

    The use of complaint-specific protocols (CSPs) by emergency registered nurses (RNs) can improve ED efficiency. However, RN practice is influenced by regulatory environments that may facilitate or inhibit the use of protocols. The purpose of this policy analysis was to explore the language of state boards of nursing scope-of-practice documents related to the use of RN-initiated CSPs in the ED setting. A qualitative descriptive design was used to investigate how the RN's scope of practice relates to the use of CSPs in ED settings across states. Data were collected from state boards of nursing Web site documents. Three major themes emerged: cautiously within scope, intentionally vague/silent, and outside scope. Seven states (Connecticut, Illinois, Kansas, Louisiana, New Jersey, New York, and Oklahoma) were identified where RN-initiated CSPs appear to be currently outside the RN's scope of practice. Therefore 18% of the US population, or 55,973,900 people, resides in states where CSPs are not allowed. State-to-state inconsistencies in the RN's scope of practice may interfere with the implementation of practices that enhance ED efficiency. RNs in all states must ensure that they have the requisite knowledge, skill, and documented competency to implement CSPs, if supported by their employing facility. Efforts to standardize ED RN education and policy are warranted. Continued research is needed assess the impact of RN-initiated CSPs on the efficiency of ED care. Copyright © 2013 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.

  7. Chemical analysis and biological testing of materials from the EDS coal liquefaction process: a status report

    Energy Technology Data Exchange (ETDEWEB)

    Later, D.W.; Pelroy, R.A.; Wilson, B.W.

    1984-05-01

    Representative process materials were obtained from the EDS pilot plant for chemical and biological analyses. These materials were characterized for biological activity and chemical composition using a microbial mutagenicity assay and chromatographic and mass spectrometric analytical techniques. The two highest boiling distillation cuts, as well as process solvent (PS) obtained from the bottoms recycle mode operation, were tested for initiation of mouse skin tumorigenicity. All three materials were active; the crude 800/sup 0 +/F cut was substantially more potent than the crude bottoms recycle PS or 750 to 800/sup 0/F distillate cut. Results from chemical analyses showed the EDS materials, in general, to be more highly alkylated and have higher hydroaromatic content than analogous SRC II process materials (no in-line process hydrogenation) used for comparison. In the microbial mutagenicity assays the N-PAC fractions showed greater activity than did the aliphatic hydrocarbon, hydroxy-PAH, or PAH fractions, although mutagenicity was detected in certain PAH fractions by a modified version of the standard microbial mutagenicity assay. Mutagenic activities for the EDS materials were lower, overall, than those for the corresponding materials from the SRC II process. The EDS materials produced under different operational modes had distinguishable differences in both their chemical constituency and biological activity. The primary differences between the EDS materials studied here and their SRC II counterparts used for comparison are most likely attributable to the incorporation of catalytic hydrogenation in the EDS process. 27 references, 28 figures, 27 tables.

  8. Effect of Job Specialization on the Hospital Stay and Job Satisfaction of ED Nurses.

    Science.gov (United States)

    Shamsi, Vahid; Mahmoudi, Hosein; Sirati Nir, Masoud; Babatabar Darzi, Hosein

    2016-02-01

    In recent decades, the increasing crowdedness of the emergency departments has posed various problems for patients and healthcare systems worldwide. These problems include prolonged hospital stay, patient dissatisfaction and nurse burnout or job dissatisfaction. The aim of this study was to investigate the effect of emergency department (ED) nurses' job specialization on their job satisfaction and the length of patient stay in the ED. This before-after quasi-experimental study was conducted from April to May 2014 at the Baqiyatallah Hospital, Tehran, Iran. Initially, 35 patients were recruited as controls and the length of their stay in the ED was measured in minutes via a chronometer; Moreover, nurses' job satisfaction was evaluated using the Mohrman-Cooke-Mohrman job satisfaction scale. Then, a job specialization intervention was developed based on the stabilization model. After that, 35 new patients were recruited to the treatment group and received specialized care services. Accordingly, the length of their stay in the ED was measured. Moreover, the same nurses' job satisfaction was re-evaluated after the study. The study intervention lasted one month. Data were analyzed using the SPSS software version 20 and statistical tests such as the Kolmogrov-Smirnov, the paired and the independent t, and chi-square tests. There was a significant difference between the two groups of patients concerning the length of their stay in the ED (P nurses had greater job satisfaction after the study (P nurses' satisfaction and relieve the crowdedness of the EDs.

  9. The use of SEM/EDS method in mineralogical analysis of ordinary chondritic meteorite

    Directory of Open Access Journals (Sweden)

    Breda Mirtič

    2009-12-01

    Full Text Available The aim of this study was to evaluate the potential of scanning electron microscopy coupled with energy dispersiveX-ray spectroscopy (SEM/EDS for determination of mineral phases according to their stoichiometry and assessment of mineral composition of ordinary chondritic meteorite. For the purposes of this study, H3 type ordinary chondritic meteorite Abbott was selected. SEM/EDS allows identification and characterisation of mineralphases, whose size is below the resolution of an optical microscope. Mineral phases in chondrules and interstitial matrix were located in backscattered electron (BSE mode and were assessed from atomic proportions of constituent elements, obtained by the EDS analysis. SEM/EDS analyses of mineral phases showed that Abbott meteorite is characterised by Fe-rich (Fe, Ni-alloy kamacite, Fe-sulphide troilite or pyrrhotite, chromite, Mg-rich olivine, orthopyroxene bronzite or hypersthene, clinopyroxene Al-diopside, acid plagioclase oligoclase, accessory mineral chlorapatite and secondary minerals Fe-hydroxides (goethite or lepidocrocite. Results of semi-quantitative analyses confirmed that most of analysed mineralphases conform well to stoichiometric minerals with minor deviations of oxygen from stoichiometric proportions. Comparison between mineral phases in chondrules and interstitial matrix was also performed, however it showed no significant differences in elemental composition.Differences in chemical composition between minerals in interstitial matrix and chondrules are sometimes too small to be discernedby the SEM/EDS, therefore knowledge of SEM/EDS capabilities is important for correct interpretation of chondrite formation.

  10. [Survey on the barriers in providing the mental health services to the suicide attempters in ED].

    Science.gov (United States)

    Zhao, Xiaohui; Li, Tao; Hong, Xia; Jiang, Yinan; Xiong, Nana; Cao, Jinya; Wei, Jing

    2015-06-16

    The purpose of this study was to explore the barriers existing in medical settings behind the phenomenon that few suicide attempters were provided by mental health services when they got treatment in the general hospital ED. An anonymous and voluntary survey was administered among two groups: ED physicians and psychiatrists. Two tertiary general hospitals and one psychiatric hospital were chosen through convenience sampling. Suicide Behavior Attitude Questionnaire and a self-made questionnaire to evaluate barriers were used. The response rate was 68.7% for ED physicians, and 87.0% for psychiatrists. ED physicians generally scored unfavorably than psychiatrists on many items in SBAQ (P suicide attempters should have access to mental health services, the median of the scores = 10 for both group (P = 0.059), meaning highly agree. Some consistent barriers could be summarized from the self-made questionnaire. The majority of ED physicians in general hospitals still hold some misunderstanding about the suicide attempters, but they fully agree that the suicide attempters should have access to mental health services. The barriers for psychiatrists are clear.The barriers for ED physicians are complicated but workable.

  11. Extensive FE-SEM/EDS, HR-TEM/EDS and ToF-SIMS studies of micron- to nano-particles in anthracite fly ash.

    Science.gov (United States)

    Ribeiro, Joana; DaBoit, Kátia; Flores, Deolinda; Kronbauer, Marcio A; Silva, Luis F O

    2013-05-01

    The generation of anthropogenic carbonaceous matter and mixed crystalline/amorphous mineral ultrafine/nano-particles in the 1 to 100 nm size range by worldwide coal power plants represents serious environmental problems due to their potential hazards. Coal fly ash (CFA) that resulted from anthracite combustion in a Portuguese thermal power plant was studied in this work. The physico-chemical characterization of ultrafine/nano-particles present in the CFA samples and their interaction with environment are the aim of this study. The methodologies applied for this work were field emission scanning electron microscopy (FE-SEM) with energy dispersive X-ray spectroscopy (EDS), high-resolution transmission electron microscopy with energy dispersive X-ray spectroscopy (HR-TEM/EDS) and time of flight secondary ion mass spectrometry (ToF-SIMS). Some hazardous volatile elements, C, N, S and Hg contents were also determined in the studied samples. Generally, the CFA samples comprise carbonaceous, glassy and metallic solid spheres with some containing mixed amorphous/crystalline phases. The EDS analysis coupled with the FE-SEM and HR-TEM observations of the fly ash particles with 100 to 0.1 nm demonstrates that these materials contain a small but significant proportion of encapsulated HVEs. In addition, the presence of abundant multi-walled carbon nanotubes (MWCNTs) and amorphous carbon particles, both containing hazardous volatile elements (HVEs), was also evidenced by the FE-SEM/EDS and HR-TEM/EDS analysis. A wide range of organic and inorganic compounds was determined by chemical maps obtained in ToF-SIMS analysis. Copyright © 2013 Elsevier B.V. All rights reserved.

  12. Extensive FE-SEM/EDS, HR-TEM/EDS and ToF-SIMS studies of micron- to nano-particles in anthracite fly ash

    Energy Technology Data Exchange (ETDEWEB)

    Ribeiro, Joana [Centro de Geologia, Universidade do Porto, Rua do Campo Alegre, 687, 4169-007 Porto (Portugal); DaBoit, Kátia [Institute of Environmental Research and Human Development, IPADHC, Capivari de Baixo, Santa Catarina (Brazil); Flores, Deolinda [Centro de Geologia, Universidade do Porto, Rua do Campo Alegre, 687, 4169-007 Porto (Portugal); Departamento de Geociências, Ambiente e Ordenamento do Território, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre, 687, 4169-007 Porto (Portugal); Kronbauer, Marcio A. [Laboratory of Environmental Researches and Nanotechnology Development, Centro Universitário La Salle, Victor Barreto, 2288 Centro 92010-000, Canoas, RS (Brazil); Silva, Luis F.O., E-mail: felipeqma@hotmail.com [Laboratory of Environmental Researches and Nanotechnology Development, Centro Universitário La Salle, Victor Barreto, 2288 Centro 92010-000, Canoas, RS (Brazil); Environmental Science and Nanotechnology Department, Catarinense Institute of Environmental Research and Human Development, IPADHC, Capivari de Baixo, Santa Catarina (Brazil)

    2013-05-01

    The generation of anthropogenic carbonaceous matter and mixed crystalline/amorphous mineral ultrafine/nano-particles in the 1 to 100 nm size range by worldwide coal power plants represents serious environmental problems due to their potential hazards. Coal fly ash (CFA) that resulted from anthracite combustion in a Portuguese thermal power plant was studied in this work. The physico-chemical characterization of ultrafine/nano-particles present in the CFA samples and their interaction with environment are the aim of this study. The methodologies applied for this work were field emission scanning electron microscopy (FE-SEM) with energy dispersive X-ray spectroscopy (EDS), high-resolution transmission electron microscopy with energy dispersive X-ray spectroscopy (HR-TEM/EDS) and time of flight secondary ion mass spectrometry (ToF-SIMS). Some hazardous volatile elements, C, N, S and Hg contents were also determined in the studied samples. Generally, the CFA samples comprise carbonaceous, glassy and metallic solid spheres with some containing mixed amorphous/crystalline phases. The EDS analysis coupled with the FE-SEM and HR-TEM observations of the fly ash particles with 100 to 0.1 nm demonstrates that these materials contain a small but significant proportion of encapsulated HVEs. In addition, the presence of abundant multi-walled carbon nanotubes (MWCNTs) and amorphous carbon particles, both containing hazardous volatile elements (HVEs), was also evidenced by the FE-SEM/EDS and HR-TEM/EDS analysis. A wide range of organic and inorganic compounds was determined by chemical maps obtained in ToF-SIMS analysis. - Highlights: ► We examine changes in the level of ultrafine and nanoparticles of coal mining. ► Increasing geochemical information will increase human health information in this area. ► Electron bean and Tof-SIMS increase area information.

  13. L’organizzazione dello spazio e la percezione della paura nelle politiche della sicurezza urbana. Il muro nei processi di inclusione (ed esclusione sociale in Brasile e in Italia / L’organisation de l’espace urbain et la peur du crime dans les politiques de sécurité urbaine. Le mur dans le processus d’inclusion (et d’exclusion sociale au Brésil et en Italie / The organization of urban space and the fear of crime at the level of urban security policies. The wall and the social inclusion (and exclusion processes in Brazil and in Italy

    Directory of Open Access Journals (Sweden)

    Veratti Daniele

    2012-04-01

    Full Text Available In this article, the authors examine the relationship between the wall (real and symbolic and the feeling of urban insecurity.In the course of history, the function of walls was both to protect and to control and segregate.Today, the urban city is a more fluid place, constituted of a network of communications and relationships and devoid of material elements. However, the increase of gated communities represents the return of the concrete wall.In this text, the authors provide some examples of urban and social breakdown regarding some big Brazilian towns. Cet article vise à examiner la relation entre le mur (concret et symbolique et la perception de l'insécurité par les citoyens.Au cours de l'histoire, le mur a eu de nombreuses fonctions : défendre, protéger mais aussi contrôler et séparer.De nos jours, les centres urbains sont constitués par les relations humaines et la communication ; pauvres en éléments concrets, ils sont plus fluides. Néanmoins, la construction d’ensembles résidentiels fermés conduit au retour du mur en béton.Quelques exemples de la désagrégation urbaine et sociale typique des grandes villes brésiliennes seront donnés dans cet article.

  14. Carnivore rabies: ecological and evolutionary aspects / La rabbia nei Carnivori: aspetti ecologici ed evolutivi

    Directory of Open Access Journals (Sweden)

    Alexander Wandeler

    1991-07-01

    monoclonali. I diversi ceppi di virus della rabbia ed i rispettivi ospiti si sono coadattati, al fine di consentire la loro prolungata coesistenza. I caratteri che hanno subito un coadattamento (o una coevoluzione? sono la patogenità, la specificità cellulare (compresa la specificità specifica, la durata del periodo di incubazione, la durata e l'intensità della escrezione virale, la durata e i sintomi delle manifestazioni cliniche, il tasso di crescita pro capite dell'ospite, il suo utilizzo delle risorse (uso dell'habitat, l'organizzazione sociale e il comportamento, e i fattori di mortalità diversi da quelli riconducibili alla rabbia. Tutte queste proprietà dei virus e dell'ospite determinano l'andamento dei contatti infettanti e di tutti gli altri parametri epidemiologici quali l'incidenza, la prevalenza, la morbosità e la mortalità.

  15. Improved Early Detection of Sepsis in the ED With a Novel Monocyte Distribution Width Biomarker.

    Science.gov (United States)

    Crouser, Elliott D; Parrillo, Joseph E; Seymour, Christopher; Angus, Derek C; Bicking, Keri; Tejidor, Liliana; Magari, Robert; Careaga, Diana; Williams, JoAnna; Closser, Douglas R; Samoszuk, Michael; Herren, Luke; Robart, Emily; Chaves, Fernando

    2017-09-01

    Sepsis most often presents to the ED, and delayed detection is harmful. WBC count is often used to detect sepsis, but changes in WBC count size also correspond to sepsis. We sought to determine if volume increases of circulating immune cells add value to the WBC count for early sepsis detection in the ED. A blinded, prospective cohort study was conducted in two different ED populations within a large academic hospital. Neutrophil and monocyte volume parameters were measured in conjunction with routine CBC testing on a UniCel DxH 800 analyzer at the time of ED admission and were evaluated for the detection of sepsis. There were 1,320 subjects in the ED consecutively enrolled and categorized as control subjects (n = 879) and those with systemic inflammatory response syndrome (SIRS) (n = 203), infection (n = 140), or sepsis (n = 98). Compared with other parameters, monocyte distribution width (MDW) best discriminated sepsis from all other conditions (area under the curve [AUC], 0.79; 95% CI, 0.73-0.84; sensitivity, 0.77; specificity, 0.73; MDW threshold, 20.50), sepsis from SIRS (AUC, 0.74; 95% CI, 0.67-0.84), and severe sepsis from noninfected patients in the ED (AUC, 0.88; 95% CI, 0.75-0.99; negative predictive value, 99%). The added value of MDW to WBC count was statistically significant (AUC, 0.89 for MDW + WBC vs 0.81 for WBC alone; P sepsis compared with WBC count alone at the time of admission in the ED. ClinicalTrials.gov; No.: NCT02232750; URL: www.clinicaltrials.gov. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  16. Trends in Hospital Admission and Surgical Procedures Following ED visits for Diverticulitis.

    Science.gov (United States)

    Greenwood-Ericksen, Margaret B; Havens, Joaquim M; Ma, Jiemin; Weissman, Joel S; Schuur, Jeremiah D

    2016-07-01

    Diverticulitis is a common diagnosis in the emergency department (ED). Outpatient management of diverticulitis is safe in selected patients, yet the rates of admission and surgical procedures following ED visits for diverticulitis are unknown, as are the predictive patient characteristics. Our goal is to describe trends in admission and surgical procedures following ED visits for diverticulitis, and to determine which patient characteristics predict admission. : We performed a cross-sectional descriptive analysis using data on ED visits from 2006-2011 to determine change in admission and surgical patterns over time. The Nationwide Emergency Department Sample database, a nationally representative administrative claims dataset, was used to analyze ED visits for diverticulitis. We included patients with a principal diagnosis of diverticulitis (ICD-9 codes 562.11, 562.13). We analyzed the rate of admission and surgery in all admitted patients and in low-risk patients, defined as age diverticulitis. Fryom 2006 to 2011 ED visits for diverticulitis increased by 21.3% from 238,248 to 302,612, while the admission rate decreased from 55.7% to 48.5% (-7.2%, 95% CI [-7.78 to -6.62]; pdiverticulitis was independently associated with male gender, comorbid illnesses, higher income and commercial health insurance. The surgical rate decreased from 6.5% in 2006 to 4.7% in 2011 (-1.8%, 95% CI [-2.1 to -1.5]; pdiverticulitis increased, while ED admission rates and surgical rates declined, with comorbidity, sociodemographic factors predicting hospitalization. Future work should focus on determining if these differences reflect increased disease prevalence, increased diagnosis, or changes in management.

  17. Prevalence of Diabetes Mellitus (DM) in a population of men affected by Erectile Dysfunction (ED).

    Science.gov (United States)

    Mazzilli, R; Elia, J; Delfino, M; Benedetti, F; Scordovillo, G; Mazzilli, F

    2015-01-01

    A) to evaluate the prevalence of patients affected by Diabetes Mellitus (DM) in a population of men with Erectile Dysfunction (ED); B) to define the epidemiological, biochemical and therapeutic aspects. N.934 subjects referred at our Andrology Unit for ED were studied. The diagnosis of ED was evaluated using the IIEF-5 questionnaire (Total score ≤21). The prevalence of subjects affected by DM in a population of men with ED was 19.5% (182/934). The age ranges were: ≥55 years (108/182; 59.3%); ≥40diabetic treatment. In n.125/182 cases (68.7%) the ED onset followed the diagnosis of DM; in n.34/182 cases (18.7%) it appeared at the same time; and in n.23/182 cases (12.6%) appeared before DM diagnosis. in n.18/182 subjects (9.9%) there was a concomitant hypotestosteronemia; these patients were treated only with testosterone replacement; this treatment was efficacious (IIEF-5 total score ≥22) in 8/18 subjects (44.4%). In n.146/182 subjects (80.2%) a treatment with PDE5-i was given. Of these 146 subjects, the therapy was given "on demand" to 108 subjects (efficacy in 50.9%; 55/108) and "once a day" to the remaining 38 subjects (efficacy 63.1%, 24/38) (p=0.428, n.s.). N.15/182 subjects (8.2%) were treated with intracavernous injections of Alprostadil (efficacy in 8/15, 53.3%). In n.3/182 subjects (1.6%) a penile prosthesis was implanted. DM is one of the most frequent organic causes of ED; there were many strategies to treat this symptom without interfering with the antidiabetic treatment. Finally, ED can be predictive of DM.

  18. Levetiracetam: review clinica ed economica di un nuovo antiepilettico

    Directory of Open Access Journals (Sweden)

    Orietta Zaniolo

    2004-06-01

    Full Text Available Uncontrolled epilepsy has a significant negative impact on patient’s quality of life, on his emotional well-being and his social functioning. Seizure places an undue economic burden on the patient and community. The increased costs are direct and indirect (e.g.,inpatient care and loss of earnings associated with time lost from work. Levetiracetam is a new antiepileptic drug used as adjuntive therapy in the treatment of refractory epilepsy. Its nonconventional mechanism of action is not completely understood, but preclinical studies suggest that its antiepileptic action.may depend on a reversible, saturable and stereoselective binding site in CNS membranes. In this paper, we review the main clinical and economic data available in the scientific literature. Levetiracetam has a favourable pharmacokinetic profile characterised by rapid and nearly complete absorption, very low potential for drug interactions and a prolonged pharmacodynamic effect that permits twice-daily dosing. Several placebo-controlled clinical trials have demonstrated that its efficacy has enabled many patients who were refractory to treatment with other antiepileptic drugs to achieve long-term seizure freedom; furthermore in levetiracetam trials the frequency of adverse events is low and withdrawal rates are comparable with those of placebo. A cost/effectiveness analysis compared direct medical costs of levetiracetam add-on therapy with maintenance of standard therapy alone within the UK National Health Service. A 1-year dose escalation decision model was set up in refractory patients who failed to respond to two or more other currently available therapies, with seizure freedom selected as the measure of effectiveness. Available pharmacoeconomic data show that the incremental cost of treating patients with levetiracetam is low when compared with the benefits of seizure freedom, at least in the UK. Furthermore, current studies suggest that this antiepileptic drug has a

  19. Increasing Productivity through Social Structure.

    Science.gov (United States)

    1985-02-15

    Development and Maintenance of Prosocial Behavior , Polish Academy of Sciences, Warsaw, 1980. Wolf, S. & Latan6, B. Interactive television and social... behavior . In Rushton, J.P. & Sorrentino, R.M. (Eds.) Altruism and helping bghviyur. Hillsdale, NJ, Lawrence Erlbaum Associates, 1981. Williams, K., Harkins...impact, which deals with how an individual’s physiological states, subjective feelings, motives, emotions, cognitions, beliefs, values, and behavior

  20. Electromagnetic fields E.D. 4204. The regulation in working place; Champs electromagnetiques ED 4204. La reglementation en milieu professionnel

    Energy Technology Data Exchange (ETDEWEB)

    Bisseriex, Ch. [Cram Auvergne, 63 - Clermont-Ferrand (France); Laurent, P. [Cram Centre-Ouest, 87 - Limoges (France); Cabaret, Ph. [CRAM Languedoc-Roussillon, 34 - Montpellier (France); Bonnet, Ch. [Cram Centre, 45 - Orleans (France); Marteau, E.; Masson, Ch. [CRAM Ile-de-France, 75 - Paris (France); Le Berre, G. [Cram de Bretagne, 35 - Rennes (France); Becker, A.; Demaret, Ph.; Herrault, J.; Donati, P.; Klein, R. [INRS - Centre de Lorraine, 54 - Vandoeuvre (France); Servent, J.P.; Ganem, Y. [Institut National de Recherche et de Securite (INRS), 75 - Paris (France)

    2005-06-15

    The international commission for the protection against the non ionizing radiation (I.C.N.I.R.P.) is responsible for studying the potentials risks linked to the different kinds of non ionizing radiations since 1992, for elaborating international guides for the establishment of exposure limits and for treating any aspect of the protection against these radiations (workers and public). In 1998, this commission published a guide in Health physics translated in document note (N.D. 2143) of I.N.R.S. The world health organization (W.H.O.) works in close relation with this commission. In 1999, the European Community published a recommendation to limit the public exposure (99/519/C.E.). This recommendation repeats the values advocated by I.C.N.I.R.P. for the public. The social directive 'physical agents' specific to electromagnetic fields 2004/40/C.E. of the 19. april 2004 settles the minimal prescriptions in matter of workers protection. This directive must be transposed in French law in april 2008 at the latest. (N.C.)

  1. Social perception in people with eating disorders.

    Science.gov (United States)

    Renwick, B; Dejong, H; Kenyon, M; Samarawickrema, N; Loomes, R; Watson, C; Ghelani, S; Schmidt, U

    2013-09-01

    Social perception is a key aspect of social cognition which has so far not been investigated in eating disorders (ED). This study aimed to investigate social perception in individuals with anorexia nervosa (AN) and bulimia nervosa (BN). Outpatients with AN (restricting subtype [AN-R]: n=51; binge-purge subtype [AN-BP]: n=26) or BN (n=57) and 50 healthy control (HC) participants completed the Interpersonal Perception Task (IPT-15). This is an ecologically valid task, which consists of 15 video clips, depicting complex social situations relating to intimacy, status, kinship, competition and deception. The participants have to assess relationships between protagonists' based on non-verbal cues. Overall, there was no difference between groups on the IPT total score and subscale scores. Group differences on the Intimacy subscale approached significance so post hoc comparisons were carried out. HCs performed significantly better than AN-R participants in determining the degree of intimacy between others. Social perception is largely preserved in ED patients. Individuals with AN-R show impairments in identifying intimacy in social situations, this may be due to the lack of relationship experience. Further research into different aspects of social cognition is required to establish the link between interpersonal difficulties and ED psychopathology. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  2. Stimulating reflection through engagement in social relationships

    NARCIS (Netherlands)

    Rajagopal, Kamakshi; Verjans, Steven; Van Bruggen, Jan; Sloep, Peter

    2011-01-01

    Rajagopal, K., Verjans, S., Van Bruggen, J., & Sloep, P. B. (2011). Stimulating reflection through engagement in social relationships. In W. Reinhardt, T. D. Ullmann, P. Scott, V. Pammer, O. Conlan, & A. J. Berlanga (Eds.), Proceedings of the 1st European Workshop on Awareness and Reflection in

  3. Environmental Social Sciences: Methods and Research Design

    Directory of Open Access Journals (Sweden)

    Jeremy Spoon

    2012-06-01

    Full Text Available Review of Environmental Social Sciences: Methods and Research Design. Ismael Vaccaro, Eric Alden Smith, and Shankar Aswani, eds. 2010. Cambridge University Press, Cambridge. Pp. 396, 41 b/w illustrations, 20 tables. US$49.99 (paperback. ISBN 9780521125710.

  4. Suicide Prevention in an Emergency Department Population: The ED-SAFE Study.

    Science.gov (United States)

    Miller, Ivan W; Camargo, Carlos A; Arias, Sarah A; Sullivan, Ashley F; Allen, Michael H; Goldstein, Amy B; Manton, Anne P; Espinola, Janice A; Jones, Richard; Hasegawa, Kohei; Boudreaux, Edwin D

    2017-06-01

    Suicide is a leading cause of deaths in the United States. Although the emergency department (ED) is an opportune setting for initiating suicide prevention efforts, ED-initiated suicide prevention interventions remain underdeveloped. To determine whether an ED-initiated intervention reduces subsequent suicidal behavior. This multicenter study of 8 EDs in the United States enrolled adults with a recent suicide attempt or ideation and was composed of 3 sequential phases: (1) a treatment as usual (TAU) phase from August 2010 to December 2011, (2) a universal screening (screening) phase from September 2011 to December 2012, and (3) a universal screening plus intervention (intervention) phase from July 2012 to November 2013. Screening consisted of universal suicide risk screening. The intervention phase consisted of universal screening plus an intervention, which included secondary suicide risk screening by the ED physician, discharge resources, and post-ED telephone calls focused on reducing suicide risk. The primary outcome was suicide attempts (nonfatal and fatal) over the 52-week follow-up period. The proportion and total number of attempts were analyzed. A total of 1376 participants were recruited, including 769 females (55.9%) with a median (interquartile range) age of 37 (26-47) years. A total of 288 participants (20.9%) made at least 1 suicide attempt, and there were 548 total suicide attempts among participants. There were no significant differences in risk reduction between the TAU and screening phases (23% vs 22%, respectively). However, compared with the TAU phase, patients in the intervention phase showed a 5% absolute reduction in suicide attempt risk (23% vs 18%), with a relative risk reduction of 20%. Participants in the intervention phase had 30% fewer total suicide attempts than participants in the TAU phase. Negative binomial regression analysis indicated that the participants in the intervention phase had significantly fewer total suicide attempts

  5. Limiti e potenzialità per lo sviluppo dell’heritage-based tourism nelle aree interne. Il caso di Fiordimonte (MC / Limitations and potentialities for the development of the heritage-based tourism in inner areas. The case of Fiordimonte (MC

    Directory of Open Access Journals (Sweden)

    Elisabetta Maroni

    2016-12-01

    Full Text Available L’obiettivo della ricerca è proporre una possibile strategia di sviluppo economico sostenibile del comune di Fiordimonte (MC, incardinata sulla valorizzazione a fini turistici delle risorse place e time specific, nell’ottica della resource-based theory. Nella prima parte il lavoro effettua una ricognizione dei contributi economico-manageriali sulla valorizzazione dei beni culturali e sul destination management, al fine di definire un framework teorico di riferimento da applicare al caso di studio. Successivamente, avvalendosi dell’analisi SWOT di Fiordimonte e del suo territorio, vengono individuati alcuni interventi funzionali all’avvio di un percorso di valorizzazione dello stock di capitale culturale, che assegnino un ruolo decisivo sia all’esplicitazione del potenziale informativo connesso al valore di testimonianza place e time specific, sia alla capacità dei vari attori locali responsabili innanzitutto dell’offerta culturale di stabilire efficaci forme di governance. The aim of this paper is to suggest a possible sustainable development plan for the territory of Fiordimonte (MC, focused on the touristic enhancement of its place and time specific assets, according to the resource-based theory. First, the work carries out a literature review on the management of cultural heritage and destination management, in order to build a theoretical framework to apply to the case study. Then, applying a SWOT analysis, the research identifies some interventions for the launching of a valorization process of Fiordimonte’s cultural heritage. The interventions assign a crucial role to the explanation of the place and time specific value of documentation and to the capability of the policy makers in charge of cultural heritage to establish an effective governance.

  6. Triage quality control is missing tools-a new observation technique for ED quality improvement.

    Science.gov (United States)

    Malmström, Tomi; Harjola, Veli-Pekka; Torkki, Paulus; Kumpulainen, Salla; Malmström, Raija

    2017-04-01

    Correct assessment of patient urgency is critical to ensuring patient safety in emergency departments (EDs). Although significant time and effort have been devoted to developing triage systems, less attention has been paid to the development of quality control. The aim of this study is to introduce and test observation technique, which enables identifying of patient groups at risk of erroneous assessment in triage. The introduced technique is aimed to be less laborious to use than existing triage quality control methods. The study developed an observation technique for identifying patients with possible erroneous assessments in triage. Data sample for the observation technique is carried out with survey form filled in by nurse. Hospital ED with ~74 000 patient visits annually. Consecutive adult patients in an ED for baseline study period of 14 days (1774 patients) in 2010 and control study period of 4 days (541 patients) in 2012. Triage observation technique for continuous improvement of triage performance. Primary measures of triage improvement were triage accuracy and nurses' ability to predict patient admissions. With the observation technique the ED staff was able to identify patient groups at risk for erroneous triage. Under-triage related mostly to patients with chest pain, shortness of breath, collapse, stomach pain and infections. Instead injures and muscular skeletal symptoms were seldom undertriaged even though they are common. EDs can control triage quality with simple observation technique. The usability of observation technique and triage quality improvement process were good.

  7. The Relationship Between the Use of a Worksite Medical Home and ED Visits or Hospitalizations

    Directory of Open Access Journals (Sweden)

    Marissa Stroo BS

    2015-10-01

    Full Text Available Worksite medical homes may be a good model for improving employee health. The aim of this study was to compare the likelihood of being seen in the emergency department (ED or being hospitalized by level of use (no use, occasional use, or primary care of a worksite medical home, overall and by type of user (employee, adult dependent, or pediatric dependent. This was a retrospective analysis of claims data, using covariate-adjusted logistic regression models for ED visits and inpatient hospitalizations. Secondary data for the years 2006 to 2008 from a company that offers an on-site health care center (HCC were used. Analyses were based on a data set that combines health plan claims and human resources demographic data. Overall, people who did not use the HCC were more likely to be seen in the ED (adjusted odds ratio [OR] = 1.20, 95% confidence interval or CI [1.06, 1.37], P = .005 or to be hospitalized (adjusted OR = 1.58; 95% CI [1.34, 1.86]; P < .0001 compared with those who used the HCC for primary care. Both ED visits and hospitalizations for employees and dependents in this study were lower among those who used the worksite medical home for primary care. Worksite medical homes can improve chronic disease management and thus reduce ED visits and hospitalizations. These findings contribute to growing evidence that worksite medical homes are potentially cost-effective.

  8. Factors affecting stress in emergency medicine residents while working in the ED.

    Science.gov (United States)

    Wrenn, Keith; Lorenzen, Brent; Jones, Ian; Zhou, Chuan; Aronsky, Dominik

    2010-10-01

    The aim of this study was to identify factors other than work hours in the emergency department (ED) work environment contributing to resident stress. This study involved a prospective cohort evaluation of emergency medicine residents in the ED. Twelve surveys were collected from 18 subjects, 4 each from the day, evening, and night shifts. The Perceived Stress Questionnaire and a visual analog stress scale were administered. Data collected included the shift number of a given consecutive sequence of shifts, number of procedures performed, number of adverse events, average age of the patients seen by the resident, triage nurse-assigned acuities of the patients seen by the resident during the shift, the number of patients seen during a shift, the number of patients admitted by the resident during the shift, anticipated overtime after a shift, and shift-specific metrics related to overcrowding, including average waiting room time both for the individual residents and for all patients, average waiting room count for all patients, and average occupancy of the ED for all patients. Among the 216 studied shifts, there was considerable variability in stress both within and between residents. In the multivariate mixed-effect regression analysis, only anticipated overtime and process failures were correlated with stress. Factors related to ED overcrowding had no significant effect on resident stress. Resident stress was most impacted by anticipation of overtime and adverse events. Overcrowding in the ED and traditional measures of workload did not seem to affect stress as much. Copyright © 2010 Elsevier Inc. All rights reserved.

  9. Hardiness Mediates Stress and Impact Level in ED Nurses Who Experienced a Violent Event.

    Science.gov (United States)

    Park, Jin Hee; Lee, Eun Nam; Kong, Kyung Ran; Jang, Moon Jung

    2017-11-01

    This secondary analysis examined the mediating effect of hardiness between stress and impact level in ED nurses who experienced a violent event. This correlational study was conducted from June to August 2014. We used the visual analog scale to measure stress level, the Impact of Event Scale-Revised to measure impact level after the violent event, and the Dispositional Resilience Scale to measure hardiness. We then analyzed mediating effects with the Sobel test. Data were collected in 31 emergency medical centers located in B city in Korea. Data from 321 ED nurses who experienced a violent event were analyzed. Most nurses (91.9%) were women, with a mean age of 28.73 years. The main outcome measure was the mediating effect of hardiness between stress and impact level after ED nurses experienced violence. We found that both violence-related stress (B = 0.22, P level from a violent event. Based on results of a Sobel test, hardiness partially mediated the relationship between violence-related stress and impact level from a violent event (Z = 2.03, P = .044). Hardiness had an effect on reducing the impact level of ED nurses who had experienced a violent event and had a mediating role in mitigating their stress. Therefore, we recommend the development of an intervention program that emphasizes the improvement of hardiness in ED nurses. Copyright © 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  10. N-acetil-cisteina regola l'attività trascrizionale delle Metalloproteinasi di matrice-2 e -9, in fibroblasti pulpari umani stimolati con le resine monomeriche TEGDMA ed HEMA

    OpenAIRE

    Procino, Alfredo

    2015-01-01

    Negli ultimi 30 anni, l'odontoiatria conservativa è stata caratterizzata da una rivoluzione innescata dall'introduzione di materiali da otturazione estetici, che ha determinato un significativo cambiamento delle tecniche per rispondere a esigenze e richieste dei pazienti. In particolare i nuovi approcci terapeutici sono stati resi possibili con l'introduzione e lo sviluppo di nuovi materiali a base resinosa (resin-based dental materials / RBDM ) che hanno introdotto il concetto di adesione al...

  11. Using Natural Language Policies for Privacy Control in Social Platforms

    NARCIS (Netherlands)

    De Coi, Juri; Kärger, Philipp; Olmedilla, Daniel; Zerr, Sergej

    2009-01-01

    De Coi, J. L., Kärger, P., Olmedilla, D., & Zerr, S. (2009). Using Natural Language Policies for Privacy Control in Social Platforms. In M. Hausenblas, P. Kärger, D. Olmedilla, A. Passant & A. Polleres (Eds.), Proceedings of the First Workshop on Trust and Privacy on the Social and Semantic Web

  12. LearnWeb 2.0. Integrating Social Software for Lifelong Learning.

    NARCIS (Netherlands)

    Marenzi, Ivana; Demidova, Elena; Nejdl, Wolfgang

    2008-01-01

    Marenzi, I., Demidova, E., & Nejdl, W. (2008). LearnWeb 2.0. Integrating Social Software for Lifelong Learning. Proceedings of the ED-Media 2008. World Conference on Educational Multimedia, Hypermedia & Telecommunications. June, 30 - July, 4, 2008, Austria, Vienna.

  13. Clean Development Mechanism PDD Guidebook: Navigating the Pitfalls; 2. ed.

    Energy Technology Data Exchange (ETDEWEB)

    2008-04-15

    This guidebook is designed to help readers navigate the pitfalls of preparing a Project Design Document (PDD) for Clean Development Mechanism (CDM) projects. This second edition also aims at helping project developers to navigate the pitfalls of preparing a Monitoring Report and be better prepared to face the verification process. The purpose of a PDD is to prepare project information for relevant stakeholders. These stakeholders include the investment community, the Designated Operating Entity (DOE) performing validation of the project, the CDM Executive Board (EB), the Designated National Authorities (DNA) of the involved countries and the local population. The PDD, together with the validation report and the approval letter of the DNA, are the basis for the registration of the project and its recognition as a credible CDM project. The PDD is about the project's design--that is, how the project intends to reduce greenhouse gas (GHG) emissions below those levels that would otherwise have been emitted1. Each and every CDM project is unique, from the project design to the application of even the simplest baseline methodology. Some of the projects submitted for validation may be very efficient in reducing emissions and score well in terms of economic, social and environmental benefits, but may still not qualify as CDM projects. Experience has shown that the information needed to judge the suitability of a project for the CDM is vast and can take months to assemble. Also, the time required to assemble relevant information increases with the number and diversity of stakeholders involved and the complexity of the information itself. The objective of the verification of emissions reduction is the review and ex post determination of the monitored emission reductions that have occurred during a specified verification period. The verification is about the project's reality--that is, how the project has been implemented as described in the registered PDD and is

  14. Trasporti ed energia: strategie di pianificazione in ambito urbano

    Directory of Open Access Journals (Sweden)

    Ilaria Delponte

    2012-04-01

    gas emissions, energy consumption to comefrom renewable resources and primary energy use.It turns out to be necessary a revision of existing management andplanning tools in the field of mobility and the engagement of newmethodologies (monitoring indicators, campaign for citizens’involvement, dynamic and temporal use of infrastructures, etc. andtechnologies (biofuels, electric vehicles, etc. to support LocalAdministration during a transitional moment in which long and shorttermdevelopment plans are strongly questioned.The more interesting strategic tool recently introduced into LA landplanning practices is the “Action Plan”.Starting from the identification of environmental, social and economicalweaknesses and treats of the urban system the “Action Plan” tries toindividuate critical situations and propose, as a kind of agenda, timesand modalities of LA actions.Being strongly involved in these items, the city of Genoa turns to bea meaningful case study.

  15. Patient-centered transfer process for patients admitted through the ED boosts satisfaction, improves safety.

    Science.gov (United States)

    2013-02-01

    To improve safety and patient flow, administrators at Hallmark Health System, based in Melrose, MA, implemented a new patient-centered transfer process for patients admitted through the ED at the health system's two hospitals. Under the new approach, inpatient nurses come down to the ED to take reports on new patients in a process that includes the ED care team as well as family members. The inpatient nurses then accompany the patients up to their designated floors. Since the new patient-transfer process was implemented in June 2012, patient satisfaction has increased by at least one point on patient satisfaction surveys. Administrators anticipate that medical errors or omissions related to the handoff process will show a drop of at least 50%, when data is tabulated.

  16. "Etica ed Estetica sono tutt’uno" Riflessioni su TLP 6.421

    Directory of Open Access Journals (Sweden)

    Gabriele Tomasi

    2011-01-01

    Full Text Available Per il primo Wittgenstein etica ed estetica erano tutt’uno. Scopo del saggio è fornire un’interpretazione di questa concezione. Esaminando il modo in cui è proposta nel Tractatus e considerando alcune annotazioni dei Quaderni 1914-1916 si evidenzia che l’unità di etica ed estetica è in un modo di vedere il mondo per cui esso non appare come fonte di limitazione. L’etica è un’estensione al mondo - alla vita - della capacità di conferire significato che nell’arte si realizza nei riguardi di oggetti particolari. Affermando l’unità di etica ed estetica Wittgenstein attira l’attenzione sul fatto che la radice dell’etica è in un certo modo di vedere le cose, in un atteggiamento verso la vita. Si tratta della prospettiva di un valore non connesso a come il mondo è e che è evocato dalla meraviglia per l’esistenza del mondo.

  17. Impact of 40 years of technology advances on EDS system performance.

    Science.gov (United States)

    McCarthy, Jon; Friel, John; Camus, Patrick

    2009-12-01

    The rapid advance and falling costs of computing power and data storage during the last 40 years have greatly enhanced the data reduction speed and analytical capacity of energy dispersive spectroscopy (EDS) systems. At the same time, the solid state X-ray detector [until recently, the Si(Li) diode] has seen performance increases due to the use of advanced materials and processing techniques. In addition, the performance of the electronic components (field effect transistor, preamp, and pulse processor) of an EDS system has been constantly improved. These technology advances have resulted in improved spectral quality, excellent light element detection, and increased count rate performance. The results have been truly remarkable and driven by the needs of the analyst. This article will summarize the progress made in these areas in the last 40 years and make a brief reference to prospects for future development in EDS system performance.

  18. Benzodiazepine-opioid co-prescribing in a national probability sample of ED encounters.

    Science.gov (United States)

    Kim, Howard S; McCarthy, Danielle M; Mark Courtney, D; Lank, Patrick M; Lambert, Bruce L

    2017-03-01

    Benzodiazepine-opioid combination therapy is potentially harmful due to the risk of synergistic respiratory depression, and the rate of death due to benzodiazepine-opioid overdose is increasing. Little is known about the prevalence and characteristics of benzodiazepine-opioid co-prescribing from the ED setting. Secondary analysis of data from the National Hospital Ambulatory Medical Care Survey, using sample weights to generate population estimates. The primary objective was to describe the annual prevalence of benzodiazepine-opioid co-prescribing from 2006 to 2012, using 95% confidence intervals (95% CI) to compare adjacent years. The secondary objective was to compare characteristics of ED encounters receiving a benzodiazepine-opioid co-prescription versus those receiving an opioid prescription alone, using a multivariable logistic regression. The prevalence of benzodiazepine-opioid co-prescribing did not significantly change from 2006 to 2012. During this period, 2.7% (95% CI: 2.5-2.8%) of ED encounters prescribed an opioid were also prescribed a benzodiazepine. Relative to encounters receiving an opioid prescription alone, encounters receiving a co-prescription were more likely to represent a follow-up rather than initial visit (Odds Ratio [OR] 1.52), receive more medications (OR 1.41) and fewer procedures (OR 0.48) while in the ED, and more likely to have a diagnosis related to mental disorder (OR 20.60) or musculoskeletal problem (OR 3.71). From 2006 to 2012, almost 3% of all ED encounters receiving an opioid prescription also received a benzodiazepine co-prescription. The odds of benzodiazepine-opioid co-prescribing were significantly higher in ED encounters representing a follow-up visit and in diagnoses relating to a mental disorder or musculoskeletal problem. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Multidisciplinary intervention decreases the use of opioid medication discharge packs from 2 urban EDs.

    Science.gov (United States)

    Gugelmann, Hallam; Shofer, Frances S; Meisel, Zachary F; Perrone, Jeanmarie

    2013-09-01

    Prescription opioid overdoses and deaths constitute a public health epidemic, and recent studies show that emergency department (ED) prescribers may contribute to this crisis. We hypothesized that a multidisciplinary educational intervention would decrease ED opioid packs dispensed at discharge. This prospective study implemented a "bundle" of interdisciplinary educational modalities: lectures, journal clubs, case discussions, and an electronic medical record decision support tool. Implementation occurred in 2 urban EDs in the same health system at different times ("affiliate," September 2011; "primary," January 2012) to better distinguish its effects. The primary outcome was preintervention/postintervention change in opioid discharge packs dispensed to all patients treated and discharged through August 2012 and was assessed by 2-way analysis of variance. The secondary outcome was bivariate analysis (using Fisher exact test) of change in opioid dispensing among patients with known risk factors for prescription opioid dependence: age less than 65 years, history of substance abuse, chronic pain, or psychiatric disorders. A total of 71,512 and 45,746 patients were evaluated and discharged from primary and affiliate EDs, respectively. Orders for opioid discharge packs decreased from 13.9% to 8.4% and 4.7% to 1.9% at the primary and affiliate hospitals (P opioid dependence at the primary ED decreased from 21.8% to 13.9%. A staged, multidisciplinary intervention targeting nurses, residents, nurse practitioners, and attending physicians was associated with decreased orders for opioid discharge packs in 2 urban EDs. Opioid discharge pack orders decreased slightly more among patients with risk factors for prescription opioid dependence. © 2013.

  20. PopED lite: An optimal design software for preclinical pharmacokinetic and pharmacodynamic studies.

    Science.gov (United States)

    Aoki, Yasunori; Sundqvist, Monika; Hooker, Andrew C; Gennemark, Peter

    2016-04-01

    Optimal experimental design approaches are seldom used in preclinical drug discovery. The objective is to develop an optimal design software tool specifically designed for preclinical applications in order to increase the efficiency of drug discovery in vivo studies. Several realistic experimental design case studies were collected and many preclinical experimental teams were consulted to determine the design goal of the software tool. The tool obtains an optimized experimental design by solving a constrained optimization problem, where each experimental design is evaluated using some function of the Fisher Information Matrix. The software was implemented in C++ using the Qt framework to assure a responsive user-software interaction through a rich graphical user interface, and at the same time, achieving the desired computational speed. In addition, a discrete global optimization algorithm was developed and implemented. The software design goals were simplicity, speed and intuition. Based on these design goals, we have developed the publicly available software PopED lite (http://www.bluetree.me/PopED_lite). Optimization computation was on average, over 14 test problems, 30 times faster in PopED lite compared to an already existing optimal design software tool. PopED lite is now used in real drug discovery projects and a few of these case studies are presented in this paper. PopED lite is designed to be simple, fast and intuitive. Simple, to give many users access to basic optimal design calculations. Fast, to fit a short design-execution cycle and allow interactive experimental design (test one design, discuss proposed design, test another design, etc). Intuitive, so that the input to and output from the software tool can easily be understood by users without knowledge of the theory of optimal design. In this way, PopED lite is highly useful in practice and complements existing tools. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  1. Macrofauna edáfica asociada con sistemas agroforestales en la Amazonía Colombiana

    OpenAIRE

    Juan Carlos Suárez Salazar; Ervin Humprey Duran Bautista; Gelber Rosas Patiño

    2015-01-01

    La densidad, riqueza y diversidad de la macrofauna edáfica son afectadas, entre otros factores, por la configuración de los agroecosistemas y la estacionalidad de la precipitación. Con el fin de evaluar estos efectos en mayo y noviembre de 2011, correspondientes a épocas de máxima y mínima precipitación, respectivamente, se realizaron estudios sobre la composición de la macrofauna edáfica asociada con los arreglos agroforestales ubicados en el Centro de Investigaciones Macagual Cesar Augusto ...

  2. Warning: are you prepared to lose your ED after a natural disaster?

    Science.gov (United States)

    2001-10-01

    Natural catastrophes that can lead to loss of the ED itself are often overlooked in disaster plans and drills. Plans should address evacuation of patients, including transportation and equipment to take, and drills should include these scenarios. You should have alternatives to cope with loss of power and communications, such as oxygen-powered backup generators. To prepare for a deluge of individuals coming to the ED after a disaster, decide how to utilize volunteers, and limit access by using disaster identification vests. New Environment of Care standards from the Joint Commission on Accreditation of Healthcare Organizations require you to perform a hazard and vulnerability analysis.

  3. Planning a brand new ED? Study up on acoustics, air quality, and patient wish-lists.

    Science.gov (United States)

    2012-01-01

    Hospitals planning to construct new EDs have a golden opportunity to integrate designs and materials that can please both patients and providers. Experts say attention to acoustics, privacy, and air quality can lower stress levels and boost satisfaction. Further, designs that prioritize efficient work flows get high marks from providers. Experts advise hospital leaders to get considerable input from patients before designing a new ED facility. Privacy, quiet, and a connection to nature are top priorities for patients. Use design to enhance patient flow.

  4. G. L. Castelli, principe di Torremuzza, numismatico ed antichista ad Halaesa Archonidea

    Directory of Open Access Journals (Sweden)

    Antonino Crisà

    2009-05-01

    Full Text Available G. L. Castelli (1727-1792, principe di Torremuzza, fu uno dei massimi esponenti dell’antiquaria siciliana del XVIII secolo. Questo contributo esamina l’attività di ricerca di Castelli, interessato alla monetazione ed alle evidenze archeologiche di Halaesa Archonidea, oggi identificata nei pressi di Tusa (ME. È proposta un’analisi degli scritti di Castelli inerenti queste tematiche, valutandone criticamente l’importanza secondo le istanze della ricerca antiquaria. Certamente è emerso il profilo di un antichista dai poliedrici interessi, da considerarsi il fondatore degli studi numismatici ed archeologici moderni dell’antica Halaesa.

  5. Is your ED a medical department or a business? Survey says...both.

    Science.gov (United States)

    2009-07-01

    Taking a solid business-like approach to the management of your ED involves--but is certainly not limited to--getting a handle on revenues and expenses. Here are a few strategies some ED managers say help them run a tighter, and better, ship: Have a clinical audit specialist review charts, and have a clerical person "check the checker." Use a "cultural fit" interview with prospective staff members to ensure you're on the same page when it comes to service. Develop a charge structure with numerical values for clinical activities and services, to help ensure optimal reimbursement.

  6. SEM, EDS, PL and absorbance study of CdTe thin films grown by CSS method

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez-Torres, M.E.; Silva-Gonzalez, R.; Gracia-Jimenez, J.M. [Instituto de Fisica, BUAP, Apdo. Postal J-48, San Manuel, 72570 Puebla, Pue. (Mexico); Casarrubias-Segura, G. [CIE- UNAM, 62580 Temixco, Morelos (Mexico)

    2006-09-22

    Oxygen-doped CdTe films were grown on conducting glass substrates by the close spaced sublimation (CSS) method and characterized using SEM, EDS, photoluminescence (PL) and absorbance. A significant change in the polycrystalline morphology is observed when the oxygen proportion is increased in the deposition atmosphere. The EDS analysis showed that all samples are nonstoichiometric with excess Te. The PL spectra show emission bands associated with Te vacancies (V{sub Te}), whose intensities decrease as the oxygen proportion in the CSS chamber is increased. The oxygen impurities occupy Te vacancies and modify the surfaces states, improving the nonradiative process. (author)

  7. Exploring the association of urban or rural county status and environmental, nutrition- and lifestyle-related resources with the efficacy of SNAP-Ed (Supplemental Nutrition Assistance Program-Education) to improve food security.

    Science.gov (United States)

    Rivera, Rebecca L; Dunne, Jennifer; Maulding, Melissa K; Wang, Qi; Savaiano, Dennis A; Nickols-Richardson, Sharon M; Eicher-Miller, Heather A

    2017-12-04

    To investigate the association of policy, systems and environmental factors with improvement in household food security among low-income Indiana households with children after a Supplemental Nutrition Assistance Program-Education (SNAP-Ed) direct nutrition education intervention. Household food security scores measured by the eighteen-item US Household Food Security Survey Module in a longitudinal randomized and controlled SNAP-Ed intervention study conducted from August 2013 to April 2015 were the response variable. Metrics to quantify environmental factors including classification of urban or rural county status; the number of SNAP-authorized stores, food pantries and recreational facilities; average fair market housing rental price; and natural amenity rank were collected from government websites and data sets covering the years 2012-2016 and used as covariates in mixed multiple linear regression modelling. Thirty-seven Indiana counties, USA, 2012-2016. SNAP-Ed eligible adults from households with children (n 328). None of the environmental factors investigated were significantly associated with changes in household food security in this exploratory study. SNAP-Ed improves food security regardless of urban or rural location or the environmental factors investigated. Expansion of SNAP-Ed in rural areas may support food access among the low-income population and reduce the prevalence of food insecurity in rural compared with urban areas. Further investigation into policy, systems and environmental factors of the Social Ecological Model are warranted to better understand their relationship with direct SNAP-Ed and their impact on diet-related behaviours and food security.

  8. Society and Social Power

    Directory of Open Access Journals (Sweden)

    Janani Harish

    2014-10-01

    Full Text Available Society is the source of immense power. Over the past few centuries humanity has record­ed phenomenal growth in its collective capacity for accomplishment, as reflected in the 12-fold growth in global per capita income since 1800. The remarkable achievements in living standards, longevity, science, technology, industry, education, democracy, human rights, peace and global governance are the result of the exponential development of the capacity of society to harness human energies and convert them into social power for productive purposes. Today, humanity possesses the power and capabilities needed to fully meet the multi-dimensional challenges confronting global society. The source of this energy is people. Human energy is transformed into social power by the increasing reach, frequency and complexity of human relationships. Society is a complex living network of organized relationships between people. Its power issues from channelizing our collective energies in productive ways by means of organizing principles such as coordination, systems, specialization of function, hierarchy of authority, and integration. This immense social power remains largely underutilized. Social science needs to evolve a comprehensive, trans-disciplinary understanding of the roots of social power and the process by which it is generated, distributed and applied. This knowledge is the essential foundation for formulating effective social policies capable of eradicating forever persistent poverty, unemployment and social inequality. This article is based on a series of lectures delivered by the author in the WAAS-WUC course on “Toward a Trans-disciplinary Science of Society” at Dubrovnik on September 1-3, 2014. It traces the development of social power in different fields to show that human and social capital are inexhaustible in potential. The more we harness them, the more they grow. Unleashing, directing, channeling and converting human potential into social

  9. Where health and welfare meet: social deprivation among patients in the emergency department.

    Science.gov (United States)

    Gordon, J A; Chudnofsky, C R; Hayward, R A

    2001-03-01

    As a safety net provider for many disadvantaged Americans, the emergency department (ED) may be an efficient site not only for providing acute medical care, but also for addressing serious social needs. To characterize the social needs of ED patients, and to evaluate whether the most disadvantaged patients have connections with the health and welfare system outside the ED. Cross-sectional survey conducted over 24 hours in the fall of 1997. Three EDs: an urban public teaching hospital, a suburban university hospital, and a semirural community hospital. Consecutive patients presenting for care, including those transported by ambulance. The survey response rate was 91% (N = 300; urban = 115, suburban = 102, rural = 83). Index of socioeconomic deprivation described by the US Census Bureau (based on food, housing, and utilities). Of all ED patients, 31% reported one or more serious social deprivations. For example, 13% of urban patients reported not having enough food to eat, and 9% of rural patients reported disconnection of their gas or electricity (US population averages both less than 3%). While 40% of all patients had no consistent health care outside the ED (networks. Community efforts to address serious social deprivation should include partnerships with the local ED.

  10. The Social Appearance Anxiety Scale in Italian Adolescent Populations: Construct Validation and Group Discrimination in Community and Clinical Eating Disorders Samples.

    Science.gov (United States)

    Dakanalis, Antonios; Carrà, Giuseppe; Calogero, Rachel; Zanetti, M Assunta; Volpato, Chiara; Riva, Giuseppe; Clerici, Massimo; Cipresso, Pietro

    2016-02-01

    Anxiety in situations where one's overall appearance (including body shape) may be negatively evaluated is hypothesized to play a central role in Eating Disorders (EDs) and in their co-occurrence with Social Anxiety Disorder (SAD). Three studies were conducted among community (N = 1995) and clinical (N = 703) ED samples of 11- to 18-year-old Italian girls and boys to (a) evaluate the psychometric qualities and measurement equivalence/invariance (ME/I) of the Social Appearance Anxiety (SAA) Scale (SAAS) and (b) determine to what extent SAA or other situational domains of social anxiety related to EDs distinguish adolescents with an ED only from those with SAD. Results upheld the one-factor structure and ME/I of the SAAS across samples, gender, age categories, and diagnostic status (i.e., ED participants with and without comorbid SAD). The SAAS demonstrated high internal consistency and 3-week test-retest reliability. The strength of the inter-relationships between SAAS and measures of body image, teasing about appearance, ED symptoms, depression, social anxiety, avoidance, and distress, as well as the ability of SAAS to discriminate community adolescents with high and low levels of ED symptoms and community participants from ED participants provided construct validity evidence. Only SAA strongly differentiated adolescents with any ED from those with comorbid SAD (23.2 %). Latent mean comparisons across all study groups were performed and discussed.

  11. AB162. Is it feasible to apply a new concept of erectile dysfunction syndrome (EDS) in clinical practice?

    OpenAIRE

    Chen, Jun; Zhang, Bin; Wen, Jiaming

    2014-01-01

    How to understand the erectile function? How to define erectile dysfunction? In general, erectile function is evaluated by the quality of penile erection. If penis shows good erection, we think erectile function is normal. Otherwise, erectile dysfunction occurs. This concept is reflected in the definition of erectile dysfunction (ED). ED is defined as the persistent inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. From the definition of ED, it...

  12. The Role of Social Work in Providing Mental Health Services and Care Coordination in an Urban Trauma Center Emergency Department.

    Science.gov (United States)

    Moore, Megan; Whiteside, Lauren K; Dotolo, Danae; Wang, Jin; Ho, Leyna; Conley, Bonnie; Forrester, Mollie; Fouts, Susan O; Vavilala, Monica S; Zatzick, Douglas F

    2016-12-01

    This study examined the role of emergency department (ED) social workers and identified predictors of receipt of social work services and length of ED stay. Comprehensive reviews were conducted of medical records of all patients (N=49,354) treated in a level 1 trauma center ED from January 1, 2012, to March 31, 2013. Content analysis of chart notes was used to categorize the types of social work services provided. Poisson regression was used to assess associations between demographic and clinical characteristics, receipt of social work services, and length of ED stay. Social work services were provided to 18,532 (38%) patients. Most were mental health services (54%), followed by care coordination (31%) and material support or other referrals (15%). Patients seen by social workers had complex presentations, involving mental disorder diagnoses (18%), substance use disorder diagnoses (29%), comorbid diagnoses (32%), and injuries (51%); a quarter of patients had multiple ED visits (26%). In adjusted regression analysis, females (relative risk [RR]=1.15), patients not discharged home (RR=1.44), and those with two or more comorbid diagnoses (RR=1.80), injuries due to assault (RR=1.37), and traumatic brain injury (RR=1.20) were more likely to receive social work services. Such services were associated with an increased length of ED stay (RR=1.34). Social workers provided services to patients with multifaceted needs resulting from complex presentations. Provision of social work services modestly increased length of ED stay. Triage algorithms are needed to target efficiencies, systematize provision of ED social work services, and improve access to services for all patients.

  13. A Patient with Splenic Artery Aneurysm Rupture and the Importance of Rapid Sonography in the ED

    Directory of Open Access Journals (Sweden)

    Masayuki Iyanaga

    2010-01-01

    Full Text Available We report a case of a splenic artery aneurysm rupture presenting with shock which required timely embolization therapy. This case demonstrates how the rapid use of bedside ultrasound by emergency department (ED physicians can help identify the cause of shock and, therefore, initiate appropriate treatment quickly even if the cause is rare, as in this case.

  14. Energy dispersive X-ray fluorescent (ED XRF) analyzer X-Art for investigation of artworks

    Science.gov (United States)

    Serebryakov, A. S.; Demchenko, E. L.; Koudryashov, V. I.; Sokolov, A. D.

    2004-01-01

    A novel compact ED XRF analyzer based on Si(Li) detector is developed for the attribution of artworks. Approbation of the instrument in two leading museums in Moscow and St. Petersburg showed that the chemical elements in the range from Mg to Pb can be determined in the artworks simultaneosely in the open air.

  15. Massively Open Online Course for Educators (MOOC-Ed) Network Dataset

    Science.gov (United States)

    Kellogg, Shaun; Edelmann, Achim

    2015-01-01

    This paper presents the Massively Open Online Course for Educators (MOOC-Ed) network dataset. It entails information on two online communication networks resulting from two consecutive offerings of the MOOC called "The Digital Learning Transition in K-12 Schools" in spring and fall 2013. The courses were offered to educators from the USA…

  16. ReEDS-Mexico: A Capacity Expansion Model of the Mexican Power System

    Energy Technology Data Exchange (ETDEWEB)

    Ho, Jonathan L [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Cole, Wesley J [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Spyrou, Evangelia [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-09-29

    This report documents the ReEDS-Mexico capacity expansion model, which is an extension of the ReEDS model to the Mexican power system. In recent years Mexico’s power sector has undergone considerable reform that has significant potential to impact the future electricity mix (Alpizar–Castro and Rodríguez–Monroy 2016). Day-ahead and real-time trading in Mexico’s power markets opened in early 2016. In addition to this reform, Mexico is striving to ensure that 35% of its electricity is generated from clean energy sources by 2024, 40% by 2035, and 50% by 2050 (Presidencia de la República 2016). These rapid changes in both the market and the generation mix create a need for robust tools that can help electricity sector stakeholders make informed decisions. The purpose of this report is to document the extension of the National Renewable Energy Laboratory’s (NREL’s) Regional Energy Deployment System (ReEDS) model (Eurek et al. 2016) to cover the Mexico power system. This extension, which we will refer to throughout this paper as ReEDS-Mexico, provides a model of the Mexico power sector using a system-wide, least-cost optimization framework.

  17. From fruit flies to fallout: Ed Lewis and his science1

    Indian Academy of Sciences (India)

    Administrator

    during the Depression, his father somehow managed to come up with funds to buy Ed a silver flute. He played in the High School Orchestra and the Wilkes-. Barre Symphony, beginning his tertiary education at. Bucknell College on a music scholarship. Howard D. Lipshitz. Journal of Genetics, Vol. 83, No. 2, August 2004 ...

  18. Developing a Culture of Learning around the edTPA: One University's Journey

    Science.gov (United States)

    Miller, Matthew; Carroll, David; Jancic, Mitchell; Markworth, Kimberly

    2015-01-01

    In this article, we discuss how an interdisciplinary faculty team at a midsized public university created supports for the Teacher Performance Assessment (edTPA), a high-stakes performance assessment for preservice candidates being adopted by many states. We provide a general description of our work in contending with the challenge of developing a…

  19. Global variables and identified hadrons in the PHENIX experiment

    Indian Academy of Sciences (India)

    PHENIX measurements related to global variables and identified hadrons are discussed. These include two-pion correlations, elliptic flow, and dN=dη. Measurements of event-by-event fluctuations in mean transverse momentum, mean transverse energy, and net charge are presented for particles within the PHENIX ...

  20. Problemi di fisica meccanica e termologia, ottica ed elettricità

    CERN Document Server

    Foglia, C

    1962-01-01

    Equazioni dimensionali ed unità di misura ; elementi di calcolo vettoriale ; cinematica ; dinamica ; fenomeni ondulatori ; meccanica dei fluidi ; termologia ; elettrostatica ; la corrente elettrica nei conduttori ohmici e non ohmici ; elettromagnetismo e correnti alternate ; equazioni di Maxwell e onde elettromagntiche ; ottica geometrica ; interferenza e diffrazione della luce ; polarizzazione della luce ; applicazioni elementari della teoria degli errori.

  1. APA Reporting Standards in Quantitative Research Dissertations from an Online EdD Program

    Science.gov (United States)

    Salgado, Griselle

    2013-01-01

    This study was an investigation of the reporting practices in dissertations with quantitative research designs produced by students enrolled in an online Doctor of Education (EdD) program, one that follows the American Psychological Association (APA) standards for reporting research. Limited, empirical information exists about the competencies in…

  2. (M.Ed.) students' experiences of part-time study: A South African

    African Journals Online (AJOL)

    This article reports on a study of how a group of first year M.Ed. students in the Faculty of Education of the University of KwaZulu-Natal experienced part-time study. Literature suggests that each year, South Africa suffers significant student departures from universities without completing their studies. Apart from the cost and ...

  3. Bike Ed '77: A Conference Report (Washington, D.C., May 4-6, 1977).

    Science.gov (United States)

    Johnson (Lawrence) and Associates, Inc., Washington, DC.

    As a result of intensified need for sound safety education programs for both young and mature bicyclists due to the dramatic increase in bicycling as a form of transportation and recreation, the first national conference on bicyclist safety education was held--Bike Ed '77. Major purposes of the conference were to stimulate communication among…

  4. J. Crush and D.A. McDonald. (eds). 2002. Transnationalism and ...

    African Journals Online (AJOL)

    J. Crush and D.A. McDonald. (eds). 2002. Transnationalism and New African Immigration to South Africa. Cape Town. Southern African Migration Project and the Canadian Association of African Studies. IV + 188 pp. ISBN 0-88911-926-0.

  5. A Comparative SEM-EDS Elemental Composition of Mud in Coastal ...

    African Journals Online (AJOL)

    The present study was aimed to understand the comparative abundance and source of elemental constituents in mud of four coastal shrimp farming areas, Vunh Tau (VT), Nha Trang (NT), Da Nang (DN) and Hue (HU) in Viet Nam using SEM-EDS analysis. Mud samples were collected from shrimp farming coastal zones ...

  6. 09 | 26 | organic.html 3 | chemistry | resources | sci ed | initiat | Indian ...

    Indian Academy of Sciences (India)

    Home; initiat; sci ed; resources; chemistry; organic.html 3; 26; 09. 404! error. The page your are looking for can not be found! Please check the link or use the navigation bar at the top. YouTube · Twitter · Facebook · Blog. Academy News. IAS Logo. Good Governance: Contribution of Vigilance · Vigilance Awareness Talk

  7. WORK-ED. (World of Related Knowledge and Educational Development). A Manual for Trainers.

    Science.gov (United States)

    Fraleigh, Virginia A.

    This manual is designed to assist personnel responsible for training teachers in the implementation of the World of Related Knowledge and Educational Development (WORK-ED). (The program is a career education course for ninth graders developed to enable students who have not chosen the traditional college-prep high school course to make career…

  8. Work-Ed. A Guide to the Changing World of Work.

    Science.gov (United States)

    Fraleigh, Virginia A.

    A description of the project, its development process, evaluation results, and exportability are included in this overview of WORK-ED (World of Related Knowledge and Educational Development), a program to provide ninth grade students both basic skills in communication and exposure to twelve career clusters. Introductory sections describe the…

  9. Impact of Curricular Reforms on Educational Philosophy Courses in M.Ed Programmes

    Science.gov (United States)

    Gafoor, K. Abdul; Remia, K. R.

    2014-01-01

    In the context of Vision of Teacher Education envisaged in National Curriculum Framework for Teacher Education, this study probes "Do M.Ed programmes provide for the prerequisites of educational philosophy for teacher educators?" and "whether the syllabi following credit and non credit pattern vary in their coverage of content of…

  10. A bimodal tomographic reconstruction technique combining EDS-STEM and HAADF-STEM

    NARCIS (Netherlands)

    Z. Zhong (Zhichao); B. Goris (Bart); Schoenmakers, R. (Remco); S. Bals (Sara); K.J. Batenburg (Joost)

    2017-01-01

    textabstractA three-dimensional (3D) chemical characterization of nanomaterials can be obtained using tomography based on high angle annular dark field (HAADF) scanning transmission electron microscopy (STEM) or energy dispersive X-ray spectroscopy (EDS) STEM. These two complementary techniques have

  11. EFNEP and SNAP-Ed Initial Paraprofessional Training Materials and Methods

    Science.gov (United States)

    Byington, Charlene; Baker, Susan

    2012-01-01

    Western Region EFNEP coordinators were frustrated by the apparent lack of materials available for training newly hired paraprofessional nutrition educators. An on-line survey was distributed to all EFNEP and SNAP-Ed state coordinators seeking details about initial training and available materials and requesting copies of materials for review.…

  12. An Analysis of Professional Practice Ed.D. Dissertations in Educational Technology

    Science.gov (United States)

    Dawson, Kara; Kumar, Swapna

    2014-01-01

    The University of Florida offers an online professional practice Ed.D. focused on Educational Technology. Twenty-three students have completed professional practice dissertations and graduated since the program's inception in 2008. The purpose of this article is to share what these dissertations have looked like and to begin a dialogue about…

  13. Syncope prevalence in the ED compared to general practice and population: a strong selection process

    NARCIS (Netherlands)

    Olde Nordkamp, Louise R. A.; van Dijk, Nynke; Ganzeboom, Karin S.; Reitsma, Johannes B.; Luitse, Jan S. K.; Dekker, Lukas R. C.; Shen, Win-Kuang; Wieling, Wouter

    2009-01-01

    Objective: We assessed the prevalence and distribution of the different causes of transient loss of consciousness (TLOC) in the emergency department (ED) and chest pain unit (CPU) and estimated the proportion of persons with syncope in the general population who seek medical attention from either

  14. Communicative Learning Outcomes and World Language edTPA: Characteristics of High-Scoring Portfolios

    Science.gov (United States)

    Swanson, Pete; Hildebrandt, Susan A.

    2017-01-01

    Teacher accountability continues to be at the forefront of educational policy in the United States, with the current focus on the Outcomes of K-12 teaching and teacher education (Cochran-Smith 2000). edTPA, a high-stakes assessment used in many states to make licensure or certification decisions, purports to measure those content-specific…

  15. Introducing the Collaborative E-Learning Design Method (CoED)

    DEFF Research Database (Denmark)

    Ryberg, Thomas; Buus, Lillian; Nyvang, Tom

    2015-01-01

    In this chapter, a specific learning design method is introduced and explained, namely the Collaborative E-learning Design method (CoED), which has been developed through various projects in “e-Learning Lab – Centre for User Driven Innovation, Learning and Design” (Nyvang & Georgsen, 2007). We br...

  16. Book review: Robert Leckey (ed. After Legal Equality: Family, Sex, Kinship

    Directory of Open Access Journals (Sweden)

    Pawel Drągowski

    2015-12-01

    Full Text Available Book review: Robert Leckey (ed. After Legal Equality: Family, Sex, Kinship. Abingdon: Oxon; New York, NY: Routledge, 2015, pp. 224, ISBN 978-0-415-72161-5 £85DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=2707055

  17. Children's Productions of the Affix -"ed" in Past Tense and Past Participle Contexts

    Science.gov (United States)

    Redmond, Sean M.

    2003-01-01

    Children's productions of the affix -"ed" in past tense and past participle contexts (e.g., "the boy kicked the ball" vs. "the ball was kicked") were examined in spontaneous conversations and elicited productions. The performances of 7 children with specific language impairment (SLI) were compared with those of 2 control groups of typically…

  18. Identified hadron production in $\\sqrt {s}= 130$ GeV Au–Au ...

    Indian Academy of Sciences (India)

    ... Pramana – Journal of Physics; Volume 60; Issue 5. Identified hadron production in s = 130 GeV Au–Au collisions at relativistic heavy-ion collider. Julia Velkovska. Volume 60 Issue 5 May 2003 pp 1011-1015 ... Author Affiliations. Julia Velkovska1. Brookhaven National Laboratory, Bldg. 510C, Upton, NY 11973, USA ...

  19. Modified Berlekamp—Massey algorithm 243 of examples illustrate ...

    Indian Academy of Sciences (India)

    white noise' sequence. 2. Modified recursive form of the Berlekamp-Massey algorithm. We are here interested in modelling data as the impulse response of a discrete linear. filter, the objective being to obtain a minimal representation by such a ...

  20. Viirastuslikud Sinimäed. Mõtteid Raimo Jõeranna filmi ainetel / Rein Ruutsoo

    Index Scriptorium Estoniae

    Ruutsoo, Rein, 1947-

    2006-01-01

    6-osalise ajaloodokumentaalide sarja "Kuum külm sõda" teist filmi "Sinimäed" : stsenaristid Kiur Aarma, Mart Laar, Eerik-Niiles Kross, Raimo Jõerand : režissöör Raimo Jõerand : Ruut Pictures 2006

  1. MobilED: a mobile tools and services platform for formal and informal learning

    CSIR Research Space (South Africa)

    Ford, M

    2009-03-01

    Full Text Available MobilED is a South African initiative aimed at designing teaching and learning environments that are meaningfully enhanced with mobile technologies and services. The deliverables are the development of a set of scenarios and guidelines on how mobile...

  2. Cross-sectional analysis of fouled SWRO membranes by STEM-EDS

    KAUST Repository

    Aubry, Cyril

    2014-01-01

    The intact cross-section of two fouled reverse osmosis membranes was characterized using a scanning transmission electron microscope (STEM) equipped with an electron energy dispersive spectroscope (EDS). Focused ion beam (FIB) was used to prepare a thin lamella of each membrane. These lamellas were then attached to a TEM grid for further STEM/EDS analysis. The foulant in sample A was mainly inorganic in nature and predominantly composed of alumino-silicate particles. These particles were surrounded by carbon at high concentrations, indicating the presence of organic materials. Iron was diffusely present in the cake layer and this could have enhanced the fouling process. The cake layer of membrane B was mainly consisted of organic matter (C, O, and N representing 95% of the total elemental composition) and organized in thin parallel layers. Small concentrations of Si, F, Na, Mg, and Cl were detected inside the active layer and support layer of the membrane. Due to the high sensitivity of the cake layer of membrane A to the electron beam, STEM/EDS line analyses might have been performed on large areas. On the other hand, the cake layer of sample B was resistant to the electron beam and the resolution of STEM/EDS was gradually improved until obtaining a resolution of 25. nm. © 2013 Elsevier B.V.

  3. The use of open source electronic medical records in an urban ED in Kumasi-Ghana

    Directory of Open Access Journals (Sweden)

    P.K. Forson*

    2013-12-01

    Conclusion: Open source medical records may be the most appropriate and cost-effective software to adapt for keeping patient records electronically in a low resource setting. Further studies need to be conducted to demonstrate how EMR may affect the pace of work in the ED.

  4. Inside the Sex Ed Studio: An Interview with Susan N. Wilson

    Science.gov (United States)

    Taverner, William J.

    2007-01-01

    "Inside the Sex Ed Studio" profiles leaders in the field of sexuality education. Susan N. Wilson, former Executive Coordinator of the Network for Family Life Education, long-time advocate for sexuality education, and the driving force behind New Jersey's K-12 mandate for comprehensive sexuality education was the first such leader to be…

  5. The role of plain radiographs in patients with acute abdominal pain at the ED

    NARCIS (Netherlands)

    Randen, A. van; Lameris, W.; Luitse, J.S.; Gorzeman, M.; Hesselink, E.J.; Dolmans, D.E.; Peringa, J.; Geloven, A.A. van; Bossuyt, P.M.; Stoker, J.; Boermeester, M.A.; Gooszen, H.G.

    2011-01-01

    OBJECTIVE: The purpose of this study was to evaluate the added value of plain radiographs on top of clinical assessment in unselected patients presenting with acute abdominal pain at the emergency department (ED). METHODS: In a multicenter prospective trial, patients with abdominal pain more than 2

  6. The role of plain radiographs in patients with acute abdominal pain at the ED

    NARCIS (Netherlands)

    van Randen, Adrienne; Lameris, Wytze; Luitse, Jan S. K.; Gorzeman, Michiel; Hesselink, Erik J.; Dolmans, Dennis E. J. G. J.; Peringa, Jan; van Geloven, Anna A. W.; Bossuyt, Patrick M.; Stoker, Jaap; Boermeester, Marja A.

    Objective: The purpose of this study was to evaluate the added value of plain radiographs on top of clinical assessment in unselected patients presenting with acute abdominal pain at the emergency department (ED). Methods: In a multicenter prospective trial, patients with abdominal pain more than 2

  7. Systematic Review of ED-based Intimate Partner Violence Intervention Research

    Directory of Open Access Journals (Sweden)

    Esther K. Choo,

    2015-12-01

    Full Text Available Introduction: Assessment reactivity may be a factor in the modest results of brief interventions for substance use in the emergency department (ED. The presence of assessment reactivity in studies of interventions for intimate partner violence (IPV has not been studied. Our objectives were to identify ED IPV intervention studies and evaluate the presence of a consistently positive effect on the control groups. Methods: We performed a systematic search of electronic databases for English=language intervention studies addressing IPV in the ED published since 1990. Study selection and assessment of methodologic quality were performed by two independent reviewers. Data extraction was performed by one reviewer and then independently checked for completeness and accuracy by a second reviewer. Results: Of 3,620 unique manuscripts identified by database search, 667 underwent abstract review and 12 underwent full-text review. Only three met full eligibility criteria; data on the control arm were available for two studies. In these two studies, IPV-related outcomes improved for both the experimental and control condition. Conclusion: The paucity of controlled trials of IPV precluded a robust evaluation for assessment reactivity. This study highlighted a critical gap in ED research on IPV.

  8. Next Generation Science Standards and edTPA: Evidence of Science and Engineering Practices

    Science.gov (United States)

    Brownstein, Erica M.; Horvath, Larry

    2016-01-01

    Science teacher educators in the United States are currently preparing future science teachers to effectively implement the "Next Generation Science Standards" (NGSS) and, in thirteen states, to successfully pass a content-specific high stakes teacher performance assessment, the edTPA. Science education and teacher performance assessment…

  9. Using Ontological Engineering to Overcome AI-ED Problems: Contribution, Impact and Perspectives

    Science.gov (United States)

    Mizoguchi, Riichiro; Bourdeau, Jacqueline

    2016-01-01

    This article reflects on the ontology engineering methodology discussed by the paper entitled "Using Ontological Engineering to Overcome AI-ED Problems" published in this journal in 2000. We discuss the achievements obtained in the last 10 years, the impact of our work as well as recent trends and perspectives in ontology engineering for…

  10. Exploring personality clusters among parents of ED subjects. Relationship with parents' psychopathology, attachment, and family dynamics.

    Science.gov (United States)

    Amianto, Federico; Daga, Giovanni Abbate; Bertorello, Antonella; Fassino, Secondo

    2013-10-01

    Eating disorders are some of the most difficult mental disorders to treat and manage. Family interacts with genetic dispositions and other pathogenic factors, and may influence the outburst, development and outcome of EDs. The present study explores with a cluster analysis the personality traits of parents of ED subjects. One-hundred-eight mothers and 104 fathers were tested with Temperament Character Inventory (TCI), Eating Disorder Inventory-2 (EDI-2), State-Trait Anger Expression Inventory (STAX), Family Assessment Device (FAD), Attachment Style Questionnaire (ASQ), Symptom Questionnaire (SQ), Psychological Well-Being scales (PWB). The cluster distribution of parents based on personality traits was explored. Parents' clusters TCI scores were compared as regards personality, psychopathology, attachment and family features. Cross distribution of temperament and character clusters in mothers and fathers, among couples and ED diagnoses of the daughters was explored. Two clusters of mothers and fathers were identified with temperament clustering. Character traits led to two mothers and three fathers clusters. Mothers temperament cluster 1 (MTC1) correspond to a explosive/adventurous profile, MTC2 to a cautious/passive-dependent profile. Fathers temperament cluster 1 (FTC1) was explosive/methodic, FTC2 was independent/methodic. Character clustering distinguished very immature mothers (MCC1) and majority (65%) of character mature mothers with low self-transcendence (MCC2). A third of fathers was severely immature (FCC1), a third impaired as regards relationships (poor cooperativeness and self-transcendence; FCC2), and one third character mature fathers with low self-transcendence (FCC3). Each cluster evidences specific psychopathology and attachment characteristics. FTC1 was more frequently associated with character immaturity. No significant clusters' cross correlation was found in parental couples. Parents' clusters analyze in depth the univocal picture of

  11. Tackling causes and costs of ED presentation for American football injuries: a population-level study.

    Science.gov (United States)

    Smart, Blair J; Haring, R Sterling; Asemota, Anthony O; Scott, John W; Canner, Joseph K; Nejim, Besma J; George, Benjamin P; Alsulaim, Hatim; Kirsch, Thomas D; Schneider, Eric B

    2016-07-01

    American tackle football is the most popular high-energy impact sport in the United States, with approximately 9 million participants competing annually. Previous epidemiologic studies of football-related injuries have generally focused on specific geographic areas or pediatric age groups. Our study sought to examine patient characteristics and outcomes, including hospital charges, among athletes presenting for emergency department (ED) treatment of football-related injury across all age groups in a large nationally representative data set. Patients presenting for ED treatment of injuries sustained playing American tackle football (identified using International Classification of Diseases, Ninth Revision, Clinical Modification code E007.0) from 2010 to 2011 were studied in the Nationwide Emergency Department Sample. Patient-specific injuries were identified using the primary International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis code and categorized by type and anatomical region. Standard descriptive methods examined patient demographics, diagnosis categories, and ED and inpatient outcomes and charges. During the study period 397363 football players presented for ED treatment, 95.8% of whom were male. Sprains/strains (25.6%), limb fractures (20.7%), and head injuries (including traumatic brain injury; 17.5%) represented the most presenting injuries. Overall, 97.9% of patients underwent routine ED discharge with 1.1% admitted directly and fewer than 11 patients in the 2-year study period dying prior to discharge. The proportion of admitted patients who required surgical interventions was 15.7%, of which 89.9% were orthopedic, 4.7% neurologic, and 2.6% abdominal. Among individuals admitted to inpatient care, mean hospital length of stay was 2.4days (95% confidence interval, 2.2-2.6) and 95.6% underwent routine discharge home. The mean total charge for all patients was $1941 (95% confidence interval, $1890-$1992) with substantial

  12. Progress of the BT-EdF-CEA project. The lithium polymer battery; Avancees du projet BT-EdF-CEA. Batterie lithium polymere

    Energy Technology Data Exchange (ETDEWEB)

    Marginedes, D.; Majastre, H. [Bollore Technologies, 29 - Quimper (France); Baudry, P.; Lascaud, S. [Electricite de France, 77 - Moret sur Loing (France). Direction des Etudes et Recherches; Bloch, D.; Lebrun, N. [CEA Grenoble, CEREM, 38 (France)

    1996-12-31

    The lithium-polymer energy storage technology requires the production of thin films of huge surface. The BT-EdF-CEA consortium has studied the various manufacturing techniques of these films and their assembly. The process was chosen according to its productivity, low expensiveness, ecological impact and energy performances with capacities reaching 40 Ah. This paper explains: the objectives and specifications of the project, the advantage of the consortium and the role of the different partners, the results (coating, dry extrusion and battery element manufacturing techniques), and the electrochemical performances of the elements. (J.S.)

  13. Torrefied Biomass Pellets—Comparing Grindability in Different Laboratory Mills

    Directory of Open Access Journals (Sweden)

    Jan Hari Arti Khalsa

    2016-10-01

    Full Text Available The firing and co-firing of biomass in pulverized coal fired power plants around the world is expected to increase in the coming years. Torrefaction may prove to be a suitable way of upgrading biomass for such an application. For transport and storage purposes, the torrefied biomass will tend to be in pellet form. Whilst standard methods for the assessment of the milling characteristics of coal exist, this is not the case for torrefied materials—whether in pellet form or not. The grindability of the fuel directly impacts the overall efficiency of the combustion process and as such it is an important parameter. In the present study, the grindability of different torrefied biomass pellets was tested in three different laboratory mill types; cutting mill (CM, hammer mill (HM and impact mill (IM. The specific grinding energy (SGE required for a defined mass throughput of pellets in each mill was measured and results were compared to other pellet characterization methods (e.g., durability, and hardness as well as the modified Hardgrove Index. Seven different torrefied biomass pellets including willow, pine, beech, poplar, spruce, forest residue and straw were used as feedstock. On average, the particle-size distribution width (across all feedstock was narrowest for the IM (0.41 mm, followed by the HM (0.51 mm and widest for the CM (0.62 mm. Regarding the SGE, the IM consumed on average 8.23 Wh/kg while CM and HM consumed 5.15 and 5.24 Wh/kg, respectively. From the three mills compared in this study, the IM seems better fit for being used in a standardized method that could be developed in the future, e.g., as an ISO standard.

  14. Is scanning electron microscopy/energy dispersive X-ray spectrometry (SEM/EDS) quantitative?

    Science.gov (United States)

    Newbury, Dale E; Ritchie, Nicholas W M

    2013-01-01

    Scanning electron microscopy/energy dispersive X-ray spectrometry (SEM/EDS) is a widely applied elemental microanalysis method capable of identifying and quantifying all elements in the periodic table except H, He, and Li. By following the "k-ratio" (unknown/standard) measurement protocol development for electron-excited wavelength dispersive spectrometry (WDS), SEM/EDS can achieve accuracy and precision equivalent to WDS and at substantially lower electron dose, even when severe X-ray peak overlaps occur, provided sufficient counts are recorded. Achieving this level of performance is now much more practical with the advent of the high-throughput silicon drift detector energy dispersive X-ray spectrometer (SDD-EDS). However, three measurement issues continue to diminish the impact of SEM/EDS: (1) In the qualitative analysis (i.e., element identification) that must precede quantitative analysis, at least some current and many legacy software systems are vulnerable to occasional misidentification of major constituent peaks, with the frequency of misidentifications rising significantly for minor and trace constituents. (2) The use of standardless analysis, which is subject to much broader systematic errors, leads to quantitative results that, while useful, do not have sufficient accuracy to solve critical problems, e.g. determining the formula of a compound. (3) EDS spectrometers have such a large volume of acceptance that apparently credible spectra can be obtained from specimens with complex topography that introduce uncontrolled geometric factors that modify X-ray generation and propagation, resulting in very large systematic errors, often a factor of ten or more. © Wiley Periodicals, Inc.

  15. The Phosphodiesterase 5-Inhibitors (PDE-5i) for ERECTILE DYSFUNCTION (ED): A Therapeutic Challenge For Psychiatrists.

    Science.gov (United States)

    Koon, Chong Siew; Sidi, Hatta; Kumar, Jaya; Das, Srijit; Xi, Ong Wan; Hatta, Muhammad Hizri; Alfonso, Cesar

    2017-02-15

    Erectile function (EF) is a prerequisite for satisfactory sexual intercourse (SI) and central to male sexual functioning. Satisfactory SI eventually leads to orgasm - a biopsychophysiological state of euphoria - leading to a sense of bliss, enjoyment and positive mental well being. For a psychiatrist, treating ED is self-propelled to harmonize these pleasurable experiences alongside with encouragement of physical wellness and sensuality. Hence, the role of PDE-5i is pivotal in the context of treating ED constitutes a therapeutic challenge. PDE-5i work via the dopaminergic-oxytocin-nitric oxide pathway by increasing the availability of endothelial's guanosine monophosphate (GMP), immediately causing relaxation of the penile smooth muscle and an erection. The PDE-5i, like sildenafil, vardenafil and tadalafil, are effective in the treatment of ED with some benefits and disadvantages compared to other treatment modalities. Prescribed PDE-5i exclusively improve EF, fostering male's self-confidence and self-esteem. Treatment failures are associated with factors such as absent (or insufficient) sexual stimulation, psychosexual conflicts and the co-existence of medical disorders. Managing ED requires dealing with underlying medical diseases, addressing other co-morbid sexual dysfunctions like premature ejaculation (PE), and educating the patient on healthy life-styles beside being cautious with the potential side-effects and drug-drug interactions. Furthermore, by dealing with interpersonal dynamics within the couple and embracing adequate lifestyles (managing stress and revising one's sexual scripts), PDE-5i treatment benefits may be enhanced. In this review, we propose a holistic conceptual framework approach for psychiatric management of patients with ED. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  16. Ed Couzens

    African Journals Online (AJOL)

    MJM Venter

    users – human beings, for a daily needs component, and the environment itself – became the only "priority ... Stewart and Horsten argue that "South Africa is one of the few jurisdictions in the world that provides for an ... ruling on payment for water services in Mazibuko, questions related to access to water will continue to ...

  17. The impact of social support on the risk of eating disorders in women exposed to intimate partner violence.

    Science.gov (United States)

    Schirk, Dana K; Lehman, Erik B; Perry, Amanda N; Ornstein, Rollyn M; McCall-Hosenfeld, Jennifer S

    2015-01-01

    Eating disorders (EDs) are often found among women exposed to intimate partner violence (IPV). The role of social support (SS) as a protective factor against ED among IPV-exposed women is not firmly established. The objective of this study is to determine the distribution of risk of EDs among women exposed to IPV and to examine the impact of SS on risk of ED among IPV-exposed women. Women (aged 18-64 years) exposed to IPV during their lifetimes (defined by the Humiliation-Afraid-Rape-Kick instrument) were recruited from primary care and domestic violence service agencies and surveyed on demographics, mood/anxiety disorders, psychosocial/community factors, and strategies used in response to IPV. The Eating Disorder Screen for Primary Care assessed the risk of ED. A modified Medical Outcomes Study Social Support Survey assessed overall functional support (scale range: 0-32; categorized into quartiles). Ordinal logistic regression examined the risk of ED based on SS, controlling for prespecified demographics (age, race/ethnicity, marital status, near-poverty level), and health-related factors significant in bivariate analyses (risky alcohol use). Among 302 women with lifetime IPV, 41 (14%) were at high risk, 127 (42%) were at moderate risk, and 134 (44%) were at low risk of an ED. In bivariate analyses, high risk of an ED was significantly more frequent among women with a low SS score (protect against ED by reducing anxiety and promoting positive actions, but further study is needed to confirm this.

  18. Energy drinks consumption in Italian adolescents: preliminary data of social, psychological and behavioral features.

    Science.gov (United States)

    Cofini, Vincenza; Cecilia, Maria R; DI Giacomo, Dina; Binkin, Nancy; DI Orio, Ferdinando

    2016-06-08

    To investigate the prevalence of energy drink (ED) consumption and the associations with social, psychological and behavioral features among an Italian adolescent sample. A cross-sectional prevalence study of 450 Italian adolescents attending middle school was conducted. The Italian versions of the European Food Safety Authority's adolescent Energy Drinks Questionnaire and of the Depression and Anxiety in Youth Scale (DAYS) were administered to evaluate ED use and its psychological correlates. Odds ratios (OR) with 95% confidence intervals (CI) were calculated using a logistic model to estimate the associations between ED consumption and socio-demographic characteristics, psychological factors and risky behaviors. The prevalence of ED consumers was 57%, of whom 49% used alcohol mixed with ED. A total of 9% exhibited high chronic consumption, 31% average chronic consumption and 8% high acute consumption. Males were significantly more likely to use ED (OR:2.7, 95%CI: 1.8-4.0, p=0.00) and to engage in high acute consumption (OR:4.0, 95%CI: 1.1-13.8, p=0.03). Regular smoking was associated with ED use (OR:3.4, 95%CI: 1.2-9.1, p=0.02). No relationship was observed between ED use and depression (OR:1.6, 95%CI: 0.9-3.0, p=0.10) and anxiety (OR:0.8, 95%CI: 0.5-1.4, p=0.44), although those who were depressed with a suggestive but not statistically significant increased risk of acute ED use (OR: 2.7, 95%CI: 1.0-7.4, p=0.06). The prevalence of ED consumption among middle school Italian students was high and it was associated with another risky behavior, smoking, but not with anxiety or depression. About half of ED consumers used alcohol mixed with ED.

  19. Social Information Processing and Group-Induced Response Shifts

    Science.gov (United States)

    1984-01-01

    Berkowitz (Ed.), Advances in experimental social psychology , 1978, 11, 145-195. I , Moscovici , S., & Zavolloni, M. The group as a polarizer of...reported in the SIP (management) literature, uses the tradi- tional repeated measures design of the group polarization studies in the social psychological ...attitude change in group discussion. Journal of Personality and Social Psychology , 1976, 34, 210-222. Billig, M., & Cochrane, R. Judgments of

  20. 48 CFR 3432.770 - Prohibition against the use of ED funds to influence legislation or appropriations.

    Science.gov (United States)

    2010-10-01

    ... use of ED funds to influence legislation or appropriations. 3432.770 Section 3432.770 Federal... legislation or appropriations. The contracting officer shall insert the clause at 3452.232-70, Prohibition Against the Use of ED Funds to Influence Legislation or Appropriations, in contracts with educational...

  1. 48 CFR 3452.232-70 - Prohibition against the use of ED funds to influence legislation or appropriations.

    Science.gov (United States)

    2010-10-01

    ... use of ED funds to influence legislation or appropriations. 3452.232-70 Section 3452.232-70 Federal... funds to influence legislation or appropriations. The following clause is to be used in accordance with 3432.770: Prohibition Against the Use of ED Funds To Influence Legislation or Appropriations (APR 1987...

  2. Disruption of the Arabidopsis Defense Regulator Genes SAG101, EDS1, and PAD4 Confers Enhanced Freezing Tolerance.

    Science.gov (United States)

    Chen, Qin-Fang; Xu, Le; Tan, Wei-Juan; Chen, Liang; Qi, Hua; Xie, Li-Juan; Chen, Mo-Xian; Liu, Bin-Yi; Yu, Lu-Jun; Yao, Nan; Zhang, Jian-Hua; Shu, Wensheng; Xiao, Shi

    2015-10-05

    In Arabidopsis, three lipase-like regulators, SAG101, EDS1, and PAD4, act downstream of resistance protein-associated defense signaling. Although the roles of SAG101, EDS1, and PAD4 in biotic stress have been extensively studied, little is known about their functions in plant responses to abiotic stresses. Here, we show that SAG101, EDS1, and PAD4 are involved in the regulation of freezing tolerance in Arabidopsis. With or without cold acclimation, the sag101, eds1, and pad4 single mutants, as well as their double mutants, exhibited similarly enhanced tolerance to freezing temperatures. Upon cold exposure, the sag101, eds1, and pad4 mutants showed increased transcript levels of C-REPEAT/DRE BINDING FACTORs and their regulons compared with the wild type. Moreover, freezing-induced cell death and accumulation of hydrogen peroxide were ameliorated in sag101, eds1, and pad4 mutants. The sag101, eds1, and pad4 mutants had much lower salicylic acid (SA) and diacylglycerol (DAG) contents than the wild type, and exogenous application of SA and DAG compromised the freezing tolerance of the mutants. Furthermore, SA suppressed the cold-induced expression of DGATs and DGKs in the wild-type leaves. These findings indicate that SAG101, EDS1, and PAD4 are involved in the freezing response in Arabidopsis, at least in part, by modulating the homeostasis of SA and DAG. Copyright © 2015 The Author. Published by Elsevier Inc. All rights reserved.

  3. Effectiveness of Mutual Learning Approach in the Academic Achievement of B.Ed Students in Learning Optional II English

    Science.gov (United States)

    Arulselvi, Evangelin

    2013-01-01

    The present study aims at finding out the effectiveness of Mutual learning approach over the conventional method in learning English optional II among B.Ed students. The randomized pre-test, post test, control group and experimental group design was employed. The B.Ed students of the same college formed the control and experimental groups. Each…

  4. Communication and Influencing for ED Professionals: A training programme developed in the emergency department for the emergency department.

    Science.gov (United States)

    Rixon, Andrew; Rixon, Sascha; Addae-Bosomprah, Hansel; Ding, Mingshuang; Bell, Anthony

    2016-08-01

    The objective of the present study is to develop and pilot a communication and influencing skills training programme that meets ED health professionals' needs at an urban district hospital. Qualitative methods within a participatory action research framework were utilised. An interdisciplinary team guided the programme's design and development. A training needs analysis saw team meetings, interviews, focus groups and observations conducted across the ED. Thematic analysis of the data identified health professionals' communication and influencing challenges. The training needs analysis informed the training programme curriculum's development. The pilot programme involved an interdisciplinary group of seven health professionals across 5 × 2 h sessions over 3 months, followed by a post-training survey. Five themes of communication and influencing challenges were identified: participating in effective handovers, involving patients in bedside handovers, effectively communicating with interdepartmental colleagues, asking ED colleagues to do tasks and understanding ED colleagues' roles, expectations and assumptions. Based on these challenges, the formulated RESPECT model (which stands for Relationships, Expectations, Styles, Partnerships, Enquiry, Coaching and Teamwork) informed the training curriculum. The peer coaching model used in the training programme was highly regarded by participants. Communication and Influencing for ED Professionals™ (Babel Fish Group Pty Ltd, Melbourne, Victoria, Australia) addresses a gap for communication programmes developed in the ED for the ED. Future research will evaluate the programme's impact in this ED. © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  5. Higher Ed Meets Public Ed.

    Science.gov (United States)

    Olenick, Mary Jo

    1996-01-01

    The University of Connecticut is revitalizing the Avery Point campus with two new buildings. A Marine Sciences and Technology Center will serve graduate and undergraduate students. A separate Marine Sciences Field Station/Hostel will house Project Oceanology: a science program for students in grades 5-12. (MLF)

  6. Social Network Analysis: Applied Tool to Enhance Effective Collaboration between Child Protection Organisations by Revealing and Strengthening Work Relationships

    National Research Council Canada - National Science Library

    Beáta Dávid

    2013-01-01

    .... The qualitative approach was complemented by social network analysis. Revealing the mechanism based on the actors' perception on how the child protection network operates, we identifi ed and named the strengths and weaknesses of its structure...

  7. Using Google Flu Trends data in forecasting influenza-like-illness related ED visits in Omaha, Nebraska.

    Science.gov (United States)

    Araz, Ozgur M; Bentley, Dan; Muelleman, Robert L

    2014-09-01

    Emergency department (ED) visits increase during the influenza seasons. It is essential to identify statistically significant correlates in order to develop an accurate forecasting model for ED visits. Forecasting influenza-like-illness (ILI)-related ED visits can significantly help in developing robust resource management strategies at the EDs. We first performed correlation analyses to understand temporal correlations between several predictors of ILI-related ED visits. We used the data available for Douglas County, the biggest county in Nebraska, for Omaha, the biggest city in the state, and for a major hospital in Omaha. The data set included total and positive influenza test results from the hospital (ie, Antigen rapid (Ag) and Respiratory Syncytial Virus Infection (RSV) tests); an Internet-based influenza surveillance system data, that is, Google Flu Trends, for both Nebraska and Omaha; total ED visits in Douglas County attributable to ILI; and ILI surveillance network data for Douglas County and Nebraska as the predictors and data for the hospital's ILI-related ED visits as the dependent variable. We used Seasonal Autoregressive Integrated Moving Average and Holt Winters methods with3 linear regression models to forecast ILI-related ED visits at the hospital and evaluated model performances by comparing the root means square errors (RMSEs). Because of strong positive correlations with ILI-related ED visits between 2008 and 2012, we validated the use of Google Flu Trends data as a predictor in an ED influenza surveillance tool. Of the 5 forecasting models we have tested, linear regression models performed significantly better when Google Flu Trends data were included as a predictor. Regression models including Google Flu Trends data as a predictor variable have lower RMSE, and the lowest is achieved when all other variables are also included in the model in our forecasting experiments for the first 5 weeks of 2013 (with RMSE = 57.61). Google Flu Trends data

  8. Experiences of patients with acute abdominal pain in the ED or acute surgical ward --a qualitative comparative study

    DEFF Research Database (Denmark)

    Schultz, Helen; Qvist, Niels; Backer Mogensen, Christian

    2013-01-01

    The Danish health care system is currently establishing emergency departments (EDs) with an observation unit nationwide. The aim of the study was to investigate patients with acute abdominal pain and their experiences upon arrival and stay in an acute surgical ward (ASW) versus an ED with an obse......The Danish health care system is currently establishing emergency departments (EDs) with an observation unit nationwide. The aim of the study was to investigate patients with acute abdominal pain and their experiences upon arrival and stay in an acute surgical ward (ASW) versus an ED...... was that the ED included a multidisciplinary team with nurses, who mainly had interactions with the patients before surgical assessment. In all, it resulted in fragmentation of care and a patient experience of repetition. In ASW, focus was on assessment by a senior physician, only, and the nurses' interaction...

  9. The Possibilities of Network Sociality

    Science.gov (United States)

    Willson, Michele

    Technologically networked social forms are broad, extensive and in demand. The rapid development and growth of web 2.0, or the social web, is evidence of the need and indeed hunger for social connectivity: people are searching for many and varied ways of enacting being-together. However, the ways in which we think of, research and write about network(ed) sociality are relatively recent and arguably restricted, warranting further critique and development. This article attempts to do several things: it raises questions about the types of sociality enacted in contemporary techno-society; critically explores the notion of the networked individual and the focus on the individual evident in much of the technology and sociality literature and asks questions about the place of the social in these discussions. It argues for a more well-balanced and multilevelled approach to questions of sociality in networked societies. The article starts from the position that possibilities enabled/afforded by the technologies we have in place have an effect upon the ways in which we understand being in the world together and our possible actions and futures. These possibilities are more than simply supplementary; in many ways they are transformative. The ways in which we grapple with these questions reveals as much about our understandings of sociality as it does about the technologies themselves.

  10. The NOURISHED randomised controlled trial comparing mentalisation-based treatment for eating disorders (MBT-ED) with specialist supportive clinical management (SSCM-ED) for patients with eating disorders and symptoms of borderline personality disorder.

    Science.gov (United States)

    Robinson, Paul; Hellier, Jennifer; Barrett, Barbara; Barzdaitiene, Daiva; Bateman, Anthony; Bogaardt, Alexandra; Clare, Ajay; Somers, Nadia; O'Callaghan, Aine; Goldsmith, Kimberley; Kern, Nikola; Schmidt, Ulrike; Morando, Sara; Ouellet-Courtois, Catherine; Roberts, Alice; Skårderud, Finn; Fonagy, Peter

    2016-11-17

    In this multi-centre randomized controlled trial (RCT) we compared modified mentalisation-based treatment (MBT-ED) to specialist supportive clinical management (SSCM-ED) in patients with eating disorders (EDs) and borderline personality disorder symptoms (BPD). This group of patients presents complex challenges to clinical services, and a treatment which addresses their multiple problems has the potential to improve outcome. MBT has been shown to be effective in improving outcome in patients with BPD, but its use has not been reported in ED. Sixty-eight eligible participants were randomised to MBT-ED or SSCM-ED. The primary outcome measure was the global score on the Eating Disorder Examination. Secondary outcomes included measures of BPD symptoms (the Zanarini Rating Scale for Borderline Personality Disorder), general psychiatric state, quality of life and service utilisation. Participants were assessed at baseline and at 6, 12 and 18 months after randomisation. Analysis was performed using linear mixed models. Only 15 participants (22 %) completed the 18 month follow-up. Early drop-out occurred significantly more in the SSCM-ED group. Drop-out did not vary with treatment model later in therapy and was sometimes attributed to participants moving away. There was higher drop--out amongst smokers and those with higher neuroticism scores. 47.1 % of participants in the MBT-ED arm and 37.1 % in the SSCM-ED arm attended at least 50 % of therapy sessions offered. Amongst those remaining in the trial, at 12 and 18 months MBT-ED was associated with a greater reduction in Shape Concern and Weight Concern in the Eating Disorder Examination compared to SSCM-ED. At 6, 12 and 18 months there was a decline of ED and BPD symptoms in both groups combined. Ten participants were reported as having had adverse events during the trial, mostly self-harm, and there was one death, attributed as 'unexplained' by the coroner. The high drop-out rate made interpretation of the results

  11. Investigation of Detectability of Elementary Composition of Rainbow trout muscle with EDS (Energy Dispersive Spectroscopy Method

    Directory of Open Access Journals (Sweden)

    Saltuk Buğrahan CEYHUN

    2017-06-01

    Full Text Available In present study, it is investigated that detectability of elementary composition of rainbow trout muscle using Energy Dispersive Spectroscopy (EDS. EDS system which has worked with attached to scanning electron microscope can do qualitative and semi-quantitative elementary analyses on selected region of sample using characteristic X-rays. For this purpose, it was performed four point and two mapping analyses from four samples. According to results, it was detected 13 elements which are consist of C, N and O in 87.70 percentage. As a result, although the method is sensitive and reliable, it is concluded that not adequate for elemental analysis alone but can be used as a support for analyzes with systems such as especially atomic absorption and ICP-MS.

  12. Social Anxiety Disorder (Social Phobia)

    Science.gov (United States)

    Social anxiety disorder (social phobia) Overview It's normal to feel nervous in some social situations. For example, going ... feeling of butterflies in your stomach. But in social anxiety disorder, also called social phobia, everyday interactions cause ...

  13. "Head käed" tõid Berlinalelt auhinna / Tiit Tuumalu

    Index Scriptorium Estoniae

    Tuumalu, Tiit, 1971-

    2002-01-01

    Berliini 52. filmifestivali tulemustest. Festivali "Panorama Special" kavas olnud Peeter Simmi "Head käed" saavutas hea publikuedu ning jagas sloveenlase Maja Weiss'i filmiga "Piirivalvur" Manfred Salzgeberi auhinda, mis on mõeldud subtiitrite tegemiseks filmi levitamisel euroopa ekraanidele. Kuldkaru jagasid briti Paul Greengrassi "Verine pühapäev" ja jaapanlase Hayao Miyazaki animafilm "Vaimudest viidud". Parima režissööri Hõbekaru sai Otar Ioseliani

  14. Dym, J. y K. Offen (eds.: 2011, Mapping Latin America. A Cartographic Reader

    Directory of Open Access Journals (Sweden)

    Ricardo A. Fagoaga Hernández

    2013-07-01

    Full Text Available Dym, J. y K. Offen (eds.: 2011, Mapping Latin America. A Cartographic Reader, The University of Chicago Press, Chicago/London, xix+338 p., 131 illustrations, ISBN-13: 978-0-226-61821-0; ISBN-10: 0-226-61821-8 (hard cover; ISBN-13: 978-0-226-61822-7, ISBN-10: 0-226-61822-6 (paperback

  15. Emergency Doses (ED) - Revision 3: A calculator code for environmental dose computations

    Energy Technology Data Exchange (ETDEWEB)

    Rittmann, P.D.

    1990-12-01

    The calculator program ED (Emergency Doses) was developed from several HP-41CV calculator programs documented in the report Seven Health Physics Calculator Programs for the HP-41CV, RHO-HS-ST-5P (Rittman 1984). The program was developed to enable estimates of offsite impacts more rapidly and reliably than was possible with the software available for emergency response at that time. The ED - Revision 3, documented in this report, revises the inhalation dose model to match that of ICRP 30, and adds the simple estimates for air concentration downwind from a chemical release. In addition, the method for calculating the Pasquill dispersion parameters was revised to match the GENII code within the limitations of a hand-held calculator (e.g., plume rise and building wake effects are not included). The summary report generator for printed output, which had been present in the code from the original version, was eliminated in Revision 3 to make room for the dispersion model, the chemical release portion, and the methods of looping back to an input menu until there is no further no change. This program runs on the Hewlett-Packard programmable calculators known as the HP-41CV and the HP-41CX. The documentation for ED - Revision 3 includes a guide for users, sample problems, detailed verification tests and results, model descriptions, code description (with program listing), and independent peer review. This software is intended to be used by individuals with some training in the use of air transport models. There are some user inputs that require intelligent application of the model to the actual conditions of the accident. The results calculated using ED - Revision 3 are only correct to the extent allowed by the mathematical models. 9 refs., 36 tabs.

  16. PENGENDALIAN MESIN HOIST HANGER DALAM PROSES PTC/ED MENGGUNAKAN PLC OMRON

    OpenAIRE

    Wahyudi Wahyudi; M. Hasim As’ari

    2012-01-01

    The development of technology demands efficient and work speed, so it needs a system which can handleseveral things.This problem can be covered with PLC (Programmable Logic Control) that can integrateseveral self standing component to be an integrated control system and can be changed the configurationwithout change all instrument. Modify the ladder program can alter system of PLC. This paper showsHoist Hanger system in PTC/ED (Pre Treatment Chemical/Electrocoat Dispotition) process that cont...

  17. TEM EDS analysis of epitaxially-grown self-assembled indium islands

    Directory of Open Access Journals (Sweden)

    Jasmine Sears

    2017-05-01

    Full Text Available Epitaxially-grown self-assembled indium nanostructures, or islands, show promise as nanoantennas. The elemental composition and internal structure of indium islands grown on gallium arsenide are explored using Transmission Electron Microscopy (TEM Energy Dispersive Spectroscopy (EDS. Several sizes of islands are examined, with larger islands exhibiting high (>94% average indium purity and smaller islands containing inhomogeneous gallium and arsenic contamination. These results enable more accurate predictions of indium nanoantenna behavior as a function of growth parameters.

  18. Validating the ABCD(2) Score for predicting stroke risk after transient ischemic attack in the ED.

    Science.gov (United States)

    Ong, Marcus Eng Hock; Chan, Yiong Huak; Lin, Wan Ping; Chung, Wan Ling

    2010-01-01

    The aim of the study was to validate the use of the ABCD(2) score for the prediction of stroke after transient ischemic attack (TIA) in patients presenting to the emergency department (ED). The ABCD(2) scoring is based on 5 factors as follows: age of at least 60 years; blood pressure of at least 140/90 mm Hg; clinical features such as unilateral weakness and speech impairment alone; duration of at least 60 minutes or 10 to 59 minutes; and diabetes. The authors conducted a retrospective observational study of all patients presented to the ED for TIA, as diagnosed by the attending emergency physicians, for a 2-year period. Sensitivity, specificity, and negative predictive value (NPV) were calculated for risk of stroke at 2, 7, 30, and 90 days after presentation. From January 1, 2005, to December 31, 2006, there were 470 patients diagnosed with TIA at the ED. Mean age was 61.0 years (SD, 13.2), with 63.3% males. Age of at least 60 years, unilateral weakness, and duration of at least 60 minutes were found to be significant predictors of stroke at 2 days. An admission rule based on an ABCD(2) score of at least 4 showed sensitivity of 86.4% and NPV of 91.7% for stroke at 7 days. Admission based on a score of at least 3 showed sensitivity of 96.6% and NPV of 96.1%. Admission rate was 69.1% and. 83.6%, respectively. The ABCD(2) rule showed good sensitivity and NPV for stroke at 7 days. However, NPV was not 100%, and there would still be patients being discharged from the ED and returning with a stroke if this cutoff was implemented in our setting.

  19. Representation of Solar Capacity Value in the ReEDS Capacity Expansion Model

    Energy Technology Data Exchange (ETDEWEB)

    Sigrin, B. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Sullivan, P. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Ibanez, E. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Margolis, R. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2014-03-01

    An important issue for electricity system operators is the estimation of renewables' capacity contributions to reliably meeting system demand, or their capacity value. While the capacity value of thermal generation can be estimated easily, assessment of wind and solar requires a more nuanced approach due to the resource variability. Reliability-based methods, particularly assessment of the Effective Load-Carrying Capacity, are considered to be the most robust and widely-accepted techniques for addressing this resource variability. This report compares estimates of solar PV capacity value by the Regional Energy Deployment System (ReEDS) capacity expansion model against two sources. The first comparison is against values published by utilities or other entities for known electrical systems at existing solar penetration levels. The second comparison is against a time-series ELCC simulation tool for high renewable penetration scenarios in the Western Interconnection. Results from the ReEDS model are found to compare well with both comparisons, despite being resolved at a super-hourly temporal resolution. Two results are relevant for other capacity-based models that use a super-hourly resolution to model solar capacity value. First, solar capacity value should not be parameterized as a static value, but must decay with increasing penetration. This is because -- for an afternoon-peaking system -- as solar penetration increases, the system's peak net load shifts to later in the day -- when solar output is lower. Second, long-term planning models should determine system adequacy requirements in each time period in order to approximate LOLP calculations. Within the ReEDS model we resolve these issues by using a capacity value estimate that varies by time-slice. Within each time period the net load and shadow price on ReEDS's planning reserve constraint signals the relative importance of additional firm capacity.

  20. Treating primary headaches in the ED: can droperidol regain its role?

    Science.gov (United States)

    Faine, Brett; Hogrefe, Christopher; Van Heukelom, Jon; Smelser, Jamie

    2012-09-01

    The aim of this study was to describe the use and efficacy of low-dose (≤2 mg) droperidol for the treatment of primary headaches (ie, migraine, cluster, tension-type headache and trigeminal autonomic cephalalgias, and other primary headaches) in the emergency department (ED). A report was generated from a pharmacy database to identify all adult patients who received low-dose droperidol in the ED over a 7-month period; a subsequent retrospective chart review was conducted. Low-dose droperidol was defined as a cumulative dose of ≤2 mg. Patients who received droperidol for any other reason than the treatment of a headache were excluded. Data were analyzed descriptively. Seventy-three cases in which droperidol was administered for the treatment of a headache were identified over the 7-month period. Most doses (92%) administered were 1.25 mg or less. Fifty-three patients (73%) had complete resolution or significant improvement of headache symptoms as subjectively or objectively (eg, numerical pain scale) documented by the treating physician. Eight patients (11%) had minimal improvement in their headaches symptoms; 12 patients (16%) received no relief after the administration of droperidol. The average time to discharge from the ED was 94.8 ± 67.2 minutes. No cardiac arrhythmias were noted. Other adverse events included 2 cases of extrapyramidal side effects; one patient reported restlessness/anxiousness and the other patient had dystonia. The administration of low-dose (≤2 mg) droperidol may be safe and effective for the treatment of primary headaches in the ED. Published by Elsevier Inc.

  1. The accuracy of point-of-care ultrasound to diagnose long bone fractures in the ED.

    Science.gov (United States)

    Waterbrook, Anna L; Adhikari, Srikar; Stolz, Uwe; Adrion, Carrie

    2013-09-01

    To determine the diagnostic accuracy of emergency physician performed point-of care ultrasound (POCUS) for detecting long bone fractures compared to standard radiography. This was a single-blinded, prospective observational study of patients presenting to two emergency departments (ED) with trauma to long bones. The study used a convenience sample of patients seen during the study investigators' scheduled clinical shifts. Patients presenting to the ED with complaints of long bone trauma were included in the study when a study investigator was available in the ED. POCUS examinations of injured long bones were performed using a standard protocol. The investigators documented their interpretation prior to radiographs being performed. After standard radiographs were performed, the final radiology reading by a radiology attending physician was obtained from the medical record. One-hundred six patients were enrolled into the study, and 147 long bone POCUS examinations were performed. Forty-two fractures were present by radiographs and the prevalence of fractures was 29%. The sensitivity was 90.2% (4/41, 95% CI: 76.9-97.3) and specificity was 96.1% (4/102, 95% CI: 90.3-98.9). The positive likelihood ratio was 23.0 (95% CI: 8.8-60.5), and the negative likelihood ratio was 0.102 (95% CI: 0.040, 0.258). The positive predictive value was 90.2% (4/41, 95% CI: 76.9-97.3) and the negative predictive value was 96.1% (4/102, 95% CI: 90.3-98.9). Emergency physicians can accurately evaluate long bone fractures in the ED using POCUS. In particular, long bone fractures can be excluded with a high degree of confidence. © 2013.

  2. DisturbED: A Generalized Framework for Modeling Forest Insects and Pathogens in the Earth System

    Science.gov (United States)

    Matthes, J. H.

    2016-12-01

    Forest insects and pathogens (FIPs) are ubiquitous agents of disturbance that cause major alterations to ecosystem function and billions of dollars in damage annually. Future feedbacks between FIPs, forests, and climate change are not well understood at continental scales, due in part to the absence of the processes modulated by FIPs within Earth System Models (ESMs). To address this challenge, we developed a generalized, globally-scalable framework — DisturbED — in which mechanistic impacts of FIPs on plant physiology are scaled up to ecosystem-level processes so they can be integrated into ESMs. This framework can be used to test a suite of hypotheses concerning the effects of FIPs on forest biogeochemistry, demography, and structure in response to FIPs that vary in their host specificity, timescale and intensity of attack, and sensitivity to climatic change. Both native and invasive FIPs initiate a vast range of ecophysiological responses within individual trees, from slight stress and recovery to rapid mortality. Rather than modeling FIPs as direct agents of mortality, DisturbED couples FIP functional types with changes in individual host plant physiology to simulate resulting changes in ecosystem processes within the Ecosystem Demography (ED) model. This bottom-up modeling framework will allow for investigation of interactions among tree and FIPs physiology; demography and ecosystem dynamics; and their contingency on climatic change.

  3. A new e-learning platform for radiology education (RadEd).

    Science.gov (United States)

    Xiberta, Pau; Boada, Imma

    2016-04-01

    One of the key elements of e-learning platforms is the content provided to the students. Content creation is a time demanding task that requires teachers to prepare material taking into account that it will be accessed on-line. Moreover, the teacher is restricted by the functionalities provided by the e-learning platforms. In contexts such as radiology where images have a key role, the required functionalities are still more specific and difficult to be provided by these platforms. Our purpose is to create a framework to make teacher's tasks easier, specially when he has to deal with contents where images have a main role. In this paper, we present RadEd, a new web-based teaching framework that integrates a smart editor to create case-based exercises that support image interaction such as changing the window width and the grey scale used to render the image, taking measurements on the image, attaching labels to images and selecting parts of the images, amongst others. It also provides functionalities to prepare courses with different topics, exercises and theory material, and also functionalities to control students' work. Different experts have used RadEd and all of them have considered it a very useful and valuable tool to prepare courses where radiological images are the main component. RadEd provides teachers functionalities to prepare more realistic cases and students the ability to make a more specific diagnosis. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  4. CHOICE OF INSTRUCTIONAL MEDIA OF B.ED. STUDENTS OF IGNOU FROM TWO INDIAN METROPOLISES

    Directory of Open Access Journals (Sweden)

    Sutapa BOSE

    2010-10-01

    Full Text Available Indira Gandhi National Open University (IGNOU of India uses multiple media and modes for reaching out to its distant learners. For most of the programmes offered to these learners, print is the master medium and other media supplement it. Instructions for the Bachelor in Education (B.Ed., one of the popular programmes of IGNOU, are also delivered similarly. A survey was undertaken to determine the extent of utilization of instructions provided through various media by the students of B.Ed of two Indian metropolises –Delhi and Kolkata, having high penetration of advanced communication technologies. As the students of B.Ed. happen to be teachers who are supposed to be using ICT for teaching in their schools, the survey aimed to determine whether they were also using ICT for learning. The survey was carried out with a questionnaire with closed and open ended questions. It was found that only print medium was used for learning while the other media of the multimedia package remained mostly unused. The reason for this trend was found to be mainly the perception that the print medium is sufficient for assessment purposes. Suggestions have been made that to utilize the multiple media instructional system, interesting programmes that can hook learners be developed for delivery by electronic media and that gradually ICT may be integrated into the programmes from the present supplementary mode so that complacence in using it is reduced among learners.

  5. Synthesis and characterization of Ce and La modified bismuth titanate

    Directory of Open Access Journals (Sweden)

    Nikolina Pavlović

    2009-06-01

    Full Text Available Bismuth titanate based nanopowders with the different content of La or Ce were synthesized by the modified sol-gel method. After calcination at 600°C, in addition to Aurivillius layered structure, a small quantity of cubic pyrochlore phase was detected in the La modified powders, while this second phase was much more pronounced in the Ce substituted powders. In fact, as the powder with the highest amount of Ce (Bi3CeTi3O12 has the pure pyrochlore phase it seems that the presence of Ce stabilizes the formation of this phase. This different infl uence of cerium and lanthanum could be explained by the incorporation of their ions on the different sites in the titanate structure. Bismuth titanate based ceramics, sintered at 1050°C/2h, had densities above 93% of theoretical density and characteristic plate-like grain morphology. Small quantity of cubic pyrochlore phase was detected only in the Ce modifi ed bismuth titanate ceramics. On the other hand, lanthanum addition caused formation of smaller grain size with pronounced plate-like morphology.

  6. SEM/EDS and optical microscopy analyses of microplastics in ocean trawl and fish guts.

    Science.gov (United States)

    Wang, Zhong-Min; Wagner, Jeff; Ghosal, Sutapa; Bedi, Gagandeep; Wall, Stephen

    2017-12-15

    Microplastic particles from Atlantic and Pacific Ocean trawls, lab-fed fish guts and ocean fish guts have been characterized using optical microscopy and SEM/EDS in terms of size, morphology, and chemistry. We assessed whether these measurements could serve as a rapid screening process for subsequent identification of the likely microplastic candidates by micro-spectroscopy. Optical microscopy enabled morphological classification of the types of particles or fibers present in the sample, as well as the quantification of particle size ranges and fiber lengths. SEM/EDS analysis was used to rule out non-plastic particles and screen the prepared samples for potential microplastic, based on their element signatures and surface characteristics. Chlorinated plastics such as polyvinyl chloride (PVC) could be easily identified with SEM/EDS due to their unique elemental signatures including chlorine, as could mineral species that are falsely identified as plastics by optical microscopy. Particle morphology determined by optical microscopy and SEM suggests the fish ingested particles contained both degradation fragments from larger plastic pieces and also manufactured microplastics. SEM images of microplastic particle surfaces revealed characteristic cracks consistent with environmental exposure, as well as pigment particles consistent with manufactured materials. Most of the microplastic surfaces in the fish guts and ocean trawls were covered with biofilms, radiolarians, and crustaceans. Many of the fish stomachs contained micro-shell pieces which visually resembled microplastics. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. PAs in the ED: do physicians think they increase the malpractice risk?

    Science.gov (United States)

    Gifford, Alisa; Hyde, Mark; Stoehr, James D

    2011-06-01

    This study evaluates emergency physicians' perceptions of the malpractice risk posed by utilization of physician assistants (PAs) in emergency departments (EDs) in 2004 and again in 2009. A 16-question survey was mailed to a random sample of 1,000 active members of the American College of Emergency Physicians in 2004 and again in 2009. In both 2004 and 2009, 70% of the emergency physicians did not believe that PAs, when properly supervised, are more likely to commit malpractice than any other clinician. In both surveys, 80% of the respondents did not believe PAs were more likely to be sued for malpractice. A significant negative correlation was found between perceived risk of malpractice by PAs and the number of years physicians had worked with PAs or had worked in emergency medicine. From 2004 to 2009, the number of respondents practicing with PAs increased by 26%, the number directly supervising a PA in the ED increased by 19%, the number who thought PAs decreased patient wait times increased by 13%, and the number who reported that PAs increased patient satisfaction increased by 10%. As physicians gain clinical experience with PAs, their perceived risk of malpractice tends to decrease. These results may have implications for the utilization of PAs, particularly as EDs become more utilized for noncritical situations.

  8. Application of the TIMI risk score in ED patients with cocaine-associated chest pain.

    Science.gov (United States)

    Chase, Maureen; Brown, Aaron M; Robey, Jennifer L; Zogby, Kara E; Shofer, Frances S; Chmielewski, Lauren; Hollander, Judd E

    2007-11-01

    The TIMI risk score has been validated as a risk stratification tool in emergency department (ED) patients with potential acute coronary syndrome. The goal of this study was to assess its ability to predict adverse cardiovascular outcomes in cocaine-associated chest pain. This was a prospective cohort study of ED patients with chest pain with cocaine use. Data included demographics, medical history, and TIMI risk score. The main outcomes were acute myocardial infarction, revascularization, or death within 30 days of ED presentation. There were 261 patient visits. Patients were 43.2+8 years old, 73% male, 92% black, and 75% smokers. There were 33 patients with the composite outcome. The incidence of 30-day outcomes according to TIMI score is as follows: TIMI 0, 3.7% (95% CI, 0.1-8.3); TIMI 1, 13.2% (5.7-20.7); TIMI 2, 17.1% (4.3-29.8); TIMI 3, 21.4% (4.4-38.4); TIMI 4, 20.0% (0.1-43.6); TIMI 5/6, 50.0% (0.1-100). The TIMI risk score has no clinically useful predictive value in patients with cocaine-associated chest pain.

  9. Mid-term NEAT review: analysing the improvements in hospital ED performance.

    Science.gov (United States)

    Khanna, Sankalp; Boyle, Justin; Good, Norm; Lind, James

    2014-01-01

    Introduced with a promise to reduce overcrowding in the Emergency Department (ED) and the associated morbidity and mortality linked to bed access difficulties, the National Emergency Access Target (NEAT) is now over halfway through transitionary arrangements towards a target of 90% of patients that visit a hospital ED being admitted or discharged within 4 hours. Facilitation and reward funding has ensured hospitals around the country are remodelling workflows to ensure compliance. Recent reports however show that the majority of hospitals are still far from being able to meet this target. We investigate the NEAT journey of 30 Queensland hospitals over the past two years and compare this performance to a previous study that investigated the 4 hour ED discharge performance of these hospitals at various times of day and under varying occupancy conditions. Our findings reveal that, while most hospitals have made significant improvements to their 4 hour discharge performance in 2013, the underlying flow patterns and periods of poor NEAT compliance remain largely unchanged. The work identifies areas for targeted improvement to inform system redesign and workflow planning.

  10. The epidemiology of assault-related hospital in-patient admissions and ED attendances.

    LENUS (Irish Health Repository)

    O'Farrell, A

    2013-03-01

    The aim of this study was to describe the epidemiology and impact of serious assault warranting in-patient care over six years and its impact on ED attendances in a large teaching hospital in Dublin over 2 years. There were 16,079 emergency assault-related inpatient hospital discharges reducing from 60.1 per 100,000 population in 2005 to 50.6 per 100,000 population in 2010. The median length of stay was 1 day (1-466) representing 49,870 bed days. The majority were young males (13,921, 86.6%; median age 26 years). Overall crime figures showed a similar reduction. However, knife crimes did not reduce over this period. Data on ED attendances confirmed the age and gender profile and also showed an increase at weekends. Alcohol misuse was recorded in 2,292\\/16079 (14%) of in-patient cases and 242\\/2484 (10%) in ED attendances. An inter-sectoral preventative approach specifically targeting knife crime is required to reduce this burden on health services.

  11. Representation of the Solar Capacity Value in the ReEDS Capacity Expansion Model: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Sigrin, B.; Sullivan, P.; Ibanez, E.; Margolis, R.

    2014-08-01

    An important emerging issue is the estimation of renewables' contributions to reliably meeting system demand, or their capacity value. While the capacity value of thermal generation can be estimated easily, assessment of wind and solar requires a more nuanced approach due to resource variability. Reliability-based methods, particularly, effective load-carrying capacity (ELCC), are considered to be the most robust techniques for addressing this resource variability. The Regional Energy Deployment System (ReEDS) capacity expansion model and other long-term electricity capacity planning models require an approach to estimating CV for generalized PV and system configurations with low computational and data requirements. In this paper we validate treatment of solar photovoltaic (PV) capacity value by ReEDS capacity expansion model by comparing model results to literature for a range of energy penetration levels. Results from the ReEDS model are found to compare well with both comparisons--despite not being resolved at an hourly scale.

  12. Determination of ED50 and ED95 of 0.5% Ropivacaine in Adductor Canal Block to Produce Quadriceps Weakness: A Dose-Finding Study.

    Science.gov (United States)

    Johnston, David F; Sondekoppam, Rakesh V; Giffin, Robert; Litchfield, Robert; Ganapathy, Sugantha

    Adductor canal block (ACB) is popular for knee analgesia because of its favorable effect on quadriceps strength. The aim of this study was to find the minimum volume of local anesthetic, which can be injected into the ACB that would result in quadriceps weakness. This nonrandomized study used an up-and-down sequential allocation design. Twenty-six patients scheduled to undergo arthroscopic knee surgery received an ultrasound-guided ACB preoperatively. The initial volume of ropivacaine 0.5% injected was 30 mL, which was subsequently increased or decreased by 2 mL, depending on whether the previous subject had a 30% reduction in quadriceps function. The minimum effective volume in 50% of patients was determined using Dixon-Massey up-and-down method. The effective volume in 95% of patients was then calculated using probit transformation. The ED50 (minimum effective anesthetic volume in 50% of the subjects) needed for a 30% decrease in quadriceps power was 46.5 mL (95% confidence interval, 45.01-50.43 mL), and estimated ED95 (minimum effective anesthetic volume in 95% of the subjects) was 50.32 mL (95% confidence interval, 48.66-67.26 mL). The local anesthetic volume injected correlated with degree of quadriceps weakness at 20 minutes postblock (P unit (P = 0.032). Significant quadriceps weakness is unlikely when clinically representative volumes of 0.5% ropivacaine is used for ACB performed using sonographic landmarks. This study was registered at ClinicalTrials.gov, identifier NCT02541552.

  13. Social opdrift - social arv

    DEFF Research Database (Denmark)

    Ejrnæs, Morten; Gabrielsen, G.; Nørrung, Per

    "Social opdrift - social arv" stiller på flere måder spørgsmål ved begrebet social arv. Bogen konkluderer blandt andet, at langt de fleste børn, der opvokser i en socialt belastet familie, bliver velfungerende voksne. Professionelle, der møder socialt belastede familier, har derfor et stort ansvar....... Naturligvis skal der tages hånd om udsatte børn, men det kræver samtidig stor opmærksomhed at sørge for, at fokuseringen på den sociale arv ikke tager overhånd, så det bliver en selvopfyldende profeti."Social opdrift - social" arv viser, hvordan forskningsresultater er blevet fremlagt på en måde, som har...... medvirket til at skabe en skæv opfattelse af, at forældrenes problemer er hovedårsag til børns sociale problemer. I selvstændige analyser vises, hvordan data, der normalt bruges som "bevis" for den sociale arvs betydning, tydeligt illustrerer, at det er en undtagelse, at børn får sociale problemer af samme...

  14. An innovative data collection method for investigating unresolved pain after ED discharge: a pilot study.

    Science.gov (United States)

    Stapleton, Stephen J; Degitz, R Joseph

    2014-11-01

    Research focused on improving the outcome of patients with pain is an important aspect of emergency care, yet little information has been published to quantify pain severity, patient improvement, and return to independent function after ED discharge. Because of the paucity of available clinical data, this pilot study was designed to determine the acceptability and feasibility of using electronic data collection procedures. Specifically, we examined the willingness of discharged ED patients to use portable touch-screen computers as an alternative to traditional "paper and pencil" or telephone data collection methods to report postdischarge pain. Participants in this prospective pilot study all reported acute pain that was unresolved at the time of ED discharge. Descriptive data were self-entered on touch-screen computers at ED discharge and 7 days later in subjects' homes. Participants completed 4 Patient-Reported Outcomes Measurement Information System (PROMIS Network, Silver Spring, MD), questionnaires and the computer acceptability scale (CAS), using the Assessment Center platform program (National Institute of Health, Bethesda, MD) for instrument administration, data storage, and information retrieval. Determinants of study success were willingness of the participants to use touch-screen computers, questionnaire completion time, and completeness of the data. Participants (N = 25) used touch-screen computers to complete 18 questions at the time of ED discharge. The mean completion time was 3.54 (± 1.13) minutes. Participants averaged 5.83 (± 2.00) minutes to complete the follow-up questionnaires. Ninety-two percent of subjects reported that the touch-screen computer was easy to use. We encountered no issues with data management using the Assessment Center platform. Touch-screen computers are a feasible and acceptable approach to collecting information about how patients self-manage unresolved pain after discharge from an emergency department. This methodology

  15. INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis

    Directory of Open Access Journals (Sweden)

    Edoardo Pescatori

    2016-07-01

    Full Text Available Objectives: The Italian Society of Andrology, i.e. “Società Italiana di Andrologia” (S.I.A., launched on December 2014 a prospective, multicenter, monitored and internal review board approved Registry for penile implants, the “INSIST-ED” (Italian Nationwide Systematic Inventarisation of Surgical Treatment for ED Registry. Purpose of this first report is to present a baseline data analysis of the characteristics of penile implant surgery in Italy. Material and methods: The INSIST-ED Registry is open to all surgeons implanting penile prostheses (all brands, all models in Italy, providing anonymous patient, device, surgical procedure, outcome, follow-up data, for both first and revision surgeries. A Registry project Board overviews all the steps of the project, and a Registry Monitor interacts with the Registry implanting surgeons. Results: As by April 8, 2016, 31 implanting surgeons actively joined the Registry, entering 367 surgical procedures in its database, that comprise: 310 first implants, 43 prosthesis substitutions, 14 device explants without substitution. Implanted devices account for: 288 three-component devices (81,3%, 20 two-component devices (5,4%, 45 non-hydraulic devices (12,3%. Leading primary ED etiologies in first implant surgeries resulted: former radical pelvic surgery in 111 cases (35,8%, Peyronie’s disease in 66 cases (21,3%, diabetes in 39 cases (12,6%. Two intraoperative complications have been recorded. Main reasons for 57 revision surgeries were: device failure (52,6%, erosion (19,3%, infection (12,3%, patient dissatisfaction (10,5%. Surgical settings for patients undergoing a first penile implant were: public hospitals in 251 cases (81%, private environments in 59 cases (19%. Conclusions: The INSIST-ED Registry represents the first European experience of penile prosthesis Registry. This baseline data analysis shows that: three-pieces inflatable prosthesis is the most implanted device, leading etiology of

  16. Factors associated with self-reported pain scores among ED patients.

    Science.gov (United States)

    Marco, Catherine A; Nagel, Jacqueline; Klink, Ellen; Baehren, David

    2012-02-01

    Pain is a common presenting complaint among emergency department (ED) patients. The verbal numeric pain scale is commonly used in the ED to assess self-reported pain. This study was undertaken to describe and compare pain scores in a variety of painful conditions and identify factors associated with self-reported pain scores. The study was a prospective, observational, descriptive survey study conducted at an urban university hospital ED. Eligible participants included consenting adults 18 years and older, with an acute painful condition, who spoke English, and were not in severe distress. Through a structured interview, collected data included pain score; diagnosis; medical history; previous painful experiences; and demographic information including age, insurance status, and highest level of education completed. Among 268 eligible participants, 263 (98%) consented and completed the study protocol. Seventy-one percent of participants were 50 years old or younger; 55%, women; and 68%, white. Fifty-four percent had private insurance, and 81%, high school education or higher. The most common chief complaints were soft tissue injury (33%), abdominal pain (18%), and chest pain (13%). The median self-reported pain score was 7/10 (mean, 6.7; interquartile range, 6-9; range, 0-10). The most common previous painful experiences were childbirth (21%), major trauma (18%), and surgery (14%). Participants cited reasons for self-reported pain scores, including current feeling of pain (62%), comparison to previous pain (31%), and comparison to hypothetical pain (12%). The number of previous ED visits was positively correlated with current pain score (Spearman correlation R = 0.28; P associated with the highest pain scores included dental pain (mean pain score, 8.5) and back pain (mean pain score, 7.6). Chief complaints associated with the lowest pain scores included chest pain (mean pain score, 5.2) and other medical conditions (mean pain score, 5.3). Factors associated with

  17. Body-Related Social Comparison and Disordered Eating among Adolescent Females with an Eating Disorder, Depressive Disorder, and Healthy Controls

    Directory of Open Access Journals (Sweden)

    Daniel Le Grange

    2012-09-01

    Full Text Available The purpose of this study was to investigate the association between body-related social comparison (BRSC and eating disorders (EDs by: (a comparing the degree of BRSC in adolescents with an ED, depressive disorder (DD, and no psychiatric history; and (b investigating whether BRSC is associated with ED symptoms after controlling for symptoms of depression and self-esteem. Participants were 75 girls, aged 12–18 (25 per diagnostic group. To assess BRSC, participants reported on a 5-point Likert scale how often they compare their body to others’. Participants also completed a diagnostic interview, Eating Disorders Inventory-2 (EDI-2, Beck Depression Inventory-II (BDI-II, and Rosenberg Self-Esteem Scale (RSE. Compared to adolescents with a DD and healthy adolescents, adolescents with an ED engaged in significantly more BRSC (p ≤ 0.001. Collapsing across groups, BRSC was significantly positively correlated with ED symptoms (p ≤ 0.01, and these associations remained even after controlling for two robust predictors of both ED symptoms and social comparison, namely BDI-II and RSE. In conclusion, BRSC seems to be strongly related to EDs. Treatment for adolescents with an ED may focus on reducing BRSC.

  18. Body-related social comparison and disordered eating among adolescent females with an eating disorder, depressive disorder, and healthy controls.

    Science.gov (United States)

    Hamel, Andrea E; Zaitsoff, Shannon L; Taylor, Andrew; Menna, Rosanne; Le Grange, Daniel

    2012-09-01

    The purpose of this study was to investigate the association between body-related social comparison (BRSC) and eating disorders (EDs) by: (a) comparing the degree of BRSC in adolescents with an ED, depressive disorder (DD), and no psychiatric history; and (b) investigating whether BRSC is associated with ED symptoms after controlling for symptoms of depression and self-esteem. Participants were 75 girls, aged 12-18 (25 per diagnostic group). To assess BRSC, participants reported on a 5-point Likert scale how often they compare their body to others'. Participants also completed a diagnostic interview, Eating Disorders Inventory-2 (EDI-2), Beck Depression Inventory-II (BDI-II), and Rosenberg Self-Esteem Scale (RSE). Compared to adolescents with a DD and healthy adolescents, adolescents with an ED engaged in significantly more BRSC (p ≤ 0.001). Collapsing across groups, BRSC was significantly positively correlated with ED symptoms (p ≤ 0.01), and these associations remained even after controlling for two robust predictors of both ED symptoms and social comparison, namely BDI-II and RSE. In conclusion, BRSC seems to be strongly related to EDs. Treatment for adolescents with an ED may focus on reducing BRSC.

  19. Test facilities for hybrid and electric drive trains; Stazione di prova sistemi di trazione ibridi ed elettrici

    Energy Technology Data Exchange (ETDEWEB)

    Bernardini, G.; Ciancia, A.; De Andreis, L.; Pagni, G.; Pede, G.; Rossi, E.; Vellone, R. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dip. Energia

    1998-12-31

    ENEA (Italian National Agency for New Technologies, Energy and the Environment) is conducting a large research and development programme on innovative vehicles with high energy efficiency and low environmental impact. In particular conducts activities on electric and hybrid vehicles. Testing and evaluation activities play a strong role in this programme. A complete characterization chain has been then defined and set up with a network of facilities which covers main testing needs for single components, subsystems and complete vehicles, in simulated and real operating conditions. The test facility which has been realised is able to experiment and fully characterise complete drive-trains (and subsystems) for pure electric and hybrid vehicles. It is composed by a different section for each subsystem: 1) power generation; 2) energy storage and management; 3) driving motors. Each section acts as an experimental island, able to operate alone or jointly with the other sections. In fact, all the sections are remotely controlled and managed in order to create different assembly of the drive-train. The facility has been sized to allow the testing of drive-trains and subsystems of small and medium-sized vehicles (up to minibuses), but an extension to larger vehicles is possible. During 1996 and part of 1997 the Drive train Test Facility has been completed and made operative. This paper mainly presents the final configurations of these novel testing systems with peculiar features and characteristics. [Italiano] ENEA (Ente Nazionale per le nuove tecnologie, l`Energia e l`Ambiente) sta conducendo un vasto programma di ricerca e sviluppo sui veicoli innovativi ad alto rendimento energetico e basso impatto ambientale.

  20. A Study on Social Intelligence in Relation to Scholastic Achievement of Student Teachers of B.Ed. and TTI

    Science.gov (United States)

    Brindhamani, M.; Manichander, T.

    2014-01-01

    These are difficult times for educators who believe that learning is worth pursuing for its own sake and that the chief purpose of school is the nurturing of students as whole human beings. Higher test scores seem to be the order of the day. The adventure of learning, the wonder of nature and culture, the richness of human experience, and the…

  1. UN CENTRO MARKETING PER LO SVILUPPO TURISTICO DELLA CITTÀ METROPOLITANA

    Directory of Open Access Journals (Sweden)

    Lucia Della Spina

    2014-12-01

    Full Text Available This paper presents the promotion actions and the support made by the LaborEst on behalf of the Provincial Administration of Reggio Calabria, aimed at the establishment of a “Research Centre for the promotion and development of tourism marketing”. This study, through the Destination Branding, retraces the market trends and research breakthroughs, presenting marketing applied to cultural tourism and the assessment approach to culture heritage destinations, addressing the competitive challenges that have emerged in the tourism market over the last ten years. In particular, it discusses the Centre’s main goals, addressing the methodological process, the pilot project and, finally, the framework of the experimental operational program developed for the next phase.

  2. Instabilità delle esportazioni e sviluppo economico

    Directory of Open Access Journals (Sweden)

    E. LANCIERI

    2014-03-01

    Full Text Available Among the many problems besetting international economic relations, the instability of exports of developing countries has always been a major topic of analysis and discussion. Although developing countries identify this issue as an important obstacle to development, most of the inquiries over the last 30 years about its causes and consequences have produced controversial results. The economic literature on export instability is divided into two main streams, one analysing world markets for primary commodities and their quantity-price-earnings relationships, the other focussing on individual developing countries and their macroeconomic frameworks. The present work comments on recent additions to each of these streams which have livened the debate, before offering a new contribution to the theoretical and empirical analysis of export instability.JEL: F49, O11

  3. Banche, territorio e sviluppo (Banks, Regions and Development

    Directory of Open Access Journals (Sweden)

    Pietro Alessandrini

    2003-03-01

    Full Text Available From the 1980s onwards the banking sectors in all the industrialised countries have been experiencing intense restructuring, aggregation and consolidation, radically changing their ownership structures and geography. Whatever the reasons behind such restructuring processes, the globalisation of the credit markets, the consolidation of banking structures, the removal of barriers to the free location of banks and their penetration of peripheral markets pose two main questions. Will integration of the banking systems lead to a narrowing or a widening of the development gap between regions? What relations will there be between financial centres and the periphery, and how will financial labour be divided between national (international banks and local (regional banks? The aim of this paper is to address such questions in the light of recent developments in the theoretical and empirical literature on financial integration.

  4. Enea e Anchise. Compiti di sviluppo per la Didattica

    Directory of Open Access Journals (Sweden)

    Elio Damiano

    2015-12-01

    Full Text Available Enea e Anchise sono la metafora della coppia Didattica/Pedagogia, due saperi che si occupano, grosso modo, dello stesso oggetto: l’educazione. L’articolo esamina gli equivoci che il doppio comporta sul piano terminologico, i limiti delle soluzioni epistemologiche del problema e avanza il progetto di una emancipazione della Didattica, analoga a quella di Enea, dopo la morte di Anchise e la sua discesa agli inferi.

  5. LA PROGRAMMAZIONE DELLA SPERIMENTAZIONE NELLO SVILUPPO DEI PROCESSI CHIMICI

    Directory of Open Access Journals (Sweden)

    Francesco Vegliò

    1995-12-01

    Full Text Available In the present paper the main advantages obtained in the planning of experimental tests by using factorial design are shown. In particular the general criteria to perform a full and fractional factorial experiments are highlighted. A biotechnological application, regarding an optimisation study of a cultural media in the bioleaching of a manganiferous mineral of industrial interest, is shown as an example.

  6. Auto-organizzazione biologica, memoria distribuita e sviluppo della conoscenza

    Directory of Open Access Journals (Sweden)

    Mirko Di Bernardo

    2015-01-01

    Full Text Available The essay focuses, through the use of a specific epistemological approach related to complexity theory in its extended version, on issues of border regarding the close relationship that exists between cognition and life, such as the idea of memory as a multisystemic and distributed natural process, the genesis of meaning in the context of the deep processes of self-organization, and the relationship - at the level of higher cognitive activity proper to man - between perception, learning (assimilation of information and thought (morphogenesis in action. With respect to the possible delineation of new models for what concerns the process of knowledge development, the text shows the recent results of research regarding an unprecedented frontier closely linked with the emergence of a real conceptual revolution at the level of the analysis of that particular entanglement of information, meaningful complexity, memory, causality, teleology and intentionality that characterizes the unfolding of the natural forms of human cognition. In such a context, the mnemonic function is set up as a dynamic and deep process of reconstruction and a connection of internal self-reflection operations, rather than as a mere "storage" of data in a static mental space. Just as the world of the first monadic order, on which stands the classical measure of Shannon information, appears related to the existence of specific forms of invariance and the definition of unique areas of measurement, in terms of higher orders, however, we have the presence of specific dichotomies, of different potentials that are given simultaneously, an evolutionary bricolage which is realized by successive interlocking states and yet tied together in a holistic manner within a process of dialectical synthesis between form, function and meaning.

  7. Banche, territorio e sviluppo (Banks, Regions and Development

    Directory of Open Access Journals (Sweden)

    Pietro Alessandrini

    2012-04-01

    Full Text Available From the 1980s onwards the banking sectors in all the industrialised countries have been experiencing intense restructuring, aggregation and consolidation, radically changing their ownership structures and geography. Whatever the reasons behind such restructuring processes, the globalisation of the credit markets, the consolidation of banking structures, the removal of barriers to the free location of banks and their penetration of peripheral markets pose two main questions. Will integration of the banking systems lead to a narrowing or a widening of the development gap between regions? What relations will there be between financial centres and the periphery, and how will financial labour be divided between national (international banks and local (regional banks? The aim of this paper is to address such questions in the light of recent developments in the theoretical and empirical literature on financial integration.  JEL Codes: G21, G28, G34Keywords: Bank, Banking, Credit, Globalization, Restructuring

  8. Paesaggio naturale e politiche di sviluppo territoriale in Islanda

    Directory of Open Access Journals (Sweden)

    Emanuela Finocchietti

    2007-03-01

    Full Text Available The stereotype of Iceland is a land of ice and fire, constantly subject to the devasting power of nature, an image that evokes the idea of a radically inhospitable environment, where is almost impossible to survive. Nevertheless Iceland, since independence, has developed so quickly to rank nowadays in the first positions in the world in terms of GDP pro-capita and HDI. Under this development there is a peculiar relation man-nature, that have been influencing the settlement and the economy so far, and that is so deeply rooted in the history of this territory to become a cultural and identitary factor. The aim of this paper is to analyse the relation environment-development in Iceland and the role of the natural landscape in the cultural sphere and in the development policies of this country.

  9. Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus

    DEFF Research Database (Denmark)

    de Cock, Evi S A; Emons, Wilco H M; Nefs, Giesje

    2011-01-01

    Scale (EDS) is a widely used method for screening depression. However, there is still debate about the dimensionality of the test. Furthermore, the EDS was originally developed to screen for depression in postpartum women. Empirical evidence that the EDS has comparable measurement properties in both......BACKGROUND: Depression is a common complication in type 2 diabetes (DM2), affecting 10-30% of patients. Since depression is underrecognized and undertreated, it is important that reliable and validated depression screening tools are available for use in patients with DM2. The Edinburgh Depression...... to laugh or enjoy) and sleeping problems were the most informative indicators for being able to differentiate between the diagnostic groups of mild and severe depression. CONCLUSIONS: The EDS constitutes a sound scale for measuring an attribute of general depression. Persons can be reliably measured using...

  10. Berliini filmifestivalil näeb ka Peeter Simmi filmi "Head käed" / Triin Tael

    Index Scriptorium Estoniae

    Tael, Triin

    2002-01-01

    Berliini 52. filmifestival algas eile sakslase Tom Tykweri mängufilmiga "Taevas". Esmakordselt on festivali "Panorama" kavas eesti mängufilm, milleks on Peeter Simmi "Head käed". Eesti filmid on esil ka festivali suurel filmiturul

  11. Review: Iwanaga, Kazuki (ed. (2008, Women’s Political Participation and Representation in Asia. Obstacles and Challenges

    Directory of Open Access Journals (Sweden)

    Dagmar Hellmann-Rajanayagam

    2010-04-01

    Full Text Available Review of the edited volume: Iwanaga, Kazuki (ed. (2008, Women’s Political Participation and Representation in Asia. Obstacles and Challenges, Copenhagen: NIAS Press, = Women and Politics in Asia No. 2, ISBN 9788776940164, XVII and 314 pages.

  12. Thomas Crombez, Luk van den Dries (eds., Mass Theatre in Interwar Europe: Flanders and the Netherlands in an International Perspective

    Directory of Open Access Journals (Sweden)

    Maartje Abbenhuis

    2015-09-01

    Full Text Available Thomas Crombez, Luk van den Dries (eds., Mass Theatre in Interwar Europe: Flanders and the Netherlands in an International Perspective (Leuven: Universitaire pers Leuven, 2014, 164 pp., ISBN 978 90 5867 992 5.

  13. Ambient Displays and Game Design Patterns for Social Learning

    NARCIS (Netherlands)

    Kelle, Sebastian; Börner, Dirk; Kalz, Marco; Specht, Marcus; Glahn, Christian

    2011-01-01

    Kelle, S., Börner, D., Kalz, M., Specht, M., & Glahn, C. (2010). Ambient Displays and Game Design Patterns for Social Learning. In B. Chang, T. Hirashima, & H. Ogata (Eds.), Joint Proceedings of the Work-in-Progress Poster and Invited Young Researcher Symposium for the 18th International Conference

  14. Supporting Social Interaction in Intelligent Competence Development Systems

    NARCIS (Netherlands)

    Sereno, Bertrand; Boursinou, Eleni; Maxwell, Katrina; Angehrn, Albert

    2007-01-01

    Sereno, B., Boursinou, E., Maxwell, K., & Angehrn, A. A. (2007). Supporting Social Interaction in Intelligent Competence Development Systems. In D. Griffiths, R. Koper & O. Liber (Eds.), Proceedings of the 2nd TENCompetence Open Workshop (pp. 29-35). January, 11-12, 2007, Manchester, United Kingdom.

  15. Quality of marriage and social loneliness in later life

    NARCIS (Netherlands)

    de Jong Gierveld, J.; Broese van Groenou, M.; Michalos, A.C.

    2014-01-01

    De Jong Gierveld, J. & M.I. Broese van Groenou (2014), Quality of marriage and social loneliness in later life. In: Alex C. Michalos Alex C. MichalosAlex C. Michalos (ed.), Encyclopedia of Quality of Life and Well-Being Research. Pp 5309-5312. DOI 10.1007/978-94-007-0753-5. Springer, Dordrecht, the

  16. Screening and detection of delirium in older ED patients: performance of the modified Confusion Assessment Method for the Emergency Department (mCAM-ED). A two-step tool.

    Science.gov (United States)

    Hasemann, Wolfgang; Grossmann, Florian F; Stadler, Rahel; Bingisser, Roland; Breil, Dieter; Hafner, Martina; Kressig, Reto W; Nickel, Christian H

    2017-12-30

    Delirium is frequent in older Emergency Department (ED) patients, but detection rates for delirium in the ED are low. To aid in identifying delirium, we developed and implemented a two-step systematic delirium screening and assessment tool in our ED: the modified Confusion Assessment Method for the Emergency Department (mCAM-ED). Components of the mCAM-ED include: (1) screening for inattention, the main feature of delirium, which was performed with the Months Backwards Test (MBT); (2) delirium assessment based on a structured interview with questions from the Mental Status Questionnaire by Kahn et al. and the Comprehension Test by Hart et al. The aims of our study are (1) to investigate the performance criteria of the mCAM-ED tool in a consecutive sample of older ED patients, (2) to evaluate the performance of the mCAM-ED in patients with and without dementia and (3) to test whether this tool is efficient in keeping evaluation time to a minimum and reducing screening and assessment burden on the patient. For this prospective validation study, we recruited a consecutive sample of ED patients aged 65 and older during an 11-day period in November 2015. Trained nurses assessed patients with the mCAM-ED. Results were compared to the reference standard [i.e. the geriatricians' delirium diagnosis based on the criteria of the Text Revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR)]. Performance criteria were computed. We included 286 consecutive ED patients aged 65 and older. The median age was 80.02 (Q1 = 72.15; Q3 = 86.76), 58.7% of included patients were female, 14.3% had dementia. We found a delirium prevalence of 7.0%. In patients with dementia, specificity and positive likelihood ratio were lower. When compared to the reference standard, delirium assessment with the mCAM-ED has a 0.98 specificity and a 39.9 positive likelihood ratio. In 80.0% of all cases, the first step of the mCAM-ED, i.e. screening for inattention with the MBT

  17. Risk factors associated with difficult venous access in adult ED patients.

    Science.gov (United States)

    Fields, J Matthew; Piela, Nicole E; Au, Arthur K; Ku, Bon S

    2014-10-01

    The objective was to determine risk factors associated with difficult venous access (DVA) in the emergency department (ED). This was a prospective, observational study conducted in the ED of an urban tertiary care hospital. Adult patients undergoing intravenous (IV) placement were consecutively enrolled during periods of block enrollment. The primary outcome was DVA, defined as 3 or more IV attempts or use of a method of rescue vascular access to establish IV access. Univariate and multivariate analyses for factors predicting DVA were performed using logistic regression. A total of 743 patients were enrolled, of which 88 (11.8%) met the criteria for DVA. In the adjusted analysis, only 3 medical conditions were significantly associated with DVA: diabetes (odds ratio [OR] 1.72, 95% confidence interval [CI] 1.1-2.8), sickle cell disease (OR 3.8, 95% CI 1.5-9.5), and history of IV drug abuse (OR 2.5, 95% CI 1.1-5.7). Notably, age, body mass index, and dialysis were not. Of patients who reported a history of requiring multiple IV attempts in the past for IV access, 14% met criteria for DVA on this visit (OR 7.7 95% CI 3-18). Of the patients who reported a history of IV insertion into the external jugular, ultrasound-guided IV placement, or a central venous catheter for IV access, 26% had DVA on this visit (OR 16.7, 95% CI 6.8-41). Nearly 1 of every 9 to 10 adults in an urban ED had DVA. Diabetes, IV drug abuse, and sickle cell disease were found to be significantly associated with DVA. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Qualitative analysis of adhesive interface nanoleakage using FE-SEM/EDS.

    Science.gov (United States)

    Yuan, Yang; Shimada, Yasushi; Ichinose, Shizuko; Tagami, Junji

    2007-05-01

    The purpose of this study was to evaluate the quality of short term sealing of current adhesives. Five adhesive systems were used and evaluated in this study; two kinds of two-step adhesives (Single Bond and Clearfil SE Bond) and three one-step adhesives (Clearfil S3 Bond, G Bond and One-Up Bond F-plus). Flat occlusal superficial dentin surfaces from extracted human third molars were finished with wet 600-grit silicon-carbide paper and bonded with one of the adhesives. After 24h storage at 37 degrees C in water, the bonded assemblies were sectioned into approximately 1mm thick slabs. Two central slabs from each tooth were chosen and immersed into 50% (w/v) solution of silver ammoniacal nitrate for 18 h and exposed to photodeveloping solution for 6h. The specimens were then slightly polished, argon ion-etched. In order to examine the nanoleakage within the resin/dentin interface, penetration of silver was observed in a field emission (FE)-SEM using yttrium-aluminium-garnet (YAG) backscattered electron mode. EDS analysis was also carried out in parallel to identify the existence of metallic silver particles. The penetration pattern of silver depended on the adhesive used, indicating different nanoleakage in different adhesive systems. Single Bond, One-Up Bond F-plus and G Bond showed clear silver uptake in both the adhesive and hybrid layer. Clearfil SE Bond showed less silver penetration and slight silver peak on the elemental energy spectroscopy of EDS. Clearfil S3 Bond did not display clear silver penetration under 2000x magnification by FE-SEM, and no existence of metallic silver of the Clearfil S3 Bond group by EDS, could be detected. The nanoleakage, as well as its location depends on the adhesives. Different nanoleakage expressions were revealed between two-step and one-step adhesives and also among one-step adhesives themselves.

  19. Metabolic vs structural coma in the ED--an observational study.

    Science.gov (United States)

    Forsberg, Sune; Höjer, Jonas; Ludwigs, Ulf; Nyström, Harriet

    2012-11-01

    Patients presenting unconscious may reasonably be categorized as suffering from a metabolic or structural condition. The objective was to investigate if some routinely recorded clinical features may help to distinguish between these 2 main forms of coma in the emergency department (ED). Adults admitted to an ED in Stockholm between February 2003 and May 2005 with a Glasgow Coma Scale (GCS) score less than 11 were enrolled prospectively. The GCS score was entered into a protocol that was complemented with available data within 1 month. The study population of 875 patients was classified into 2 main groups: one with a metabolic (n = 633; 72%) and one with a structural disorder (n = 242; 28%). Among the clinical features recorded in the ED, 3 were found to be strongly associated with a metabolic disorder, namely, young age, low or normal blood pressure, and absence of focal signs in the neurological examination. Patients younger than 51 years with a systolic blood pressure less than 151 mm Hg who did not display signs of focal pathology had a probability of 96% for having a metabolic coma. The mean GCS score on admission was identical in the groups. Hospital mortality was 14% in the metabolic and 56% in the structural group. These findings indicate that unconscious young adults who present without a traumatic incident with a low or normal blood pressure and without signs of focal pathology most probably suffer from a metabolic disorder, wherefore computed tomography of the brain may be postponed and often avoided. Copyright © 2012 Elsevier Inc. All rights reserved.

  20. La narrazione orale tra bambini ed adulti: da flusso continuo a vena carsica?

    Directory of Open Access Journals (Sweden)

    Milena Bernardi

    2010-02-01

    Full Text Available Con il segmento di ricerca che viene presentato nella sua prima fase si prende in esame l’ipotesi di un processo, in atto da tempo, di trasformazione e/o di declino della narrazione orale nel rapporto quotidiano tra adulti e bambini, inteso, in questo specifico contesto, come “spia” dei mutamenti degli stili educativi e degli interscambi tra famiglie ed operatori dei servizi in relazione all’alleanza educativa. La complessità dei filoni di studio che rimandano alla voce “narrazione” negli ambiti delle scienze umane esige la precisazione della curvatura “narrativa” scelta per la ricerca in corso: curvatura che appartiene all’epistemologia della letteratura per l’infanzia e della pedagogia della narrazione in quanto permette di imboccare la strada della ricerca pedagogica rivolta innanzi tutto ai significati che il narrare assume nella relazione educativa e poi ai modi ed alle forme della narrazione che coinvolgono l’infanzia. In un’epoca di grande vitalità e visibilità delle narrazioni, tra cui abbondano le produzioni scritte, illustrate, filmate per l’infanzia, sembra esserci una zona marginale e quasi sommersa della comunicazione narrante che rischia di sfumare in una sorta di oblio. E’ la zona della narrazione orale esperita in praesentia da bambini ed adulti insieme, tessuta con fili di parole che restituiscono senso all’intero arco delle esperienze, tentando di riordinare il disordine che spesso connota la realtà, interpretando, stabilendo connessioni, impregnando di quel senso i vissuti, i fatti, le relazioni, le cose e le parole stesse, ancora, nelle voci. Del rischio e delle conseguenze che possono derivare dalla sua mancanza si occupa questo contributo di ricerca che, dal punto di vista metodologico, si è avvalso e si avvale sia di analisi condotte sul corpus dei testi sia della raccolta di dati e informazioni tramite incontri condotti con la modalità del focus group, con educatrici e genitori.

  1. Rates and Correlates of Violent Behaviors among Adolescents Treated in an Urban ED

    Science.gov (United States)

    Walton, Maureen A.; Cunningham, Rebecca M.; Goldstein, Abby L.; Chermack, Stephen T.; Zimmerman, Marc; Bingham, C. Raymond; Shope, Jean T.; Stanley, Rachel; Blow, Frederic C.

    2010-01-01

    Purpose Violence is a leading cause of death for adolescents in inner-city settings. This paper describes violent behaviors in relation to other risk behaviors (e.g., substance use) among adolescents screened in an urban ED. Methods Patients ages 14–18 were approached to self-administer a computerized survey assessing violent behaviors (i.e., physical aggression), substance use (cigarettes, alcohol, marijuana), and weapon carriage. Results 1128 adolescents (83.8% participation rate; 45.9% male; 58.0% African-American) were surveyed. In the past year, 75.3% of adolescents reported peer violence, 27.6% reported dating violence, and 23.5% carried a weapon. In the past year, 28.0% drank alcohol, 14.4% binge drank, 5.7% reported alcohol-related fighting, and 36.9% smoked marijuana. Logistic regression analyses predicting violent behaviors were significant. Teens reporting peer violence were more likely to be younger, African-American, on public assistance, carry a weapon, binge drink, and smoke marijuana. Teens reporting dating violence were more likely to be female, African-American, carry a weapon, binge drink, screen positive for alcohol problems, and smoke marijuana. Teens reporting alcohol-related fighting were more likely to carry a weapon, binge drink, screen positive for alcohol problems, and smoke marijuana. Conclusions Adolescents presenting to an urban ED have elevated rates of violent behaviors. Substance use (i.e., binge drinking and smoking marijuana) is an important risk factor for violent behaviors among urban adolescents. Universal screening and intervention protocols to address multiple risk behaviors, including violent behaviors and substance use, may be useful to prevent injury among adolescents presenting to the urban ED. PMID:19541253

  2. Composition and microstructure of MTA and Aureoseal Plus: XRF, EDS, XRD and FESEM evaluation.

    Science.gov (United States)

    Cianconi, L; Palopoli, P; Campanella, V; Mancini, M

    2016-12-01

    The aim of this study was to determine the chemical composition and the phases' microstructure of Aureoseal Plus (OGNA, Italy) and ProRoot MTA (Dentsply Tulsa Dental, USA) and to compare their characteristics. Study Design: Comparing Aureoseal Plus and ProRoot MTA microstructure by means of several analyses type. The chemical analysis of the two cements was assessed following the UNI EN ISO 196-2 norm. X-Ray fluorescence (XRF) was used to determine the element composition. The crystalline structure was analysed quantitatively using x-ray diffraction (XRD). Powders morphology was evaluated using a scanning electron microscope (SEM) with backscattering detectors, and a field emission scanning electron microscope (FESEM). Elemental analysis was performed by energy dispersive x-ray analysis (EDS). The semi-quantitative XRF analysis showed the presence of heavy metal oxides in both cements. The XRD spectra of the two cements reported the presence of dicalcium silicate, tricalcium silicate, tricalcium aluminate, tetracalcium aluminoferrite, bismuth oxide and gypsum. SEM analysis showed that ProRoot MTA powder is less coarse and more homogeneous than Aureoseal. Both powders are formed by particles of different shapes: round, prismatic and oblong. The EDS analysis showed that some ProRoot MTA particles, differently from Aureoseal, contain Ca, Si, Al and Fe. Oblong particles in ProRoot and Aureoseal are rich of bismuth. The strong interest in developing new Portland cement-based endodontic sealers will create materials with increased handling characteristics and physicochemical properties. A thorough investigation on two cement powders was carried out by using XRF, XRD, SEM and EDS analysis. To date there was a lack of studies on Aureoseal Plus. This cement is similar in composition to ProRoot MTA. Despite that it has distinctive elements that could improve its characteristics, resulting in a good alternative to MTA.

  3. #ClimateEdCommunity : Field Workshops Bring Together Teachers and Researchers to Make Meaning of Science and Classroom Integration

    Science.gov (United States)

    Bartholow, S.; Warburton, J.; Wood, J. H.; Steiner, S. M.

    2015-12-01

    Seeing Understanding and Teaching: Climate Change in Denali is a four-day immersive teacher professional development course held in Denali National Park. Developed through three partner organizations, the course aims to develop teachers' skills for integrating climate change content into their classrooms. This presentation aims to share tangible best practices for linking researchers and teachers in the field, through four years of experience in program delivery and reported through a published external evaluation. This presentation will examine the key aspects of a successful connection between teachers, researchers, science, and classrooms: (1) Inclusion of teacher leaders, (2) dedicated program staff, (3) workshop community culture, and will expose barriers to this type of collaboration including (1) differences in learning style, (2) prior teaching experience, (3) existing/scaffolding understanding of climate change science, and (4) accessibility of enrollment and accommodations for the extended learning experience. Presentation Content Examples:Participants overwhelmingly value the deep commitment this course has to linking their field experience to the classroom attributing to the role of a teacher-leader; an expert science teacher with first-hand field research experience in the polar regions. The goal of including a teacher-leader is to enhance translatability between fieldwork and the classroom. Additionally, qualitative aspects of the report touches on the intangible successes of the workshop such as: (1) the creation of a non-judgmental learning atmosphere, (2) addressing accessibility to science learning tools in rural and under-served communities, (3) defining successful collaboration as making meaning together through exploratory questioning while in the field (4) discussed the social and cultural implications of climate change, and the difficulty of navigating these topics in educational and/or multicultural spaces. Next Steps? Create a #ClimateEd

  4. Self-reported quality of life, anxiety and depression in individuals with Ehlers-Danlos syndrome (EDS): a questionnaire study.

    Science.gov (United States)

    Berglund, Britta; Pettersson, Carina; Pigg, Maritta; Kristiansson, Per

    2015-04-15

    Many individuals with Ehlers-Danlos Syndrome (EDS) are hypermobile, suffer from long term pain, and have complex health problems. Since these sometimes have no objective physical signs, individuals with EDS sometimes are referred for psychiatric evaluation. The aim was therefore to identify the level of anxiety and quality of life in a Swedish group of individuals with EDS. A postal survey in 2008 was distributed to 365 members over 18 years of the Swedish National EDS Association and 250 with EDS diagnosis responded. Two questionnaires, the Hospital Anxiety and Depression Scale (HADS) and SF-36, were used. A Swedish population study was used to compare results from SF-36. Independent Student's t-test was used to compare differences between groups, possible relationships were tested using Spearman's correlation coefficient and the General Linear Model was used for regression analyses. Higher scores on HADS represent higher levels of anxiety and depression and higher scores on SF-36 represent higher quality of health. Of the respondents 74.8% scored high on anxiety and 22.4% scored high on depression on the HADS. Age, tiredness and back pain was independently associated with the HAD anxiety score in a multiple regression analysis, When comparing the SF-36 scores from the EDS group and a Swedish population group, the EDS group scored significantly lower, indicating lower health-related quality of health than the general population (p depression were detected in individuals with EDS. The importance to explore the factors behind these results and what initiatives can be taken to alleviate the situation for this group is emphasized.

  5. A Novel Method to Establish a Rat ED Model Using Internal Iliac Artery Ligation Combined with Hyperlipidemia

    OpenAIRE

    Hu, Chao; Wang, Feixiang; Dong, Yehao; Dai, Jican

    2014-01-01

    OBJECTIVE: To investigate a novel method, namely using bilateral internal iliac artery ligation combined with a high-fat diet (BCH), for establishing a rat model of erectile dysfunction (ED) that, compared to classical approaches, more closely mimics the chronic pathophysiology of human ED after acute ischemic insult. MATERIALS AND METHODS: Forty 4-month-old male Sprague Dawley rats were randomly placed into five groups (n = 8 per group): normal control (NC), bilateral internal iliac artery l...

  6. Review: Michael Crandall & Karen E. Fisher (Eds) Digital Inclusion: Measuring the Impact of Information and Community Technology

    DEFF Research Database (Denmark)

    Pors, Niels Ole

    2010-01-01

    Review: Michael Crandall & Karen E. Fisher (Eds) Digital Inclusion: Measuring the Impact of Information and Community Technology. Medford. Information Today. ASIS&T Monographs, 2009. 185 pages. $ 59.50. ISBN 978-1-57387-373-4......Review: Michael Crandall & Karen E. Fisher (Eds) Digital Inclusion: Measuring the Impact of Information and Community Technology. Medford. Information Today. ASIS&T Monographs, 2009. 185 pages. $ 59.50. ISBN 978-1-57387-373-4...

  7. Evidence of salicylic acid pathway with EDS1 and PAD4 proteins by molecular dynamics simulation for grape improvement.

    Science.gov (United States)

    Tandon, Gitanjali; Jaiswal, Sarika; Iquebal, M A; Kumar, Sunil; Kaur, Sukhdeep; Rai, Anil; Kumar, Dinesh

    2015-01-01

    Biotic stress is a major cause of heavy loss in grape productivity. In order to develop biotic stress-resistant grape varieties, the key defense genes along with its pathway have to be deciphered. In angiosperm plants, lipase-like protein phytoalexin deficient 4 (PAD4) is well known to be essential for systemic resistance against biotic stress. PAD4 functions together with its interacting partner protein enhanced disease susceptibility 1 (EDS1) to promote salicylic acid (SA)-dependent and SA-independent defense pathway. Existence and structure of key protein of systemic resistance EDS1 and PAD4 are not known in grapes. Before SA pathway studies are taken in grape, molecular evidence of EDS1: PAD4 complex is to be established. To establish this, EDS1 protein sequence was retrieved from NCBI and homologous PAD4 protein was generated using Arabidopsis thaliana as template and conserved domains were confirmed. In this study, computational methods were used to model EDS1 and PAD4 and simulated the interactions of EDS1 and PAD4. Since no structural details of the proteins were available, homology modeling was employed to construct three-dimensional structures. Further, molecular dynamic simulations were performed to study the dynamic behavior of the EDS1 and PAD4. The modeled proteins were validated and subjected to molecular docking analysis. Molecular evidence of stable complex of EDS1:PAD4 in grape supporting SA defense pathway in response to biotic stress is reported in this study. If SA defense pathway genes are explored, then markers of genes involved can play pivotal role in grape variety development especially against biotic stress leading to higher productivity.

  8. Period Determination for (23621) 1996 PA, (29564) 1998 ED6 and (31775) 1999 JN122

    Science.gov (United States)

    Marchini, Alessandro; Papini, Riccardo; Salvaggio, Fabio

    2018-01-01

    Photometric observations of three asteroids were conducted from the Astronomical Observatory of the University of Siena (Italy) in order to determine their synodic rotation periods. For (23621) 1996 PA, a Marscrosser asteroid, we found a period of 2.666 ± 0.001 h with an amplitude of 0.10 mag. For the two main-belt asteroids (29564) 1998 ED6 and (31775) 1999 JN122, we found, respectively, a period of 8.434 ± 0.002 h with an amplitude of 0.57 mag and a period of 4.319 ± 0.01 h with an amplitude of 0.12 mag.

  9. MobilED – a mobile tools and services platform for formal and informal learning

    CSIR Research Space (South Africa)

    Ford, M

    2006-10-01

    Full Text Available and the audio played. The teacher could add an audio/video annotation to add his/her ideas to the lesson plan. 2. Making existing educational video/animation “bytes” available to teachers and learners via MMS and data services. Interest in the project has... will discuss the vision of MobilED, cover the role of mobile phones in young people’s everyday knowledge acquisition and problem-solving situations, the applicability of this in an educational environment with a specific focus on the differences...

  10. Application of SEM/EDS to environmental geochemistry of heavy metals

    Directory of Open Access Journals (Sweden)

    Mateja Gosar

    2009-06-01

    Full Text Available Heavy metals represent a ubiquitous constituent of the near-surface environment, present in widely varyingconcentrations that typically have little impact on human behaviour and health. However, the mining of metals anduse of these metals in industrial processes has produced significant anthropogenic inputs of metals to both localand global environments. As such, a rigorous overview of the current accumulation of heavy metals and knowledgeof mineralogy of heavy metal-bearing phases is important for understanding their stability, solubility, mobility,bioavailability and toxicity. These data are of fundamental importance for environmental risk assessment and evaluationof future scenarios. Since conventional geochemical analyses provide limited information, other analyticalmethods have to be utilized for the characterisation of heavy metal-bearing phases. Significant analytical methodfor identification and characterisation of heavy metals in environmental media is a scanning electron microscopecoupled with energy dispersive X-ray spectrometer (SEM/EDS, an apparatus for qualitative and semi-quantitative chemical analysis at microne level, newly introduced to Geological Survey of Slovenia. Use of SEM/EDS was already introduced to environmental studies world-wide. In Slovenia, SEM/EDS analyses of environmental media werefirstly carried out on the Meža River stream sediments and snow deposits from Ljubljana urban area.Heavy metal-bearing phases in the Meža River stream sediments were apportioned to three source areas: Mežica mining/smelting area (geogenic-technogenic origin, Ravne ironworks area (technogenic origin and the Meža River catchment area (geogenic origin, which corresponds to data obtained by conventional geochemical and multivariate statistical methods. Airborne particles, identified in urban snow deposits, were interpreted as geogenic particles, represented by fragments of heavy metal-bearing minerals, and technogenic particles that

  11. Vlivy jaderné energetiky na životní prostředí

    OpenAIRE

    Malkova, Kristina

    2013-01-01

    Title: Environmental impacts of nuclear energy Author: Malkova Kristina Supervisor: Ing. Luboš Matějíček, Dr., Ústav pro životní prostředí Přírodovědecké fakulty Univerzity Karlovy v Praze, Benátská 2, 128 01 Praha 2 Supervisor's e-mail adress: Abstract: The thesis is focused on study the impact of nuclear energy on the environment regard to non - renewable and renewable energy sources. The work includes evaluation of the entire fuel cycle of the use of various technolo...

  12. ESSEA On-Line Courses and the WestEd Eisenhower Regional Consortium (WERC)

    Science.gov (United States)

    Rognier, E.

    2001-12-01

    The WestEd Eisenhower Regional Consortium (WERC) is in its second year of offering two Earth Systems Science On-line Graduate courses from IGES - one for High School teachers, and one for Middle School teachers. These high-quality courses support WERC's commitment to "supporting increased scientific and mathematical literacy among our nation's youth through services and other support aimed at enhancing the efforts of those who provide K-12 science and mathematics education." WERC has been able to use its EdGateway online community network to offer these courses to environmental education and science teachers nationwide. Through partnerships with the North American Association for Environmental Education (NAAEE), the National Environmental Education Advancement Project (NEEAP), and other regional, state and local science and environmental education organizations, WERC has a broad reach in connecting with science educators nationwide. WERC manages several state and national listservs, which enable us to reach thousands of educators with information about the courses. EdGateway also provides a private online community in which we offer the courses. WERC partners with two Master Teachers from Utah, who facilitate the courses, and with the Center for Science and Mathematics Education at Weber State University, who provides low-cost graduate credit for the courses. Our students have included classroom teachers from upper elementary through high school, community college science teachers, and environmental science center staff who provide inservice for teachers. Educators from Hawaii to New Jersey have provided diverse personal experiences of Earth Systems Science events, and add richness to the online discussions. Two Earth Science Experts, Dr. Rick Ford from Weber State University, and Dr. Art Sussman from WestEd also contribute to the high caliber of learning the students experience in the courses. (Dr. Sussman's book, Dr. Art's Guide to Planet Earth, is used as one of

  13. Project team formation support for self-directed learners in social learning networks

    NARCIS (Netherlands)

    Spoelstra, Howard; Van Rosmalen, Peter; Sloep, Peter

    2012-01-01

    Spoelstra, H., Van Rosmalen, P., & Sloep, P. B. (2012). Project team formation support for self-directed learners in social learning networks. In P. Kommers, P. Isaias, & N. Bessis (Eds.), Proceedings of the IADIS International Conference on Web Based Communities and Social Media (ICWBC & SM 2012)

  14. Personal and social facets of job identity : A person-centered approach

    NARCIS (Netherlands)

    Crocetti, E.; Avanzi, L.; Hawk, S.T.; Fraccaroli, F.; Meeus, W.H.J.

    2014-01-01

    Purpose The purpose of this study was to examine ego-identity (Erikson, Psychol Issues 1:1–171, 1959; Identity, youth and crisis, Norton, New York, 1968; Marcia, J Pers Soc Psychol 3:551–558, 1966) and social identity (Tajfel and Turner, In: Austin WG, Worchel S (Eds.) The social psychology of

  15. Experts: to crack down on violence in the ED, establish a robust system of reporting, educating staff.

    Science.gov (United States)

    2013-09-01

    Researchers say that most ED personnel will experience some form of physical or verbal violence at some point in their careers. However, when such incidents are regularly reported, the patients involved can be flagged in a hospital's computer system, making future events involving the same patients much less likely. Further, when ED personnel are alert to the clues that a patient or family member is becoming agitated, early intervention can usually prevent the situation from escalating to violence. About one-half of all ED personnel will experience a physical assault, and 97%-100% will experience verbal abuse during their careers, according to research. A first step in developing a strategy for dealing with violence is to educate ED personnel about what constitutes workplace violence so that all such incidents can be reported. Experts say many ED workers fail to recognize some instances of violence, based on the intent of the person involved. However, intent should not be a factor, they say. In many cases, empathy and good customer service skills can prevent tense situations from escalating to violence, but experts say that it is important to intervene at the first sign of agitation. ED administrators should gather input from frontline staff on how to most effectively derail instances of violence.

  16. Do teachers and students get the Ed-Tech products they need: The challenges of Ed-Tech procurement in a rapidly growing market

    Directory of Open Access Journals (Sweden)

    Jennifer Morrison

    2015-03-01

    Full Text Available Ed-tech courseware products to support teaching and learning are being developed and made available for acquisition by school districts at a rapid rate. In this growing market, developers and providers face challenges with making their products visible to customers, while school district stakeholders must grapple with “discovering” which products of the many available best address their instructional needs. The present study presents the experiences with and perceptions about the procurement process from 47 superintendents representing diverse school districts in the U. S. Results indicate that, while improvements are desired in many aspects of the procurement process, the superintendents, overall, believe that, once desired products are identified, they are generally able to acquire them. Difficulties lie in tighter budgets, discovering products that are potentially the best choices, and evaluating the effectiveness of the products selected as options. These findings are presented and interpreted in relation to five major “Action Points” in the procurement process, and also with regard to implications for evaluating how educational technology impacts K-12 instruction.

  17. Quality assurance in transnational higher education: a case study of the tropEd network.

    Science.gov (United States)

    Zwanikken, Prisca A C; Peterhans, Bernadette; Dardis, Lorraine; Scherpbier, Albert

    2013-03-27

    Transnational or cross-border higher education has rapidly expanded since the 1980s. Together with that expansion issues on quality assurance came to the forefront. This article aims to identify key issues regarding quality assurance of transnational higher education and discusses the quality assurance of the tropEd Network for International Health in Higher Education in relation to these key issues. Literature review and review of documents. From the literature the following key issues regarding transnational quality assurance were identified and explored: comparability of quality assurance frameworks, true collaboration versus erosion of national education sovereignty, accreditation agencies and transparency. The tropEd network developed a transnational quality assurance framework for the network. The network accredits modules through a rigorous process which has been accepted by major stakeholders. This process was a participatory learning process and at the same time the process worked positive for the relations between the institutions. The development of the quality assurance framework and the process provides a potential example for others.

  18. Improving utilization of antimicrobial drugs among physician assistants in the ED.

    Science.gov (United States)

    Kiyatkin, Dmitry E; Wright, Scott; Zenilman, Jonathan; Kisuule, Flora

    2011-10-01

    This study examines the effectiveness of an educational intervention that used audit and feedback to influence physician assistant (PA) antimicrobial utilization in an emergency department (ED). Twelve ED PAs participated in this pre- and postintervention study. Their prescribing patterns were retrospectively reviewed and classified as appropriate, effective but inappropriate, or inappropriate using a previously developed methodology. A hospitalist physician conducted a 1-hour academic detailing intervention session with each PA that reviewed inappropriate prescribing practices and provided feedback for improvement based on current guidelines. After the meetings, the prescribing patterns of the providers were followed prospectively and comparisons were made between the proportions of antimicrobials prescribed appropriately and inappropriately before and after the intervention. The percentage of appropriate prescriptions increased from 64% (95% CI, 58-72) to 81% (95% CI, 75-86), whereas the proportion of inappropriate prescriptions decreased from 36% (95% CI, 31-43) to 19% (95% CI, 14-23) across the study periods (both P < .001). PA antimicrobial utilization was responsive to an academic detailing initiative that relied heavily on audit and feedback of past performance. Targeting PAs in quality improvement initiatives may be a highly effective way to influence change in health care utilization.

  19. Phosphate Reduction in Emulsifi ed Meat Products: Impact of Phosphate Type and Dosage on Quality Characteristics

    Directory of Open Access Journals (Sweden)

    Seline Glorieux

    2017-01-01

    Full Text Available Phosphate reduction is of important industrial relevance in the manufacturing of emulsifi ed meat products because it may give rise to a healthier product. The eff ect of seven diff erent phosphate types was tested on the physicochemical and quality characteristics to select the most promising phosphate type for further cooked sausage manufacturing. Next, phosphate mass fraction was gradually reduced. Tetrasodium di- or pyrophosphate (TSPP and sodium tripolyphosphate (STPP increased pH, reduced structural properties, resulted in the highest emulsion stability, lowest cooking loss and had litt le eff ect on hardness. Based on the viscoelastic properties, a minimum mass fraction of 0.06 % TSPP was suffi cient to obtain an acceptable quality product. Rheology proved to be a very useful tool to evaluate the quality of meat products, as it gives insight in the structure of the meat product and especially the functional properties of meat proteins. Based on the obtained results, it can be concluded that the current amount of phosphate added to emulsifi ed meat products can be signifi cantly reduced with minimal loss of product quality.

  20. Quality assurance in transnational higher education: a case study of the tropEd network

    Science.gov (United States)

    2013-01-01

    Introduction Transnational or cross-border higher education has rapidly expanded since the 1980s. Together with that expansion issues on quality assurance came to the forefront. This article aims to identify key issues regarding quality assurance of transnational higher education and discusses the quality assurance of the tropEd Network for International Health in Higher Education in relation to these key issues. Methods Literature review and review of documents. Results From the literature the following key issues regarding transnational quality assurance were identified and explored: comparability of quality assurance frameworks, true collaboration versus erosion of national education sovereignty, accreditation agencies and transparency. The tropEd network developed a transnational quality assurance framework for the network. The network accredits modules through a rigorous process which has been accepted by major stakeholders. This process was a participatory learning process and at the same time the process worked positive for the relations between the institutions. Discussion The development of the quality assurance framework and the process provides a potential example for others. PMID:23537108

  1. Assessment of environmental enteropathy in the MAL-ED cohort study: theoretical and analytic framework.

    Science.gov (United States)

    Kosek, Margaret; Guerrant, Richard L; Kang, Gagandeep; Bhutta, Zulfiqar; Yori, Pablo Peñataro; Gratz, Jean; Gottlieb, Michael; Lang, Dennis; Lee, Gwenyth; Haque, Rashidul; Mason, Carl J; Ahmed, Tahmeed; Lima, Aldo; Petri, William A; Houpt, Eric; Olortegui, Maribel Paredes; Seidman, Jessica C; Mduma, Estomih; Samie, Amidou; Babji, Sudhir

    2014-11-01

    Individuals in the developing world live in conditions of intense exposure to enteric pathogens due to suboptimal water and sanitation. These environmental conditions lead to alterations in intestinal structure, function, and local and systemic immune activation that are collectively referred to as environmental enteropathy (EE). This condition, although poorly defined, is likely to be exacerbated by undernutrition as well as being responsible for permanent growth deficits acquired in early childhood, vaccine failure, and loss of human potential. This article addresses the underlying theoretical and analytical frameworks informing the methodology proposed by the Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) cohort study to define and quantify the burden of disease caused by EE within a multisite cohort. Additionally, we will discuss efforts to improve, standardize, and harmonize laboratory practices within the MAL-ED Network. These efforts will address current limitations in the understanding of EE and its burden on children in the developing world. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  2. Modeling environmental influences on child growth in the MAL-ED cohort study: opportunities and challenges.

    Science.gov (United States)

    Richard, Stephanie A; McCormick, Benjamin J J; Miller, Mark A; Caulfield, Laura E; Checkley, William

    2014-11-01

    Although genetics, maternal undernutrition and low birth weight status certainly play a role in child growth, dietary insufficiency and infectious diseases are key risk factors for linear growth faltering during early childhood. A primary goal of the Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) study is to identify specific risk factors associated with growth faltering during the first 2 years of life; however, growth in early childhood is challenging to characterize because growth may be inherently nonlinear with age. In this manuscript, we describe some methods for analyzing longitudinal growth to evaluate both short- and long-term associations between risk factors and growth trajectories over the first 2 years of life across 8 resource-limited settings using harmonized protocols. We expect there will be enough variability within and between sites in the prevalence of risk factors and burden of linear growth faltering to allow us to distinguish some of the key pathways to linear growth faltering in the MAL-ED study. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  3. Laboratory sample turnaround times: do they cause delays in the ED?

    Science.gov (United States)

    Gill, Dipender; Galvin, Sean; Ponsford, Mark; Bruce, David; Reicher, John; Preston, Laura; Bernard, Stephani; Lafferty, Jessica; Robertson, Andrew; Rose-Morris, Anna; Stoneham, Simon; Rieu, Romelie; Pooley, Sophie; Weetch, Alison; McCann, Lloyd

    2012-02-01

    Blood tests are requested for approximately 50% of patients attending the emergency department (ED). The time taken to obtain the results is perceived as a common reason for delay. The objective of this study was therefore to investigate the turnaround time (TAT) for blood results and whether this affects patient length of stay (LOS) and to identify potential areas for improvement. A time-in-motion study was performed at the ED of the John Radcliffe Hospital (JRH), Oxford, UK. The duration of each of the stages leading up to receipt of 101 biochemistry and haematology results was recorded, along with the corresponding patient's LOS. The findings reveal that the mean time for haematology results to become available was 1 hour 6 minutes (95% CI: 29 minutes to 2 hours 13 minutes), while biochemistry samples took 1 hour 42 minutes (95% CI: 1 hour 1 minute to 4 hours 21 minutes), with some positive correlation noted with the patient LOS, but no significant variation between different days or shifts. With the fastest 10% of samples being reported within 35 minutes (haematology) and 1 hour 5 minutes (biochemistry) of request, our study showed that delays can be attributable to laboratory TAT. Given the limited ability to further improve laboratory processes, the solutions to improving TAT need to come from a collaborative and integrated approach that includes strategies before samples reach the laboratory and downstream review of results. © 2010 Blackwell Publishing Ltd.

  4. Mesofauna edáfica: indicador biológico de la calidad del suelo

    Directory of Open Access Journals (Sweden)

    Ana Socarrás

    Full Text Available La búsqueda, el uso y la aplicación de los indicadores de la calidad del suelo se han intensificado en las últimas décadas, debido a la necesidad de preservar este recurso no renovable e indispensable para la vida humana, ante el deterioro creciente. La selección de los indicadores se ha dirigido, fundamentalmente, a conocer el efecto de los usos aplicados y el curso de la rehabilitación de los suelos degradados o contaminados. Los grupos que integran la mesofauna edáfica son sensibles a las perturbaciones naturales y antrópicas del medio, las que provocan cambios en su composición específica y su abundancia, y ocasionan la pérdida de especies y de su diversidad, con la consiguiente disminución de la estabilidad y la fertilidad del suelo. Por ello la mesofauna edáfica es considerada como un buen indicador biológico de su estado de conservación. El número, la densidad y el balance de sus grupos permiten predecir y evaluar las transformaciones ocasionadas por la aplicación de diferentes métodos de producción agrícola en condiciones edafoclimáticas específicas, así como considerar integralmente el funcionamiento del ecosistema.

  5. Optical Klystron Enhancement to Self Amplified Spontaneous Emission at FERMI

    Directory of Open Access Journals (Sweden)

    Giuseppe Penco

    2017-03-01

    Full Text Available The optical klystron enhancement to a self-amplified spontaneous emission free electron laser has been studied in theory and in simulations and has been experimentally demonstrated on a single-pass high-gain free electron laser, the FERMI FEL-1, in 2014. The main concept consists of two undulators separated by a dispersive section that converts the energy modulation induced in the first undulator in density modulation, enhancing the coherent harmonic generation in the first part of the second undulator. This scheme could be replicated in a multi-stage: the bunching is enhanced after each dispersive section, consistently reducing the saturation length. We have applied the multi-stage optical klystron (OK scheme on the FEL-2 line at FERMI, whose layout includes three dispersive sections. Optimizing the strength of the dispersions allowed a significant increase of the self-amplified spontaneous emission (SASE intensity in comparison to a single-stage OK and extending to the soft-X rays the OK enhanced SASE previously demonstrated on FEL-1.

  6. Evaluating the Value of High Spatial Resolution in National Capacity Expansion Models using ReEDS

    Energy Technology Data Exchange (ETDEWEB)

    Krishnan, Venkat; Cole, Wesley

    2016-07-18

    This poster is based on the paper of the same name, presented at the IEEE Power & Energy Society General Meeting, July18, 2016. Power sector capacity expansion models (CEMs) have a broad range of spatial resolutions. This paper uses the Regional Energy Deployment System (ReEDS) model, a long-term national scale electric sector CEM, to evaluate the value of high spatial resolution for CEMs. ReEDS models the United States with 134 load balancing areas (BAs) and captures the variability in existing generation parameters, future technology costs, performance, and resource availability using very high spatial resolution data, especially for wind and solar modeled at 356 resource regions. In this paper we perform planning studies at three different spatial resolutions - native resolution (134 BAs), state-level, and NERC region level - and evaluate how results change under different levels of spatial aggregation in terms of renewable capacity deployment and location, associated transmission builds, and system costs. The results are used to ascertain the value of high geographically resolved models in terms of their impact on relative competitiveness among renewable energy resources.

  7. Evaluation and development of an ED management model: an effort to optimize patient-centered care.

    Science.gov (United States)

    McDonough, Kelly S; Pemberton, Meg

    2013-09-01

    In 2008, the emergency department at Mary Washington Hospital was in the midst of a crisis marked by increasing volumes, increasing numbers of left without being seen (LWBS) patients, falling patient satisfaction numbers and a staff dissatisfied with ED leadership. The existing ED model of charge nurses, a nurse manager, and an administrative director was not working. The single nurse manager could not effectively manage the over 200 staff members he/she was assigned. Based upon the findings from the employee satisfaction survey the inability of the nurse managers to properly manage such large numbers of employees was at the core of the issue. Through benchmarking with a similar healthcare system, an evidence based leadership model was identified, developed, and implemented. The model included the addition of six patient care managers with 24-hour coverage in the department, led to a reduced number of direct reports per manager, and an increased connection with employees. The goal was to engage employees in the effort to provide patient centered, quality care. Residual benefits of our change effort improved the patient satisfaction scores as evidenced by meeting organizational goals within 12 months; goal was exceeded in the following year. Additionally, the walk out rate was reduced 75% over 18 months. The correlation between satisfied employees, patient satisfaction, and reduced walk-outs cannot be ignored. Engaged employees positively impact service and quality. Copyright © 2013 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.

  8. Evaluation of acid-base status in patients admitted to ED-physicochemical vs traditional approaches.

    Science.gov (United States)

    Antonogiannaki, Elvira-Markela; Mitrouska, Ioanna; Amargianitakis, Vassilis; Georgopoulos, Dimitris

    2015-03-01

    The aim of this study is to evaluate the value of physicochemical, base excess (BE), and plasma bicarbonate concentration ([HCO3(-)]) approaches on the assessment of acid-base status in patients presented to the emergency department (ED). Upon presentation at ED, patients whose arterial blood was deemed in need of analysis were studied. Arterial blood gases, serum electrolytes, and proteins were measured and used to derive [HCO3(-)], BE, anion gap (AG), AG adjusted for albumin (AGadj), strong ion difference, strong ion gap (SIG) and SIG corrected for water excess/deficit (SIGcor). In each patient the acid-base status was evaluated using the BE, [HCO3(-)], and physicochemical approaches. A total of 365 patients were studied. Compared with BE (n = 202) and [HCO3(-)] (n = 151), physicochemical approach (n = 279) identified significantly more patients with metabolic acid-base disturbances (P physicochemical approach. The corresponding values with [HCO3(-)] approach were 108 and 95 (88%) patients. When patients with high AGadj were excluded, 44 patients with BE and 67 with [HCO3(-)] approach had normal acid-base status, and most of them exhibited at least 1 acid-base disturbance with the physicochemical approach, whereas 12 and 21 patients, respectively, had high SIGcor. Compared with the BE and [HCO3(-)] methods, the physicochemical approach has a better diagnostic accuracy to identify metabolic acid-base disturbances. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. The Social Science of Carl von Clausewitz

    Science.gov (United States)

    2006-01-01

    The Social Science of Carl von Clausewitz JANEEN KLINGER C arl von Clausewitz’s great, unfinished book On War is well-known as be- ing prone to...COVERED 00-00-2006 to 00-00-2006 4. TITLE AND SUBTITLE The Social Science of Carl von Clausewitz 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c...Raymond Aron, Clausewitz: Philos- opher of War (New York: Simon and Schuster, 1983), p. 206. 88 Parameters 2. Carl Von Clausewitz , On War, ed. and trans

  10. Impact of a bronchiolitis guideline on ED resource use and cost: a segmented time-series analysis.

    Science.gov (United States)

    Akenroye, Ayobami T; Baskin, Marc N; Samnaliev, Mihail; Stack, Anne M

    2014-01-01

    Bronchiolitis is a major cause of infant morbidity and contributes to millions of dollars in health care costs. Care guidelines may cut costs by reducing unnecessary resource utilization. Through the implementation of a guideline, we sought to reduce unnecessary resource utilization and improve the value of care provided to infants with bronchiolitis in a pediatric emergency department (ED). We conducted an interrupted time series that examined ED visits of 2929 patients with bronchiolitis, aged 1 to 12 months old, seen between November 2007 and April 2013. Outcomes were proportion having a chest radiograph (CXR), respiratory syncytial virus (RSV) testing, albuterol or antibiotic administration, and the total cost of care. Balancing measures included admission rate, returns to the ED resulting in admission within 72 hours of discharge, and ED length of stay (LOS). There were no significant preexisting trends in the outcomes. After guideline implementation, there was an absolute reduction of 23% in CXR (95% confidence interval [CI]: 11% to 34%), 11% in RSV testing (95% CI: 6% to 17%), 7% in albuterol use (95% CI: 0.2% to 13%), and 41 minutes in ED LOS (95% CI: 16 to 65 minutes). Mean cost per patient was reduced by $197 (95% CI: $136 to $259). Total cost savings was $196,409 (95% CI: $135,592 to $258,223) over the 2 bronchiolitis seasons after guideline implementation. There were no significant differences in antibiotic use, admission rates, or returns resulting in admission within 72 hours of discharge. A bronchiolitis guideline was associated with reductions in CXR, RSV testing, albuterol use, ED LOS, and total costs in a pediatric ED.

  11. Use of a midstream clean catch mobile application did not lower urine contamination rates in an ED.

    Science.gov (United States)

    Jacob, Mary S; Kulie, Paige; Benedict, Cameron; Ordoobadi, Alexander J; Sikka, Neal; Steinmetz, Erika; McCarthy, Melissa L

    2018-01-01

    Urine microscopy is a common test performed in emergency departments (EDs). Urine specimens can easily become contaminated by different factors, including the collection method. The midstream clean-catch (MSCC) collection technique is commonly used to reduce urine contamination. The urine culture contamination rate from specimens collected in our ED is 30%. We developed an instructional application (app) to show ED patients how to provide a MSCC urine sample. We hypothesized that ED patients who viewed our instructional app would have significantly lower urine contamination rates compared to patients who did not. We prospectively enrolled 257 subjects with a urinalysis and/or urine culture test ordered in the ED and asked them to watch our MSCC instructional app. After prospective enrollment was complete, we retrospectively matched each enrolled subject to an ED patient who did not watch the instructional app. Controls were matched to cases based on gender, type of urine specimen provided, ED visit date and shift. Urinalysis and urine culture contamination results were compared between the matched pairs using McNemar's test. The overall urine culture contamination rate of the 514 subjects was 38%. The majority of the matched pairs had a urinalysis (63%) or urinalysis plus urine culture (35%) test done. There were no significant differences in our urine contamination rates between the matched pairs overall or when stratified by gender, by prior knowledge of the clean catch process or by type of urine specimen. We did not see a lower contamination rate for patients who viewed our instructional app compared to patients who did not. It is possible that MSCC is not effective for decreasing urine specimen contamination. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Should we fear "flu fear" itself? Effects of H1N1 influenza fear on ED use.

    Science.gov (United States)

    McDonnell, William M; Nelson, Douglas S; Schunk, Jeff E

    2012-02-01

    Surges in patient volumes compromise emergency departments' (EDs') ability to deliver care, as shown by the recent H1N1 influenza (flu) epidemic. Media reports are important in informing the public about health threats, but the effects of media-induced anxiety on ED volumes are unclear. The aim of this study is to examine the effect of widespread public concern about flu on ED use. We reviewed ED data from an integrated health system operating 18 hospital EDs. We compared ED visits during three 1-week periods: (a) a period of heightened public concern regarding flu before the disease was present ("Fear Week"), (b) a subsequent period of active disease ("Flu Week"), and (c) a week before widespread concern ("Control Week"). Fear Week was identified from an analysis of statewide Google electronic searches for "swine flu" and from media announcements about flu. Flu Week was identified from statewide epidemiological data. Data were reviewed from 22 608 visits during the study periods. Fear Week (n = 7712) and Flu Week (n = 7687) were compared to Control Week (n = 7209). Fear Week showed a 7.0% increase in visits (95% confidence interval, 6-8). Pediatric visits increased by 19.7%, whereas adult visits increased by 1%. Flu Week showed an increase over Control Week of 6.6% (95% confidence interval, 6-7). Pediatric visits increased by 10.6%, whereas adult visits increased by 4.8%. At a time of heightened public concern regarding flu but little disease prevalence, EDs experienced substantial increases in patient volumes. These increases were significant and comparable to the increases experienced during the subsequent epidemic of actual disease. Copyright © 2012 Elsevier Inc. All rights reserved.

  13. Improving predictions of carbon fluxes in the tropics undre climatic changes using ED2

    Science.gov (United States)

    Feng, X.; Uriarte, M.

    2016-12-01

    Tropical forests play a critical role in the exchange of carbon between land and atmosphere, highlighting the urgency of understanding the effects of climate change on these ecosystems. The most optimistic predictions of climate models indicate that global mean temperatures will increase by up to 2 0C with some tropical regions experiencing extreme heat. Drought and heat-induced tree mortality will accelerate the release of carbon to the atmosphere creating a positive feedback that greatly exacerbates global warming. Thus, under a warmer and drier climate, tropical forests may become net sources, rather than sinks, of carbon. Earth system models have not reached a consensus on the magnitude and direction of climate change impacts on tropical forests, calling into question the reliability of their predictions. Thus, there is an immediate need to improve the representation of tropical forests in earth system models to make robust predictions. The goal of our study is to quantify the responses of tropical forests to climate variability and improve the predictive capacity of terrestrial ecosystem models. We have collected species-specific physiological and functional trait data from 144 tree species in a Puerto Rican rainforest to parameterize the Ecosystem Demography model (ED2). The large amount of data generated by this research will lead to better validation and lowering the uncertainty in future model predictions. To best represent the forest landscape in ED2, all the trees have been assigned to three plant functional types (PFTs): early, mid, and late successional species. Trait data for each PFT were synthesized in a Bayesian meta-analytical model and posterior distributions of traits were used to parameterize the ED2 model. Model predictions show that biomass production of late successional PFT (118.89 ton/ha) was consistently higher than mid (71.33 ton/ha) and early (13.21 ton/ha) PFTs. However, mid successional PFT had the highest contributions to NPP for the

  14. Early primary care follow-up after ED and hospital discharge - does it affect readmissions?

    Science.gov (United States)

    Sinha, Sanjai; Seirup, Joanna; Carmel, Amanda

    2017-04-01

    After hospitalization, timely discharge follow-up has been linked to reduced readmissions in the heart failure population, but data from general inpatients has been mixed. The objective of this study was to determine if there was an association between completed follow-up appointments within 14 days of hospital discharge and 30-day readmission amongst primary care patients at an urban academic medical center. Index discharges included both inpatient and emergency room settings. A secondary objective was to identify patient factors associated with completed follow-up appointments within 14 days. We conducted a retrospective review of primary care patients at an urban academic medical center who were discharged from either the emergency department (ED) or inpatient services at the Weill Cornell Medical Center/New York Presbyterian Hospital from 1 January 2014-31 December 2014. Cox proportional hazard models were used to identify the relationship between follow-up in primary care within 14 days and readmission within 30 days. Logistic regression was used to evaluate the association of patient factors with 14-day follow-up. Among 9,662 inpatient and ED discharges, multivariable analysis (adjusting for age, gender, race/ethnicity, insurance, number of diagnoses on problem list, length of stay, and discharge service) showed that follow-up with primary care within 14 days was not associated with a lower hazard of readmission within 30 days (HR = 0.78; 95% CI 0.56-1.09). A higher number of diagnoses on the problem list was associated with greater odds of follow-up for both inpatient and emergency department discharges (inpatient: HR = 1.03, 95% CI 1.02-1.04; ED: HR = 1.02, 95% CI 1.00-1.04). For inpatient discharges, each additional day in length of stay was associated with 3% lower odds of follow-up (HR = 0.97, 95% CI 0.96-0.99). Early follow-up within 14 days after discharge from general inpatient services was associated with a trend toward lower hazard of

  15. Dynamic evapotranspiration in tree-resolving LES - The ED2RAFLES model

    Science.gov (United States)

    Bohrer, G.; Medvigy, D.

    2010-12-01

    How evapotranspiration scales from individual plants to a landscape is a critical problem in hydrology. To investigate this problem, we developed a version of the RAMS-Based Forest Large Eddy Simulations (RAFLES) which includes a dynamic, multi-layered evapotranspiration and CO2 uptake. RAFLES resolves vegetation as a heterogeneous 3D field. It can run at resolutions down to 1 m^3 and can incorporate explicit canopy representations derived from lidar. The canopy influences dynamics through a drag term, proportional to the leaf density at each numerical cell, and as a solid volume, which blocks some of the volume and apertures inside the canopy space. To calculate the exchange of scalar fluxes between the canopy and the air, the Ecosystem Demography version 2 (ED2) was coupled with RAFLES. ED2RAFLES dynamically resolves sensible heat fluxes, evapotranspiration, radiative transfer, and carbon fluxes. The surface energy budget is solved at vertical levels inside the canopy to find the skin temperature of the leaves and soil surface, and evapotranspiration rates. Evapotranspiration is also driven by frictional velocity near the leaves and is further restricted by stomatal conductance, parameterized using a Ball-Berry scheme, and by soil water availability. We tested the sensitivity of modeled evapotranspiration to the dynamic representation for a virtual canopy domain, based on the spatial structure of the forest around the Ameriflux eddy-flux tower, at the University of Michigan Biological Station (UMBS). A “test” simulation used the dynamic ED2-driven evaporation. A “control” simulation prescribed sensible and latent heat fluxes as a function of LAI and light attenuation at a rate equal to the mean heat flux from the test simulation. The simulation differed in the degree of spatial heterogeneity of fluxes across the domains and in the coherency between canopy structure and evaporation. Quantifying this coherency is important to our understanding of the

  16. Management of ED under the "severe distress" criteria in the NHS: a real-life study.

    Science.gov (United States)

    Mohee, Amar; Bretsztajn, Laure; Storey, Anne; Eardley, Ian

    2014-04-01

    The United Kingdom is unusual in that a significant proportion of patients with erectile dysfunction (ED) have their treatment fully reimbursed by the National Health Service (NHS). This may have consequences for the choice of treatment and for compliance with treatment. The aim of this study was to evaluate the use and cost implications of phosphodiesterase type 5 inhibitor in an NHS setting. Basic demographics and data on ED management for patients treated from January 2000 to April 2011 were obtained from a prospectively accrued database. We reviewed drug usage and costs as well as switching between drugs. Patients were given the choice of all available therapies and were followed up annually. Switching, compliance, and costs of treating ED under the "severe distress" criteria in the NHS were reviewed for this study. Two thousand one hundred fifty-nine patients qualified for reimbursed therapy. Two hundred twenty-six patients were excluded from further analysis owing to missing data. Patients were followed up on an annual basis. The mean patient age was 60.2 years (min 23, max 90), and the mean follow-up was 50.8 months (min 1, max 127). Six hundred ninety-six were started on sildenafil, 990 on tadalafil, 163 on vardenafil, and 84 on intracavernosal alprostadil. Eighteen percent of patients initially started on the scheme and stopped medication unilaterally. Of the patients, 12.3% changed their medication during follow-up. The cost of drugs increased year by year from £257,100 in 2007 to £352,519 in 2011. Our real-life observational study shows that in our institution, dropout of therapy is unusual. We hypothesize that this reflects, in part, the reimbursement issue. We also found that switching between drugs was unusual, although there are several possible explanations for that. Although this is a successful system for the patients, the hospital, which bears the costs of medication, is finding this an increasing economic drain. © 2014 International Society

  17. WDS versus silicon drift detector EDS: a case report for the comparison of quantitative chemical analyses of natural silicate minerals.

    Science.gov (United States)

    Cubukçu, H Evren; Ersoy, Orkun; Aydar, Erkan; Cakir, Uner

    2008-01-01

    Electron probe microanalysis (EPMA) is an essential analytical approach to determine elemental concentrations of various solid specimens quantitatively in mineralogical, petrological and materials research. Either wavelength dispersive X-ray (WDS) or energy dispersive X-ray (EDS) spectrometric techniques can collect the characteristic X-rays generated from each element in the specimen by an incident electron beam in order to define chemical constituents. Although WDS has been the preferred technique because of its higher spectral resolution and ability to detect trace elements, new generation EDS systems with silicon drift detectors (SDD), equipped with thin windows and integrated digital processing electronics, are claimed to approach the WDS throughput. In this study, we compared the analytical capability of a SDD EDS system with respect to WDS equipped systems on natural silicate minerals. For this purpose, natural rock samples, in which the silicate minerals present had already been analysed by various WDS systems, were chosen to compare these results with the ones acquired with a SDD EDS system. SDD EDS yielded satisfactory results for major elements (Na, Mg, Al, Si, K, Ca, Ti, Mn and Fe) compared with the results of the same minerals obtained by various WDS systems.

  18. Reliability and validity of the Conditional Goal Setting in Eating Disorders Scale (CGS-EDS) among adults with eating disorders.

    Science.gov (United States)

    Watson, Hunna J; Street, Helen; Raykos, Bronwyn C; Byrne, Susan M; Fursland, Anthea; Nathan, Paula R

    2010-04-01

    The aim of this study was to develop and validate a self-report measure of Conditional Goal Setting (CGS) for use among individuals with eating disorders, the Conditional Goal Setting in Eating Disorders Scale (CGS-EDS). The CGS-EDS assesses the degree to which an individual believes that the achievement of happiness is contingent upon the attainment of body shape and weight goals. Women with a DSM-IV diagnosed eating disorder consecutively referred to a specialist outpatient clinic (N=238) completed the CGS-EDS and self-report measures of theoretically related constructs. Exploratory factor analysis indicated a one-factor solution, which accounted for 65% of the variance. The CGS-EDS correlated positively with theoretically related measures of overvaluation of shape and weight, concern with shape and weight, dichotomous thinking, and depression. The alpha reliability of the scale was .92. The CGS-EDS is a valid and reliable measure of CGS in eating disorders and is relevant to cognitive and behavioral models of maintenance and intervention. Copyright 2009 Elsevier Ltd. All rights reserved.

  19. HARDNESS INDICES ESTIMATION OF SUPPORTING STRUCTURE ELEMENTS OF MOTOR BOGIES OF THE ELECTRIC TRAIN ED9M

    Directory of Open Access Journals (Sweden)

    O. M. Bondarev

    2013-08-01

    Full Text Available Purpose. The purpose of article is to develop the measures of hardness indices improvement of the supporting structures of motor cars of the electric trains ED9M. Methodology. In order to achieve the above stated aims the following measures had to be done: to develop a finite element model of the supporting structures of the motor bogie of the electric train ED9M, determine parameters of the developed model; perform the calculations to determine the stress-strain state during loads corresponding to different operating conditions with the search of geometric parameters reducing the highest stress levels. Findings. The obtained results of calculations (fields of stress distribution and strains in the elements of the motor bogie frame from the viewpoint of the strength and stiffness discovered the best geometric parameters of the bearings in the central suspension beams of the electric trains ED9M in the places of load transmission from the car body to the bogie frame. Originality. Based on the developed finite element models and the theoretical and experimental researches the scientifically grounded modernization measures of the construction elements of the central suspension beams for motor bogies of the electric trains ED9M were developed. Practical value. It was developed an engineering solution concerning the measures to improve the strength and stiffness characteristics of the central suspension beams for the motor cars of the electric trains ED9M. It was given to the Ukrzaliznytsya’s professionals to implement them during repairs.

  20. The HEADS-ED: a rapid mental health screening tool for pediatric patients in the emergency department.

    Science.gov (United States)

    Cappelli, Mario; Gray, Clare; Zemek, Roger; Cloutier, Paula; Kennedy, Allison; Glennie, Elizabeth; Doucet, Guy; Lyons, John S

    2012-08-01

    The American Academy of Pediatrics called for action for improved screening of mental health issues in the emergency department (ED). We developed the rapid screening tool home, education, activities/peers, drugs/alcohol, suicidality, emotions/behavior, discharge resources (HEADS-ED), which is a modification of "HEADS," a mnemonic widely used to obtain a psychosocial history in adolescents. The reliability and validity of the tool and its potential for use as a screening measure are presented. ED patients presenting with mental health concerns from March 1 to May 30, 2011 were included. Crisis intervention workers completed the HEADS-ED and the Child and Adolescent Needs and Strengths-Mental Health tool (CANS MH) and patients completed the Children's Depression Inventory (CDI). Interrater reliability was assessed by using a second HEADS-ED rater for 20% of the sample. A total of 313 patients were included, mean age was 14.3 (SD 2.63), and there were 182 females (58.1%). Interrater reliability was 0.785 (P mental health concerns.

  1. Origine ed evoluzione dell'universo dal big-bang alle galassie

    CERN Document Server

    Gratton, Livio

    1992-01-01

    Il volume, destinato a un vasto pubblico di lettori anche non particolarmente versati in materie scientifiche, offre un panorama aggiornato e completo degli sviluppi più recenti della cosmologia, la scienza che studia l'Universo nel suo complesso. Abbandonate ormai completamente visioni mitiche e geocentriche, la moderna cosmologia ripresenta come un ambizioso e affascinante tentativo di creare un modello unitario dell'Universo e della sua evoluzione attraverso gli strumenti della fisica e dell'astronomia. In questo quadro, nato da una profonda riflessione sui concetti di spazio e di tempo sviluppatasi nei primi decenni del secolo soprattutto da parte di Einstein, e sostenuto dal prodigioso progresso della tecnologia che ha aperto nuove e rivoluzionarie possibilità di osservazione, un succedersi sempre più incalzante ed emozionante di scoperte sta rivelando un panorama inaspettatamente vario, complesso, e allo stesso tempo semplice e unitario, la cui interpretazione richiede al cosmologo rigore, fantasia e...

  2. PENGENDALIAN MESIN HOIST HANGER DALAM PROSES PTC/ED MENGGUNAKAN PLC OMRON

    Directory of Open Access Journals (Sweden)

    Wahyudi Wahyudi

    2012-02-01

    Full Text Available The development of technology demands efficient and work speed, so it needs a system which can handleseveral things.This problem can be covered with PLC (Programmable Logic Control that can integrateseveral self standing component to be an integrated control system and can be changed the configurationwithout change all instrument. Modify the ladder program can alter system of PLC. This paper showsHoist Hanger system in PTC/ED (Pre Treatment Chemical/Electrocoat Dispotition process that controlledby PLC. Above input from limit switch, sensor, or the other input, PLC system drives the motorrelay Hoist Hanger machine. That cause the motor relay Hoist Hanger change its condition, so the movingof Hoist Hanger machine will be suitable with PLC program.

  3. Temperature dependence of direct current conductivity in Ag-ED20 nanocomposite films

    Science.gov (United States)

    Novikov, G. F.; Rabenok, E. V.; Bogdanova, L. M.; Irzhak, V. I.

    2017-10-01

    The effect of silver nanoparticles (NPs) in the concentration range of ≤0.8 wt % have on direct current conductivity σdc of Ag-ED20 nanocomposite is studied by method of broadband dielectric spectroscopy (10-2-105 Hz) method of broadband dielectric spectroscopy. It is found that temperature dependence σdc consists of two sections: above the glass transition temperature ( T g), the dependence corresponds to the empirical Vogel-Fulcher-Tammann law (Vogel temperature T 0 does not depend on the NP concentration); below T g, the dependence is Arrhenius with activation energy E a ≈ 1.2 eV. In the region where T > T g, the σdc value grows along with NP concentration. It is concluded that the observed broken form of the temperature dependence is apparently due to a change in the conduction mechanism after the freezing of ion mobility at temperatures below T g.

  4. Enrico Biasin - Giovanna Maina - Federico Zecca (Eds., Porn After Porn. Contemporary Alternative Pornographies

    Directory of Open Access Journals (Sweden)

    Mirko Lino

    2015-05-01

    Full Text Available Dopo Il Porno Espanso, recensito a suo tempo su Between, il nuovo libro a cura di Enrico Biasin, Giovanna Maina e Federico Zecca, Porn After Porn, è il primo tassello di un'interessante collana, “Mapping Pornographies: Histories, Geographies, Cultures”, che ha l'obiettivo di fornire materiali e strumenti metodologici al dibattito scientifico sulla pornografia contemporanea.I contributi che compongono il volume, dai saggi prettamente accademici alle testimonianze di artisti, produttori e registi del porno, creano tra loro fitte geometrie tematiche che illustrano i corpi, gli usi dei new media, gli sguardi e i consumi delle pornografie alternative, dalla loro proliferazione in Rete alla democratizzazione dell'accesso ai piaceri visivi inscritti nella fruizione di contenuti hard-core a pubblici non esclusivamente maschili ed eterosessuali.

  5. Microstructure evolution of directionally solidifi ed Sn-16%Sb hyperperitectic alloy

    Directory of Open Access Journals (Sweden)

    Li Shuangming

    2008-11-01

    Full Text Available The directionally solidifi ed microstructure of Sn-16%Sb hyperperitectic alloy has been investigated at various solidifi cation rates using a high-thermal gradient directional solidifi cation apparatus. The results indicate that the solidifi cation microstructure consists of hard primary intermetallic SnSb phase embedded in a matrix of soft peritectic β-Sn phase. The primary SnSb phase exhibits faceted growth with tetragonal or trigonal shapes. At the same time, the primary SnSb phase is refi ned with an increase in the solidifi cation rate and dispersed more uniformly in the matrix of β-Sn phase. The volume fraction of the SnSb phase fi rstly decreases and then increases when the solidifi cation rate increases in directional solidifi cation of Sn-16%Sb hyperperitectic alloy.

  6. Book Review: The Communicating Leader: The key to strategic alignment (2nd Ed

    Directory of Open Access Journals (Sweden)

    X. C. Birkenbach

    2003-10-01

    Full Text Available Title: The Communicating Leader: The key to strategic alignment (2nd Ed Author: Gustav Puth Publisher: Van Schaik Publishers Reviewer: XC Birkenbach The aim of the book according to the author, is "meant to be a usable tool, an instrument in the toolbox of the real leader and leadership student". The book is written in conversational style (as intended by the author and the 219 pages of the 10 chapters are logically packaged into three parts. While the main emphasis is naturally on leadership and communication, the coverage includes topics typically encountered in Organisational Behaviour or Management texts, e.g., organizational culture, managing change, motivation, conflict management and strategic management.

  7. The FAST-ED App: A Smartphone Platform for the Field Triage of Patients With Stroke.

    Science.gov (United States)

    Nogueira, Raul G; Silva, Gisele S; Lima, Fabricio O; Yeh, Yu-Chih; Fleming, Carol; Branco, Daniel; Yancey, Arthur H; Ratcliff, Jonathan J; Wages, Robert Keith; Doss, Earnest; Bouslama, Mehdi; Grossberg, Jonathan A; Haussen, Diogo C; Sakano, Teppei; Frankel, Michael R

    2017-05-01

    The Emergency Medical Services field triage to stroke centers has gained considerable complexity with the recent demonstration of clinical benefit of endovascular treatment for acute ischemic stroke. We sought to describe a new smartphone freeware application designed to assist Emergency Medical Services professionals with the field assessment and destination triage of patients with acute ischemic stroke. Review of the application's platform and its development as well as the different variables, assessments, algorithms, and assumptions involved. The FAST-ED (Field Assessment Stroke Triage for Emergency Destination) application is based on a built-in automated decision-making algorithm that relies on (1) a brief series of questions assessing patient's age, anticoagulant usage, time last known normal, motor weakness, gaze deviation, aphasia, and hemineglect; (2) a database of all regional stroke centers according to their capability to provide endovascular treatment; and (3) Global Positioning System technology with real-time traffic information to compute the patient's eligibility for intravenous tissue-type plasminogen activator or endovascular treatment as well as the distances/transportation times to the different neighboring stroke centers in order to assist Emergency Medical Services professionals with the decision about the most suitable destination for any given patient with acute ischemic stroke. The FAST-ED smartphone application has great potential to improve the triage of patients with acute ischemic stroke, as it seems capable to optimize resources, reduce hospital arrivals times, and maximize the use of both intravenous tissue-type plasminogen activator and endovascular treatment ultimately leading to better clinical outcomes. Future field studies are needed to properly evaluate the impact of this tool in stroke outcomes and resource utilization. © 2017 American Heart Association, Inc.

  8. Microwave oven-related injuries treated in hospital EDs in the United States, 1990 to 2010.

    Science.gov (United States)

    Thambiraj, Dana F; Chounthirath, Thiphalak; Smith, Gary A

    2013-06-01

    The widespread availability of microwave ovens has sparked interest in injuries resulting from their use. Using a retrospective cohort design, the objective of this study is to investigate the epidemiology of microwave oven-related injuries treated in United States emergency departments (EDs) from 1990 through 2010 by analyzing data from the National Electronic Injury Surveillance System. An estimated 155959 (95% confidence interval [CI], 133515-178402) individuals with microwave oven-related injuries were treated in US hospital EDs from 1990 through 2010, which equals an average of 21 individuals per day; 60.7% were female; 63.3% were adults (≥18 years); 98.1% of injury events occurred at home; and 3.9% of patients were hospitalized. During the 21-year study period, the number and rate of microwave oven-related injuries increased significantly by 93.3% and 50.0%, respectively. The most common mechanism of injury was a spill (31.3%), and the most common body region injured was the hand and fingers (32.4%). Patients younger than 18 years were more likely to sustain an injury to their head and neck (relative risk: 1.65; 95% CI, 1.39-1.96) than adults. To our knowledge, this is the first study to investigate microwave oven-related injuries on a national scale. Microwave ovens are an important source of injury in the home in the United States. The large increases in the number and rate of these injuries underscore the need for increased prevention efforts, especially among young children. Copyright © 2013 Elsevier Inc. All rights reserved.

  9. DEVELOPMENT OF A METHOD STATISTICAL ANALYSIS ACCURACY AND PROCESS STABILITY PRODUCTION OF EPOXY RESIN ED-20

    Directory of Open Access Journals (Sweden)

    N. V. Zhelninskaya

    2015-01-01

    Full Text Available Statistical methods play an important role in the objective evaluation of quantitative and qualitative characteristics of the process and are one of the most important elements of the quality assurance system production and total quality management process. To produce a quality product, one must know the real accuracy of existing equipment, to determine compliance with the accuracy of a selected technological process specified accuracy products, assess process stability. Most of the random events in life, particularly in manufacturing and scientific research, are characterized by the presence of a large number of random factors, is described by a normal distribution, which is the main in many practical studies. Modern statistical methods is quite difficult to grasp and wide practical use without in-depth mathematical training of all participants in the process. When we know the distribution of a random variable, you can get all the features of this batch of products, to determine the mean value and the variance. Using statistical control methods and quality control in the analysis of accuracy and stability of the technological process of production of epoxy resin ED20. Estimated numerical characteristics of the law of distribution of controlled parameters and determined the percentage of defects of the investigated object products. For sustainability assessment of manufacturing process of epoxy resin ED-20 selected Shewhart control charts, using quantitative data, maps of individual values of X and sliding scale R. Using Pareto charts identify the causes that affect low dynamic viscosity in the largest extent. For the analysis of low values of dynamic viscosity were the causes of defects using Ishikawa diagrams, which shows the most typical factors of the variability of the results of the process. To resolve the problem, it is recommended to modify the polymer composition of carbon fullerenes and to use the developed method for the production of

  10. Acute neck pain in the ED: Consider longus colli calcific tendinitis vs meningitis.

    Science.gov (United States)

    Patel, Tyag K; Weis, James C

    2017-06-01

    Presented here is a rare cause of severe neck pain - acute longus colli calcific tendinitis - in a 54year old man who presented to the emergency department. The neck pain is due to inflammation caused by calcium hydroxyapatite crystal deposition in the tendons on the longus colli muscles. This is non-infectious. The gold standard for diagnosis is a CT neck which best shows the calcifications in the anterior vertebral column of C1-C4, where the tendons of these muscles insert bilaterally. Longus colli calcific tendinitis is not life-threatening and patients will make a full recovery after treatment with NSAIDs. However, this condition is often confused with life-threatening conditions such as infection (meningitis or retropharyngeal abscess), intracranial hemorrhage, trauma, herniation of cervical discs, or malignancy (Estimable et al. (2015) [1]). Symptoms associated with calcific tendinitis of the longus colli muscle are non-specific and include mild fever, moderate-severe headache, neck pain, and drastically reduced range of motion of the neck. More specific symptoms are the presence of dysphagia and odynophagia. Lab findings usually are significant for mild leukocytosis, and elevated ESR and CRP. Awareness of this condition by E.D. physicians can avoid unnecessary invasive interventions, increased costs, and delays that result from incorrect diagnosis and treatment. This is a unique case in which a patient who was afebrile with a normal ESR was worked up for meningitis and an intracranial process, and also empirically treated for meningitis before finally being diagnosed with acute calcific tendinitis of the longus colli muscle in the E.D. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Analysis of closed malpractice medical claims against Taiwanese EDs: 2003 to 2012.

    Science.gov (United States)

    Wu, Kuan-Han; Wu, Chien-Hung; Cheng, Shih-Yu; Lee, Wen-Huei; Kung, Chia-Te

    2014-09-01

    The objective of the study is to examine the epidemiologic data of closed malpractice medical claims against emergency departments (EDs) in Taiwanese civil courts and to identify high-risk diseases. We conducted a retrospective study and reviewed the verdicts from the national database of the Taiwan judicial system that pertained to EDs. Between 2003 and 2012, a total of 63 closed medical claims were included. Seven cases (11.1%) resulted in an indemnity payment, 55.6% of the cases were closed in the district court, but appeals were made to the supreme court in 12 cases (19.1%). The mean incident-to-litigation closure time was 57.7 ± 26.8 months. Of the cases with indemnity paid, 5 cases (71.4%) were deceased, and 2 cases (28.6%) were gravely injured. All cases with indemnity paid were determined to be negligent by a medical appraisal. The gravely injured patients had more indemnity paid than deceased patients ($299800 ± 37000 vs $68700 ± 29300). The most common medical conditions involved were infectious diseases (27.0%), central nervous system bleeding (15.9%), and trauma cases (12.7%). It was also found that 71.4% of the allegations forming the basis of the lawsuit were diagnosis related. Emergency physicians (EPs) in Taiwan have similar medico-legal risk as American EPs, with an annual risk of being sued of 0.63%. Almost 90% of EPs win their cases but spend 58 months in litigation, and the mean indemnity payment was $134738. Cases with indemnity paid were mostly categorized as having diagnosis errors, with the leading cause of error as failure to order an appropriate diagnostic test. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. ER vs. ED: a comparison of televised and real-life emergency medicine.

    Science.gov (United States)

    Primack, Brian A; Roberts, Traci; Fine, Michael J; Dillman Carpentier, Francesca R; Rice, Kristen R; Barnato, Amber E

    2012-12-01

    Although accurate health-related representations of medical situations on television can be valuable, inaccurate portrayals can engender misinformation. The purpose of this study was to compare sociodemographic and medical characteristics of patients depicted on television vs. actual United States (US) Emergency Department (ED) patients. Two independently working coders analyzed all 22 programs in one complete year of the popular "emergency room" drama ER. Inter-rater reliability was excellent, and all initial coding differences were easily adjudicated. Actual health data were obtained from the National Heath and Ambulatory Medical Care Survey from the same year. Chi-squared goodness-of-fit tests were used to compare televised vs. real distribution across key sociodemographic and medical variables. Ages at the extremes of age (i.e., ≤ 4 and ≥ 45 years) were less commonly represented on television compared with reality. Characters on television vs. reality were less commonly women (31.2% vs. 52.9%, respectively), African-American (12.7% vs. 20.3%), or Hispanic (7.1% vs. 12.5%). The two most common acuity categories for television were the extreme categories "non-urgent" and "emergent," whereas the two most common categories for reality were the middle categories "semi-urgent" and "urgent." Televised visits compared with reality were most commonly due to injury (63.5% vs. 37.0%, respectively), and televised injuries were less commonly work-related (4.2% vs. 14.8%, respectively). Comparison of represented and actual characteristics of ED patients may be valuable in helping us determine what types of patient misperceptions may exist, as well as what types of interventions may be beneficial in correcting that potential misinformation. Copyright © 2012 Elsevier Inc. All rights reserved.

  13. Diseases associated with electrolyte imbalance in the ED: age-related differences.

    Science.gov (United States)

    Giordano, Mauro; Ciarambino, Tiziana; Castellino, Pietro; Malatino, Lorenzo; Di Somma, Salvatore; Biolo, Gianni; Paolisso, Giuseppe; Adinolfi, Luigi Elio

    2016-10-01

    The objective of the study is to investigate the prevalence of electrolyte imbalance (EI) in the emergency department (ED) with systemic diseases in different decades of life. We enrolled patients admitted to the ED. The population study included 7941 patients, subdivided in 3 groups: young group (Y), middle-aged group (MA), and elderly group (E). We observed EI in 13.7% of the whole population. Hyponatremia (hNa(+)) is the most frequent EI (44%) followed by hypokalemia (hK(+)) (39%), hyperkalemia (HK(+)) (13%), and hypernatremia (HNa(+)) (4.4%). In the Y group, the EI occurred in 7.1% of all patients (P< .05 vs MA and E), whereas in the MA group, they were shown in 11.5% of patients and in the E group in 22% of all patients group (P< .05 vs MA and Y). In the Y group, gastrointestinal diseases are the most frequently associated disease (24.6%; P< .05 vs MA and E). In the MA group, the most frequently associated disease was a current cardiovascular disease (29.7%; P< .05 vs Y and E). In the E group, the frequently associated diseases are cardiovascular (22.8%; P< .05 vs Y) and lung diseases (16.7%; P< .05 vs MA and Y). In our study, 13.7% of all patients showed an EI, and only 2% of cases were alone without any associated systemic disease. Most EIs are associated to other systemic diseases. The present data also depict different age-related and disease-associated prevalence patterns of EI, thus highlighting a complex clinical scenario. Copyright © 2016. Published by Elsevier Inc.

  14. Electromagnetic field effect simulation over a realistic pixel ed phantom human's brain

    Energy Technology Data Exchange (ETDEWEB)

    Rojas, R.; Calderon, J. A.; Rivera, T. [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Calz. Legaria No. 694, Col. Irrigacion, 11500 Mexico D. F. (Mexico); Azorin, J., E-mail: rafaelturing@prodigy.net.mx [Universidad Autonoma Metropolitana, Unidad Iztapalapa, Av. San Rafael Atlixco 186, Col. Vicentina, 09340 Mexico D. F. (Mexico)

    2012-10-15

    The exposition to different types of electromagnetic radiations can produce damages and injures on the people's tissues. The scientist, spend time and resources studying the effects of electromagnetic fields over the organs. Particularly in medical areas, the specialist in imaging methodologies and radiological treatment, are very worried about no injure there patient. Determination of matter radiation interaction, can be experimental or theoretical is not an easy task anyway. At first case, is not possible make measures inside the patient, then the experimental procedure consist in make measures in human's dummy, however, is not possible see deformations of electromagnetic fields due the organs presence. In the second case, is necessary solve, the Maxwell's equations with the electromagnetic field, crossing a lot of organs and tissues with different electric and magnetic properties each one. One alternative for theoretical solution, is make a computational simulation, however, this option, require an enormous quantity of memory and large computational times. Then, the most simulations are making in 2 dimensional or in 3 dimensional although using human models approximations, build ed with basic geometrical figures, like spheres, cylinders, ellipsoids, etc. Obviously this models just lets obtain a coarse solution of the actually situation. In this work, we propose a novel methodology to build a realistic pixel ed phantom of human's organs, and solve the Maxwell's equations over this models, evidently, the solutions are more approximated to the real behaviour. Additionally, there models results optimized when they are discretized and the finite element method is used to calculate the electromagnetic field and the induced currents. (Author)

  15. Motivations and barriers to implementing electronic health records and ED information systems in Japan.

    Science.gov (United States)

    Inokuchi, Ryota; Sato, Hajime; Nakamura, Kensuke; Aoki, Yuta; Shinohara, Kazuaki; Gunshin, Masataka; Matsubara, Takehiro; Kitsuta, Yoichi; Yahagi, Naoki; Nakajima, Susumu

    2014-07-01

    Although electronic health record systems (EHRs) and emergency department information systems (EDISs) enable safe, efficient, and high-quality care, these systems have not yet been studied well. Here, we assessed (1) the prevalence of EHRs and EDISs, (2) changes in efficiency in emergency medical practices after introducing EHR and EDIS, and (3) barriers to and expectations from the EHR-EDIS transition in EDs of medical facilities with EHRs in Japan. A survey regarding EHR (basic or comprehensive) and EDIS implementation was mailed to 466 hospitals. We examined the efficiency after EHR implementation and perceived barriers and expectations regarding the use of EDIS with existing EHRs. The survey was completed anonymously. Totally, 215 hospitals completed the survey (response rate, 46.1%), of which, 76.3% had basic EHRs, 4.2% had comprehensive EHRs, and 1.9% had EDISs. After introducing EHRs and EDISs, a reduction in the time required to access previous patient information and share patient information was noted, but no change was observed in the time required to produce medical records and the overall time for each medical care. For hospitals with EHRs, the most commonly cited barriers to EDIS implementation were inadequate funding for adoption and maintenance and potential adverse effects on workflow. The most desired function in the EHR-EDIS transition was establishing appropriate clinical guidelines for residents within their system. To attract EDs to EDIS from EHR, systems focusing on decreasing the time required to produce medical records and establishing appropriate clinical guidelines for residents are required. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. Correlation between capillary and arterial blood gas parameters in an ED.

    Science.gov (United States)

    Heidari, Kamran; Hatamabadi, Hamidreza; Ansarian, Nader; Alavi-Moghaddam, Mostafa; Amini, Afshin; Safari, Saeed; Darbandsar Mazandarani, Parvin; Vafaee, Alireza

    2013-02-01

    Sampling from arteries for the analysis of blood gases is a common procedure in emergency departments (ED). The procedure is painful for the patients and causes concern for the medical personnel due to possible complications, such as hematoma, infection, ischemia, and formation of fistula or aneurism. The present study compared the results of capillary and arterial blood gases analyses (CBG and ABG) to emphasizing a less aggressive technique with the fewest complications for this procedure. In the comparative/analytical study, the results of ABG and CBG for 187 patients referring to the ED of a teaching hospital were compared using SPSS 18 statistical software (SPSS, Chicago, IL) in relation to the mean partial pressure of oxygen (Po(2)), partial pressure of carbon dioxide (Pco(2)), base excess (BE), bicarbonate (HCO(3)), serum acidity (pH), and saturation of hemoglobin oxygen (SaO(2)). Saturation of hemoglobin oxygen, HCO(3), pH, Pco(2), Po(2), and BE exhibited significant statistical correlation between ABG and CBG (P = .001). The average correlations between capillary and arterial samples were 0.78 for pH, 0.73 for Pco(2), 0.71 for BE, 0.90 for HCO(3), 0.77 for Po(2), and 0.52 for SaO(2). Comparison of the parameters means did not exhibit significant differences between arterial and capillary samples except for Po(2) and SaO(2) (P > .05). There appear to be strong correlation between samples collected from the finger tip capillaries with the arterial blood samples in relation to the analysis of blood gas. Copyright © 2013 Elsevier Inc. All rights reserved.

  17. Macrofauna edáfica asociada con sistemas agroforestales en la Amazonía Colombiana

    Directory of Open Access Journals (Sweden)

    Juan Carlos Suárez Salazar

    2015-07-01

    Full Text Available La densidad, riqueza y diversidad de la macrofauna edáfica son afectadas, entre otros factores, por la configuración de los agroecosistemas y la estacionalidad de la precipitación. Con el fin de evaluar estos efectos en mayo y noviembre de 2011, correspondientes a épocas de máxima y mínima precipitación, respectivamente, se realizaron estudios sobre la composición de la macrofauna edáfica asociada con los arreglos agroforestales ubicados en el Centro de Investigaciones Macagual Cesar Augusto Estrada González, Amazonia, Caquetá, Colombia. El experimento se dispuso en un diseño completo al azar bifactorial con cuatro tratamientos (arreglos agroforestales: AB = abarco - Cariniana pyriformis Miers; CH = caucho Hevea brasiliensis (Willd. ex A. Juss. Müll. Arg. ; CP = caucho-parica Schizolobium amazonicum Huber; UV = uvito Genipa Americana L. y dos épocas (máxima y mínima precipitación, y cuatro repeticiones en parcelas divididas. Para explorar las relaciones entre los órdenes de macrofauna, se realizó un análisis de componentes principales y se evalúo el efecto de los arreglos agroforestales con una prueba de Monte Carlo. Los resultados mostraron que la densidad de la macrofauna fue mayor en el periodo de máxima precipitación (1129 individuos en comparación con el de mínima (598 individuos. Los arreglos agroforestales influyen sobre la presencia o ausencia de algunos grupos taxonómicos (P < 0.05 como Homoptera (Insecta y Raphidioptera (Insecta; además los UV y AB pueden favorecer a la macrofauna del estrés por sequía

  18. Bhaktapur, Nepal: the MAL-ED birth cohort study in Nepal.

    Science.gov (United States)

    Shrestha, Prakash Sunder; Shrestha, Sanjaya Kumar; Bodhidatta, Ladaporn; Strand, Tor; Shrestha, Binob; Shrestha, Rita; Chandyo, Ram Krishna; Ulak, Manjeswori; Mason, Carl J

    2014-11-01

    The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) cohort study site in Nepal is located in the Bhaktapur municipality, 15 km east of Kathmandu, the capital city of Nepal. Bhaktapur, an ancient city famous for its traditional temples and buildings, is included on UNESCO's World Heritage List and is a major tourist attraction in Nepal. Nepal is a land-locked country located in South Asia between China and India with an area of 147 181 km(2), ranging from sea-level plains to Mount Everest, the world's highest peak. The total population as of the 2011 census was 26.6 million, with an average annual population growth rate of 1.4. Nepal is one of the world's least developed countries and is ranked 157 of 186 in the 2013 Human Development Report; one-third of the Nepali population lives below the poverty line. The current under-5 mortality rate is 54 per 1000 live births, the infant mortality rate is 46 per 1000 live births, and the neonatal mortality rate is 33 per 1000 live births. Vaccine coverage for all Expanded Program on Immunization vaccines is >80%. Among children, the most common diseases contributing to significant morbidity and mortality are acute respiratory infection and dehydration from severe diarrhea. In this article, we report on the geographic, demographic, and socioeconomic features of the Bhaktapur MAL-ED site and describe the data that informed our cohort recruitment strategy. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  19. MetEd Training Resources from COMET: Assisting User Readiness for JPSS Era

    Science.gov (United States)

    Stevermer, A.; Jeffries, R. A.

    2016-12-01

    With all the new advancements, finding time to learn and stay current regarding new satellite instruments, capabilities, applications, and products can be daunting. COMET's self-paced online training resources available via the globally-renowned MetEd Website are available 24/7/365 to help meet this challenge.. UCAR's COMET® Program (www.comet.ucar.edu) has been funded for years by NOAA NESDIS as well as EUMETSAT and the Meteorological Service of Canada to support education and training in satellite meteorology. Experts from NOAA-NESDIS its Cooperative Institutes, the Meteorological Service of Canada, EUMETSAT, the Naval Research Laboratory and others work with COMET staff to create self-paced training lessons that encourage greater use of current and future satellite observations and products. As of fall 2016, nearly 90 satellite-focused, interactive materials are freely available in English via the MetEd Web site at http://meted.ucar.edu/topics/satellite. Many of these lessons are also available in Spanish and French making training more easily accessible to an international audience. This presentation will focus on COMET's satellite training offerings that are directly applicable to helping users learn more about the capabilities of the S-NPP and JPSS satellite series just in time to prepare for JPSS-1 launch! Our educational offerings include lessons on the VIIRS imager and its applications including the exciting nighttime visible observation with the VIIRS Day-Night Band. We'll show how the lessons introduce users to the advances these systems bring to forecasting, numerical weather prediction, and environmental monitoring. We'll also highlight the recently published lesson, " JPSS River Ice and Flood Products" and discuss current and future work.

  20. ER vs. ED: A Comparison of Televised and Real-Life Emergency Medicine

    Science.gov (United States)

    Primack, Brian A.; Roberts, Traci; Fine, Michael J.; Dillman Carpentier, Francesca R.; Rice, Kristen R.; Barnato, Amber E.

    2013-01-01

    Background Although accurate health-related representations of medical situations on television can be valuable, inaccurate portrayals can engender misinformation. Objective The purpose of this study was to compare socio-demographic and medical characteristics of patients depicted on television vs. actual U.S. Emergency Department (ED) patients. Methods Two independently working coders analyzed all 22 programs in one complete year of the popular emergency room drama ER. Inter-rater reliability was excellent, and all initial coding differences were easily adjudicated. Actual health data were obtained from the National Heath and Ambulatory Medical Care Survey data from the same year. We used Pearson’s chi-squared test to compare televised vs. real distribution across key socio-demographic and medical variables. Results Ages at the extremes (e.g., ≤4 and ≥45) were less commonly represented on television compared with reality. Compared with reality, characters on television were less commonly women (31.2% vs. 52.9%), African American (12.7% vs. 20.3%) or Hispanic (7.1% vs. 12.5%). The two most common acuity categories for television were the extreme categories “non-urgent” and “emergent,” whereas the two most common categories for reality were the middle categories “semi-urgent” and “urgent.” Compared with reality, televised visits were most commonly due to injury (63.5% vs. 37.0%), and televised injuries were less commonly work-related (4.2% vs. 14.8%). Conclusions Comparison of represented and actual characteristics of ED patients may be valuable in helping us determine what types of patient misperceptions may exist as well as what types of interventions may be beneficial in correcting that potential misinformation. PMID:22766407

  1. Erectile dysfunction in patients with diabetes mellitus: its magnitude, predictors and their bio-psycho-social interaction: a study from a developing country.

    Science.gov (United States)

    Dan, Amitava; Chakraborty, Kaustav; Mondal, Manas; Neogi, Rajarshi; Chatterjee, Somsubhra; Makhal, Manabendra

    2014-02-01

    Persons suffering from diabetes mellitus (DM) are at higher risk of developing erectile dysfunction (ED). Several factors contribute to ED in patients of DM. Only few studies have attempted to explore physical, psychological and social factors in a single study. The aim of the index study was to measure the prevalence of ED in patients of DM and to determine the contributory role of various socio-demographic, physical, and psychological variables. One hundred and thirteen (N = 113) consenting consecutive male married diabetic patients were assessed on International Index of Erectile Function Questionnaire (IIEFQ-5), Dyadic Adjustment Scale (DAS) and Beck's Depression Inventory (BDI) to measure erectile performance, quality of marriage and depressive symptoms respectively. Pretested Bengali versions of these scales were used in the index study. Prevalence of ED was 38.94%. ED group significantly differed from non-ED group in current age, family type, type of treatment for diabetes, presence of micro/macrovascular complications, history of current tobacco use, quality of marriage, and presence of depressive symptoms. In logistic regression analysis current age, body mass index (BMI) and presence of depressive symptoms had significant predictive role on occurrence of erectile dysfunction. Prevalence of ED among diabetic patients is high compared to general population. Both physical and psychosocial factors predict the occurrence of ED in this group. So, both physicians and psychiatrists should remain aware about the multi-faceted causative role of ED in DM. Copyright © 2013 Elsevier B.V. All rights reserved.

  2. An Exploration of Social Functioning in Young People with Eating Disorders: A Qualitative Study.

    Directory of Open Access Journals (Sweden)

    Krisna Patel

    Full Text Available Previous research indicates adults with eating disorders (EDs report smaller social networks, and difficulties with social functioning, alongside demonstrating difficulties recognising and regulating emotions in social contexts. Concurrently, those recovered from the illness have discussed the vital role offered by social support and interaction in their recovery. To date, little is known about the social skills and social networks of adolescents with EDs and this study aimed to conduct focus groups to explore the social functioning of 17 inpatients aged 12-17. Data were analysed using thematic analysis and six core themes were identified: group belonging, self-monitoring, social sensitivity, impact of hospitalisation, limited coping strategies and strategies for service provision. Key areas for service provision were: management of anxiety, development and/or maintenance of a social network and development of inter and intrapersonal skills. The most salient finding was that adolescents with EDs reported social difficulties which appeared to persist over and above those typically experienced at this point in the lifespan and therefore a key area for future focus is the development of appropriate coping strategies and solutions to deal with these reported difficulties.

  3. Direct relationship between aging and overcrowding in the ED, and a calculation formula for demand projection: a cross-sectional study.

    Science.gov (United States)

    Kawano, Takahisa; Nishiyama, Kei; Anan, Hideaki; Tujimura, Yuka

    2014-01-01

    Although it has been suggested that the increase in older population contributes to overcrowding in emergency departments (EDs), there are limited data defining this relationship. This study examines whether patients' mean age per day affects length of ED stay. This cross-sectional analysis evaluated how patient age affects length of ED stay. The study was conducted at an ED attached to Fujisawa City Hospital, Japan, between 1 November 2009 and 31 October 2010. Patients scheduled to visit for childbirth and patients under age 15 were excluded. The primary outcome measure was the relationship between length of ED stay and patient age. The secondary outcome was the relationship between patient age and patient dispositions indicated by column chart and 100% staked column chart. Over the study period, there were 17 744 patient visits to the ED. The study included 15 840 (89.3%) patients. The mean (SD) age of these patients was 56.9 (21.5) years. In single and multiple linear regression analyses, mean patient age per day was an important factor in length of ED stay for the total number of patients visiting the ED (single linear regression analysis: regression coefficient=1.59 min/year, r(2)=0.005, page. The increase in older patients visiting the ED has a direct significant negative effect on overcrowding in the ED.

  4. Autonomic symptom burden in the hypermobility type of Ehlers-Danlos syndrome: a comparative study with two other EDS types, fibromyalgia, and healthy controls.

    Science.gov (United States)

    De Wandele, Inge; Calders, Patrick; Peersman, Wim; Rimbaut, Steven; De Backer, Tine; Malfait, Fransiska; De Paepe, Anne; Rombaut, Lies

    2014-12-01

    This study provides insight into the profile and importance of autonomic symptoms in the hypermobility type (HT) of Ehlers-Danlos syndrome (EDS). The impact of these symptoms is put into perspective by comparing with fibromyalgia (FM) and two other EDS types. Overall, 80 patients with EDS-HT participated, as well as 11 with classical EDS (cEDS), seven with vascular EDS (vEDS), 38 with FM, and 43 healthy controls. All participants filled out the autonomic symptom profile (ASP). Furthermore, they were inquired about quality of life (QOL, SF-36) and factors contributing to the EDS disease burden, e.g., hypermobility (5-point questionnaire, GHQ), fatigue (checklist individual strength, CIS), pain (pain detect questionnaire, PDQ), affective distress (hospital anxiety and depression scale, HADS), and physical activity (Baecke). The total autonomic symptom burden was higher in EDS-HT (57.9 ± 21.57) than in controls (11.3 ± 19.22), cEDS (32.3 ± 19.47), and vEDS (29.1 ± 19.18), but comparable to FM (53.8 ± 19.85). Especially orthostatic and gastrointestinal complaints were prevalent. The importance of autonomic symptoms in EDS-HT was emphasized by the correlation with lowered QOL (r = -0.402), fatigue (r = 0.304), and pain severity (r = 0.370). Although affective distress and decreased physical activity are often suggested as possible causes for dysautonomia, the ASP did not correlate with the HADS and Baecke score. By contrast, the correlation of the GHQ (r = 0.298) and PDQ (r = 0.413) with the ASP supports the hypothesis that joint hypermobility and neuropathy may play a role in the development of autonomic symptoms. Autonomic symptoms, especially orthostatic and gastrointestinal complaints, are frequent extraarticular manifestations of EDS-HT and contribute to the disease burden. Copyright © 2014 Elsevier Inc. All rights reserved.

  5. Interpretation and method: Empirical research methods and the interpretive turn, 2nd ed.

    NARCIS (Netherlands)

    Yanow, D.; Schwartz-Shea, P.

    2014-01-01

    This book demonstrates the relevance, rigor, and creativity of interpretive research methodologies for the social and human sciences. The book situates methods questions within the context of broader methodological questions--specifically, the character of social realities and their "know-ability."

  6. Sociologia del linguaggio ed insegnamento delle lingue (Language Sociology and Language Teaching).

    Science.gov (United States)

    Braga, Giorgio

    1980-01-01

    Discusses the fundamental aspects of verbal communication and analyzes its functions in terms of social needs. Takes an historical perspective to distinguish different levels of social development characterized by different communication requirements and stages of language evolution. From these premises, it argues for a sociocultural approach to…

  7. Psychological distress in medical patients seeking ED care for somatic reasons: results of a systematic literature review.

    Science.gov (United States)

    Faessler, Lukas; Perrig-Chiello, Pasqualina; Mueller, Beat; Schuetz, Philipp

    2016-08-01

    The aim of this systematic literature review is to investigate (A) currently used instruments for assessing psychological distress, (B) the prevalence of psychological distress in medical emergency department (ED) patients with acute somatic conditions and (C) empirical evidence on how predictors are associated with psychological distress. We conducted an electronic literature search using three databases to identify studies that used validated instruments for detection of psychological distress in adult patients presented to the ED with somatic (non-psychiatric) complaints. From a total of 1688 potential articles, 18 studies were selected for in-depth review. A total of 13 instruments have been applied for assessment of distress including screening questionnaires and briefly structured clinical interviews. Using these instruments, the prevalence of psychological distress detected in medical ED patients was between 4% and 47%. Psychological distress in general and particularly depression and anxiety have been found to be associated with demographic factors (eg, female gender, middle age) and illness-related variables (eg, urgency of triage category). Some studies reported that coexisting psychological distress of medical patients identified in the ED was associated with physical and psychological health status after ED discharge. Importantly, during routine clinical care, only few patients with psychological distress were diagnosed by their treating physicians. There is strong evidence that psychological distress is an important and prevalent cofactor in medically ill patients presenting to the ED with harmful associations with (subjective) health outcomes. To prove causality, future research should investigate whether screening and lowering psychological distress with specific interventions would result in better patient outcomes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  8. Performance of the modified Richmond Agitation Sedation Scale in identifying delirium  in older ED patients.

    Science.gov (United States)

    Grossmann, Florian F; Hasemann, Wolfgang; Kressig, Reto W; Bingisser, Roland; Nickel, Christian H

    2017-09-01

    Delirium in older emergency department (ED) patients is associated with severe negative patient outcomes and its detection is challenging for ED clinicians. ED clinicians need easy tools for delirium detection. We aimed to test the performance criteria of the modified Richmond Agitation Sedation Scale (mRASS) in identifying delirium in older ED patients. The mRASS was applied to a sample of consecutive ED patients aged 65 or older by specially trained nurses during an 11-day period in November 2015. Reference standard delirium diagnosis was based on Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria, and was established by geriatricians. Performance criteria were computed. Analyses were repeated in the subsamples of patients with and without dementia. Of 285 patients, 20 (7.0%) had delirium and 41 (14.4%) had dementia. The sensitivity of an mRASS other than 0 to detect delirium was 0.70 (95% confidence interval, CI, 0.48; 0.85), specificity 0.93 (95% CI 0.90; 0.96), positive likelihood ratio 10.31 (95% CI 6.06; 17.51), negative likelihood ratio 0.32 (95% CI 0.16; 0.63). In the sub-sample of patients with dementia, sensitivity was 0.55 (95% CI 0.28; 0.79), specificity 0.83 (95% CI 0.66; 0.93), positive likelihood ratio 3.27 (95% CI 1.25; 8.59), negative likelihood ratio 0.55 (95% CI 0.28; 1.06). The sensitivity of the mRASS to detect delirium in older ED patients was low, especially in patients with dementia. Therefore its usefulness as a stand-alone screening tool is limited. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. The impact of age and gender on resource utilization and profitability in ED patients seen and released.

    Science.gov (United States)

    Henneman, Philip L; Nathanson, Brian H; Ribeiro, Kara; Balasubramanian, Hari

    2014-10-01

    To determine how age and gender impact resource utilization and profitability in patients seen and released from an Emergency Department (ED). Billing data for patients seen and released from an Emergency Department (ED) with >100,000 annual visits between 2003 and 2009 were collected. Resource utilization was measured by length of stay (placement in ED bed to leaving the bed) and direct clinical costs (e.g., ED nursing salary and benefits, pharmacy and supply costs, etc.) estimated using relative value unit cost accounting. The primary outcome of profitability was defined as contribution margin per hour. A patient's contribution margin by insurance type (excluding self-pay) was determined by subtracting direct clinical costs from facility contractual revenue. Results are expressed as medians and US dollars. In 523 882 outpatient ED encounters, as patients' aged, length of stay and direct clinical cost increased while the contribution margin and contribution margin by hour decreased. Women of childbearing age (15-44) had higher median length of stay (2.1 hours), direct clinical cost ($149), and contribution margin per hour ($103/hour) than men of same age (1.7, $131, $85/hour, respectively). Resource utilization and profitability by gender were similar in children and adults over 45. Resource utilization increased and profitability decreased with increasing age in patients seen and released from an ED. The care of women of childbearing age resulted in higher resource utilization and higher profitability than men of the same age. No differences in resource utilization or profitability by gender were observed in children and adults over 45. Copyright © 2014 Elsevier Inc. All rights reserved.

  10. EscapED: A Framework for Creating Educational Escape Rooms and Interactive Games to For Higher/Further Education.

    Directory of Open Access Journals (Sweden)

    Samantha Jane Clarke

    2017-09-01

    Full Text Available Game-based learning (GBL is often found to be technologically driven and more often than not, serious games for instance, are conceptualised and designed solely for digital platforms and state of the art technologies. To encourage a greater discussion on the potential benefits and challenges of a more holistic approach to developing GBL that promote human centered interactions and play for learning, the authors present the escapED programme. The escapED programme was conceived following the recent entertainment trend of escape rooms and is used for developing non-digital GBL approaches within education. escapED aids the design and creation of educational Escape Rooms and Interactive Gaming Experiences for staff and students in further/higher education settings. The paper first presents a pilot study that was used to assess the feasibility and acceptance of University teaching staff of embedding interactive GBL into a higher education environment. The authors then present the escapED theoretical framework that was used to create the prototype game for the pilot study as a tool to aid future design and development of on-site interactive experiences. The paper also presents an external developer report of using the escapED framework to develop a prototype game for teaching research methods to Southampton University students. Finally, the authors present a discussion on the use of the escapED framework so far and plans for future work and evaluation in order to provide engaging alternatives for learning and soft skills development amongst higher education staff andstudents.

  11. Effect of Concentration on Median Effective Dose (ED50) for Motor Block of Intrathecal Plain Bupivacaine in Elderly Patients.

    Science.gov (United States)

    Chen, Ming-quan; Xia, Zhong-yuan

    2015-09-01

    The aim of the study was to determine the median effective dose (ED50) for motor block of various concentrations of intrathecally administered plain bupivacaine. Between 2011 and 2013, 64 patients aged ≥70 years, undergoing transurethral, or lower limb surgery with combined spinal and epidural anesthesia in a single hospital were enrolled. The patients were randomized into 3 groups to receive intrathecal 0.75% bupivacaine (Group 1), 0.375% bupivacaine (Group 2) or 0.25% bupivacaine (Group 3). Spinal anesthesia was achieved using injections of up-and-down doses of 0.75%, 0.375%, or 0.25% plain bupivacaine. The first patient in each group received 7.5 mg bupivacaine, and the testing interval was set at 0.75 mg. The efficacy of motor block in both legs was determined using a modified Bromage and a hip motor function scale. The ED50 for motor block was estimated according to the Dixon's up-and-down method. The ED50 for motor block of bupivacaine was 6.10 (95% CI 5.58-6.66) mg in Group 1, 6.04 (95% CI 5.82-6.28) mg in Group 2, and 5.43 (95% CI 5.19-5.67) mg in Group 3. There were significant differences in the ED50 for motor block among the groups (P=0.008). The ED50 doses for motor block with 3 bupivacaine concentrations were significantly different in elderly patients; the ED50 dose of 0.75% bupivacaine being significantly higher than that of 0.25% bupivacaine.

  12. Comparison of management and outcomes of ED patients with acute decompensated heart failure between the Canadian and United States' settings.

    Science.gov (United States)

    Lai, Anita; Tenpenny, Elliott; Nestler, David; Hess, Erik; Stiell, Ian G

    2016-03-01

    Introduction The objective of this study was to compare the emergency department (ED) management and rate of admission of acute decompensated heart failure (ADHF) between two hospitals in Canada and the United States and to compare the outcomes of these patients. This was a health records review of adults presenting with ADHF to two EDs in Canada and the United States between January 1 and April 30, 2010. Outcome measures were admission to the hospital, myocardial infarction (MI), and death or relapse rates to the ED. Data were analysed using descriptive, univariate and multivariate analyses. In total, 394 cases were reviewed and 73 were excluded. Comparing 156 Canadian to 165 U.S. patients, respectively, mean age was 76.0 and 75.8 years; male sex was 54.5% and 52.1%. Canadian and U.S. ED treatments were noninvasive ventilation 7.7% v. 12.8% (p=0.13); IV diuretics 77.6% v. 36.0% (p3.0 hours, p<0.001). Proportion of Canadian and U.S. patients who died within 30 days of the ED visit was 5.1% v. 9.7% (p=0.12); relapsed to the ED within 30 days was 20.8% v. 17.5% (p=0.5); and had MI within 30 days was 2.0% v. 1.9% (p=1.0). The U.S. and Canadian centres saw ADHF patients with similar characteristics. Although the U.S. site had almost double the admission rate, the outcomes were similar between the sites, which question the necessity of routine admission for patients with ADHF.

  13. Proyectos sociales

    OpenAIRE

    Orellana Zambrano, Waldo E.

    2011-01-01

    Explica qué es un Proyecto social, su formulación , y la importancia de los indicadores de desarrollo humano en la formulación de proyectos sociales. Explain what a social project, its formulation, and the importance of human development indicators in the formulation of social projects.

  14. Blocking of Person Information in Small Social Groupings: The Information of Person Categories.

    Science.gov (United States)

    1983-12-20

    given the renewed interest in the nature of social knowledge (e.g., Baron, 1980; Forgas , 1981; Ostrom, in press). The present research nicely complements...Passage organization and imposed learning strategies in comprehension and recall of connected discourse. Memory & Cognition, 1973, 1, 471-6. Forgas ...J. P. What is social cognition? In J. P. Forgas (Ed.), Social cognition: Perspectives in everyday understanding. New York: Academic Press, 1981

  15. The influence of surface chemistry on GSR particles: using XPS to complement SEM/EDS analytical techniques

    Science.gov (United States)

    Schwoeble, A. J.; Strohmeier, Brian R.; Piasecki, John D.

    2010-06-01

    Gunshot residue particles (GSR) were examined using scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM/EDS) to illustrate the size, shape, morphology, and elemental composition normally observed in particulate resulting from a discharged firearm. Determining the presence of lead (Pb), antimony (Sb), and barium (Ba), barring other elemental tags, fused together in a single particle with the correct morphology, is all that is required for the positive identification of GSR. X-ray photoelectron spectroscopy (XPS), however, can reveal more detailed information on surface chemistry than SEM/EDS. XPS is a highly surface-sensitive (analysis.

  16. Social relations

    DEFF Research Database (Denmark)

    Due, P; Holstein, B; Lund, R

    1999-01-01

    We introduce a conceptual framework with social relations as the main concept and the structure and the function of social relations as subconcepts. The structure of social relations covers aspects of formal relations and social network. The function of social relations covers social support......, social anchorage and relational strain. We use this conceptual framework to describe social relations in the Danish population, with questionnaire data from the Danish Longitudinal Health Behaviour Study including a random sample of each of the age groups 25-, 50-, 60-and 70-year olds, N = 2......,011. The postal questionnaires were answered by a random sample in each of the age groups. The results show marked age and gender differences in both the structure and the function of social relations. The social network, measured as weekly contacts, weakens with age and so does instrumental support. Emotional...

  17. Social support networks and eating disorders: an integrative review of the literature.

    Science.gov (United States)

    Leonidas, Carolina; Dos Santos, Manoel Antônio

    2014-01-01

    This study aimed to analyze the scientific literature about social networks and social support in eating disorders (ED). By combining keywords, an integrative review was performed. It included publications from 2006-2013, retrieved from the MEDLINE, LILACS, PsycINFO, and CINAHL databases. The selection of articles was based on preestablished inclusion and exclusion criteria. A total of 24 articles were selected for data extraction. There was a predominance of studies that used nonexperimental and descriptive designs, and which were published in international journals. This review provided evidence of the fact that fully consolidated literature regarding social support and social networks in patients with ED is not available, given the small number of studies dedicated to the subject. We identified evidence that the family social network of patients with ED has been widely explored by the literature, although there is a lack of studies about other networks and sources of social support outside the family. The evidence presented in this study shows the need to include other social networks in health care. This expansion beyond family networks would include significant others - such as friends, colleagues, neighbors, people from religious groups, among others - who could help the individual coping with the disorder. The study also highlights the need for future research on this topic, as well as a need for greater investment in publications on the various dimensions of social support and social networks.

  18. Critical Care in the Emergency Department: An assessment of the length of stay and invasive procedures performed on critically ill ED patients

    Directory of Open Access Journals (Sweden)

    Green Robert S

    2009-09-01

    Full Text Available Abstract Introduction Critically ill patients commonly present to the ED and require aggressive resuscitation. Patient transfer to an ICU environment in an expedient manner is considered optimal care. However, this patient population may remain in the ED for prolonged periods of time. The goal of this study is to describe the ED length of stay, and the invasive procedures performed in critically ill ED patients. Methods This is a retrospective medical record review of all patients who presented to the study center over a 1 year period. Patient demographic data, in addition to the times of ED presentation and ICU admission were recorded. Invasive procedures performed in the pre-hospital, ED and the initial 24 hours of ICU care were also recorded. Results Overall, 178 patients' required direct admission to an ICU from the ED, with a mortality rate of 21.9%. The median LOS in the ED for critically ill patients requiring ICU admission was 4.9 h (mean 6.5 h, range 1.4-28.2 h. Seventy percent of patients (125,178, 70.2% required endotracheal intubation with the majority (118/125, 94.4% being performed in the ED (80/125, 64.0% or the prehospital setting (38/125, 30.4%. Central venous access was obtained in 56/178 patients (31.5%, with 17.9% (10/56 completed in the ED. Similarly, arterial catheters were inserted in 99/178 patients (55.6% with 14.1% (14/99 inserted in the ED. Conclusion Critically ill patients are managed in the emergency department for a significant length of time. Although the majority of airway intervention occurs in the prehospital setting and ED, relatively few patients undergo invasive procedures while in the emergency department.

  19. EdGCM: Research Tools for Training the Climate Change Generation

    Science.gov (United States)

    Chandler, M. A.; Sohl, L. E.; Zhou, J.; Sieber, R.

    2011-12-01

    Climate scientists employ complex computer simulations of the Earth's physical systems to prepare climate change forecasts, study the physical mechanisms of climate, and to test scientific hypotheses and computer parameterizations. The Intergovernmental Panel on Climate Change 4th Assessment Report (2007) demonstrates unequivocally that policy makers rely heavily on such Global Climate Models (GCMs) to assess the impacts of potential economic and emissions scenarios. However, true climate modeling capabilities are not disseminated to the majority of world governments or U.S. researchers - let alone to the educators who will be training the students who are about to be presented with a world full of climate change stakeholders. The goal is not entirely quixotic; in fact, by the mid-1990's prominent climate scientists were predicting with certainty that schools and politicians would "soon" be running GCMs on laptops [Randall, 1996]. For a variety of reasons this goal was never achieved (nor even really attempted). However, around the same time NASA and the National Science Foundation supported a small pilot project at Columbia University to show the potential of putting sophisticated computer climate models - not just "demos" or "toy models" - into the hands of non-specialists. The Educational Global Climate Modeling Project (EdGCM) gave users access to a real global climate model and provided them with the opportunity to experience the details of climate model setup, model operation, post-processing and scientific visualization. EdGCM was designed for use in both research and education - it is a full-blown research GCM, but the ultimate goal is to develop a capability to embed these crucial technologies across disciplines, networks, platforms, and even across academia and industry. With this capability in place we can begin training the skilled workforce that is necessary to deal with the multitude of climate impacts that will occur over the coming decades. To

  20. Neighborhood social capital and adult health: an empirical test of a Bourdieu-based model.

    Science.gov (United States)

    Carpiano, Richard M

    2007-09-01

    Drawing upon Bourdieu's [1986. The forms of capital. In: Richardson, J.G. (Ed.), Handbook of Theory and Research for the Sociology of Education. Greenwood, New York, pp. 241-258.] social capital theory, I test a conceptual model of neighborhood conditions and social capital - considering relationships between neighborhood social capital forms (social support, social leverage, informal social control, and neighborhood organization participation) and adult health behaviors (smoking, binge drinking) and perceived health, as well as interactions between neighborhood social capital and individuals' access to that social capital. Analyzing Los Angeles Family and Neighborhood Survey data linked with tract level census data, results suggest that specific social capital forms were directly associated with both positive and negative health outcomes. Additionally, residents' neighborhood attachment moderated relationships between various social capital forms and health. Future studies should consider social capital resources and the role of differential access to such resources for promoting or compromising health.

  1. Social economy and social enterprise

    DEFF Research Database (Denmark)

    Hulgård, Lars

    2011-01-01

    the social economy fit with current strategies in the areas of welfare policies and social service? Is it as a certain type of social entrepreneurship an integral part of a social innovation of the mainstream market economy or is it part of an emerging counter discourse in the sense of a participatory non......The social policy agenda in the decades to come will be marked an ageing population on a global scale and by increased and diversified expectations from citizens in the need of work and social service. Public budgets for social service such as health, education and welfare including social work...... practice will be put under increasing pressure. There is a difference between a social economy approach to the third sector and an approach based upon the notion of a non-profit constraint. Social economy is well positioned as a third sector to play a core role in meeting this urgency. But how does...

  2. Diversidade da macrofauna edáfica em diferentes usos da terra em Pinheiral, RJ

    Directory of Open Access Journals (Sweden)

    André Barbosa Vargas

    2014-01-01

    Full Text Available O uso da terra, na maioria das vezes, altera consideravelmente a composição e riqueza da fauna edáfica, alterando a cobertura florestal existente. Deste modo, funções ecológicas e biológicas desenvolvidas por estes organismos são afetadas e/ou perdidas. Portanto, os objetivos foram avaliar a biodiversidade de artrópodes em quatro ambientes distintos, no campus do IFRJ, em Pinheral, RJ. Foram instaladas 12 armadilhas no solo do tipo “pitfall” em cada ambiente, espaçadas 10m uma da outra. Foram amostrados 19 grupos de artópodes, sendo 18 ordens e uma família (Formicidae, a qual apresentou 100% de ocorrência em todos os ambientes e períodos de coleta. No período chuvoso foram coletadas 16 ordens e no período seco 14. No período chuvoso o Plantio de eucalipto apresentou maior número de ordens (14, seguido de Pasto (9, Cultivo de goiaba (8 e Reflorestamento com (6. No período seco se observou um resultado contrário com o ambiente de Reflorestamento apresentando 13 ordens, seguido de Cultivo de goiaba (11, Plantio de eucalipto (8 e Pasto com (6. Entretanto, estas variações não foram significativas entre os ambientes e entre os períodos de coleta. Os índices de diversidade não apresentaram diferenças significativas entre os ambientes, mas sim para os períodos de coleta. A ordenação mostrou agrupamentos dos blocos, separando os ambientes. Portanto, a biodiversidade de artrópodes apresenta diversidade distinta para os ambientes, demonstrando a importância da heterogeneidade ambiental na manutenção da biodiversidade e das funções ecológicas prestadas pelos organismos. Os resultados também reforçam a utilização da macrofauna edáfica em avaliações e estudos ambientais como indicadora de biodiversidade e da qualidade ambiental. 

  3. Identification of tobacco smoke components in indoor breathable particles by SEM-EDS

    Science.gov (United States)

    Slezakova, K.; Pires, J. C. M.; Martins, F. G.; Pereira, M. C.; Alvim-Ferraz, M. C.

    2011-02-01

    Tobacco smoke is one of the greatest sources of indoor particles, which has been linked with serious health effects. Consequently, there has been a widespread interest in analysing tobacco related indoor particulate matter (PM). Nevertheless, the majority of performed studies focused on bulk chemical composition of tobacco related PM, but the knowledge of individual tobacco smoke particles is still limited. Therefore, more information on PM should be provided, namely concerning morphological and chemical characterisation of individual particles. Aiming to further understand the impact of tobacco smoke on human health, this work studied the influence of tobacco smoke on chemical and morphological characteristics of PM 10 and PM 2.5, collected at one site influenced by smoking and at one reference (non-smoking) site. Chemical and morphological characteristics of 4000 individual particles were determined by Scanning Electron Microscopy (SEM) combined with X-ray microanalysis (by Energy Dispersive Spectrometer - EDS). Cluster analysis (CA) was used to classify different particle groups that occurred in PM, aiming the identification of the respective emission sources. The results showed that tobacco smoke influenced the characteristics of both fine and coarse particles, this influence being stronger for fine fraction. The abundance of particles associated with tobacco smoke was 27% and 5% for PM 2.5 and PM 2.5-10, respectively; as expected, those particles were not identified in PM 2.5 and PM 2.5-10 of the reference (non-smoking) site. The results showed that at both sites PM was also influenced by outdoor sources. For PM 2.5-10, outdoor particles essentially originated from natural sources accounting for 35% and 15% at the smoking and reference sites, respectively. For PM 2.5, outdoor particles account for 38% and 29% at the smoking and reference sites, respectively; these particles showed considerable contribution (13% and 17%) from anthropogenic sources (mainly from

  4. Crystal structure, configurational and DFT-NEDA analysis of nickel(II) complexes with pentadentate ed3a-type ligands

    NARCIS (Netherlands)

    Belosevic, Svetlana; Cendic, Marina; Meetsma, Auke; Matovic, Zoran D.

    2013-01-01

    The O-O-N-N-O-type pentadentate ligands H(3)ed3a, H(3)1,2-pd3a, H(3)eda2p and H(3)ed3p (H(3)ed3a stands for ethylenediamine-N,N,N'-triacetic acid; H(3)1,2-pd3a stands for 1,2-propanediamine-N,N,N'-triacetic acid; H(3)eda2p stands for ethylenediamine-N-acetato-N,N'-di-3-propionic acid and H(3)ed3p

  5. The impact of social support on the risk of eating disorders in women exposed to intimate partner violence

    Directory of Open Access Journals (Sweden)

    Schirk DK

    2015-11-01

    Full Text Available Dana K Schirk,1 Erik B Lehman,2 Amanda N Perry,3 Rollyn M Ornstein,4 Jennifer S McCall-Hosenfeld2,5 1The Pennsylvania State University College of Medicine, 2Department of Public Health Sciences, The Pennsylvania State University College of Medicine, Hershey, 3Department of Agricultural Economics, Sociology, and Education, Division of Rural Sociology, College of Agriculture, Pennsylvania State University, University Park, 4Department of Pediatrics, 5Department of Medicine, The Pennsylvania State University College of Medicine, Hershey, PA, USA Background: Eating disorders (EDs are often found among women exposed to intimate partner violence (IPV. The role of social support (SS as a protective factor against ED among IPV-exposed women is not firmly established.Objective: The objective of this study is to determine the distribution of risk of EDs among women exposed to IPV and to examine the impact of SS on risk of ED among IPV-exposed women.Methods: Women (aged 18–64 years exposed to IPV during their lifetimes (defined by the Humiliation–Afraid–Rape–Kick instrument were recruited from primary care and domestic violence service agencies and surveyed on demographics, mood/anxiety disorders, psychosocial/community factors, and strategies used in response to IPV. The Eating Disorder Screen for Primary Care assessed the risk of ED. A modified Medical Outcomes Study Social Support Survey assessed overall functional support (scale range: 0–32; categorized into quartiles. Ordinal logistic regression examined the risk of ED based on SS, controlling for prespecified demographics (age, race/ethnicity, marital status, near-poverty level, and health-related factors significant in bivariate analyses (risky alcohol use.Results: Among 302 women with lifetime IPV, 41 (14% were at high risk, 127 (42% were at moderate risk, and 134 (44% were at low risk of an ED. In bivariate analyses, high risk of an ED was significantly more frequent among women with a

  6. Social change, social marketing and social representations

    OpenAIRE

    Lauri, Mary Anne

    2015-01-01

    Since Kotler and Zaltman introduced the term social marketing in 1971, much has been written about the subject. One of the first definitions of social marketing was the design, implementation and control of programs calculated to influence the acceptability of social ideas and involving considerations of product planning, pricing, communication, distribution and marketing research (Kotler & Zaltman, 1973, p. 56). The concept has been put into practice and used extensively to change public beh...

  7. Bán, Zsófia and Turai, Hedvig, eds.: "Exposed Memories: Family Pictures in Private and Collective Memory"

    Directory of Open Access Journals (Sweden)

    Katalin Kádár Lynn

    2011-01-01

    Full Text Available Zsófia Bán and Hedvig Turai, eds. Exposed Memories: Family Pictures in Private and Collective Memory. AICA: International Association of Art Critics: Hungarian Section: Distributed by Central European University Press, 2010, 193 pp. Reviewed by Katalin Kádár Lynn, Senior Researcher, ELTE.

  8. More and Better Learning: Year Three Report on the National Demonstration of ExpandED Schools. A TASC Report

    Science.gov (United States)

    Traill, Saskia; Brohawn, Katie

    2015-01-01

    In the 2013-14 school year, TASC entered the third year of its national demonstration of ExpandED Schools. Ten elementary and middle schools in New York City, Baltimore and New Orleans continued their partnerships with youth-serving community organizations, such as settlement houses or community development corporations. Together, principals,…

  9. Vasyl' Danylenko, ed. Ukrains'ka intelihentsiia i vlada: Zvedennia sekretnoho viddilu DPU USRR 1927–1929 rr.

    Directory of Open Access Journals (Sweden)

    Olena Palko

    2015-01-01

    Full Text Available Vasyl' Danylenko, ed. Ukrains'ka intelihentsiia i vlada: Zvedennia sekretnoho viddilu DPU USRR 1927–1929 rr. [The Ukrainian Intelligentsia and State Power. Summaries of the Secret Department of State Political Administration of the Ukrainian SSR for 1927–1929]. Kyiv: Tempora, 2012. 756 pp. Illustrations. Appendix. Indexes. 70 UAH, cloth.

  10. Exploratory Content Analysis of Candidates' Perspectives on Multicultural Education as Evidenced in Their edTPA Portfolios

    Science.gov (United States)

    Cannon, Sarah

    2016-01-01

    This exploratory qualitative content analysis examined the edTPA portfolios of 36 randomly selected teacher candidates to address a national trend towards standardization and accountability in teacher education in relationship to the critical need for multicultural educators. Using multicultural education as a theoretical framework, this study…

  11. Relevance of Item Analysis in Standardizing an Achievement Test in Teaching of Physical Science in B.Ed Syllabus

    Science.gov (United States)

    Marie, S. Maria Josephine Arokia; Edannur, Sreekala

    2015-01-01

    This paper focused on the analysis of test items constructed in the paper of teaching Physical Science for B.Ed. class. It involved the analysis of difficulty level and discrimination power of each test item. Item analysis allows selecting or omitting items from the test, but more importantly item analysis is a tool to help the item writer improve…

  12. A Study on Attitude and Opinion towards Using Computer Technology in Teaching among B.Ed. Trainees in Tiruchirappalli District

    Science.gov (United States)

    Kumar, C. Ashok

    2015-01-01

    The main aim of the study was to find out whether there was a significant difference in the attitude and opinion towards using Computer Technology in teaching among B.Ed., trainees in terms of select independent variables. Normative survey was the technique employed. Opinion towards Computer Usage and Attitude towards Computer Technology inventory…

  13. Simmi "Head käed" tuli, nägi ja võitis / Triin Tael

    Index Scriptorium Estoniae

    Tael, Triin

    2002-01-01

    Berliini 52. filmifestivali "Panorama Special" kavas olnud Peeter Simmi Eesti-Läti ühisfilm "Head käed" saavutas hea publikuedu ning jagas sloveenlase Maja Weiss'i filmiga "Piirivalvur" Manfred Salzgeberi auhinda, mis on mõeldud subtiitrite tegemiseks filmi levitamisel euroopa ekraanidele. P. Simm on rahul ja plaanib uut filmi

  14. Book Review: Shrestha, Omkar Lal, and Aekapol Chongvilaivan (eds, Greater Mekong Subregion: From Geographical to Socio-economic Integration

    Directory of Open Access Journals (Sweden)

    Timotheus J. Krahl

    2014-01-01

    Full Text Available Book Review of the edited volume: Omkar Lal Shrestha and Aekapol Chongvilaivan (eds (2013, Greater Mekong Subregion: From Geographical to Socio-economic Integration. Singapore: Institute of Southeast Asian Studies (ISEAS, ISBN: 978-981-4379-68-7, 270 pages

  15. CrashEd – A live immersive, learning experience embedding STEM subjects in a realistic, interactive crime scene

    Directory of Open Access Journals (Sweden)

    Marie L. Bassford

    2016-09-01

    Full Text Available Interactive experiences are rapidly becoming popular via the surge of ‘escape rooms’; part game and part theatre, the ‘escape’ experience is exploding globally, having gone from zero offered at the outset of 2010 to at least 2800 different experiences available worldwide today. CrashEd is an interactive learning experience that parallels many of the attractions of an escape room – it incorporates a staged, realistic ‘crime scene’ and invites participants to work together to gather forensic evidence and question a witness in order to solve a crime, all whilst competing against a ticking clock. An animation can enhance reality and engage with cognitive processes to help learning; in CrashEd, it is the last piece of the jigsaw that consolidates the students’ incremental acquisition of knowledge to tie together the pieces of evidence, identify a suspect and ultimately solve the crime. This article presents the background to CrashEd and an overview of how a timely placed animation at the end of an educational experience can enhance learning. The lessons learned, from delivering bespoke versions of the experience to different demographic groups, are discussed. The article will consider the successes and challenges raised by the collaborative project, future developments and potential wider implications of the development of CrashEd.

  16. The regulation of the proliferation and differentiation of rat Leydig cell precursor cells after EDS administration or daily HCG treatment

    NARCIS (Netherlands)

    Teerds, K. J.; de rooij, D. G.; Rommerts, F. F.; Wensing, C. J.

    1988-01-01

    The proliferation and differentiation of possible Leydig cell precursors in adult rats were studied after destruction of the existing Leydig cells with EDS or after daily treatment with hCG. After 2 days with either treatment, a 12- to 16-fold increase in the number of [3H]thymidine-incorporating

  17. Integrated Canada-U.S. Power Sector Modeling with the Regional Energy Deployment System (ReEDS)

    Energy Technology Data Exchange (ETDEWEB)

    Martinez, A.; Eurek, K.; Mai, T.; Perry, A.

    2013-02-01

    The electric power system in North America is linked between the United States and Canada. Canada has historically been a net exporter of electricity to the United States. The extent to which this remains true will depend on the future evolution of power markets, technology deployment, and policies. To evaluate these and related questions, we modify the Regional Energy Deployment System (ReEDS) model to include an explicit representation of the grid-connected power system in Canada to the continental United States. ReEDS is unique among long-term capacity expansion models for its high spatial resolution and statistical treatment of the impact of variable renewable generation on capacity planning and dispatch. These unique traits are extended to new Canadian regions. We present example scenario results using the fully integrated Canada-U.S. version of ReEDS to demonstrate model capabilities. The newly developed, integrated Canada-U.S. ReEDS model can be used to analyze the dynamics of electricity transfers and other grid services between the two countries under different scenarios.

  18. Types of Language Disorders in Students Classified as ED: Prevalence and Association with Learning Disabilities and Psychopathology

    Science.gov (United States)

    Benner, Gregory J.; Mattison, Richard E.; Nelson, J. Ron; Ralston, Nicole C.

    2009-01-01

    The purpose of this study was to determine the prevalence of four types of language disorders among public school students (N = 152) classified as Emotional Disturbance (ED). We also examined the association of the types of language disorders experienced by these students with specific learning disabilities and clinical levels of specific types of…

  19. 78 FR 71591 - Privacy Act of 1974; Computer Matching Program between the U.S. Department of Education (ED) and...

    Science.gov (United States)

    2013-11-29

    ...) (recipient agency) and the U.S. Department of Veterans Affairs (VA) (source agency). After the ED and VA Data..., the Computer Matching and Privacy Protection Act of 1988, 54 FR 25818 (June 19, 1989), and OMB... published in the Federal Register, in text or Adobe Portable Document Format (PDF). To use PDF you must have...

  20. The EdUReP approach plus manual therapy for the management of insertional Achilles tendinopathy: a case report.

    Science.gov (United States)

    Sartorio, Francesco; Zanetta, Anna; Ferriero, Giorgio; Bravini, Elisabetta; Vercelli, Stefano

    2017-02-21

    Insertional Achilles tendinopathy (IAT) is a challenging overuse disorder. The aim of this case report was to study the feasibility of a comprehensive rehabilitative approach according to the Education, Unloading, Reloading, and Prevention (EdUReP) framework combined with Instrument-Augmented Soft Tissue Mobilization (I-ASTM). An active 51-year-old man patient with chronic IAT was studied. Clinical assessment battery was composed by visual analogue scale for pain during the Achilles tendon palpation test, passive straight leg raise test, single leg hop test, Patient-Specific Functional Scale, and Foot and Ankle Ability Measure. The patient was treated over a 8 weeks period using the EdUReP guidelines plus 8 sessions of I-ASTM, applied with a solid instrument to the Achilles tendon and to the muscle fibrotic areas previously identified during evaluation. Clinically significant improvements were observed in all outcome measures, and a resume of patient's usual sports activities without pain or limitations was possible after treatment. Results lasted over a 6-month follow-up. To the best of our knowledge, this is the first study applying a comprehensive approach based on accurate physical assessment, and using the EdUReP theoretical model. The combination of the EdUReP model and manual therapy was effective in resolving the patient's symptoms and restore his usual sport activities. While these results cannot be generalized, the present findings could provide a valuable foundation for future researches.