WorldWideScience

Sample records for technology specialty options

  1. TECHNOLOGICAL OPTIONS FOR ACID RAIN CONTROL

    Science.gov (United States)

    Discussed are acid rain control options available to the electric utility industry. They include coal switching, flue gas desulfurization, and such emerging lower cost technologies as Limestone Injection Multistage Burners (LIMB) and Advanced Silicate (ADVACATE), both developed ...

  2. TECHNOLOGICAL OPTIONS FOR ACID RAIN CONTROL

    Science.gov (United States)

    Discussed are acid rain control options available to the electric utility industry. They include coal switching, flue gas desulfurization, and such emerging lower cost technologies as Limestone Injection Multistage Burners (LIMB) and Advanced Silicate (ADVACATE), both developed ...

  3. 77 FR 13326 - Carpenter Technology Corporation and Latrobe Specialty Metals, Inc.; Analysis of Proposed...

    Science.gov (United States)

    2012-03-06

    ... Carpenter Technology Corporation and Latrobe Specialty Metals, Inc.; Analysis of Proposed Agreement... section below. Write ``Carpenter Latrobe, File No. 111 0207'' on your comment, and file your comment... receive it on or before March 29, 2012. Write ``Carpenter Latrobe, File No. 111 0207'' on your...

  4. Technological options for the management of biosolids.

    Science.gov (United States)

    Wang, Hailong; Brown, Sally L; Magesan, Guna N; Slade, Alison H; Quintern, Michael; Clinton, Peter W; Payn, Tim W

    2008-06-01

    provide a complete management for biosolids. A number of advanced thermal conversion technologies (e.g., supercritical water oxidation process and pyrolysis) are under development for biosolids management with a goal to generate useful products, such as higher quality fuels and recovery of phosphorus. With an ever-increasing demand for renewable energy, growing bioenergy crops and forests using biosolids as a fertilizer and soil amendment can not only contribute to the low-carbon economy but also maximize the nutrient and carbon value of the biosolids. Land application of biosolids achieves a complete reuse of its nutrients and organic carbon at a relatively low cost. Therefore, land application should become a preferred management option where there is available land, the quality of biosolids meet regulatory requirements, and it is socially acceptable. Intensive energy cropping and forest production using biosolids can help us meet the ever-increasing demand for renewable energy, which can eliminate the contamination potential for food sources, a common social concern about land application of biosolids. In recent years, increasing numbers of national and local governments have adopted more stringent regulations toward biosolid management. Under such a political climate, biosolids producers will have to develop multireuse strategies for biosolids to avoid being caught because a single route management practice might be under pressure at a short notice. Conventional incineration systems for biosolids management generally consume more energy than they produce and, although by-products may be used in manufacturing, this process cannot be regarded as a beneficial use of biosolids. However, biosolids are likely to become a source of renewable energy and produce 'carbon credits' under the increasingly popular, low-carbon economy policy. To manage biosolids in a sustainable manner, there is a need for further research in the following areas: achieving a higher degree of public

  5. Financial options methodology for analyzing investments in new technology

    Science.gov (United States)

    Wenning, B. D.

    1995-01-01

    The evaluation of investments in longer term research and development in emerging technologies, because of the nature of such subjects, must address inherent uncertainties. Most notably, future cash flow forecasts include substantial uncertainties. Conventional present value methodology, when applied to emerging technologies severely penalizes cash flow forecasts, and strategic investment opportunities are at risk of being neglected. Use of options evaluation methodology adapted from the financial arena has been introduced as having applicability in such technology evaluations. Indeed, characteristics of superconducting magnetic energy storage technology suggest that it is a candidate for the use of options methodology when investment decisions are being contemplated.

  6. Financial options methodology for analyzing investments in new technology

    Energy Technology Data Exchange (ETDEWEB)

    Wenning, B.D. [Texas Utilities Services, Inc., Dallas, TX (United States)

    1994-12-31

    The evaluation of investments in longer term research and development in emerging technologies, because of the nature of such subjects, must address inherent uncertainties. Most notably, future cash flow forecasts include substantial uncertainties. Conventional present value methodology, when applied to emerging technologies severely penalizes cash flow forecasts, and strategic investment opportunities are at risk of being neglected. Use of options valuation methodology adapted from the financial arena has been introduced as having applicability in such technology evaluations. Indeed, characteristics of superconducting magnetic energy storage technology suggest that it is a candidate for the use of options methodology when investment decisions are being contemplated.

  7. Sustainable sanitation technology options for urban slums.

    Science.gov (United States)

    Katukiza, A Y; Ronteltap, M; Niwagaba, C B; Foppen, J W A; Kansiime, F; Lens, P N L

    2012-01-01

    Poor sanitation in urban slums results in increased prevalence of diseases and pollution of the environment. Excreta, grey water and solid wastes are the major contributors to the pollution load into the slum environment and pose a risk to public health. The high rates of urbanization and population growth, poor accessibility and lack of legal status in urban slums make it difficult to improve their level of sanitation. New approaches may help to achieve the sanitation target of the Millennium Development Goal (MDG) 7; ensuring environmental sustainability. This paper reviews the characteristics of waste streams and the potential treatment processes and technologies that can be adopted and applied in urban slums in a sustainable way. Resource recovery oriented technologies minimise health risks and negative environmental impacts. In particular, there has been increasing recognition of the potential of anaerobic co-digestion for treatment of excreta and organic solid waste for energy recovery as an alternative to composting. Soil and sand filters have also been found suitable for removal of organic matter, pathogens, nutrients and micro-pollutants from grey water.

  8. The option to abandon : Stimulating innovative, groundwater remediation technologies characterized by technologies and uncertainty

    NARCIS (Netherlands)

    Compernolle, T.; van Passel, S.; Huisman, K.J.M.; Kort, P.M.

    2014-01-01

    Many studies on technology adoption demonstrate that uncertainty leads to a postponement of investments by integrating a wait option in the economic analysis. The aim of this study however is to demonstrate how the investment in new technologies can be stimulated by integrating an option to abandon.

  9. Current Advanced Power Generation Technologies and Options for China (1)

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ In China,electricity consumption keeps growing at a high speed and installed capacity will be doubled in the next fifteen years.As the world second CO2 producer and also a member of Kyoto Protocol,how to balance energy needs and environmental protection responsibility in the future is a serious problem for China.As such,there are a number of technology choices for today's electric power generation.After discussing the current advanced power generation technologies based on Chinese energy structure and current conditions of power industry,this paper gives a reference to the technology options for China in the future.

  10. Surface technologies 2006 - Alternative energies and policy options

    Energy Technology Data Exchange (ETDEWEB)

    Rose, Lars [University of British Columbia, Vancouver (Canada). Department of Materials Engineering

    2007-12-15

    Surfaces are the immediate contact between anything in our world. Literally, every industry utilizes coatings and surface modifications in order to create surfaces tailored to specific needs, protect underlying substrates, or modify their behavior. Surface and coating technologies are essential to a large variety of different industrial sectors, including transportation, manufacturing, food and biomedical engineering, energy, resources, and materials science and technology. The present paper explains the limitations for alternative energy technologies, with a focus on fuel cell technology development and the alternative energy sector, based on the outcomes of presentations and facilitated discussion groups during a Canadian national workshop series. Options for technological improvements of alternative energy systems are presented in combination with national and international policy choices, which could positively influence research and development in the alternative energy sector. (author)

  11. Research and Technology Transfer Ion Implantation Technology for Specialty Materials: Proceedings of a Joint Workshop Held in Knoxville, Tennessee on 26-27 October 1989

    Science.gov (United States)

    1991-02-01

    Options from the Perspective of a SWall Business, Dr. Ralph B. Alexander, President, Ion Surface Tecnology , Inc. 9:45 &wort MedAniwm for Standards D[vel...implantation technologies, including the technology push /pull issue, psychological issues, competing technologies and relative costs; (2) implementation options...most advantageous method would depend on the specific ap- plication. The issue of technology push /pull, i.e. push from the develo- pers/researchers/ion

  12. New Technology and Lunar Power Option for Power Beaming Propulsion

    Energy Technology Data Exchange (ETDEWEB)

    Kare, J; Early, J; Krupke, W; Beach, R

    2004-10-11

    Orbit raising missions (LEO to GEO or beyond) are the only missions with enough current traffic to be seriously considered for near-term power beaming propulsion. Even these missions cannot justify the development expenditures required to deploy the required new laser, optical and propulsion technologies or the programmatic risks. To be deployed, the laser and optics technologies must be spin-offs of other funded programs. The manned lunar base nighttime power requirements may justify a major power beaming program with 2MW lasers and large optical systems. New laser and optical technologies may now make this mission plausible. If deployed these systems could be diverted for power beaming propulsion applications. Propulsion options include a thermal system with an Isp near 1000 sec., a new optical coupled thermal system with an Isp over 2000 sec. photovoltaic-ion propulsion systems with an Isp near 3000 sec., and a possible new optical coupled thermal system with an Isp over 2000 sec.

  13. Current Advanced Power Generation Technologies and Options for China (2)

    Institute of Scientific and Technical Information of China (English)

    Deng Nubo; Mohsen Assadi; Yang Cheng

    2008-01-01

    @@ In China,electricity consumption keeps growing at a high speed and installed capacity will be doubled in the next fifteen years.As the world second CO2 producer and also a member of Kyoto Protocol,how to balance energy needs arid environmental protection responsibility in the future is a serious problem for China.As such,there are a number of technology choices for today's electric power generation.After discussing the current advanced power generation technologies based on Chinese energy structure and current conditions of power industry,this paper gives a reference to the technology options for China in the future.Here published is the second part of the paper.

  14. Fusion splicing of double-clad specialty fiber using active alignment technology

    Institute of Scientific and Technical Information of China (English)

    Shupeng Yin; Ping Yan; Mali Gong; Jianwei He; Chen Fu

    2011-01-01

    @@ The fusion splicing of double-clad (DC) specialty fibers based on active alignment is crucial to the investigation of high-power monolithic fiber lasers. Given the wave-guiding characteristic of DC fiber, a light stripper is introduced in an active alignment experiment. We propose a novel method for stripping light that is convenient, highly efficient, and low cost. This method is also effective for low-numerical-aperture beams that escape from the fiber core. A splice loss as low as 0.05 dB is achieved.%The fusion splicing of double-clad (DC) specialty fibers based on active alignment is crucial to the investigation of high-power monolithic fiber lasers. Given the wave-guiding characteristic of DC fiber, a light stripper is introduced in an active alignment experiment. We propose a novel method for stripping light that is convenient, highly efficient, and low cost. This method is also effective for low-numerical-aperture beams that escape from the fiber core. A splice loss as low as 0.05 dB is achieved.

  15. Wastewater and sludge control-technology options for synfuels industries

    Energy Technology Data Exchange (ETDEWEB)

    Castaldi, F.J.; Harrison, W.; Ford, D.L.

    1981-02-01

    The options examined were those of zero discharge, partial water reuse with restricted discharge of treated effluents, and unrestricted discharge of treated effluents. Analysis of cost data and performance-analyses data for several candidate secondary-wastewater-treatment unit processes indicated that combined activated-sludge/powdered-activated-carbon (AS/PAC) treatment incorporating wet-air-oxidation carbon regeneration is the most cost-effective control technology available for the removal of organic material from slagging, fixed-bed process wastewaters. Bench-scale treatability and organic-constituent removal studies conducted on process quench waters from a pilot-scale, slagging, fixed-bed gasifer using lignite as feedstock indicated that solvent extraction followed by AS/PAC treatment reduces levels of extractable and chromatographable organics to less than 1 ..mu..g/L in the final effluent. Levels of conventional pollutants also were effectively reduced by AS/PAC to the minimum water-quality standards for most receiving waters. The most favored and most cost-effective treatment option is unrestricted discharge of treated effluents with ultimate disposal of biosludges and landfilling of gasifier ash and slag. This option requires a capital expenditure of $8,260,000 and an annual net operating cost of $2,869,000 in 1978 dollars, exclusive of slag disposal. The net energy requirement of 19.6 x 10/sup 6/ kWh/year, or 15.3 kWh/1000 gal treated, is less than 6% of the equivalent energy demand associated with the zero-discharge option.

  16. 75 FR 39664 - Grant of Authority For Subzone Status Materials Science Technology, Inc. (Specialty Elastomers...

    Science.gov (United States)

    2010-07-12

    ... Foreign-Trade Zones Board Grant of Authority For Subzone Status Materials Science Technology, Inc... Materials Science Technology, Inc., located in Conroe, Texas, (FTZ Docket 46-2009, filed October 27, 2009... Science Technology, Inc., located in Conroe, Texas (Subzone 265C), as described in the application...

  17. Options for Gas-to-Liquids Technology in Alaska

    Energy Technology Data Exchange (ETDEWEB)

    Robertson, Eric Partridge

    1999-10-01

    The purposes of this work was to assess the effect of applying new technology to the economics of a proposed natural gas-to-liquids (GTL) plant, to evaluate the potential of a slower-paced, staged deployment of GTL technology, and to evaluate the effect of GTL placement of economics. Five scenarios were economically evaluated and compared: a no-major-gas-sales scenario, a gas-pipeline/LNG scenario, a fast-paced GTL development scenario, a slow-paced GTL development scenario, and a scenario which places the GTL plant in lower Alaska, instead of on the North Slope. Evaluations were completed using an after-tax discounted cash flow analysis. Results indicate that the slow-paced GTL scenario is the only one with a rate of return greater than 10 percent. The slow-paced GTL development would allow cost saving on subsequent expansions. These assumed savings, along with the lowering of the transportation tariff, combine to distinquish this option for marketing the North Slope gas from the other scenarios. Critical variables that need further consideration include the GTL plant cost, the GTL product premium, and operating and maintenance costs.

  18. Options for gas-to-liquids technology in Alaska

    Energy Technology Data Exchange (ETDEWEB)

    Robertson, E.P.

    1999-12-01

    The purpose of this work was to assess the effect of applying new technology to the economics of a proposed natural gas-to-liquids (GTL) plant, to evaluate the potential of a slower-paced, staged deployment of GTL technology, and to evaluate the effect of GTL placement of economics. Five scenarios were economically evaluated and compared: a no-major-gas-sales scenario, a gas-pipeline/LNG scenario, a fast-paced GTL development scenario, a slow-paced GTL development scenario, and a scenario which places the GTL plant in lower Alaska, instead of on the North Slope. Evaluations were completed using an after-tax discounted cash flow analysis. Results indicate that the slow-paced GTL scenario is the only one with a rate of return greater than 10%. The slow-paced GTL development would allow cost saving on subsequent expansions. These assumed savings, along with the lowering of the transportation tariff, combine to distinguish this option for marketing the North Slope gas from the other scenarios. Critical variables that need further consideration include the GTL plant cost, the GTL product premium, and operating and maintenance costs.

  19. Geothermal Produced Fluids: Characteristics, Treatment Technologies, and Management Options

    Energy Technology Data Exchange (ETDEWEB)

    Finster, Molly; Clark, Corrie; Schroeder, Jenna; Martino, Louis

    2015-10-01

    Geothermal power plants use geothermal fluids as a resource and create waste residuals as part of the power generation process. Both the geofluid resource and the waste stream are considered produced fluids. The chemical and physical nature of produced fluids can have a major impact on the geothermal power industry and can influence the feasibility of geothermal power development, exploration approaches, power plant design, operating practices, and the reuse or disposal of residuals. In general, produced fluids include anything that comes out of a geothermal field and that subsequently must be managed on the surface. These fluids vary greatly depending on the geothermal reservoir being harnessed, power plant design, and the life cycle stage in which the fluid exists, but generally include water and fluids used to drill geothermal wells, fluids used to stimulate wells in enhanced geothermal systems, and makeup and/or cooling water used during operation of a geothermal power plant. Additional geothermal-related produced fluids include many substances that are similar to waste streams from the oil and gas industry, such as scale, flash tank solids, precipitated solids from brine treatment, hydrogen sulfide, and cooling-tower-related waste. This review paper aims to provide baseline knowledge on specific technologies and technology areas associated with geothermal power production. Specifically, this research focused on the management techniques related to fluids produced and used during the operational stage of a geothermal power plant; the vast majority of which are employed in the generation of electricity. The general characteristics of produced fluids are discussed. Constituents of interest that tend to drive the selection of treatment technologies are described, including total dissolved solids, noncondensable gases, scale and corrosion, silicon dioxide, metal sulfides, calcium carbonate, corrosion, metals, and naturally occurring radioactive material. Management

  20. Magnetic Processing – A Pervasive Energy Efficient Technology for Next Generation Materials for Aerospace and Specialty Steel Markets

    Energy Technology Data Exchange (ETDEWEB)

    Mackiewicz-Ludtka, G.; Ludtka, G.M.; Ray, P. (Carpenter Technologies, Inc.); Magee, J. (Carpenter Technologies, Inc.)

    2010-09-10

    Thermomagnetic Magnetic Processing is an exceptionally fertile, pervasive and cross-cutting technology that is just now being recognized by several major industry leaders for its significant potential to increase energy efficiency and materials performance for a myriad of energy intensive industries in a variety of areas and applications. ORNL has pioneered the use and development of large magnetic fields in thermomagnetically processing (T-MP) materials for altering materials phase equilibria and transformation kinetics. ORNL has discovered that using magnetic fields, we can produce unique materials responses. T-MP can produce unique phase stabilities & microstructures with improved materials performance for structural and functional applications not achieved with traditional processing techniques. These results suggest that there are unprecedented opportunities to produce significantly enhanced materials properties via atomistic level (nano-) microstructural control and manipulation. ORNL (in addition to others) have shown that grain boundary chemistry and precipitation kinetics are also affected by large magnetic fields. This CRADA has taken advantage of ORNL’s unique, custom-designed thermo-magnetic, 9 Tesla superconducting magnet facility that enables rapid heating and cooling of metallic components within the magnet bore; as well as ORNL’s expertise in high magnetic field (HMF) research. Carpenter Technologies, Corp., is a a US-based industrial company, that provides enhanced performance alloys for the Aerospace and Specialty Steel products. In this CRADA, Carpenter Technologies, Corp., is focusing on applying ORNL’s Thermomagnetic Magnetic Processing (TMP) technology to improve their current and future proprietary materials’ product performance and open up new markets for their Aerospace and Specialty Steel products. Unprecedented mechanical property performance improvements have been demonstrated for a high strength bainitic alloy industrial

  1. Teaching students on the specialtyTechnology of Perfume-Cosmetic Preparations” in Zaporizhzhya State Medical University the legal aspects of pharmacist-cosmetologists professional activities

    Directory of Open Access Journals (Sweden)

    I. M. Alekseeva

    2012-12-01

    Full Text Available The article refl ects the experience of teaching the legal aspects of professional activities of pharmacists-cosmetologists to the students of Pharmaceutical Faculty, specialty «Technology of perfumery and cosmetics» in Zaporozhye State Medical University.

  2. Fuel cell adventures. Dynamics of a technological community in a quasi-market of technological options

    Science.gov (United States)

    Schaeffer, G. J.; Uyterlinde, M. A.

    In this paper some insights from a social science perspective in the dynamics of the fuel cell community will be provided. An important concept used in the analysis is that of a `quasi'-market of technological options. The strategic choices of actors for certain technological options can be regarded as analogous to choices of consumers made on a market. A scientometric research approach has been used to investigate the aggregate effects of this and other variations of strategic behaviour. These concepts and analyses are shown to be helpful in answering questions such as why fuel cells are so popular today whereas they have not always been, and why preferences for different types of fuel cells shift over time. At the end of the paper the relevance of these kind of analyses for technology forecasting and management practices is briefly discussed.

  3. Russia Develops Educational Standards for Higher Vocational Training in the Technology and Entrepreneurship Specialty

    Science.gov (United States)

    Karatchev, A. A.; Lavrov, N. N.

    2004-01-01

    This article offers insight into what Russian educators are facing on a daily basis as they try and find and pursue the best course of action as they attempt to create a curriculum that will address the major needs of Russian society now and in the immediate future. It presents issues related to training teachers of technology and entrepreneurship…

  4. Cloud Computing: A Free Technology Option to Promote Collaborative Learning

    Science.gov (United States)

    Siegle, Del

    2010-01-01

    In a time of budget cuts and limited funding, purchasing and installing the latest software on classroom computers can be prohibitive for schools. Many educators are unaware that a variety of free software options exist, and some of them do not actually require installing software on the user's computer. One such option is cloud computing. This…

  5. Thermal management technology for hydrogen storage: Fullerene option

    Energy Technology Data Exchange (ETDEWEB)

    Wang, J.C.; Chen, F.C.; Murphy, R.W. [Oak Ridge National Lab., TN (United States)

    1996-10-01

    Fullerenes are selected as the first option for investigating advanced thermal management technologies for hydrogen storage because of their potentially high volumetric and gravimetric densities. Experimental results indicate that about 6 wt% of hydrogen (corresponding to C{sub 60}H{sub 48}) can be added to and taken out of fullerenes. A model assuming thermally activated hydrogenation and dehydrogenation processes was developed to explain the experimental findings. The activation energies were estimated to be 100 and 160 kJ/mole (1.0 and 1.6 eV/H{sub 2}) for the hydrogenation and dehydrogenation processes, respectively. The difference is interpreted as the heat released during hydrogenation. There are indications that the activation energies and the heat of hydrogenation can be modified by the use of catalysts. Preliminary hydrogen storage simulations for a conceptually simple device were performed. A 1-m long hollow metal cylinder with an inner diameter of 0.02 m was assumed to be filled with fullerene powders. The results indicate that the thermal diffusivity of the fullerenes controls the hydrogenation and dehydrogenation rates. The rates can be significantly modified by changing the thermal diffusivity of the material inside the cylinder, e.g., by incorporating a metal mesh. Results from the simulation suggest that thermal management is essential for efficient hydrogen storage devices using fullerenes. While the preliminary models developed in this study explain some of the observation, more controlled experiments, rigorous model development, and physical property determinations are needed for the development of practical hydrogen storage devices. The use of catalysts to optimize the hydrogen storage characteristics of fullerenes also needs to be pursued. Future cooperative work between Oak Ridge National Laboratory (ORNL) and Material & Electrochemical Research Corporation (MER) is planned to address these needs.

  6. The Right Tools for the Job--Technology Options for Adult Online Learning and Collaboration

    Science.gov (United States)

    Regional Educational Laboratory, 2014

    2014-01-01

    Many options exist for using technology as a tool for adult learning, and each day, it becomes easier to share information online than it ever has been. Online learning technology has grown from one-sided communications to numerous options for audience engagement and interactivity. This guide introduces a variety of tools, online platforms, and…

  7. Developing technology options for rice integrated crop management ...

    African Journals Online (AJOL)

    Mo

    development of options for RICM as a means of increasing irrigated rice productivity features prominently ... Farmers at key sites realized significant increases in yields and profits by ... production in the region, the growth rate in rice production.

  8. Navy Ship Propulsion Technologies: Options for Reducing Oil Use - Background for Congress

    Science.gov (United States)

    2006-12-11

    Order Code RL33360 Navy Ship Propulsion Technologies: Options for Reducing Oil Use — Background for Congress Updated December 11, 2006 Ronald...SUBTITLE Navy Ship Propulsion Technologies: Options for Reducing Oil Use Background for Congress 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...19 1 Government Accountability Office, Propulsion Systems for Navy Ships and Submarines, GAO-06-789R, July 6, 2006. Navy Ship Propulsion Technologies

  9. Technology Insertion and Management: Options for the Canadian Forces

    Science.gov (United States)

    2010-01-01

    L’insertion technologique et la gestion de la technologie : Options pour les Forces canadiennes », est une analyse documentaire qualitative de niveau...l’insertion technologique et son utilisation parmi les alliés du Canada et fournira certaines méthodes qui sont nécessaires pour faire une analyse ...technologique. Enfin, elle a fourni une gamme de méthodes nécessaires à une analyse coûts-avantages fondée sur l’optimisation des options en matière

  10. Small Technology--Big Impact. Practical Options for Development

    Science.gov (United States)

    Academy for Educational Development, 2009

    2009-01-01

    Technology has dramatically changed the world--now almost anyone can "move" at Internet-speed; people who were marginalized are able to find information on acquiring micro-loans to start businesses, and villages previously unconnected to the telecommunications grid now have affordable cell phone access. As technology becomes easier to…

  11. Advanced-to-Revolutionary Space Technology Options - The Responsibly Imaginable

    Science.gov (United States)

    Bushnell, Dennis M.

    2013-01-01

    Paper summarizes a spectrum of low TRL, high risk technologies and systems approaches which could massively change the cost and safety of space exploration/exploitation/industrialization. These technologies and approaches could be studied in a triage fashion, the method of evaluation wherein several prospective solutions are investigated in parallel to address the innate risk of each, with resources concentrated on the more successful as more is learned. Technology areas addressed include Fabrication, Materials, Energetics, Communications, Propulsion, Radiation Protection, ISRU and LEO access. Overall and conceptually it should be possible with serious research to enable human space exploration beyond LEO both safe and affordable with a design process having sizable positive margins. Revolutionary goals require, generally, revolutionary technologies. By far, Revolutionary Energetics is the most important, has the most leverage, of any advanced technology for space exploration applications.

  12. Potential for the development of a marketing option for the specialty local Ban pork of a Thai ethnic smallholder cooperative group in Northwest Vietnam.

    Science.gov (United States)

    Le, Thi Thanh Huyen; Muth, Philipp C; Markemann, André; Schöll, Kerstin; Zárate, Anne Valle

    2016-02-01

    Based on 12 years of research (SFB 564 "The Uplands Program"), a community-based breeding and marketing cooperative group was transferred to an ethnic farmer group. This study analyses the potential for developing a marketing channel for specialty local Ban pork as an alternative to supplying the local markets to ensure long-term sustainability of the communal local pig breeding and production system. Data on pig-keeping were investigated from 378 farmers who wanted to enroll in the cooperative group in 10 villages (near town, intermediate, and remote zones) in Son La province. The data on Ban pig marketing activities of the cooperative group were investigated for all of its 180 members. Information on the market demand for Ban pigs were collected by interviewing 57 traders in Hanoi city and Son La province. The results show a dominance of local Ban in remote areas, and a preference for crossbreds with exotics in closer-to-town areas. Before farmers joined the cooperative group, the commercialization of pigs in remote villages accounted for only 3.0 pigs/farm/year compared to 9.3 pigs/farm/year in the intermediate zone and 11.2 pigs/farm/year near town. Potential markets have been identified for each product category of the cooperative group. Pure Ban pigs with a weight of 10-15 kg were preferred most by customers in Hanoi city. The regular feedback of information on niche markets for different products has increased the awareness of farmers about the competitiveness of the local pig products, and the power of collective action in the market. Selected pure Ban pigs were increasingly sold to food stores in Hanoi with high prices. Farmers received an average of 9000 VND more compared to the local market price for each kg of live weight. The respective added value for the cooperative group amounted to 11,300 VND/kg live weight. The added value from selling specialty Ban pigs regularly to markets, encouraged farmers toward a market in local pig production and

  13. Africa's technology options for renewable energy production and distribution

    CSIR Research Space (South Africa)

    Amigun, B

    2011-12-01

    Full Text Available This chapter presents a critical appraisal of Africa's modern energy technologies for renewable energy. It highlights issues of scale and location-specific attributes. A critical review of different renewable energies is presented, the state...

  14. Natural Gas Based Electricity Production and Low Carbon Technology Options

    Science.gov (United States)

    Concerns regarding air quality, global climate change, and the national energy security impacts of the intensive use of fossil fuels and their environmental impacts in the power generation sector have raised interest in alternative low carbon electricity generation technology and...

  15. Natural Gas Based Electricity Production and Low Carbon Technology Options

    Science.gov (United States)

    Concerns regarding air quality, global climate change, and the national energy security impacts of the intensive use of fossil fuels and their environmental impacts in the power generation sector have raised interest in alternative low carbon electricity generation technology and...

  16. DISRUPTIVE TECHNOLOGIES FOR POWER AND PROPULSION (DIPOP) FISSION NUCLEAR OPTIONS

    OpenAIRE

    2013-01-01

    The Disruptive Technologies for Power and Propulsion (DiPoP) Study reviewed advanced space technologies for large interplanetary missions of interest to Europe taking account of European industry capabilities. These included surface power generation, high power instruments, large robotic missions to outer planets, asteroid de ection missions and longer term interplanetary manned missions. The propulsion applications involve high speed increments, generally beyond the capability...

  17. National Security and Information Technology: The New Regulatory Option?

    Science.gov (United States)

    Irwin, Manley R.

    1987-01-01

    Summarizes recent developments in information technology research and development, telecommunication services, telephone manufacturing, telecommunication networks, information processing, and U.S. import/export policy. It is concluded that government regulation as a policy strategy depends on how one defines national security. (Author/CLB)

  18. effectiveness of technological options for minimising production risks ...

    African Journals Online (AJOL)

    ACSS

    Department of Agribusiness Management and Trade, School of Agriculture and ... preferred technologies in reducing production risk related to climate ... impacts on mean yield, but had different risk-reducing effects on yield. .... models have been advanced in Africa, Australia ... obtained from the Uganda Meteorological.

  19. Low Carbon Technology Options for the Natural Gas Electricity Production

    Science.gov (United States)

    The ultimate goal of this task is to perform environmental and economic analysis of natural gas based power production technologies (different routes) to investigate and evaluate strategies for reducing emissions from the power sector. It is a broad research area. Initially, the...

  20. Low Carbon Technology Options for the Natural Gas Electricity Production

    Science.gov (United States)

    The ultimate goal of this task is to perform environmental and economic analysis of natural gas based power production technologies (different routes) to investigate and evaluate strategies for reducing emissions from the power sector. It is a broad research area. Initially, the...

  1. Investigating load management technology options: a survey of technologies and issues. Final report. [Competitive interrelationships of LM, conservation, and renewables

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-12-01

    Load-management-technology options are commercially available and may be desirable in many utility-service areas. Energy-conservation and renewable-energy-supply technologies are also cost-effective in many applications and, where installed, may reduce the effectiveness and attractiveness of load-management options. Recent energy legislation has not addressed these competitive interrelationships; future legislation is unlikely to do so unless a coordinated task-force effort among relevant DOE offices is pursued to derive strategic technology and policy recommendations on this issue. R and D strategies should help formulate these recommendations.

  2. Risoe energy report 6. Future options for energy technologies

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, Hans; Soenderberg Petersen, L. (eds.)

    2007-11-15

    Fossil fuels provide about 80% of the global energy demand, and this will continue to be the situation for decades to come. In the European Community we are facing two major energy challenges. The first is sustainability, and the second is security of supply, since Europe is becoming more dependent on imported fuels. These challenges are the starting point for the present Risoe Energy Report 6. It gives an overview of the energy scene together with trends and emerging energy technologies. The report presents status and trends for energy technologies seen from a Danish and European perspective from three points of view: security of supply, climate change and industrial perspectives. The report addresses energy supply technologies, efficiency improvements and transport. The report is volume 6 in a series of reports covering energy issues at global, regional and national levels. The individual chapters of the report have been written by staff members from the Technical University of Denmark and Risoe National Laboratory together with leading Danish and international experts. The report is based on the latest research results from Risoe National Laboratory, Technical University of Denmark, together with available internationally recognized scientific material, and is fully referenced and refereed by renowned experts. Information on current developments is taken from the most up-to-date and authoritative sources available. Our target groups are colleagues, collaborating partners, customers, funding organizations, the Danish government and international organizations including the European Union, the International Energy Agency and the United Nations. (au)

  3. LABELING OPTIONS FOR POSTAL SHIPMENTS BY PASSIVE RFID TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Ondrej Maslák

    2015-09-01

    Full Text Available This article discusses the topic of labeling postal shipments by passive radio frequency identification (RFID tags. Every delivery company needs to have all necessary information for every single postal shipment package it carries. Shipment package labeling is essential for processing and tracking the postal shipments along its delivery process. Using RFID technology for the process brings advantages in more efficient delivery and data collection along with regular information updates of shipment status across complete delivery chain.In this article, we focused on the problem of logical log of key shipment package information into EPC memory of the RFID smart label. We have taken into account the National postal administrator and its current system of shipment labeling. In the end, we presented a design for conversion of contemporary labeling using bar codes into labeling using RFID tags.

  4. Advanced technology options for industrial heating equipment research

    Energy Technology Data Exchange (ETDEWEB)

    Jain, R.C.

    1992-10-01

    This document presents a strategy for a comprehensive program plan that is applicable to the Combustion Equipment Program of the DOE Office of Industrial Technologies (the program). The program seeks to develop improved heating equipment and advanced control techniques which, by improvements in combustion and beat transfer, will increase energy-use efficiency and productivity in industrial processes and allow the preferred use of abundant, low grade and waste domestic fuels. While the plan development strategy endeavors to be consistent with the programmatic goals and policies of the office, it is primarily governed by the needs and concerns of the US heating equipment industry. The program, by nature, focuses on energy intensive industrial processes. According to the DOE Manufacturing Energy Consumption Survey (MECS), the industrial sector in the US consumed about 21 quads of energy in 1988 in the form of coal, petroleum, natural gas and electricity. This energy was used as fuels for industrial boilers and furnaces, for agricultural uses, for construction, as feedstocks for chemicals and plastics, and for steel, mining, motors, engines and other industrial use over 75 percent of this energy was consumed to provide heat and power for manufacturing industries. The largest consumers of fuel energy were the primary metals, chemical and allied products, paper and allied products, and stone, clay and glass industry groups which accounted for about 60% of the total fuel energy consumed by the US manufacturing sector.

  5. 虚拟现实技术在采矿专业教学中的应用%Application of Virtual Reality Technology on Mining Specialty Teaching

    Institute of Scientific and Technical Information of China (English)

    李建忠

    2012-01-01

    As one hotspot of computer technique, virtual reality technology has been used in the field of education and teaching, and acquires remarkable effect. On the basis of introducing to virtual reality technology, the writer dis- cusses mostly its application in Mining Specialty Teaching.%虚拟现实技术作为计算机技术中的热点之一,已经应用到教育教学领域,并取得了显著效果。在介绍了虚拟现实技术的基础上,着重探讨其在采矿专业教学中的应用。

  6. STRATEGIC EXERCISE OF REAL OPTIONS:INVESTMENT DECISIONS IN TECHNOLOGICAL SYSTEMS

    Institute of Scientific and Technical Information of China (English)

    Kevin ZHU; John WEYANT

    2003-01-01

    Viewing investment projects in new technologies as real options, this paper studies the effects of endogenous competition and asymmetric information on the strategic exercise of real options. We first develop a multi-period, game-theoretic model and show how competition leads to early exercise and aggressive investment behaviors and how competition erodes option values. We then relax the typical full-information assumption found in the literature and allow information asymmetry to exist across firms. Our model shows, in contrast to the literature that payoff is independent of the ordering of exercise, that the sequential exercise of real options may generate both informational and payoff externalities. We also find some surprising but interesting results such as having more information is not necessarily better.

  7. Distance Education for Gifted Students: Leveraging Technology to Expand Academic Options

    Science.gov (United States)

    Wallace, Patricia

    2005-01-01

    Technological advances and widespread access to the Internet are facilitating new educational approaches that go beyond the traditional face-to-face classroom setting. Distance education has emerged as a valuable option for a number of special populations of learners whose needs are more difficult to meet in the classroom, of which gifted students…

  8. Technological options for and Chinese government regulation of building energy efficiency

    Institute of Scientific and Technical Information of China (English)

    FANYaming; LINZhenguo; FUXiangzhao

    2003-01-01

    Improvement of building energy efficiency, as a part of sustainable development strategies, makes great contribution to global environment protection and energy security. Presented in this paper are (i) a comprehensive overview of the technological options for building energy efficiency, (ii) government regulation of building energy efficiency, especially in China, (iii) some suggestions suitable for China.

  9. Technological options for management of hazardous wastes from US Department of Energy facilities

    Energy Technology Data Exchange (ETDEWEB)

    Chiu, S.; Newsom, D.; Barisas, S.; Humphrey, J.; Fradkin, L.; Surles, T.

    1982-08-01

    This report provides comprehensive information on the technological options for management of hazardous wastes generated at facilities owned or operated by the US Department of Energy (DOE). These facilities annually generate a large quantity of wastes that could be deemed hazardous under the Resource Conservation and Recovery Act (RCRA). Included in these wastes are liquids or solids containing polychlorinated biphenyls, pesticides, heavy metals, waste oils, spent solvents, acids, bases, carcinogens, and numerous other pollutants. Some of these wastes consist of nonnuclear hazardous chemicals; others are mixed wastes containing radioactive materials and hazardous chemicals. Nearly 20 unit processes and disposal methods are presented in this report. They were selected on the basis of their proven utility in waste management and potential applicability at DOE sites. These technological options fall into five categories: physical processes, chemical processes, waste exchange, fixation, and ultimate disposal. The options can be employed for either resource recovery, waste detoxification, volume reduction, or perpetual storage. Detailed descriptions of each technological option are presented, including information on process performance, cost, energy and environmental considerations, waste management of applications, and potential applications at DOE sites. 131 references, 25 figures, 23 tables.

  10. A review on technological options of waste to energy for effective management of municipal solid waste.

    Science.gov (United States)

    Kumar, Atul; Samadder, S R

    2017-09-05

    Approximately one-fourth population across the world rely on traditional fuels (kerosene, natural gas, biomass residue, firewood, coal, animal dung, etc.) for domestic use despite significant socioeconomic and technological development. Fossil fuel reserves are being exploited at a very fast rate to meet the increasing energy demands, so there is a need to find alternative sources of energy before all the fossil fuel reserves are depleted. Waste to energy (WTE) can be considered as a potential alternative source of energy, which is economically viable and environmentally sustainable. The present study reviewed the current global scenario of WTE technological options (incineration, pyrolysis, gasification, anaerobic digestion, and landfilling with gas recovery) for effective energy recovery and the challenges faced by developed and developing countries. This review will provide a framework for evaluating WTE technological options based on case studies of developed and developing countries. Unsanitary landfilling is the most commonly practiced waste disposal option in the developing countries. However, developed countries have realised the potential of WTE technologies for effective municipal solid waste management (MSWM). This review will help the policy makers and the implementing authorities involved in MSWM to understand the current status, challenges and barriers for effective management of municipal solid waste. This review concluded WTE as a potential renewable source of energy, which will partly meet the energy demand and ensure effective MSWM. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Bilişim Teknolojisi Projelerinde Reel Opsiyonlar (Real Options in Information Technology Projects

    Directory of Open Access Journals (Sweden)

    İpek Deveci KOCAKOÇ

    2009-10-01

    Full Text Available Many sources such as the immaturity, complexity and unpredictable evolution of the technologies themselves, and the difficulty of predicting the market demand generally cause uncertainty in the Information Technology (IT projects. Managerial flexibility has value in the context of uncertain IT projects, as management can continuously gather information about uncertain project and market characteristics and, based on this information, change its course of action. As traditional capital budgeting (or project appraisal approaches fail to consider embedded managerial flexibility in projects, the new investment evaluation approach called “real options” has come on the scene recently. “Options thinking,” an emerging investment management philosophy based on the theory of financial options can provide a promising foundation for hedging the risks under uncertainty. This paper aims at analyzing a real IT investment having growth opportunities by using real options approach. Specifically, the value of investing in a software project as well as embedded flexibility in this opportunity is modeled as an option contract. The expected costs required for completing the project and thereafter the resulting asset value are considered as the base-case parameters of this contract. Option values derived from Binomial method are used for evaluating the project and the optimal investment policy is determined based on these values. As a result, it is shown that the value of an IT project having flexibility can differ from one obtained with traditional capital budgeting methods and a rejected project which was seen as unprofitable before can turn a profitable one through embedded flexibilities.

  12. Arms Control and nonproliferation technologies: Technology options and associated measures for monitoring a Comprehensive Test Ban, Second quarter

    Energy Technology Data Exchange (ETDEWEB)

    Casey, Leslie A.

    1994-01-01

    This newsletter contains reprinted papers discussing technology options and associated measures for monitoring a Comprehensive Test Ban Treaty (CTBT). These papers were presented to the Conference on Disarmament (CD) in May and June 1994. An interagency Verification Monitoring Task Force developed the papers. The task force included participants from the Arms Control and Disarmament Agency, the Department of Defense, the Department of Energy, the Intelligence Community, the Department of Interior, and the Department of State. The purpose of this edition of Arms Control and Nonproliferation Technologies is to share these papers with the broad base of stakeholders in a CTBT and to facilitate future technology discussions. The papers in the first group discuss possible technology options for monitoring a CTBT in all environments (underground, underwater, atmosphere, and space). These technologies, along with on-site inspections, would facilitate CTBT monitoring by treaty participants. The papers in the second group present possible associated measures, e.g., information exchanges and transparency measures, that would build confidence among states participating in a CTBT.

  13. A Comparison of Various Technological Options for Improving Energy and Water Use Efficiency in a Traditional Sugar Mill

    Directory of Open Access Journals (Sweden)

    Eyerusalem Birru

    2016-11-01

    Full Text Available This study is a comparison of four technological improvements proposed in previous works for the Cuban sugar mill Carlos Baliño. These technological options are: (1 utilization of excess wastewater for enhanced imbibition; (2 utilization of waste heat for thermally driven cooling; (3 utilization of excess bagasse for pellets; and (4 modification of the cogeneration unit for maximum electric power generation. The method used for the evaluation of the technological options involves using criteria such as energy saving, financial gains, and CO2 emission saving potential. The results of the analysis show that the first three technological improvement options are attractive only during the crushing season. On the other hand, the last technological improvement option can be attractive if a year round generation of surplus power is sought. The first technological improvement option leads to only minor changes in energy utilization, but the increase in sugar yield of 8.7% leads to attractive profitability with an extremely low payback period. The CO2 emissions saved due to the fourth technological improvement option are the highest (22,000 tonnes/year and the cost of CO2 emissions saved for the third technological improvement option (lowest amount to 41 USD/tonne of CO2 emissions saved. The cycle efficiencies of the third and fourth technological improvement options are 37.9% and 36.8%, respectively, with payback periods of 2.3 and 1.6 years. The second technological improvement option is the least attractive alternative of the group.

  14. Biofuels Fuels Technology Pathway Options for Advanced Drop-in Biofuels Production

    Energy Technology Data Exchange (ETDEWEB)

    Kevin L Kenney

    2011-09-01

    Advanced drop-in hydrocarbon biofuels require biofuel alternatives for refinery products other than gasoline. Candidate biofuels must have performance characteristics equivalent to conventional petroleum-based fuels. The technology pathways for biofuel alternatives also must be plausible, sustainable (e.g., positive energy balance, environmentally benign, etc.), and demonstrate a reasonable pathway to economic viability and end-user affordability. Viable biofuels technology pathways must address feedstock production and environmental issues through to the fuel or chemical end products. Potential end products include compatible replacement fuel products (e.g., gasoline, diesel, and JP8 and JP5 jet fuel) and other petroleum products or chemicals typically produced from a barrel of crude. Considering the complexity and technology diversity of a complete biofuels supply chain, no single entity or technology provider is capable of addressing in depth all aspects of any given pathway; however, all the necessary expert entities exist. As such, we propose the assembly of a team capable of conducting an in-depth technology pathway options analysis (including sustainability indicators and complete LCA) to identify and define the domestic biofuel pathways for a Green Fleet. This team is not only capable of conducting in-depth analyses on technology pathways, but collectively they are able to trouble shoot and/or engineer solutions that would give industrial technology providers the highest potential for success. Such a team would provide the greatest possible down-side protection for high-risk advanced drop-in biofuels procurement(s).

  15. An Alternative Option to Dedicated Braille Notetakers for People with Visual Impairments: Universal Technology for Better Access

    Science.gov (United States)

    Hong, Sunggye

    2012-01-01

    Technology provides equal access to information and helps people with visual impairments to complete tasks more independently. Among various assistive technology options for people with visual impairments, braille notetakers have been considered the most significant because of their technological innovation. Braille notetakers allow users who are…

  16. Proceedings of the 1999 Oil and Gas Conference: Technology Options for Producer Survival

    Energy Technology Data Exchange (ETDEWEB)

    None available

    2000-04-12

    The 1999 Oil & Gas Conference was cosponsored by the U.S. Department of Energy (DOE), Office of Fossil Energy, Federal Energy Technology Center (FETC) and National Petroleum Technology Office (NPTO) on June 28 to 30 in Dallas, Texas. The Oil & Gas Conference theme, Technology Options for Producer Survival, reflects the need for development and implementation of new technologies to ensure an affordable, reliable energy future. The conference was attended by nearly 250 representatives from industry, academia, national laboratories, DOE, and other Government agencies. Three preconference workshops (Downhole Separation Technologies: Is it Applicable for Your Operations, Exploring and developing Naturally Fractured Low-Permeability Gas Reservoirs from the Rocky Mountains to the Austin Chalk, and Software Program Applications) were held. The conference agenda included an opening plenary session, three platform sessions (Sessions 2 and 3 were split into 2 concurrent topics), and a poster presentation reception. The platform session topics were Converting Your Resources Into Reserves (Sessions 1 and 2A), Clarifying Your Subsurface Vision (Session 2B), and High Performance, Cost Effective Drilling, Completion, Stimulation Technologies (Session 3B). In total, there were 5 opening speakers, 30 presenters, and 16 poster presentations.

  17. Mission Architecture and Technology Options for a Flagship Class Venus In Situ Mission

    Science.gov (United States)

    Balint, Tibor S.; Kwok, Johnny H.; Kolawa, Elizabeth A.; Cutts, James A.; Senske, David A.

    2008-01-01

    Venus, as part of the inner triad with Earth and Mars, represents an important exploration target if we want to learn more about solar system formation and evolution. Comparative planetology could also elucidate the differences between the past, present, and future of these three planets, and can help with the characterization of potential habitable zones in our solar system and, by extension, extrasolar systems. A long lived in situ Venus mission concept, called the Venus Mobile Explorer, was prominently featured in NASA's 2006 SSE Roadmap and supported in the community White Paper by the Venus Exploration Analysis Group (VEXAG). Long-lived in situ missions are expected to belong to the largest (Flagship) mission class, which would require both enabling and enhancing technologies beside mission architecture options. Furthermore, extreme environment mitigation technologies for Venus are considered long lead development items and are expected to require technology development through a dedicated program. To better understand programmatic and technology needs and the motivating science behind them, in this fiscal year (FY08) NASA is funding a Venus Flaghip class mission study, based on key science and technology drivers identified by a NASA appointed Venus Science and Technology Definition Team (STDT). These mission drivers are then assembled around a suitable mission architecture to further refine technology and cost elements. In this paper we will discuss the connection between the final mission architecture and the connected technology drivers from this NASA funded study, which - if funded - could enable a future Flagship class Venus mission and potentially drive a proposed Venus technology development program.

  18. 基于工科院校背景的财务管理专业建设思路与措施%Ideas and Measures of Financial Management Specialty Construction Based on the Background of Technology College

    Institute of Scientific and Technical Information of China (English)

    万义平; 熊微

    2012-01-01

    财务管理本科专业始建于1998年的财经类高校,随着社会经济发展和企业管理的需要,综合性大学和工科院校也先后设置了财务管理本科专业。针对财务管理本科专业的人才培养,不同类型高校都进行了有益的探索,由于办学背景的不同,各个高校制订的财务管理本科专业人才培养方案应具有明显差异。如何体现工科院校办学背景,彰显财务管理本科专业建设的特色,是值得工科院校财务教育专家深入研究的。本文在分析工科院校办学特色的基础上,提出了工科院校财务管理本科专业建设思路与相关措施。%Financial management specialty was founded in 1998 in finance and economics colleges.With the development of social economy and the need of enterprise management,comprehensive university and technology colleges have set up financial management specialty.In view of personnel training of financial management specialty,different colleges have carried out beneficial exploration.Because of their different background,the personnel training scheme of financial management specialty in various colleges have obvious differences.How to reflect the educational background of technology colleges and characteristic of financial management specialty is worthy of depth research of financial and educational experts in technology colleges.This article analyzes the characteristics of running a school based on the technology college,and puts forward construction thought and related measures of financial management specialty in technology colleges.

  19. Analysis Of The World Elite Men's Table Tennis Athletes Specialty Technology%世界优秀男子乒乓球运动员特长技术分析

    Institute of Scientific and Technical Information of China (English)

    王军

    2014-01-01

    采用文献资料等方法,对世界优秀男子乒乓球运动员特长技术进行研究,旨在提升我国乒乓球项目特长技术创新与发展。结果表明:世界优秀男子乒乓球运动员特长技术主要有8项,分别为,瓦尔德内尔横拍直握式发球技术和晃接技术、科贝尔反手侧拧技术、金泽洙步法技术、蒋澎龙加力推挡技术、格林卡反手横向拉球技术、马琳加转摆短技术和正手前冲弧圈球技术、朱世赫削中反攻技术、王皓直板横打技术。%Mainly using literature method, etc, making the research to the world elite men's table tennis athletes specialty technology, to continuously improve the development and innovation of table tennis specialty technology in China.The results show that: the world elite men's table tennis athletes specialty technology mainly have eight terms, respectively are, Waldner post-binge hold serve technology and sway technology, Gobel backhand side screw technology, Kim Taek Soo step technique, Jiang Penglong afterburner push technology, Glinka backhand transverse pull the ball technology, Ma Lin turned a short swing technology and forehand fast loop drive technique, Zhu Shihe offensive techniques, Wang Hao Straight horizontal techniques.

  20. Choosing Your Medical Specialty

    Science.gov (United States)

    ... AMA provides to help members save money. Residency & Career Planning Find resources for a range of medical career ... Fellowships Back to top Home Life & Career Residency & Career Planning Choosing a Medical Specialty Back to top Choosing ...

  1. 3D打印技术在高校材料专业课程中的应用探究%Probe into the Application of 3D Printing Technology in the Teaching of the Course of Materials Specialty

    Institute of Scientific and Technical Information of China (English)

    王建宏; 李迎春

    2015-01-01

    3D打印技术作为一种新兴技术,应用到教学模型制作中,可以为学生创造更真实、更可靠的探索机会,为专业课程教学提供一种有效途径。根据材料专业课程涉及知识面广、理论性强等特点,从创造性的角度介绍了3D打印技术在高校材料专业课程教学中的应用。%3D printing technology, as a new technology, can be applied in the making of teaching mode to create more real and reliable exploration opportunities and provide an effective way for the teaching of specialty courses. According to the features of the course of materials specialty such as wide knowledge, and strong theoretical property,etc., and from the angle of creativity, introduces the application of 3D printing technology in the teaching of the course of materials specialty.

  2. Green micro-resistojet research at Delft University of Technology: new options for Cubesat propulsion

    Science.gov (United States)

    Cervone, A.; Zandbergen, B.; Guerrieri, D. C.; De Athayde Costa e Silva, M.; Krusharev, I.; van Zeijl, H.

    2017-03-01

    The aerospace industry is recently expressing a growing interest in green, safe and non-toxic propellants for the propulsion systems of the new generation of space vehicles, which is especially true in the case of Cubesat micro-propulsion systems. Demanding requirements are associated to the future missions and challenges offered by this class of spacecraft, where the availability of a propulsion system might open new possibilities for a wide range of applications including orbital maintenance and transfer, formation flying and attitude control. To accomplish these requirements, Delft University of Technology is currently developing two different concepts of water-propelled micro-thrusters based on MEMS technologies: a free molecular micro-resistojet operating with sublimating solid water (ice) at low plenum gas pressure of less than 600 Pa, and a more conventional micro-resistojet operating with liquid water heated and vaporized by means of a custom designed silicon heating chamber. In this status review paper, the current design and future expected developments of the two micro-propulsion concepts is presented and discussed, together with an initial analysis of the expected performance and potential operational issues. Results of numerical simulations conducted to optimize the design of the heating and expansion slots, as well as a detailed description of the manufacturing steps for the conventional micro-resistojet concept, are presented. Some intended steps for future research activities, including options for thrust intensity and direction control, are briefly introduced.

  3. MisTec - A software application for supporting space exploration scenario options and technology development analysis and planning

    Science.gov (United States)

    Horsham, Gary A. P.

    1992-01-01

    This structure and composition of a new, emerging software application, which models and analyzes space exploration scenario options for feasibility based on technology development projections is presented. The software application consists of four main components: a scenario generator for designing and inputting scenario options and constraints; a processor which performs algorithmic coupling and options analyses of mission activity requirements and technology capabilities; a results display which graphically and textually shows coupling and options analysis results; and a data/knowledge base which contains information on a variety of mission activities and (power and propulsion) technology system capabilities. The general long-range study process used by NASA to support recent studies is briefly introduced to provide the primary basis for comparison for discussing the potential advantages to be gained from developing and applying this kind of application. A hypothetical example of a scenario option to facilitate the best conceptual understanding of what the application is, how it works, or the operating methodology, and when it might be applied is presented.

  4. MisTec: A software application for supporting space exploration scenario options and technology development analysis and planning

    Science.gov (United States)

    Horsham, Gary A. P.

    1991-01-01

    The structure and composition of a new, emerging software application, which models and analyzes space exploration scenario options for feasibility based on technology development projections is presented. The software application consists of four main components: a scenario generator for designing and inputting scenario options and constraints; a processor which performs algorithmic coupling and options analyses of mission activity requirements and technology capabilities; a results display which graphically and textually shows coupling and options analysis results; and a data/knowledge base which contains information on a variety of mission activities and (power and propulsion) technology system capabilities. The general long-range study process used by NASA to support recent studies is briefly introduced to provide the primary basis for comparison for discussing the potential advantages to be gained from developing and applying this king of application. A hypothetical example of a scenario option to facilitate the best conceptual understanding of what the application is, how it works, or the operating methodology, and when it might be applied is presented.

  5. Gender bias in specialty preferences among Danish medical students

    DEFF Research Database (Denmark)

    Pedersen, Laura Erna Toftegaard; Skytte, Nanna Hasle Bak; Dissing, Agnete Skovlund

    2011-01-01

    Female medical students tend to prefer person-oriented specialties characterized by close doctor-patient contact and aspects of care. Conversely, male medical students tend to seek towards specialties with elements of autonomy, technology and "action" . Furthermore, female doctors will outnumber ...

  6. Analysis of Technology Options to Reduce the Fuel Consumption of Idling Trucks

    Energy Technology Data Exchange (ETDEWEB)

    F. Stodolsky; L. Gaines; A. Vyas

    2000-06-01

    Long-haul trucks idling overnight consume more than 838 million gallons (20 million barrels) of fuel annually. Idling also emits pollutants. Truck drivers idle their engines primarily to (1) heat or cool the cab and/or sleeper, (2) keep the fuel warm in winter, and (3) keep the engine warm in the winter so that the engine is easier to start. Alternatives to overnight idling could save much of this fuel, reduce emissions, and cut operating costs. Several fuel-efficient alternatives to idling are available to provide heating and cooling: (1) direct-fired heater for cab/sleeper heating, with or without storage cooling; (2) auxiliary power units; and (3) truck stop electrification. Many of these technologies have drawbacks that limit market acceptance. Options that supply electricity are economically viable for trucks that are idled for 1,000-3,000 or more hours a year, while heater units could be used across the board. Payback times for fleets, which would receive quantity discounts on the prices, would be somewhat shorter.

  7. 湖北省高职生物制药技术专业人才培养状况研究%Study on Cultivation of Bio Pharmaceutical Technology Specialty Talents in Hubei Vocational Colleges

    Institute of Scientific and Technical Information of China (English)

    吴佳新

    2015-01-01

    通过对湖北省八所高职院校生物制药技术专业人才培养状况的调查,了解各院校生物制药技术专业人才培养模式、主干课程、就业方向、就业岗位和专业技能证书等情况,对其进行分析研究,提出全省高职生物制药技术专业人才培养模式或借鉴于德国的“双元制”,或借鉴于美国的“能力本位”,都具备工学结合特点;但还存在主干课程设置特色不鲜明、专业技能证书存在一些问题、就业方向比较宽泛、就业岗位不够具体等不足。%Through the investigation on talent cultivation status on the bio pharmaceutical technology specialty in eight Higher Vocational Colleges of Hubei Province, the author understood the talents training mode, main courses, employment direction, jobs and professional skills certificates on bio pharmaceutical technology specialty, carried on the analysis research, put forward that our bio pharmaceutical technology specialty talents training mode should refer to the German“dual system”, or refer to the USA“ability standard”, which have the characteristics of combining work with study; but there are still some problems, for instance, the main curriculum characteristics are not very bright, the professional skill certificates exist some problems, the employment direction is more broad, and jobs are not specific enough, etc.

  8. School-running Orientation of Higher Vocational Colleges and Specialty Construction:Taking the Computer Information Management Specialty of Beijing Information Technology College for Example%高职院校办学定位与专业建设探索--以北京信息职业技术学院计算机信息管理专业为例

    Institute of Scientific and Technical Information of China (English)

    魏松

    2015-01-01

    School-running orientation of higher vocational colleges contains distinct regional characteristics, and is realized by construction of specialty system and key disciplines. This paper suggests principles and factors of higher vocational colleges position and the relationship between school-running orientation and specialty construction, and then cites Beijing Information Technology College as a case to research college position and construction of key disciplines in servicing local economy and fulfilling its social responsibility.%高职院校定位具有鲜明的区域性特点,同时学校的办学定位是由特色专业体系建设和重点专业打造来具体体现的。文章探讨了办学定位的内涵以及办学定位与专业建设的关系。以北京信息职业技术学院为例,展示了该学院在服务区域经济、履行高职社会责任中对办学定位和重点专业建设的探索。

  9. Cost-effective and low-technology options for simulation and training in neonatology.

    Science.gov (United States)

    Bruno, Christie J; Glass, Kristen M

    2016-11-01

    The purpose of this review is to explore low-cost options for simulation and training in neonatology. Numerous cost-effective options exist for simulation and training in neonatology. Lower cost options are available for teaching clinical skills and procedural training in neonatal intubation, chest tube insertion, and pericardiocentesis, among others. Cost-effective, low-cost options for simulation-based education can be developed and shared in order to optimize the neonatal simulation training experience. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. 高职院校移动通信技术专业人才培养模式的构建%Construction of Talent Training Mode for Mobile Communications Technology Specialty in Higher Vocational Colleges

    Institute of Scientific and Technical Information of China (English)

    齐志

    2015-01-01

    Changchun Vocational Institute of Technology carried out the teaching mode reform for mobile communications technology specialty, paid attention to practical teaching link and highlighted the construction of specialty connotation. The college has constructed working-learning alternated talent training mode from the main job capacity needs of communication technology industry, and carried out the post practice throughout the entire process to increase students’ professional knowledge, basic skills, special skills, and comprehensive skills steadily.%长春职业技术学院移动通信技术专业深入开展教学模式改革,注重实践教学环节,突出专业内涵建设。从通信技术行业主要岗位能力需求出发,完成工学交替的人才培养模式构建。通过全程岗位实习,实现学生专业认知、基本技能、专项技能、综合技能的稳步提高。

  11. Assessment of technological options and economical feasibility for cyanophycin biopolymer and high-value amino acid production

    Science.gov (United States)

    Oosterhuis, Nico; Giuseppin, Marco; Toonen, Marcel; Franssen, Henk; Scott, Elinor; Sanders, Johan; Steinbüchel, Alexander

    2007-01-01

    Major transitions can be expected within the next few decades aiming at the reduction of pollution and global warming and at energy saving measures. For these purposes, new sustainable biorefinery concepts will be needed that will replace the traditional mineral oil-based synthesis of specialty and bulk chemicals. An important group of these chemicals are those that comprise N-functionalities. Many plant components contained in biomass rest or waste stream fractions contain these N-functionalities in proteins and free amino acids that can be used as starting materials for the synthesis of biopolymers and chemicals. This paper describes the economic and technological feasibility for cyanophycin production by fermentation of the potato waste stream Protamylasse™ or directly in plants and its subsequent conversion to a number of N-containing bulk chemicals. PMID:17876577

  12. NCI Start-Up 2.0: An Evaluation Option License Program | NCI Technology Transfer Center | TTC

    Science.gov (United States)

    NCI's Start-Up Evaluation Option License minimizes barriers to entry faced by start-up companies that seek to license NIH technologies. The license encourages and supports the commercial development of early-stage technologies developed in the NIH Intramural Research Program. While the NIH has been quite flexible in structuring licenses for the benefit of start-up companies, one of the goals of the NIH Start-up License program is to further reduce the time and capital to negotiate and finalize an exclusive license agreement. | [google6f4cd5334ac394ab.html

  13. A structured Approach for selecting the best option for active liquid waste treatment technology

    Energy Technology Data Exchange (ETDEWEB)

    Tennankore, K. N.; Vijayan, S. [Atomoc Energy of Canade Limited (AECL), Chalk River Laboratories, Ontario (Canada)

    1999-07-01

    An initiative was launched to determine if contaminated groundwaters, currently treated at source by small facilities, can be transported and treated effectively by a liquid waste evaporator located in a central facility, designed to treat building effluents from reactor and laboratory drains, and decontamination activities. This paper is on the first of a two stage structured evaluation, consisting of a four-step process, namely, identification of the treatment options, identification of key performance aspects and associated measures, impact of the options on the performance aspects and an overall assessment. Six treatment options are identified for the two sources of groundwater involving transport of the waters over approximately a 3-km distance by a combination of existing and new pipelines. Five key performance aspects is assessed through a simple scoring methodology. Sensitivity of the overall scores to weighting is also assessed to demonstrate the flexibility of the approach. The paper summarizes the assessment that can lead options to arrive at the 'best' option for implementation. (author)

  14. Identification of technology options for reducing nitrogen pollution in cropping systems of Pujiang

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    This work analyses the potential role of nitrogen pollution technology of crop systems of Pujiang, County in Eastern China's Zhejiang Province, rice and vegetables are important cropping systems. We used a case study approach involving comparison of farmer practices and improved technologies. This approach allows assessing the impact of technology on pollution, is forward looking, and can yield information on the potential of on-the-shelf technology and provide opportunities for technology development. The approach particularly suits newly developed rice technologies with large potential of reducing nitrogen pollution and for future rice and vegetables technologies. The results showed that substantial reductions in nitrogen pollution are feasible for both types of crops.

  15. Construction of Sharing“Four-platform”Teaching Resource Bank of Gardening Technology Specialty%园林技术专业“四平台”共享型教学资源库的构建

    Institute of Scientific and Technical Information of China (English)

    顾振华; 步洪凤; 向国红

    2014-01-01

    基于园林技术专业的办学定位,园林技术专业教学资源库的建设,应将专业教学服务、自主在线学习、园林行业资源、职业培训服务等“四平台”构建于一体,实现教学资源库信息发布、浏览查询、在线学习、多方共享与在线交流的使用功能,实现专业服务产业发展,赋予专业更多的社会服务功能。%The thesis proposes that the content construction of a teaching resource bank of the gardening technology specialty demands the integration of the“four platforms”: professional teaching service, autonomous on-line study, gardening industry’s resources and professional training and service, so the functions of information distribution, browsing and search, on-line study, sharing and on-line communication can be realized, which can implement the profession’s service industry development and endow the specialty with more functions of social service.

  16. 高职应用化工技术专业教学资源库建设的思考%Perspective on Construction of Teaching Resources Datebase of Applied Chemical Technology Specialty in Higer Vocational College

    Institute of Scientific and Technical Information of China (English)

    王轶敏

    2011-01-01

    根据高职示范校建设的实践,阐述了在应用化工技术专业教学资源库建设工作中对于资源库的定位、架构的确定、教学资源的建设及教学资源应具备的特色等方面的几点体会。应用化工技术专业教学资源库应具备检索查询、共享、互动、展示等功能,支撑专业核心课程的建设,兼具专业性和开放性。资源库的内容架构应规范并体现专业特色。%Experences during the constructing period of model higer vocational college such as the location,structure,resources making,characteristics of teaching resources datebase were described.To serve to teaching of applied chemical technology specialty,the teaching resources datebase should possess the function of retrieval and inquiry,sharing,interaction,and display.It should also support the platform of specialized core curriculum and must be professinal and opening.The stucture of teaching resources datebase should be standerdized.The contents of teaching resources datebase should embody specialty characteristics.

  17. Space station needs, attributes and architecture options study technology development working group briefing

    Science.gov (United States)

    1983-01-01

    The structural criteria for a space station is lack of risk by the technology employed. Orbiter technology can be transferred for use in construction with improvement in three areas: fiber optic data bus, water reclamation, and; improved space suit design.

  18. 高职船舶工程技术专业顶岗实习工作的分析%Thoughts on On-job Practice of Higher Vocational Ship Engineering Technology Specialty

    Institute of Scientific and Technical Information of China (English)

    吴春芳

    2012-01-01

    This essay figures out the importance of on-job practice in skills training of higher vocational ship engineering technology specialty,analyses the meaning of on-job practice and the major problems,and propose strategies for improving on-job practice quality to ensure the teaching quality of higher vocational education.%指出了高职船舶工程技术专业的顶岗实习是实践教学体系中不可缺少的重要环节,分析了高职船舶工程技术专业顶岗实习的意义及目前顶岗实习存在的主要问题,提出了提高该专业顶岗实习质量的对策,从而保证高职教育教学质量。

  19. Recover of the nuclear energy: strategic option and technological innovation - vision 2005; Retomada da energia nuclear: opcao estrategica e inovacao tecnologica - visao 2005

    Energy Technology Data Exchange (ETDEWEB)

    Dias, Marcio Soares; Mattos, Joao Roberto Loureiro de; Vasconcelos, Vanderley de [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)]. E-mails: jrmattos@cdtn.br; marciod@cdtn.br; vasconv@cdtn.br; Jordao, Elizabete [Universidade Estadual de Campinas (UNICAMP), Campinas, SP (Brazil). Faculdade de Engenharia Quimica

    2006-07-01

    Considering the projections for the electric power demand, forecasted to first 25 years of the 21 century, and the technological innovations under demonstration in the mitigation of radioactive wastes, the nuclear option was included on a definitive way in the agenda of the countries as an environmental, economic and political acceptable option.

  20. A framework for assessing technology and management options to reduce water losses.

    OpenAIRE

    Hess, Tim M.; Knox, Jerry W.

    2013-01-01

    Water saving in agriculture often refers to reducing the amount of water abstracted or diverted and used for different purposes. However, this is not the only option: reductions in water use can also be achieved by using appropriate techniques for irrigation, applying relevant management practices, using water from alternative sources or influencing behaviour – for example, via awareness-raising, dissemination of best practices, regulation, water pricing and/or the use of financial incentives...

  1. 关于教育技术专业《人工智能》课程教学方法的探讨%On the teaching methods of Artificial Intelligence course for educational technology specialty

    Institute of Scientific and Technical Information of China (English)

    朴姬顺; 吴芬芬

    2012-01-01

    With the rapid development of science and technology, the application of artificial intelligence technology constantly spread out, involving an increasing number of disciplines. Meanwhile, it has become imminent to offer preliminary artificial intelligence module in specialized courses of educational technology. This article first introduces the present situation of development of the course Artificial Intelligence at home and abroad, then analyzes the existing problems and discusses the teaching methods of this course for educational technology specialty.%随着科技飞速发展,人工智能技术应用不断扩延,其涉及的学科领域也愈来愈多.同时,在教育技术学专业课中开设人工智能初步模块也已迫在眉睫.文章从国内外《人工智能》课程发展现状出发、分析了存在的问题,并对我国教育技术学专业该课程的教学方法做了探讨.

  2. Comparison of Technological Options for Distributed Generation-Combined Heat and Power in Rajasthan State of India

    Directory of Open Access Journals (Sweden)

    Ram Kumar Agrawal

    2013-01-01

    Full Text Available Distributed generation (DG of electricity is expected to become more important in the future electricity generation system. This paper reviews the different technological options available for DG. DG offers a number of potential benefits. The ability to use the waste heat from fuel-operated DG, known as combined heat and power (CHP, offers both reduced costs and significant reductions of CO2 emissions. The overall efficiency of DG-CHP system can approach 90 percent, a significant improvement over the 30 to 35 percent electric grid efficiency and 50 to 90 percent industrial boiler efficiency when separate production is used. The costs of generation of electricity from six key DG-CHP technologies; gas engines, diesel engines, biodiesel CI engines, microturbines, gas turbines, and fuel cells, are calculated. The cost of generation is dependent on the load factor and the discount rate. It is found that annualized life cycle cost (ALCC of the DG-CHP technologies is approximately half that of the DG technologies without CHP. Considering the ALCC of different DG-CHP technologies, the gas I.C. engine CHP is the most effective for most of the cases but biodiesel CI engine CHP seems to be a promising DG-CHP technology in near future for Rajasthan state due to renewable nature of the fuel.

  3. Recent trends in specialty pharma business model

    Directory of Open Access Journals (Sweden)

    Mannching Sherry Ku

    2015-12-01

    Full Text Available The recent rise of specialty pharma is attributed to its flexible, versatile, and open business model while the traditional big pharma is facing a challenging time with patent cliff, generic threat, and low research and development (R&D productivity. These multinational pharmaceutical companies, facing a difficult time, have been systematically externalizing R&D and some even establish their own corporate venture capital so as to diversify with more shots on goal, with the hope of achieving a higher success rate in their compound pipeline. Biologics and clinical Phase II proof-of-concept (POC compounds are the preferred licensing and collaboration targets. Biologics enjoys a high success rate with a low generic biosimilar threat, while the need is high for clinical Phase II POC compounds, due to its high attrition/low success rate. Repurposing of big pharma leftover compounds is a popular strategy but with limitations. Most old compounds come with baggage either in lackluster clinical performance or short in patent life. Orphan drugs is another area which has gained popularity in recent years. The shorter and less costly regulatory pathway provides incentives, especially for smaller specialty pharma. However, clinical studies on orphan drugs require a large network of clinical operations in many countries in order to recruit enough patients. Big pharma is also working on orphan drugs starting with a small indication, with the hope of expanding the indication into a blockbuster status. Specialty medicine, including orphan drugs, has become the growth engine in the pharmaceutical industry worldwide. Big pharma is also keen on in-licensing technology or projects from specialty pharma to extend product life cycles, in order to protect their blockbuster drug franchises. Ample opportunities exist for smaller players, even in the emerging countries, to collaborate with multinational pharmaceutical companies provided that the technology platforms or

  4. Recent trends in specialty pharma business model.

    Science.gov (United States)

    Ku, Mannching Sherry

    2015-12-01

    The recent rise of specialty pharma is attributed to its flexible, versatile, and open business model while the traditional big pharma is facing a challenging time with patent cliff, generic threat, and low research and development (R&D) productivity. These multinational pharmaceutical companies, facing a difficult time, have been systematically externalizing R&D and some even establish their own corporate venture capital so as to diversify with more shots on goal, with the hope of achieving a higher success rate in their compound pipeline. Biologics and clinical Phase II proof-of-concept (POC) compounds are the preferred licensing and collaboration targets. Biologics enjoys a high success rate with a low generic biosimilar threat, while the need is high for clinical Phase II POC compounds, due to its high attrition/low success rate. Repurposing of big pharma leftover compounds is a popular strategy but with limitations. Most old compounds come with baggage either in lackluster clinical performance or short in patent life. Orphan drugs is another area which has gained popularity in recent years. The shorter and less costly regulatory pathway provides incentives, especially for smaller specialty pharma. However, clinical studies on orphan drugs require a large network of clinical operations in many countries in order to recruit enough patients. Big pharma is also working on orphan drugs starting with a small indication, with the hope of expanding the indication into a blockbuster status. Specialty medicine, including orphan drugs, has become the growth engine in the pharmaceutical industry worldwide. Big pharma is also keen on in-licensing technology or projects from specialty pharma to extend product life cycles, in order to protect their blockbuster drug franchises. Ample opportunities exist for smaller players, even in the emerging countries, to collaborate with multinational pharmaceutical companies provided that the technology platforms or specialty medicinal

  5. Identification of technology options for reducing nitrogen pollution in cropping systems of Pujiang

    NARCIS (Netherlands)

    Fang, B.; Wang, G.; Berg, van den M.M.; Roetter, R.P.

    2005-01-01

    This work analyses the potential role of nitrogen pollution technology of crop systems of Pujiang, County in Eastern China¿s Zhejiang Province, rice and vegetables are important cropping systems. We used a case study approach involving comparison of farmer practices and improved technologies. This

  6. Information Technology for Economic and Social Benefit--Options for Bangladesh.

    Science.gov (United States)

    Bhuiyan, Farhad Ali

    2002-01-01

    Considers how information technology (IT) can help socioeconomic growth of developing countries based on experiences in Bangladesh. Topics include Bangladesh's development plans; future economic growth trends triggered by IT; emerging technologies; intellectual and societal development; industrial revolutions; telematics; regional and world…

  7. Information Technology Training within Traineeships: Options for TAFE-Based Courses.

    Science.gov (United States)

    Hall, W.; And Others

    A study explored ways in which traineeship courses could be designed to include training in information technology. The skills and performance standards required of information technology training in the printing, tourism, banking, construction, and computer industries were identified. Next, the current provision of such training in Australia and…

  8. ECONOMIC ANALYSIS OF SELECTED OPTIONS OF STRAW USE DEPENDING ON HARVESTING TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Lukasz KUTA

    2014-10-01

    Full Text Available Post-harvest straw deserves particular attention among agricultural raw materials. It can be intended for sale, applied as litter material in animal husbandry or used in field fertilization. To a lesser extent it can be used for fodder production, covering mounds of roots and tubers and the production of insulation materials in horticulture and building construction. Using surplus straw directly for energy generation, including production of pellets and briquettes, should also be considered rational. Several applications were analyzed. The main purpose of the research is to determine the profitability level of winter wheat cultivation and of energy use of the straw obtained. Among others, they included situations in which obtained straw was used in the production of pellets, in fertilization after prior grinding and mixing with manure or used for direct sale. For our calculations, the costs/ha of wheat cultivation and then straw collection were estimated. The comparative analysis of various options of wheat straw utilization shows the highest profitability in the option of selling the straw and mineral fertilization.

  9. Risoe energy report 1. New and emerging technologies - options for the future

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, H.; Soenderberg Petersen, L. (eds.)

    2002-10-01

    All over the world, increasing energy consumption, liberalisation of energy markets and the need to take action on climate change are producing new challenges for the energy sector. At the same time there is increasing pressure for research, new technology and industrial products to be socially acceptable and to generate prosperity. The result is a complex and dynamic set of conditions affecting decisions on investment in research and new energy technology. To meet these challenges in the decades ahead, industrialists and policymakers need appropriate analyse energy systems, plus knowledge of trends for existing technologies and prospects for emerging technologies. This is the background for this first Risoe Energy Report, which sets out the global, European and Danish energy scene together with trends in development and emerging technologies. The report is the first in a new series from Risoe National Laboratory. The global energy developments are presented based on the latest available information from authoritative sources like IEA, WEC, World Energy Assessment etc. Some of the major challenges are presented in terms of the changing energy markets in all regions, the focus on environmental concerns in the industrialised countries, and energy for development and access to energy for the poor in developing countries. The report presents the status of R and D in progress for supply technologies. The various technologies are assessed with respect to status, trends and perspectives for the technology, and international R and D plans. For the technologies where Risoe is undertaking R and D this is highlighted in a separate section. Recent studies of emerging energy technologies from international organisations and leading research organisations are reviewed. There are reviews of national research activities on new energy technologies in a number of countries as well as in Risoe National Laboratory. Conclusions for Danish energy supply, Danish industry, and Danish

  10. Risoe energy report 1. New and emerging technologies - options for the future

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, H.; Soenderberg Petersen, L. (eds.)

    2002-10-01

    All over the world, increasing energy consumption, liberalisation of energy markets and the need to take action on climate change are producing new challenges for the energy sector. At the same time there is increasing pressure for research, new technology and industrial products to be socially acceptable and to generate prosperity. The result is a complex and dynamic set of conditions affecting decisions on investment in research and new energy technology. To meet these challenges in the decades ahead, industrialists and policymakers need appropriate analyse energy systems, plus knowledge of trends for existing technologies and prospects for emerging technologies. This is the background for this first Risoe Energy Report, which sets out the global, European and Danish energy scene together with trends in development and emerging technologies. The report is the first in a new series from Risoe National Laboratory. The global energy developments are presented based on the latest available information from authoritative sources like IEA, WEC, World Energy Assessment etc. Some of the major challenges are presented in terms of the changing energy markets in all regions, the focus on environmental concerns in the industrialised countries, and energy for development and access to energy for the poor in developing countries. The report presents the status of R and D in progress for supply technologies. The various technologies are assessed with respect to status, trends and perspectives for the technology, and international R and D plans. For the technologies where Risoe is undertaking R and D this is highlighted in a separate section. Recent studies of emerging energy technologies from international organisations and leading research organisations are reviewed. There are reviews of national research activities on new energy technologies in a number of countries as well as in Risoe National Laboratory. Conclusions for Danish energy supply, Danish industry, and Danish

  11. Shaping Future Green Cities: LEDs Technology adoption as an option for India

    OpenAIRE

    Singh, R; Kroesen, J.O.

    2010-01-01

    The sustainable development in developing and newly industrialising countries (China, India, South Africa, and Brazil) is central issue for policy makers, decision makers, academic, and planners. The attainment of sustainability has become a challenge for rapidly urbanising India. The paper focuses on the challenges for building less energy consuming cities. The cities use different technologies for lighting purposes but which technology can decarbonise them in future. Moreover, the question ...

  12. Lithography options for the 32nm half pitch node and their implications on resist and material technology

    Science.gov (United States)

    Gronheid, Roel; Hendrickx, Eric; Wiaux, Vincent; Maenhoudt, Mireille; Goethals, Mieke; Vandenberghe, Geert; Ronse, Kurt

    2008-03-01

    There still remain three major technological lithography options for high volume manufacturing at the 32nm half pitch node: 193nm immersion lithography with high index materials, enabling NA>1.6 193nm double patterning and EUV lithography. In this paper the pros and cons of these three options will be discussed. Particular interest will be paid to the consequences of the final choice on the resist technology. High index 193nm immersion lithography also requires high index resist materials, which are under development but still far removed from the target refractive index and absorbance specifications not to mention lithographical performance. For double patterning the pitch may be relaxed, but the resists still need to be able to print very narrow lines and/or trenches. Moreover, it would be preferred for the resists to support pattern or image freezing techniques in order to step away from the litho-etch-litho-etch approach and make double patterning more cost effective. For EUV the resist materials need to meet very aggressive sensitivity specifications. In itself this is possible, but it is difficult to simultaneously maintain performance in terms of resolution and line width roughness. A new parameter (K LUP) for assessing resist performance in terms of these three performance criteria will be introduced.

  13. 现代信息技术背景下地理教育专业课程体系建设研究%Study on the Curriculum System Construction of Geography Education Specialty under the Background of Modern Information Technology

    Institute of Scientific and Technical Information of China (English)

    张静

    2012-01-01

    介绍了我国高校地理教育专业的培养目标,分析了信息技术指导下地理教育专业课程体系,最后提出了优化课程体系结构的思想.%The paper introduced the training objective of geography education specialty in Colleges and universities of China, and then analyzed the curriculum system of the specialty under the background of modem information technology, finally proposed the ideas to optimize the curriculum structure.

  14. Nuclear and clean coal technology options for sustainable development in India

    Energy Technology Data Exchange (ETDEWEB)

    Mallah, Subhash; Bansal, N.K. [Shri Mata Vaishno Devi University, Katra -182320, Jammu and Kashmir (India)

    2010-07-15

    Due to the growing energy needs along with increasing concerns towards control of greenhouse gas emissions, most developing countries are under pressure to find alternative methods for energy conversion and policies to make these technologies economically viable. Most of the energy is produced from fossil fuel in India which is not a sustainable source of energy. In this paper Indian power sector has been examined by using MARKAL model for introduction of clean coal and advanced nuclear technologies with implementation of energy conservation potential. The result shows that application of clean technologies gives energy security but not significant reduction in carbon dioxide emissions. When clean technologies apply with energy conservation a huge amount of CO{sub 2} can be reduced and also economically viable. Three scenarios including base case scenario have been developed to estimate the resource allocations and CO{sub 2} mitigation. The clean technologies with maximum savings potential shows 70% CO{sub 2} reduction in the year 2045. (author)

  15. Risø energy report 1. New and emerging technologies - options for the future

    DEFF Research Database (Denmark)

    Larsen, Hans Hvidtfeldt; Sønderberg Petersen, Leif

    2002-01-01

    All over the world, increasing energy consumption, liberalisation of energy markets and the need to take action on climate change are producing new challenges for the energy sector. At the same time there is increasing pressure for research, newtechnology and industrial products to be socially...... of trends for existing technologies and prospects for emerging technologies. This is the background for this first Risø Energy Report, which setsout the global, European and Danish energy scene together with trends in development and emerging technologies. The report is the first in a new series from Risø...... National Laboratory. The global energy developments are presented based on the latestavailable information from authoritative sources like IEA, WEC, World Energy Assessment etc. Some of the major challenges are presented in terms of the changing energy markets in all regions, the focus on environmental...

  16. Construction of the "integration of job, course and certificate" curriculum for the communication technology specialty%通信技术专业“岗课证融通”课程体系的构建

    Institute of Scientific and Technical Information of China (English)

    廖亮

    2011-01-01

    Employment-oriented construction of the "integration of job, course and certificate" is the key to training highly skilled communication technology personnel. This paper describes the ideas of designing the "integration of job, course and certificate" curriculum. Aimed at communication technology specialty, the paper analyzes the ability and knowledge demands for the jobs and designs a new curriculum and specific theoretical and practical course.%以就业为导向,构建岗位、课程、职业资格证书相融通的课程体系是培养通信技术高技能人才的关键所在。在介绍了岗课证融通的课程体系设计思路的基础上,针对通信技术专业,分析了岗位知识能力要求,设计了新的课程体系架构和具体的理论和实践课程。

  17. Assessment of coal technology options and implications for the State of Hawaii

    Energy Technology Data Exchange (ETDEWEB)

    Carlson, J.L.; Elcock, D.; Elliott, T.J. [and others

    1993-12-01

    The mandate of this research report was to provide the state of Hawaii with an assessment of the potential opportunities and drawbacks of relying on coal-fired generating technologies to diversify its fuel mix and satisfy future electric power requirements. This assessment was to include a review of existing and emerging coal-based power technologies-including their associated costs, environmental impacts, land use, and infrastructure requirements-to determine the range of impacts likely to occur if such systems were deployed in Hawaii. Coupled with this review, the report was also to (1) address siting and safety issues as they relate to technology choice and coal transport, (2) consider how environmental costs associated with coal usage are included in the integrated resource planning (ERP) process, and (3) develop an analytical tool from which the Department of Business, Economic Development & Tourism of the State of Hawaii could conduct first-order comparisons of power plant selection and siting. The prepared report addresses each element identified above. However, available resources and data limitations limited the extent to which particular characteristics of coal use could be assessed. For example, the technology profiles are current but not as complete regarding future developments and cost/emissions data as possible, and the assessment of coal technology deployment issues in Hawaii was conducted on an aggregate (not site-specific) basis. Nonetheless, the information and findings contained in this report do provide an accurate depiction of the opportunities for and issues associated with coal utilization in the state of Hawaii.

  18. Analysis of technological options for electric energy generation from urban solid wastes; Analise de opcoes tecnologicas para geracao de energia eletrica a partir de residuos solidos urbanos

    Energy Technology Data Exchange (ETDEWEB)

    Furtado, J.G. de M.; Serra, E.T. [Centro de Pesquisas de Energia Eletrica (CEPEL), Rio de Janeiro, RJ (Brazil)], Emails: furtado@cepel.br, etserra@cepel.br

    2010-07-01

    This paper evaluates technologically of the options existents for generation of electric power from the urban solid wastes (USW), based on application of factoring method for estimation of investments based on basic description of the plant, it main equipment and technological complexity, viewing to contribute for determination of better technical and economical form, and the energy using. The results of the effectuated analyses indicates that the most technological complexity of the gasification and thermal plasma, and be encountered on non commercial in great scale as well, make the the option present the greatest index of investment and relative cost, determining the greatest costs of electric power generated through this process.

  19. Reactor Technology Options Study for Near-Term Deployment of GNEP Grid-Appropriate Reactors

    Energy Technology Data Exchange (ETDEWEB)

    Ingersoll, Daniel T [ORNL; Poore III, Willis P [ORNL

    2007-09-01

    World energy demand is projected to significantly increase over the coming decades. The International Energy Agency projects that electricity demand will increase 50% by 2015 and double by 2030, with most of the increase coming in developing countries as they experience double-digit rates of economic growth and seek to improve their standards of living. Energy is the necessary driver for human development, and the demand for energy in these countries will be met using whatever production technologies are available. Recognizing this inevitable energy demand and its implications for the United States, the U.S. National Security Strategy has proposed the Global Nuclear Energy Partnership (GNEP) to work with other nations to develop and deploy advanced nuclear recycling and reactor technologies. This initiative will help provide reliable, emission-free energy with less of the waste burden of older technologies and without making available separated plutonium that could be used by rogue states or terrorists for nuclear weapons. These new technologies will make possible a dramatic expansion of safe, clean nuclear energy to help meet the growing global energy demand. In other words, GNEP seeks to create an international regime to support large-scale growth in the worldwide use of nuclear energy without increasing the risk of nuclear weapon proliferation. This global expansion of nuclear power is strategically important to the United States for several reasons, including the following: (1) National security, by reducing the competition and potential for conflict over increasingly scarce fossil energy resources; (2) Economic security, by helping maintain stable prices for nonrenewable resources such as oil, gas, and coal; (3) Environmental security, by replacing or off-setting large-scale burning of greenhouse gas-emitting fuels for electricity production; and (4) Regaining technical leadership, through deployment of innovative U.S. technology-based reactors. Fully meeting

  20. Technology Options and Integration Concepts for Implementing CO2 Capture in Oil-Sands Operations

    Energy Technology Data Exchange (ETDEWEB)

    Ordorica-Garcia, G.; Nikoo, M. [Alberta Innovates Technology Futures, Edmonton, Alberta (Canada); Carbo, M. [Energy Research Centre of the Netherlands ECN, Petten (Netherlands); Bolea, I. [Universidad de Zaragoza, Zaragoza (Spain)

    2012-09-15

    The majority of the technology development for CO2 capture and storage (CCS) is driven by the electric-utility industry, in which the emphasis is on large centralized units for electric-power generation with coal as the primary fuel. The implementation of CCS in oil-sands operations has significant potential to provide meaningful carbon-emissions reductions. This paper presents various concepts for integrating leading CO2-capture techniques to bitumen-extraction and -upgrading processes. The main carbon-capture technologies are reviewed, and their relative advantages and disadvantages for implementation in bitumen mining, thermal bitumen extraction, and bitumen upgrading are discussed, leading to a qualitative assessment of their suitability for each oil-sands process.

  1. 99Mo/(99m)Tc separation: an assessment of technology options.

    Science.gov (United States)

    Dash, Ashutosh; Knapp, F F Russ; Pillai, M R A

    2013-02-01

    Several strategies for the effective separation of (99m)Tc from (99)Mo have been developed and validated. Due to the success of column chromatographic separation using acidic alumina coupled with high specific activity fission (99)Mo (F (99)Mo) for production of (99)Mo/(99m)Tc generators, however, most technologies until recently have generated little interest. The reduced availability of F (99)Mo and consequently the shortage of (99)Mo/(99m)Tc column generators in the recent past have resurrected interest in the production of (99)Mo as well as (99m)Tc by alternate routes. Most of these alternative production processes require separation techniques capable of providing clinical grade (99m)Tc from low specific activity (99)Mo or irradiated Mo targets. For this reason there has been renewed interest in alternate separation routes. This paper reviews the reported separation technologies which include column chromatography, solvent extraction, sublimation and gel systems that have been traditionally used for the fabrication of (99)Mo/(99m)Tc generator systems. The comparative advantage, disadvantage, and technical challenges toward adapting the emerging requirements are discussed. New developments such as solid-phase column extraction, electrochemical separation, extraction chromatography, supported liquid membrane (SLM) and thermochromatographic techniques are also being evaluated for their potential application in the changed scenario of providing (99m)Tc from alternate routes. Based on the analysis provided in this review, it appears that some proven separation technologies can be quickly resurrected for the separation of clinical grade (99m)Tc from macroscopic levels of reactor or cyclotron irradiated molybdenum targets. Furthermore, emerging technologies can be developed further to respond to the expected changing modes of (99m)Tc production.

  2. Aesthetic treatment option for completely edentulous patients using CAD/CAM technology.

    Science.gov (United States)

    Kleinman, Alejandro; Avendano, Sergio; Leyva, Francisco

    2008-04-01

    In recent years, advancements have been made in CAD/CAM technology that have allowed for the development of different treatments regarding the rehabilitation of patients with natural dentition, as well as patients with dental implants. Contemporary systems can also allow prosthetic rehabilitation for partially and completely edentulous patients. This article describes a restorative alternative to fixed implant-supported reconstruction of completely edentulous patients, utilizing a CAD/CAM-generated framework and CAD/CAM-generated all-ceramic cement-retained crowns. In addition to delivering an optimally aesthetic restoration, this design permits a precise and passive prosthetic fit.

  3. 电子技术专业实践教学改革的研究与实践%Study and practice of practice teaching reform for electronic technology specialty

    Institute of Scientific and Technical Information of China (English)

    张新安; 熊文元; 包本刚

    2011-01-01

    To meet the demand of developing goal for electronic technology specialty, from the present situation of practice teaching,the practice teaching reform is carried out from the following five aspects: building relatively independent practice teaching system, optimizing practice teaching contents and methods, strengthening practice teaching base construction both inside and outside schools, opening laboratory and practice base, and enforcing extracurricular practice activities. According to practice teaching reform, the students' innovative spirit and practice ability are cultivated, and practice teaching quality and yield highly desirable results are improved.%针对电子技术专业培养目标的要求和实践教学的现状,从构建相对独立的实践教学体系、优化实践教学内容和方法、加强校内外实践教学基地建设、开放实验室和实践基地、强化课外实践活动等5个方面进行实践教学改革.通过实践教学改革,培养了学生的创新精神和实践能力,提高了实践教学质量,取得了良好的效果.

  4. Discussion on School-enterprise Cooperation in Software Technology Specialty in the Vocational Colleges%高职院校软件技术专业“校企合作”的探讨

    Institute of Scientific and Technical Information of China (English)

    何鑫

    2012-01-01

    The school-enterprise cooperation is an important measure taken by the vocational colleges, which aims at meeting the market standards and striving for their own development, improving the educational quality, and training the enterprise-targeted high skilled talents for the production line, but in the implementing process, some problems appeared, which seriously restricted the development of the cooperation between colleges and enterprises. Referring to Peking University APTECH course system, " cooperation" was explored from another perspective, and some reforms of the software technology specialty were carded out.%校企合作是高等职业院校为实现与市场接轨、谋求自身发展、大力提高育人质量、面向企业有针对性的培养一线高端技能型人才的重要举措,但在实施过程中存在一些问题,严重制约了校企合作的良性发展,借鉴北大青鸟的ACCP课程体系,探索另一个角度的"校企合作",黑龙江农业经济职业学院软件技术专业进行了一些改革与尝试。

  5. Data Warehouse and Its Mining Technology Applied to Specialty Decision of Vocational Colleges Recruitment%数据仓库及其挖掘技术在高职招生专业上的应用

    Institute of Scientific and Technical Information of China (English)

    张磊; 高学东

    2011-01-01

    随着知识经济的发展,信息技术得到广泛的应用,本文详细描述了使用数据仓库和数据挖掘的方法,对高职院校的招生录取数据进行挖掘分析,为招生录取提供有用信息,为高职院校跨省招生专业决策提供技术支撑,使高职院校能够合理的分配跨省招生专业计划,减少招生计划的浪费,提高学生的报到率。%With the development of knowledge economy,information technology is widely used,the paper describes the use of data warehouse and data mining methods on vocational colleges Admission data analysis to identify rules to be translated into Enrollment information useful for inter-provincial vocational colleges to provide technical support for recruitment of professional decision-making,so that a reasonable allocation of vocational institutions to inter-provincial Specialty plans to reduce the waste of enrollment plan to improve student registration rate.

  6. 以工作过程为导向开展软件技术专业项目式教学的研究%The Research on Work Process-oriented in the Specialty of Software Technology Project Teaching

    Institute of Scientific and Technical Information of China (English)

    文竹

    2012-01-01

      由于以往的人才培养方式和教学体制往往过于注重基础理论而缺乏综合项目的训练,难以培养适合企业的优秀软件人才。针对这个问题的出现,该文讨论了广西国际商务职业技术学院软件技术专业以工作过程为导向的项目式教学体系取代传统教学模式,对教学模式进行的改革。%  Since the way of personnel training and teaching system tend to focus too much on the basis of theory and lack of comprehensive training, it is difficult to cultivate excellent software for enterprise personnel. For the emergence of this issue, the article discusses a reform of the Guangxi International Business Vocational College specialty of software technology work process-oriented project-based teaching system to replace the traditional teaching mode.

  7. [Research competencies in nursing specialties].

    Science.gov (United States)

    Oltra-Rodríguez, Enrique; Rich-Ruiz, Manuel; Orts-Cortés, María Isabel; Sánchez-López, Dolores; González-Carrión, Pilar

    2013-01-01

    Since nursing became an university degree in 1977, there have been several regulations to develop specialties, all of them agreeing on the need to include skills in research. Indeed, the relevance of acquiring these skills in all current disciplines has led to Royal Decree 99/2011, which regulates the official PhD courses, and recognises specialist nurses as qualified to access PhD studies. Nowadays, students from six of the seven specialties included in the Royal Decree 450/2005 on nursing specialties, are performing their training. The acquisition of research skills is seen as an opportunity and a challenge. However, the organizational structure of training facilities (multiprofessional teaching units) and the incorporation of nurses as clinical tutors, who initiated this teaching activity, deserve special attention to ensure the correct acquisition of research skills in the training of specialist nurses. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  8. Motivational interviewing and specialty pharmacy.

    Science.gov (United States)

    Berger, Bruce A; Bertram, Carl T

    2015-01-01

    It is well documented in substance abuse and health care literature that motivational interviewing is an evidenced-based and effective intervention for influencing patient behaviors and associated positive health outcomes. The introduction of motivational interviewing training in specialty pharmacy has great potential to increase patient and pharmacist satisfaction, maximize adherence rates, and improve health outcomes. This commentary examines the need for effective approaches for improving patient adherence and outcomes and briefly describes the history and efficacy of motivational interviewing. Case studies using traditional approaches to patient care and motivational interviewing are analysed, and real-world experience using motivational interviewing is presented in the form of a specialty pharmacy case study.

  9. Greenhouse Emission Reductions and Natural Gas Vehicles: A Resource Guide on Technology Options and Project Development

    Energy Technology Data Exchange (ETDEWEB)

    Orestes Anastasia; NAncy Checklick; Vivianne Couts; Julie Doherty; Jette Findsen; Laura Gehlin; Josh Radoff

    2002-09-01

    Accurate and verifiable emission reductions are a function of the degree of transparency and stringency of the protocols employed in documenting project- or program-associated emissions reductions. The purpose of this guide is to provide a background for law and policy makers, urban planners, and project developers working with the many Greenhouse Gas (GHG) emission reduction programs throughout the world to quantify and/or evaluate the GHG impacts of Natural Gas Vehicle (NGVs). In order to evaluate the GHG benefits and/or penalties of NGV projects, it is necessary to first gain a fundamental understanding of the technology employed and the operating characteristics of these vehicles, especially with regard to the manner in which they compare to similar conventional gasoline or diesel vehicles. Therefore, the first two sections of this paper explain the basic technology and functionality of NGVs, but focus on evaluating the models that are currently on the market with their similar conventional counterparts, including characteristics such as cost, performance, efficiency, environmental attributes, and range. Since the increased use of NGVs, along with Alternative Fuel Vehicle (AFVs) in general, represents a public good with many social benefits at the local, national, and global levels, NGVs often receive significant attention in the form of legislative and programmatic support. Some states mandate the use of NGVs, while others provide financial incentives to promote their procurement and use. Furthermore, Federal legislation in the form of tax incentives or procurement requirements can have a significant impact on the NGV market. In order to implement effective legislation or programs, it is vital to have an understanding of the different programs and activities that already exist so that a new project focusing on GHG emission reduction can successfully interact with and build on the experience and lessons learned of those that preceded it. Finally, most programs

  10. Managing vulnerability to drought and enhancing livelihood resilience in sub-Saharan Africa: Technological, institutional and policy options

    Directory of Open Access Journals (Sweden)

    Bekele Shiferaw

    2014-06-01

    Full Text Available Agriculture and the economies of Sub-Saharan Africa (SSA are highly sensitive to climatic variability. Drought, in particular, represents one of the most important natural factors contributing to malnutrition and famine in many parts of the region. The overall impact of drought on a given country/region and its ability to recover from the resulting social, economic and environmental impacts depends on several factors. The economic, social and environmental impacts of drought are huge in SSA and the national costs and losses incurred threaten to undermine the wider economic and development gains made in the last few decades in the region. There is an urgent need to reduce the vulnerability of countries to climate variability and to the threats posed by climate change. This paper attempts to highlight the challenges of drought in SSA and reviews the current drought risk management strategies, especially the promising technological and policy options for managing drought risks to protect livelihoods and reduce vulnerability. The review suggests the possibilities of several ex ante and ex post drought management strategies in SSA although their effectiveness depends on agro-climatic and socio-economic conditions. Existing technological, policy and institutional risk management measures need to be strengthened and integrated to manage drought ex ante and to minimize the ex post negative effects for vulnerable households and regions. A proactive approach that combines promising technological, institutional and policy solutions to manage the risks within vulnerable communities implemented by institutions operating at different levels (community, sub-national, and national is considered to be the way forward for managing drought and climate variability.

  11. Assessment of Greenhouse Gas Control Technology Options within the Energy, Water and Food Nexus

    Science.gov (United States)

    Al-Ansari, Tareq; Korre, Anna; Nie, Zhenggang; Shah, Nilay

    2015-04-01

    second scenario integrates PV to power the RO units and the third scenario uses solar PV to power the RO and fertilizer production facilities. The second operating mode integrates the BIGCC for power generation and the third mode utilises the gasification by-product biochar for the enhancement of agricultural productivity in addition to the power generated from the BIGCC. The final mode of operation examines the use of CO2 capture technology in the baseline scenario to support fertilization resulting in productivity increases for crops. References: Al-Ansari, T., Korre, A., Nie, Z., Shah, N., "Development of a life cycle assessment model for the analysis of the energy, water and food nexus" Computer Aided Chemical Engineering, 33, (2014), 1039-1044. Al-Ansari, T., Korre, A., Nie, Z., Shah, N., Integrated Modelling of the Energy, Water and Food Nexus to Enhance the Environmental Performance of Food Production Systems, 9th International Conference LCA of Food, San Francisco, USA, 8 - 10 October 2014

  12. Specialty Guidelines for Forensic Psychology

    Science.gov (United States)

    American Psychologist, 2013

    2013-01-01

    In the past 50 years forensic psychological practice has expanded dramatically. Because the practice of forensic psychology differs in important ways from more traditional practice areas (Monahan, 1980) the "Specialty Guidelines for Forensic Psychologists" were developed and published in 1991 (Committee on Ethical Guidelines for Forensic…

  13. Specialty Guidelines for Forensic Psychology

    Science.gov (United States)

    American Psychologist, 2013

    2013-01-01

    In the past 50 years forensic psychological practice has expanded dramatically. Because the practice of forensic psychology differs in important ways from more traditional practice areas (Monahan, 1980) the "Specialty Guidelines for Forensic Psychologists" were developed and published in 1991 (Committee on Ethical Guidelines for Forensic…

  14. Specialty rattans of the ASEAN

    NARCIS (Netherlands)

    Baja-Lapis, A.C.

    2009-01-01

    This paper describes the uses and agricultural practices for 11 selected taxa of rattan in the ASEAN countries with special emphasis on specialty use for food and condiments, ornamentals and dyes. The listed species are Calamus discolor, Calamus manillensis, Calamus ornatus var. philippinensis, Cala

  15. Teaching Methodology and Approach Research on NC Technology Specialty Practice Teaching in Higher Vocational Education%高职数控技术专业实践教学教学方法与手段研究与实践

    Institute of Scientific and Technical Information of China (English)

    张慧芳; 赵红美

    2014-01-01

    Practice teaching is an important part of numerical control technology specialty in higher vocational human resource training. Considering the actual practice teaching situation of NC technology specialty in Tangshan polytechnic college, teaching methodology and approach for practice teaching are summed up, thus to provide support for the construction of scientific and reasonable practice teaching standards.%实践教学是高职数控技术专业人才培养的重要组成部分。结合本院数控技术专业实践教学实际情况,总结了实践教学所运用的教学方法与手段,为构建科学合理的实践教学标准提供了支撑。

  16. Specialty choices amongst graduating medical students in ...

    African Journals Online (AJOL)

    Specialty choices amongst graduating medical students in University of Calabar, ... Factors which influenced choice of specialty amongst the graduating ... interest in anaesthesia specialization, improvement of training facilities and provision of ...

  17. Nuclear Thermal Rocket/Stage Technology Options for NASA's Future Human Exploration Missions to the Moon and Mars

    Science.gov (United States)

    Borowski, Stanley K.; Corban, Robert R.; McGuire, Melissa L.; Beke, Erik G.

    1994-07-01

    The nuclear thermal rocket (NTR) provides a unique propulsion capability to planners and designers of future human exploration missions to the Moon and Mars. In addition to its high specific impulse (Isp ~ 850-1000 seconds) and engine thrust-to-weight ratio (~ 3-10), the NTR can also be configured as a ``dual mode'' system capable of generating stage electrical power. At present, NASA is examining a variety of mission applications for the NTR ranging from an expendable, ``single burn'' trans-lunar injection (TLI) stage for NASA's ``First Lunar Outpost'' (FLO) mission to all propulsive, ``multi-burn,'' spacecraft supporting a ``split cargo/piloted sprint'' Mars mission architecture. Two ``proven'' solid core NTR concepts are examined -one based on NERVA (Nuclear Engine for Rocket Vehicle Application)-derivative reactor (NDR) technology, and a second concept which utilizes a ternary carbide ``twisted ribbon'' fuel form developed by the Commonwealth of Independent States (CIS). Integrated systems and mission study results are used in designing ``aerobraked'' and ``all propulsive'' Mars vehicle concepts which are mass-, and volume-compatible with both a reference 240 metric tonne (t) heavy lift launch vehicle (HLLV) and a smaller 120 t HLLV option. For the ``aerobraked'' scenario, the 2010 piloted mission determines the size of the expendable trans-Mars injection (TMI) stage which is a growth version of the FLO TLI stage. An ``all-propulsive'' Moon/Mars mission architecture is also described which uses common ``modular'' engine and stage hardware consisting of: (1) clustered 15 thousand pounds force (klbf) NDR or CIS engines; (2) two ``standardized'' liquid hydrogen (LH2) tank sizes; and (3) ``dual mode'' NTR and refrigeration system technologies for long duration missions. The ``modular'' NTR approach can form the basis for a ``faster, safer, and cheaper'' space transportation system for tomorrow's piloted missions to the Moon and Mars.

  18. 软件技术重点专业建设的探索%Research on the Construction of Provincial Key Specialty of Software Technology in Higher Vocational Education

    Institute of Scientific and Technical Information of China (English)

    刘甫迎; 陈元霞; 罗国涛; 陈莉莉; 刘焱

    2016-01-01

    College-enterprise cooperation and innovation“Four stages + five levels”training mode is conducted;a breakthrough takes place in construction employment-oriented vocational ability systematic curriculum system (VOCSCUM-CDIO)complement and capabilities based modular curriculum system;traditional software develops up to the enterprise level,occupies mobile Internet software development,the new high ground of cloud computing and big data applications. Based on this,it provides a professional reference for the specialty construction through the establishment of“Software Technology”positioning,training specifications,teaching team,training base,curriculum development,teaching information technology and other standards.%校企深度合作,创新软件技术专业“四段式+五层次”人才培养模式;在就业导向的职业能力系统化课程体系(VOCSCUM-CDIO)与能力本位模块化课程体系相辅相成的建设上突破;将传统软件开发上升到企业级,占领移动互联软件开发、云计算和大数据应用的制高点。基于此,明确并实践“软件技术专业”的定位、培养规格、教学团队、实训基地、课程开发、信息化教学等规范,为专业建设提供参考。

  19. A survey of sub-specialty preferences of radiography students of the University of Lagos, Nigeria

    Directory of Open Access Journals (Sweden)

    E T Namah

    2013-01-01

    Full Text Available Background: Technological advances and computing have expanded both the scope and capacity of diagnostic medical imaging (the radiography profession. This has created many diverse imaging modalities which in turn, have culminated in different sub-specialties in the profession. Objective: The aims of the study were to determine the level of awareness of imaging sub-specialties, preferred sub specialties and reasons for preferences of sub-specialties in senior level radiography students of the University of Lagos. Methods: The study was a prospective cross-sectional survey. Consents were obtained before the students were recruited for the study. Data Collection and Analysis: A questionnaire semi-structured in line with objectives of the study was used in data collection. A computer software Epi Info version 3.3 was used to analyze data while results were expressed as percentages of responses and were presented in tables and pie charts. Results : Greater than 90% showed awareness of sub-specialties in the radiography profession whereas 35% preferred ultrasonography to other sub-specialties. The least preferred sub-specialty was conventional radiography (4.3%. Remuneration (73.3% and less physical exertion (73.3% were major attractors to preferred sub-specialties whereas concerns over radiation hazard were major detractors (58.3%. Conclusion : Awareness of sub-specialties in the radiography profession was high amongst students studied. Furthermore, ultrasonography was the most preferred sub-specialty among the respondents. Remuneration was the main attractor to sub-specialties whereas fears over effects of ionizing radiation were the major detractors to some sub-specialties.

  20. Technological Options to Ameliorate Waste Treatment of Intensive Pig Production in China:An Analysis Based on Bio-Economic Model

    Institute of Scientific and Technical Information of China (English)

    LU Wen-cong; MA Yong-xi; Holger Bergmann

    2014-01-01

    Ameliorating waste treatment by technological improvements affects the economic and the ecological-environment beneifts of intensive pig production. The objective of the research was to develop and test a method to determine the technical optimization to ameliorate waste treatment methods and gain insight into the relationship between technological options and the economic and ecological effects. We developed an integrated bio-economic model which incorporates the farming production and waste disposal systems to simulate the impact of technological improvements in pig manure treatment on economic and environmental benefits for the case of a pilot farm in Beijing, China. Based on different waste treatment technology options, three scenarios are applied for the simulation analysis of the model. The simulation results reveal that the economic-environmental beneifts of the livestock farm could be improved by reducing the cropland manure application and increasing the composting production with the current technologies. Nevertheless, the technical efifciency, the waste treatment capacity and the economic beneifts could be further improved by the introduction of new technologies. It implies that technological and economic support policies should be implemented comprehensively on waste disposal and resource utilization to promote sustainable development in intensive livestock production in China.

  1. Design and implementation of population-based specialty care programs.

    Science.gov (United States)

    Botts, Sheila R; Gee, Michael T; Chang, Christopher C; Young, Iris; Saito, Logan; Lyman, Alfred E

    2017-09-15

    The development, implementation, and scaling of 3 population-based specialty care programs in a large integrated healthcare system are reviewed, and the role of clinical pharmacy services in ensuring safe, effective, and affordable care is highlighted. The Kaiser Permanente (KP) integrated healthcare delivery model allows for rapid development and expansion of innovative population management programs involving pharmacy services. Clinical pharmacists have assumed integral roles in improving the safety and effectiveness of high-complexity, high-cost care for specialty populations. These roles require an appropriate practice scope and are supported by an advanced electronic health record with disease registries and electronic surveillance tools for care-gap identification. The 3 specialty population programs described were implemented to address variation or unrecognized gaps in care for at-risk specialty populations. The Home Phototherapy Program has leveraged internal partnerships with clinical pharmacists to improve access to cost-effective nonpharmacologic interventions for psoriasis and other skin disorders. The Multiple Sclerosis Care Program has incorporated clinical pharmacists into neurology care in order to apply clinical guidelines in a systematic manner. The KP SureNet program has used clinical pharmacists and data analytics to identify opportunities to prevent drug-related adverse outcomes and ensure timely follow-up. Specialty care programs improve quality, cost outcomes, and the patient experience by appropriating resources to provide systematic and targeted care to high-risk patients. KP leverages an integration of people, processes, and technology to develop and scale population-based specialty care. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  2. BUSINESS DEVELOPMENT STRATEGY FOR SPECIALTY COFFEE

    Directory of Open Access Journals (Sweden)

    Vharessa Aknesia

    2015-01-01

    Full Text Available Specialty coffee is a coffee of premium quality that has been made through various stages of post-harvest processing and strictly controlled to produce distinctive taste of origins. PT Sinar Mayang Lestari is one of the companies that currently produce and develop specialty coffee type, Arabica Java Preanger. The objectives of the study are to examine competitive advantages and develop an alternative strategy that need to be done by PT Sinar Mayang Lestari for their business development. The research methods used are value chain analysis and VRIO framework to explore competitive advantage owned by the company. The result shows the company currently has a temporary competitive advantage of the technological resources and reputation. By using SWOT-AHP technique, the alternative strategies that can be done by company are as follows: 1 increasing the production of natural and honey coffee  type; 2 building coffee center in plantation site for sharing knowledge and innovation media to the farmers; 3 improving the competency of human resource in plantation, post harvest, and promoting area; 4 building management system gradually 5 forwarding integration by building roast and ground coffee business; and 6 maximizing the ability of the land and human resources through research and development.Keywords: competitive advantage, specialty coffee, SWOT-AHP, value chain, VRIOABSTRAKKopi special merupakan kopi dengan kualitas premium yang sudah melalui berbagai tahapan pengolahan pascapanen yang diawasi dengan ketat sehingga menghasilkan cita rasa yang khas sesuai dengan daerah asalnya. PT Sinar Mayang Lestari adalah salah satu perusahaan yang saatini memproduksi dan mengembangkan kopi spesial jenis Arabika Java Preanger. Tujuan dari penelitian ini adalah menganalisis keunggulan bersaing yang dimiliki dan mengembangkan alternative strategi yang perlu dilakukanoleh PT Sinar Mayang Lestari untuk pengembangan usahanya. Penelitian ini menggunakan analisis rantai

  3. Career satisfaction of surgical specialties.

    Science.gov (United States)

    Deshpande, Satish P; Deshpande, Sagar S

    2011-05-01

    To examine the factors that impact career satisfaction for various surgical specialties. An acute shortage of surgeons is anticipated in the future. Career dissatisfaction can make this already difficult situation worse. It is important to understand and address factors that influence career satisfaction of surgeons to prolong tenure of existing surgeons and understand anticipated needs of future surgeons. The Center for Studying Health System Change 2008 Health Tracking Physician Survey data were used in this study. Regression analysis was done to examine the impact of various practice-related factors, compensation-related factors, practice location, extent of minority patient, and various demographics on career satisfaction of various surgical specialties (n = 762). Among practice related factors, although threat of malpractice had a significant negative impact on career satisfaction, ability to provide quality care to patients and time with patients had a significant positive impact on career satisfaction of surgical specialists. Among compensation related factors, income and financial incentives to expand services had a significant positive impact on career satisfaction. Among practice location factors, those who primarily worked in medical schools were significantly more satisfied with their careers than others. Among minority factors, those treating a large proportion of Hispanic patients were significantly less likely to be satisfied with their careers. Ability to provide quality care, time with patients, income, and financial incentives had a significant positive impact on career satisfaction. Similarly, threat of malpractice and high proportion of Hispanic patients had a negative impact on career satisfaction.

  4. Reflections on the Brand Building of Animation Specialty under the Industry Background of the Current “Broad Animation”Based on the Case Study of Jingling Institute of Technology%“大动画”产业背景下动画专业品牌化建设的思考--以金陵科技学院为例

    Institute of Scientific and Technical Information of China (English)

    袁晓黎

    2015-01-01

    Owing to the rapid development of animation industry under the background of the current“broad animation”,animation specialty which has undertaken the burden of training animation talents,also needs continuous reform and innovation in many aspects:training targets,teaching phi-losophy,teaching content,teaching management and faculty team,so as to form own distinctive char-acteristics and brand effect.Taking the animation specialty of Jingling Institute of Technology as an example,from the characteristics of the current broad animation industry development and the neces-sity of professional branding construction to think over,this article has the benchmarking analysis on animation specialty with the first-class universities,and attempts to have an exploratory research on the strategy of the brand building of the animation specialty.%当前“大动画”产业发展日新月异,承担培养动画人才重任的高校也需要在人才培养目标、教学理念、教学内容、教学管理、师资队伍等多个方面不断改革创新,形成自己鲜明的办学特色和品牌效应。对当前“大动画”产业发展的特征、动画专业品牌化建设的必要性进行了思考,以金陵科技学院动画专业为例,并与一流高校动画专业进行对标分析,对动画专业品牌化建设的策略进行了探讨。

  5. Rehabilitation Options

    Science.gov (United States)

    ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ...

  6. Pricing Options.

    Science.gov (United States)

    Tenopir, Carol

    1998-01-01

    Presents results of a recent survey of over 100 public and academic libraries about pricing options from online companies. Most options fall into three categories: pay-as-you-go, fixed-rate, and user-based. Results are discussed separately for public and academic libraries and for consortial discounts. Trends in pricing options preferred by…

  7. Synthetic Biology for Specialty Chemicals.

    Science.gov (United States)

    Markham, Kelly A; Alper, Hal S

    2015-01-01

    In this review, we address recent advances in the field of synthetic biology and describe how those tools have been applied to produce a wide variety of chemicals in microorganisms. Here we classify the expansion of the synthetic biology toolbox into three different categories based on their primary function in strain engineering-for design, for construction, and for optimization. Next, focusing on recent years, we look at how chemicals have been produced using these new synthetic biology tools. Advances in producing fuels are briefly described, followed by a more thorough treatment of commodity chemicals, specialty chemicals, pharmaceuticals, and nutraceuticals. Throughout this review, an emphasis is placed on how synthetic biology tools are applied to strain engineering. Finally, we discuss organism and host strain diversity and provide a future outlook in the field.

  8. Consolidating Air Force Maintenance Occupational Specialties

    Science.gov (United States)

    2016-01-01

    Level Current Assigned Level (91% of Authorized Level) 11% -17% 16% -11% 23 4. Long-Run Cost and Readiness Implications of Air Force...Requirements and Readiness .............. 19 4. Long-Run Cost and Readiness Implications of Air Force Specialty Consolidation ................. 23 Cost ...Force Specialty Constructs After Taking into Account Retention ......................................................... 16 Table 4.1. Cost Impacts of

  9. The effect of patterning options on embedded memory cells in logic technologies at iN10 and iN7

    Science.gov (United States)

    Appeltans, Raf; Weckx, Pieter; Raghavan, Praveen; Kim, Ryoung-Han; Kar, Gouri Sankar; Furnémont, Arnaud; Van der Perre, Liesbet; Dehaene, Wim

    2017-03-01

    Static Random Access Memory (SRAM) cells are used together with logic standard cells as the benchmark to develop the process flow for new logic technologies. In order to achieve successful integration of Spin-Transfer Torque Magnetic Random Access Memory (STT-MRAM) as area efficient higher level embedded cache, it also needs to be included as a benchmark. The simple cell structure of STT-MRAM brings extra patterning challenges to achieve high density. The two memory types are compared in terms of minimum area and critical design rules in both the iN10 and iN7 node, with an extra focus on patterning options in iN7. Both the use of Self-Aligned Quadruple Patterning (SAQP) mandrel and spacer engineering, as well as multi-level via's are explored. These patterning options result in large area gains for the STT-MRAM cell and moreover determine which cell variant is the smallest.

  10. Waste Not, Want Not: Analyzing the Economic and Environmental Viability of Waste-to-Energy (WTE) Technology for Site-Specific Optimization of Renewable Energy Options

    Energy Technology Data Exchange (ETDEWEB)

    Funk, K.; Milford, J.; Simpkins, T.

    2013-02-01

    Waste-to-energy (WTE) technology burns municipal solid waste (MSW) in an environmentally safe combustion system to generate electricity, provide district heat, and reduce the need for landfill disposal. While this technology has gained acceptance in Europe, it has yet to be commonly recognized as an option in the United States. Section 1 of this report provides an overview of WTE as a renewable energy technology and describes a high-level model developed to assess the feasibility of WTE at a site. Section 2 reviews results from previous life cycle assessment (LCA) studies of WTE, and then uses an LCA inventory tool to perform a screening-level analysis of cost, net energy production, greenhouse gas (GHG) emissions, and conventional air pollution impacts of WTE for residual MSW in Boulder, Colorado. Section 3 of this report describes the federal regulations that govern the permitting, monitoring, and operating practices of MSW combustors and provides emissions limits for WTE projects.

  11. 高职院校焊接专业建设跨学科技术创新团队的探索与实践%Exploration and practice on welding specialty interdisciplinary technology innovation term building of higher vocational colleges

    Institute of Scientific and Technical Information of China (English)

    黄政艳; 戴建树

    2011-01-01

    高校是原始性创新的重要源头,高校科技创新团队是科技自主创新的一支主要生力军.跨学科技术团队可以极大地推动学科间的交叉融合、科研资源的合理配置、科研信息的充分利用、科研人员的优势互补以及科研成果的集成创新.焊接专业方向与材料科学、电力电子和先进机械制造工程领域紧密相关,具有极强的交叉学科特点.在阐述技术创新团队的内涵和建设必要性基础上,以广西机电职业技术学院为例,介绍焊接专业跨学科技术创新团队建设的主要举措以及所取得的成效.%Universities are the source of innovation and scientific and technological innovation teams are an important fore of scientific and technological innovation.Interdisciplinary team can help the fusion of different disciplines, the reasonable arrangement of research resources,the full use of information,the complementation of researchers,and the integration of scientific achievements.Welding specialty is of a strong cross-disciplinary feature,which includes equipment,technology,structure.lt has a closely relationship between the new materials science,electric engineering and advanced manufacturing engineering.This paper describes the meaning of technological innovation team and construction necessity .With Guangxi Vocational College of Electromechanical Technology as an example, introduce welding specialty interdisciplinary technology innovation term building main measures and achievements.

  12. Psychiatric specialty training in Greece.

    Science.gov (United States)

    Margariti, M; Kontaxakis, V; Ploumpidis, D

    2017-01-01

    The reform and development of psychiatric services require, in addition to financial resources, reserves in specialized human resources. The role of psychiatrists in this process, and at reducing the consequences of mental morbidity is evident. Psychiatrists are required to play a multifaceted role as clinicians, as experts in multidisciplinary team environments and as advisors in the recognition of public needs in mental health issues, as teachers and mentors for students and other health professionals, as researchers in order to enrich our knowledge in the scientific field of psychiatry, and as public health specialists in the development of the mental health services system. This multifaceted role requires the continuous education of modern psychiatrists, but above all a broad, substantial and comprehensive training regime in the initial stage of their professional career, that is to say during specialization. Training in Psychiatry, as indeed has happened in all other medical specialties, has evolved considerably in recent decades, both in the content of education due to scientific advances in the fields of neurobiology, cognitive neuroscience, genetics, psychopharmacology, epidemiology and psychiatric nosology, and also because of advances in the educational process itself. Simple apprenticeship next to an experienced clinician, despite its importance in the clinical training of young psychiatrists, is no longer sufficient to meet the increased demands of the modern role of psychiatrists, resulting in the creation of educational programs defined by setting and pursuing minimum, though comprehensive educational objectives. This development has created the global need to develop organizations intended to supervise training programs. These organizations have various forms worldwide. In the European Union, the competent supervising body for medical specialties is the UEMS (European Union of Medical Specialities) and particularly in the case of the psychiatric

  13. Information technology - Telecommunications and information exchange between systems - High-level data link control procedures - Description of the X.25 LAPB-compatible DTE data link procedures; Amendment 1: Modulo 32768 and multi-selective reject option

    CERN Document Server

    International Organization for Standardization. Geneva

    1996-01-01

    Information technology - Telecommunications and information exchange between systems - High-level data link control procedures - Description of the X.25 LAPB-compatible DTE data link procedures; Amendment 1: Modulo 32768 and multi-selective reject option

  14. Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care.

    Science.gov (United States)

    Arora, Sanjeev; Kalishman, Summers; Thornton, Karla; Dion, Denise; Murata, Glen; Deming, Paulina; Parish, Brooke; Brown, John; Komaromy, Miriam; Colleran, Kathleen; Bankhurst, Arthur; Katzman, Joanna; Harkins, Michelle; Curet, Luis; Cosgrove, Ellen; Pak, Wesley

    2010-09-01

    The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center as a platform to deliver complex specialty medical care to underserved populations through an innovative educational model of team-based interdisciplinary development. Using state-of-the-art telehealth technology, best practice protocols, and case-based learning, ECHO trains and supports primary care providers to develop knowledge and self-efficacy on a variety of diseases. As a result, they can deliver best practice care for complex health conditions in communities where specialty care is unavailable. ECHO was first developed for the management of hepatitis C virus (HCV), optimal management of which requires consultation with multidisciplinary experts in medical specialties, mental health, and substance abuse. Few practitioners, particularly in rural and underserved areas, have the knowledge to manage its emerging treatment options, side effects, drug toxicities, and treatment-induced depression. In addition, data were obtained from observation of ECHO weekly clinics and database of ECHO clinic participation and patient presentations by clinical provider. Evaluation of the ECHO program incorporates an annual survey integrated into the ECHO annual meeting and routine surveys of community providers about workplace learning, personal and professional experiences, systems and environmental factors associated with professional practice, self-efficacy, facilitators, and barriers to ECHO. The initial survey data show a significant improvement in provider knowledge, self-efficacy, and professional satisfaction through participation in ECHO HCV clinics. Clinicians reported a moderate to major benefit from participation. We conclude that ECHO expands access to best practice care for underserved populations, builds communities of practice to enhance professional development and satisfaction of primary care clinicians, and expands sustainable

  15. Developing Public Policy Options for Access to Drinking Water in Peripheral, Disaster and Polluted Rural Areas: A Case Study on Environment-Friendly and Conventional Technologies

    OpenAIRE

    Ruxandra Mălina Petrescu-Mag; Dacinia Crina Petrescu; Ovidiu Călin Safirescu; Mihaela Hetvary; Ioan Gheorghe Oroian; Dumitru Vâju

    2016-01-01

    Peripheral, disaster and polluted rural areas (PDP rural areas) are generally perceived as a “Cinderella” of water public policy measures, deepening the rural-urban cleavage in terms of opportunities for a decent life. The main goal of the study is to develop public policy options regarding the supply of safe drinking water in Romanian PDP rural areas. The main instrument to achieve it is an ex-ante policy analysis of three solutions: a conventional technology, based on chlorine, a green tech...

  16. New Technological Options to Manage High Level Waste; Nuevas tecnologias para gestionar resiudos radiactivos de alta actividad

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez Romero, E. M.

    2007-07-01

    Nuclear energy renaissance and its expansion in time and space has renewed the need for minimization technologies applicable to nuclear wastes. The minimization technologies include new power reactor concepts, Generation IV, and dedicated technologies like Partitioning and Transmutation of the actinides contained in the spent fuel. These technologies apply the principle of classification and recycling to the spent fuel to transform what at present is an environmental hazard into an energy source. the waste minimization technologies are also relevant for countries planning the reduction or phase-out of nuclear energy, as they will allow minimizing the size and number of the final waste repositories. Present estimations indicate that reductions as large as a factor 100 in the amount (radiotoxicity) of long lived nuclear waste are feasibly, with a modest increase on the final electricity cost. (Author)

  17. Dento-maxillofacial radiology as a specialty

    Institute of Scientific and Technical Information of China (English)

    K?van?; Kamburo?lu

    2015-01-01

    This editorial discusses a relatively new specialty in dental and medical field namely dentomaxillofacial radiology. As a relatively newborn specialty it is obvious that there is a long way to go before dentomaxillofacial radiology is commonly known and respected by the society. All over the world, assigned committees work on the development of the training curriculum, determination of scientific and physical standards for institutions offering specialty training and arrangement of dental codes for reimbursement issues. Furthermore, adjustment of educational, scientific and legal regulations and prospective benefits are expected to boost this specialty’s attractiveness to colleagues’ worldwide.

  18. Problem formulation and option assessment (PFOA) linking governance and environmental risk assessment for technologies: a methodology for problem analysis of nanotechnologies and genetically engineered organisms.

    Science.gov (United States)

    Nelson, Kristen C; Andow, David A; Banker, Michael J

    2009-01-01

    Societal evaluation of new technologies, specifically nanotechnology and genetically engineered organisms (GEOs), challenges current practices of governance and science. Employing environmental risk assessment (ERA) for governance and oversight assumes we have a reasonable ability to understand consequences and predict adverse effects. However, traditional ERA has come under considerable criticism for its many shortcomings and current governance institutions have demonstrated limitations in transparency, public input, and capacity. Problem Formulation and Options Assessment (PFOA) is a methodology founded on three key concepts in risk assessment (science-based consideration, deliberation, and multi-criteria analysis) and three in governance (participation, transparency, and accountability). Developed through a series of international workshops, the PFOA process emphasizes engagement with stakeholders in iterative stages, from identification of the problem(s) through comparison of multiple technology solutions that could be used in the future with their relative benefits, harms, and risk. It provides "upstream public engagement" in a deliberation informed by science that identifies values for improved decision making.

  19. The Potential Use of Intrauterine Insemination as a Basic Option for Infertility: A Review for Technology-Limited Medical Settings

    Directory of Open Access Journals (Sweden)

    Abdelrahman M. Abdelkader

    2009-01-01

    Full Text Available Objective. There is an asymmetric allocation of technology and other resources for infertility services. Intrauterine insemination (IUI is a process of placing washed spermatozoa transcervically into the uterine cavity for treatment of infertility. This is a review of literature for the potential use of IUI as a basic infertility treatment in technology-limited settings. Study design. Review of articles on treatment of infertility using IUI. Results. Aspects regarding the use of IUI are reviewed, including ovarian stimulation, semen parameters associated with good outcomes, methods of sperm preparation, timing of IUI, and number of inseminations. Implications of the finding in light of the needs of low-technology medical settings are summarized. Conclusion. The reviewed evidence suggests that IUI is less expensive, less invasive, and comparably effective for selected patients as a first-line treatment for couples with unexplained or male factor infertility. Those couples may be offered three to six IUI cycles in technology-limited settings.

  20. Agricultural land management options after the Chernobyl and Fukushima accidents: The articulation of science, technology, and society.

    Science.gov (United States)

    Vandenhove, Hildegarde; Turcanu, Catrinel

    2016-10-01

    The options adopted for recovery of agricultural land after the Chernobyl and Fukushima accidents are compared by examining their technical and socio-economic aspects. The analysis highlights commonalities such as the implementation of tillage and other types of countermeasures and differences in approach, such as preferences for topsoil removal in Fukushima and the application of K fertilizers in Chernobyl. This analysis shows that the recovery approach needs to be context-specific to best suit the physical, social, and political environment. The complex nature of the decision problem calls for a formal process for engaging stakeholders and the development of adequate decision support tools. Integr Environ Assess Manag 2016;12:662-666. © 2016 SETAC.

  1. Options Study - Phase II

    Energy Technology Data Exchange (ETDEWEB)

    R. Wigeland; T. Taiwo; M. Todosow; W. Halsey; J. Gehin

    2010-09-01

    The Options Study has been conducted for the purpose of evaluating the potential of alternative integrated nuclear fuel cycle options to favorably address the issues associated with a continuing or expanding use of nuclear power in the United States. The study produced information that can be used to inform decisions identifying potential directions for research and development on such fuel cycle options. An integrated nuclear fuel cycle option is defined in this study as including all aspects of the entire nuclear fuel cycle, from obtaining natural resources for fuel to the ultimate disposal of used nuclear fuel (UNF) or radioactive wastes. Issues such as nuclear waste management, especially the increasing inventory of used nuclear fuel, the current uncertainty about used fuel disposal, and the risk of nuclear weapons proliferation have contributed to the reluctance to expand the use of nuclear power, even though it is recognized that nuclear power is a safe and reliable method of producing electricity. In this Options Study, current, evolutionary, and revolutionary nuclear energy options were all considered, including the use of uranium and thorium, and both once-through and recycle approaches. Available information has been collected and reviewed in order to evaluate the ability of an option to clearly address the challenges associated with the current implementation and potential expansion of commercial nuclear power in the United States. This Options Study is a comprehensive consideration and review of fuel cycle and technology options, including those for disposal, and is not constrained by any limitations that may be imposed by economics, technical maturity, past policy, or speculated future conditions. This Phase II report is intended to be used in conjunction with the Phase I report, and much information in that report is not repeated here, although some information has been updated to reflect recent developments. The focus in this Options Study was to

  2. Idaho's Energy Options

    Energy Technology Data Exchange (ETDEWEB)

    Robert M. Neilson

    2006-03-01

    This report, developed by the Idaho National Laboratory, is provided as an introduction to and an update of the status of technologies for the generation and use of energy. Its purpose is to provide information useful for identifying and evaluating Idaho’s energy options, and for developing and implementing Idaho’s energy direction and policies.

  3. Best practices in specialty pharmacy management.

    Science.gov (United States)

    Patterson, Courtney J

    2013-01-01

    Specialty pharmacy is a growing area of research, utilization, and cost. Because of the unique nature of the diseases treated by specialty pharmaceuticals, such as cancer and rheumatoid arthritis, novel management approaches are needed. Advocate Physician Partners (APP) is an entity within the Advocate Health Care Health System in the Chicago and the central Illinois area. It coordinates the care management and managed care contracting between the Advocate Health Care System and more than 4,000 physicians on the medical staffs of Advocate hospitals. APP has experienced a per-member-per-month (PMPM) increase of less than  3% in oncology intravenous medications spend in 2012. This spend refers to the intravenous medications covered under the medical benefits for APP's health maintenance organization (HMO) population. The spend has consistently been less than national projections, and we believe this is tied to the adoption of several key best practices. Prior to instituting the best practices, the yearly percentage increases for oncology spending were 5.52% (2007 to 2008), 9.39% (2008 to 2009), and 5.29% (2009 to 2010). After instituting best practices during the first quarter of 2011, the increases in PMPM were 3.11% (2010 to 2011) and 2.11% (2011 to 2012), which were below previous years. To describe the best practices of specialty pharmacy management adopted by APP, specifically (a) establishing a content expert and governing bodies, (b) ensuring compliance with policies, and (c) providing educational resources. APP has several key result areas (KRAs). One KRA was compliance with appropriate utilization of intravenous oncology protocols for its HMO population. The protocols for each medication outline the appropriate indication and patient population. These protocols were developed and reviewed by the APP Pharmacy and Technology (PT) committee. The PT-approved indications reflect FDA indications and indications found in national guidelines. The APP KRA target

  4. Developing Public Policy Options for Access to Drinking Water in Peripheral, Disaster and Polluted Rural Areas: A Case Study on Environment-Friendly and Conventional Technologies

    Directory of Open Access Journals (Sweden)

    Ruxandra Mălina Petrescu-Mag

    2016-03-01

    Full Text Available Peripheral, disaster and polluted rural areas (PDP rural areas are generally perceived as a “Cinderella” of water public policy measures, deepening the rural-urban cleavage in terms of opportunities for a decent life. The main goal of the study is to develop public policy options regarding the supply of safe drinking water in Romanian PDP rural areas. The main instrument to achieve it is an ex-ante policy analysis of three solutions: a conventional technology, based on chlorine, a green technology using an advanced oxidation process with bio-filter (O3BioFilter, and “do nothing”. Environment protection, social equity, technical performance, economic efficiency and political feasibility were the criteria selected for analysis, within a focus-group. Several qualitative and quantitative methods were used: evaluation matrix, weighted cost-effectiveness and break-even point. The results of the first two indicate that the O3BioFilter has the best score, but not much higher than the conventional alternative (10% higher, revealing a possible path-dependency to familiar technologies. This analysis is not a ready-made solution valid in any case, nor a direct indication of “the best choice”, but a decision tool in the adoption and implementation of sustainable water public policies.

  5. Problems attendance in physical education students of technical specialties

    Directory of Open Access Journals (Sweden)

    Vladymyr Petrenko

    2014-12-01

    Full Text Available Purpose: to examine the relevant aspects of motivation attendance in physical education students of technical specialties and make adjustments to the process of improving the quality of teaching. Material and Methods: during the study used the following methods: general scientific – analysis, comparison, generalization; sociological, questionnaire, interview; Mathematics and statistics. The study involved students of ICT Zhytomyr State Technological University, only 238 people. Results: the tendency changes of success in physical education and physical training of students of ICT. Conclusions: pedagogical experiment confirmed the positive impact of physical education classes in which students choose their maintenance is carried out on a competitive basis in accordance with personal interests and needs.

  6. Global Assessment of Hydrogen Technologies – Tasks 3 & 4 Report Economic, Energy, and Environmental Analysis of Hydrogen Production and Delivery Options in Select Alabama Markets: Preliminary Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Fouad, Fouad H.; Peters, Robert W.; Sisiopiku, Virginia P.; Sullivan Andrew J.; Gillette, Jerry; Elgowainy, Amgad; Mintz, Marianne

    2007-12-01

    This report documents a set of case studies developed to estimate the cost of producing, storing, delivering, and dispensing hydrogen for light-duty vehicles for several scenarios involving metropolitan areas in Alabama. While the majority of the scenarios focused on centralized hydrogen production and pipeline delivery, alternative delivery modes were also examined. Although Alabama was used as the case study for this analysis, the results provide insights into the unique requirements for deploying hydrogen infrastructure in smaller urban and rural environments that lie outside the DOE’s high priority hydrogen deployment regions. Hydrogen production costs were estimated for three technologies – steam-methane reforming (SMR), coal gasification, and thermochemical water-splitting using advanced nuclear reactors. In all cases examined, SMR has the lowest production cost for the demands associated with metropolitan areas in Alabama. Although other production options may be less costly for larger hydrogen markets, these were not examined within the context of the case studies.

  7. Analysis on the Talent cultivation Question of the Connection between Secondary and Higher Vocational Education Based on Computer Multimedia Technology Specialty%浅析计算机多媒体技术专业中高职衔接人才培养问题

    Institute of Scientific and Technical Information of China (English)

    谢志强

    2014-01-01

    Taking computer multimedia technology specialty of Guangdong Teacher College of Foreign Language and Arts as an example, This paper introduces the talent cultivation mode and function of the connection between secondary and higher voca⁃tional education, explains primary question existed the talent cultivation of the connection between secondary and higher voca⁃tional education and solving countermeasure.%该文以广东外语艺术职业学院计算机多媒体技术专业为例,介绍了中高职衔接人才培养的模式和作用,阐述了中高职衔接人才培养存在的主要问题和解决对策。

  8. Designing a climate change policy for the international maritime transport sector: Market-based measures and technological options for global and regional policy actions

    Energy Technology Data Exchange (ETDEWEB)

    Miola, A., E-mail: apollonia.miola@jrc.ec.europa.eu [European Commission, Joint Research Centre, Institute for Environment and Sustainability, Via Enrico Fermi 2749, 21027 Ispra (Italy); Marra, M., E-mail: Marleenmarra@gmail.com [European Commission, Joint Research Centre, Institute for Environment and Sustainability, Via Enrico Fermi 2749, 21027 Ispra (Italy); Ciuffo, B., E-mail: biagio.ciuffo@jrc.ec.europa.eu [European Commission, Joint Research Centre, Institute for Environment and Sustainability, Via Enrico Fermi 2749, 21027 Ispra (Italy)

    2011-09-15

    The international maritime transport sector has a significant abatement potential and some technical improvements that reduce GHG emissions would already be profitable without any policy in place. This paper analyses in-depth the limits and opportunities of policy options currently under consideration at the international level to stimulate the sector to reduce its GHG emissions. In particular, in order for the maritime transport sector to become more environmentally friendly, the flexible nature of international market-based measures and the European Union Emission Trading Scheme provide a definite window of opportunity without placing unnecessary high burden on the sector. However, the development of a regional policy, such as at European level, for the international maritime transport sector faces several obstacles: allocation of emissions, carbon leakage, permit allocation, treatment of the great variety in ship type, size and usage, and transaction cost. Global market-based policies could overcome most of these challenges. This paper provides an in-depth analysis of the policy instruments currently under discussion to reduce the sector's burden on the environment, and focuses on economic theory, legal principles, technological options, and the political framework that together make up the basis of decision-making regarding the international maritime transport sector's climate change policies. - Highlights: > Technologies for a more environmental friendly maritime transport sector and their cost-effectiveness. > How to combine ambitious CO{sub 2} reduction goals with a sector-wide market-based policy. > Permits should be auctioned frequently and small emitters have to be excluded. > Inclusion of shipping in the EU ETS causes carbon leakage, so the policy should aim at expansion.

  9. Personality and specialty interest in medical students.

    Science.gov (United States)

    Hojat, Mohammadreza; Zuckerman, Marvin

    2008-01-01

    Research on the relationship between personality and specialty interest is important because of its implications in student career counseling and in forecasting future specialty distribution. This study was designed to test the following hypotheses: 1. Students interested in 'surgical' specialties would obtain higher scores on a measure of 'impulsive sensation seeking' and lower scores on a measure of 'neuroticism-anxiety'. 2. Students interested in 'hospital-based' specialties would score lower on a measure of 'sociability' whereas those interested in 'primary care' would score higher on this measure. In addition to these two hypotheses, gender differences on personality were also examined. Study participants were 1,076 students who matriculated at Jefferson Medical College between 2002 to 2006. A short version of the Zuckerman-Kuhlman personality questionnaire (ZKPQ) measuring five personality factors of 'impulsive sensation Seeking', 'neuroticism-anxiety', 'aggression-hostility', 'sociability', and 'activity' was completed by research participants at the beginning of medical school. Students were also asked to note their specialty interests. Multivariate statistical analyses confirmed the first and partially confirmed the second research hypotheses. Results also showed that men scored higher on 'impulsive sensation seeking,' and women outscored men in the 'neuroticism-Anxiety' and 'activity' scales. Findings suggest that information about the personalities of medical students can help to predict their career interests. Implications for career counseling are discussed.

  10. Factors affecting membership in specialty nursing organizations.

    Science.gov (United States)

    White, Mary Joe; Olson, Rhonda S

    2004-01-01

    A discouraging trend in many specialty nursing organizations is the stagnant or declining membership. The research committee of the Southeast Texas Chapter of the Association of Rehabilitation Nurses (ARN) collected data and studied this trend to determine what changes would be necessary to increase membership. Using Herzberg's motivational theory as a framework, a review of the literature was initiated. There were few current studies on this issue, but relevant information was found about nursing's emerging workforce, as well as implications of the growth of magnet hospitals, which affect whether nurses join specialty nursing organizations. A multifaceted data-collection approach using convenience samples was designed. First, relevant literature was reviewed. Second, a survey was sent by e-mail to other ARN chapters. Third, a telephone survey on other specialty organizations in the geographic region was completed. Finally, members of the local ARN chapter and four other specialty organizations, as well staff nurses in the geographic area, were given questionnaires to complete. Descriptive statistics and cross tabulations were used to determine why nurses do and do not join specialty organizations (N = 81). The most frequent reasons for joining an organization were to increase knowledge, benefit professionally, network, and earn continuing education units. Reasons for choosing not to participate were family responsibilities, lack of information about these organizations, and lack of time. Ways to reverse the decline in membership are discussed.

  11. The Thinking and Practice of Communication Specialty Construction in Higher Vocational College under the Background of ICT Technology Integration%ICT技术融合背景下高职院校通信类专业建设的思考与实践

    Institute of Scientific and Technical Information of China (English)

    史红彦

    2015-01-01

    With the rapid development of ICT technology, the network is becoming more and more complex and diver-sified, and the technical requirements for the comprehensive maintenance technicians are more comprehensive. Com-bined with the successful practice of Huai''an Information Vocational and Technical College of communications tech-nology, discusses the basic train of thought for the construction of Higher Vocational communication specialty under the new situation of the development of the communications industry, and puts forward the covering all areas of the ICT talent cultivation mode, the implementation of hierarchical vocational certification. In specialty construction, cur-riculum system construction, teaching team building and training base construction, and other aspects provide the meth-od and experience for reference.%随着ICT技术的迅速发展,网络越来越复杂化、多样化,企业对综合维护技术人员的技能要求更全面.结合淮安信息职业技术学院通信技术专业的成功实践,探讨了通信行业发展的新形势下高职通信专业建设的基本思路,提出了覆盖ICT全领域的人才培养模式,实施层次化的职业技术认证,在专业建设、课程体系建设、教学团队建设和实训基地建设等方面提供了可供借鉴的方法和经验.

  12. Technological options for the production of health-promoting proteins and peptides derived from milk and colostrum.

    Science.gov (United States)

    Korhonen, H; Pihlanto, A

    2007-01-01

    Milk proteins are known to exert a wide range of nutritional, functional and biological activities. Apart from being a balanced source of valuable amino acids, milk proteins contribute to the consistency and sensory properties of various dairy products. Furthermore, many milk proteins possess specific biological properties which make them potential ingredients of health-promoting foods. These properties are attributed to both native protein molecules and to physiologically active peptides encrypted in the protein molecules. Considerable progress has been made over the last twenty years in technologies aimed at separation, fractionation and isolation in a purified form of many interesting proteins occurring in bovine colostrum and milk. Industrial-scale methods have been developed for native whey proteins such as immunoglobulins, lactoferrin, lactoperoxidase, alpha-lactalbumin and beta-lactoglobulin. Their large-scale manufacture and commercial exploitation is still limited although validated research data about their physiological health benefits is rapidly accumulating. Promising product concepts and novel fields of use have emerged recently, and some of these molecules have already found commercial applications. The same applies to bioactive peptides derived from different milk proteins. Active peptides can be liberated during gastrointestinal digestion or milk fermentation with proteolytic enzymes. Such peptides may exert a number of physiological effects in vivo on the gastrointestinal, cardiovascular, endocrine, immune, nervous and other body systems. However, at present the industrial-scale production of such peptides is limited by a lack of suitable technologies. On the other hand, a number of bioactive peptides have been identified in fermented dairy products, and there are already a few commercial dairy products enriched with blood pressure-reducing milk protein peptides. There is a need to develop methods to optimise the activity of bioactive peptides in

  13. Lessons learned in pilot testing specialty consultations to benefit individuals with lower limb loss.

    Science.gov (United States)

    Elnitsky, Christine; Latlief, Gail; Gavin-Dreschnack, Deborah; Harris, Melanie; Campbell, Robert

    2012-01-01

    Telerehabilitation technologies enable the delivery of rehabilitation services from providers to people with disabilities as well as specialty care consultations. This article discusses the barriers experienced when planning and pilot testing a telerehabilitation multi-site specialty consultation for specialists in their medical centers, and the lessons learned. The barriers included integration and participation, coordination across organizational units, and privacy and information security. Lessons learned included the need for collaboration across multiple departments, telerehabilitation equipment back-ups, and anonymous and private communication protocols. Despite delays resulting from coordination at multiple levels of a national organization, we developed a program plan and successfully implemented a pilot test of the southeast region program. Specialty consultation using telerehabilitation delivery methods requires identifying provider preferences for technological features. Lessons learned could inform development of outpatient telerehabilitation for patients with amputations and studies of patients and providers involved in telerehabilitation.

  14. Lessons Learned in Pilot Testing Specialty Consultations to Benefit Individuals with Lower Limb Loss

    Directory of Open Access Journals (Sweden)

    Christine Elnitsky

    2012-12-01

    Full Text Available Telerehabilitation technologies enable the delivery of rehabilitation services from providers to people with disabilities as well as specialty care consultations. This article discusses the barriers experienced when planning and pilot testing a telerehabilitation multi-site specialty consultation for specialists in their medical centers, and the lessons learned. The barriers included integration and participation, coordination across organizational units, and privacy and information security. Lessons learned included the need for collaboration across multiple departments, telerehabilitation equipment back-ups, and anonymous and private communication protocols. Despite delays resulting from coordination at multiple levels of a national organization, we developed a program plan and successfully implemented a pilot test of the southeast region program.  Specialty consultation using telerehabilitation delivery methods requires identifying provider preferences for technological features. Lessons learned could inform development of outpatient telerehabilitation for patients with amputations and studies of patients and providers involved in telerehabilitation.

  15. Encouraging private sector investment in climatefriendly technologies in developing countries. An assessment of policy options for the Dutch government

    Energy Technology Data Exchange (ETDEWEB)

    Van Rooijen, S.N.M.; Van Wees, M.T. [Capacity for Sustainable Development CAP SD, Amersfoort (Netherlands)

    2006-10-15

    This study aims to explore new or reformed policies to be adopted by the Dutch government to encourage private sector investments in climate-friendly technologies in developing countries. A literature review of barriers to climate-friendly investments and of directions for solutions has been complemented with a number of in-depth interviews with stakeholders representing the major actors involved in investment projects (project sponsors, financing institutions, institutional investors and government). The barrier analysis has resulted in the following list of key obstacles to climate-friendly investments: (1) Lack of a sound, transparent and stable enabling environment for investing in developing countries; (2) Shortage of experienced and creditworthy sponsors; (3) High specific project risks; (4) Overestimation investment risks related to (sustainable) investments in developing countries in general (risk perspective); (5) Additional costs of climate-friendly technologies; (6) Shortage of risk capital; (7) Insufficient guarantee mechanisms; (8) Lack of know-how on public-private partnership structures and on financial design; and (9) Lack of insight how corporate social responsibility can be operationalised. Four main gaps have been identified on the basis of an assessment of current Dutch policies and instruments: (1) Shortage of instruments to directly promote investments; (2) Underdeveloped guarantee instruments; (3) Too restrictive cap on project size in financial schemes; (4) Lack of support in operationalising the concept of corporate social responsibility. Four areas for new or intensified policies have been identified based on the barrier and gap analysis: (1) Direct promotion of (potentially large scale) investments, including: (a) Supporting (the establishment of) sponsor companies developing sustainable energy projects in developing countries; (b) Making risk capital available; (c) Creating investment credit facilities; (d) Making development capital in

  16. Technology insight: Innovative options for end-stage renal disease--from kidney refurbishment to artificial kidney.

    Science.gov (United States)

    Braam, Branko; Verhaar, Marianne C; Blankestijn, Peter; Boer, Walther H; Joles, Jaap A

    2007-10-01

    The steadily growing number of patients with chronic kidney disease who will eventually develop end-stage renal disease, together with the qualitative limitations of currently available renal replacement therapies, have triggered the exploration of innovative strategies for renal replacement therapy and for salvage of renal function. Currently, new hemodialysis modalities and membranes are being used with the aim of increasing clearance of uremic toxins to afford better metabolic control. In addition to these conventional approaches, there are four innovative potential solutions to the problem of replacing renal function when kidneys fail. The first is a small, implantable device with the potential to be supplemented with human cells ('artificial kidney'). The second involves restoration of the damaged kidney by harnessing recent advances in stem-cell technology and knowledge of developmental programing ('refurbished kidney'). The third is (partially) growing a kidney in vitro with the use of therapeutic cloning ('cultured kidney'). The fourth innovative solution involves the use of other organs to replace various renal functions ('distributed kidney'). In this article we review the efforts that have been made to improve renal replacement therapies, and explore innovative approaches. We will not cover all potential solutions in detail. Rather, we aim to indicate directions of future endeavor and arouse enthusiasm in clinicians and scientists for exploration of these exciting avenues.

  17. Options for human ``return to the moon'' using tomorrow's SSTO, ISRU, and LOX-augmented NTR technologies

    Science.gov (United States)

    Borowski, Stanley K.

    1996-03-01

    The feasibility of conducting human missions to the Moon is examined assuming the use of three ``high leverage'' technologies: (1) a single-stage-to-orbit (SSTO) launch vehicle, (2) ``in-situ'' resource utilization (ISRU)—specifically ``lunar-derived'' liquid oxygen (LUNOX), and (3) LOX-augmented nuclear thermal rocket (LANTR) propulsion. Lunar transportation system elements consisting of a LANTR-powered lunar transfer vehicle (LTV) and a chemical propulsion lunar landing/Earth return vehicle (LERV) are configured to fit within the ``compact'' dimensions of the SSTO cargo bay (diameter: 4.6 m/length: 9.0 m) while satisfying an initial mass in low Earth orbit (IMLEO) limit of ˜60 t (3 SSTO launches). Using ˜8 t of LUNOX to ``reoxidize'' the LERV for a ``direct return'' flight to Earth reduces its size and mass allowing delivery to LEO on a single 20 t SSTO launch. Similarly, the LANTR engine's ability to operate at any oxygen/hydrogen mixture ratio from 0 to 7 with high specific impulse (˜940 to 515 s) is exploited to reduce hydrogen tank volume, thereby improving packaging of the LANTR LTV's ``propulsion'' and ``propellant modules''. Expendable and reusable, piloted and cargo missions and vehicle designs are presented along with estimates of LUNOX production required to support the different mission modes.

  18. Teaching Design of Courses of Architectural Design Technology Specialty in Higher Vocational Education for the Sustainable Development%面向可持续发展的高职建筑设计技术专业课程教学设计

    Institute of Scientific and Technical Information of China (English)

    崔丽萍

    2012-01-01

    面向可持续发展的教学改革尚属一个新的课题.作者以高职建筑设计技术专业核心课程《建筑材料与构造》为载体,分别从面向可持续发展的知识、技能、态度、价值现与学习环境等五个方面展开教学设计,并通过教学、专业与社会等方面的反思提出了可持续发展的高职建筑设计技术专业课程教学改革的思路,即可持续发展的教学改革不仅是教育理论与方法创新同时应兼顾专业发展的可持续性,并且认为可持续的教学改革是一件任重而道远的任务,需要长期探索研究.%The teaching reform for sustainable development is a new topic. Taking the the course of Building Materials and Construction which is the core curriculum of higher vocational architectural design technology specialty as the carrier, this paper conducted the teaching design separately from the knowledge, skills, attitudes, values and learning environment of sustainable development, pointed out the teaching reform idea of this specialty through reflection on teaching, professional and social aspects, that was, the teaching reform for the sustainable development not only referred to the innovation of education theory and method, but also referred to the sustainable professional development, and thought that the sustainable teaching reform was a long-term arduous mission and needed long-term exploration and research.

  19. Holland's Theory Applied to Medical Specialty Choice

    Science.gov (United States)

    Borges, Nicole J.; Savickas, Mark L.; Jones, Bonnie J.

    2004-01-01

    The present study tested the hypothesis that medical specialties classified as technique oriented or patient oriented would be distinguished by RIASEC code, with technique-oriented specialists resembling Investigative-Realistic types and patient-oriented specialists resembling Investigative-Social types. Using longitudinal data obtained from 447…

  20. Facial Specialty. Teacher Edition. Cosmetology Series.

    Science.gov (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This publication is one of a series of curriculum guides designed to direct and support instruction in vocational cosmetology programs in the State of Oklahoma. It contains seven units for the facial specialty: identifying enemies of the skin, using aromatherapy on the skin, giving facials without the aid of machines, giving facials with the aid…

  1. Personality Factors and Occupational Specialty Choice.

    Science.gov (United States)

    Borges, Nicole J.; Jones, Bonnie J.

    This study is a continuation of an earlier investigation of personality and medical specialty choice. The earlier study determined that personality differences existed among family practitioners, anesthesiologists, and general surgeons. Based on this initial research, an attempt was made to answer the question of how the personality factors of…

  2. Holland's Theory Applied to Medical Specialty Choice

    Science.gov (United States)

    Borges, Nicole J.; Savickas, Mark L.; Jones, Bonnie J.

    2004-01-01

    The present study tested the hypothesis that medical specialties classified as technique oriented or patient oriented would be distinguished by RIASEC code, with technique-oriented specialists resembling Investigative-Realistic types and patient-oriented specialists resembling Investigative-Social types. Using longitudinal data obtained from 447…

  3. Orofacial pain emerging as a dental specialty.

    Science.gov (United States)

    Rosenbaum, R S; Friction, J R; Okeson, J P

    2001-01-01

    The emerging field of orofacial pain was considered by the American Dental Association for full status as a new dental specialty. While the recognition of orofacial pain as a specialty was denied, the American Academy of Orofacial Pain plans to continue its efforts. Many recent advances in the neuroscience of orofacial pain have led to treatments that provide significant relief for patients with chronic orofacial pain disorders. However, access to this care has been limited, leaving many patients to suffer. Dentists are generally supportive of the efforts to develop oral pain treatment into a specialty because the field will provide benefits for both dentists and their patients. A recent survey of 805 individuals who reported having a persistent pain disorder revealed that more than four out of 10 people have yet to find adequate relief, saying their pain is out of control--despite having the pain for more than five years and switching doctors at least once. "This survey suggests that there are millions of people living with severe uncontrolled pain," says Russell Portenoy, MD, president of the American Pain Society. "This is a great tragedy. Although not everyone can be helped, it is likely that most of these patients could benefit if provided with state-of-the-art therapies and improved access to pain specialists when needed." Development of the field of orofacial pain into a dental specialty has been moved primarily by the fact that historically, patients with complex chronic orofacial pain disorders have not been treated well by any discipline of healthcare. Recent studies of chronic orofacial pain patients have found that these patients have a higher number of previous clinicians and have endured many years with pain prior to seeing an orofacial pain dentist (see Figure 1). Complex pain patients and the clinicians who see them are often confused about who they should consult for relief of the pain. Treatment for those patients within the existing structure of

  4. Should women's health be a medical specialty?

    Science.gov (United States)

    Papazian, T

    1993-01-01

    The proponents of a new specialty in medicine focusing on women's health are concerned with women's total health needs, much like pediatrics is with children or geriatrics with old people. None of the 7 Lebanese physicians interviewed were aware of this issue. Among them there were 3 female doctors (a family physician, and endocrinologist, and a dermatologist) and 4 male doctors (2 surgeons, a gynecologist, and a cardiologist). The irrelevance of creating such a specialty in the Lebanese reality could be attributed to the absence of a feminist catalyst in Lebanon. All 7 physicians believed that medicine was providing comprehensive care equitably to men and women and argued that the creation of a new specialty would cause further division and segregation between the sexes. All the doctors said that the main reason for not including women in the trial testing of new drugs is fear of interfering with their reproductive system. Drugs may affect the menstrual cycle, the fetus, or the hormonal system and thus cause permanent damage. Because of cultural and traditional value systems, the endocrinologist claimed that in Lebanon men do not get a genital examination as part of a check-up by their general practitioner, and women are not examined if they do not request it themselves. All agreed that the family physician is the best person to provide comprehensive care and to refer the patient to a specialist. All the physicians with different specialties and backgrounds believed that the creation of a new specialty would be illogical or nonsensical. The fact that women doctors shared the opinion of male doctors was intriguing. It raised questions as to whether they had the same opinion or whether they reacted the same way because they belonged to the same community or because of the absence of an aggressive women's liberation movement in Lebanon.

  5. Medical Imaging Field of Magnetic Resonance Imaging: Identification of Specialties within the Field

    Science.gov (United States)

    Grey, Michael L.

    2009-01-01

    This study was conducted to determine if specialty areas are emerging in the magnetic resonance imaging (MRI) profession due to advancements made in the medical sciences, imaging technology, and clinical applications used in MRI that would require new developments in education/training programs and national registry examinations. In this…

  6. Medical Imaging Field of Magnetic Resonance Imaging: Identification of Specialties within the Field

    Science.gov (United States)

    Grey, Michael L.

    2009-01-01

    This study was conducted to determine if specialty areas are emerging in the magnetic resonance imaging (MRI) profession due to advancements made in the medical sciences, imaging technology, and clinical applications used in MRI that would require new developments in education/training programs and national registry examinations. In this…

  7. Student specialty plans, clinical decision making, and health care reform.

    Science.gov (United States)

    Williams, Robert L; Romney, Crystal; Kano, Miria; Wright, Randy; Skipper, Betty; Getrich, Christina; Susman, Andrew L; Zyzanski, Stephen J

    2014-05-01

    Health care reform aims to increase evidence-based, cost-conscious, and patient-centered care. Family medicine is seen as central to these aims in part due to evidence of lower cost and comparable quality care compared with other specialties. We sought evidence that senior medical students planning family medicine residency differ from peers entering other fields in decision-making patterns relevant to these health care reform aims. We conducted a national, anonymous, internet-based survey of senior medical students. Students chose one of two equivalent management options for a set of patient vignettes based on preventive care, medication selection, or initial chronic disease management scenarios, representing in turn evidence-based care, cost-conscious care, and patient-centered care. We examined differences in student recommendations, comparing those planning to enter family medicine with all others using bivariate and weighted, multilevel, multivariable analyses. Among 4,656 surveys received from seniors at 84 participating medical schools, students entering family medicine were significantly more likely to recommend patient management options that were more cost conscious and more patient centered. We did not find a significant difference between the student groups in recommendations for evidence-based care vignettes. This study provides preliminary evidence suggesting that students planning to enter family medicine may already have clinical decision-making patterns that support health care reform goals to a greater extent than their peers. If confirmed by additional studies, this could have implications for medical school admission and training processes.

  8. A qualitative study on physicians' perceptions of specialty characteristics.

    Science.gov (United States)

    Park, Kwi Hwa; Jun, Soo-Koung; Park, Ie Byung

    2016-09-01

    There has been limited research on physicians' perceptions of the specialty characteristics that are needed to sustain a successful career in medical specialties in Korea. Medical Specialty Preference Inventory in the United States or SCI59 (specialty choice inventory) in the United Kingdom are implemented to help medical students plan their careers. The purpose of this study was to explore the characteristics of the major specialties in Korea. Twelve physicians from different specialties participated in an exploratory study consisting of qualitative interviews about the personal ability and emotional characteristics and job attributes of each specialty. The collected data were analysed with content analysis methods. Twelve codes were extracted for ability & skill attributes, 23 codes for emotion & attitude attributes, and 12 codes for job attributes. Each specialty shows a different profile in terms of its characteristic attributes. The findings have implications for the design of career planning programs for medical students.

  9. 76 FR 42112 - Specialty Crop Committee Stakeholder Listening Sessions

    Science.gov (United States)

    2011-07-18

    ...; ] DEPARTMENT OF AGRICULTURE Office of the Secretary Specialty Crop Committee Stakeholder Listening Sessions AGENCY: Research, Education, and Economics, USDA. ACTION: Notice of stakeholder listening sessions... Department of Agriculture announces two stakeholder listening sessions of the Specialty Crop Committee,...

  10. Dental specialty, career preferences and their influencing factors among final year dental students in Saudi Arabia.

    Science.gov (United States)

    Halawany, Hassan Suliman; Binassfour, Abdullah Salman; AlHassan, Waleed Khalid; Alhejaily, Rami Ayed; Al Maflehi, Nassr; Jacob, Vimal; Abraham, Nimmi Biju

    2017-01-01

    The purpose of this study was to investigate evolving trends in dental post graduate specialty preferences and career aspirations among final year dental students in Saudi Arabia. A cross sectional survey using a self-administered questionnaire was conducted among final year dental students from seventeen universities in Saudi Arabia. The questionnaire enquired about socio-demographic details and the ranking of three of their best preferences among the list of specialties/general dentistry and career options. They were also enquired about their opinion regarding the total time required to become a dentist and their intention to go for further studies abroad. The questionnaire assessed factors influencing their choices using a 5 point Likert scale ranging from extremely important to not important. Binary logistic regression to examine the combined effect of several independent variables on the likelihood of choosing a dental specialization/general dentistry and career option were analyzed. The overall response rate was 64.6%. Restorative and Aesthetic Dentistry was the most preferred specialty (n = 98; 17.7%) followed by Endodontics (n = 78; 14.1%); Prosthodontics (n = 65; 11.7%) and Orthodontics (n = 63; 11.4%). The two most preferred careers were 'Civilian dentist in public sector' followed by 'Academic services dentist'. Overall, students reported that the influence of family members in the dental profession, preference for private practice and specific interest in patient population as the most important factors in choosing a specialty/general dentistry. Intellectual content of the specialty was ranked the least important. On the other hand, the most important factors for choosing a career were variety of non-clinical duties, access to child care facilities and research opportunities. The results of this study show the top preferred specialties and career choices which can be a baseline for establishing national policies and for the improvement of

  11. 76 FR 66965 - Treasure Coast Specialty Pharmacy Decision and Order

    Science.gov (United States)

    2011-10-28

    ... Enforcement Administration Treasure Coast Specialty Pharmacy Decision and Order On September 14, 2011... Registration, BT9856002, issued to Treasure Coast Specialty Pharmacy, be, and it hereby is, revoked. I further order that any pending application of Treasure Coast Specialty Pharmacy, to renew or modify his...

  12. Career Specialty Choice: A Combined Research-Intervention Project

    Science.gov (United States)

    Leong, F.T.L.; Hardin, E.E.; Gaylor, M.

    2005-01-01

    This research describes and evaluates a workshop aimed at promoting career specialty choice and examines relationships between measured career specialty interests, work values, and personality type. Three consecutive classes of second-year medical students (N=161) participated in a two-session specialty choice workshop. All participants in the…

  13. Skill/Knowledge Commonalities in Selected Electronics Specialties.

    Science.gov (United States)

    1986-10-01

    their responses, an electronics principles usage profile was constructed for each specialty. Statistical analyses were performed on the profiles to...9 1 6 EPI Correlations Based on Percent Using for Wire Commnications Specialties. .. .. .. 10 7 Use of Electronics Principles by Wire...provides the opportunity for studying the actual overlap in electronics principles utilization among these specialties. Such a study would allow one

  14. 15 CFR 2011.204 - Entry of specialty sugars.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Entry of specialty sugars. 2011.204... UNITED STATES TRADE REPRESENTATIVE ALLOCATION OF TARIFF-RATE QUOTA ON IMPORTED SUGARS, SYRUPS AND MOLASSES Specialty Sugar § 2011.204 Entry of specialty sugars. An importer or the importer's agent...

  15. BIOCHEMISTRY IN THE SPECIALTY IN VISUAL FUNCTION, AND VIRTUAL ENVIRONMENTS IN THE CICS UMA-IPN

    Directory of Open Access Journals (Sweden)

    Blanca Elisa Pérez-Magaña

    2014-07-01

    Full Text Available The higher education and postgraduate in Mexico." delivered at the National Polytechnic Institute is located in a period of constant modification and sustained that has led to the creation of new pedagogical proposals aimed at the promotion of learning emphasizing virtual education. The development of ICT (Information Technologies and Communication in the last few years has favored the emergence and consolidation of degrees, diplomas, Specialties, Master's Degrees among other, using the distance learning based on a web environment. This work analyzes the importance that had the Biochemistry course taught in the specialty of Visual Function in the CICS and UMA that allowed both to the students as the teachers try to virtually eliminate the disadvantages theoretical to traditional teaching. The results obtained in addition to the skills and competences acquired the students were highly successful, and it is hoped to be able to continue implementing such environments in other specialties and master's degrees.

  16. Proceedings of the 2009 annual general conference and associated specialty conferences of the Canadian Society for Civil Engineering : on the leading edge[Includes the CSCE forum on professional practice and career development : 1. international engineering mechanics and materials specialty conference : 1. international/3. coastal, estuarine and offshore engineering specialty conference : 2. international/8. construction specialty conference

    Energy Technology Data Exchange (ETDEWEB)

    Lye, L.; Burrell, B.; Snow, M.; Hussein, A.; Thomas, M.; Isgor, B.; Elliott, C.; Christian, J.; Rankin, J. [Canadian Society for Civil Engineering, Montreal, PQ (Canada)] (eds.)

    2009-07-01

    This 2009 international conference of the Canadian Society for Civil Engineering (CSCE) focused on the findings of the latest research and the emergence of the civil engineering profession. It was held in conjunction with the following specialty conferences: the first international and first engineering mechanics and materials (IEMM)specialty conference; the first international and third international hydrotechnical coastal estuarine and offshore engineering specialty conference (IHSC); the second international and eighth construction specialty (ICS) conference; and the forum on professional practice and career development (FPD). The conference and associated specialty conferences provided a forum to discuss recent developments in all areas of civil engineering. Delegates from industrial, research, and academic institutions presented innovative technologies in the different areas of civil engineering and identified future directions for sustainable development. The presentations addressed a broad range of issues, such as the need for sustainable infrastructure while improving the safety of roads, dams, water supply and sewage treatment systems. Technical sessions addressed infrastructure management issues, risk assessment, hydrotechnical engineering and transportation engineering. The conference featured 182 presentations, of which 19 have been catalogued separately for inclusion in this database. refs., tabs., figs.

  17. A Multicenter Study Investigating Empathy and Burnout Characteristics in Medical Residents with Various Specialties.

    Science.gov (United States)

    Park, Chanmin; Lee, Yeon Jung; Hong, Minha; Jung, Chul-Ho; Synn, Yeni; Kwack, Young-Sook; Ryu, Jae-Sung; Park, Tae Won; Lee, Seong Ae; Bahn, Geon Ho

    2016-04-01

    We assessed empathy in medical residents, including factors modifying empathy and the relationship between empathy and burnout. Participants (n = 317 residents, response rate = 42%) from 4 university hospitals completed a socio-demographic questionnaire, the Jefferson Scale of Empathy (Health Professional version, Korean edition), and the Maslach Burnout Inventory (MBI). Participants were classified by medical specialty: "people-oriented specialty" (POS group) or "technology-oriented specialty" (TOS group), with more women in the POS than in the TOS group, χ(2) = 14.12, P < 0.001. Being female, married, and having children were factors related to higher empathy (gender, t = -2.129, P = 0.034; marriage, t = -2.078, P = 0.038; children, t = 2.86, P = 0.005). Within specialty group, POS residents showed higher empathy scores in the fourth as compared to the first year, F = 3.166, P = 0.026. Comparing POS and TOS groups by year, fourth year POS residents had significantly higher scores than did fourth year TOS residents, t = 3.349, P = 0.002. There were negative correlations between empathy scores and 2 MBI subscales, emotional exhaustion (EE) and depersonalization (DP). Additionally, first year POS residents had higher DP scores than did first year TOS residents, t = 2.183, P = 0.031. We suggest that factors important for empathy are type of medical specialty, marriage, siblings, and children. Burnout state may be related to decreasing empathy.

  18. Abstracts of the Canadian Society for Civil Engineering annual conference including the general conference, the 1. international structural specialty conference, the 1. international construction specialty conference, and the 1. specialty conference on disaster mitigation : towards a sustainable future[General Conference

    Energy Technology Data Exchange (ETDEWEB)

    El-Badry, M.; Loov, R.E.; Ruwanpura, J.; El-Hacha, R. [Calgary Univ., AB (Canada); Kroman, J. [City of Calgary, AB (Canada); Rankin, J. [New Brunswick Univ., Fredericton, NB (Canada). Dept. of Civil Engineering; Dunaszegi, L. [Earth Tech Canada Inc., Calgary, AB (Canada)] (eds.)

    2006-07-01

    This conference provided a forum for national and international practicing engineers, researchers and technical experts to discuss sustainable solutions to infrastructure development. Discussions focused on recent developments in new technologies for building more economic and sustainable infrastructure, while improving the safety of buildings, bridges, roads, water supply and sewage treatment systems. The conference was held in conjunction with associated specialty conferences, including a first international structures specialty conference, a first international construction specialty conference, and a first specialty conference on disaster mitigation. This book of abstracts highlights all the specialty conferences and accompanies a CD-ROM that has the full text of all the papers. Manuscripts of the full papers submitted to the specialty conferences were peer-reviewed by international scientific committees. The general conference provided a forum to learn about new technologies and future directions in various areas of civil engineering. It included a special theme session on sustainable development and a special session on innovation and information technology. Other technical sessions focused on topics such as civil engineering history and education; infrastructure management and renewal; asset management; risk assessment and management; engineering materials and mechanics; environmental engineering and science; hydrotechnical engineering; cold region engineering; and, transportation engineering. The general conference featured 88 presentations, of which 15 have been catalogued separately for inclusion in this database.

  19. Electrochemical degradation of specialty chemical industry effluent.

    Science.gov (United States)

    Basha, C Ahmed; Soloman, P A; Velan, M; Miranda, Lima Rose; Balasubramanian, N; Siva, R

    2010-04-15

    Conventional wastewater treatment techniques are inefficient to manage large quantities of refractory organics discharged by specialty chemical industries. It is aimed in the present investigation to compare overall performance of the basic electrochemical reactor configurations such as batch, batch recirculation and continuous recycle reactors, in removing the organic part of wastewater from a medium-scale, specialty chemical industry. The effects of current density, supporting electrolyte concentration, electrolysis duration and fluid flow rate on the pollutant removal and energy consumption performances were critically evaluated. Continuous recycle reactor is found to be the better configuration, because of its flexibility of operation. Circulation flow rate and withdrawal flow rate enable control on transfer coefficients and treatment duration respectively. The ability of artificial neural network (ANN) in predicting the performance of the batch electrochemical treatment has also been demonstrated. 2009 Elsevier B.V. All rights reserved.

  20. Barriers to specialty care and specialty referral completion in the community health center setting.

    Science.gov (United States)

    Zuckerman, Katharine E; Perrin, James M; Hobrecker, Karin; Donelan, Karen

    2013-02-01

    To assess the frequency of barriers to specialty care and to assess which barriers are associated with an incomplete specialty referral (not attending a specialty visit when referred by a primary care provider) among children seen in community health centers. Two months after their child's specialty referral, 341 parents completed telephone surveys assessing whether a specialty visit was completed and whether they experienced any of 10 barriers to care. Family/community barriers included difficulty leaving work, obtaining childcare, obtaining transportation, and inadequate insurance. Health care system barriers included getting appointments quickly, understanding doctors and nurses, communicating with doctors' offices, locating offices, accessing interpreters, and inconvenient office hours. We calculated barrier frequency and total barriers experienced. Using logistic regression, we assessed which barriers were associated with incomplete referral, and whether experiencing ≥ 4 barriers was associated with incomplete referral. A total of 22.9% of families experienced incomplete referral. 42.0% of families encountered 1 or more barriers. The most frequent barriers were difficulty leaving work, obtaining childcare, and obtaining transportation. On multivariate analysis, difficulty getting appointments quickly, difficulty finding doctors' offices, and inconvenient office hours were associated with incomplete referral. Families experiencing ≥ 4 barriers were more likely than those experiencing ≤ 3 barriers to have incomplete referral. Barriers to specialty care were common and associated with incomplete referral. Families experiencing many barriers had greater risk of incomplete referral. Improving family/community factors may increase satisfaction with specialty care; however, improving health system factors may be the best way to reduce incomplete referrals. Copyright © 2013 Mosby, Inc. All rights reserved.

  1. [Determinants of primary care specialty choice].

    Science.gov (United States)

    Pawełczyk, Agnieszka; Pawełczyk, Tomasz; Bielecki, Jan

    2007-03-01

    This paper analyzes and synthesizes the literature on primary care specialty choice. Motivation for choosing medicine and its impact on recruitment to different types of medical work has been presented. Factors that influence medical students and young doctors to change specialty preference have also been explored. Variables, such as gender, martial status, age, income expectations and prestige, that affect medical students' specialty selection decisions for primary care, have been examined. Personality profiles of primary care physician have been evaluated and the influence of communication skills and knowledge of social psychology on his/her work have been analyzed. It is presented that other traits, such as patient-centeredness, needs to serve society and value orientation, is also associated with increases in numbers of students choosing primary care. The analyze shows that the preference for primary care is connected with being interested in diverse patients and health problems and also with being people-orientated. A survey conducted into Polish medical students' attitudes to primary care and family medicine is presented. There is a negative perception of family medicine among Polish students and doctors because of its long work hours and less time for family, insufficient diagnostic possibilities and monotony It is chosen because of lack of other possibilities, difficulties in employment and opportunity to become 'a specialist' in short time.

  2. [A new specialty is born: Vascular medicine].

    Science.gov (United States)

    Laroche, J-P

    2016-05-01

    On the 4th of December 2015, the French authorities officially recognized the birth of a specialty in vascular medicine entitled CO-DES cardiology-vascular/vascular Medicine. France is the 7th country to obtain this specialty after Switzerland, Germany, Austria, Czech Republic, Slovakia and Slovenia, six countries in the EEC. It has taken years to achieve a long but exciting experience: we went from hopes to disappointments, sometimes with the blues, but lobbying helping… with sustained confidence. This article tells the story of 30 years of struggle to achieve this vascular medicine specialty. Gaston Bachelard wrote: "Nothing is obvious, nothing is given, all is built." For the construction of vascular medicine, we had to overcome many obstacles, nothing was given to us, everything was conquered. Beware "The specialist is one who knows more and more things about an increasingly restricted field, up to 'knowing everything about nothing"' recalled Ralph Barton Ferry, philosopher; so there is room for modesty and humility but also convictions. The physical examination will remain the basis of our exercise. But let us recall the contributions of all those vascular physicians who practiced in the past, together with those currently active, who built day after day, year after year, a vascular medicine of quality. It is because of the trust of our colleagues and our patients that we can occupy the place that is ours today.

  3. Specialty preferences: trends and perceptions among Saudi undergraduate medical students.

    Science.gov (United States)

    Mehmood, Syed Imran; Kumar, Ashish; Al-Binali, Ali; Borleffs, Jan C C

    2012-01-01

    The exploration of specialty choices by medical students is a hot debate as it affects several important determinants of health care delivery. This study was carried out to determine variation in specialty preferences during medical school training and the perceptions that affect students' specialty choice. A cross-sectional questionnaire-based study was performed on 590 students with a 93.22% response rate and covered queries on demography, specialty choices, and perceptions influencing specialty choices. Class-wise analysis of specialty choices was carried out. The most preferred specialty expressed by male students was surgery, followed by internal medicine and orthopedics, while most preferred by female students were surgery, followed by pediatrics and ophthalmology. Male students' emphasized factors like less competitive field, shortage of specialists, and diversity of patients while the prestige of specialty and teaching opportunities had a greater impact on female students. Surgery, internal medicine, pediatrics, orthopedics, and ophthalmology were the most preferred specialty choices. Gender preference was observed to affect choices of few specialties such as orthopedics and obstetrics/gynecology. Perceptions which have an impact on specialty selection of male and female students may reflect a different tempo of growing up in men and women.

  4. APPLICATION OF TECHNOLOGY MANAGEMENT STRATEGIES AND METHODS TO IDENTIFY AND ASSESS CLEANER PRODUCTION OPTIONS: CASES IN THE SOUTH AFRICAN AUTOMOTIVE INDUSTRY

    Directory of Open Access Journals (Sweden)

    A.K. Pandey

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Environmental degradation is a burgeoning problem owing to the continual expansion of industrial production, and high-levels of energy and material consumption associated with economic growth. Cleaner Production (CP is a preventive environmental approach, aimed at increasing resource efficiency and reducing the generation of pollution and waste at source. CP is being implemented globally and in SA, but it is not just an environmental initiative; it also supports other productivity-oriented programmes and strategies. The research study summarised in this paper assessed CP improvement options using two different Technology Management (TM methods. The objective was to develop a better understanding of CP from a TM perspective. Data was collected through direct participation in case studies within the SA automotive industry. The case studies identified CP focus areas and improvement techniques. Results from the TM assessment were used to suggest strategies to benefit managers of companies and other stakeholders.

    AFRIKAANSE OPSOMMING: Die degenerasie van die omgewing is ’n groeiende probleem weens die toenemende industriële produksie en hoë vlakke van energie- en materiaalgebruik geassosieer met ekonomiese groei. Skoner Produksie (SP is ’n voorkomende omgewingsaanslag gemik op verhoging van hulpbroneffektiwiteit en die vermindering van besoedeling en afval by die oorsprong. SP word wêreldwyd geimplementeer, ook in Suid-Afrika, maar nie slegs as ’n omgewingsinisiatief nie; dit ondersteun ook ander produktiwiteitsprogramme en -strategieë. Die navorsing het SP verbeteringsmoontlikhede evalueer mbv twee verskillende metodes van Tegnologiebestuur (TB. Die rede vir die studie was om SP beter te verstaan van ’n TB-perspektief. Data is ingesamel via direkte betrokkenheid in gevallestudies in die SA motorvervaardigingsindustrie. Die studies het SP fokusareas en verbeteringstegnieke uitgewys. Die resultate van die TB

  5. Research on the Cultivation Model of Software Technology Specialty Based on CDIO Engineering Education Philosophy%基于CDIO理念的高职软件技术专业人才培养模式研究

    Institute of Scientific and Technical Information of China (English)

    贾家新

    2016-01-01

    In view of present situation of China′s higher vocational college of software technology talent cultivation it is necessary to learn the international advanced the concept of CDIO Engineering Education.Then,we need to establish our own talent cultivation model.The theory curriculum system teaching system and evaluation system were based on CDIO philosophy.Also,it is important to deepen software technology professional talent cultivation model.Meanwhile,weshould improve the quality of personnel training,and enhance highGquality software and technical talents.%针对我国高等职业院校软件技术专业人才培养的现状,借鉴国际先进的 CDIO 工程教育理念,分别从人才培养模式的构建、理论课程体系的构建、实践教学体系的构建、考核评价体系的构建等四个方面进行基于CDIO 理念软件技术专业人才培养的研究,探索软件技术专业人才培养模式的建设与改革,提高人才培养质量,为国家培养更多高素质技能应用型软件技术人才。

  6. Primary care, the ROAD less traveled: what first-year medical students want in a specialty.

    Science.gov (United States)

    Clinite, Kimberly L; Reddy, Shalini T; Kazantsev, Stephanie M; Kogan, Jennifer R; Durning, Steven J; Blevins, Terri; Chou, Calvin L; Diemer, Gretchen; Dunne, Dana W; Fagan, Mark J; Hartung, Paul J; Mechaber, Hilit F; Paauw, Douglas S; Wong, Jeffrey G; DeZee, Kent J

    2013-10-01

    Medical students are increasingly choosing non-primary-care specialties. Students consider lifestyle in selecting their specialty, but how entering medical students perceive lifestyle is unknown. This study investigates how first-year students value or rate lifestyle domains and specialty-selection characteristics and whether their ratings vary by interest in primary care (PC). During the 2012-2013 academic year, the authors conducted a cross-sectional survey of first-year medical students from 11 MD-granting medical schools. Using a five-point Likert-type scale (1 = not important at all; 5 = extremely important), respondents rated the importance of 5 domains of good lifestyle and 21 characteristics related to specialty selection. The authors classified students into five groups by PC interest and assessed differences by PC interest using one-way analysis of variance. Of 1,704 participants, 1,020 responded (60%). The option "type of work I am doing" was the highest-rated lifestyle domain (mean 4.8, standard deviation [SD] 0.6). "Being satisfied with the job" was the highest-rated specialty-selection characteristic (mean 4.7, SD 0.5). "Availability of practice locations in rural areas" was rated lowest (mean 2.0, SD 1.1). As PC interest decreased, the importance of "opportunities to work with underserved populations" also decreased, but importance of "average salary earned" increased (effect sizes of 0.98 and 0.94, respectively). First-year students valued enjoying work. The importance of financial compensation was inversely associated with interest in PC. Examining the determinants of enjoyable work may inform interventions to help students attain professional fulfillment in PC.

  7. 中高职衔接的应用电子技术专业教学标准的研究与实施%Research and Implementation on the Professional Teaching Standards of Applied Electronic Technology Specialty Linked between Secondary and Higher Vocational Education

    Institute of Scientific and Technical Information of China (English)

    张建平; 曾小玲

    2016-01-01

    专业教学标准的衔接是实现中高职有效衔接的关键所在。通过对中高职应用电子技术专业岗位职业能力进行深入的分析,并分析岗位职业能力、职业岗位(群)、职业资格证书三个方面的衔接,提出了中高职衔接的人才培养目标与课程体系。%The link of professional teaching standards is the key to the realization of the link between secondary and higher vocational education. Through the deep analysis of post occupation ability of the applied electronic technology specialty in secondary vocational schools and higher vocational colleges, and analysis of the link in three aspects: post occupation ability, occupation post group and occupation qualification certificate, the paper puts forward the goals of talents training and the curriculum system of the link between secondary and higher vocational education.

  8. Research and Practice on The Sharing of Software Technology Specialty Teaching Resource Library Cloud Platform In Higher Vocational School%高职软件技术专业教学资源库云平台的校际共享的研究与实践*

    Institute of Scientific and Technical Information of China (English)

    董连

    2013-01-01

    Based on the construction of software technology specialty teaching resource library cloud platform in higher vocational school, the long-term sex of sharing teaching resources construction was analyzed, the management and sharing mechanism union teaching resources sharing mechanism was gived, alliances, sharing process, sharing incentives do, sharing construction, well-known enterprises to participate in the meeting, the teachers and students sharing measures. and etc.was discussed in detail,a more perfect school enterprise teaching sharing resource platform construction model was formed.%在高职软件技术专业教学资源库云平台建设的基础上,分析了教学资源建设的共享性的长效性,提出了校际联盟教学资源的共享管理机制,详细讨论了校际联盟共享机制、共享流程、共享奖励办法、共享建设会议、知名企业参与、师生共建共享等措施,形成了较为完善的校企共享共建教学资源库平台模式。

  9. The adherence impact of a program offering specialty pharmacy services to patients using retail pharmacies.

    Science.gov (United States)

    Moore, Janice M; Matlin, Olga S; Lotvin, Alan M; Brennan, Troyen A; Falkenrath, Randy; Kymes, Steven; Singh, Surya C; Kyrychenko, Pavlo; Shrank, William H

    2016-01-01

    A new service model integrates the specialty pharmacy's comprehensive service with the retail pharmacy's patient contact, giving patients options for medication delivery to home, pharmacy, or doctor's office. Evaluate the impact of the new service model on medication adherence. Retrospective cohort study One hundred fifteen CVS retail stores in Philadelphia participated in a pilot from May 2012 to October 2013, and 115 matched CVS retail stores from around the nation served as controls. All eligible patients from the intervention and control stores received specialty medications through CVS retail pharmacies prior to implementation of the new service model. The intervention patients were transitioned from retail pharmacy service to the specialty pharmacy with delivery options. The control patients received standard retail pharmacy services. Proportion of days covered and first fill persistence were tracked for 12 months before and after program implementation. Under the new service model, 228 patients new to therapy in the post period had a 17.5% increase in the rate of obtaining a second fill as compared to matched controls. Patients on therapy in both the pre- and the post-periods had a pre-post increase of 6.6% in average adherence rates and a pre-post increase of 10.8% in optimal adherence rates as compared to 326 matched controls. The study demonstrated significant improvement in both adherence to therapy and first-fill persistence among patients in the new service model integrating specialty pharmacy's comprehensive services with the retail pharmacy's patient contact and medication delivery choices. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  10. 高职制药技术《化工制图》课程的教学探索%Research on Teaching Exploration on Chemical Engineering Drawing of Pharmaceutical Technology Specialty in Higher Vocational College

    Institute of Scientific and Technical Information of China (English)

    华燕青

    2015-01-01

    Chemical Engineering Drawing is a specialized basic course of pharmaceutical technology .Aiming at the problems in the teaching practice of this course ,some teaching measures are put forward to arouse students'interest in learning and improve teaching quality by optimizing teaching content and improving teaching methods .%化工制图是制药技术类专业的一门专业基础课。在课程教学实践中,针对存在问题,提出通过优化整合教学内容和改进教学方法等教学改革措施,能有效地激发学生的学习兴趣,提高教学质量。

  11. The acceptance of dental operating microscope among advance education specialty programs in endodontics in the middle east

    Directory of Open Access Journals (Sweden)

    Mansour Alrejaie

    2012-01-01

    Full Text Available Aim: To present the current situation of dental operating microscopy (DOM training in the available Advance Specialty Education Programs in Endodontics in Arab Middle-Eastern countries. Materials and Methods: A web-based survey was sent to the electronic mail address of Advance Specialty Education programs of 15 Arab and middle east countries. The questions were limited to those who have an advanced specialty education program in Endodontics at their University if they are using an operating microscope? Results: Out of 15 countries, only 4 countries have microscopic technology in their Advance Education Programs in Endodontics. Conclusion: Few Arab Middle-Eastern countries have DOM in their advance education programs in endodontics. The highest authority in advancing endodontic education in the Arab Middle-East should consider in the near future the importance of this technology as standard care in teaching advance endodontics. An advance workshops should be organized regularly to provide enough knowledge about this standard educational technology.

  12. Evaluation of Specialty Drug Price Trends Using Data from Retrospective Pharmacy Sales Transactions.

    Science.gov (United States)

    Penington, Robert; Stubbings, Jo Ann

    2016-09-01

    The past 25 years have seen a substantial increase in the effect of specialty drugs on patient care. These agents were initially not considered financially viable because they often served a comparatively small market of patients. However, the extended monopoly afforded to manufacturers of these drugs by the Orphan Drug Act of 1983 has made treatment of rare diseases, which specialty drugs often target, a more viable option. As a result, pharmaceutical companies began to increase research and development expenditures in this area, and the pipeline of specialty drugs began to grow in the late 1980s. To analyze the annual change in wholesale acquisition cost (WAC) pricing of specialty drugs sold over a period of 11 years. Pharmacy claims data, including date and WAC, were collected for each specialty drug transaction that occurred from 2002 through 2013 at the University of Illinois at Chicago Ambulatory Care Pharmacy Department. The data were organized to create a chronological sequence of WAC values from the initial to final sales of each available drug. Those values were then used to calculate annual percentage of change in WAC. These results were grouped into subsets and graphed in order to illustrate the effects that various factors had on the annual changes in price. The price of the specialty drugs studied has generally shown a greater rate of increase since experiencing a trough rate increase in 2009 of 4.08%. The economic crisis of 2008 created a short pause in this overall trend, but increases in the rate of price growth have since rebounded. WACs increased at a rate of 7.03% or greater from 2010 through the end of the study period. There was a clear increase over the last few years of the study in the number of drugs with more than 10% annual increases in WAC, which has also shown a rebound after the economic crisis at the end of the last decade. Specialty drugs are getting more expensive at a faster rate over time. The period from 2010 to 2013, the final

  13. Knowledge of the diversity and rivalry between technological options for the photovoltaic electric power production; Apprentissage de la diversite et competition entre options technologiques pour la production d'electricite photovoltaique

    Energy Technology Data Exchange (ETDEWEB)

    Menanteau, Ph.

    1998-05-01

    This presentation of the photovoltaic cells market development takes stock on this industry sector; The first part presents the crystalline silicon photovoltaic cells, their production, cost and performance. The second chapter is devoted to the photovoltaic cells technology diffusion by an analysis of the markets and the utilization sectors. The last part underlines the intra technological rivalry and the actors strategy showing the dominant position of the crystalline silicon, in spite of its limited capacity, to the detriment of new technologies more promising. (A.L.B.)

  14. Organizational readiness in specialty mental health care.

    Science.gov (United States)

    Hamilton, Alison B; Cohen, Amy N; Young, Alexander S

    2010-01-01

    Implementing quality improvement efforts in clinics is challenging. Assessment of organizational "readiness" for change can set the stage for implementation by providing information regarding existing strengths and deficiencies, thereby increasing the chance of a successful improvement effort. This paper discusses organizational assessment in specialty mental health, in preparation for improving care for individuals with schizophrenia. To assess organizational readiness for change in specialty mental health in order to facilitate locally tailored implementation strategies. EQUIP-2 is a site-level controlled trial at nine VA medical centers (four intervention, five control). Providers at all sites completed an organizational readiness for change (ORC) measure, and key stakeholders at the intervention sites completed a semi-structured interview at baseline. At the four intervention sites, 16 administrators and 43 clinical staff completed the ORC, and 38 key stakeholders were interviewed. The readiness domains of training needs, communication, and change were the domains with lower mean scores (i.e., potential deficiencies) ranging from a low of 23.8 to a high of 36.2 on a scale of 10-50, while staff attributes of growth and adaptability had higher mean scores (i.e., potential strengths) ranging from a low of 35.4 to a high of 41.1. Semi-structured interviews revealed that staff perceptions and experiences of change and decision-making are affected by larger structural factors such as change mandates from VA headquarters. Motivation for change, organizational climate, staff perceptions and beliefs, and prior experience with change efforts contribute to readiness for change in specialty mental health. Sites with less readiness for change may require more flexibility in the implementation of a quality improvement intervention. We suggest that uptake of evidence-based practices can be enhanced by tailoring implementation efforts to the strengths and deficiencies of the

  15. Caveat emptor: joint ventures with specialty hospitals.

    Science.gov (United States)

    Kahn, Charles N

    2006-06-01

    A specialty hospital joint venture between a health system and physician investors may implicate anti-kickback and tax laws when physicians self-refer patients to the hospital, raising the issue of conflict of interest. Physician self-referral can motivate behavior, such as cherry-picking patients and increased utilization, which in turn leads to windfall profits for physician owners and weakens classic community hospitals. Hopitals can best serve the interests of patients and improve performance by building enduring partnerships with physicians.

  16. RESEARCH OF SPECIALTY CONSTRUCTION OF DIGITAL MEDIA ART IN EAST CHINA UNIVERSITY OF SCIENCE AND TECHNOLOGY%华东理工大学数字媒体艺术专业建设研究

    Institute of Scientific and Technical Information of China (English)

    杨明刚; 沈唯; 赵方歆

    2015-01-01

    This article discusses the Digital Media Arts basic characteristics, focusing on the development of art and design combined with the status quo and Media Institute in East China University of Technology, combining the needs of the market, industry, social and artistic talents of digital media. The article analyzes Media Institute of Art and Design and Construction of Digital Media Arts, promotes digital media arts professional school orientation and teaching model for colege and advances innovative talents.%本文论述了数字媒体艺术专业的基本特征,重点结合对华东理工大学艺术设计与传媒学院的发展现状,结合市场、行业、社会对数字媒体艺术人才的需求,对艺术设计与传媒学院建设数字媒体艺术专业进行了研究与分析,为学院乃至学校积极促进和推进创新型人才培养提出数字媒体艺术专业的办学定位和教学模式。

  17. Exploration of the construction of productive practice teachers' team in network technology specialty%网络技术专业生产性实训教师队伍建设探索

    Institute of Scientific and Technical Information of China (English)

    陈春燕

    2015-01-01

    职业教育的宗旨是学生能力的培养,学生能力的形成依赖于老师有针对性的训练,因此要办好职业教育,建设一支高素质的实训教学团队是前提。以网络技术专业生产性实训教师队伍建设为例,讨论了切实可能的生产性实训教学教师队伍建设的途径和方法。%Occupation education purpose is to cultivate the students' ability, the formation of the students' ability is dependent on the teachers targeted training. therefore, to run the occupation education, to build a high-quality teaching team is the premise. This paper, taking the construction of network technology professional productive practice teachers' team as an example, the feasible ways and methods of construction of teachers' team is discussed.

  18. The application research of project design method in the specialty of numerical control technology%项目设计方法在高职数控技术专业中的应用研究

    Institute of Scientific and Technical Information of China (English)

    刘莉

    2012-01-01

      Through the comparison with project design method in occupation education system of the German, according to the teaching, put forward ideas to project design of across course, as an example of e manufacture of heat exchanger, the curriculum learning of numerical control technology is designed into a large project, which contains several sub projects, the whole learning process is coherened, detailed project design method of across curriculum, through the design of such a project, students can learn to master the methods of "learning", ability, have the capacity that expands continuously.%  通过中德职业教育课程体系中项目设计方法的对比,结合实际教学情况,提出了跨课程项目设计的想法,以换热器制造为例将数控技术专业的课程学习设计成一个大项目,其中包含多个子项目,将整个学习的过程贯穿起来,使学生能够学会学习,并具备持续发展的能力

  19. A Study of Higher Vocational English Teaching Based on Students' Major-Taking Software Technology Specialty as an Example%基于学生专业的高职基础英语教学--以软件技术专业为例

    Institute of Scientific and Technical Information of China (English)

    王芳

    2013-01-01

    With the development of science and technology and the change of post requirements, only if basic English teaching connects with students' major, can it adjust to the needs of the job market. Two of the main problems are the out-of-date teaching materials and English teachers' short of the knowledge of students' major. With software technology specialty as an example, this paper points out that English teachers should find out what knowledge in the teaching materials is connected with students' major and do his/her best to reflect students' major in English teaching through expanding vocabulary and explaining grammar, and reform the teaching contents of listening, speaking, reading and writing based on the requirements of the post ability so as to advance the employment and professional development of students.%科学技术的发展和岗位能力需求的变化要求基础英语教学必须与所教学生的专业相衔接,才能适应就业市场的需求。教材落伍和英语教师对学生专业知识匮乏是基础英语教学的主要问题,以软件技术专业为例,指出应充分挖掘教材与专业相关的知识,通过词汇扩展、语法讲解、根据岗位能力要求,改革听、说、读、写内容,做到英语教学与学生专业相结合,促进学生就业和职业发展。

  20. The Analysis of Financing Options for SMEs based on Science and Technology%科技型中小企业融资选择分析

    Institute of Scientific and Technical Information of China (English)

    聂莉萍

    2015-01-01

    Science and technology based enterprises require large capital and their operating efficiency is uncertain in the developing process. In accordance with the characteristics and financing demands of the small and medium-sized enterprises and adverse selection risk caused by the information asymmetry and incomplete information, the paper analyzes the principal-agent relationship among high-tech small and medium-sized enterprises, banks and venture capital institutions. The paper studies the financing selection from the perspective of commercial banks and venture capital institutions. When the credit transaction is carried out between banks, venture capital institutions and small and medium enterprises based science and technology, the credit risk caused by it will always run through the whole developing process of small and medium-sized enterprises and restrict financial institutions to provide financing services. Theoretical analysis shows that when the banks and venture capital institutions both provide funds for the enterprise, the probability of business success is higher and at the same time default rate is the lowest. The results of this study provide the basis for SMEs based on science and technology in financing options and also provide the theoretical references for the cooperation between them and banks and venture capital institutions.%科技型中小企业对资金需求迫切、经营效益不确定,根据其自身特点和融资诉求以及信息不对称和信息不完全所导致的逆向选择风险,文章基于理论推导模型,分析了科技型中小企业、银行与风险投资机构三者之间的委托代理关系。从商业银行与风险投资机构两个角度研究融资选择问题,在与银行、风险投资等金融机构开展信用交易时,所引发的资信风险贯穿于企业发展的整个过程,并成为制约金融机构向其提供融资服务的基本原因。通过理论推导发现,当银行与风险投资

  1. The reform and practice of Web Java course for software technology specialty%软件技术专业Java Web课程改革与实践

    Institute of Scientific and Technical Information of China (English)

    宋磊; 杨文; 吴奇英

    2015-01-01

    软件技术中一个重要的分支就是动态网站的制作。现在很多资源都可以从网络中获取,而人们获得这些数据与资源的最直接方式就是通过网页来浏览、下载与共享。Java Web可以说是一个综合的学科。他不仅仅是Java语言,还涵盖HTML、脚本语言、网站的设计思想、特效脚本语言乃至数据库等多方面知识的运用。目的是能够完成动态网站构建的全部过程。本文从该门课程的内容开始介绍,分析了课程中存在的问题以及问题形成的原因。针对原因有效的提出了改革措施。%one of the important branches of software technology is the production of dynamic websites.. Now,many resources can be obtained from the network, and people get the most direct way of these data and resources is through the web to browse,download and share.Web Java is a comprehensive discipline.He is not only Java language,but also covers the use of HTML,scripting language,website design ideas,special effects scripting language and database,etc..The purpose is to complete the whole process of building dynamic website.From the contents of this course, the paper introduces the existing problems and the reasons for the formation of the problems..The reform measures are put forward for the reason.

  2. [Music therapy in different dental specialties].

    Science.gov (United States)

    Mehr, Katarzyna; Wyganowska-Swiatkowska, Marzena; Kowalkowska, Iwona; Kurhańska-Flisykowska, Anna; Piotrowski, Paweł

    2012-01-01

    Music is generally recognized as the best and, in parallel, the simplest medium of communication. The music therapy, applied in various spheres linked to a therapeutic process, is particularly valued in rehabilitation, medicine, humanities and social sciences. Present study aimed at determination of usefulness of selected techniques of music therapy in different dental specialties. The studies were conducted on 81 generally healthy patients aging 18 to 62 years. Various planned dental procedures were performed first time or were appraised by the patients as unpleasant ones. On the basis of pilot studies, a stable scheme of the visits was established. At the beginning of the studies, music therapy according to Kierył was conducted. Subsequently, basing on description of Schwabe, a form of regulatory individual music therapy was conducted. Depending on psychoemotional condition of the patient, music programming was based on ISO and LEVEL principles, taking into account musical preferences of the patient and his/her age. After every visit the patients filled questionnaires and appropriate results, together with results of studies performed by the dentist, were subjected to statistical analysis. 1. Results of the studies encourage application of musicotherapeutic techniques in different dental specialties. 2. Dental visit can be made attractive and patient's visits in dental office can be facilitated with no significant financial input or organizational.

  3. The safeguards options study

    Energy Technology Data Exchange (ETDEWEB)

    Hakkila, E.A.; Mullen, M.F.; Olinger, C.T.; Stanbro, W.D. [Los Alamos National Lab., NM (United States); Olsen, A.P.; Roche, C.T.; Rudolph, R.R. [Argonne National Lab., IL (United States); Bieber, A.M.; Lemley, J. [Brookhaven National Lab., Upton, NY (United States); Filby, E. [Idaho National Engineering Lab., Idaho Falls, ID (United States)] [and others

    1995-04-01

    The Safeguards Options Study was initiated to aid the International Safeguards Division (ISD) of the DOE Office of Arms Control and Nonproliferation in developing its programs in enhanced international safeguards. The goal was to provide a technical basis for the ISD program in this area. The Safeguards Options Study has been a cooperative effort among ten organizations. These are Argonne National Laboratory, Brookhaven National Laboratory, Idaho National Engineering Laboratory, Lawrence Livermore National Laboratory, Los Alamos National Laboratory, Mound Laboratory, Oak Ridge National Laboratory, Pacific Northwest Laboratories, Sandia National Laboratories, and Special Technologies Laboratory. Much of the Motivation for the Safeguards Options Study is the recognition after the Iraq experience that there are deficiencies in the present approach to international safeguards. While under International Atomic Energy Agency (IAEA) safeguards at their declared facilities, Iraq was able to develop a significant weapons program without being noticed. This is because negotiated safeguards only applied at declared sites. Even so, their nuclear weapons program clearly conflicted with Iraq`s obligations under the Nuclear Nonproliferation Treaty (NPT) as a nonnuclear weapon state.

  4. Specialty choice among dental students in Ibadan, Nigeria

    Directory of Open Access Journals (Sweden)

    K K Kanmodi

    2017-03-01

    Full Text Available Background. The unequal distribution of workforce across dental specialties in Nigeria poses a significant problem in the delivery of specialists’ oral healthcare to the Nigerian population. Objectives. To determine dental specialties preferences among dental students at the University of Ibadan, Nigeria, and to explore the factors that influence their choices. Methods. We obtained ethical approval to conduct this study. Only the dental students who rotated through all the dental specialties were selected to participate in this questionnaire-based study. Data were analysed using SPSS version 16 (SPSS Inc., USA. Results. The majority of dental students at the University of Ibadan preferred the oral and maxillofacial surgery (OMS specialty above all other dental specialties, while prosthetic dentistry was least preferred. Of all the factors to take into consideration when choosing a dental specialty, personal interest was the only factor considered by nearly all respondents. Only male respondents considered prestige as an influencing factor in their choice of a specialty. Lifestyle and job description were factors considered by a higher proportion of the male respondents (10/13 than females (5/14. The mean age of the 27 respondents who participated in this study was 22.6 years, 52% of whom were females. Conclusion. OMS was the most preferred specialty among our respondents (n=8. Nearly all dental students chose residency training in the specialty that most appealed to them. The interest of dental students towards the least appealing dental specialties needs to be developed to solve the problem of skewed distribution of the dental workforce in Nigeria. Our findings suggest that this may be accomplished by changing dental students’ perceptions of certain specialties, building on male students’ interests in job security and private practice potential, and the female students’ interests in family-friendly specialties and increasing flexibility

  5. Sustainable uranium energy - an optional future

    Energy Technology Data Exchange (ETDEWEB)

    Meneley, D. [Univ. of Ontario Inst. of Tech., Oshawa, Ontario (Canada)

    2015-06-15

    After 50 plus years of working on uranium fission principles and application, it is a bit hard for me to talk about anything else - but I'll give it a try. To start, I solemnly promise not to recommend to you any new reactor design - be it small, medium, modular, or large. The Uranium-fuelled power plant will be discussed ONLY as a finished product. Note that this sketch is an optional future. Ontario will, of course, take it or leave it, in whole or in part. This paper concentrates on future potential achievements of the CANDU nuclear energy systems. In the past, this venture has produced several modular systems, ranging from small (NPD and CANDU 3), medium (CANDU 6 and 6E) and large (Bruce, Darlington, and CANDU 9). All of these projects are more Ol' less finished products, and yet the CANDU concept still has broad scope for refinement and upgrading. This paper is, however, not about nuclear technology per se, but rather it is about what nuclear energy can do, both now and in the future. What does Ontario need to do next, in the line of technology applications that can help deal with the negative aspects of human-induced climate change? What energy systems can be installed to sustain the wealth and prosperity that Ontario's citizens now enjoy? What are the opportunities and the engineering challenges ahead of us? I do wish to apologize in advance for errors and omissions, and can only hope that missed details do not detract nor completely destroy an optimistic vision. Energy engineering is my game. Economics is not my specialty though it is an integral part of every engineering project. It is likely that the topic of economics will dominate the future choice of world energy supply, whatever that choice may be. Some people claim that the decisive factor dominating decisions with respect to uranium energy will be fear. In fact many opponents of the associated technology aim to induce fear as their main guiding theme. On the contrary, it is more

  6. Peer nominations as related to academic attainment, empathy, personality, and specialty interest.

    Science.gov (United States)

    Pohl, Charles A; Hojat, Mohammadreza; Arnold, Louise

    2011-06-01

    To test the hypotheses that peer nomination is associated with measures of (1) academic performance, (2) empathy, (3) personality, and (4) specialty interest. In 2007-2008, 255 third-year medical students at Jefferson Medical College were asked to nominate classmates they considered the best in six areas of clinical and humanistic excellence. The authors compared students who received nominations with those who did not, analyzing differences in academic performance, personality factors (empathy as measured by the Jefferson Scale of Empathy and personality qualities as measured by the Zuckerman-Kuhlman Personality Questionnaire), and specialty interests. A comparison of the 155 students who received at least one peer nomination with the 100 students who received none found no significant difference in scores on objective examinations; nominated students, however, were rated significantly higher in clinical competence by faculty in six core third-year clerkships. Nominated students were also significantly more empathic and "active." In addition, a larger proportion of nominated students choose "people-oriented" (rather than "technology- or procedure-oriented") specialties. These results confirmed the hypotheses that peer nomination can predict clinical competence, empathy and other positive personal qualities, and interest in people-oriented specialties. Thus, in the assessment of medical students, peer nomination holds promise as a valid indicator of positive dimensions of professionalism.

  7. 高职广告设计与制作专业“1+1+1”教学模式的改革探索---以浙江育英职业技术学院为例%Reform on"1+1+1"Teaching Model of Advertising Design and Production Specialty:Taking Zhejiang Yuying College of Vocational Technology as an Example

    Institute of Scientific and Technical Information of China (English)

    郭恩文

    2013-01-01

      Starting from the problems in teaching concept, teachers, students and teaching environment, the article analyzes the characteristics of advertising specialty and the problems in teaching; at the same time, taking the reform of teaching mode of Advertising Design Specialty of Zhejiang Yuying College of Vocational Technology as an example, it elaborates the reform on“1+1+1”teaching mode, so as to summarize new teaching method and the reform result under the innovation model.%  该文首先从当下广告设计专业的教学观念、师资、学生以及教学环境所存在的问题为出发点,分析广告专业的专业特点以及教学中所存在短板,同时通过以浙江育英职业技术学院广告设计专业的教学模式为改革探索载体,通过新的“1+1+1”教学模式改革进行阐述,从而进行总结新的教学实施方法,并且最后将这种创新模式下的改革成果进行呈现与总结。

  8. On the Practice of Mathematics Teaching Reform for Construction and Surveying Engineering Technology Specialty in Higher Vocational Colleges%高职建筑施工与测绘工程技术专业数学教学改革实践

    Institute of Scientific and Technical Information of China (English)

    加春燕; 刘兰明

    2015-01-01

    北京工业职业技术学院以建筑施工与测绘工程技术专业为切入点,以专业需求为导向,从教学目标、教学内容、教学方法和考核方式四个方面对数学教学进行了全面系统的改革。根据专业需求调整数学教学目标,精选教学内容并进行模块化设置,依据不同类型教学内容改进教学方法,突出学习过程考核比重等。实践表明,改革有助于提高学生的学习兴趣,有利于专业课程的学习。%Oriented by professional needs, taking construction and surveying engineering technology specialty as a starting point, Beijing Polytechnic College conducted a comprehensive and systematic reform of mathematics teaching from four aspects of teaching objective, teaching content, teaching method and assessment method. The specific reform process is to adjust the objectives of mathematics teaching according to professional needs, select teaching contents and implement modular design, improve the teaching method according to the different types of teaching contents, and highlight the proportion of learning process evaluation, etc. The practice results show that the reform is helpful to improve the students’learning interest, is advantageous to the learning for professional courses.

  9. [Problems in cardiology specialty training in Turkey].

    Science.gov (United States)

    Altun, Armağan

    2012-04-01

    Cardiology Specialty Training in our country should be made in accordance with the law numbered 1219 on the Practice of Medicine and Related Arts, and according to the Medical and Dental Specialist Training Regulation which is published according to the 9th article of this law. The duration of Cardiology Specialist Training has been defined as 4 years in our country. The European Society of Cardiology (ESC), European Union of Medical Specialists (UEMS), and the European Cardiology Section Foundation (ECSF) define the duration of Cardiology Specialist Training as 6 years. Therefore, insufficient Cardiology residency training occurs in our country due to the shortened length of time. In this report, the problems of the Cardiology Specialist Training in Turkey will be addressed under different headings.

  10. Dentistry's oldest specialty: orthodontics and dentofacial orthopedics.

    Science.gov (United States)

    George, Raymond

    2009-01-01

    The American Association of Orthodontists (AAO) has 15,500 members worldwide and is the oldest and largest of the recognized dental specialties. A strategic planning process has identified six key challenges, and this article describes the progress that is being made in the areas of (a) consumer education, (b) volunteer leadership development, (c) recruitment and retention of orthodontic educators, (d) relationships with ADA and other healthcare organizations, (e) the AAO's role in international orthodontics, and (f) advocacy. The AAO is working for freedom of choice in dental healthcare providers; fee-for-service dental care; orthodontic insurance coverage as a benefit of employment, with direct reimbursement as the preferred plan; self-referred access to specialists; private and public funding that promote quality orthodontic care; and the retention of tax deductibility of dental healthcare benefits, including orthodontic care.

  11. Specialty preferences : Trends and perceptions among Saudi undergraduate medical students

    NARCIS (Netherlands)

    Mehmood, Syed Imran; Kumar, Ashish; Al-Binali, Ali; Borleffs, Jan C. C.

    2012-01-01

    Background: The exploration of specialty choices by medical students is a hot debate as it affects several important determinants of health care delivery. This study was carried out to determine variation in specialty preferences during medical school training and the perceptions that affect student

  12. Specialty preferences : Trends and perceptions among Saudi undergraduate medical students

    NARCIS (Netherlands)

    Mehmood, Syed Imran; Kumar, Ashish; Al-Binali, Ali; Borleffs, Jan C. C.

    2012-01-01

    Background: The exploration of specialty choices by medical students is a hot debate as it affects several important determinants of health care delivery. This study was carried out to determine variation in specialty preferences during medical school training and the perceptions that affect

  13. Analysis of Enrollment Scale of Chinese Specialty Education

    Science.gov (United States)

    Hao, Jinmei; Li, Suke

    2017-01-01

    With the adjustment of industrial structure of China in recent years, the market urgently needs different levels of professionals. Specialty education is an important part of higher education in China, has its unique advantages. Through the analysis of the history data of specialty education in our country, the result shows that the specialty…

  14. Personality and Medical Specialty Choice: A Literature Review and Integration.

    Science.gov (United States)

    Borges, Nicole J.; Savickas, Mark L.

    2002-01-01

    Synthesizes studies categorized by medical specialties and using the following instruments into the Five Factor Model of personality: Adjective Check List, California Psychological Inventory, 16 Personality Factor Questionnaire, and Myers-Briggs Type Indicator. Suggests a loose association between personalty factors and medical specialties and…

  15. How price responsive is the demand for specialty care?

    Science.gov (United States)

    Maciejewski, Matthew L; Liu, Chuan-Fen; Kavee, Andrew L; Olsen, Maren K

    2012-08-01

    Outpatient visit co-payments have increased in recent years. We estimate the patient response to a price change for specialty care, based on a co-payment increase from $15 to $50 per visit for veterans with hypertension. A retrospective cohort of veterans required to pay co-payments was compared with veterans exempt from co-payments whose nonequivalence was reduced via propensity score matching. Specialty care expenditures in 2000-2003 were estimated via a two-part mixed model to account for the correlation of the use and level outcomes over time, and results from this correlated two-part model were compared with an uncorrelated two-part model and a correlated random intercept two-part mixed model. A $35 specialty visit co-payment increase had no impact on the likelihood of seeking specialty care but induced lower specialty expenditures over time among users who were required to pay co-payments. The log ratio of price responsiveness (semi-elasticity) for specialty care increased from -0.25 to -0.31 after the co-payment increase. Estimates were similar across the three models. A significant increase in specialty visit co-payments reduced specialty expenditures among patients obtaining medications at the Veterans Affairs medical centers. Longitudinal expenditure analysis may be improved using recent advances in two-part model methods. Published 2011. This article is a US Government work and is in the public domain in the USA.

  16. Telestroke a viable option to improve stroke care in India.

    Science.gov (United States)

    Srivastava, Padma V; Sudhan, Paulin; Khurana, Dheeraj; Bhatia, Rohit; Kaul, Subash; Sylaja, P N; Moonis, Majaz; Pandian, Jeyaraj Durai

    2014-10-01

    In India, stroke care services are not well developed. There is a need to explore alternative options to tackle the rising burden of stroke. Telemedicine has been used by the Indian Space Research Organization (ISRO) to meet the needs of remote hospitals in India. The telemedicine network implemented by ISRO in 2001 presently stretches to around 100 hospitals all over the country, with 78 remote/rural/district health centers connected to 22 specialty hospitals in major cities, thus providing treatment to more than 25 000 patients, which includes stroke patients. Telemedicine is currently used in India for diagnosing stroke patients, subtyping stroke as ischemic or hemorrhagic, and treating accordingly. However, a dedicated telestroke system for providing acute stroke care is needed. Keeping in mind India's flourishing technology sector and leading communication networks, the hub-and-spoke model could work out really well in the upcoming years. Until then, simpler alternatives like smartphones, online data transfer, and new mobile applications like WhatsApp could be used. Telestroke facilities could increase the pool of patients eligible for thrombolysis. But this primary aim of telestroke can be achieved in India only if thrombolysis and imaging techniques are made available at all levels of health care.

  17. Empathy differences by gender and specialty preference in medical students: a study in Brazil.

    Science.gov (United States)

    Santos, Mariana A; Grosseman, Suely; Morelli, Thiago C; Giuliano, Isabela C B; Erdmann, Thomas R

    2016-05-21

    We have conducted this study to assess medical students' empathy and to examine empathy differences by students' socio-demographic characteristics, including gender, and specialty preference. We have conducted a cross-sectional and descriptive research. Among 595 medical students registered at the Federal University of Santa Catarina (Brazil) in 2012, we have selected a sample of 320 enrolled in the first, third, fifth, seventh, ninth, eleventh, and in the last semester of the course. The response rate obtained was 70.6% (n=226). Data was collected by using a self-report questionnaire, and the variables analyzed included course semester, socio-demographic characteristics (such as age, gender, household monthly income and parents level of education), students' specialty preference, and empathy assessed by the Jefferson Scale of Empathy. We have used descriptive statistics, 95% Confidence Interval for percentages, Student's t-test, and Analysis of Variance to analyze the data. Mean empathy among students was (M=119.7, SD=9.9), with no difference by according to semester (F=1.5, p=.2). Empathy means were higher among females (M=118.3, SD=10.6) than among males (M=121.0, SD=9.3, t=-2.1, p=.032). Students who preferred a people-oriented specialty obtained significantly higher mean scores (M=121.5, SD=8.1) in comparison to students who preferred technology-oriented specialties (M=118.0, SD=11.3, t=2.4, p=.02). Our study has found consistently high scores of empathy among medical students enrolled in all levels of training at the Federal University of Santa Catarina, and higher empathy among women and students who intend to pursue a people-oriented specialty. Conclusions on higher empathy among medical students require further study.

  18. 引文分析在图书馆馆藏资源建设中的作用--以常州大学化学工艺硕士论文引文为例%The Functions of Citation Analysis in Library ’s Collection Resources Construction---Taking the Citation in Chemical Technology Specialty ’s Master Dissertation of Changzhou University as an Example

    Institute of Scientific and Technical Information of China (English)

    梁学敏

    2014-01-01

    This paper carries out the statistical analysis on the citation of chemical technology specialty’s master dissertation of Changzhou University published in the period of 2011—2013 from aspects of the number, language, type and year of the citation and the literature half-life of this specialty, providing a reference basis for library’s collection resources construction.%对常州大学化学工艺专业2011—2013年硕士学位论文引文的数量、语种、类型、年代及该专业的文献半衰期进行了统计分析,为图书馆馆藏期刊资源建设提供了参考依据。

  19. Physician wages across specialties: informing the physician reimbursement debate.

    Science.gov (United States)

    Leigh, J Paul; Tancredi, Daniel; Jerant, Anthony; Kravitz, Richard L

    2010-10-25

    Disparities in remuneration between primary care and other physician specialties may impede health care reform by undermining the sustainability of a primary care workforce. Previous studies have compared annual incomes across specialties unadjusted for work hours. Wage (earnings-per-hour) comparisons could better inform the physician payment debate. In a cross-sectional analysis of data from 6381 physicians providing patient care in the 2004-2005 Community Tracking Study (adjusted response rate, 53%), we compared wages across broad and narrow categories of physician specialties. Tobit and linear regressions were run. Four broad specialty categories (primary care, surgery, internal medicine and pediatric subspecialties, and other) and 41 specific specialties were analyzed together with demographic, geographic, and market variables. In adjusted analyses on broad categories, wages for surgery, internal medicine and pediatric subspecialties, and other specialties were 48%, 36%, and 45% higher, respectively, than for primary care specialties. In adjusted analyses for 41 specific specialties, wages were significantly lower for the following than for the reference group of general surgery (wage near median, $85.98): internal medicine and pediatrics combined (-$24.36), internal medicine (-$24.27), family medicine (-$23.70), and other pediatric subspecialties (-$23.44). Wage rankings were largely impervious to adjustment for control variables, including age, race, sex, and region. Wages varied substantially across physician specialties and were lowest for primary care specialties. The primary care wage gap was likely conservative owing to exclusion of radiologists, anesthesiologists, and pathologists. In light of low and declining medical student interest in primary care, these findings suggest the need for payment reform aimed at increasing incomes or reducing work hours for primary care physicians.

  20. Nazareth College: Specialty Preparation for Speech-Language Pathologists to Work with Children Who Are Deaf and Hard of Hearing

    Science.gov (United States)

    Brown, Paula M.; Quenin, Cathy

    2010-01-01

    The specialty preparation program within the speech-language pathology master's degree program at Nazareth College in Rochester, New York, was designed to train speech-language pathologists to work with children who are deaf and hard of hearing, ages 0 to 21. The program is offered in collaboration with the Rochester Institute of Technology,…

  1. Retrieval options study

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-01

    This Retrieval Options Study is part of the systems analysis activities of the Office of Nuclear Waste Isolation to develop the scientific and technological bases for radioactive waste repositories in various geologic media. The study considers two waste forms, high level waste and spent fuel, and defines various classes of waste retrieval and recovery. A methodology and data base are developed which allow the relative evaluation of retrieval and recovery costs and the following technical criteria: safety; technical feasibility; ease of retrieval; probable intact retrieval time; safeguards; monitoring; criticality; and licensability. A total of 505 repository options are defined and the cost and technical criteria evaluated utilizing a combination of facts and engineering judgments. The repositories evaluated are selected combinations of the following parameters: Geologic Media (salt, granite, basalt, shale); Retrieval Time after Emplacement (5 and 25 years); Emplacement Design (nominal hole, large hole, carbon steel canister, corrosion resistant canister, backfill in hole, nominal sleeves, thick wall sleeves); Emplacement Configuration (single vertical, multiple vertical, single horizontal, multiple horizontal, vaults; Thermal Considerations; (normal design, reduced density, once-through ventilation, recirculated ventilation); Room Backfill; (none, run-of-mine, early, 5 year delay, 25 year delay, decommissioned); and Rate of Retrieval; (same as emplacement, variably slower depending on repository/canister condition).

  2. CONDITIONAL ASIAN OPTIONS

    OpenAIRE

    Runhuan Feng; Volkmer, Hans W.

    2015-01-01

    Conditional Asian options are recent market innovations, which offer cheaper and long-dated alternatives to regular Asian options. In contrast with payoffs from regular Asian options which are based on average asset prices, the payoffs from conditional Asian options are determined only by average prices above certain threshold. Due to the limited inclusion of prices, conditional Asian options further reduce the volatility in the payoffs than their regular counterparts and have been promoted i...

  3. Transgenic hybrid poplar for sustainable and scalable production of the commodity/specialty chemical, 2-phenylethanol.

    Directory of Open Access Journals (Sweden)

    Michael A Costa

    Full Text Available Fast growing hybrid poplar offers the means for sustainable production of specialty and commodity chemicals, in addition to rapid biomass production for lignocellulosic deconstruction. Herein we describe transformation of fast-growing transgenic hybrid poplar lines to produce 2-phenylethanol, this being an important fragrance, flavor, aroma, and commodity chemical. It is also readily converted into styrene or ethyl benzene, the latter being an important commodity aviation fuel component. Introducing this biochemical pathway into hybrid poplars marks the beginnings of developing a platform for a sustainable chemical delivery system to afford this and other valuable specialty/commodity chemicals at the scale and cost needed. These modified plant lines mainly sequester 2-phenylethanol via carbohydrate and other covalently linked derivatives, thereby providing an additional advantage of effective storage until needed. The future potential of this technology is discussed. MALDI metabolite tissue imaging also established localization of these metabolites in the leaf vasculature.

  4. Commercial production of specialty chemicals and pharmaceuticals from biomass

    Energy Technology Data Exchange (ETDEWEB)

    McChesney, J.D. [Univ. of Mississippi, University, MS (United States)

    1993-12-31

    The chemical substances utilized in consumer products, and for pharmaceutical and agricultural uses are generally referred to as specialty chemicals. These may be flavor or fragrance substances, intermediates for synthesis of drugs or agrochemicals or the drugs or agrochemicals themselves, insecticides or insect pheromones or antifeedants, plant growth regulators, etc. These are in contrast to chemicals which are utilized in large quantities for fuels or preparation of plastics, lubricants, etc., which are usually referred to as industrial chemicals. The specific utilization of specialty chemicals is associated with a specific important physiochemical or biological property. They may possess unique properties as lubricants or waxes or have a very desirable biological activity such as a drug, agrochemical or perfume ingredient. These unique properties convey significant economic value to the specific specialty chemical. The economic commercial production of specialty chemicals commonly requires the isolation of a precursor or the specialty chemical itself from a natural source. The discovery, development and commercialization of specialty chemicals is presented and reviewed. The economic and sustainable production of specialty chemicals is discussed.

  5. Collaboration between paediatric surgery and other medical specialties in Nigeria

    Directory of Open Access Journals (Sweden)

    Philemon E Okoro

    2012-01-01

    Full Text Available Background: The quality of service and success of patient care and research in most fields of medicine depend on effective collaboration between different specialties. Paediatric surgery is a relatively young specialty in Nigeria and such collaborations are desirable. This survey assesses the nature and extent of collaboration between paediatric surgery and other specialties in Nigeria. Materials and Methods: This is a questionnaire survey carried out in November 2008 among paediatric surgeons and their trainees practising in Nigeria. Questionnaires were distributed and retrieved either by hand or e-mailing. The responses were then collated and analysed using the SPSS 17.0. Results: Forty-seven respondents were included in the survey. Forty-five (95.7% respondents thought that there was inadequate collaboration and that there was a need for an increased collaboration between paediatric surgery and other specialties. Anaesthesia, paediatrics and radiology are among the specialties where collaborations were most required but not adequately received. Collaboration had been required from these specialties in areas of patient care, training and research. Reasons for inadequate collaboration included the paucity of avenues for inter-specialty communication and exchange of ideas 33 (70.3%, lack of awareness of the need for collaboration 32 (68.1%, tendency to apportion blames for bad outcome 13 (27.7%, and mutual suspicion 8 (17%. Conclusion: There is presently inadequate collaboration between paediatric surgery and other specialties in Nigeria. There is a need for more inter-specialty support, communication, and exchange of ideas in order to achieve desirable outcomes.

  6. The Informed Consent in Allergology from a Scientific, Technological and Social Perspective

    Directory of Open Access Journals (Sweden)

    Marisela Luisa Pérez Pacaréu

    2015-11-01

    Full Text Available This paper reviews the application of the informed consent within the specialty of allergology in procedures (skin tests, therapeutic interventions (immunotherapy and research (clinical trials from a scientific, technological and social perspective, based on the advances achieved in Cuba in recent years to obtain better allergenic extracts for testing, high-quality vaccines and new drugs to benefit the allergic patient. It is demonstrated that when applying the informed consent in this specialty, the humanistic social precepts are respected by directing health actions to respect the integrity of the patients against possible risks, offering the option to use immunotherapy and respecting their autonomy in research. It benefits the patients by improving their lifestyles to control the allergic disease, improve their health and quality of life. Furthermore, it promotes social justice by making available these services to the entire population.

  7. Two interesting cases highlighting an oblivious specialty of psychoneuroendocrinology

    Directory of Open Access Journals (Sweden)

    K. V. S. Hari kumar

    2012-01-01

    Full Text Available Psychoneuroendocrinology deals with the overlap disorders pertaining to three different specialties. Awareness about the somatic manifestations of psychiatric diseases and vice versa is a must for all the clinicians. The knowledge of this interlinked specialty is essential because of the obscure presentation of certain disorders. Our first case was treated as depressive disorder, whereas the diagnosis was hypogonadism with empty sella. Our second patient was managed as schizophrenia and the evaluation revealed bilateral basal ganglia calcification and a diagnosis of Fahr′s disease. We report these cases for their unusual presentation and to highlight the importance of this emerging specialty.

  8. Evaluation of call options

    Institute of Scientific and Technical Information of China (English)

    陈道平

    2002-01-01

    The European and American call options,for which the prices of their underlying asset follow compound Poisson process,are evaluated by a probability method.Formulas that can be used to evaluate the options are obtained,which include not only the elements of an option:the price of the call option,the exercise price and the expiration date,but also the riskless interest rate,nevertheless exclude the volatility of the underlying asset.In practice,the evaluated results obtained by these formulas can proved references of making strategic decision for an investor who buys the call option and a company who sells the call option.

  9. REAL-OPTION ANALYSIS APPROACH TO VALUING HIGH SCIENCE AND TECHNOLOGY COMPANIES%用实物期权分析方法评价高科技公司

    Institute of Scientific and Technical Information of China (English)

    薛明皋; 李楚霖

    2002-01-01

    A general model for valuing high science and technology companies is formulated and analyzed within real option analysis theoretic framework. Using stochastic dynamic programming and real-options theory, the paper will obtain that it satisfies the partially differentiate equation for the value of high science and technology companies. In special case, the paper gives a close form solution, and analyze the influence of the parameters. Finally, present an applied example.%在实物期权分析理论的框架下,开发了更一般的评价高科技公司的模型.利用随机动态规划和实物期权理论,本文得到了高科技公司价值所满足的偏微分方程.在特殊情况下,给出了解析解,并分析参数对高科技价值的影响,最后,给出一个实例来说明本文的结论.

  10. Theme: Staying Current--Small Animals and Specialty Crops.

    Science.gov (United States)

    Knight, James A.; And Others

    1986-01-01

    Six theme articles examine ways that vocational agriculture teachers can keep current, including related hobbies, resource persons, beekeeping as a supervised occupational experience, specialty crops such as fruits and nuts, an inservice poultry project, and trade and industry organizations. (SK)

  11. 75 FR 42431 - Onyx Specialty Papers, Inc; Notice Soliciting Applications

    Science.gov (United States)

    2010-07-21

    ..., Counsel for Onyx Specialty Papers, Inc., Van Ness Feldman, PC, 1050 Jefferson Street, NW., Suite 700... Regulations. Questions concerning this notice should be directed to Robert Bell, (202) 502-6062 or...

  12. career motivation and specialty choice of veterinary medical ...

    African Journals Online (AJOL)

    Analysis of the responses of 90 clinical veterinary students of the Usmanu ... as none of the students sampled wanted to specialize in these areas. KEY WORDS: Students, Veterinary Medicine, Career Motivation, Specialty Choice, Sokoto.

  13. Fiber Fabrication Facility for Non-Oxide and Specialty Glasses

    Data.gov (United States)

    Federal Laboratory Consortium — FUNCTION: Unique facility for the research, development, and fabrication of non-oxide and specialty glasses and fibers in support of Navy/DoD programs. DESCRIPTION:...

  14. AFCI Options Study

    Energy Technology Data Exchange (ETDEWEB)

    R. Wigeland; T. Taiwo; M. Todosow; W. Halsey; J. Gehin

    2009-09-01

    This report describes the background and framework for both organizing the discussion and providing information on the potential for nuclear energy R&D to develop alternative nuclear fuel cycles that would address the issues with the current implementations of nuclear power, including nuclear waste disposal, proliferation risk, safety, security, economics, and sustainability. The disposition of used fuel is the cause of many of the concerns, and the possible approaches to used fuel management identify a number of basic technology areas that need to be considered. The basic science in each of the technology areas is discussed, emphasizing what science is currently available, where scientific knowledge may be insufficient, and especially to identify specific areas where transformational discoveries may allow achievement of performance goals not currently attainable. These discussions lead to the wide range of technical options that have been the basis for past and current research and development on advanced nuclear fuel cycles in the United States. The results of this work are then briefly reviewed to show the extent to which such approaches are capable of addressing the issues with nuclear power, the potential for moving further, and the inherent limitations.

  15. Specialty Engineering Supplement to IEEE-15288.1

    Science.gov (United States)

    2015-05-15

    MISSILE SYSTEMS CENTER TAILORING SPECIALTY ENGINEERING SUPPLEMENT TO IEEE -15288.1 APPROVED FOR PUBLIC RELEASE; DISTRIBUTION...IS UNLIMITED 1 Tailoring of IEEE 15288.1: Specialty Engineering Supplement. 1. Intent of this Tailoring Document This tailoring document is...historically deemed valuable to mission assurance/success of high-reliability space systems. This tailoring document supplements IEEE 15288.1-2015 Annex E

  16. Consumers' Valuation of Primary Care-Based Treatment Options for Mental and Substance Use Disorders.

    Science.gov (United States)

    Epstein, Andrew J; Barry, Colleen L; Fiellin, David A; Busch, Susan H

    2015-08-01

    Most individuals with substance use disorders and with mental disorders do not receive treatment. If treatment options were more attractive, treatment rates might increase. The advantages of novel approaches, including primary care-based treatment and collaborative care in a primary care setting, have been documented. However, less is known about consumers' valuation of these options. The authors assessed monetary valuation of these treatment types compared with usual care in a specialty treatment setting. Contingent valuation methods were used in a Web-based randomized vignette experiment that involved 2,146 individuals who screened positive for a drug or alcohol use disorder or a mental disorder. Participants valued a primary care-based treatment visit over usual care in a specialty treatment setting by $9.00 and a collaborative care visit over usual care in a specialty treatment setting by $5.85.

  17. Distributed Energy Implementation Options

    Energy Technology Data Exchange (ETDEWEB)

    Shah, Chandralata N [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-09-13

    This presentation covers the options for implementing distributed energy projects. It distinguishes between options available for distributed energy that is government owned versus privately owned, with a focus on the privately owned options including Energy Savings Performance Contract Energy Sales Agreements (ESPC ESAs). The presentation covers the new ESPC ESA Toolkit and other Federal Energy Management Program resources.

  18. A paleo-aerodynamic exploration of the evolution of nature's flyers, man's aircraft, and the needs and options for future technology innovations

    Science.gov (United States)

    Kulfan, Brenda M.

    2009-03-01

    Insights and observations of fascinating aspects of birds, bugs and flying seeds, of inspired aerodynamic concepts, and visions of past, present and future aircraft developments are presented. The evolution of nature's flyers, will be compared with the corresponding evolution of commercial aircraft. We will explore similarities between nature's creations and man's inventions. Many critical areas requiring future significant technology based solutions remain. With the advent of UAVs and MAVs, the gap between "possible" and "actual" is again very large. Allometric scaling procedures will be used to explore size implications on limitations and performance capabilities of nature's creations. Biologically related technology development concepts including: bionics, biomimicry, neo-bionic, pseudo-mimicry, cybernetic and non-bionic approaches will be discussed and illustrated with numerous examples. Technology development strategies will be discussed along with the pros and cons for each. Future technology developments should include a synergistic coupling of "discovery driven", "product led" and "technology acceleration" strategies. The objective of this presentation is to inspire the creative nature existing within all of us. This is a summary all text version of the complete report with the same title that report includes approximately 80 figures, photos and charts and much more information.

  19. Final priority; Rehabilitation Training: Rehabilitation Long-Term Training program--rehabilitation specialty areas. Final priority.

    Science.gov (United States)

    2014-07-23

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Rehabilitation Training: Rehabilitation Long-Term Training program. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years in order to fund any of the rehabilitation specialty areas listed in this notice. The specific rehabilitation specialty areas to be funded in a given year will be listed in a notice inviting applications. This priority is designed to ensure that the Department funds high-quality rehabilitation programs in the following nine rehabilitation specialty areas of national need: Rehabilitation Administration (84.129C); Rehabilitation Technology (84.129E); Vocational Evaluation and Work Adjustment (84.129F); Rehabilitation of Individuals Who Are Mentally Ill (84.129H); Rehabilitation Psychology (84.129J); Rehabilitation of Individuals Who are Blind or Have Vision Impairments (84.129P); Rehabilitation of Individuals Who are Deaf or Hard of Hearing (84.129Q); Job Development and Job Placement Services (84.129R); and Comprehensive System of Personnel Development (84.129W). These programs must meet rigorous standards in order to provide rehabilitation professionals the training and qualifications necessary to meet the current challenges facing State vocational rehabilitation (VR) agencies and related agencies and assist individuals with disabilities in achieving high-quality employment outcomes.

  20. Exploitation of marine renewable energies as technology option of future; El aprovechamiento de las energias renovables marinas como opcion tecnologica de futuro

    Energy Technology Data Exchange (ETDEWEB)

    Nunez Rivas, L. R.

    2012-07-01

    In this paper is shown one description of the marine renewable energetic resources mean in our days. It begins with the definition of all these energetic resources and also with their analysis, showing their characteristics and the technological capacity that now exist for their exploitation. And in the second part of the article it shows the next evolution of the technology that will be demand for the development of the new generation park that will see the light in a very short future and over structures, ships and ports. At the end, there is one paragraph with the Conclusions that was necessary to do. (Author)

  1. A conceptual framework and protocol for defining clinical decision support objectives applicable to medical specialties

    Directory of Open Access Journals (Sweden)

    Timbie Justin W

    2012-09-01

    Full Text Available Abstract Background The U.S. Centers for Medicare and Medicaid Services established the Electronic Health Record (EHR Incentive Program in 2009 to stimulate the adoption of EHRs. One component of the program requires eligible providers to implement clinical decision support (CDS interventions that can improve performance on one or more quality measures pre-selected for each specialty. Because the unique decision-making challenges and existing HIT capabilities vary widely across specialties, the development of meaningful objectives for CDS within such programs must be supported by deliberative analysis. Design We developed a conceptual framework and protocol that combines evidence review with expert opinion to elicit clinically meaningful objectives for CDS directly from specialists. The framework links objectives for CDS to specialty-specific performance gaps while ensuring that a workable set of CDS opportunities are available to providers to address each performance gap. Performance gaps may include those with well-established quality measures but also priorities identified by specialists based on their clinical experience. Moreover, objectives are not constrained to performance gaps with existing CDS technologies, but rather may include those for which CDS tools might reasonably be expected to be developed in the near term, for example, by the beginning of Stage 3 of the EHR Incentive program. The protocol uses a modified Delphi expert panel process to elicit and prioritize CDS meaningful use objectives. Experts first rate the importance of performance gaps, beginning with a candidate list generated through an environmental scan and supplemented through nominations by panelists. For the highest priority performance gaps, panelists then rate the extent to which existing or future CDS interventions, characterized jointly as “CDS opportunities,” might impact each performance gap and the extent to which each CDS opportunity is compatible with

  2. TANK SPACE OPTIONS REPORT

    Energy Technology Data Exchange (ETDEWEB)

    WILLIS WL; AHRENDT MR

    2009-08-11

    Since this report was originally issued in 2001, several options proposed for increasing double-shell tank (DST) storage space were implemented or are in the process of implementation. Changes to the single-shell tank (SST) waste retrieval schedule, completion of DST space saving options, and the DST space saving options in progress have delayed the projected shortfall of DST storage space from the 2007-2011 to the 2018-2025 timeframe (ORP-11242, River Protection Project System Plan). This report reevaluates options from Rev. 0 and includes evaluations of new options for alleviating projected restrictions on SST waste retrieval beginning in 2018 because of the lack of DST storage space.

  3. 16 CFR 300.18 - Use of name of specialty fiber.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Use of name of specialty fiber. 300.18... specialty fiber. (a) In setting forth the required fiber content of a product containing any of the specialty fibers named in Section 2(b) of the Act, the name of the specialty fiber present may be used...

  4. Farm Crop Production Technology: Field and Forage Crop and Fruit and Vine Production Options. A Suggested 2-Year Post High School Curriculum.

    Science.gov (United States)

    Division of Vocational and Technical Education, BAVT.

    Prepared by a junior college under contract with the Office of Education, the curriculum materials are designed to assist school administrators, advisory committees, supervisors, and teachers in developing or evaluating postsecondary programs in farm crop production technology. Information was gathered by visits to the important farm regions and…

  5. The constraints in managing a transition towards clean energy technologies in developing nations: reflection on energy governance and alternative policy options.

    NARCIS (Netherlands)

    Thiam, D.R.; Moll, H.C.

    2012-01-01

    The purpose of this paper is to provide a conceptual framework stimulating a sustainable energy transition in developing nations. Based on the existing literature, we first index theoretical factors preventing deployment of low carbon technologies. After having identified these factors, we provide

  6. Strengthening the decentralised healthcare system in rural South Africa through improved service delivery: testing mobility, information and communication technology intervention options

    CSIR Research Space (South Africa)

    Chakwizira, J

    2010-09-01

    Full Text Available of information) become most difficult. In addition, access to information and communication technologies (ICT) and systems is cross-cutting through all challenges. As part of the overarching framework, this paper seeks to provide a platform on which ICT systems...

  7. Factors influencing the choice of specialty of Australian medical graduates.

    Science.gov (United States)

    Harris, Mary G; Gavel, Paul H; Young, Jeannette R

    2005-09-19

    To identify the relative importance of extrinsic determinants of doctors' choice of specialty. A self-administered postal questionnaire. Australian vocational training programs. 4259 Australian medical graduates registered in September 2002 with one of 16 Australian clinical colleges providing vocational training programs. Choice of specialist vocational training program; extrinsic factors influencing choice of program, and variation by sex, age, marital status and country of birth. In total, 79% of respondents rated "appraisal of own skills and aptitudes" as influential in their choice of specialty followed by "intellectual content of the specialty" (75%). Extrinsic factors rated as most influential were "work culture" (72%), "flexibility of working arrangements" (56%) and "hours of work" (54%). We observed variation across training programs in the importance ascribed to factors influencing choice of specialty, and by sex, age and marital status. Factors of particular importance to women, compared with men, were "appraisal of domestic circumstances" (odds ratio [OR], 1.9), "hours of work" (OR, 1.8) and "opportunity to work flexible hours" (OR, 2.6). Partnered doctors, compared with single doctors, rated "hours of work" and "opportunity to work flexible hours" as more important (OR, 1.3), while "domestic circumstances" was more important to doctors with children than those without children (OR, 1.7). In total, 80% of doctors had chosen their specialty by the end of the third year after graduation. Experience with discipline-based work cultures and working conditions occurs throughout medical school and the early postgraduate years, and most doctors choose their specialty during these years. It follows that interventions to influence doctors' choice of specialty need to target these critical years.

  8. Internship and Empathy: Variations Across Time and Specialties.

    Science.gov (United States)

    Avasarala, Sameer K; Whitehouse, Sarah; Drake, Sean M

    2015-10-01

    To assess whether any differences exist in Interpersonal Reactivity Index (IRI) scores among postgraduate year 1 (PGY-1) residents across specialties. PGY-1 residents representing 11 specialties at our academic institution were invited to take a Web-based IRI survey at three time points. The specialties were condensed into several binary groups for analysis: internal medicine (IM) versus non-IM; primary care (IM, family medicine) versus nonprimary care; emergency medicine (EM, including the combined IM/EM) versus non-EM; surgical specialties (general surgery, obstetrics and gynecology, otolaryngology, orthopedics, urology) versus nonsurgical specialties (EM, family medicine, IM, neurology, pathology, and psychiatry); men versus women; and age groups. A repeated-measures generalized-estimating equations approach was taken to analyze the effect of specialty and time on each of the four IRI subscales. Of 94 PGY-1 residents invited to participate at each time point, 74 (77.1%) completed the survey at least once. Response rates at each time point were similar (mean 47.9%). When comparing the IM (n=35) and non-IM (n=39) groups, the perspective-taking subscale was found to be significantly lower in the non-IM group (P=0.006). Among male (n=46) versus female residents (n=26), the personal-distress subscale was significantly different overall (P=0.041) but not among time points. No other significant differences were found between groups. The conglomerate subscale scores throughout the year did not show a dramatic change. Our study of IRI subscales in PGY-1 residents showed no major difference among specialties across 1 year except for IM residents, who scored significantly higher (more favorably) in the perspective-taking subscale. Contrary to previous studies, we did not observe a substantial decline in the empathic concern subscale IM residents over their first year.

  9. Installations in practice. Gap between technological options and users of health care services; Installaties in de praktijk. Dichten kloof tussen mogelijkheden technologie en zorgontvangers

    Energy Technology Data Exchange (ETDEWEB)

    Van Hoof, J. [Hogeschool Utrecht, Utrecht (Netherlands)

    2009-02-15

    Health care and building services professionals are increasingly working together, even though there are apparent differences in each others approaches. This paper will zoom in on these differences. Examples from long-term care and ageing-in-place such as home automation, technology for dementia, medical equipment at home, the need for cooling during hot summers, and special lighting systems should lead to steps to bridge the gap between technology and health care. [Dutch] De zorg en de installatiewereld werken steeds nauwer met elkaar samen, zij het dat elkaars werkwijzen duidelijk verschillen. Dit artikel gaat hier dieper op in. Aan de hand van voorbeelden uit de ouderenzorg en het langer zelfstandig wonen, zoals domotica, technologie voor dementie, medische apparatuur aen huis, koeling bij hete zomers en speciale verlichting, zal worden geprobeerd de technologie dichter naar de zorg toe te laten groeien.

  10. The management of gout in different clinical specialties in Turkey: a patient-based survey.

    Science.gov (United States)

    Öztürk, Mehmet Akif; Mercan, Rıdvan; Gök, Kevser; Onat, Ahmet Mesut; Kısacık, Bünyamin; Kimyon, Gezmiş; Balkarlı, Ayşe; Kaya, Arif; Çobankara, Veli; Balcı, Mehmet Ali; Pamuk, ÖmerNuri; Yıldırım Çetin, Gözde; Sayarlıoğlu, Mehmet; Şenel, Soner; Tezcan, Mehmet Engin; Küçük, Adem; Üreten, Kemal; Şahin, Şafak; Tufan, Abdurrahman

    2016-12-01

    Although gout is potentially curable, the management of this disease is often suboptimal. In this study, we investigated the treatment of gout in Turkey and also compared the management approaches to gout in different clinical specialties. Three hundred and nineteen consecutive patients (mean age 58.60 ± 12.8 years; 44 females, 275 males) were included in this multicenter study. A standardized form was generated to collect data about the patient's first admission to health care, the specialty of the doctor first diagnosed the gout, the treatment options for gout including attack management, patient referral, chronic treatment including medical treatment, and life style modifications. Forty patients were referred to another center without any treatment (12.8 %), and referral rate is most common among the primary care physicians (28.8 %). Colchicine was more commonly used for attack prophylaxis than allopurinol. Ninety-two patients had never been treated with allopurinol (28.8 %). Allopurinol prescription was less common among the primary care physicians and orthopedists, and highest among the rheumatologists. Recommendation of diet and life style modifications was less common among the primary care physicians and orthopedists, and highest among the rheumatologists. The rates of life style modification recommendation and long-term allopurinol prescription were 83.7 and 77.6 %, respectively, among the rheumatologists. Both acute and chronic management of gout is suboptimal in Turkey especially among the primary care physicians and orthopedists. Moreover, chronic treatment is even suboptimal among rheumatologists.

  11. Urgent care medicine and the role of the APP within this specialty.

    Science.gov (United States)

    Memmel, Jessica; Spalsbury, Marcy

    2017-05-01

    The field of urgent care medicine offers an additional medical pathway for patients who have immediate, but non-life-threatening, medical concerns. Urgent care medicine offers a more varied set of resources and services than a physician office setting, with more flexible hours. This gives patients an opportunity to not have to go to the emergency department for non-emergent care. As a newer specialty within the medical field, certain roles of healthcare providers other than physicians are becoming established, including the advanced practice provider (APP). An APP is a nurse practitioner or a physician assistant, who is licensed to treat under the supervision of a physician. Nurse practitioners' (NP) and physician assistants' (PA) role in urgent care is often seen as an effective, lower cost option to manage common acute minor illnesses seen in the community. Benefits to utilizing APPs in urgent care include decreasing costs to both the patient and health system, enhancing the physician's ability to see more patients, and decreasing wait times, all while continuing to maintain high standards of care. The goal of the authors within this publication is to discuss urgent care as a specialty and further explore the role of advanced practice providers within this setting. Copyright © 2017 Elsevier GmbH. All rights reserved.

  12. Challenges in Specialty Coffee Processing and Quality Assurance

    Directory of Open Access Journals (Sweden)

    Palmiro Poltronieri

    2016-10-01

    Full Text Available Coffee is an important crop that assures a sustainable economy to farmers in tropical regions. A dramatic concern for coffee production is currently represented by climate change, which threatens the survival of Coffea arabica cultivation worldwide and imposes modifications of the agronomic practices to prevent this risk. The quality of coffee beans depends on optimized protocols of cultivation, ripe berries collection, and removal of the outer fruit layers by dry or wet processes and moisture reduction. Storage and shipment represent two steps where bean quality needs to be preserved by preventing fungal contamination that may impact the final product and form mycotoxins, mainly ochratoxin A. In this review, we describe the challenges faced by the coffee industry to guarantee quality from production to roasting and brewing. An overview of novel technologies, such as the application of starter cultures in fermentation and the exploitation of industrial enzymes in accelerating the process of flavour development in coffee beans, is given. Moreover, the results of studies on microbial populations on coffee and the differences found in fungi, yeasts and bacteria composition among the investigations, are summarized. In particular, this review describes new attempts to contain the development of mycotoxigenic fungi, through the application of antagonistic microorganisms such as S. cerevisiae. The new wave of specialty coffees, i.e., those with a cupping score higher than 85/100, is also presented. It is shown how, through careful coffee production methods and controlled fermentation processes, coffee producers may increase their income by assuring high standards of quality and high added value for the coffee experience sector.

  13. Veteran satisfaction and treatment preferences in response to a posttraumatic stress disorder specialty clinic orientation group.

    Science.gov (United States)

    Schumm, Jeremiah A; Walter, Kristen H; Bartone, Anne S; Chard, Kathleen M

    2015-06-01

    To maximize accessibility to evidence-based treatments for posttraumatic stress disorder (PTSD), the United States Department of Veterans Affairs (VA) has widely disseminated cognitive processing therapy (CPT) and prolonged exposure (PE) therapy to VA clinicians. However, there is a lack of research on veteran preferences when presented with a range of psychotherapy and medication options. This study uses a mixed-method approach to explore veteran satisfaction with a VA PTSD specialty clinic pre-treatment orientation group, which provides education about available PTSD treatment options. This study also tested differences in treatment preference in response to the group. Participants were 183 US veterans. Most were White, male, and referred to the clinic by a VA provider. Results indicated high satisfaction with the group in providing an overview of services and helping to inform treatment choice. Most preferred psychotherapy plus medications (63.4%) or psychotherapy only (30.1%). Participants endorsed a significantly stronger preference for CPT versus other psychotherapies. PE was significantly preferred over nightmare resolution therapy and present-centered therapy, and both PE and cognitive-behavioral conjoint therapy were preferred over virtual reality exposure therapy. Results suggest that by informing consumers about evidence-based treatments for PTSD, pre-treatment educational approaches may increase consumer demand for these treatment options.

  14. A Multicenter Study Investigating Empathy and Burnout Characteristics in Medical Residents with Various Specialties

    Science.gov (United States)

    2016-01-01

    We assessed empathy in medical residents, including factors modifying empathy and the relationship between empathy and burnout. Participants (n = 317 residents, response rate = 42%) from 4 university hospitals completed a socio-demographic questionnaire, the Jefferson Scale of Empathy (Health Professional version, Korean edition), and the Maslach Burnout Inventory (MBI). Participants were classified by medical specialty: “people-oriented specialty” (POS group) or “technology-oriented specialty” (TOS group), with more women in the POS than in the TOS group, χ2 = 14.12, P Burnout state may be related to decreasing empathy. PMID:27051244

  15. New directions for veterinary technology.

    Science.gov (United States)

    Chadderdon, Linda M; Lloyd, James W; Pazak, Helene E

    2014-01-01

    Veterinary technology has generally established itself well in companion-animal and mixed-animal veterinary medical practice, but the career's growth trajectory is uncertain. Michigan State University (MSU) convened a national conference, "Creating the Future of Veterinary Technology-A National Dialogue," in November 2011 to explore ways to elevate the veterinary technician/technologist's role in the veterinary medical profession and to identify new directions in which the career could expand. Veterinary technicians/technologists might advance their place in private practice by not only improving their clinical skills, but by also focusing on areas such as practice management, leadership training, business training, conflict resolution, information technology, and marketing/communications. Some new employment settings for veterinary technicians/technologists include more participation within laboratory animal medicine and research, the rural farm industry, regulatory medicine, and shelter medicine. Achieving these ends would call for new training options beyond the current 2-year and 4-year degree programs. Participants suggested specialty training programs, hybrid programs of various types, online programs, veterinary technician residency programs of 12-18 months, and more integration of veterinary technician/technology students and veterinary medicine students at colleges of veterinary medicine.

  16. Parsing abnormal grain growth in specialty aluminas

    Science.gov (United States)

    Lawrence, Abigail Kremer

    Grain growth in alumina is strongly affected by the impurities present in the material. Certain impurity elements are known to have characteristic effects on abnormal grain growth in alumina. Specialty alumina powders contain multiple impurity species including MgO, CaO, SiO2, and Na 2O. In this work, sintered samples made from alumina powders containing various amounts of the impurities in question were characterized by their grain size and aspect ratio distributions. Multiple quantitative methods were used to characterize and classify samples with varying microstructures. The grain size distributions were used to partition the grain size population into subpopulations depending on the observed deviation from normal behavior. Using both grain size and aspect ratio a new visual representation for a microstructure was introduced called a morphology frequency map that gives a fingerprint for the material. The number of subpopulations within a sample and the shape of the distribution on the morphology map provided the basis for a classification scheme for different types of microstructures. Also using the two parameters a series of five metrics were calculated that describe the character of the abnormal grains in the sample, these were called abnormal character values. The abnormal character values describe the fraction of grains that are considered abnormal, the average magnitude of abnormality (including both grain size and aspect ratio), the average size, and variance in size. The final metric is the correlation between grain size and aspect ratio for the entire population of grains. The abnormal character values give a sense of how different from "normal" the sample is, given the assumption that a normal sample has a lognormal distribution of grain size and a Gaussian distribution of aspect ratios. In the second part of the work the quantified measures of abnormality were correlated with processing parameters such as composition and heat treatment conditions. A

  17. Technology Options of Medical Waste Treatment and Development Trend Analysis%医疗废物处理的技术选择与发展趋势分析

    Institute of Scientific and Technical Information of China (English)

    白云鹤; 范洪波

    2011-01-01

    以焚烧和非焚烧的技术选择角度,比较了医疗废物处理中现有或发展中的新型技术的优势和局限性,分析了我国医疗废物处理的市场环境和发展趋势。指出今后我国医疗废物处理出现两部分的工程市场,一种是医疗废物处理设备的大型化与集中处置(以焚烧技术为主),另一种是医疗废物处理设备的小型化与各大医院分散原位处理(以非焚烧技术为主),并建议我国加强非焚烧技术的研究和装备开发。%From the options of the burning and non-incineration technology, the advantages and limitations of existing or de- veloping new technology have been compared, the market environment and trends of medical waste treatment have also been re- searched in this paper. That the future of medical waste treatment in China's construction market appears in two parts, a medical waste disposal equipment, large-scale and centralized disposal ( in technology-based incineration), and the other medical waste treatment equipment, smaller and more dispersed in-situ processing major hospitals(based on non-incineration technology. And it is suggested that research on the non-incineration technology and its development equipment in China should be strengthened.

  18. Hypermodular Distributed Solar Power Satellites -- Exploring a Technology Option for Near-Term LEO Demonstration and GLPO Full-Scale Plants

    CERN Document Server

    Leitgab, Martin

    2013-01-01

    This paper presents a new and innovative design for scaleable space solar power systems based on satellite self-assembly and microwave spatial power combination. Lower system cost of utility-scale space solar power is achieved by independence of yet-to-be-built in-space assembly and transportation infrastructure. Using current and expected near-term technology, this study explores a design for near-term space solar power low-Earth orbit demonstrators and for mid-term utility-scale power plants in geosynchronous Laplace plane orbits. High-level economic considerations in the context of current and expected future launch costs are given as well.

  19. Price pressure. As the number of costly specialty drugs grows, insurers and providers push for more reasonable alternatives.

    Science.gov (United States)

    Evans, Melanie

    2013-01-28

    Faced with a rising tide of specialty drugs with eyebrow-raising prices, hospitals and insurers are pushing back. That means looking for less-costly alternatives, though options are limited. "Our goal is, as more patients come along, we get them on Elelyso and not on more expensive Cerezyme," says Eric Cannon, chief of pharmacy for insurer SelectHealth. Elelyso entered the market in 2012 and costs about $150,000 per year for a patient, versus the more costly rival drug Cerezyme.

  20. Physical anthropology and the dental and medical specialties.

    Science.gov (United States)

    Krogman, W M

    1976-11-01

    The rise of two sub-specialties in Physical Antrhopology traces back to the Anatomy Departments of Schools of Medicine in Germany and France during the nineteenth century. The study of human diversity in bones and bodies was largely by medically-trained anatomists. There developed Medical Antropology and Dental Anthropology, employing osteometry and craniometry on the skeleton, somatometry and cephalometry on the living body. As a result cross-sectional studies gave way to longitudinal studies and X-ray techniques were added to purely mensurational procedures. In Medical Anthropology the specialties most directly concerned are pediatrics, plastic surgery, endocrinology, and orthopaedics. In Dental Anthropology the specialties most directly concerned are pedodontics, orthodontics, oral surgery, and prosthodontics. The contributions of Physical Anthropology to each is discussed.

  1. Competency Revalidation Study of Specialty Practice in Sports Physical Therapy

    Science.gov (United States)

    Thein-Nissenbaum, Jill; Bartlett, Lynn; Woodall, William R.; Reinking, Mark F.; Wallmann, Harvey W.; Mulligan, Edward P.

    2009-01-01

    Purpose The primary purpose of this study was to revalidate the competencies that define the practice of sports physical therapy. Additionally, the study allowed for the comparison of responses of board certified specialists in sports physical therapy to respondents who were not specialists. Methods A survey instrument based the on American Board of Physical Therapy Specialties practice analysis template and The Guide to Physical Therapist Practice was developed by the Sports Specialty Council and a panel of subject matter experts in sports physical therapy. The instrument was sent to 630 physical therapists, 315 of whom were board certified specialists in sports physical therapy and 315 of whom were randomly selected members of the Sports Physical Therapy Section who were not board certified specialists in sports physical therapy. Two hundred and thirty seven subjects returned completed surveys for a 41% response rate. One hundred and fifty eight respondents were sports specialists Results The survey results were reviewed by the Sports Specialty Council and another panel of subject matter experts. Using a defined decision making process, the results were used to determine the competencies that define the specialty practice of sports physical therapy. Survey results were also used to develop the sports physical therapy specialty board examination blue print. A number of significant comparisons between the specialists and non-specialists were identified. Conclusion The competency revalidation process culminated in the publication of the Sports Physical Therapy Description of Specialty Practice. This document serves to guide the process related to the attainment and maintenance of the board certified clinical specialist in sports physical therapy. PMID:21509106

  2. Women otolaryngologist representation in specialty society membership and leadership positions.

    Science.gov (United States)

    Choi, Sukgi S; Miller, Robert H

    2012-11-01

    To determine the proportion of female otolaryngologists in leadership positions relative to their number in the specialty, their membership in various otolaryngology organizations, and age. Cross-sectional analyses of otolaryngology organization membership with a subgroup analysis on female membership and leadership proportion comparing 5-year male/female cohort groups. Information on the number of members and leaders was obtained from various specialty societies by direct communication and from their Web sites between June and December 2010. The number of female and male otolaryngologists and their age distribution in 5-year age groups was obtained from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). Statistical analyses were used to determine whether women had proportional membership and leadership representation in various specialty societies. Additionally, female representation in other leadership roles was analyzed using the male/female ratio within the 5-year cohort groups. Female otolaryngologists were found to constitute approximately 11% of practicing otolaryngologists. The American Society of Pediatric Otolaryngology had a higher proportion of female members (22%) compared to five other societies. When the gender composition within each organization was taken into account, female representation in specialty society leadership positions was proportionate to their membership across all societies. When gender and age were considered, women have achieved proportionate representation in each of the specialty societies' leadership positions. There was also proportionate representation of females as program directors, American Board of Otolaryngology directors, Residency Review Committee members, and journal editors/editorial board members. Finally, fewer female chairs or chiefs of departments/divisions were seen, but when age was taken into consideration, this difference was no longer significant. Women have achieved parity in

  3. Medical students' career indecision and specialty rejection: roads not taken.

    Science.gov (United States)

    Kassebaum, D G; Szenas, P L

    1995-10-01

    The authors used data from the AAMC Matriculating Student Questionnaire and Medical School Graduation Questionnaire to ascertain how closely the specialty or subspecialty choices of the 1991 and 1994 graduates of U.S. medical schools matched the preferences they had declared when they were matriculated; the extent to which these students strongly considered and then rejected choices that arose during medical school; and the graduation choices of the substantial number of students in both cohorts who were undecided about their careers when they entered medical school. Approximately 80% of the graduates in both classes rejected the specialty intentions they had declared when they began medical school. However, matriculation interests in the generalist specialties--family practice, general pediatrics, and general internal medicine--were more enduring for the 1994 cohort, while interests in the medical, surgical, and support specialties were less so. Large percentages of the 1991 and 1994 cohorts were undecided about their careers at matriculation (20.8% and 26.2%, respectively), and nearly the same proportions remained undecided at graduation. However, more of the graduates in the 1994 cohort who had initially been undecided reached decisions favoring one of the generalist specialties than was true for the 1991 cohort. Nearly half the 1994 graduates had strongly considered and then rejected an alternative to their matriculation interest that arose during medical school. Within the generalist specialties, both early and later interests in family practice were more durable than were those in general pediatrics and general internal medicine: for every student who retreated from tentative interest in family practice, another student's interest was reinforced or kindled.(ABSTRACT TRUNCATED AT 250 WORDS)

  4. Managing Nuclear Waste: Options Considered

    Energy Technology Data Exchange (ETDEWEB)

    DOE

    2002-05-02

    Starting in the 1950s, U.S. scientists began to research ways to manage highly radioactive materials accumulating at power plants and other sites nationwide. Long-term surface storage of these materials poses significant potential health, safety, and environmental risks. Scientists studied a broad range of options for managing spent nuclear fuel and high-level radioactive waste. The options included leaving it where it is, disposing of it in various ways, and making it safer through advanced technologies. International scientific consensus holds that these materials should eventually be disposed of deep underground in what is called a geologic repository. In a recent special report, the National Academy of Sciences summarized the various studies and emphasized that geologic disposal is ultimately necessary.

  5. [Training in internal medicine and its specialties: universities' proposals].

    Science.gov (United States)

    Norero, C

    1996-04-01

    Medical School graduates can enter a medicine subspecialty training program upon completion of a 3 year Internal Medicine residency. The Ministry of Health has contributed to postgraduate training by defining the type of physician the country needs, and by financial support of specially (Internal Medicine) training. Before 1995, when applicants began being charged a fee, finding for subspecialty training was provided exclusively by the universities. Currently, 450 training post are available for 550 graduates from all medical schools. Of these, 59 are in Internal Medicine and 58 in its subspecialties. A quantitative analysis of 40 years of training programs in Internal Medicine by the traditional medical schools shows that only the Catholic University of Chile Medical School privileges subspecially training whereas all other schools favor general Internal Medicine training. A high number of Internal Medicine trainees never take final examination. Nevertheless, training through practice, not necessarily in a university setting, accounts for 67% of Autonomous National Corporation for Certification of Medical Specialties. CONACEM accredited subspecialists. About 63% of those who finish an Internal Medicine training program decide to go into subspecialization. It is felt that subspecialization involves technical as well as non-professional aspects, such as a philosophical stance towards the search for truth through research and creativity. An integral education in a subspecialty can only be given by the university. Non-university centers, however, can contribute to subspecialization by allowing trainees to gain access to newer technology or to larger numbers of patients. A critical question is how many subspecialists should exist in relation to the number of generalists and according to the country's health requirements. In my personal view, the proportion of subspecialists is excessive. The decision to subspecialize should not be exclusively a personal choice, but

  6. Approximate option pricing

    Energy Technology Data Exchange (ETDEWEB)

    Chalasani, P.; Saias, I. [Los Alamos National Lab., NM (United States); Jha, S. [Carnegie Mellon Univ., Pittsburgh, PA (United States)

    1996-04-08

    As increasingly large volumes of sophisticated options (called derivative securities) are traded in world financial markets, determining a fair price for these options has become an important and difficult computational problem. Many valuation codes use the binomial pricing model, in which the stock price is driven by a random walk. In this model, the value of an n-period option on a stock is the expected time-discounted value of the future cash flow on an n-period stock price path. Path-dependent options are particularly difficult to value since the future cash flow depends on the entire stock price path rather than on just the final stock price. Currently such options are approximately priced by Monte carlo methods with error bounds that hold only with high probability and which are reduced by increasing the number of simulation runs. In this paper the authors show that pricing an arbitrary path-dependent option is {number_sign}-P hard. They show that certain types f path-dependent options can be valued exactly in polynomial time. Asian options are path-dependent options that are particularly hard to price, and for these they design deterministic polynomial-time approximate algorithms. They show that the value of a perpetual American put option (which can be computed in constant time) is in many cases a good approximation to the value of an otherwise identical n-period American put option. In contrast to Monte Carlo methods, the algorithms have guaranteed error bounds that are polynormally small (and in some cases exponentially small) in the maturity n. For the error analysis they derive large-deviation results for random walks that may be of independent interest.

  7. Informed Option Trading Strategies

    NARCIS (Netherlands)

    C.M. de Jong (Cyriel)

    2001-01-01

    textabstractWe use a sequential trade model to clarify two mechanisms following the introduction of an option that may lead to increased efficiency in the underlying. On the one hand, market makers learn from trades in the option market and set more accurate prices. On the other hand, the proportion

  8. Traffic Light Options

    DEFF Research Database (Denmark)

    Jørgensen, Peter Løchte

    2006, and supervisory authorities in many other European countries have implemented similar regulation. Traffic light options are therefore likely to attract the attention of a wider audience of pension fund managers in the future. Focusing on the valuation of the traffic light option we set up a Black......This paper introduces, prices, and analyzes traffic light options. The traffic light option is an innovative structured OTC derivative developed independently by several London-based investment banks to suit the needs of Danish life and pension (L&P) companies, which must comply with the traffic...... light scenarios. These stress scenarios entail drops in interest rates as well as in stock prices, and traffic light options are thus designed to pay off and preserve sufficient capital when interest rates and stock prices fall simultaneously. Sweden's FSA implemented a traffic light system in January...

  9. Traffic Light Options

    DEFF Research Database (Denmark)

    Jørgensen, Peter Løchte

    2007-01-01

    2006, and supervisory authorities in many other European countries have implemented similar regulation. Traffic light options are therefore likely to attract the attention of a wider audience of pension fund managers in the future. Focusing on the valuation of the traffic light option we set up a Black......This paper introduces, prices, and analyzes traffic light options. The traffic light option is an innovative structured OTC derivative developed independently by several London-based investment banks to suit the needs of Danish life and pension (L&P) companies, which must comply with the traffic...... light scenarios. These stress scenarios entail drops in interest rates as well as in stock prices, and traffic light options are thus designed to pay off and preserve sufficient capital when interest rates and stock prices fall simultaneously. Sweden's FSA implemented a traffic light system in January...

  10. Models for evaluation of energy technology and policy options to maximize low carbon source penetration in the United States energy supply.

    Energy Technology Data Exchange (ETDEWEB)

    Pickard, Paul S.; Kataoka, Dawn; Reno, Marissa Devan; Malczynski, Leonard A.; Peplinski, William J.; Roach, Jesse D.; Brainard, James Robert; West, Todd H.; Schoenwald, David Alan

    2009-12-01

    An initial version of a Systems Dynamics (SD) modeling framework was developed for the analysis of a broad range of energy technology and policy questions. The specific question selected to demonstrate this process was 'what would be the carbon and import implications of expanding nuclear electric capacity to provide power for plug in hybrid vehicles?' Fifteen SNL SD energy models were reviewed and the US Energy and Greenhouse gas model (USEGM) and the Global Nuclear Futures model (GEFM) were identified as the basis for an initial modeling framework. A basic U.S. Transportation model was created to model U.S. fleet changes. The results of the rapid adoption scenario result in almost 40% of light duty vehicles being PHEV by 2040 which requires about 37 GWy/y of additional electricity demand, equivalent to about 25 new 1.4 GWe nuclear plants. The adoption rate of PHEVs would likely be the controlling factor in achieving the associated reduction in carbon emissions and imports.

  11. Development of an integrated, in-situ remediation technology: Task 1 -- Evaluation of treatment zone formation options. Topical report, September 26, 1994--May 25, 1996

    Energy Technology Data Exchange (ETDEWEB)

    Shoemaker, S.H.; Landis, R.C.; Griffith, R.J.; Schultz, D.S. [Monsanto Co., St. Louis, MO (United States); Quinton, G.E. [E.I. duPont de Nemours and Co., Inc., Wilmington, DE (United States)

    1997-05-01

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. This topical report presents the results of evaluations by E.I. duPont de Nemours and Co., Inc. of treatment zone and electrode emplacement alternatives for use in the integrated treatment process. Specifically, the scope of this study was limited to vertical configuration emplacements. Several promising alternatives were identified ranging from approaches involving standard excavation techniques to relatively specialized geotechnical construction methods which could be modified for the treatment zone emplacement purpose. Information developed in this report is designed to help the user select the most promising emplacement method(s) for a given site on the basis of (1) depth of emplacement, and (2) restrictions on handling excavated soils. Advantages, disadvantages, and estimated costs are identified for each alternative, and possible bases for improvement and cost reduction through further development are described.

  12. On the Teaching Reform of Labor Law Course of Human Resources Management Specialty---In a Case of Henan Institute of Science and Technology%人力资源管理专业劳动法课程教学改革研究--以河南科技学院为例

    Institute of Scientific and Technical Information of China (English)

    康芳

    2014-01-01

    Labor law course has a strong practical and applied feature .The paper combined with the training objec-tives and orientation of human resource management specialty ,as well as the setting status of labor law course ,pro-posed scientific orientation in the teaching of labor law course of human resources management specialty ,the estab-lishment of teaching mode ,the improvement of teaching methods and effects ,the perfection of curriculum evaluation and its indicators .%劳动法课程具有较强的实践性和应用性。结合人力资源管理专业的培养目标和定位,以及人力资源管理专业劳动法课程的开设现状,在课程教学过程中要科学定位、确立新的教学模式,改进课程教学方法、提升教学效果,完善课程评价指标、做好课程评价。

  13. “五个对接”在机械制造专业教学体系中的实践——以武汉船舶职业技术学院为例%Practice of "Five Dockings" Theory in Machinery Manufacturing Specialty Teaching——With Wuhan Institute of Shipbuilding Technology as a Study Case

    Institute of Scientific and Technical Information of China (English)

    汪晓云

    2012-01-01

    机械制造专业的人才培养目标应根据企业的需求制订。专业体系的设置、课程教学的设计、实训基地的建立、实训教学的开展等,应与职业岗位、职业标准、生产过程、职业证书及终身学习实现对接。通过这"五个对接"的实现,加强学生的职业能力培养,为企业输送高端技能型人才,打造学校、企业、学生的共赢局面。%The talents training goal of Machinery manufacturing specialty should be formulated according to the demand of enterprise.Specialty system setting,course teaching design,training base founding,and practical training teaching etc,should connect with job,vocational standards,production process,professional certification and lifelong learning.Through the realization of "five docking",the professional ability cultivation of students is strengthened,and high skilled talents are conveyed to enterprises,so that schools,businesses,students are built in win-win situation.

  14. Polish Toxic Currency Options

    Directory of Open Access Journals (Sweden)

    Waldemar Gontarski

    2009-04-01

    Full Text Available Toxic currency options are defined on the basis of the opposition to the nature (essence of an option contract, which is justified in terms of norms founded on the general law clause of characteristics (nature of a relation (which represents an independent premise for imposing restrictions on the freedom of contracts. So-understood toxic currency options are unlawful. Indeed they contravene iuris cogentis regulations. These include for instance option contracts, which are concluded with a bank, if the bank has not informed about option risk before concluding the contract; or the barrier options, which focus only on the protection of banks interests. Therefore, such options may appear to be invalid. Therefore, performing contracts for toxic currency options may be qualified as a criminal mismanagement. For the sake of security, the manager should then take into consideration filing a claim for stating invalidity (which can be made in a court verdict. At the same time, if the supervisory board member in a commercial company, who can also be a subject to mismanagement offences, commits an omission involving lack of reaction (for example, if he/she fails to notify of the suspected offence committed by the management board members acting to the companys detriment when the management board makes the company conclude option contracts which are charged with absolute invalidity the supervisory board member so acting may be considered to act to the companys detriment. In the most recent Polish jurisprudence and judicature the standard of a good host is treated to be the last resort for determining whether the managers powers resulting from criminal regulations were performed. The manager of the exporter should not, as a rule, issue any options. Issuing options always means assuming an obligation. In the case of currency put options it is an absolute obligation to purchase a given amount in euro at exchange rate set in advance. On the other hand issuing

  15. Patient safety risks and patients treated by multiple specialties.

    NARCIS (Netherlands)

    Baines, R.; Bruijne, M. de; Langelaan, M.; Wagner, C.

    2013-01-01

    Objectives: To determine if the number of medical specialties treating a patient is associated with the risk of experiencing harm during hospital admission. Methods: We performed structured retrospective patient record review study by trained nurses and physicians. We included 20 hospitals in the N

  16. Personality and Values as Predictors of Medical Specialty Choice

    Science.gov (United States)

    Taber, Brian J.; Hartung, Paul J.; Borges, Nicole J.

    2011-01-01

    Research rarely considers the combined influence of personality traits and values in predicting behavioral outcomes. We aimed to advance a germinal line of inquiry that addresses this gap by separately and simultaneously examining personality traits and physician work values to predict medical specialty choice. First-year medical students (125…

  17. Burnout Comparison among Residents in Different Medical Specialties

    Science.gov (United States)

    Martini, Shahm; Arfken, Cynthia L.; Churchill, Amy; Balon, Richard

    2004-01-01

    Objective: To investigate resident burnout in relation to work and home-related factors. Method: Maslach Burnout Inventory was mailed to residents in eight different medical specialties, with a response rate of 35%. Results: Overall, 50% of residents met burnout criteria, ranging from 75% (obstetrics/gynecology) to 27% (family medicine). The first…

  18. [Directions of ecology specialty construction and personnel training in China].

    Science.gov (United States)

    Zhang, Jia-En; Luo, Shi-Ming; Qin, Zhong; Ye, Yan-Qiong; Zhao, Ben-Liang

    2009-07-01

    This paper analyzed the present status of ecology specialty construction and personnel training in China. It was considered that there existed some problems to be solved, e. g., the contradiction between the rapid development of new subjects in ecology and the relative weakness in personnel qualified to teach, the unbalance between the extensive and intensive, and the deep and shallow teaching programs for the students in ecology, the conflict between the "soft" (theoretical) ecological education and the "hard" (technical) ecological construction, and the contradiction between the limited demands and the relative surplus supply of undergraduate students in ecology. Based on these analyses, a series of suggestions and countermeasures for the innovation of the teaching styles and training directions in ecological specialties were put forward, including 1) to formulate a development and construction plan of ecology specialty and to appropriately regulate the enrollment of undergraduate students, 2) to achieve the changes in current teaching styles from classroom to field and from "soft" theoretical teaching to "hard" technical training, 3) to develop and implement a variety of diversified teaching methods, such as participative, interactive, research-based, and innovative teaching for undergraduate students, 4) to enhance the undergraduate educational quality and teaching resource bank construction and to achieve teaching resource sharing, and 5) to establish "T-type" personnel training system in ecology. Some employment-oriented personnel training directions in ecology specialty were also presented.

  19. Specialty and Systems Engineering Supplement to IEEE 15288.1

    Science.gov (United States)

    2017-08-28

    15288.1 Tailoring Language ............................................................................ 2 3.2.1 Specialty Engineering Analysis and...believed necessary to maintain the level or rigor required by national security space acquisitions . 2. Context IEEE-15288.1: 2014, Standard for...be: 1. Normative (requirements rather than informative guidance), 2. Tailored appropriately for specific acquisition /contract considerations, and 3

  20. An Integrated Strategy for Teaching Biochemistry to Biotechnology Specialty Students

    Science.gov (United States)

    Ouyang, Liming; Ou, Ling; Zhang, Yuanxing

    2007-01-01

    The faculty of biochemistry established an integrated teaching strategy for biotechnology specialty students, by intermeshing the case-study method, web-assistant teaching, and improved lecture format with a brief content and multimedia courseware. Teaching practice showed that the integrated teaching strategy could retain the best features of…

  1. 76 FR 22733 - Cable Statutory License: Specialty Station List

    Science.gov (United States)

    2011-04-22

    ... Adobe Portable Document File (PDF) format that contains searchable, accessible text (not an image... affidavit. List of Specialty Stations: Call Letter and Cities of License CBAFT, Moncton, New Brunswick..., Canada CBOFT, Ottawa, Ontario, Canada CBUFT, Vancouver, British Columbia, Canada CBVT, Quebec...

  2. 76 FR 5213 - Cable Compulsory License: Specialty Station List

    Science.gov (United States)

    2011-01-28

    ... in 1989, see 54 FR 38461 (September 18, 1989), an owner or licensee of a broadcast station files a... television station classified as a specialty station at the base rate for ``permitted'' signals. See 49 FR... in order to maintain as current a list as possible. 55 FR 40021 (October 1, 1990). Its second...

  3. 76 FR 72982 - Cable Statutory License: Specialty Station List; Correction

    Science.gov (United States)

    2011-11-28

    ... the Federal Register on November 8, 2011 at 76 FR 69288: On page 69289, WNYA-CA, Albany, NY was... Copyright Office Cable Statutory License: Specialty Station List; Correction AGENCY: Copyright Office... use of the cable compulsory license. In response to the publication of an initial list of...

  4. 2016 Guide to Nursing Certification Boards by Specialty.

    Science.gov (United States)

    Gavin, Cara

    2016-01-01

    Membership in a professional organization creates opportunities for individuals to grow in countless ways. Often, it allows us to develop new knowledge and form networks that change our lives. There are many advantages of becoming a member of a specialty organization. Each year, Dimensions of Critical Care Nursing is proud to provide an updated list of our professional nursing organizations.

  5. Using specialty advertising in a niche marketing plan.

    Science.gov (United States)

    Schwisow, C R

    1992-01-01

    While niche marketing is not a new strategy, an increasing number of competitors are pursuing the same niches, resulting in stiff competition within the health care industry, writes C. Ronald Schwisow. This means marketers need to be resourceful to maximize their communications efforts. One such approach is specialty advertising.

  6. Personality and Values as Predictors of Medical Specialty Choice

    Science.gov (United States)

    Taber, Brian J.; Hartung, Paul J.; Borges, Nicole J.

    2011-01-01

    Research rarely considers the combined influence of personality traits and values in predicting behavioral outcomes. We aimed to advance a germinal line of inquiry that addresses this gap by separately and simultaneously examining personality traits and physician work values to predict medical specialty choice. First-year medical students (125…

  7. IPM of specialty crops and community gardens in north Florida

    Science.gov (United States)

    Insect pests post serious challenges to specialty crops (vegetables, fruits and nut crops) and community gardens in North Florida. The major vegetable pests include silverleaf whitefly, Bemisia argentifolii; the green peach aphid, Myzus persicae; southeastern green stinkbug, Nezara viridula; brown s...

  8. Burnout Comparison among Residents in Different Medical Specialties

    Science.gov (United States)

    Martini, Shahm; Arfken, Cynthia L.; Churchill, Amy; Balon, Richard

    2004-01-01

    Objective: To investigate resident burnout in relation to work and home-related factors. Method: Maslach Burnout Inventory was mailed to residents in eight different medical specialties, with a response rate of 35%. Results: Overall, 50% of residents met burnout criteria, ranging from 75% (obstetrics/gynecology) to 27% (family medicine). The first…

  9. Assessing Student Interest and Familiarity with Professional Psychology Specialty Areas

    Science.gov (United States)

    Stark-Wroblewski, Kimberly; Wiggins, Tina L.; Ryan, Joseph J.

    2006-01-01

    The present study examined undergraduate psychology students' (N = 83) self-reported interest in and familiarity with five specialty areas in professional psychology: counseling psychology, clinical psychology, school psychology, forensic psychology, and criminal profiling. Results suggest that although students are quite interested in careers…

  10. Expensing options solves nothing.

    Science.gov (United States)

    Sahlman, William A

    2002-12-01

    The use of stock options for executive compensation has become a lightning rod for public anger, and it's easy to see why. Many top executives grew hugely rich on the back of the gains they made on their options, profits they've been able to keep even as the value they were supposed to create disappeared. The supposed scam works like this: Current accounting regulations let companies ignore the cost of option grants on their income statements, so they can award valuable option packages without affecting reported earnings. Not charging the cost of the grants supposedly leads to overstated earnings, which purportedly translate into unrealistically high share prices, permitting top executives to realize big gains when they exercise their options. If an accounting anomaly is the problem, then the solution seems obvious: Write off executive share options against the current year's revenues. The trouble is, Sahlman writes, expensing option grants won't give us a more accurate view of earnings, won't add any information not already included in the financial statements, and won't even lead to equal treatment of different forms of executive pay. Far worse, expensing evades the real issue, which is whether compensation (options and other-wise) does what it's supposed to do--namely, help a company recruit, retain, and provide the right people with appropriate performance incentives. Any performance-based compensation system has the potential to encourage cheating. Only ethical management, sensible governance, adequate internal control systems, and comprehensive disclosure will save the investor from disaster. If, Sahlman warns, we pass laws that require the expensing of options, thinking that's fixed the fundamental flaws in corporate America's accounting, we will have missed a golden opportunity to focus on the much more extensive defects in the present system.

  11. Hospital characteristics and patient populations served by physician owned and non physician owned orthopedic specialty hospitals

    Directory of Open Access Journals (Sweden)

    Vaughan-Sarrazin Mary S

    2007-09-01

    Full Text Available Abstract Background The emergence of physician owned specialty hospitals focusing on high margin procedures has generated significant controversy. Yet, it is unclear whether physician owned specialty hospitals differ significantly from non physician owned specialty hospitals and thus merit the additional scrutiny that has been proposed. Our objective was to assess whether physician owned specialty orthopedic hospitals and non physician owned specialty orthopedic hospitals differ with respect to hospital characteristics and patient populations served. Methods We conducted a descriptive study using Medicare data of beneficiaries who underwent total hip replacement (THR (N = 10,478 and total knee replacement (TKR (N = 15,312 in 29 physician owned and 8 non physician owned specialty orthopedic hospitals during 1999–2003. We compared hospital characteristics of physician owned and non physician owned specialty hospitals including procedural volumes of major joint replacements (THR and TKR, hospital teaching status, and for profit status. We then compared demographics and prevalence of common comorbid conditions for patients treated in physician owned and non physician owned specialty hospitals. Finally, we examined whether the socio-demographic characteristics of the neighborhoods where physician owned and non physician owned specialty hospitals differed, as measured by zip code level data. Results Physician owned specialty hospitals performed fewer major joint replacements on Medicare beneficiaries in 2003 than non physician owed specialty hospitals (64 vs. 678, P Conclusion Physician owned specialty orthopedic hospitals differ significantly from non physician owned specialty orthopedic hospitals and may warrant the additional scrutiny policy makers have proposed.

  12. Early Option Exercise

    DEFF Research Database (Denmark)

    Heje Pedersen, Lasse; Jensen, Mads Vestergaard

    A classic result by Merton (1973) is that, except just before expiration or dividend payments, one should never exercise a call option and never convert a convertible bond. We show theoretically that this result is overturned when investors face frictions. Early option exercise can be optimal when...... it reduces short-sale costs, transaction costs, or funding costs. We provide consistent empirical evidence, documenting billions of dollars of early exercise for options and convertible bonds using unique data on actual exercise decisions and frictions. Our model can explain as much as 98% of early exercises...

  13. Early Option Exercise

    DEFF Research Database (Denmark)

    Jensen, Mads Vestergaard; Heje Pedersen, Lasse

    2016-01-01

    A classic result by Merton (1973) is that, except just before expiration or dividend payments, one should never exercise a call option and never convert a convertible bond. We show theoretically that this result is overturned when investors face frictions. Early option exercise can be optimal when...... it reduces short-sale costs, transaction costs, or funding costs. We provide consistent empirical evidence, documenting billions of dollars of early exercise for options and convertible bonds using unique data on actual exercise decisions and frictions. Our model can explain as much as 98% of early exercises...

  14. Housing Options for Seniors

    Science.gov (United States)

    ... different services. The services are based on the lifestyle and health care needs of the residents. Below are some options for senior living. Active adult communitiesActive adult communities are neighborhoods made for older ...

  15. Traditional preventive treatment options

    DEFF Research Database (Denmark)

    Longbottom, C; Ekstrand, K; Zero, D

    2009-01-01

    Preventive treatment options can be divided into primary, secondary and tertiary prevention techniques, which can involve patient- or professionally applied methods. These include: oral hygiene (instruction), pit and fissure sealants ('temporary' or 'permanent'), fluoride applications (patient...

  16. 75 FR 32735 - Notice of the Specialty Crop Committee's Stakeholder Listening Session

    Science.gov (United States)

    2010-06-09

    ... the Le Rivage Hotel, 4800 Riverside Boulevard, Sacramento, California 95822. The public may file... programs affecting the specialty crop industry. The congressional legislation defines ``specialty crops... session. The listening session will elicit stakeholder input from industry and state representatives...

  17. 75 FR 34418 - Notice of the Specialty Crop Committee's Stakeholder Listening Session

    Science.gov (United States)

    2010-06-17

    ...; ] DEPARTMENT OF AGRICULTURE Office of the Secretary Notice of the Specialty Crop Committee's Stakeholder Listening Session AGENCY: Research, Education, and Economics, USDA. ACTION: Notice of stakeholder listening session. SUMMARY: The notice announces the Specialty Crop Committee's Stakeholder Listening Session....

  18. Fluorosis varied treatment options

    OpenAIRE

    Sherwood I

    2010-01-01

    Fluorosis has been reported way back in 1901. The treatment options for fluorosis are varied depending upon individual cases. This article comes from Madurai in India where its surrounding towns are fluorosis-prone zones. The purpose of this article is to report various treatment options available for dental fluorosis; this is the first time that complete full mouth rehabilitation for dental fluorosis is being reported. This article also dwells on the need for the dentists to be aware of thei...

  19. Perception of 1 st year medical students towards career choices and specialty of psychiatry

    OpenAIRE

    Suneet Kumar Upadhyaya; Chintan M Raval

    2015-01-01

    Background: Shortage of psychiatrists is a worldwide phenomenon. If the factors that attract or repel students towards a specialty can be identified, it may be possible to encourage them towards it. Choice of specialty as a career depends on the complex interplay of experiences before, during or after exposure to the specialty. Objectives: The aim was to understand perceptions of 1 st year medical students regarding career choices and the specialty of psychiatry through a cross-sectional ...

  20. Implementation of a Cross-specialty Training Program in Basic Laparoscopy

    DEFF Research Database (Denmark)

    Bjerrum, Flemming; Sorensen, Jette Led; Thinggaard, Jette

    2015-01-01

    BACKGROUND AND OBJECTIVES: Several surgical specialties use laparoscopy and share many of the same techniques and challenges, such as entry approaches, equipment, and complications. However, most basic training programs focus on a single specialty. The objective of this study was to describe the ...... laparoscopy is feasible. There are several logistic benefits of using a cross-specialty approach; however, it is important that local departments include specialty-specific components, together with clinical departmental follow-up....

  1. Nevada Transportatoion Options Study

    Energy Technology Data Exchange (ETDEWEB)

    P. GEHNER; E.M. WEAVER; L. FOSSUM

    2006-05-25

    This study performs a cost and schedule analysis of three Nevada Transportation options that support waste receipt at the repository. Based on the U.S. Department of Energy preference for rail transportation in Nevada (given in the Final Environmental Impact Statement), it has been assumed that a branch rail line would be constructed to support waste receipt at the repository. However, due to potential funding constraints, it is uncertain when rail will be available. The three Nevada Transportation options have been developed to meet a varying degree of requirements for transportation and to provide cost variations used in meeting the funding constraints given in the Technical Direction Letter guidelines for this study. The options include combinations of legal-weight truck, heavy-haul truck, and rail. Option 1 uses a branch rail line that would support initial waste receipt at the repository in 2010. Rail transportation would be the primary mode, supplemented by legal weight trucks. This option provides the highest level of confidence in cost and schedule, lowest public visibility, greatest public acceptability, lowest public dose, and is the recommended option for support of waste receipt. The completion of rail by 2010 will require spending approximately $800 million prior to 2010. Option 2 uses a phased rail approach to address a constrained funding scenario. To meet funding constraints, Option 2 uses a phased approach to delay high cost activities (final design and construction) until after initial waste receipt in 2010. By doing this, approximately 95 percent of the cost associated with completion of a branch rail line is deferred until after 2010. To support waste receipt until a branch rail line is constructed in Nevada, additional legal-weight truck shipments and heavy-haul truck shipments (on a limited basis for naval spent nuclear fuel) would be used to meet the same initial waste receipt rates as in Option 1. Use of heavy-haul shipments in the absence

  2. Specialty setting and students’ specialty choices of German universities of applied sciences:Taking Technische Hochschule Deggendorf as an example%德国应用技术大学专业设置及学生专业选择--以德国代根多夫应用技术大学为例

    Institute of Scientific and Technical Information of China (English)

    蔡彬清

    2016-01-01

    German universities of applied sciences are characterized by applied specialty setting in-tegrated deeply into the transformation and development of regional industry and flexible choice policy of students’ specialties. Taking Deggendorf Institute of Technology as an example, the prac-tices of applied specialty setting and students ’ specialty choices of German universities of applied sciences are focused. The advantages of the universities in specialty setting and the students’ spe-cialty choices are discussed. The cultivation orientation of applied professionals can be realized by three ways: establishing a talent demand forecasting and specialty early preditting system;formulating a dynamic specialty evaluation system, and promoting the construction of characteristic specialty and specialty groups that serve diversified sectors of the industry; constructing a distin-guished specialty system catered to the regional industrial development. Secondly, the innovation of the training mode of applied professionals can be promoted by two ways:formulating and implemen-ting the directors or board system participated by industry and enterprises, evaluation system of spe-cialty setting, and performance evaluation system of professionals training, strengthening industry and education integrated specialty setting. Thirdly, specialty settings can be optimized by establishing students’ specialty choice-based specialty competition mechanism.%与区域产业转型发展深度融合的应用性专业设置以及灵活的学生专业选择政策,是德国应用技术大学的显著特征。以德国代根多夫应用技术大学为例,可以得到相关借鉴与启示:第一,建立人才需求预测和专业预警机制、专业动态评估制度,推进服务产业的特色专业和专业群建设,构建契合产业发展、根植当地、特色鲜明的专业体系,以实现应用型人才培养定位。第二,制定和实施行业企业和用人单位参

  3. Information Security: A Scientometric Study of the Profile, Structure, and Dynamics of an Emerging Scholarly Specialty

    Science.gov (United States)

    Olijnyk, Nicholas Victor

    2014-01-01

    The central aim of the current research is to explore and describe the profile, dynamics, and structure of the information security specialty. This study's objectives are guided by four research questions: 1. What are the salient features of information security as a specialty? 2. How has the information security specialty emerged and evolved from…

  4. Assessment of Junior Doctors' Perceptions of Difficulty of Medical Specialty Training Programs

    Science.gov (United States)

    Rogers, Mary E.; Creed, Peter A.; Searle, Judy

    2012-01-01

    The demands placed on medical trainees by the different specialty training programs are important considerations when choosing a medical specialty. To understand these demands, 193 junior doctors completed a web-based survey, and: (a) ranked medical specialties according to perceived level of training difficulty (incorporating entry difficulty,…

  5. The impact of clerkships on students' specialty preferences: what do undergraduates learn for their profession?

    NARCIS (Netherlands)

    Maiorova, T.; Stevens, F.; Scherpbier, A.; Zee, J. van der

    2008-01-01

    OBJECTIVE: Clinical experiences and gender have been shown to influence medical students' specialty choices. It remains unclear, however, which aspects of experiences make students favour some specialties and reject others. This study aimed to clarify the effects of clerkships on specialty choice an

  6. Broad support evident for the emerging specialty of orofacial pain.

    Science.gov (United States)

    Talley, R L; Fricton, J R; Okeson, J P

    2000-01-01

    The emerging field of Orofacial Pain is being considered by the American Dental Association for full status as a new dental specialty. Many recent advances in the neuroscience of orofacial pain have lead to treatments by orofacial pain dentists that provide significant relief for patients with chronic orofacial pain disorders. However, access to this care has been limited leaving many patients to continue to suffer. Subsequently, recent efforts to improve this by developing the field into a specialty have shown broad support among dentists and increased awareness of the benefits this field can provide for dentists and their patients. A recent survey of 805 individuals in the general population who reported having a persistent pain disorder revealed that more than four out of 10 people have yet to find adequate relief, saying their pain is out of control-despite having the pain for more than 5 years and switching doctors at least once. "This survey suggests that there are millions of people living with severe uncontrolled pain," says Russell Portenoy, MD, President of the American Pain Society. "This is a great tragedy. Although not everyone can be helped, it is very likely that most of these patients could benefit if provided with state-of-the-art therapies and improved access to pain specialists when needed." (1). Development of the field of Orofacial Pain into a dental specialty has been motivated primarily by this issue; patients with complex chronic orofacial pain disorders have not been historically treated well by any discipline of health care. Recent studies of chronic orofacial pain patients have found that these patients have a high number of previous clinicians and have endured many years with pain prior to seeing an orofacial pain dentist (2) (Fig. 1). Complex pain patients and the clinicians who see them are often confused about whom they should consult for relief of the painful disorder. Treatment for these patients within the existing structure of

  7. Water Use and Treatment in Container-Grown Specialty Crop Production: A Review.

    Science.gov (United States)

    Majsztrik, John C; Fernandez, R Thomas; Fisher, Paul R; Hitchcock, Daniel R; Lea-Cox, John; Owen, James S; Oki, Lorence R; White, Sarah A

    2017-01-01

    While governments and individuals strive to maintain the availability of high-quality water resources, many factors can "change the landscape" of water availability and quality, including drought, climate change, saltwater intrusion, aquifer depletion, population increases, and policy changes. Specialty crop producers, including nursery and greenhouse container operations, rely heavily on available high-quality water from surface and groundwater sources for crop production. Ideally, these growers should focus on increasing water application efficiency through proper construction and maintenance of irrigation systems, and timing of irrigation to minimize water and sediment runoff, which serve as the transport mechanism for agrichemical inputs and pathogens. Rainfall and irrigation runoff from specialty crop operations can contribute to impairment of groundwater and surface water resources both on-farm and into the surrounding environment. This review focuses on multiple facets of water use, reuse, and runoff in nursery and greenhouse production including current and future regulations, typical water contaminants in production runoff and available remediation technologies, and minimizing water loss and runoff (both on-site and off-site). Water filtration and treatment for the removal of sediment, pathogens, and agrichemicals are discussed, highlighting not only existing understanding but also knowledge gaps. Container-grown crop producers can either adopt research-based best management practices proactively to minimize the economic and environmental risk of limited access to high-quality water, be required to change by external factors such as regulations and fines, or adapt production practices over time as a result of changing climate conditions.

  8. Gender inflexion in the construction of a new medical specialty

    Directory of Open Access Journals (Sweden)

    Rachel Aisengart Menezes

    2008-01-01

    Full Text Available This article presents the constitution of a new medical specialty, Palliative Care, directed to patients "out of therapeutic possibilities". The concept emerged around 1960 in England and was implemented in Brazil a couple of years before 1990. It is characterized by an active attendance of the dying process. It postulates a "spiritual assistance" to the patient and his/her family members, including the emotional universe. Ethnographical observation and interviews with Brazilian professionals showed a majority of women among the health teams involved in this proposal. This article discusses and analyses the connection between the construction of the specialty and gender representation among these professionals that reflects popular social images about death, beliefs, emotions and the roles played by women and men in these subjects.

  9. [A historical view of the specialty of clinical microbiology].

    Science.gov (United States)

    Pérez, Evelio Perea; Álvarez, Rogelio Martín

    2010-10-01

    Clinical microbiology today is a well established specialty in Spain whose development has necessarily been linked to improvements in the diagnosis, treatment and prevention of infectious diseases. Over time, clinical, teaching, and research structures have been organized around these diseases. In addition, a scientific society for specialists in infectious diseases (Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica) has been set up, which in turn, publishes the journal ENFERMEDADES INFECCIOSAS Y MICROBIOLOGÍA CLÍNICA, and organizes congresses, meetings, working groups and a quality control program, etc. Clinical microbiologists will continue to be needed to meet future challenges (identification of new pathogenic microorganisms, methodological changes, diagnostic quality and speed, nosocomial infections, the development of antimicrobial resistance, etc.), which constitute a well-defined area of knowledge specific to our specialty. Copyright © 2010 Elsevier España S.L. All rights reserved.

  10. The value of independent specialty designation for interventional cardiology.

    Science.gov (United States)

    Blankenship, James C; Powell, Wayne A; Gray, Dawn R; Duffy, Peter L

    2017-01-01

    Interventional cardiology has finally completed, after 26 years of advocacy, a professional hat trick: independent board certification, membership as a unique specialty in the American Medical Association House of Delegates (AMA HOD), and recognition by the Centers for Medicaid and Medicare Services (CMS) as a separate medical specialty. This article points out how these distinctions for interventional cardiology and its professional society, the Society for Cardiovascular Angiography and Interventions (SCAI), have led to clear and definite benefits for interventional cardiologists and their patients. We focus on the least understood of these three-recognition by CMS and its implications for reimbursement and quality assessment for interventional cardiologists. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  11. Using relationship styles based on attachment theory to improve understanding of specialty choice in medicine

    Directory of Open Access Journals (Sweden)

    Russo Joan E

    2006-01-01

    Full Text Available Abstract Background Patient-provider relationships in primary care are characterized by greater continuity and depth than in non-primary care specialties. We hypothesized that relationship styles of medical students based on attachment theory are associated with specialty choice factors and that such factors will mediate the association between relationship style and ultimately matching in a primary care specialty. Methods We determined the relationship styles, demographic characteristics and resident specialty match of 106 fourth-year medical students. We assessed the associations between 1 relationship style and specialty choice factors; 2 specialty choice factors and specialty match, and 3 relationship style and specialty match. We also conducted mediation analyses to determine if factors examined in a specialty choice questionnaire mediate the association between relationship style and ultimately matching in a primary care specialty. Results Prevalence of attachment styles was similar to that found in the general population and other medical school settings with 59% of students rating themselves as having a secure relationship style. Patient centeredness was directly associated, and career rewards inversely associated with matching in a primary care specialty. Students with a self-reliant relationship style were significantly more likely to match in a non-primary care specialty as compared to students with secure relationship style (OR = 5.3, 95% CI 1.8, 15.6. There was full mediation of the association between relationship style and specialty match by the specialty choice factor characterized by patient centeredness. Conclusion Assessing relationship styles based on attachment theory may be a potentially useful way to improve understanding and counsel medical students about specialty choice.

  12. Implementing cognitive behavioral therapy in specialty medical settings

    OpenAIRE

    Magidson, Jessica F.; Weisberg, Risa B.

    2014-01-01

    This article is an introduction to the second issue of a two-part Special Series on integrating cognitive behavioral therapy (CBT) into medical settings. The first issue focused on integrating CBT into primary care, and this issue focuses on implementing CBT in other specialty medical settings, including cancer treatment, HIV care, and specialized pediatric medical clinics. Models for treatment delivery to improve ease of implementation are also discussed, including telehealth and home-delive...

  13. Lipid components and oxidative status of selected specialty oils

    Energy Technology Data Exchange (ETDEWEB)

    Madawala, S. R. P.; Kochhar, S. P.; Dutta, P. C.

    2012-11-01

    Many vegetable oils are marketed as specialty oils because of their retained flavors, tastes and distinct characteristics. Specialty oil samples which were commercially produced and retailed were purchased from local superstores in Reading, UK, and Uppsala, Sweden and profiled for detailed lipid composition and oxidative status. These oil samples include: almond, hazelnut, walnut, macadamia nut, argan, avocado, grape seed, roasted sesame, rice bran, cold pressed, organic and cold pressed, warm pressed and refined rapeseed oils. The levels of PV were quite low (0.5-1.3mEq O{sub 2}/kg) but AV and Rancimat values at 100 degree centigrade (except for rapeseed oils) varied considerably at (0.5-15.5) and (4.2-37.0 h) respectively. Macadamia nut oil was found to be the most stable oil followed by argan oil, while walnut oil was the least stable. Among the specialty oils, macadamia nut oil had the lowest (4%) and walnut oil had the highest (71%) level of total PUFA. The organic cold pressed rapeseed oil had considerably lower PUFA (27%) compared with other rapeseed oils (28- 35%). In all the samples, {alpha}- and {gamma}- tocopherols were the major tocopherols; nut oils had generally lower levels. Total sterols ranged from 889 to 15,106 {mu}g/g oil. The major sterols were {beta}-sitosterol (61-85%) and campesterol (6-20%). Argan oil contained schottenol (35%) and spinasterol (32%). Compared with literature values, no marked differences were observed among the differently processed, organically grown or cold pressed rapeseed oils and other specialty oils in this study. (Author) 33 refs.

  14. Structure–property relationship of specialty elastomer–clay nanocomposites

    Indian Academy of Sciences (India)

    Anirban Ganguly; Madhuchhanda Maiti; Anil K Bhowmick

    2008-06-01

    The present work deals with the synthesis of specialty elastomer [fluoroelastomer and poly (styrene--ethylene-co-butylene--styrene (SEBS)]–clay nanocomposites and their structure–property relationship as elucidated from morphology studies by atomic force microscopy, transmission electron microscopy and X-ray diffraction and physico-mechanical properties. Due to polarity match, hydrophilic unmodified montmorillonite clay showed enhanced properties in resulting fluoroelastomer nanocomposites, while hydrophobic organo-clay showed best results in SEBS nanocomposites.

  15. Traffic Light Options

    DEFF Research Database (Denmark)

    Jørgensen, Peter Løchte

    This paper introduces, prices, and analyzes traffic light options. The traffic light option is an innovative structured OTC derivative developed independently by several London-based investment banks to suit the needs of Danish life and pension (L&P) companies, which must comply with the traffic...... light solvency stress test system introduced by the Danish Financial Supervisory Authority (DFSA) in June 2001. This monitoring system requires L&P companies to submit regular reports documenting the sensitivity of the companies' base capital to certain pre-defined market shocks - the red and yellow...... light scenarios. These stress scenarios entail drops in interest rates as well as in stock prices, and traffic light options are thus designed to pay off and preserve sufficient capital when interest rates and stock prices fall simultaneously. Sweden's FSA implemented a traffic light system in January...

  16. Central Station Design Options

    DEFF Research Database (Denmark)

    2011-01-01

    The purpose of EDISON Work Package 4.1 is the evaluation of possible Central (charging) Stations design options for making possible the public charging of Electric Vehicles (EVs). A number of scenarios for EVs are assessed, with special emphasis on the options of Fast Charging and Battery Swapping....... The work identifies the architecture, sizing and siting of prospective Central Stations in Denmark, which can be located at shopping centers, large car parking lots or gas stations. Central Stations are planned to be integrated in the Danish distribution grid. The Danish island of Bornholm, where a high.......g. due to vandalism, the charge supply circuit is disconnected. More electrical vehicles on the market are capable today of quick charging up to 50 kW power level. The feasibility of Central Stations with fast charging/swapping option, their capacity, design, costs and grid impact, as well as battery...

  17. Equity, public policy and outpatient specialty mental health services.

    Science.gov (United States)

    Savoca, E

    1993-01-01

    This study provides evidence on the role of the public sector in the allocation of ambulatory specialty mental health services across income groups in the adult population. Results suggest that in the early to mid-1980s, the tax and transfer system effectively lowered the price of services to the poor and the rich, thus causing the highest use by persons at the extreme ends of the income distribution. High utilization at the low end of the income scale can be largely attributed to publicly provided insurance. A comparison of demand prior to the Medicaid cuts brought on by the Omnibus Budget and Reconciliation Act (OBRA) of 1981 with post-OBRA estimates reveals the extreme sensitivity of demand to changes in coverage. Among upper income groups the results imply that the implicit price of specialty mental health care falls as income rises. This finding is consistent with the hypothesis that the government's exclusion of health benefits and expenditures from taxation effectively lowers the price of medical services to individuals in high marginal income tax brackets. It also suggests that recent proposals to limit the tax exclusion of employer-paid premiums may lead to a more equitable distribution of resources in the specialty mental health sector.

  18. Shale oil specialty markets: Screening survey for United States applications

    Energy Technology Data Exchange (ETDEWEB)

    1987-12-01

    EG and G requested J. E. Sinor Consultants Inc. to carry out an initial screening study on the possibilities for producing specialty chemicals from oil shale. Raw shale oil is not an acceptable feedstock to refineries and there are not enough user of heavy fuel oil in the western oil shale region to provide a dependable market. The only alternatives are to hydrotreat the oil, or else ship it long distances to a larger market area. Either of these alternatives results in a cost penalty of several dollars per barrel. Instead of attempting to enter the large-volume petroleum products market, it was hypothesized that a small shale oil facility might be able to produce specialty chemicals with a high enough average value to absorb the high costs of shipping small quantities to distant markets and still provide a higher netback to the plant site than sales to the conventional petroleum products market. This approach, rather than attempting to refine shale oil or to modify its characteristics to satisfy the specifications for petroleum feedstocks or products, focuses instead on those particular characteristics which distinguish shale oil from petroleum, and attempts to identify applications which would justify a premium value for those distinctive characteristics. Because byproducts or specialty chemicals production has been a prominent feature of oil shale industries which have flourished for periods of time in various countries, a brief review of those industries provides a starting point for this study. 9 figs., 32 tabs.

  19. Topical anaesthesia in children: reducing the need for specialty referral.

    LENUS (Irish Health Repository)

    O'Connor, Gabrielle

    2012-01-31

    OBJECTIVE: The management of wounds in children is stressful, not only for the child, but also for parents and staff. In our Emergency Department (ED), we currently do not have a paediatric sedation policy, and thus children requiring suturing, not amenable to distraction and infiltrative anaesthesia, are referred to specialty teams for general anaesthesia. We proposed that the introduction of a topical anaesthetic gel (lidocaine, adrenaline, tetracaine - LAT) might help to reduce the number of referrals, by allowing the ED staff to perform the procedures, in combination with nonpharmacological approaches. METHODS: We carried out a retrospective review of ED records of all children aged 14 years or less attending with wounds, over an 8-month period, from 01 May 2007 to 31 January 2008. RESULTS: Two hundred and one (50.6%) patients presented before the introduction of LAT gel, whereas 196 (49.3%) patients presented afterwards. A total of 39 (19.4%) patients were referred for specialty review pre-LAT, whereas only 19 (9.7%) patients were referred in the LAT group. Of these, 31 (15.4%) pre-LAT and 15 (7.7%) LAT group required general anaesthesia. There is a significant difference between these two groups, using Fischer\\'s exact test, P=0.018. CONCLUSION: We have found that the introduction of topical anaesthetic gel in ED has significantly reduced the number of children with wounds referred to specialty teams for general anaesthesia. This has important implications for patient safety and hospital resources.

  20. Thermal test options

    Energy Technology Data Exchange (ETDEWEB)

    Koski, J.A.; Keltner, N.R.; Sobolik, K.B.

    1993-02-01

    Shipping containers for radioactive materials must be qualified to meet a thermal accident environment specified in regulations, such at Title 10, Code of Federal Regulations, Part 71. Aimed primarily at the shipping container design, this report discusses the thermal testing options available for meeting the regulatory requirements, and states the advantages and disadvantages of each approach. The principal options considered are testing with radiant heat, furnaces, and open pool fires. The report also identifies some of the facilities available and current contacts. Finally, the report makes some recommendations on the appropriate use of these different testing methods.

  1. Fluorosis varied treatment options

    Directory of Open Access Journals (Sweden)

    Sherwood I

    2010-01-01

    Full Text Available Fluorosis has been reported way back in 1901. The treatment options for fluorosis are varied depending upon individual cases. This article comes from Madurai in India where its surrounding towns are fluorosis-prone zones. The purpose of this article is to report various treatment options available for dental fluorosis; this is the first time that complete full mouth rehabilitation for dental fluorosis is being reported. This article also dwells on the need for the dentists to be aware of their local indigenous pathologies to treat it in a better manner.

  2. The hydrogen hybrid option

    Energy Technology Data Exchange (ETDEWEB)

    Smith, J.R.

    1993-10-15

    The energy efficiency of various piston engine options for series hybrid automobiles are compared with conventional, battery powered electric, and proton exchange membrane (PEM) fuel cell hybrid automobiles. Gasoline, compressed natural gas (CNG), and hydrogen are considered for these hybrids. The engine and fuel comparisons are done on a basis of equal vehicle weight, drag, and rolling resistance. The relative emissions of these various fueled vehicle options are also presented. It is concluded that a highly optimized, hydrogen fueled, piston engine, series electric hybrid automobile will have efficiency comparable to a similar fuel cell hybrid automobile and will have fewer total emissions than the battery powered vehicle, even without a catalyst.

  3. Medical student debt and major life choices other than specialty

    Directory of Open Access Journals (Sweden)

    James Rohlfing

    2014-11-01

    Full Text Available Background: Median indebtedness at graduation is now more than $170,000 for graduates of US Medical Schools. Debate still exists as to whether higher debt levels influence students to choose high paying non-primary care specialties. Notably, no previous research on the topic has taken into account cost of attendance when constructing a debt model, nor has any research examined the non-career major life decisions that medical students face. Methods: Medical students were surveyed using an anonymous electronic instrument developed for this study. The survey was delivered through a link included in a study email and students were recruited from school wide listservs and through snowball sampling (students were encouraged to share a link to the survey with other medical students. No incentives were offered for survey completion. Results: Responses were recorded from 102 US Allopathic medical schools (n=3,032, with 22 institutions (11 public, 11 private meeting inclusion criteria of 10% student body response proportion (n=1,846. Students with higher debt relative to their peers at their home institution reported higher frequencies of feeling callous towards others, were more likely to choose a specialty with a higher average annual income, were less likely to plan to practice in underserved locations, and were less likely to choose primary care specialties. Students with higher aggregate amounts of medical student loan debt were more likely to report high levels of stress from their educational debt, to delay getting married and to report disagreement that they would choose to become a physician again, if given the opportunity to revisit that choice. Increases in both aggregate and relative debt were associated with delaying having children, delaying buying a house, concerns about managing and paying back educational debt, and worrying that educational debt will influence one's specialty choice. Conclusions: Medical student debt and particularly debt

  4. Our Energy Options.

    Science.gov (United States)

    Meyers, Paul A.; Witt, Frank C.

    Presented is an analysis of alternatives available to the United States in dealing with energy problems. Options explained and evaluated include coal, solar, hydroelectric, nuclear, geothermal, wind, biomass, and energy conservation. The booklet is part of Project APEC (America's Possible Energy Choices), a nationally validated Title IVc project…

  5. 应用型本科院校汉语言文学专业毕业论文改革探究%A Research on the Reformation of Graduation Thesis of Specialty of Chinese Language and Literature in Applied Undergraduate Colleges ~,Taking Yancheng Institute of Technology as an Example.

    Institute of Scientific and Technical Information of China (English)

    蒋继华

    2012-01-01

    Graduation thesis is an important means of training the students' innovation ability, practical ability and enterprising spirit. Specialty of Chinese Language and Literature in Applied Undergraduate Colleges should adjust the training target accordingly according to the location of running a school and service orientation. We should pay attention to training students' self - learning ability, the ability to retrieve documents, language expression capacity and the use of theoretical knowledge to solve practical problem ability and strengthening the supervision in order to improve the quality of paper.%毕业论文是培养大学生创新能力、实践能力和创业精神的重要手段。应用型本科院校汉语言文学专业毕业论文应结合学校的办学定位、服务面向,对培养目标作出相应调整。在毕业论文选题、写作、答辩等环节注重培养学生的自学能力、文献检索能力、语言表达能力和运用理论知识解决实际问题的能办。加强论文监控,提高论文质量。

  6. Options For The Disposition Of UK Civil Plutonium Stocks

    Energy Technology Data Exchange (ETDEWEB)

    Moore, R.G.; Zimmerman, C.H.; Scales, C.; Worrall, A.; Sims, H.E.; Fowler, L. [Nexia Solutions Ltd (United Kingdom)

    2008-07-01

    The UK Civil Pu Disposition project will identify and assess the viability of several technical options for dealing with the UK's civil separated Pu stockpile and the discriminators that will support technology option down-selection decisions. The overall aim will be to deliver feasible technical options and comprehensive information on political, economic, sociological, environmental and technical factors for each strategic option. This paper briefly describes the work completed to date to assess immobilisation and re-use technologies as disposition strategies and on the work that will identify discriminators to support technology down-selection. The Pu disposition project is anticipated to continue for several years while the necessary investigations are made to fully understand the various options. The work planned over this period is discussed. (authors)

  7. [Hospital and organizational dynamics of the National Institutes of Health. Relationship with high-specialty hospitals].

    Science.gov (United States)

    Gabilondo Navarro, Fernando

    2011-01-01

    In order to primarily encourage medical care, teaching and research activities in high specialty regional hospitals (HSRH), a number of strategies are explored to increase the number of patients cared for, improve the quality and timeliness of care and successfully integrate the function of these hospitals within the care and patient flow model expected by the Federal Government. These strategies include the use of information technology systems as platforms for telemedicine, including tele-imaging, tele-education and telepathology, thus fostering the quality and timeliness of medical care and narrow the relationship between these HSRH with the National Health Institutes. Other strategies such as extra-mural surgery, specific theme workshops, resident rotations, the use of simulators and "Science Weeks" are also explored so as to promote teaching and research. Finally, the reference and counter-reference system and the introduction of pension programs are evaluated as possible strategies supporting resource management.

  8. 模糊环境下不对称企业的技术创新投资期权博弈分析%Option-Game Approach to Analyze Technology Innovation Investment With Cost Asymmetry Under the Fuzzy Environment

    Institute of Scientific and Technical Information of China (English)

    谭英双; 衡爱民; 龙勇; 吴宏伟; 江礼梅

    2011-01-01

    Basing on the asymmetric duopoly option-game model with investment cost asymmetry, this research discusses the present value of profit flows and the sunk investment costs for the trapezoidal fuzzy number, and Firms' technology innovation investment strategy is analyzed. It constructs followers, leaders of investment value and investment threshold of fuzzy expressions under the fuzzy environment to conduct numerical analysis. And it is concluded that there is still existing the best increasing investment strategy under fuzzy environment, with the development of the trapezoidal fuzzy number of the sunk cost of expected investment, the investment value of business declines, but the critical value for the investment ascends. This offers a kind of explanation to the investment strategies under the fuzzy environment.%本文在不对称双头垄断期权博弈模型基础上讨论了利润流现值和沉没投资成本为梯形模糊数的情形并进行了扩展,对企业技术创新投资策略进行了分析。构建了模糊环境下追随者、领导者的投资价值和投资临界值的模糊表达式并进行数值分析。分析表明模糊环境下仍存在最优投资策略,随着梯形模糊数的沉没投资成本期望值的增加,企业的投资价值下降而投资临界值上升。为模糊环境下投资决策提供了一种解释。

  9. Internalizing the externalities of solar technology: Methodologies for incorporating externalities in the assessment of policy options and technology assessments of solar energy initiatives and R and D programs using Brookhaven models

    Energy Technology Data Exchange (ETDEWEB)

    Marcuse, W

    1978-05-01

    Internalizing the costs for implementing solar energy may never be, the author says. In the meantime, budget allocation decisions must be made. It is the purpose of this paper to identify capabilities currently in existence at BNL that help to provide answers to the value of increasing the contribution of solar energy. This paper presents several alternative approaches. BNL models that are useful for the economic measurement of energy related environmental damage are NEDS/REPS1 NEDS/REPS; ESNS; PRESTO; and optimization models (M-RESOM, BECOM, SOGEPH, BESOM, DESOM/TESOM/MARICAL). The approaches suggested would be much more useful if they were evaluated by certain criteria. This is the goal of most systems research on internalizing externalities. The methods described provide quantitative measures for the following criteria, although no single method provides all of them: the residuals produced with and without solar; the impact of residuals on life, property, ecosystems, and ambience; the intergenerational effects; the effect of oil imports on security; the depletion of non-renewable resources; the quantification (as far as possible) of externalities; and the appropriate level of aggregration. In most cases in this paper, examples are given. The most common criteria is that the energy demands must be driven by an economic model that in turn is driven by an energy model that produces the energy prices and the fuel mix. Solar technology implementation is particularly dependent on relative prices, economic activity, and energy demand. (MCW)

  10. Technology of social work

    OpenAIRE

    2008-01-01

    Educational manual contains the basis of the lecture course by discipline «Technology of social work» for students of specialty «Social work», plans and guidelines for practical exercises, control questions and bibliography to each topic.

  11. Operational Options for Green Ships

    Institute of Scientific and Technical Information of China (English)

    Salma Sherbaz; Wenyang Duan

    2012-01-01

    Environmental issues and rising fuel prices necessitate better energy-efficiency in all sectors.The shipping industry is one of the major stakeholders,responsible for 3% of global CO2 emissions,14%-15% of global NOx emissions,and 16% of global SOx emissions.In addition,continuously rising fuel prices are also an incentive to focus on new ways for better energy-effectiveness.The green ship concept requires exploring and implementing technology on ships to increase energy-efficiency and reduce emissions.Ship operation is an important topic with large potential to increase cost-and-energy-effectiveness.This paper provided a comprehensive review of basic concepts,principles,and potential of operational options for green ships.The key challenges pertaining to ship crew i.e.academic qualifications prior to induction,in-service training and motivation were discussed.The author also deliberated on remedies to these challenges.

  12. Operational options for green ships

    Science.gov (United States)

    Sherbaz, Salma; Duan, Wenyang

    2012-09-01

    Environmental issues and rising fuel prices necessitate better energy-efficiency in all sectors. The shipping industry is one of the major stakeholders, responsible for 3% of global CO2 emissions, 14%-15% of global NO X emissions, and 16% of global SO X emissions. In addition, continuously rising fuel prices are also an incentive to focus on new ways for better energy-effectiveness. The green ship concept requires exploring and implementing technology on ships to increase energy-efficiency and reduce emissions. Ship operation is an important topic with large potential to increase cost-and-energy-effectiveness. This paper provided a comprehensive review of basic concepts, principles, and potential of operational options for green ships. The key challenges pertaining to ship crew i.e. academic qualifications prior to induction, in-service training and motivation were discussed. The author also deliberated on remedies to these challenges.

  13. Special Schools and Other Options for Gifted STEM Students

    Science.gov (United States)

    Olszewski-Kubilius, Paula

    2010-01-01

    Special schools focused on the Science, Technology, Engineering, and Mathematics (STEM) disciplines are one of the best options for gifted students with talent and interest in these areas. Such schools offer benefits, such as unique opportunities for research and mentoring, that other options cannot. In this article, I compare the advantages and…

  14. The Implications of Real Options on ERP-Enabled Adoption

    Science.gov (United States)

    Nwankpa, Joseph K.

    2012-01-01

    Current research on Enterprise Resource Planning (ERP) systems and real options focuses on valuation and justification issues that manager's face prior to project approval with existing literature attempting to demonstrate that ERP systems as technology positioning investments have option-like characteristics thus making such ERP systems…

  15. 77 FR 19278 - Informational Meeting on Nuclear Fuel Cycle Options

    Science.gov (United States)

    2012-03-30

    ... criteria or the pros and cons of any particular fuel cycle option. Opportunity for providing input on the... Informational Meeting on Nuclear Fuel Cycle Options AGENCY: Office of Fuel Cycle Technologies, Office of Nuclear Energy, Department of Energy. ACTION: Notice of meeting. SUMMARY: The Office of Fuel Cycle...

  16. The Implications of Real Options on ERP-Enabled Adoption

    Science.gov (United States)

    Nwankpa, Joseph K.

    2012-01-01

    Current research on Enterprise Resource Planning (ERP) systems and real options focuses on valuation and justification issues that manager's face prior to project approval with existing literature attempting to demonstrate that ERP systems as technology positioning investments have option-like characteristics thus making such ERP systems…

  17. Energy options?; Energie opties?

    Energy Technology Data Exchange (ETDEWEB)

    Van Sark, W. (ed.)

    2006-05-15

    March 2006 the so-called Options Document was published by the Energy research Centre of the Netherlands (ECN) and the Netherlands Environmental Assessment Agency (MNP). The document is an overview of technical options to reduce energy consumption and emission of greenhouse gases up to 2020. Next to a brief summary of the document a few reactions and comments on the contents of the document are given. [Dutch] Maart 2006 publiceerde het Energieonderzoek Centrum Nederland (ECN) en het Milieu- en Natuurplanbureau (MNP) het zogenaamde Optiedocument energie en emissies 2010-2020. Daarin wordt een overzicht gegeven van de technische mogelijkheden voor vermindering van het energieverbruik en de uitstoot van broeikasgassen en luchtverontreinigende stoffen tot 2020. Naast een korte samenvatting van het document worden enkele reacties gegeven op de inhoud.

  18. Osteoporosis: Therapeutic Options.

    Science.gov (United States)

    Ivanova, Stefka; Vasileva, Liliya; Ivanova, Stanislava; Peikova, Lily; Obreshkova, Danka

    2015-01-01

    The definition of osteoporosis was originally formulated at a conference of the World Health Organization (WHO) in 1993 as 'a systemic skeletal disease characterized by decreased bone mass and altered micro-architecture of bone tissue, leading to enhanced bone fragility and risk of fractures'. Osteoporosis is characterized by low bone mineral density (BMD) and loss of the structural and bio-mechanical properties that are required to maintain bone homeostasis. This review aims to address the currently available options in prevention and treatment of osteoporosis. Management of osteoporosis includes non-pharmacological treatment - diet rich of calcium and vitamin D, healthy lifestyle, proper exercise plan, and pharmacological therapy. Combination of non-pharmacological and pharmacological treatment options have to be considered for prevention of osteoporosis and minimization of the risk of fractures. Given the heterogeneity of osteoporosis syndrome and lack of significant number of comparative studies, the choice of a pharmacological agents should be individualized.

  19. Osteoporosis: Therapeutic Options

    Directory of Open Access Journals (Sweden)

    Ivanova Stefka

    2015-12-01

    Full Text Available The definition of osteoporosis was originally formulated at a conference of the World Health Organization (WHO in 1993 as ‘a systemic skeletal disease characterized by decreased bone mass and altered micro-architecture of bone tissue, leading to enhanced bone fragility and risk of fractures’. Osteoporosis is characterized by low bone mineral density (BMD and loss of the structural and bio-mechanical properties that are required to maintain bone homeostasis. This review aims to address the currently available options in prevention and treatment of osteoporosis. Management of osteoporosis includes non-pharmacological treatment - diet rich of calcium and vitamin D, healthy lifestyle, proper exercise plan, and pharmacological therapy. Combination of non-pharmacological and pharmacological treatment options have to be considered for prevention of osteoporosis and minimization of the risk of fractures. Given the heterogeneity of osteoporosis syndrome and lack of significant number of comparative studies, the choice of a pharmacological agents should be individualized.

  20. Management options of varicoceles

    Directory of Open Access Journals (Sweden)

    Peter Chan

    2011-01-01

    Full Text Available Varicocele is one of the most common causes of male infertility. Treatment options for varicoceles includes open varicocelectomy performed at various anatomical levels. Laparoscopic varicocelectomy has been established to be a safe and effective treatment for varicoceles. Robotic surgery has been introduced recently as an alternative surgical option for varicocelectomy. Microsurgical varicocelectomy has gained increasing popularity among experts in male reproductive medicine as the treatment of choice for varicocele because of its superior surgical outcomes. There is a growing volume of literature in the recent years on minimal invasive varicocele treatment with percutaneous retrograde and anterograde venous embolization/sclerotherapy. In this review, we will discuss the advantages and limitations associated with each treatment modality for varicoceles. Employment of these advanced techniques of varicocelectomy can provide a safe and effective approach aiming to eliminate varicocele, preserve testicular function and, in a substantial number of men, increase semen quality and the likelihood of pregnancy.

  1. Technology.

    Science.gov (United States)

    Online-Offline, 1998

    1998-01-01

    Focuses on technology, on advances in such areas as aeronautics, electronics, physics, the space sciences, as well as computers and the attendant progress in medicine, robotics, and artificial intelligence. Describes educational resources for elementary and middle school students, including Web sites, CD-ROMs and software, videotapes, books,…

  2. Personality predictors of surgical specialties choice among students of nursing

    Directory of Open Access Journals (Sweden)

    Dorota Turska

    2017-01-01

    Full Text Available Background Holland’s theory of congruence, according to which one’s career choice is an expression of personality traits common to a given profession, constitutes a theoretical background for this research. The construct of the Distinct Surgical Personality (DSP is an exemplification of the idea of a congruent match between one’s personality and the requirements of the medical environment. In previous studies the authors revised their proposition concerning the DSP concept to include not only personality traits but also preferred values. This paper aims at verifying the proposition that this concept may also refer to students of nursing who select surgical specialties. Participants and procedure The study involved 163 students of nursing at the Medical University of Lublin aged 21-29 (M = 23.19, SD = 3.67. Students who opted for surgical specialities constituted the criterion group (N = 98. The study employed the Polish versions of the Personality Inventory NEO-FFI and the Schwartz Value Survey. Results There are two significant predictors of surgical specialties choice in nursing: a higher-level value of openness to change and extraversion. The tested model, which incorporates personality traits and preferred values, has proved congruent with the data, and allows for the proper classification of 79% of students who declared surgical specialties. Conclusions The results suggest the existence of a specific personality of surgical nurses. While clear adaptability to the specific environment has been determined, there are differences with respect to the concept of DSP, referring to doctors, widely discussed in the literature. In both cases these constructs look different, and are dependent on various types of professional activities within the therapeutic team.

  3. Access to specialty mental health services among women in California.

    Science.gov (United States)

    Kimerling, Rachel; Baumrind, Nikki

    2005-06-01

    The Anderson behavioral model was used to investigate racial and ethnic disparities in access to specialty mental health services among women in California as well as factors that might account for such disparities. The study was a cross-sectional examination of a probability sample of 3,750 California women. The main indicators of access to services were perceived need, service seeking, and service use. Multivariate models were constructed that accounted for need and enabling and demographic variables. Significant racial and ethnic variations in access to specialty mental health services were observed. African-American, Hispanic, and Asian women were significantly less likely to use specialty mental health services than white women. Multivariate analyses showed that Hispanic and Asian women were less likely than white women to report perceived need, even after frequent mental distress had been taken into account. Among women with perceived need, African-American and Asian women were less likely than white women to seek mental health services after differences in insurance status had been taken into account. Among women who sought services, Hispanic women were less likely than white women to obtain services after adjustment for the effects of poverty. Need and enabling factors did not entirely account for the observed disparities in access to services. Additional research is needed to identify gender- and culture-specific models for access to mental health services in order to decrease disparities in access. Factors such as perceived need and decisions to seek services are important factors that should be emphasized in future studies.

  4. Specialty-specific admission: a cost-effective intervention?

    LENUS (Irish Health Repository)

    Slattery, E

    2012-02-01

    INTRODUCTION: Cost effectiveness of healthcare has become an important component in its delivery. Current practices need to be assessed and measured for variations that may lead to financial savings. Speciality specific admission is known not only to lead improved clinical outcomes but also to lead important cost reductions. METHODS: All patients admitted to an Irish teaching hospital via the emergency department over a 2-year period with a gastroenterology (GI) related illness were included in this analysis.GI illness was classified using the Disease related grouping (DRG) system. Mean length of stay (LOS) and patient level costing (PLC) were calculated. Differences between DRGs with respect to speciality (i.e. specialist vs. non-specialist) were calculated for the five commonest DRGs. RESULTS: Significant variations in LOS and PLC were demonstrated in the DRGs. Mean LOS varied with increasing complexity, from 3.2 days for non-complex GI haemorrhage to 14.4 days for complex alcohol related cirrhosis as expected. A substantial difference in LOS within DRG groups was demonstrated by large standard deviations in the mean (up to 8.1 days in some groups) and was independent of complexity of cases. PLC also varied widely in both complex and non-complex cases with standard deviations of up to 17,342 noted. Specialty-specific admission was associated with shorter LOS for most GI admissions. CONCLUSION: Significant disparity exists for both LOS and PLC for most GI diagnoses. Specialty-specific admissions are associated with reduced LOS. Specialty-specific admission would appear to be cost-effective which may also lead to improved clinical outcomes.

  5. Treatment Options for Narcolepsy

    OpenAIRE

    Barateau, Lucie; Lopez, Régis; Dauvilliers, Yves

    2016-01-01

    International audience; Narcolepsy type 1 and narcolepsy type 2 are central disorders of hypersomnolence. Narcolepsy type 1 is characterized by excessive daytime sleepiness and cataplexy and is associated with hypocretin-1 deficiency. On the other hand, in narcolepsy type 2, cerebrospinal fluid hypocretin-1 levels are normal and cataplexy absent. Despite major advances in our understanding of narcolepsy mechanisms, its current management is only symptomatic. Treatment options may vary from a ...

  6. Predictors of final specialty choice by internal medicine residents.

    Science.gov (United States)

    Diehl, Andrew K; Kumar, Vineeta; Gateley, Ann; Appleby, Jane L; O'Keefe, Mary E

    2006-10-01

    Sociodemographic factors and personality attributes predict career decisions in medical students. Determinants of internal medicine residents' specialty choices have received little attention. To identify factors that predict the clinical practice of residents following their training. Prospective cohort study. Two hundred and four categorical residents from 2 university-based residency programs. Sociodemographic and personality inventories performed during residency, and actual careers 4 to 9 years later. International medical school graduates (IMGs) were less likely to practice general medicine than U.S. graduates (33.3% vs 70.6%, P personal attributes during the selection process.

  7. Implementing cognitive behavioral therapy in specialty medical settings.

    Science.gov (United States)

    Magidson, Jessica F; Weisberg, Risa B

    2014-11-01

    This article is an introduction to the second issue of a two-part Special Series on integrating cognitive behavioral therapy (CBT) into medical settings. The first issue focused on integrating CBT into primary care, and this issue focuses on implementing CBT in other specialty medical settings, including cancer treatment, HIV care, and specialized pediatric medical clinics. Models for treatment delivery to improve ease of implementation are also discussed, including telehealth and home-delivered treatment. The six articles in this series provide examples of how to transport CBT techniques that are largely designed for implementation in outpatient mental health settings to specialized medical settings, and discuss unique considerations and recommendations for implementation.

  8. Trigeminal neuralgia – a coherent cross-specialty management program

    DEFF Research Database (Denmark)

    Heinskou, Tone; Maarbjerg, Stine; Rochat, Per Bjørnstad

    2015-01-01

    BACKGROUND: Optimal management of patients with classical trigeminal neuralgia (TN) requires specific treatment programs and close collaboration between medical, radiological and surgical specialties. Organization of such treatment programs has never been described before. With this paper we aim......: The described cross-speciality management program proved to be feasible and to have acceptable waiting times for referral and highly specialized work-up of TN patients in a public tertiary referral centre for headache and facial pain. Early high quality MRI ensured correct diagnosis and that the neurosurgeons...

  9. [Research of genetics teaching in biological teacher-training specialty].

    Science.gov (United States)

    Zhang, Yu

    2008-02-01

    Genetics is an essential subject of life science, at the same time, it is a required course in the major of biology. Some colleges such as: agriculture, forest, animals, medicine, teacher-training and general college all offer genetics, because of the difference in specialized character and aim of training, genetics has the distinction in the system of knowledge and laying particular emphasis on content. The author seeks how to make genetics well in teaching content, method and so on in biological teacher-training specialty, and puts views.

  10. «Interventional Neuroradiology: a neuroscience sub-specialty?».

    Science.gov (United States)

    Rodesch, Georges; Picard, Luc; Berenstein, Alex; Biondi, Alessandra; Bracard, Serge; Choi, In Sup; Feng, Ling; Hyogo, Toshio; Lefeuvre, David; Leonardi, Marco; Mayer, Thomas; Miyashi, Shigeru; Muto, Mario; Piske, Ronie; Pongpech, Sirintara; Reul, Jurgen; Soderman, Michael; Chuh, Dae Sul; Tampieri, Donatella; Taylor, Allan; Terbrugge, Karel; Valavanis, Anton; van den Berg, René

    2013-09-01

    Interventional Neuroradiology (INR) is not bound by the classical limits of a specialty, and is not restricted by standard formats of teaching and education. Open and naturally linked towards neurosciences, INR has become a unique source of novel ideas for research, development and progress allowing new and improved approaches to challenging pathologies resulting in better anatomo-clinical results. Opening INR to Neurosciences is the best way to keep it alive and growing. Anchored in Neuroradiology, at the crossroad of neurosciences, INR will further participate to progress and innovation as it has often been in the past.

  11. Residents' views about family medicine specialty education in Turkey

    Directory of Open Access Journals (Sweden)

    Uzuner Arzu

    2010-04-01

    Full Text Available Abstract Background Residents are one of the key stakeholders of specialty training. The Turkish Board of Family Medicine wanted to pursue a realistic and structured approach in the design of the specialty training programme. This approach required the development of a needs-based core curriculum built on evidence obtained from residents about their needs for specialty training and their needs in the current infrastructure. The aim of this study was to obtain evidence on residents' opinions and views about Family Medicine specialty training. Methods This is a descriptive, cross-sectional study. The board prepared a questionnaire to investigate residents' views about some aspects of the education programme such as duration and content, to assess the residents' learning needs as well as their need for a training infrastructure. The questionnaire was distributed to the Family Medicine Departments (n = 27 and to the coordinators of Family Medicine residency programmes in state hospitals (n = 11 by e-mail and by personal contact. Results A total of 191 questionnaires were returned. The female/male ratio was 58.6%/41.4%. Nine state hospitals and 10 university departments participated in the study. The response rate was 29%. Forty-five percent of the participants proposed over three years for the residency duration with either extensions of the standard rotation periods in pediatrics and internal medicine or reductions in general surgery. Residents expressed the need for extra rotations (dermatology 61.8%; otolaryngology 58.6%; radiology 52.4%. Fifty-nine percent of the residents deemed a rotation in a private primary care centre necessary, 62.8% in a state primary care centre with a proposed median duration of three months. Forty-seven percent of the participants advocated subspecialties for Family Medicine, especially geriatrics. The residents were open to new educational methods such as debates, training with models, workshops and e

  12. Specialty location decisions in the reformed NHS: a case study.

    Science.gov (United States)

    Hindle, T; Roberts, E; Worthington, D

    1998-08-01

    A soft systems approach, largely based on soft systems methodology, was used to steer a study (completed in 1996) of the National Health Service contracting process. It led to action research projects on a number of related issues. One such area that emerged very strongly concerns service rationalization and service planning, and in particular the location of 'small' specialties. A Trust-based study involving patient flow modelling demonstrates the form these problems can take within the internal market and highlights the challenge they make to the contracting process or the new primary care group based commissioning process if they are to be resolved in a rational manner.

  13. Novel operative treatment options.

    Science.gov (United States)

    Ricketts, D N J; Pitts, N B

    2009-01-01

    There are an increasing number of more novel options available for operative intervention. This chapter outlines a series of operative treatment options which are available to the modern clinician to select from once a decision has been made to treat a carious lesion operatively. A series of novel methods of caries removal have been described; including chemomechanical caries removal, air abrasion, sono-abrasion, polymer rotary burs and lasers. There are also novel approaches to ensure complete caries removal and novel approaches for the management of deep caries. A novel question increasingly asked by clinicians is: does all the caries need to be removed? Operative management options here include: therapeutic fissure sealants, ultraconservative caries removal, stepwise excavation and the Hall technique. In conclusion, there is now a growing wealth of evidence that questions the traditional methods of caries removal and restoring the tooth. In parallel, there is a growing movement exploring the merits of therapeutically sealing caries into the tooth. This philosophy is alien to many of today's dentists and, until further randomized controlled trials are carried out in primary care, prudent caution must be exercised with this promising approach. Research is required into techniques which will allow monitoring of sealed caries to detect any rare, but insidious, failures. These novel techniques are an alternative way of managing the later stages of the caries process from a sounder biological basis and have marked potential benefits to patients from treatment, pain and outcome perspectives. Copyright 2009 S. Karger AG, Basel

  14. Valuating Privacy with Option Pricing Theory

    Science.gov (United States)

    Berthold, Stefan; Böhme, Rainer

    One of the key challenges in the information society is responsible handling of personal data. An often-cited reason why people fail to make rational decisions regarding their own informational privacy is the high uncertainty about future consequences of information disclosures today. This chapter builds an analogy to financial options and draws on principles of option pricing to account for this uncertainty in the valuation of privacy. For this purpose, the development of a data subject's personal attributes over time and the development of the attribute distribution in the population are modeled as two stochastic processes, which fit into the Binomial Option Pricing Model (BOPM). Possible applications of such valuation methods to guide decision support in future privacy-enhancing technologies (PETs) are sketched.

  15. Health-insurance products and plan options.

    Science.gov (United States)

    Youkstetter, W D

    1990-10-01

    Trends in health insurance are discussed, with emphasis on insurers' efforts to offer an array of cost-effective plans tailored to the needs of employers and subscribers. Health-insurance companies, responding to employers' demands to curtail the rising costs of premiums, now offer a variety of insurance products. While indemnity plans, health maintenance organizations (HMOs), and preferred-provider organizations (PPOs) remain as the three basic types of plans, insurers are combining these elements in different ways, creating dual- and triple-option plans that consist of indemnity insurance and an HMO, a PPO and an HMO, or other variations. Insurers offering multiple options may effect internal cost savings through shared personnel and administrative expenses. Four factors influence the development and marketing of insurance products: cost and volume of healthcare services, adverse selection, competition, and the profit incentive. Many of the insurance products have been developed in response to requests for maximum freedom of choice of provider; as an example, the fastest-growing HMO product in 1989 was the point-of-service HMO, which allows the subscriber to seek care from a provider who is not part of the HMO network. PPOs and exclusive-provider organizations (EPOs) are growing; these are often organized by hospitals or physician networks. Among the new trends in product-line development are "riders" for specialty services such as vision care and prescription drugs. As competition intensifies, marketing efforts are focusing on previously overlooked groups such as the small employer and certain ethnic communities. Cost and freedom of choice will remain important criteria in the selection of insurance products.(ABSTRACT TRUNCATED AT 250 WORDS)

  16. Deliberating emission reduction options

    Energy Technology Data Exchange (ETDEWEB)

    Dowd, A.M.; Rodriguez, M.; Jeanneret, T. [Commonwealth Scientific and Industrial Research Organisation CSIRO, 37 Graham Rd, Highett VIC 3190 (Australia); De Best-Waldhober, M.; Straver, K.; Mastop, J.; Paukovic, M. [Energy research Centre of the Netherlands ECN, Policy Studies, Amsterdam (Netherlands)

    2012-06-15

    For more than 20 years there has been a concerted international effort toward addressing climate change. International conventions, such as the United Nations Foreign Convention on Climate Change (UNFCCC; ratified in 1994), have been established by committed nations seeking to address global climate change through the reduction of greenhouse gases emitted into the Earth's atmosphere (Global CCS Institute, 2011). Long recognised as the most crucial of the greenhouse gases to impact global warming, the majority of carbon dioxide's anthropogenic global emissions are directly related to fuel combustion of which both Australia and the Netherlands' energy production is significantly reliant. Both these nations will need to consider many opinions and make hard decisions if alternative energy options are to be implemented at the scale that is required to meet international emission targets. The decisions that are required not only need to consider the many options available but also their consequences. Along with politicians, policy developers and industry, the general public also need to be active participants in deciding which energy options, and their subsequent consequences, are acceptable for implementation at the national level. Access to balanced and factual information is essential in establishing informed opinions on the many policy options available. Past research has used several methods to measure public perceptions and opinions yet for complex issues, such as emission reduction, some of these methods have shown to be problematic. For example, semi structured interviews can provide data that is flexible and context rich yet is does also come with the limitations such as it seldom provides a practical assessment that can be utilised from researcher to researcher, across disciplines and public participation techniques. Surveys on the other hand usually address these limitations but surveys that do not encourage comparison of information or ask

  17. Intangible Cultural Heritage and Geographical Indication of Specialty Resources: A Case Study of Shiyan City

    Institute of Scientific and Technical Information of China (English)

    Zai; HU; Wanzhen; XIONG; Zhiguo; SUN; Shuting; WANG; Limin; HUANG

    2013-01-01

    The protection of intangible cultural heritage and geographical indications of the specialty in Shiyan City was analyzed,and then related suggestions were proposed,for example,to collect and organize the intangible cultural heritage related to traditional specialty;to enhance the application of those intangible cultural heritage projects related to traditional industry and agriculture;to establish some demonstration bases for the productive protection of intangible cultural heritages;to strengthen the application of geographical indications of traditional specialty;to build national quality standards for various specialty with geographical indications;to integrate and cultivate the famous specialty brands with geographical indication;to implement the double protection of the geographical indications and intangible cultural heritages;to improve the poverty alleviation through developing the specialty industry with geographical indications.

  18. [The Problems with Domestic Introduction of rTMS from the Three Viewpoints of Scientific Evidence, Specialty and Social Responsibility].

    Science.gov (United States)

    Shinosaki, Kazuhiro

    2015-01-01

    The domestic introduction of rTMS is expected as a new treatment option for treatment-resistant depression. I discussed some problems with the introduction from three viewpoints : scientific evidence, specialty, and social responsibility. I surveyed scientific evidence for rTMS regarding the action mechanism, effectiveness, side effects, and its positioning in the treatment guidelines. To secure the quality of rTMS treatment, I proposed rTMS guidelines, nurturing of the specialists, and a center hospital plan, and pointed out some medium-term problems after its introduction and the consistency of rTMS treatment and standard depression treatment. From the viewpoint of social responsibility, rTMS treatment should be a medical service covered by health insurance to avoid its misuse. We should prepare to overcome the public suspicion of brain stimulation treatment for mental disease.

  19. Fast Spectrum Molten Salt Reactor Options

    Energy Technology Data Exchange (ETDEWEB)

    Gehin, Jess C [ORNL; Holcomb, David Eugene [ORNL; Flanagan, George F [ORNL; Patton, Bruce W [ORNL; Howard, Rob L [ORNL; Harrison, Thomas J [ORNL

    2011-07-01

    During 2010, fast-spectrum molten-salt reactors (FS-MSRs) were selected as a transformational reactor concept for light-water reactor (LWR)-derived heavy actinide disposition by the Department of Energy-Nuclear Energy Advanced Reactor Concepts (ARC) program and were the subject of a preliminary scoping investigation. Much of the reactor description information presented in this report derives from the preliminary studies performed for the ARC project. This report, however, has a somewhat broader scope-providing a conceptual overview of the characteristics and design options for FS-MSRs. It does not present in-depth evaluation of any FS-MSR particular characteristic, but instead provides an overview of all of the major reactor system technologies and characteristics, including the technology developments since the end of major molten salt reactor (MSR) development efforts in the 1970s. This report first presents a historical overview of the FS-MSR technology and describes the innovative characteristics of an FS-MSR. Next, it provides an overview of possible reactor configurations. The following design features/options and performance considerations are described including: (1) reactor salt options-both chloride and fluoride salts; (2) the impact of changing the carrier salt and actinide concentration on conversion ratio; (3) the conversion ratio; (4) an overview of the fuel salt chemical processing; (5) potential power cycles and hydrogen production options; and (6) overview of the performance characteristics of FS-MSRs, including general comparative metrics with LWRs. The conceptual-level evaluation includes resource sustainability, proliferation resistance, economics, and safety. The report concludes with a description of the work necessary to begin more detailed evaluation of FS-MSRs as a realistic reactor and fuel cycle option.

  20. Oral health in Brazil - Part II: Dental Specialty Centers (CEOs

    Directory of Open Access Journals (Sweden)

    Vinícius Pedrazzi

    2008-08-01

    Full Text Available The concepts of health promotion, self-care and community participation emerged during the 1970s and, since then, their application has grown rapidly in the developed world, showing evidence of effectiveness. In spite of this, a major part of the population in the developing countries still has no access to specialized dental care such as endodontic treatment, dental care for patients with special needs, minor oral surgery, periodontal treatment and oral diagnosis. This review focuses on a program of the Brazilian Federal Government named CEOs (Dental Specialty Centers, which is an attempt to solve the dental care deficit of a population that is suffering from oral diseases and whose oral health care needs have not been addressed by the regular programs offered by the SUS (Unified National Health System. Literature published from 2000 to the present day, using electronic searches by Medline, Scielo, Google and hand-searching was considered. The descriptors used were Brazil, Oral health, Health policy, Health programs, and Dental Specialty Centers. There are currently 640 CEOs in Brazil, distributed in 545 municipal districts, carrying out dental procedures with major complexity. Based on this data, it was possible to conclude that public actions on oral health must involve both preventive and curative procedures aiming to minimize the oral health distortions still prevailing in developing countries like Brazil.

  1. Students to Surgeons: Increasing Matriculation in Surgical Specialties.

    Science.gov (United States)

    Grover, Karan; Agarwal, Prateek; Agarwal, Nitin; Tabakin, Marcia D; Swan, Kenneth G

    2016-12-01

    Introduction Our nation suffers from a shortage in surgeons. This deficiency must be addressed at the medical student level. Increasing faculty and resident interaction with junior students augments surgical interest. Our surgical interest group has recently redefined its role to address these concerns. Methods A multifocal approach has been implemented to increase interest in the surgical specialties. Each academic year, senior students recruit first and second year students to our group to establish early exposure. Members receive didactic presentations from surgical faculty, addressing various topics, on a biweekly basis. In addition, scrubbing, knot-tying, and suturing workshops address technical skills throughout the semester. Membership and match data were collated and analyzed. Results Over the past 5 years, the enrollment in the student interest group increased significantly from 112 to 150. Accordingly, we have observed a parallel increase in the number of students who have successfully matched into surgical residencies. A record number of students (37) from the class of 2013 matched into surgical specialties, representing an 85% increase over the last decade. After creating bylaws and electing societal officers, the group has been recognized by the school's Student Council and given financial support. At present, the group is fiscally solvent with support from the institution, surgery department, and faculty. Conclusion As the demand for surgeons increases so too does the need to increase student interest in surgery. Our school has been successful because of our surgical interest group, and we encourage other schools to adopt a similar approach. © The Author(s) 2016.

  2. Exploring personal interests of physicians in hospitals and specialty clinics.

    Science.gov (United States)

    Koelewijn, Wout T; Ehrenhard, Michel L; Groen, Aard J; van Harten, Wim H

    2014-01-01

    Physicians' interests substantially influence intra-organizational dynamics in hospitals, though little is known about the actual content and structure of these interests. The objective of this study was to both identify and build a structured model of physicians' interests. Based on literature and 27 semi-structured interviews with physicians, a questionnaire containing 10 interests was developed. Next, 1475 physicians in the Netherlands filled out an online survey. Analyses of the data revealed a distinction between the primary interest of 'helping patients as well as possible' and nine secondary interests. Factor analysis identified the main secondary interest dimensions as work-related, setting-related, and life-related. Value attached to interests differs between specialties and types of hospitals. The influence of hospital type on the value attached to interests is stronger than the influence of specialty group on the value attached to interests. Insight in the relative importance of different interests may help policy-makers make decisions that foster shared interests. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Research on Platform Construction of Manufacturing Practice for Industrial Design Specialty in Colleges

    OpenAIRE

    Xiaowei Jiang; Yumei Song

    2015-01-01

    In view of that manufacturing practice is indispensable practical link of industrial design specialty, the author analyzes the current situation of manufacturing practice in industrial design specialty and the existing problem in manufacturing practice system, discussing the necessity of research on manufacturing practice for industrial design specialty. Among them establishing the manufacturing practice factory of industrial design on campus, which lets the student enter and learn various pr...

  4. Perceived effects of specialty nurse certification: a review of the literature.

    Science.gov (United States)

    Wade, Charlene H

    2009-01-01

    Recent evidence suggests that specialty nurse education and certification may improve the quality of patient care. Specialty nurse certification also may improve nurses' job satisfaction and sense of empowerment, as well as positively affect collaboration with other health care team members. Despite the evidence that there are intrinsic rewards for specialty certification, the lack of extrinsic value to nurses makes it unlikely that greater numbers of nurses will be attracted to certification unless health care administrators increase opportunities for recognition and greater compensation.

  5. Nuclear Fuel Cycle Options Catalog FY15 Improvements and Additions.

    Energy Technology Data Exchange (ETDEWEB)

    Price, Laura L. [Sandia National Laboratories (SNL-NM), Albuquerque, NM (United States); Barela, Amanda Crystal [Sandia National Laboratories (SNL-NM), Albuquerque, NM (United States); Schetnan, Richard Reed [Sandia National Laboratories (SNL-NM), Albuquerque, NM (United States); Walkow, Walter M. [Sandia National Laboratories (SNL-NM), Albuquerque, NM (United States)

    2015-11-01

    The United States Department of Energy, Office of Nuclear Energy, Fuel Cycle Technology Program sponsors nuclear fuel cycle research and development. As part of its Fuel Cycle Options campaign, the DOE has established the Nuclear Fuel Cycle Options Catalog. The catalog is intended for use by the Fuel Cycle Technologies Program in planning its research and development activities and disseminating information regarding nuclear energy to interested parties. The purpose of this report is to document the improvements and additions that have been made to the Nuclear Fuel Cycle Options Catalog in the 2015 fiscal year.

  6. How to start and operate a National Emergency Medicine specialty organisation

    Directory of Open Access Journals (Sweden)

    Elizabeth L. DeVos

    2014-12-01

    Full Text Available As a service for the International Federation for Emergency Medicine, a task force of the Specialty Implementation Committee wrote this manuscript of guidelines for developing a National Emergency Medicine (EM specialty organisation. This manuscript offers structural and procedural considerations for creating or developing an EM specialty organisation in a country or region that currently does not have one. It was written in response to requests for aid in developing a country’s specialty of EM. International EM leaders with experience in the development of national organisations have reviewed these guidelines.

  7. DETERMINANTS OF SPECIALTY CHOICE OF RESIDENT DOCTORS; CASE STUDY--AMONG RESIDENT DOCTORS IN NIGERIA

    National Research Council Canada - National Science Library

    Osuoji, Roland I; Adebanji, Atinuke; Abdulsalam, Moruf A; Oludara, Mobolaji A; Abolarinwa, Abimbola A

    2015-01-01

    This study examined medical specialty selection by Nigerian resident doctors using a marketing research approach to determine the selection criteria and the role of perceptions, expected remuneration...

  8. Doctors who considered but did not pursue specific clinical specialties as careers: questionnaire surveys.

    Science.gov (United States)

    Goldacre, Michael J; Goldacre, Raph; Lambert, Trevor W

    2012-04-01

    To report doctors' rejection of specialties as long-term careers and reasons for rejection. Postal questionnaires. United Kingdom. Graduates of 2002, 2005 and 2008 from all UK medical schools, surveyed one year after qualification. Current specialty choice; any choice that had been seriously considered but not pursued (termed 'rejected' choices) with reasons for rejection. 2573 of 9155 respondents (28%) had seriously considered but then not pursued a specialty choice. By comparison with positive choices, general practice was under-represented among rejected choices: it was the actual choice of 27% of respondents and the rejected choice of only 6% of those who had rejected a specialty. Consideration of 'job content' was important in not pursuing general practice (cited by 78% of those who considered but rejected a career in general practice), psychiatry (72%), radiology (69%) and pathology (68%). The surgical specialties were the current choice of 20% of respondents and had been considered but rejected by 32% of doctors who rejected a specialty. Issues of work-life balance were the single most common factor, particularly for women, in not pursuing the surgical specialties, emergency medicine, the medical hospital specialties, paediatrics, and obstetrics and gynaecology. Competition for posts, difficult examinations, stressful working conditions, and poor training were mentioned but were mainly minority concerns. There is considerable diversity between doctors in their reasons for finding specialties attractive or unattractive. This underlines the importance of recruitment strategies to medical school that recognize diversity of students' interests and aptitudes.

  9. [Interventional neuroradiology: current options].

    Science.gov (United States)

    Szikora, István; Marosfői, Miklós; Berentei, Zsolt; Gubucz, István

    2015-04-26

    Modern interventional neuroradiology has a leading role in the treatment of ischemic and hemorrhagic stroke, and it provides more and more important treatment options for degenerative diseases of the vertebral column and the management of correlated pain. During the last decades interventional neuroradiology has played a primary role in the treatment of intracranial berry aneurysms due to the continuous technical improvements. Ongoing studies proved superiority of mechanical stent-thrombectomy in acute proximal occlusion of cerebral arteries. Less invasive neurointerventional methods, such as vertebroplasty, are widely used in osteoporotic and neoplastic pathologic fractures of the vertebral bodies. These treatments should be performed in a specialized center by well trained physicians.

  10. Achilles tendinosis: treatment options.

    Science.gov (United States)

    Lopez, Roberto Gabriel L; Jung, Hong-Geun

    2015-03-01

    Athletes usually complain of an ongoing or chronic pain over the Achilles tendon, but recently even non-athletes are experiencing the same kind of pain which affects their daily activities. Achilles tendinosis refers to a degenerative process of the tendon without histologic or clinical signs of intratendinous inflammation. Treatment is based on whether to stimulate or prevent neovascularization. Thus, until now, there is no consensus as to the best treatment for this condition. This paper aims to review the common ways of treating this condition from the conservative to the surgical options.

  11. Structured Data Entry in the Electronic Medical Record: Perspectives of Pediatric Specialty Physicians and Surgeons.

    Science.gov (United States)

    Bush, Ruth A; Kuelbs, Cynthia; Ryu, Julie; Jiang, Wen; Chiang, George

    2017-05-01

    The Epic electronic health record (EHR) platform supports structured data entry systems (SDES), which allow developers, with input from users, to create highly customized patient-record templates in order to maximize data completeness and to standardize structure. There are many potential advantages of using discrete data fields in the EHR to capture data for secondary analysis and epidemiological research, but direct data acquisition from clinicians remains one of the largest obstacles to leveraging the EHR for secondary use. Physician resistance to SDES is multifactorial. A 35-item questionnaire based on Unified Theory of Acceptance and Use of Technology, was used to measure attitudes, facilitation, and potential incentives for adopting SDES for clinical documentation among 25 pediatric specialty physicians and surgeons. Statistical analysis included chi-square for categorical data as well as independent sample t-tests and analysis of variance for continuous variables. Mean scores of the nine constructs demonstrated primarily positive physician attitudes toward SDES, while the surgeons were neutral. Those under 40 were more likely to respond that facilitating conditions for structured entry existed as compared to the two older age groups (p = .02). Pediatric surgeons were significantly less positive than specialty physicians about SDES effects on Performance (p = .01) and the effect of Social Influence (p = .02); but in more agreement that use of forms was voluntary (p = .02). Attitudinal differences likely reflect medical training, clinical practice workflows, and division specific practices. Identified resistance indicate efforts to increase SDES adoption should be discipline-targeted rather than a uniform approach.

  12. Technology

    Directory of Open Access Journals (Sweden)

    Xu Jing

    2016-01-01

    Full Text Available The traditional answer card reading method using OMR (Optical Mark Reader, most commonly, OMR special card special use, less versatile, high cost, aiming at the existing problems proposed a method based on pattern recognition of the answer card identification method. Using the method based on Line Segment Detector to detect the tilt of the image, the existence of tilt image rotation correction, and eventually achieve positioning and detection of answers to the answer sheet .Pattern recognition technology for automatic reading, high accuracy, detect faster

  13. 中学科技教育中存在的困境及对策——一次特长调查引发的思考%The Difficulties and Countermeasures Existed in Middle School Science and Technology Education——Ponderation Caused by once Specialty Survey

    Institute of Scientific and Technical Information of China (English)

    吴咏山

    2012-01-01

    "Science and technology are primary productive forces." Culture,creating a large number of both ability and integrity of the scientific and technological talents and improve the nation's cultural and scientific quality is a priority.The author uphold for a long time in the first line of the science and technology education in secondary schools,the pain secondary school science and technology education is overlooked,then teaching practice,summed up the plight of the middle school technology education and superficial some coping strategies and look forward to cause the consensus to improve scientific and technological literacy of young people.%"科学技术是第一生产力。"培养、造就大批德才兼备的科技人才和提高全民族的文化科学素质是当务之急。笔者长期坚持在中学科技教育的第一线,痛感中学科技教育的被忽视,遂结合教学实践,对中学科技教育存在的困境进行了归纳并提出了一些应对策略,期待引起共识,以提高青少年的科技素养。

  14. Transfemoral socket design and suspension options.

    Science.gov (United States)

    Kapp, S L

    2000-08-01

    The transfemoral socket is the interface between the patient's residual limb and the remaining prosthesis. Whether the patient uses a technologically advanced knee mechanism and foot or a single axis, constant friction knee and solid ankle cushioned heel, no other prosthetic component is as crucial in assuring a comfortable and well-functioning prosthesis as the socket. This article discusses the rationale of quadrilateral and ischial containment socket designs and reviews suspension options.

  15. ATR Spent Fuel Options Study

    Energy Technology Data Exchange (ETDEWEB)

    Connolly, Michael James [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bean, Thomas E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Brower, Jeffrey O. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Luke, Dale E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Patterson, M. W. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Robb, Alan K. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Sindelar, Robert [Idaho National Lab. (INL), Idaho Falls, ID (United States); Smith, Rebecca E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Tonc, Vincent F. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Tripp, Julia L. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Winston, Philip L. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2017-01-01

    The Advanced Test Reactor (ATR) is a materials and fuels test nuclear reactor that performs irradiation services for the U.S. Department of Energy (DOE) Office of Nuclear Energy (NE), Naval Reactors, the National Nuclear Security Administration (NNSA), and other research programs. ATR achieved initial criticality in 1967 and is expected to operate in support of needed missions until the year 2050 or beyond. It is anticipated that ATR will generate approximately 105 spent nuclear fuel (SNF) elements per year through the year 2050. Idaho National Laboratory (INL) currently stores 2,008 ATR SNF elements in dry storage, 976 in wet storage, and expects to have 1,000 elements in wet storage before January 2017. A capability gap exists at INL for long-term (greater than the year 2050) management, in compliance with the Idaho Settlement Agreement (ISA), of ATR SNF until a monitored retrievable geological repository is open. INL has significant wet and dry storage capabilities that are owned by the DOE Office of Environmental Management (EM) and operated and managed by Fluor Idaho, which include the Idaho Nuclear Technology and Engineering Center’s (INTEC’s) CPP-666, CPP-749, and CPP-603. In addition, INL has other capabilities owned by DOE-NE and operated and managed by Battelle Energy Alliance, LLC (BEA), which are located at the Materials and Fuel Complex (MFC). Additional storage capabilities are located on the INL Site at the Naval Reactors Facility (NRF). Current INL SNF management planning, as defined in the Fluor Idaho contract, shows INTEC dry fuel storage, which is currently used for ATR SNF, will be nearly full after transfer of an additional 1,000 ATR SNF from wet storage. DOE-NE tasked BEA with identifying and analyzing options that have the potential to fulfill this capability gap. BEA assembled a team comprised of SNF management experts from Fluor Idaho, Savannah River Site (SRS), INL/BEA, and the MITRE Corp with an objective of developing and analyzing

  16. Mixed waste management options

    Energy Technology Data Exchange (ETDEWEB)

    Owens, C.B.; Kirner, N.P. [EG and G Idaho, Inc., Idaho Falls, ID (United States). Idaho National Engineering Lab.

    1991-12-31

    Disposal fees for mixed waste at proposed commercial disposal sites have been estimated to be $15,000 to $40,000 per cubit foot. If such high disposal fees are imposed, generators may be willing to apply extraordinary treatment or regulatory approaches to properly dispose of their mixed waste. This paper explores the feasibility of several waste management scenarios and attempts to answer the question: Can mixed waste be managed out of existence? Existing data on commercially generated mixed waste streams are used to identify the realm of mixed waste known to be generated. Each waste stream is evaluated from both a regulatory and technical perspective in order to convert the waste into a strictly low-level radioactive or a hazardous waste. Alternative regulatory approaches evaluated in this paper include a delisting petition, no migration petition, and a treatability variance. For each waste stream, potentially available treatment options are identified that could lead to these variances. Waste minimization methodology and storage for decay are also considered. Economic feasibility of each option is discussed broadly.

  17. Treatment Options for Myopia

    Science.gov (United States)

    Gwiazda, Jane

    2009-01-01

    Myopia is a significant public health problem and its prevalence may be increasing over time. The main treatment options of single vision spectacle lenses, contact lenses, and refractive surgery do not slow the accompanying eye growth or retard the physiological changes associated with excessive axial elongation. High myopia is a predisposing factor for retinal detachment, myopic retinopathy, and glaucoma, contributing to loss of vision and blindness. The high prevalence of myopia and its prominence as a public health problem emphasize the importance of finding effective treatments that slow myopia progression and axial elongation. Treatments that have been investigated include various types of spectacle lenses and contact lenses, as well as pharmaceutical agents such as atropine and pirenzepine. The bulk of evidence from well-conducted studies shows that overall, most therapies for myopia have small treatment benefits that last for a relatively short period of time or have significant side effects. Some therapies may be more effective in subsets of myopic children. This review of treatment options for myopia will emphasize recent results from well-designed clinical studies and will suggest possible future therapies. PMID:19390466

  18. Achalasia: Treatment Options Revisited

    Directory of Open Access Journals (Sweden)

    Willemijntje A Hoogerwerf

    2000-01-01

    Full Text Available The aim of all current forms of treatment of achalasia is to enable the patient to eat without disabling symptoms such as dysphagia, regurgitation, coughing or choking. Historically, this has been accomplished by mechanical disruption of the lower esophageal sphincter fibres, either by means of pneumatic dilation (PD or by open surgical myotomy. The addition of laparoscopic myotomy and botulinum toxin (BTX injection to the therapeutic armamentarium has triggered a recent series of reviews to determine the optimal therapeutic approach. Both PD and BTX have excellent short term (less than three months efficacy in the majority of patients. New data have been published that suggest that PD and BTX (with repeat injections can potentially obtain long term efficacy. PD is still considered the first-line treatment by most physicians; its main disadvantage is risk of perforation. BTX injection is evolving as an excellent, safe option for patients who are considered high risk for more invasive procedures. Laparoscopic myotomy with combined antireflux surgery is an increasingly attractive option in younger patients with achalasia, but long term follow-up studies are required to establish its efficacy and the potential for reflux-related sequelae.

  19. Advanced Demonstration and Test Reactor Options Study

    Energy Technology Data Exchange (ETDEWEB)

    Petti, David Andrew [Idaho National Lab. (INL), Idaho Falls, ID (United States); Hill, R. [Argonne National Lab. (ANL), Argonne, IL (United States); Gehin, J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Gougar, Hans David [Idaho National Lab. (INL), Idaho Falls, ID (United States); Strydom, Gerhard [Idaho National Lab. (INL), Idaho Falls, ID (United States); Heidet, F. [Argonne National Lab. (ANL), Argonne, IL (United States); Kinsey, J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Grandy, Christopher [Argonne National Lab. (ANL), Argonne, IL (United States); Qualls, A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Brown, Nicholas [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Powers, J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Hoffman, E. [Argonne National Lab. (ANL), Argonne, IL (United States); Croson, D. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2017-01-01

    Global efforts to address climate change will require large-scale decarbonization of energy production in the United States and elsewhere. Nuclear power already provides 20% of electricity production in the United States (U.S.) and is increasing in countries undergoing rapid growth around the world. Because reliable, grid-stabilizing, low emission electricity generation, energy security, and energy resource diversity will be increasingly valued, nuclear power’s share of electricity production has a potential to grow. In addition, there are non electricity applications (e.g., process heat, desalination, hydrogen production) that could be better served by advanced nuclear systems. Thus, the timely development, demonstration, and commercialization of advanced nuclear reactors could diversify the nuclear technologies available and offer attractive technology options to expand the impact of nuclear energy for electricity generation and non-electricity missions. The purpose of this planning study is to provide transparent and defensible technology options for a test and/or demonstration reactor(s) to be built to support public policy, innovation and long term commercialization within the context of the Department of Energy’s (DOE’s) broader commitment to pursuing an “all of the above” clean energy strategy and associated time lines. This planning study includes identification of the key features and timing needed for advanced test or demonstration reactors to support research, development, and technology demonstration leading to the commercialization of power plants built upon these advanced reactor platforms. This planning study is consistent with the Congressional language contained within the fiscal year 2015 appropriation that directed the DOE to conduct a planning study to evaluate “advanced reactor technology options, capabilities, and requirements within the context of national needs and public policy to support innovation in nuclear energy

  20. Life Options Rehabilitation Program

    Science.gov (United States)

    ... Award! For Professionals: The Impact of Technology on Nephrology Social Work Practice Nephrology social workers are faced with myriad tasks and ... Sledge, LCSW, from the April 2013 edition of Nephrology News & Issues . Read the article . Earn 1 CE ...

  1. Guideline.gov: A Database of Clinical Specialty Guidelines.

    Science.gov (United States)

    El-Khayat, Yamila M; Forbes, Carrie S; Coghill, Jeffrey G

    2017-01-01

    The National Guidelines Clearinghouse (NGC), also known as Guideline.gov, is a database of resources to assist health care providers with a central depository of guidelines for clinical specialty areas in medicine. The database is provided free of charge and is sponsored by the U.S. Department of Health and Human Services and the Agency for Healthcare Research and Quality. The guidelines for treatment are updated regularly, with new guidelines replacing older guidelines every five years. There are hundreds of current guidelines with more added each week. The purpose and goal of NGC is to provide physicians, nurses, and other health care providers, insurance companies, and others in the field of health care with a unified database of the most current, detailed, relevant, and objective clinical practice guidelines.

  2. Specialty Fibers for Terahertz Generation and Transmission: A Review

    CERN Document Server

    Barh, Ajanta; Agrawal, G P; Varshney, R K; Rahman, B M A

    2015-01-01

    Terahertz (THz) frequency range, lying between the optical and microwave range covers a significant portion of the electro-magnetic spectrum. Though its initial usage started in the 1960s, active research in the THz field started only in the 1990s by researchers from both optics and microwaves disciplines. The use of optical fibers for THz application has attracted considerable attention in recent years. In this article, we review the progress and current status of optical fiber-based techniques for THz generation and transmission. The first part of this review focuses on THz sources. After a review on various types of THz sources, we discuss how specialty optical fibers can be used for THz generation. The second part of this review focuses on the guided wave propagation of THz waves for their transmission. After discussing various wave guiding schemes, we consider new fiber designs for THz transmission.

  3. Novel preventive treatment options

    DEFF Research Database (Denmark)

    Longbottom, C; Ekstrand, K; Zero, D

    2009-01-01

    to that point. These include: approximal sealants; fluoride applications, including slow-release devices; measures to help remineralize demineralized tissue, including 3 different methods of delivering amorphous calcium phosphate; measures to help modify the biofilm to reduce the cariogenic challenge, including...... ozone therapy and probiotics; measures to increase enamel resistance to demineralization, including laser treatment of enamel, and a novel 'hybrid' technique for the treatment of primary molar caries which involves 'overlapping' of secondary and tertiary prevention--the Hall technique. Although many...... of these techniques show considerable promise and dentists should be aware of these developments and follow their progress, the evidence for each of these novel preventive treatment options is currently insufficient to make widespread recommendations. Changes in dental practice should be explored to see how oral...

  4. Emerging Options and Opportunities in Civilian Aeronautics

    Science.gov (United States)

    Bushnell, Dennis M.

    2012-01-01

    This paper addresses the major problems/issues with civilian aeronautics going forward, the contextual ongoing technology revolutions, the several emerging civilian aeronautical "Big Ideas" and associated enabling technological approaches. The ongoing IT Revolution is increasingly providing, as 5 senses virtual presence/reality becomes available, along with Nano/Molecular Manufacturing, virtual alternatives to Physical transportation for both people and goods. Paper examines the potential options available to aeronautics to maintain and perhaps grow "market share" in the context of this evolving competition. Many of these concepts are not new, but the emerging technology landscape is enhancing their viability and marketability. The concepts vary from the "interesting" to the truly revolutionary and all require considerable research. Paper considers the speed range from personal/general aviation to supersonic transports and technologies from energetics to fabrication.

  5. Performance of the tutorial function in the Professor of Hematology, specialty: Clinical Laboratory.

    Directory of Open Access Journals (Sweden)

    Oriol Meneses Echemendia

    2014-09-01

    Full Text Available In the context of the battle of ideas, arises the career, degree in health technology, imposing new challenges to the medical university context, inserting new actors to the teaching - learning process and with them the professor-tutor's figure. For that reason , an evaluative project was developed in the hematology profile in the specialty of clinical laboratory, with the purpose of elaborating a strategy for the improvement of the teaching tutorial, on the base of systematic-structural-functional model; giving answer to the main detected problems. To carry out the study was used a qualitative focus, selecting the integrated paradigm. It was done an investigation action in the seven municipal university headquarters of the county where the process of teaching-learning of the new pedagogic model is developed in the profile. once selecting the scale of priority of the detected difficulties using the interaction and the interdependence among investigator and investigated, the "methodological strategy for the improvement of the teaching tutorial in hematology of clinical laboratory" was designed to propose three strategic actions, valued positively by the expert ones who endorsed the feasibility and effectiveness of their setting in practice to contribute to the improvement of the teaching tutorial in the formation of health technologies.

  6. 78 FR 28627 - Georgia Pacific LLC, Also Doing Business as Duluth Hardboard Plant, Specialty Manufacturing...

    Science.gov (United States)

    2013-05-15

    ... Employment and Training Administration Georgia Pacific LLC, Also Doing Business as Duluth Hardboard Plant..., also doing business as Duluth Hardboard Plant, Specialty Manufacturing Division, a subsidiary of Koch... workers of Georgia Pacific, LLC, also doing business as Duluth Hardboard Plant, Specialty...

  7. Root-knot nematode resistance, yield, and fruit quality of specialty melons grafted onto cucumis metulifer

    Science.gov (United States)

    Interest in specialty melons (Cucumis melo) with distinctive fruit characteristics has grown in the United States in recent years. However, disease management remains a major challenge in specialty melon production. In this study, grafting experiments were conducted to determine the effectiveness of...

  8. Marketing of specialty forest products in the southeast: opportunities for research, education and outreach (poster abstract)

    Science.gov (United States)

    A.L. Hammett; J.L. Chamberlain

    1999-01-01

    The specialty forest products sector in the Southeast is growing rapidly - perhaps faster than in other sections of the country. In 1993, the state of Virginia exported almost 10 percent of the national total of wild harvested ginseng. On a yearly basis, the value of the specialty forest products extracted from Virginia?s forests has been estimated at $35 million. The...

  9. 40 CFR 414.80 - Applicability; description of the specialty organic chemicals subcategory.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 28 2010-07-01 2010-07-01 true Applicability; description of the specialty organic chemicals subcategory. 414.80 Section 414.80 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS ORGANIC CHEMICALS, PLASTICS, AND SYNTHETIC FIBERS Specialty Organic Chemicals §...

  10. 76 FR 45397 - Export Inspection and Weighing Waiver for High Quality Specialty Grain Transported in Containers

    Science.gov (United States)

    2011-07-29

    ..._homepage/serv_sstd_tablepdf.pdf . The growing market for high quality specialty grain exported in... permanent waiver is consistent with the intent of the USGSA and will allow this market to continue to grow... Sec. 800.18(b) of the USGSA regulations. As the high quality specialty grain market has expanded,...

  11. 75 FR 41693 - Export Inspection and Weighing Waiver for High Quality Specialty Grains Transported in Containers

    Science.gov (United States)

    2010-07-19

    ... small businesses and on whether this waiver should be made permanent. The growing market for high... this market to continue to grow, GIPSA is issuing this interim final rule to (1) extend by 2 years the... specialty market has expanded, the volume of this specialty product has begun to exceed the 15,000...

  12. 77 FR 40353 - Onyx Specialty Papers, Inc; Notice of Availability of Environmental Assessment

    Science.gov (United States)

    2012-07-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Onyx Specialty Papers, Inc; Notice of Availability of Environmental..., 52 FR 47897), Commission staff has reviewed the Onyx Specialty Papers, Inc.'s application...

  13. Emotional intelligence and medical specialty choice: findings from three empirical studies.

    Science.gov (United States)

    Borges, Nicole J; Stratton, Terry D; Wagner, Peggy J; Elam, Carol L

    2009-06-01

    Despite only modest evidence linking personality-type variables to medical specialty choice, stereotypes involving empathy and 'emotional connectedness' persist, especially between primary care providers and surgeons or subspecialists. This paper examines emotional intelligence (EI) and specialty choice among students at three US medical schools. Results from three independent studies are presented. Study 1 used the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) administered to a single cohort of 84 Year 4 medical students. Study 2 used the Trait Meta-Mood Scale (TMMS) and Davis' Interpersonal Reactivity Index (IRI) administered to three cohorts (n = 250) of Year 3 medical students. Study 3 used the Bar-On Emotional Quotient Inventory (EQ-I) administered to two cohorts of Year 1 medical students (n = 292). Results were linked to specialty choice data retrieved from the National Residency Match Program (NRMP). Classifications of specialty choice included: (i) primary care (family practice, internal medicine, paediatrics) versus non-primary care (all others), and (ii) primary care, hospital-based specialties (anaesthesiology, emergency medicine, pathology, radiology), and technical and surgical specialties (neurology, obstetrics and gynaecology, ophthalmology, and all surgical fields). Across all three studies - and using both classifications of specialty choice - no significant differences in EI were found between students entering primary care and non-primary care specialties. Limitations are acknowledged, and future directions for research involving EI are identified.

  14. Communicative Principle of Teaching Foreign Language at Non-linguistic Specialties of the University

    Directory of Open Access Journals (Sweden)

    Olga A. Andreyeva

    2013-01-01

    Full Text Available The article is concerned with the problem of teaching foreign language at non-linguistic specialties of the university. The authors determine the communicative principle as the main trend of training foreign language at non-linguistic specialties of the university. This principle can be implemented both in the language teaching process and in working out of teaching materials and textbooks

  15. On Syllabus Design for the Specialty of Electromechanical Equipment Maintenance and Management in Vocational College

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    We carried out researches on the syllabus design for the specialty of electromechanical equipment maintenance & management in vocational college. Our researches involve the following aspects: (1) The training objective of the specialty; (2) the curriculum system; (3) The teaching methodology; and (4) Field training.

  16. 75 FR 27536 - Notice of the Specialty Crop Committee's Stakeholder Listening Session

    Science.gov (United States)

    2010-05-17

    ... Office of the Secretary Notice of the Specialty Crop Committee's Stakeholder Listening Session AGENCY: Research, Education, and Economics, USDA. ACTION: Notice of stakeholder listening session. SUMMARY: In... Agriculture announces a stakeholder listening session of the Specialty Crop Committee, under the auspices...

  17. The Impact of HIV/AIDS Epidemic on the Choice of Specialties ...

    African Journals Online (AJOL)

    The Impact of HIV/AIDS Epidemic on the Choice of Specialties among ... Fifty three percent (53.3%) and sixteen Percent (16.3%) based their choice of specialty on job satisfaction and favourable work schedule respectively. ... We recommend improvements in the work environment and adherence to universal precautions to

  18. Who's choosing whom? A sociological study of the specialty choices in a Danish context

    Science.gov (United States)

    Eika, Berit

    2011-01-01

    Objectives: The purpose of this study was to investigate if habitus, the unconscious and embodied mental structures founded early in life, can contribute to our understanding of how individuals choose a medical specialty. Methods A qualitative approach was employed using standardized open-ended interviews. In the present research, sampling was purposive, with an aim to illuminating the study objective. A sample of six juniors and three senior doctors were recruited from gynecology and obstetrics, vascular surgery and general practice via a snowball method. The interview guide and the subsequent analysis were based on Bourdieu’s sociological theory. Results Three central themes emerged, labeled as “the use of distinctions and dichotomies”, “the shaping of habitus” and “consequences of the shaping of habitus”. These represent values and preferences developed through childhood education and experiences which may contribute to explaining specialty choices. Participants distinguished between specialties by referring to dichotomous characteristics of the specialty (such as sick/healthy patients; young/elderly patients; fine/coarse surgery). Conclusions Bourdieu’s theory is useful for broadening our understanding of specialty choice, as his central concept, habitus, was found to direct the choice of specialty and constrain the number of possible specialties for the individual doctor. Research is needed to better understand how various factors affect the specialty choices of medical school graduates.

  19. Specialty pharmaceuticals care management in an integrated health care delivery system with electronic health records.

    Science.gov (United States)

    Monroe, C Douglas; Chin, Karen Y

    2013-05-01

    The specialty pharmaceuticals market is expanding more rapidly than the traditional pharmaceuticals market. Specialty pharmacy operations have evolved to deliver selected medications and associated clinical services. The growing role of specialty drugs requires new approaches to managing the use of these drugs. The focus, expectations, and emphasis in specialty drug management in an integrated health care delivery system such as Kaiser Permanente (KP) can vary as compared with more conventional health care systems. The KP Specialty Pharmacy (KP-SP) serves KP members across the United States. This descriptive account addresses the impetus for specialty drug management within KP, the use of tools such as an electronic health record (EHR) system and process management software, the KP-SP approach for specialty pharmacy services, and the emphasis on quality measurement of services provided. Kaiser Permanente's integrated system enables KP-SP pharmacists to coordinate the provision of specialty drugs while monitoring laboratory values, physician visits, and most other relevant elements of the patient's therapy. Process management software facilitates the counseling of patients, promotion of adherence, and interventions to resolve clinical, logistic, or pharmacy benefit issues. The integrated EHR affords KP-SP pharmacists advantages for care management that should become available to more health care systems with broadened adoption of EHRs. The KP-SP experience may help to establish models for clinical pharmacy services as health care systems and information systems become more integrated.

  20. Embracing a competency-based specialty curriculum for community-based nursing roles.

    Science.gov (United States)

    Levin, Pamela F; Swider, Susan M; Breakwell, Susan; Cowell, Julia M; Reising, Virginia

    2013-01-01

    The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates across these four specialties (home health, occupational health, environmental health, and school nursing). This article details the multistep cross-mapping process, including validation with practice leaders. Results indicate strong alignment of community-based specialty competencies with Quad Council competencies. Community-based specialty-specific content that did not align well is identified, along with examples of didactic and clinical strategies to address gaps. This work indicates that a Quad Council-based curriculum is appropriate to prepare graduates in community-based specialties when attention to the specialty-specific competencies in the clinical setting is included. This work guides the development of a doctorate of nursing practice curriculum in PHN, encompassing the four additional community-based specialties.

  1. Dental specialty, career preferences and their influencing factors among final year dental students in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Hassan Suliman Halawany

    2017-01-01

    Conclusion: The results of this study show the top preferred specialties and career choices which can be a baseline for establishing national policies and for the improvement of graduate programs. There seems to be a need to promote mentoring activities and provide guidance and encouragement to pre-doctoral dental students in selecting the most appropriate specialty within their capability domain.

  2. 78 FR 79658 - Okanagan Specialty Fruits, Inc.; Availability of Plant Pest Risk Assessment and Environmental...

    Science.gov (United States)

    2013-12-31

    ... from Okanagan Specialty Fruits, Inc., seeking a determination of nonregulated status of apple events... No. APHIS-2012-0025] Okanagan Specialty Fruits, Inc.; Availability of Plant Pest Risk Assessment and Environmental Assessment for Determination of Nonregulated Status of Apples Genetically Engineered To...

  3. Telemedicine for urban uninsured: a pilot framework for specialty care planning for sustainability.

    Science.gov (United States)

    Maffei, Roxana; Hudson, Yelena; Dunn, Kim

    2008-11-01

    A national approach to medical care for the uninsured is for the provision of primary and preventive care through Community Health Centers. Access to specialty care for both Medicaid and uninsured patients is in decline even though specialty care has been shown to be cost-effective and improve outcomes. The consequences could result in further deterioration of the health of the uninsured and underinsured populations and increasing costs born by the insured and safety net providers. Telemedicine can provide specialty services efficiently if planned with a business model to sustain the program. This paper outlines a pilot framework to plan and cost-justify telemedicine specialty care for the uninsured and marginally insured. This potential framework is supported by data from an urban community with the highest concentration of uninsured in the country: Houston, Texas. Further study and evaluation will be needed once the framework and tools are implemented to empirically prove the sustainability of telemedicine specialty care for the urban uninsured.

  4. Emotional speculative behavior in the option market

    Directory of Open Access Journals (Sweden)

    Francesco Corea

    2016-01-01

    Full Text Available Social media data have been proved to be effective in augmenting stock price forecasting models before ([8], [12], but given the intrinsic speculative nature of traders who may use these innovative datasets, it appears more reasonable to investigate the relation between the Twitter data and the stock option prices. The underlying hypothesis is indeed that speculative trading strategies as the ones based on social media inference are may be more effective if evaluated on speculative instruments instead of simple stock prices. Consistent with previous works, it has been then studied on an intraday basis for three major technology stocks over a two-month period the relation between investors’ sentiment and basic financial products. A set of different variables has been created to include different interactions between sentiment and option prices, and a statistical selection model has been put in charge of identifying the most relevant correlations. The results are quite mixed: social media data seem to be indeed useful for predicting some option prices, but no others, and in particular are able to better explain single companies’ option price oscillations rather than the ones related to general indexes such as the Nasdaq-100.

  5. Niche players in health policy: medical specialty societies in Congress 1969-2002.

    Science.gov (United States)

    Rabinowitz, Aaron; Laugesen, Miriam

    2010-10-01

    Scholars and commentators alike have long used 'organized medicine' as shorthand for the American Medical Association (AMA). However, organized medicine has increasingly shown signs of fragmentation into specialty societies over the last two decades. While the AMA remains the largest association of physicians, and wields a great deal of influence in political circles, its use as a proxy for organized medicine may warrant reevaluation due to the changing political organization of medicine. We developed a unique database of specialty medical society appearances before all Congressional committees by combining records from Lexis-Nexis Congressional and the Policy Agendas database. Descriptive statistics were used to evaluate the participation of specialty societies by committee and by hearing type. The Herfindahl-Hirschman Index (HHI) was used to measure whether specialty societies develop niche roles with specific committees, and the Chi-Square Goodness of Fit test was used to study the distribution of specialty society testimonies in health hearings more formally. We found that although the AMA participates in Congressional hearings at a higher rate than any other individual medical specialty society, it accounts for a decreasing percentage of all specialty society appearances over time. In addition, specialty societies have developed niche and monopoly roles in health policymaking as well as relationships with particular congressional committees over time. We conclude that the increasing participation of specialty medical societies in the policymaking process is important because medical societies do not testify solely to promote the economic self-interest of their members. Specialization in medicine has segmented lobbying roles, such that specialty societies have a different focus than the AMA. Thus, 'organized medicine' and the AMA are no longer synonymous.

  6. Controversial reversal of nuclear option

    OpenAIRE

    2002-01-01

    Nuclear option is in a unique position to restore its original role of the main source of energy with an increased attention paid to the security of electricity supply as well as regulatory changes affecting fossil fuels, particularly with due introduction of climate change prevention measures. Recent developments indicate the advantages of nuclear option over other possible options in terms of sustainable development. However, a large number of controversial issues on nuclear energy make its...

  7. Cross - Currency Hedging Using Options

    OpenAIRE

    Suri, Akshay

    2006-01-01

    In today's competitive global markets, most firms are vulnerable to increasing fluctuation in foreign exchange, which is leading them to make use of Currency Derivatives to hedge their risks. Among the several derivatives available, Currency Options are the second most popular instrument used to hedge currency risk. Options are a very distinctive set of instruments that are available to hedge Currency risk. This study provides empirical evidence on why companies employ Currency Options to hed...

  8. Option price and market instability

    Science.gov (United States)

    Baaquie, Belal E.; Yu, Miao

    2017-04-01

    An option pricing formula, for which the price of an option depends on both the value of the underlying security as well as the velocity of the security, has been proposed in Baaquie and Yang (2014). The FX (foreign exchange) options price was empirically studied in Baaquie et al., (2014), and it was found that the model in general provides an excellent fit for all strike prices with a fixed model parameters-unlike the Black-Scholes option price Hull and White (1987) that requires the empirically determined implied volatility surface to fit the option data. The option price proposed in Baaquie and Cao Yang (2014) did not fit the data during the crisis of 2007-2008. We make a hypothesis that the failure of the option price to fit data is an indication of the market's large deviation from its near equilibrium behavior due to the market's instability. Furthermore, our indicator of market's instability is shown to be more accurate than the option's observed volatility. The market prices of the FX option for various currencies are studied in the light of our hypothesis.

  9. ORGANIZATIONAL DEVELOPMENT OPTIONS TOWARDS SUSTAINABILITY

    National Research Council Canada - National Science Library

    Patricia Ingrid, Keller

    2012-01-01

    .... So for the present study we researched the possible strategies, identifying those options to successfully integrate the dimensions of sustainability into organizational development from a systems...

  10. Incontinence Treatment: Newer Treatment Options

    Science.gov (United States)

    ... Bowel Incontinence Signs & Symptoms Symptoms of Incontinence Diarrhea Treatment Lifestyle Changes Dietary Tips Medication Bowel Management Biofeedback Surgical Treatments Newer Treatment Options Tips on Finding a Doctor ...

  11. Treatment Options for Narcolepsy.

    Science.gov (United States)

    Barateau, Lucie; Lopez, Régis; Dauvilliers, Yves

    2016-05-01

    Narcolepsy type 1 and narcolepsy type 2 are central disorders of hypersomnolence. Narcolepsy type 1 is characterized by excessive daytime sleepiness and cataplexy and is associated with hypocretin-1 deficiency. On the other hand, in narcolepsy type 2, cerebrospinal fluid hypocretin-1 levels are normal and cataplexy absent. Despite major advances in our understanding of narcolepsy mechanisms, its current management is only symptomatic. Treatment options may vary from a single drug that targets several symptoms, or multiple medications that each treats a specific symptom. In recent years, narcolepsy treatment has changed with the widespread use of modafinil/armodafinil for daytime sleepiness, antidepressants (selective serotonin and dual serotonin and noradrenalin reuptake inhibitors) for cataplexy, and sodium oxybate for both symptoms. Other psychostimulants can also be used, such as methylphenidate, pitolisant and rarely amphetamines, as third-line therapy. Importantly, clinically relevant subjective and objective measures of daytime sleepiness are required to monitor the treatment efficacy and to provide guidance on whether the treatment goals are met. Associated symptoms and comorbid conditions, such as hypnagogic/hypnopompic hallucinations, sleep paralysis, disturbed nighttime sleep, unpleasant dreams, REM- and non REM-related parasomnias, depressive symptoms, overweight/obesity, and obstructive sleep apnea, should also be taken into account and managed, if required. In the near future, the efficacy of new wake-promoting drugs, anticataplectic agents, hypocretin replacement therapy and immunotherapy at the early stages of the disease should also be evaluated.

  12. Pediatric Glaucoma: Pharmacotherapeutic Options.

    Science.gov (United States)

    Samant, Monica; Medsinge, Anagha; Nischal, Ken K

    2016-06-01

    Childhood glaucoma is a major therapeutic challenge for pediatric ophthalmologists and glaucoma specialists worldwide. Management depends on the etiology and age at presentation. A variety of drugs are available for the control of intraocular pressure in children; however, none of these drugs have been licensed by the regulatory agencies for use in children. Furthermore, evidence gained from randomized controlled trials in the pediatric population is sparse, and little is known regarding the use of newer anti-glaucoma preparations. This evidence-based review aims to discuss the available pharmacotherapeutic options for glaucoma in children. Topical adrenoceptor blockers, topical and systemic carbonic anhydrase inhibitors, prostaglandin (PG) analogs, adrenoceptor agonists, parasympathomimetics, and combined preparations are available for use in children, but usually as an off-label indication. Therefore, it is important to recognize that serious side effects have been reported, even with topical drops, and measures to reduce systemic absorption should be taken. Most drugs have been shown to have comparable ocular hypotensive effects, with the lowest occurrence of systemic side effects with PG analogs. Whereas a newly introduced prostaglandin analog, tafluprost, and some other preservative-free preparations have shown promising results in adult glaucoma patients, no pediatric reports are available as yet. Future studies may describe their role in treating pediatric glaucoma. This review also shares some suggested treatment pathways for primary congenital glaucoma (PCG), juvenile open angle glaucoma (JOAG), developmental glaucoma, aphakic/pseudophakic glaucoma, and uveitic glaucoma.

  13. Development of complex sales promotion of educational services in the specialty «Management of innovation activities»

    Directory of Open Access Journals (Sweden)

    J.O. Timokhina

    2011-12-01

    Full Text Available In this article describes the complex of sales promotion of educational services in the specialty "Management of innovation activity" and proposed plan of decision to boost sales promotion for a new specialty in the Ukrainian education market.

  14. New Methods with Capped Options for Pricing American Options

    Directory of Open Access Journals (Sweden)

    Dongya Deng

    2014-01-01

    Full Text Available We propose two new methods: improved binomial methods and improved least square MonteCarlo methods (LSM, for pricing American options. These two methods are developed using the nice capped options which have closed-form formulas. Numerical examples are provided to verify that these two new methods are pretty efficient.

  15. Internet privacy options for adequate realisation

    CERN Document Server

    2013-01-01

    A thorough multidisciplinary analysis of various perspectives on internet privacy was published as the first volume of a study, revealing the results of the achatech project "Internet Privacy - A Culture of Privacy and Trust on the Internet." The second publication from this project presents integrated, interdisciplinary options for improving privacy on the Internet utilising a normative, value-oriented approach. The ways in which privacy promotes and preconditions fundamental societal values and how privacy violations endanger the flourishing of said values are exemplified. The conditions which must be fulfilled in order to achieve a culture of privacy and trust on the internet are illuminated. This volume presents options for policy-makers, educators, businesses and technology experts how to facilitate solutions for more privacy on the Internet and identifies further research requirements in this area.

  16. Photovoltaic power - An important new energy option

    Science.gov (United States)

    Ferber, R. R.

    1983-01-01

    A review of photovoltaic (PV) power technology is presented with an emphasis of PV as an economical and technically feasible alternative source of energy. The successful completion of the development and transfer of emerging low-cost technologies into a fully commercialized status are identified as the means to the realization of this option's full potential. The DOE National Photovoltaics Program, a significant sponsor of PV R&D, expects both flat-plate and concentrator collectors to meet established cost targets. Citing the DOE large flat-plate grid-connected system project of the Sacramento Municipal Utility District, current technology modules priced at near $5/Wp (1983 dollars) are steadily reducing costs. A recent DOE study suggests that PV-generated electricity produced at a 30-year levelized cost of 15 cents per kWh would represent a viable energy supply alternative for the nation.

  17. Photovoltaic power - An important new energy option

    Science.gov (United States)

    Ferber, R. R.

    1983-12-01

    A review of photovoltaic (PV) power technology is presented with an emphasis of PV as an economical and technically feasible alternative source of energy. The successful completion of the development and transfer of emerging low-cost technologies into a fully commercialized status are identified as the means to the realization of this option's full potential. The DOE National Photovoltaics Program, a significant sponsor of PV R&D, expects both flat-plate and concentrator collectors to meet established cost targets. Citing the DOE large flat-plate grid-connected system project of the Sacramento Municipal Utility District, current technology modules priced at near $5/Wp (1983 dollars) are steadily reducing costs. A recent DOE study suggests that PV-generated electricity produced at a 30-year levelized cost of 15 cents per kWh would represent a viable energy supply alternative for the nation.

  18. Expanding contraceptive options.

    Science.gov (United States)

    1989-01-01

    The goals of Family Health International (FHI) have been to introduce a variety of birth control options to people in developing countries, and to provide information to the user on the advantages and disadvantages of each method. FHI has worked with many developing countries in clinical trials of established as well as new contraceptive methods. These trials played an important part in making 2 sterilization procedures, laparoscopy and minilaparotomy popular for women. Further research improved the methods and have made them the most popular in the world, chosen by 130 million users. FHI is doing clinical trials on a new IUD, that is a copper bearing T-shaped device called the TCu380A. they have collected data on over 10,000 women using IUD's and early analysis indicates TCu380A is more effective than others. FHI is also evaluating devices such as Norplant that will prevent pregnancy up to 5 years by implanting the capsules in the arm. More than 8,000 women are being tested to determine the acceptability of implants in different geographical locations. Other research groups are doing work in 10 additional countries: Bangladesh will expand its program to 24,000 women and Nepal to 8,000 women. Trials are also being conducted on progestogen pills, since they do not lesson the volume of milk in breast feeding. FHI has also worked to introduce creative community-based distribution channels. In one case, specially trained health workers delivered contraceptives door-to-door in over 150,000 households. They found that 2 of 3 women accepted the pills and in a follow up survey 90% were still using them. FHI is now focusing on ways to improve moving new contraceptives from clinical testing on everyday use. They will coordinate training programs, educational material, media campaigns, and efforts with other international organizations, government agencies, and family planning groups.

  19. A survey of dentists in the United States regarding a specialty in craniofacial pain.

    Science.gov (United States)

    Simmons, H Clifton; Kilpatrick, Steven R

    2004-01-01

    In an effort to explore whether a specialty for craniofacial pain is warranted, the American Academy of Craniofacial Pain (AACP) commissioned an opinion survey of dentists. The survey population (N=4000) was stratified by specialty, so that dentists in affected areas would be adequately represented: 500 orthodontists and dentofacial orthopedists, 500 oral and maxillofacial surgeons, 500 periodontists, 500 prosthodontists, and 2,000 general practitioners. A total of 930 dentists responded for a 23.2% response rate. The survey had multiple purposes: 1. to measure the percentage of craniofacial pain patients perceived in dental patient populations; 2. to determine whether each dentist prefers to treat the disorder or; 3. prefers to refer craniofacial pain patients to clinicians specializing in the disorder; and 4. whether dentists favor/oppose the formation of a craniofacial pain specialty. The respondents' perception of the prevalence of craniofacial pain among their patients was 13.9%. A majority of the responding dentists, 54.7%, are in favor of a craniofacial pain specialty. Overall, 65% of dentists treat craniofacial pain patients, although more than half, 55%, of all dentists also refer such patients. Even 43.6% of dentists who regularly treat craniofacial pain favor a specialty, while 76% of those who do not treat such patients favor the specialty. The data presented here advocate development of a dental specialty in craniofacial pain.

  20. Factors influencing choice of medical specialty of preresidency medical graduates in southeastern Nigeria.

    Science.gov (United States)

    Eze, Boniface Ikenna; Okoye, Onochie Ike; Maduka-Okafor, Ferdinand Chinedu; Aguwa, Emmanuel Nwabueze

    2011-09-01

    This study examined the determinants of specialty choice of preresidency medical graduates in southeastern Nigeria. We used a comparative cross-sectional survey of preresidency medical graduates who took the Basic Sciences Examination of the Postgraduate Medical College in Enugu, southeastern Nigeria, in March 2007. Data on participants' demographics and specialty selected, the timing of the decision, and factors in specialty selection were collected using a questionnaire. Data were examined using descriptive and analytical statistics. P choice was more frequently influenced by personal interest (66.6%), career prospects (9.1%), and appraisal of own skills/aptitudes (5.6%), and it was least affected by altruistic motives (1.7%) and influence of parents/relations (1.7%). The respondents selected specialties at different rates: obstetrics and gynecology (22.6%), surgery (19.6%), pediatrics (16.0%), anesthesiology (3.1%), psychiatry (0.3%), and dentistry (0.0%). Most (97.2%) participants had decided on specialty choice by the end of their fifth (of a total 16 years) postgraduate year. The participants significantly more frequently preferred surgery and pediatrics to other disciplines (P medical graduates in southeastern Nigeria were influenced by personal interest, career prospects, and personal skills/aptitude in deciding which specialty training to pursue. The most frequently chosen specialties were surgery and pediatrics. These findings have implications for Nigeria's education and health care policy makers.

  1. [Influence of personality and learning styles in the choice of medical specialty].

    Science.gov (United States)

    Bitran, Marcela; Zúñiga, Denisse; Lafuente, Monserrat; Viviani, Paola; Mena, Beltrán

    2005-10-01

    Several studies indicate that doctors who work in the same area of the medical profession tend to behave somehow similarly. Thus, it has been suggested that personality relates to the medical specialty choice. However, it is not known whether people self-select into the medical specialties according to their personality or the professional practice in a particular field influences their behavior. To explore the possible association between the graduate's personality features and learning styles and their chosen specialty. The psychological preferences and learning styles of 65 students of the 2001-graduating cohort of the Pontificia Universidad Católica de Chile School of Medicine were evaluated with the Myers Briggs Type Indicator and the Kolb Learning Style Inventory, respectively. These variables were correlated with the information of their specialty choice or occupation two years after graduation. Graduates distributed unevenly in different areas of the medical profession. Surgical specialties concentrated a larger proportion of extraverted, intuitive and structured doctors, whereas in Pediatrics and Internal Medicine predominated intuitive and people-oriented MD's. Primary Care concentrated individuals with introverted, intuitive and flexible attitudes. Convergent learners (interested in problem-solving) preferred Surgery and Primary Care whereas Assimilator learners (abstract-reflexive) chose more frequently Internal Medicine, Pediatrics and Psychiatry. According to their personality and learning style, graduates tend to self-select into different medical specialties. This information may help medical graduates to guide their specialty choice process, and medical educators to develop learning experiences that take into account the individual differences of their residents.

  2. Analysis of Options Contract, Option Pricing in Agricultural Products

    Directory of Open Access Journals (Sweden)

    H. Tamidy

    2016-03-01

    Full Text Available Introduction: Risk is an essential component in the production and sale of agricultural products. Due to the nature of agricultural products, the people who act in this area including farmers and businesspersons encounter unpredictable fluctuations of prices. On the other hand, the firms that process agricultural products also face fluctuation of price of agricultural inputs. Given that the Canola is considered as one of the inputs of product processing factories, control of unpredictable fluctuations of the price of this product would increase the possibility of correct decision making for farmers and managers of food processing industries. The best available tool for control and management of the price risk is the use of future markets and options. It is evident that the pricing is the main pillar in every trade. Therefore, offering a fair price for the options will be very important. In fact, options trading in the options market create cost insurance stopped. In this way, which can reduce the risks of deflation created in the future, if the person entitled to the benefits of the price increase occurs in the future. Unlike the futures, market where the seller had to deliver the product on time, in the options market, there is no such compulsion. In addition, this is one of the strengths of this option contract, because if there is not enough product for delivery to the futures market as result of chilling, in due course, the farmers suffer, but in the options market there will be a loss. In this study, the setup options of rape, as a product, as well as inputs has been paid for industry. Materials and Methods: In this section. The selection criteria of the disposal of asset base for valuation of European put options and call option is been introduced. That for obtain this purpose, some characteristics of the goods must considered: 1-Unpredictable fluctuations price of underlying asset 2 -large underlying asset cash market 3- The possibility

  3. Bounds for Asian basket options

    Science.gov (United States)

    Deelstra, Griselda; Diallo, Ibrahima; Vanmaele, Michèle

    2008-09-01

    In this paper we propose pricing bounds for European-style discrete arithmetic Asian basket options in a Black and Scholes framework. We start from methods used for basket options and Asian options. First, we use the general approach for deriving upper and lower bounds for stop-loss premia of sums of non-independent random variables as in Kaas et al. [Upper and lower bounds for sums of random variables, Insurance Math. Econom. 27 (2000) 151-168] or Dhaene et al. [The concept of comonotonicity in actuarial science and finance: theory, Insurance Math. Econom. 31(1) (2002) 3-33]. We generalize the methods in Deelstra et al. [Pricing of arithmetic basket options by conditioning, Insurance Math. Econom. 34 (2004) 55-57] and Vanmaele et al. [Bounds for the price of discrete sampled arithmetic Asian options, J. Comput. Appl. Math. 185(1) (2006) 51-90]. Afterwards we show how to derive an analytical closed-form expression for a lower bound in the non-comonotonic case. Finally, we derive upper bounds for Asian basket options by applying techniques as in Thompson [Fast narrow bounds on the value of Asian options, Working Paper, University of Cambridge, 1999] and Lord [Partially exact and bounded approximations for arithmetic Asian options, J. Comput. Finance 10 (2) (2006) 1-52]. Numerical results are included and on the basis of our numerical tests, we explain which method we recommend depending on moneyness and time-to-maturity.

  4. Gender difference in preference of specialty as a career choice among Japanese medical students.

    Science.gov (United States)

    Kawamoto, Ryuichi; Ninomiya, Daisuke; Kasai, Yoshihisa; Kusunoki, Tomo; Ohtsuka, Nobuyuki; Kumagi, Teru; Abe, Masanori

    2016-11-10

    In Japan, the absolute deficiency of doctors and maldistribution of doctors by specialty is a significant problem in the Japanese health care system. The purpose of this study was to investigate the factors contributing to specialty preference in career choice among Japanese medical students. A total of 368 medical students completed the survey giving an 88.2 % response rate. The subjects comprised 141 women aged 21 ± 3 (range, 18-34) years and 227 men aged 22 ± 4 (range, 18-44) years. Binary Logistic regression analysis was performed using specialty preferences as the criterion variable and the factors in brackets as six motivational variables (e.g., Factor 1: educational experience; Factor 2: job security; Factor 3: advice from others; Factor 4: work-life balance; Factor 5: technical and research specialty; and Factor 6: personal reasons). Women significantly preferred pediatrics, obstetrics & gynecology, and psychology than the men. Men significantly preferred surgery and orthopedics than the women. For both genders, a high odds ratio (OR) of "technical & research specialty" and a low OR for "personal reasons" were associated with preference for surgery. "Technical & research specialty" was positively associated with preference for special internal medicine and negatively for pediatrics. "Work-life balance" was positively associated with preference for psychology and negatively for emergency medicine. Among the women only, "technical & research specialty" was negatively associated with preference for general medicine/family medicine and obstetrics & gynecology, and "job security" was positively associated for general medicine/family medicine and negatively for psychology. Among men only, "educational experience" and "personal reasons" were positively, and "job security" was negatively associated with preference for pediatrics. For both genders, "work-life balance" was positively associated with preference for controllable lifestyle specialties. We

  5. Global health training among U.S. residency specialties: a systematic literature review

    Science.gov (United States)

    Hau, Duncan K.; Smart, Luke R.; DiPace, Jennifer I.; Peck, Robert N.

    2017-01-01

    ABSTRACT Background: Interest in global health training during residency is increasing. Global health knowledge is also becoming essential for health-care delivery today. Many U.S. residency programs have been incorporating global health training opportunities for their residents. We performed a systematic literature review to evaluate global health training opportunities and challenges among U.S. residency specialties. Methods: We searched PubMed from its earliest dates until October 2015. Articles included were survey results of U.S. program directors on global health training opportunities, and web-based searches of U.S. residency program websites on global health training opportunities. Data extracted included percentage of residency programs offering global health training within a specialty and challenges encountered. Results: Studies were found for twelve U.S. residency specialties. Of the survey based studies, the specialties with the highest percentage of their residency programs offering global health training were preventive medicine (83%), emergency medicine (74%), and surgery (71%); and the lowest were orthopaedic surgery (26%), obstetrics and gynecology (28%), and plastic surgery (41%). Of the web-based studies, the specialties with the highest percentage of their residency programs offering global health training were emergency medicine (41%), pediatrics (33%), and family medicine (22%); and the lowest were psychiatry (9%), obstetrics and gynecology (17%), and surgery (18%). The most common challenges were lack of funding, lack of international partnerships, lack of supervision, and scheduling. Conclusion: Among U.S. residency specialties, there are wide disparities for global health training. In general, there are few opportunities in psychiatry and surgical residency specialties, and greater opportunities among medical residency specialties. Further emphasis should be made to scale-up opportunities for psychiatry and surgical residency specialties

  6. Specialties differ in which aspects of doctor communication predict overall physician ratings.

    Science.gov (United States)

    Quigley, Denise D; Elliott, Marc N; Farley, Donna O; Burkhart, Q; Skootsky, Samuel A; Hays, Ron D

    2014-03-01

    Effective doctor communication is critical to positive doctor-patient relationships and predicts better health outcomes. Doctor communication is the strongest predictor of patient ratings of doctors, but the most important aspects of communication may vary by specialty. To determine the importance of five aspects of doctor communication to overall physician ratings by specialty. For each of 28 specialties, we calculated partial correlations of five communication items with a 0-10 overall physician rating, controlling for patient demographics. Consumer Assessment of Healthcare Providers and Systems Clinician and Group (CG-CAHPS®) 12-month Survey data collected 2005-2009 from 58,251 adults at a 534-physician medical group. CG-CAHPS includes a 0 ("Worst physician possible") to 10 ("Best physician possible") overall physician rating. Five doctor communication items assess how often the physician: explains things; listens carefully; gives easy-to-understand instructions; shows respect; and spends enough time. Physician showing respect was the most important aspect of communication for 23/28 specialties, with a mean partial correlation (0.27, ranging from 0.07 to 0.44 across specialties) that accounted for more than four times as much variance in the overall physician rating as any other communication item. Three of five communication items varied significantly across specialties in their associations with the overall rating (p < 0.05). All patients valued respectful treatment; the importance of other aspects of communication varied significantly by specialty. Quality improvement efforts by all specialties should emphasize physicians showing respect to patients, and each specialty should also target other aspects of communication that matter most to their patients. The results have implications for improving provider quality improvement and incentive programs and the reporting of CAHPS data to patients. Specialists make important contributions to coordinated patient

  7. Factors that impact medical student and house-staff career interest in brain related specialties.

    Science.gov (United States)

    Kamour, Abdulbaset H; Han, Dong Y; Mannino, David M; Hessler, Amy B; Kedar, Sachin

    2016-10-15

    There is a national shortage of physicians in brain related specialties (neurology, neurosurgery and psychiatry), with fewer students training in these specialties. This study explored socio-economic and experiential factors that determined medical trainees' interest in brain related specialties. Medical students and house-staff at a state university medical school completed a 46-item questionnaire sent as an anonymous email survey. Survey response rate was 22% (n=258). Eighty-eight (34.1%) trainees were interested in brain related specialties. Prior neuroscience experience (29.6%) and effective medical school neuroscience courses (23.9%) were identified as important by those interested in brain related specialties, while "neurophobia" was reported by 30% of those not interested. Multivariate regression model showed that effective college neuroscience course increased the likelihood for interest in brain related specialties (OR=2.28, 95% CI 1.22, 4.28). Factors which decreased the likelihood included parent's possessing professional degree (OR=0.37, 95% CI 0.17, 0.80), personal annual income>$50,000 (OR=0.40, 0.18, 0.87) and current debt level≥$100,000 (OR=0.33, 0.17, 0.64). The proportion of trainees interested in brain related specialties decreased from 51.7% (1st year medical students) to 27% (4th year students) and 25.3% among house-staff (χ(2) test of trend p=0.001). Socioeconomic (current personal debt and annual income) and experiential factors (college neuroscience course) influence a medical trainee's interest in brain related specialties. Career guidance and improved, better and early exposure to neurosciences may help mitigate trend for decreased interest in brain related specialties. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. Lipid components and oxidative status of selected specialty oils

    Directory of Open Access Journals (Sweden)

    P. Madawala, S. R.

    2012-06-01

    Full Text Available Many vegetable oils are marketed as specialty oils because of their retained flavors, tastes and distinct characteristics. Specialty oil samples which were commercially produced and retailed were purchased from local superstores in Reading, UK, and Uppsala, Sweden and profiled for detailed lipid composition and oxidative status. These oil samples include: almond, hazelnut, walnut, macadamia nut, argan, avocado, grape seed, roasted sesame, rice bran, cold pressed, organic and cold pressed, warm pressed and refined rapeseed oils. The levels of PV were quite low (0.5-1.3mEq O₂/kg but AV and Rancimat values at 100 °C (except for rapeseed oils varied considerably at (0.5-15.5 and (4.2-37.0 h respectively. Macadamia nut oil was found to be the most stable oil followed by argan oil, while walnut oil was the least stable. Among the specialty oils, macadamia nut oil had the lowest (4% and walnut oil had the highest (71% level of total PUFA. The organic cold pressed rapeseed oil had considerably lower PUFA (27% compared with other rapeseed oils (28- 35%. In all the samples, α- and γ- tocopherols were the major tocopherols; nut oils had generally lower levels. Total sterols ranged from 889 to 15,106 μg/g oil. The major sterols were β-sitosterol (61-85% and campesterol (6-20%. Argan oil contained schottenol (35% and spinasterol (32%. Compared with literature values, no marked differences were observed among the differently processed, organically grown or cold pressed rapeseed oils and other specialty oils in this study.

    Muchos aceites vegetales se venden como aceites especiales debido a su flavor, gusto y características distintas. Muestras de aceites especiales de almendra, avellana, nuez, nuez de macadamia, argán, aguacate, semillas de uva, de sésamo tostadas, salvado de arroz, y aceites orgánico de semillas de colza prensado en frío y, prensado caliente, y refinados que se producen y comercializan al por menor, se obtuvieron en

  9. Inventions on baker's yeast strains and specialty ingredients.

    Science.gov (United States)

    Gélinas, Pierre

    2009-06-01

    Baker's yeast is one of the oldest food microbial starters. Between 1927 and 2008, 165 inventions on more than 337 baker's yeast strains were patented. The first generation of patented yeast strains claimed improved biomass yield at the yeast plant, higher gassing power in dough or better survival to drying to prepare active dry baker's yeast. Especially between 1980 and 1995, a major interest was given to strains for multiple bakery applications such as dough with variable sugar content and stored at refrigeration (cold) or freezing temperatures. During the same period, genetically engineered yeast strains became very popular but did not find applications in the baking industry. Since year 2000, patented baker's yeast strains claimed aroma, anti-moulding or nutritive properties to better meet the needs of the baking industry. In addition to patents on yeast strains, 47 patents were issued on baker's yeast specialty ingredients for niche markets. This review shows that patents on baker's yeast with improved characteristics such as aromatic or nutritive properties have regularly been issued since the 1920's. Overall, it also confirms recent interest for a very wide range of tailored-made yeast-based ingredients for bakery applications.

  10. Do Legal Issues Deserve Space in Specialty Medical Journals ?

    Science.gov (United States)

    Nagpal, Neeraj

    2016-02-01

    Physicians and Internists in India have tended to brush under the carpet legal issues affecting their profession. Of concern to all Physicians is the judgment in a recent case where the NCDRC has stated that if MD Medicine Physicians write Physician & Cardiologist on their letterhead it is Quackery. What is MD Medicine degree holder in India qualified and trained to treat ? These are issues which need debate and that can only be initiated once we recognize that there is a problem. Either an MD Medicine is a cardiologist or he is not. If he is then it is the bounded duty of the Association of Physicians of India to challenge this judgment in a higher court of law and seek clear guidelines from MCI as well as Supreme Court on the issue. Editors of Specialty journals have a responsibility of selecting the best articles from those which are submitted to them to be published. Ultimately space in these journals is limited and hence the responsibility to select is enormous and simultaneously reason for rejection of an academic paper also has to be substantial. The question is "do issues which are not core to the specialty concerned deserve space in these?" Physicians and Internists in India have tended to brush under the carpet legal issues effecting their profession. Surgical specialties specially obstetricians and their associations have to some extent recognized the problem and taken steps to address the issue specially as regard PCPNDT Act.1 Physicians are more complacent and regard the Consumer Protection Act (CPA) 19862 and problems associated with it to primarily concern the surgical specialties. What is forgotten is that the maximum penalty of 6.08 crore plus interest of 5.5 cr has been awarded in case involving a patient treated primarily by a physician and on whom no surgical procedure was performed.3 It has also to be realized that there is no limit on the amount of compensation which can be asked for under CPA.2 Compensations have been awarded by National

  11. Medical specialty considerations by medical students early in their clinical experience

    Directory of Open Access Journals (Sweden)

    Weissman Charles

    2012-03-01

    Full Text Available Abstract Background Specialty selection by medical students determines the future composition of the physician workforce. Selection of career specialties begins in earnest during the clinical rotations with exposure to the clinical and intellectual environments of various specialties. Career specialty selection is followed by choosing a residency program. This is the period where insight into the decision process might help healthcare leaders ascertain whether, when, and how to intervene and attempt to influence students' decisions. The criteria students consider important in selecting a specialty and a residency program during the early phases of their clinical rotations were examined. Methods Questionnaires distributed to fifth-year medical students at two Israeli medical schools. Results 229 of 275 (83% questionnaires were returned. 80% of the students had considered specialties; 62% considered one specialty, 25% two, the remainder 3-5 specialties. Students took a long-range view; 55% considered working conditions after residency more important than those during residency, another 42% considered both equally important. More than two-thirds wanted an interesting and challenging bedside specialty affording control over lifestyle and providing a reasonable relationship between salary and lifestyle. Men were more interested in well-remunerated procedure-oriented specialties that allowed for private practice. Most students rated as important selecting a challenging and interesting residency program characterized by good relationships between staff members, with positive treatment by the institution, and that provided much teaching. More women wanted short residencies with few on-calls and limited hours. More men rated as important residencies affording much responsibility for making clinical decisions and providing research opportunities. More than 50% of the students considered it important that their residency be in a leading department, and in

  12. Information security concepts and practices: the case of a provincial multi-specialty hospital.

    Science.gov (United States)

    Cavalli, Enrico; Mattasoglio, Andrea; Pinciroli, Francesco; Spaggiari, Piergiorgio

    2004-03-31

    In recent years, major and widely accepted information security understandings and achievements confirm that the problem is complex. They clarify that technologies are fundamental tools, but management processes have even bigger relevance, as also prestigious international magazines dossier clearly explained recently. Such a magazine attention outlines the wide impact that the subject has on watchful decision makers. ISO17799 is an emerging standard in information security. In principle there are no reasons for considering it not applicable to the health care sector. In practice, because of both the just conceptual level of the standard and the peculiarities of the health care data and institutions, a lot of analysis and design work need to be invested any time a health care institution decides to deal with the subject. CEN/ENV 12924 is another emerging standard certainly more on the spot of the health care. Nevertheless, it also asks for evident further investigation. The practical case of information security design, implementation, management, and auditing inside a multi-specialty provincial Italian hospital will be described.

  13. Strategic response by providers to specialty hospitals, ambulatory surgery centers, and retail clinics.

    Science.gov (United States)

    Burns, Lawton R; David, Guy; Helmchen, Lorens A

    2011-04-01

    Radical innovation and disruptive technologies are frequently heralded as a solution to delivering higher quality, lower cost health care. According to the literature on disruption, local hospitals and physicians (incumbent providers) may be unable to competitively respond to such "creative destruction" and alter their business models for a host of reasons, thus threatening their future survival. However, strategic management theory and research suggest that, under certain conditions, incumbent providers may be able to weather the discontinuities posed by the disrupters. This article analyzes 3 disruptive innovations in service delivery: single-specialty hospitals, ambulatory surgical centers, and retail clinics. We first discuss the features of these innovations to assess how disruptive they are. We then draw on the literature on strategic adaptation to suggest how incumbents develop competitive responses to these disruptive innovations that assure their continued survival. These arguments are then evaluated in a field study of several urban markets based on interviews with both incumbents and entrants. The interviews indicate that entrants have failed to disrupt incumbent providers primarily as a result of strategies pursued by the incumbents. The findings cast doubt on the prospects for these disruptive innovations to transform health care.

  14. A PRELIMINARY STUDY ON THE TECHNOLOGY OPTIONS FOR UPGRADING THE QUALITY OF DIESEL FUEL%柴油产品质量升级技术方案的探讨

    Institute of Scientific and Technical Information of China (English)

    柳荣

    2012-01-01

    为了满足柴油产品质量升级的需求,根据中国石化天津分公司加氢原料构成、原料油性质及产品质量要求,结合现阶段加氢装置处理能力不足、原料油构成复杂及柴油产品质量现状,在对加氢原料油进料整体优化考虑的基础上提出了3种技术方案,对这3种方案进行对比后,根据整体投资建设计划,最终选择新建一套1.8 Mt/a加氢装置、以加工劣质原料为主的技术方案,满足生产符合国Ⅳ和国V排放标准清洁柴油的要求.%In order to meet the needs of upgrading diesel fuel quality,based on analyzing the makeup and properties of hydrotreating feedstocks in Tianjin Petrochemical Corporation,considering the present status of hydrotreating units and integrating optimization of hydrotreating feedstocks,three technical options to upgrade the quality of diesel fuel were proposed. By comparing these options from the technical and economic aspects and based on the total investment plan of construction,technical option with establishing a 1. 8 Mt/a hydrotreating unit for treating poor quality feedstocks mainly was chosen,which could be used to produce clean diesel fuel meeting the requirements of National Emission Standard IV and V.

  15. PS3-28: Telemedicine Specialty Consultation in a Medically Underserved Community

    Science.gov (United States)

    Palen, Ted; Bodily, Mike

    2010-01-01

    Background and Aims: During the current national health care reform discussions, health information technologies (HIT) are receiving a lot of attention as means of lowering health care costs, improving access to health care, reducing errors during the delivery of healthcare, and improving health outcomes. Patients in rural or medically underserved areas find it difficult to obtain and maintain adequate access to health care. Telemedicine (TM) services can exchange video and audio information between healthcare providers and patients in different locations. For individuals in rural communities TM may improve access to care through the use of novel care delivery models. We are conducting a proof of concept (POC) study to evaluate the use of TM consultation between a primary care clinic in a medically underserved region of southern Colorado and a specialty care (endocrinology) clinic in Denver. Methods: This is a prospective health services POC study. We are taking advantage of a “natural experiment,” the expansion of primary care services into a medically underserved area of southern Colorado, to examine the requirements for establishing TM services between a rural primary care clinic and metropolitan based specialists. Results: Technical requirements included establishing network capabilities (512 kbps ISDN, H.320), 2 Mbps IP (H.323 or SIP), wirelss LAN connection, encryption embedded transmissions (H.235 and IEEE 802.1 x authentication); and remote monitoring equipment (exam camera, ENT/otoscope, electronic digital audio stethoscope (frequency: 40 Hz–2000 Hz, response: 45 Hz–1.6 KHz). Legal requirements involved the review of both federal and state statutes governing the use of TM for patient care and geographical/population requirements. Billing and regulatory requirements entail ensuring the use of the correct CPT and modifiers codes for TM and making sure these are operational within the medical record. Establishing criteria to ensure patients are

  16. Sustainability Features of Nuclear Fuel Cycle Options

    Directory of Open Access Journals (Sweden)

    Stefano Passerini

    2012-09-01

    Full Text Available The nuclear fuel cycle is the series of stages that nuclear fuel materials go through in a cradle to grave framework. The Once Through Cycle (OTC is the current fuel cycle implemented in the United States; in which an appropriate form of the fuel is irradiated through a nuclear reactor only once before it is disposed of as waste. The discharged fuel contains materials that can be suitable for use as fuel. Thus, different types of fuel recycling technologies may be introduced in order to more fully utilize the energy potential of the fuel, or reduce the environmental impacts and proliferation concerns about the discarded fuel materials. Nuclear fuel cycle systems analysis is applied in this paper to attain a better understanding of the strengths and weaknesses of fuel cycle alternatives. Through the use of the nuclear fuel cycle analysis code CAFCA (Code for Advanced Fuel Cycle Analysis, the impact of a number of recycling technologies and the associated fuel cycle options is explored in the context of the U.S. energy scenario over 100 years. Particular focus is given to the quantification of Uranium utilization, the amount of Transuranic Material (TRU generated and the economics of the different options compared to the base-line case, the OTC option. It is concluded that LWRs and the OTC are likely to dominate the nuclear energy supply system for the period considered due to limitations on availability of TRU to initiate recycling technologies. While the introduction of U-235 initiated fast reactors can accelerate their penetration of the nuclear energy system, their higher capital cost may lead to continued preference for the LWR-OTC cycle.

  17. Making real options really work.

    Science.gov (United States)

    van Putten, Alexander B; MacMillan, Ian C

    2004-12-01

    As a way to value growth opportunities, real options have had a difficult time catching on with managers. Many CFOs believe the method ensures the overvaluation of risky projects. This concern is legitimate, but abandoning real options as a valuation model isn't the solution. Companies that rely solely on discounted cash flow (DCF) analysis underestimate the value of their projects and may fail to invest enough in uncertain but highly promising opportunities. CFOs need not--and should not--choose one approach over the other. Far from being a replacement for DCF analysis, real options are an essential complement, and a project's total value should encompass both. DCF captures a base estimate of value; real options take into account the potential for big gains. This is not to say that there aren't problems with real options. As currently applied, they focus almost exclusively on the risks associated with revenues, ignoring the risks associated with a project's costs. It's also true that option valuations almost always ignore assets that an initial investment in a subsequently abandoned project will often leave the company. In this article, the authors present a simple formula for combining DCF and option valuations that addresses these two problems. Using an integrated approach, managers will, in the long run, select better projects than their more timid competitors while keeping risk under control. Thus, they will outperform their rivals in both the product and the capital markets.

  18. Surgical options for complex craniofacial pain.

    Science.gov (United States)

    Sharma, Mayur; Shaw, Andrew; Deogaonkar, Milind

    2014-10-01

    Complex craniofacial pain can be a challenging condition to manage both medically and surgically, but there is a resurgence of interest in the role of neurostimulation therapy. Surgical options for complex craniofacial pain syndromes include peripheral nerve/field stimulation, ganglion stimulation, spinal cord stimulation, dorsal nerve root entry zone lesioning, motor cortex stimulation, and deep brain stimulation. Peripheral nerve/field stimulation is rapidly being explored and is preferred by both patients and surgeons. Technological advances and improved understanding of the interactions of pain pathways with its affective component will widen the scope of neurostimulation therapy for craniofacial pain syndromes.

  19. US Instrument Options for the SPICA Observatory

    Science.gov (United States)

    Benford, Dominic; Carter, Ruth; Benner, Steve; Rossetti, Dino; Leete, Stephen; Townsend, Jackie; Keer, Beth; Davis, Chris

    2012-01-01

    NASA has engaged in studying options for a US contribution to the Japanese-led Space II Astrophysics (SPICA). This cryogenic 3m-class telescope builds on the scientific and technological legacies of Akari and Hershel. The primary portion of a US contribution would be a far-infrared spectrometer, but with a sensitivity several hundred times greater than Herschel, opening up this wavelength range for study of emission lines from galaxies up to the highest redshifts. We describe efforts to formulate an approach that fits within project and programmatic constraints and fulfills the scientific promise of the SPICA observatory.

  20. Reflections on the Innovation of the Practice Course of International Trade Specialty by the POCIB Contest:Take Guilin University of Science and Technology as an Example%由POCIB大赛引发的国际贸易专业实践课程创新的思考--以桂林理工大学为例

    Institute of Scientific and Technical Information of China (English)

    程晓兰; 赵玉意

    2016-01-01

    培养国际贸易专业应用型人才离不开科学合理的专业实践课程的设置,我校国贸专业目前在实践课程设置上还存在有综合性实验课程不足,校企合作流于形式,实验软件更新滞后等问题。在国际贸易专业实践课程中引入学科竞赛与仿真场景实训平台,加强了我校专业实践课程综合项目的不足,改善了专业实践的实验环境,有效地优化了国际贸易专业人才培养模式。%Scientific and reasonable professional practice courses setting is essential to the training of applied talents of international trade. There are some problems in the current international trade major curriculum: lack of comprehensive experimental courses, university-enterprise cooperation become a mere formality, experimental software update lag and so on. By introducing course contests and simulation scenario training platform into the international trade practice curriculum, the deficiency of the comprehensive program of professional practice course in Guilin University of Science and Technology has been improved , the professional practice of experimental environment has been improved, which effectively optimizes the international trade professional personnel training mode.

  1. An Overview of Chain of Custody Options for LETTERPRESS.

    Energy Technology Data Exchange (ETDEWEB)

    Smartt, Heidi A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-11-01

    This purpose of this document is to provide an overview of Chain of Custody (CoC) technology options that could be made available for the LETTERPRESS exercise as part of the Quad Working Group. The Quad Working Group comprises five sub-working groups (Management, Protocol, Simulation, Technology, and Training) with members from the U.S., U.K., Norway, and Sweden having the goal of providing a repeatable, realistic arms control exercise (dubbed LETTERPRESS) to be executed in representative facilities and using non-proliferative but representative treaty items. The Technology Working Group is responsible for supporting the technology requirements of the LETTERPRESS exercise and as such the technologies presented here are possible options to meet those requirements.

  2. Specialty choice preference of medical students according to personality traits by Five-Factor Model

    National Research Council Canada - National Science Library

    Oh Young Kwon; So Youn Park

    2016-01-01

    Purpose: The purpose of this study was to determine the relationship between personality traits, using the Five-Factor Model, and characteristics and motivational factors affecting specialty choice in Korean medical students. Methods...

  3. 40 CFR 407.80 - Applicability; description of the canned and miscellaneous specialties subcategory.

    Science.gov (United States)

    2010-07-01

    ...: Added ingredients; baby food; corn, potato, and tortilla chips; ethnic foods; jams and jellies; mayonnaise and dressings; soups; and tomato-starch-cheese canned specialties. When a plant is subject...

  4. 75 FR 6377 - Onyx Specialty Papers, Inc.; Notice of Availability of Draft Environmental Assessment

    Science.gov (United States)

    2010-02-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Onyx Specialty Papers, Inc.; Notice of Availability of Draft Environmental... filed electronically via Internet in lieu of paper. The Commission strongly encourages...

  5. Using geographic information system tools to improve access to MS specialty care in Veterans Health Administration.

    Science.gov (United States)

    Culpepper, William J; Cowper-Ripley, Diane; Litt, Eric R; McDowell, Tzu-Yun; Hoffman, Paul M

    2010-01-01

    Access to appropriate and timely healthcare is critical to the overall health and well-being of patients with chronic diseases. In this study, we used geographic information system (GIS) tools to map Veterans Health Administration (VHA) patients with multiple sclerosis (MS) and their access to MS specialty care. We created six travel-time bands around VHA facilities with MS specialty care and calculated the number of VHA patients with MS who resided in each time band and the number of patients who lived more than 2 hours from the nearest specialty clinic in fiscal year 2007. We demonstrate the utility of using GIS tools in decision-making by providing three examples of how patients' access to care is affected when additional specialty clinics are added. The mapping technique used in this study provides a powerful and valuable tool for policy and planning personnel who are evaluating how to address underserved populations and areas within the VHA healthcare system.

  6. THE SPECIALTY OF EMERGENCY MEDICINE IN CHILE: 20 YEARS OF HISTORY

    Directory of Open Access Journals (Sweden)

    WK Mallon

    2017-03-01

    Full Text Available Chile is uniquely situated to be a leader in South American development of the specialty of Emergency Medicine. Chilean emergency medicine has successfully transitioned from a novelty training idea to a nationally and internationally recognized entity with serious public health goals. There are more residency training programs in Chile than in any other South American or Latin American country, and the specialty is formally recognized by the Ministry of Health. Chilean emergency medicine thought leaders have networked internationally with multiple groups, intelligently used outside resources, and created durable academic relationships. While focusing on locally important issues and patient care they have successfully advanced their agenda. Despite this, the specialty faces many new challenges and remains fragile but sustainable. Policy makers and the Chilean MOH need to be acutely aware of this fragility to preserve the progress achieved so far, and support ongoing maturation of the specialty of Emergency Medicine.

  7. Consumer Specialty Products Association Letter and EPA Response re: Minimum Risk Pesticide Exemption Petition

    Science.gov (United States)

    The Consumer Specialty Products Association petitioned EPA to exclude from the minimum risk pesticide exemption pesticides claiming to control “pests of significant public health importance” and require registration. View the petition and EPA's response.

  8. Specialty Payment Model Opportunities and Assessment: Oncology Simulation Report.

    Science.gov (United States)

    White, Chapin; Chan, Chris; Huckfeldt, Peter J; Kofner, Aaron; Mulcahy, Andrew W; Pollak, Julia; Popescu, Ioana; Timbie, Justin W; Hussey, Peter S

    2015-07-15

    This article describes the results of a simulation analysis of a payment model for specialty oncology services that is being developed for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services (CMS). CMS asked MITRE and RAND to conduct simulation analyses to preview some of the possible impacts of the payment model and to inform design decisions related to the model. The simulation analysis used an episode-level dataset based on Medicare fee-for-service (FFS) claims for historical oncology episodes provided to Medicare FFS beneficiaries in 2010. Under the proposed model, participating practices would continue to receive FFS payments, would also receive per-beneficiary per-month care management payments for episodes lasting up to six months, and would be eligible for performance-based payments based on per-episode spending for attributed episodes relative to a per-episode spending target. The simulation offers several insights into the proposed payment model for oncology: (1) The care management payments used in the simulation analysis-$960 total per six-month episode-represent only 4 percent of projected average total spending per episode (around $27,000 in 2016), but they are large relative to the FFS revenues of participating oncology practices, which are projected to be around $2,000 per oncology episode. By themselves, the care management payments would increase physician practices' Medicare revenues by roughly 50 percent on average. This represents a substantial new outlay for the Medicare program and a substantial new source of revenues for oncology practices. (2) For the Medicare program to break even, participating oncology practices would have to reduce utilization and intensity by roughly 4 percent. (3) The break-even point can be reduced if the care management payments are reduced or if the performance-based payments are reduced.

  9. Evaluation of the educational climate for specialty trainees in dermatology.

    Science.gov (United States)

    Goulding, J M R; Passi, V

    2016-06-01

    Dermatology specialty trainees (STs) in the United Kingdom (UK) are few in number and will join a thinly spread national consultant body. It is of paramount importance to deliver training programmes of the highest quality for these doctors, central to which is the establishment and maintenance of an educational climate conducive to learning. To conduct a pilot study to evaluate the educational climate for dermatology STs in one UK deanery (West Midlands). Secondary analysis of published data was performed, from the UK's General Medical Council (GMC) national training survey, and the Job Evaluation Survey Tool (JEST) administered by the West Midlands deanery. A modified online version of the Postgraduate Hospital Educational Environment Measure (PHEEM) was circulated among dermatology STs. The GMC's survey data show that UK dermatology STs rated their training highly in comparison with undifferentiated UK postgraduate trainees. West Midlands dermatology STs (n = 22) scored very similarly to UK dermatology STs. The JEST gave broadly encouraging results, with 21/22 (95%) happy to recommend their posts to colleagues. The modified PHEEM yielded a global mean score of 96.5/152, attracting the descriptor 'more positive than negative but room for improvement'. Despite inherent methodological limitations, the GMC, JEST and modified PHEEM surveys have revealed useful comparative triangulated data which allows the conclusion that West Midlands dermatology STs seem to be training in a favourable educational climate. This represents an important facet of the quality assurance process for medical education, and allows insight into areas which may require improvement. © 2015 European Academy of Dermatology and Venereology.

  10. Research and Practice on the Transformation and Development of Private Colleges and Universities---Taking “Mechanical Manufacturing”Specialty of Wuchang Institute of Technology as an Example%民办高校专业转型发展研究与实践--以武昌工学院“机制”专业为例

    Institute of Scientific and Technical Information of China (English)

    李家伟

    2015-01-01

    转型应用技术型大学是新建民办高校发展的必然选择,其转型发展的突破口是专业转型发展。专业是人才培养的基本载体和主要依托,专业转型发展是应用技术型大学培养高层次技术型人才的重点和关键。通过对新建民办高校办学定位及市场对机械专业人才需求分析,提出“机制”专业转型发展的关键、重点、保障、途径和平台,通过强化专业内涵建设,促进专业建设水平的提升,突出培养学生工程技术应用能力,培养高层次技术型人才。%Transformation of colleges and universities of applied sciences is an inevitable choice for the development of newly-built private colleges and universities;the breakthrough of transformation and development lies on that of the majors.The major is the basic carrier and major support for fostering talents,while the transformation and development of the major are the em-phasis and key point for fostering high-level technical talents in various colleges and universities of applied sciences.Through the analysis on the school-running orientation of newly-built private colleges and universities as well as the demand of the market on mechanical professional talents,the article proposes the key points,emphasis,assurance,channels and platforms re-lated to the transformation and development of"mechanical and manufacture"major,and promotes the increase of professional construction level,attaches great importance on fostering the engineering technology application capability of the students,as well as fosters high-level technical talents through intensifying professional connotation construction.

  11. Publication trends of research articles from infectious diseases specialty in a medical journal from India

    OpenAIRE

    Hari Kumar KVS; Aravinda, K.

    2012-01-01

    Background: Details about research productivity in the infectious diseases specialty from India are lacking. Objective: To analyse publishing trends and research productivity of articles related to infectious diseases in the Journal of the Association of Physicians of India (JAPI). Materials and Methods : We carried out bibliometric analysis of articles related to infectious diseases specialty from JAPI published between 2000 and 2011. Data were derived from the journal′s website and the arti...

  12. Stability of and Factors Related to Medical Student Specialty Choice of Psychiatry.

    Science.gov (United States)

    Goldenberg, Matthew N; Williams, D Keith; Spollen, John J

    2017-09-01

    Targeted efforts are needed to increase the number of medical students choosing psychiatry, but little is known about when students decide on their specialty or what factors influence their choice. The authors examined the timing and stability of student career choice of psychiatry compared with other specialties and determined what pre- and intra-medical school factors were associated with choosing a career in psychiatry. Using survey data from students who graduated from U.S. allopathic medical schools in 2013 and 2014 (N=29,713), the authors computed rates of psychiatry specialty choice at the beginning and end of medical school and assessed the stability of that choice. A multivariate-adjusted logistic regression and recursive partitioning were used to determine the association of 29 factors with psychiatry specialty choice. Choice of psychiatry increased from 1.6% at the start of medical school to 4.1% at graduation. The stability of psychiatry specialty choice from matriculation to graduation, at just over 50%, was greater than for any other specialty. However, almost 80% of future psychiatrists did not indicate an inclination toward the specialty at matriculation. A rating of "excellent" for the psychiatry clerkship (odds ratio=2.66), a major in psychology in college (odds ratio=2.58), and valuing work-life balance (odds ratio=2.25) were the factors most strongly associated with psychiatry career choice. Students who enter medical school planning to become psychiatrists are likely to do so, but the vast majority of students who choose psychiatry do so during medical school. Increasing the percentage of medical students with undergraduate psychology majors and providing an exemplary psychiatry clerkship are modifiable factors that may increase the rate of psychiatry specialty choice.

  13. Surgery or general medicine: a study of the reasons underlying the choice of medical specialty

    Directory of Open Access Journals (Sweden)

    Patrícia Lacerda Bellodi

    Full Text Available CONTEXT: The reality of medical services in Brazil points towards expansion and diversification of medical knowledge. However, there are few Brazilian studies on choosing a medical specialty. OBJECTIVE: To investigate and characterize the process of choosing the medical specialty among Brazilian resident doctors, with a comparison of the choice between general medicine and surgery. TYPE OF STUDY: Stratified survey. SETTING: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HC-FMUSP. METHODS: A randomized sample of resident doctors in general medicine (30 and surgery (30 was interviewed. Data on sociodemographic characteristics and the moment, stability and reasons for the choice of specialty were obtained. RESULTS: The moment of choice between the two specialties differed. Surgeons (30% choose the specialty earlier, while general doctors decided progressively, mainly during the internship (43%. Most residents in both fields (73% general medicine, 70% surgery said they had considered another specialty before the current choice. The main reasons for general doctors' choice were contact with patients (50%, intellectual activities (30% and knowledge of the field (27%. For surgeons the main reasons were practical intervention (43%, manual activities (43% and the results obtained (40%. Personality was important in the choice for 20% of general doctors and for 27% of surgeons. DISCUSSION: The reasons found for the choice between general medicine and surgery were consistent with the literature. The concepts of wanting to be a general doctor or a surgeon are similar throughout the world. Personality characteristics were an important influencing factor for all residents, without statistical difference between the specialties, as was lifestyle. Remuneration did not appear as a determinant. CONCLUSION: The results from this group of Brazilian resident doctors corroborated data on choosing a medical specialty from other countries

  14. Short report: factors that affect specialty choice and career plans of Wisconsin's medical students.

    Science.gov (United States)

    Knox, Kjersti E; Getzin, Anne; Bergum, Alison; McBride, Patrick; Rieselbach, Richard; Friedsam, Donna

    2008-12-01

    To identify factors that influence specialty choice among Wisconsin medical students and provide insight into approaches to encourage more students to pursue careers in primary care. The importance of several factors in medical student career choice was surveyed using a Web survey convenience sample of all Wisconsin medical students. Students intending to pursue a career in primary care and in other specialties were compared. Respondents, regardless of specialty choice or gender, identified a similar group of factors as highly influential, and similar group of factors as non-influential in their decision-making. However, significantly more primary care students than other specialty students considered interest in underserved populations, relationships with patients, scope of practice, and role models important in their career choice. Significantly more primary care students than other specialty students responded that salary and competitiveness were "not at all" important. A greater number of other specialty students than primary care students stated that interest in scope of practice, role models, and training years were "not at all" important. Debt-related factors were reported as "not at all" important by nearly one-third of respondents. Although primary care and other specialty students report making their career plans based on the impact of similar factors, significant differences between primary care and other specialty students were reported in key areas. These results validate many previously reported factors, and indicate that salary and years of training may have been overemphasized in understanding student career choice. The results of this survey may be useful for Wisconsin medical schools in order to sustain, support, and foster student interest in primary care.

  15. DETERMINANTS OF SPECIALTY CHOICE OF RESIDENT DOCTORS; CASE STUDY--AMONG RESIDENT DOCTORS IN NIGERIA.

    Science.gov (United States)

    Osuoji, Roland I; Adebanji, Atinuke; Abdulsalam, Moruf A; Oludara, Mobolaji A; Abolarinwa, Abimbola A

    2015-01-01

    This study examined medical specialty selection by Nigerian resident doctors using a marketing research approach to determine the selection criteria and the role of perceptions, expected remuneration, and job placement prospects of various specialties in the selection process. Data were from the Community of residents from April 2014 to July 2014. The cohort included 200 residents, but only 171 had complete information. Data were obtained from a cross section of resident doctors in the Lagos State University Teaching Hospital and at the 2014 Ordinary General Meeting of the National Association of Resident Doctors(NARD) where representatives from over 50 Teaching hospitals in Nigeria attended. Using a client behaviour model as a framework, a tripartite questionnaire was designed and administered to residents to deduce information on their knowledge about and interests in various specialties, their opinions of sixteen specialties, and the criteria they used in specialty selection. A total of 171 (85.5%) questionnaires were returned. ln many instances, consistency between selection criteria and perceptions of a specialty were accompanied by interest in pursuing the specialty. Job security, job availability on completion of programme, duration of training and qualifying examinations were highly correlated with p value training and practice related variables loaded on it while the second component was loaded with job security and financial remuneration related variables. Using marketing research concepts for medical specialty selection (Weissmanet al 2012) stipulates that choice of speciality is influenced by criteria and perception. This study shows that job security expected financial remuneration, and examination requirements for qualification are major determinants of the choice of speciality for residents.

  16. Factors influencing dental students' specialty choice: a survey of ten graduating classes at one institution.

    Science.gov (United States)

    Shin, Jane H; Kinnunen, Taru H; Zarchy, Marisa; Da Silva, John D; Chang, Brian Myung W; Wright, Robert F

    2015-04-01

    The aim of this study was to survey ten graduating classes at Harvard School of Dental Medicine regarding students' specialty choice and factors influencing that choice. Students were surveyed once in 2008 (for the Classes of 2007-11) and again in 2013 (for the Classes of 2012-16). A prior article reported results regarding students' interest in and experiences with prosthodontics; this article presents results regarding their interest in all dental specialties and factors influencing those interests. Of a total 176 students in the Classes of 2012-16, 143 responded to the survey, for a response rate of 81%, compared to a 95% response rate (167 of total 176 students) for the Classes of 2007-11. The results showed that orthodontics was the most popular specialty choice, followed by oral and maxillofacial surgery. From the 2008 to the 2013 survey groups, there was an increase in the percentages of students planning to pursue oral and maxillofacial surgery, pediatric dentistry, and postdoctoral general dentistry. The educational debt these students expected to accrue by graduation also increased. The largest percentage of students chose "enjoyment of providing the specialty service" as the factor most influencing their specialty choice. "Prior dental school experience" and "faculty influence" were greater influences for students pursuing specialties than those pursuing postdoctoral general dentistry. Increased interest in particular disciplines may be driven by high debt burdens students face upon graduation. Factors related to mentoring especially influenced students pursuing specialties, demonstrating the importance of student experiences outside direct patient care for exposure to the work of specialists beyond the scope of predoctoral training. This finding suggests that dental schools should increase mentoring efforts to help students make career decisions based not on financial burden but rather on personal interest in the specialty, which is likely to have a

  17. Application-specific specialty microstructured optical fibers for mid-IR and THz photonics (Invited)

    DEFF Research Database (Denmark)

    Pal, Bishnu P.; Barh, Ajanta; Varshney, Ravi K.

    2016-01-01

    A review of several of our designed specialty microstructured optical fibers (MOFs) for mid-IR and THz generation and transmission including high power transmission is presented. Extensive results on performance of the designed MOFs are described.......A review of several of our designed specialty microstructured optical fibers (MOFs) for mid-IR and THz generation and transmission including high power transmission is presented. Extensive results on performance of the designed MOFs are described....

  18. Specialty fibers for 160, 320 and 640 Gb/s signal processing

    DEFF Research Database (Denmark)

    Oxenløwe, Leif Katsuo; Berg, Kim Skaalum; Clausen, Anders;

    2004-01-01

    Specialty highly non-linear fibers are experimentally characterized as signal processing components in ultra high-speed OTDM systems. Pulse compression to 359 fs and demultiplexing of 160, 320 and 640 Gb/s signals are demonstrated.......Specialty highly non-linear fibers are experimentally characterized as signal processing components in ultra high-speed OTDM systems. Pulse compression to 359 fs and demultiplexing of 160, 320 and 640 Gb/s signals are demonstrated....

  19. Sub-specialty training in head and neck surgical oncology in the European Union.

    Science.gov (United States)

    Manganaris, Argyris; Black, Myles; Balfour, Alistair; Hartley, Christopher; Jeannon, Jean-Pierre; Simo, Ricard

    2009-07-01

    Sub-specialty training in otorhinolaryngology and head and neck surgery (ORL-HNS) is not standardised across European Union (EU) states and remains diverse. The objective of this study was to assess the current status of sub-specialty training programmes in head and neck surgical oncology within the European Union (EU-15). A postal questionnaire was distributed to 41 representative members of the European Federation of Otorhinolaryngological Societies (EUFOS) in the specialty of ORL-HNS in 15 EU states. The questionnaire included questions regarding the sub-specialty practice, structure, length, access, examination procedures and certification, future developments and also a space for individual comments. Thirty-one respondents (75.6%) from major training centres in 15 different European countries replied. Overall, the data revealed major diversity for all aspects analysed, between and within the different European countries. Only four EU states had formal sub-specialty training in head and neck surgical oncology. This includes Finland, Germany, The Netherlands, and the United Kingdom. In the rest of EU states, the last year of residency programmes is often spent as an introduction to one of the sub-specialties. Sub-specialty training in head and neck surgical oncology within the EU at present is clearly underdeveloped. Issuing a European diploma in ORL-HNS could be an initial step towards assessing the skills acquired during specialist training within the different European countries and formalising specialist training. This would establish a uniform measure for evaluating candidacy for sub-specialty training both across the EU and for USA, Canada or Australia.

  20. Gender Distribution Among American Board of Medical Specialties Boards of Directors.

    Science.gov (United States)

    Walker, Laura E; Sadosty, Annie T; Colletti, James E; Goyal, Deepi G; Sunga, Kharmene L; Hayes, Sharonne N

    2016-11-01

    Since 1995, women have comprised more than 40% of all medical school graduates. However, representation at leadership levels in medicine remains considerably lower. Gender representation among the American Board of Medical Specialties (ABMS) boards of directors (BODs) has not previously been evaluated. Our objective was to determine the relative representation of women on ABMS BODs and compare it with the in-training and in-practice gender composition of the respective specialties. The composition of the ABMS BODs was obtained from websites in March 2016 for all Member Boards. Association of American Medical Colleges and American Medical Association data were utilized to identify current and future trends in gender composition. Although represented by a common board, neurology and psychiatry were evaluated separately because of their very different practices and gender demographic characteristics. A total of 25 specialties were evaluated. Of the 25 specialties analyzed, 12 BODs have proportional gender representation compared with their constituency. Seven specialties have a larger proportion of women serving on their boards compared with physicians in practice, and 6 specialties have a greater proportion of men populating their BODs. Based on the most recent trainee data (2013), women have increasing workforce representation in almost all specialties. Although women in both training and practice are approaching equal representation, there is variability in gender ratios across specialties. Directorship within ABMS BODs has a more equitable gender distribution than other areas of leadership in medicine. Further investigation is needed to determine the reasons behind this difference and to identify opportunities to engage women in leadership in medicine. Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  1. Real Options Analysis of Electricity Investments

    Energy Technology Data Exchange (ETDEWEB)

    Heggedal, Ane Marte

    2012-07-01

    This thesis utilizes real options analysis for evaluating investment opportunities in the electricity sector. It also formally tests how investors in hydropower plants have included uncertainty when considering their investment opportunities. The real options method applies financial options theory to quantify the value of management flexibility and is chosen due to three important characteristics of investments in the electricity sector. First; the investment is completely or partially irreversible, second; the investor can choose when to invest in the facility, and third; there is uncertainty in several factors affecting the cash flows of the investments. Factors of uncertainty include the development of electricity prices, policies, technological advances, and macroeconomics measures.Four papers are included in this thesis. Paper 1, Upgrading hydropower plants with storage: Timing and capacity choice, presents a valuation framework for deciding when to upgrade an existing hydropower plant and which capacity to choose. The second paper, Transmission capacity between Norway and Germany: A real options analysis, sheds light on when two electricity markets, in this case Norway and Germany, should be connected through a sub sea cable. The investor can choose when to invest and the capacity of the cable, and may also choose to invest sequentially. Paper 3, Optimal timing and capacity choice for pumped hydropower storage, investigates when investment in a pumped hydropower plant with storage should be undertaken and what the capacity of the facility should be. Whereas the three first papers investigate investment opportunities, Paper 4, Uncertain climate policy decisions and investment timing: Evidence from small hydropower plants, studies when investors in small hydropower plants chose to invest. The analyses disclose whether the net present value approach or the real options method best describe the investment decisions made by the investors. Viewing investment

  2. Essential Tremor (ET): Surgical Options

    Science.gov (United States)

    ... t respond to propranolol, primidone, or other common ET medications and whose tremor has become debilitating, there ... treatments were first introduced. Current surgical options for ET include Deep Brain Stimulation (DBS) , Focused Ultrasound Thalamotomy , ...

  3. Treatment Option Overview (Cervical Cancer)

    Science.gov (United States)

    ... Cancer Prevention Cervical Cancer Screening Research Cervical Cancer Treatment (PDQ®)–Patient Version General Information About Cervical Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) depends on ...

  4. Treatment Option Overview (Kaposi Sarcoma)

    Science.gov (United States)

    ... Treatment Childhood Vascular Tumors Treatment Research Kaposi Sarcoma Treatment (PDQ®)–Patient Version General Information About Kaposi Sarcoma ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) and treatment ...

  5. Treatment Option Overview (Bladder Cancer)

    Science.gov (United States)

    ... Cancer Treatment Bladder Cancer Screening Research Bladder Cancer Treatment (PDQ®)–Patient Version General Information About Bladder Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) depends on ...

  6. Treatment Options for Actinic Keratosis

    Science.gov (United States)

    ... Skin Cancer Skin Cancer Screening Research Skin Cancer Treatment (PDQ®)–Patient Version General Information About Skin Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) depends mostly ...

  7. Treatment Options for Urethral Cancer

    Science.gov (United States)

    ... Treatment Health Professional Urethral Cancer Treatment Urethral Cancer Treatment (PDQ®)–Patient Version General Information About Urethral Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) and treatment ...

  8. Menopause: Weighing Your Treatment Options

    Science.gov (United States)

    ... of this page please turn JavaScript on. Feature: Menopause Weighing Your Treatment Options Past Issues / Winter 2017 ... What led you to study older women and menopause? I started studying women's health many years ago ...

  9. Specialty choice preference of medical students according to personality traits by Five-Factor Model

    Directory of Open Access Journals (Sweden)

    Oh Young Kwon

    2016-03-01

    Full Text Available Purpose: The purpose of this study was to determine the relationship between personality traits, using the Five-Factor Model, and characteristics and motivational factors affecting specialty choice in Korean medical students. Methods: A questionnaire survey of Year 4 medical students (n=110 in July 2015 was administered. We evaluated the personality traits of Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness by using the Korean version of Big Five Inventory. Questions about general characteristics, medical specialties most preferred as a career, motivational factors in determining specialty choice were included. Data between five personality traits and general characteristics and motivational factors affecting specialty choice were analyzed using Student t-test, Mann-Whitney test and analysis of variance. Results: Of the 110 eligible medical students, 105 (95.4% response rate completed the questionnaire. More Agreeableness students preferred clinical medicine to basic medicine (p=0.010 and more Openness students preferred medical departments to others (p=0.031. Personal interest was the significant motivational factors in more Openness students (p=0.003 and Conscientiousness students (p=0.003. Conclusion: Medical students with more Agreeableness were more likely to prefer clinical medicine and those with more Openness preferred medical departments. Personal interest was a significant influential factor determining specialty choice in more Openness and Conscientiousness students. These findings may be helpful to medical educators or career counselors in the specialty choice process.

  10. Specialty choice preference of medical students according to personality traits by Five-Factor Model.

    Science.gov (United States)

    Kwon, Oh Young; Park, So Youn

    2016-03-01

    The purpose of this study was to determine the relationship between personality traits, using the Five-Factor Model, and characteristics and motivational factors affecting specialty choice in Korean medical students. A questionnaire survey of Year 4 medical students (n=110) in July 2015 was administered. We evaluated the personality traits of Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness by using the Korean version of Big Five Inventory. Questions about general characteristics, medical specialties most preferred as a career, motivational factors in determining specialty choice were included. Data between five personality traits and general characteristics and motivational factors affecting specialty choice were analyzed using Student t-test, Mann-Whitney test and analysis of variance. Of the 110 eligible medical students, 105 (95.4% response rate) completed the questionnaire. More Agreeableness students preferred clinical medicine to basic medicine (p=0.010) and more Openness students preferred medical departments to others (p=0.031). Personal interest was the significant motivational factors in more Openness students (p=0.003) and Conscientiousness students (p=0.003). Medical students with more Agreeableness were more likely to prefer clinical medicine and those with more Openness preferred medical departments. Personal interest was a significant influential factor determining specialty choice in more Openness and Conscientiousness students. These findings may be helpful to medical educators or career counselors in the specialty choice process.

  11. Mining Local Specialties for Travelers by Leveraging Structured and Unstructured Data

    Directory of Open Access Journals (Sweden)

    Kai Jiang

    2012-01-01

    Full Text Available Recently, many local review websites such as Yelp are emerging, which have greatly facilitated people's daily life such as cuisine hunting. However they failed to meet travelers' demands because travelers are more concerned about a city's local specialties instead of the city's high ranked restaurants. To solve this problem, this paper presents a local specialty mining algorithm, which utilizes both the structured data from local review websites and the unstructured user-generated content (UGC from community Q&A websites, and travelogues. The proposed algorithm extracts dish names from local review data to build a document for each city, and applies tfidf weighting algorithm on these documents to rank dishes. Dish-city correlations are calculated from unstructured UGC, and combined with the tfidf ranking score to discover local specialties. Finally, duplicates in the local specialty mining results are merged. A recommendation service is built to present local specialties to travelers, along with specialties' associated restaurants, Q&A threads, and travelogues. Experiments on a large data set show that the proposed algorithm can achieve a good performance, and compared to using local review data alone, leveraging unstructured UGC can boost the mining performance a lot, especially in large cities.

  12. Acceptance of pharmaceutical gifts. Variability by specialty and job rank in a Saudi healthcare setting.

    Science.gov (United States)

    Alosaimi, Fahad; Alkaabba, Abdulaziz; Qadi, Mahdi; Albahlal, Abdullah; Alabdulkarim, Yasir; Alabduljabbar, Mohammad; Alqahtani, Faisal

    2013-08-01

    To examine the variability in accepting different types of gifts by clinical specialty as well as job rank among physicians working in Saudi Arabia. This cross-sectional study was carried out between March and July of 2012 in different regions of Saudi Arabia. A self-administrated questionnaire was developed and administered to all participants, both in paper and electronic formats. A total of 281 participants answered the question `do you accept pharmaceutical gifts and/or promotions?` Most of the participants (80.1%) admitted acceptance of pharmaceutical gifts of any type. The most common gifts accepted were free drug samples (58.2%), stationary items such as pens and notepads (52.9%), free meals (37.8%), financial support to attend educational activities (33.3%), prepaid promotion cards/codes (7.1%), and funding research (5.8%).While there were no significant differences in the overall gift acceptance by job rank or specialty, there were significant differences in type-specific gift acceptance by job rank and specialty. There were some differences in the reasons behind gift acceptance by specialty and job rank. The results of this study indicate that gift acceptance among physicians working in Saudi Arabia is common; however, there was no significant differences in the overall gift acceptance by job rank or specialty. Nevertheless, there were significant differences in type-specific gift acceptance by job rank and specialty.

  13. Existing FDA pathways have potential to ensure early access to, and appropriate use of, specialty drugs.

    Science.gov (United States)

    Kesselheim, Aaron S; Tan, Yongtian Tina; Darrow, Jonathan J; Avorn, Jerry

    2014-10-01

    Specialty drugs are notable among prescription drugs in that they offer the possibility of substantial clinical improvement, come with important risks of adverse events and mortality, can be complex to manufacture or administer, and are usually extremely costly. The Food and Drug Administration (FDA) plays a critical role in ensuring that patients who could benefit from specialty drugs have access to them in a timely fashion. In this article we review the different strategies that the FDA can use to approve and influence the post-approval prescribing of specialty drugs. When specialty drugs show promise in early clinical trials, the FDA can expedite the drugs' availability to patients through expanded access programs and expedited approval pathways that speed regulatory authorization. After approval, to ensure that specialty drugs are directed to the patients who are most likely to benefit from them, the FDA can limit the scope of the drugs' indications, encourage the development of companion diagnostic tests to indicate which patients should receive the drugs, or require that manufacturers subject them to Risk Evaluation and Mitigation Strategies to ensure that their use is appropriately limited to a restricted population that is aware of the drugs' risks and benefits. Implementing these existing regulatory approaches can promote timely patient access to specialty drugs while preventing expensive and potentially inappropriate overuse.

  14. Specialty food safety concerns and multilingual resource needs: an online survey of public health inspectors.

    Science.gov (United States)

    Pham, Mai T; Jones, Andria Q; Sargeant, Jan M; Marshall, Barbara J; Dewey, Catherine E

    2010-12-01

    The province of Ontario, Canada, has a highly diverse and multicultural population. Specialty foods (i.e., foods from different cultures) are becoming increasingly available at retail food outlets and foods service establishments across the province; as a result, public health inspectors (PHIs) are increasingly required to assess the safety of foods with which they may be unfamiliar. The aim of this study was to investigate the concerns, perceptions, and self-identified needs of PHIs in Ontario with regard to specialty foods and food safety information resources in languages other than English. A cross-sectional online survey of 239 PHIs was conducted between April and June 2009. The study found that while some food safety information resources were available in languages other than English, fewer than 25% of respondents (56/239) were satisfied with the current availability of these resources. With regard to specialty foods, 60% of respondents (143/239) reported at least one specialty food with which they were not confident about their current food safety knowledge, and 64% of respondents (153/239) reported at least one specialty food with which they were dissatisfied with the current availability of food safety information. Therefore, the development of additional food safety information resources for specialty foods, and food safety resources in additional languages may provide enhanced support to PHIs involved in protecting and promoting a safe food supply.

  15. Background information: requirements for advanced specialty education programs in prosthodontics.

    Science.gov (United States)

    1983-12-01

    The proposed revisions have been developed to address problems of fragmentation, inconsistency, and lack of balance in advanced prosthodontic education. Minimum didactic and clinical requirements for each subdiscipline are clearly indicated in the proposed "Requirements," and programs will no longer be directed to provide special emphasis in one subdiscipline. It should be noted that the proposed "Requirements" do not prevent or preclude programs from emphasizing one subdiscipline. This option is left up to the sponsoring institutions. The proposed "Requirements," however, do underscore the fact that the primary responsibility of accredited prosthodontic programs is to provide students with the opportunity to achieve competence in the full scope of prosthodontic procedures.

  16. Option Derivatives in Electricity Hedging

    Directory of Open Access Journals (Sweden)

    P. Pavlátka

    2010-01-01

    Full Text Available Despite the high volatility of electricity prices, there is still little demand for electricity power options, and the liquidity on the power exchanges of these power derivatives is quite low. One of the reasons is the uncertainty about how to evaluate these electricity options and about finding the right fair value of this product. Hedging of electricity is associated mainly with products such as futures and forwards. However, due to new trends in electricity trading and hedging, it is also useful to think more about options and the principles for working with them in hedging various portfolio positions and counterparties. We can quite often encounter a situation when we need to have a perfect hedge for our customer’s (end user consuming electricity portfolio, or we have to evaluate the volumetric risk (inability of a customer to predict consumption, which is very similar to selling options. Now comes the moment to compare the effects of using options or futures to hedge these open positions. From a practical viewpoint, the Black-Scholes prices appear to be the best available and the simplest method for evaluating option premiums, but there are some limitations that we have to consider.

  17. PTV VISSIM SIMULATION SOFTWARE USE FOR PROFESSIONALS IN «TRANSPORT TECHNOLOGIES» AND «AUTOMOBILE TRANSPORT» SPECIALTIES TRAINING

    Directory of Open Access Journals (Sweden)

    Volodymyr O. Sistuk

    2016-05-01

    Full Text Available The prospect of training quality improving of bachelors and masters in «Automobile transport» and «Transport technologies» specialties was considered, basing on the use of simulation software in the educational process. A review of the software products market was prepared, with the result of the component PTV VISSIM pre-selection. The simulation model of a real crossroad was developed to demonstrate its capabilities. Based on the analysis of application functions aptness to the city transport network complex objects simulation requirements, the expediency of the solution use during vocational certificate credit courses of students of Transport Faculty of Kryvyi Rih National University was grounded.

  18. Investing in Marine Scrubber under Uncertainty with Real Option Thinking

    DEFF Research Database (Denmark)

    Jiang, Liping; Hansen, Carsten Ørts

    works that examine the economic feasibility of scrubber retrofitting through the net present value rule, this paper applies the Real Option Analysis to find the optimal investment strategies. The proposed decision-making framework addresses the uncertainty and the value of deferral option embedded......Scrubber technology is one of the valid alternatives to comply with the tightening sulphur regulation. Due to the high uncertainty associated with the oil price and shipping market, making decision about whether and when to invest in marine scrubber is very difficult. In contrast to the previous...... in the scrubber investment. The multiple sources of investment uncertainties are explicitly analyzed and integrated in the modeling by using Rainbow option. The results demonstrate that the value of the scrubber investment has significantly increased for several cases by considering the deferral option...

  19. Economic considerations of commercial tokamak options

    Energy Technology Data Exchange (ETDEWEB)

    Dabiri, A.E.

    1986-05-01

    Systems studies have been performed to assess commercial tokamak options. Superconducting, as well as normal, magnet coils in either first or second stability regimes have been considered. A spherical torus (ST), as well as an elongated tokamak (ET), is included in the study. The cost of electricity (COE) is selected as the figure of merit, and beta and first-wall neutron wall loads are selected to represent the physics and technology characteristics of various options. The results indicate that an economical optimum for tokamaks is predicted to require a beta of around 10%, as predicted to be achieved in the second stability regime, and a wall load of about 5 MW/m/sup 2/, which is assumed to be optimum technologically. This tokamak is expected to be competitive with fission plants if efficient, noninductive current drive is developed. However, if this regime cannot be attained, all other tokamaks operating in the first stability regime, including spherical torus and elongated tokamak and assuming a limiting wall load of 5 MW/m/sup 2/, will compete with one another with a COE of about 50 mill/kWh. This 40% higher than the COE for the optimum reactor in the second stability regime with fast-wave current drive. The above conclusions pertain to a 1200-MW(e) net electric power plant. A comparison was also made between ST, ET, and superconducting magnets in the second stability regime with fast-wave current drive at 600 MW(e).

  20. [Reinventing specialty training of physicians? Principles and challenges].

    Science.gov (United States)

    Morán-Barrios, J; Ruiz de Gauna Bahillo, P

    2010-01-01

    In a world undergoing constant change, in the era of globalisation, the training of medical professionals should be under constant review so that it can be tailored to meet the needs of this society in transition. This is all the more true at times of economic uncertainty, such as the current conditions, which have a direct impact on health services. Professionals need new Competencies for new times. Over the last decade initiatives have emerged in various Anglo-Saxon countries which have defined a framework of basic Competencies that all medical specialists should demonstrate in their professional practice. In addition to this, we must respond to the creation of the European Higher Education Area which has implications for specialised training. In Spain, training for medical specialists was in need of an overhaul and the recently passed law (Real Decreto 183/2008) will allow us to move forward and implement, in medical education, initiatives and innovations required in our medical centres, to respond to the new society and bring us in line with international professional education and practice. The way forward is a Competency-based model for medical education with assessment of these Competencies using simple instruments, validated and accepted by all the stakeholders. The institutions involved (hospitals, medical centres and other health care services) should trial different approaches within the general framework established by the current legislation and be conscious of the duty they have to society as accredited training organisations. Accordingly, they should consolidate their teaching and learning structures and the various different educational roles (Director of Studies, Tutors, and other teaching positions), showing the leadership necessary to allow proper implementation of their training programmes. For this, the Spanish Autonomous Regions must develop their own legislation regulating Medical Specialty Training. So, medical professionals should receive

  1. Neurology as career option among postgraduate medical students

    Directory of Open Access Journals (Sweden)

    Namit B Gupta

    2013-01-01

    Full Text Available Background: In the context of inadequacy of neurology workforce in India, it is important to understand factors that post-graduate medical students consider for and against choosing neurology as their career option. Understanding these factors will help in planning strategies to encourage students to pursue a career in neurology. At present, there is a paucity of studies addressing this issue in India. Aims and Objectives: (1 To analyze factors, which post-graduate students consider for and against choosing neurology as a career specialty. (2 To access the level and quality of neurology exposure in the current MBBS and MD curricula. Materials and Methods: Statewide questionnaire based study was conducted in the state of Maharashtra for students eligible to take DM neurology entrance examination (MD Medicine and MD Pediatrics. Results: In this survey, 243 students were enrolled. Factors bringing students to neurology were - intellectual challenge and logical reasoning (72%, inspired by role model teachers (63%, better quality-of-life (51% and scope for independent practice without expensive infrastructure (48%. Factors preventing students from taking neurology were - perception that most neurological diseases are degenerative (78%, neurology is mainly an academic specialty (40%, neurophobia (43% and lack of procedures (57%. Inadequate exposure and resultant lack of self-confidence were common (31%, 70-80%. 84% of the students felt the need for a short term certification course in neurology after MD. Conclusions: To attract more students to neurology, "role model" teachers of neurology could interact and teach students extensively. Neurologists′ efforts to shed their diagnostician′s image and to shift their focus to therapeutics will help change the image of neurology. Out-patient neurology clinics should be incorporated early in the student′s career. Procedures attract students; hence, they should be made conversant with procedures and

  2. The influence of temperament and character profiles on specialty choice and well-being in medical residents

    Directory of Open Access Journals (Sweden)

    Martin Sievert

    2016-09-01

    Full Text Available Background Multiple factors influence the decision to enter a career in medicine and choose a specialty. Previous studies have looked at personality differences in medicine but often were unable to describe the heterogeneity that exists within each specialty. Our study used a person-centered approach to characterize the complex relations between the personality profiles of resident physicians and their choice of specialty. Methods 169 resident physicians at a large Midwestern US training hospital completed the Temperament and Character Inventory (TCI and the Satisfaction with Life Scale (SWLS. Clusters of personality profiles were identified without regard to medical specialty, and then the personality clusters were tested for association with their choice of specialty by co-clustering analysis. Life satisfaction was tested for association with personality traits and medical specialty by linear regression and analysis of variance. Results We identified five clusters of people with distinct personality profiles, and found that these were associated with particular medical specialties Physicians with an “investigative” personality profile often chose pathology or internal medicine, those with a “commanding” personality often chose general surgery, “rescuers” often chose emergency medicine, the “dependable” often chose pediatrics, and the “compassionate” often chose psychiatry. Life satisfaction scores were not enhanced by personality-specialty congruence, but were related strongly to self-directedness regardless of specialty. Conclusions The personality profiles of physicians were strongly associated with their medical specialty choices. Nevertheless, the relationships were complex: physicians with each personality profile went into a variety of medical specialties, and physicians in each medical specialty had variable personality profiles. The plasticity and resilience of physicians were more important for their life

  3. The influence of temperament and character profiles on specialty choice and well-being in medical residents

    Science.gov (United States)

    Sievert, Martin; Zwir, Igor; Cloninger, Kevin M.; Lester, Nigel; Rozsa, Sandor

    2016-01-01

    Background Multiple factors influence the decision to enter a career in medicine and choose a specialty. Previous studies have looked at personality differences in medicine but often were unable to describe the heterogeneity that exists within each specialty. Our study used a person-centered approach to characterize the complex relations between the personality profiles of resident physicians and their choice of specialty. Methods 169 resident physicians at a large Midwestern US training hospital completed the Temperament and Character Inventory (TCI) and the Satisfaction with Life Scale (SWLS). Clusters of personality profiles were identified without regard to medical specialty, and then the personality clusters were tested for association with their choice of specialty by co-clustering analysis. Life satisfaction was tested for association with personality traits and medical specialty by linear regression and analysis of variance. Results We identified five clusters of people with distinct personality profiles, and found that these were associated with particular medical specialties Physicians with an “investigative” personality profile often chose pathology or internal medicine, those with a “commanding” personality often chose general surgery, “rescuers” often chose emergency medicine, the “dependable” often chose pediatrics, and the “compassionate” often chose psychiatry. Life satisfaction scores were not enhanced by personality-specialty congruence, but were related strongly to self-directedness regardless of specialty. Conclusions The personality profiles of physicians were strongly associated with their medical specialty choices. Nevertheless, the relationships were complex: physicians with each personality profile went into a variety of medical specialties, and physicians in each medical specialty had variable personality profiles. The plasticity and resilience of physicians were more important for their life satisfaction than was

  4. Performance measures of the specialty referral process: a systematic review of the literature

    Directory of Open Access Journals (Sweden)

    Guevara James P

    2011-07-01

    Full Text Available Abstract Background Performance of specialty referrals is coming under scrutiny, but a lack of identifiable measures impedes measurement efforts. The objective of this study was to systematically review the literature to identify published measures that assess specialty referrals. Methods We performed a systematic review of the literature for measures of specialty referral. Searches were made of MEDLINE and HealthSTAR databases, references of eligible papers, and citations provided by content experts. Measures were eligible if they were published from January 1973 to June 2009, reported on validity and/or reliability of the measure, and were applicable to Organization for Economic Cooperation and Development healthcare systems. We classified measures according to a conceptual framework, which underwent content validation with an expert panel. Results We identified 2,964 potentially eligible papers. After abstract and full-text review, we selected 214 papers containing 244 measures. Most measures were applied in adults (57%, assessed structural elements of the referral process (60%, and collected data via survey (62%. Measures were classified into non-mutually exclusive domains: need for specialty care (N = 14, referral initiation (N = 73, entry into specialty care (N = 53, coordination (N = 60, referral type (N = 3, clinical tasks (N = 19, resource use (N = 13, quality (N = 57, and outcomes (N = 9. Conclusions Published measures are available to assess the specialty referral process, although some domains are limited. Because many of these measures have been not been extensively validated in general populations, assess limited aspects of the referral process, and require new data collection, their applicability and preference in assessment of the specialty referral process is needed.

  5. Gender differences in specialty preference and mismatch with real needs in Japanese medical students

    Directory of Open Access Journals (Sweden)

    Harada Tadanari

    2010-02-01

    Full Text Available Abstract Background The shortage of doctors and maldistribution among specialties are of great concern in the Japanese health care system. This study investigated specialty preference in medical students of one university, and examined gender differences and compared their preference with real needs. Methods We conducted a self-administered questionnaire including specialty preference in all students of one medical university. Preference was assessed by the five-level probability of their future choice: 1 = very low, 2 = low, 3 = moderate, 4 = high, and 5 = very high. The proportion of 4 or 5 was calculated as the preference rate. The real needs (magnitude of doctor shortage in the prefecture were drawn from two different surveys. The relationship between the sex-specific preference rate by specialty and real needs was assessed by Spearman's correlation coefficient. Results Internal medicine showed the highest preference rate, followed by general surgery, pediatrics, and emergency medicine. There was no significant correlation between the preference rates of men and women (r = 0.27, p = 0.34. The preference rates for general surgery, orthopedics, neurosurgery, and emergency medicine were significantly higher in men than in women, while those of obstetrics & gynecology, pediatrics, and dermatology were significantly higher in women. The magnitude of doctor shortage by specialty from two surveys were significantly correlated with the total preference rate and men's preference rate (r = 0.54 to 0.74, but not with women's preference rate (r = 0.06 and 0.32. Conclusions This study elucidated not only gender differences in specialty preference but also the relationship to real needs. Critical gender differences and mismatch with real needs were found in women. In addition to traditional gender roles and insufficient support for women's participation in Japan, gender differences and mismatch influence the current and future maldistribution of

  6. Options for sustainable passenger transport: an assessment of policy choices

    NARCIS (Netherlands)

    Vleugel, J.M.; Rienstra, S.A.

    1995-01-01

    If the current trends in transport are not changed, a sustainable transport system is not feasible. In order to achieve such a state, new technologiesmay be an interesting option. In this context several success and failure factors for the introduction of new technologies are analyzed in this articl

  7. 基于实物期权方法的新兴技术项目投资时机和投资规模选择%Analysis firm's optimal investing time and scale of emerging technology based on the real option approach

    Institute of Scientific and Technical Information of China (English)

    鲁皓; 张宗益

    2012-01-01

    以新兴技术项目投资为背景,修改了实物期权理论中投资机会永生和资产价格随机游走的假设,建立了新兴技术项目的实物期权定价模型,给出了新兴技术项目最佳投资时机和投资规模的表达式,并以此为基础进一步探讨了风险和投资时限对投资时机和投资规模的影响规律,最后通过数值算例验证了结论并指出了影响程度的变动规律.研究结果表明:对投资有时限的新兴技术项目来说,风险的增加会导致投资时机呈现出先提前再延迟的趋势、投资规模呈现出先递减再递增的趋势;投资时限的增加会导致投资时机提前,但对投资规模并无影响.%This paper relaxes the assumptions of infinitely expiration of investing options and random walk of prices in standard real option based on the analysis of emerging technology investment projects. A real option model has been established to value the emerging technology project, and the optimal investing time and the optimal capacity have been provided to discuss the effect of risk and expiration. Using a numerical example, the conclusions are validated and an analysis about degree of influence is presented. The results show that: to the emerging technology project which has finitely expiration, for low levels of risk an increase in risk accelerate the investment time and decrease the capacity of investment, while for high levels of risk an increase in risk delay the investment time and increase the capacity of investment. In addition, an increase in the expiration time can accelerate the investment time, while has no effect on the capacity of investment.

  8. Investment opportunities as real options

    Directory of Open Access Journals (Sweden)

    Adnan Rovčanin

    2005-06-01

    Full Text Available Opportunity (optional approach to capital investment appraisal represents, completely new theoretical and methodological framework for investment analysis. Compared to traditional, discount cash flow (DCF model of analysis, the optional approach provides opportunity for valuation and managing flexibility, i.e. possibility of approaching (amending the previous decisions in compliance with market changes. Risk and uncertainty are inevitably following the capital investment. Therefore, the importance of optional approach to investments is also that it provides possible better “treatment” of risks in the investment analysis, and also more rational allocation of resources, accordingly. This approach should be of more interest to the Countries in transition, considering the limited financial sources as well as risk and uncertainty are emphasized.

  9. Accounting treatment of currency options

    Directory of Open Access Journals (Sweden)

    Prošić Danica

    2016-01-01

    Full Text Available Currency options are often used to mitigate currency risk resulting from corporate activities. Their implementation can be complex, and there could be problems if the essential elements and principles are not fully understood. Although they are not the simplest financial products, currency options are interesting and useful to those who are trying to make a step forward in the area of currency risk management. This paper aims to present the general principles and specifics of accounting records and valuation of currency options used for hedging against risk. It is a complex process which, in addition to numerous conditions, also involves the implementation of accounting rules that deviate from the generally accepted accounting principles.

  10. Treatment options in trigeminal neuralgia

    Science.gov (United States)

    Obermann, Mark

    2010-01-01

    The incidence of trigeminal neuralgia (TN) is 4.3 per 100,000 persons per year, with a slightly higher incidence for women (5.9/100,000) compared with men (3.4/100,000). There is a lack of certainty regarding the aetiology and pathophysiology of TN. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. This multitude of treatment options poses the question as to which treatment fits which patient best. The preferred medical treatment for TN consists of anticonvulsant drugs, muscle relaxants and neuroleptic agents. Large-scale placebo-controlled clinical trials are scarce. For patients refractory to medical therapy, Gasserian ganglion percutaneous techniques, gamma knife surgery and microvascular decompression are the most promising invasive treatment options. PMID:21179603

  11. Design Evolution Study - Aging Options

    Energy Technology Data Exchange (ETDEWEB)

    P. McDaniel

    2002-04-05

    The purpose of this study is to identify options and issues for aging commercial spent nuclear fuel received for disposal at the Yucca Mountain Mined Geologic Repository. Some early shipments of commercial spent nuclear fuel to the repository may be received with high-heat-output (younger) fuel assemblies that will need to be managed to meet thermal goals for emplacement. The capability to age as much as 40,000 metric tons of heavy metal of commercial spent nuclear he1 would provide more flexibility in the design to manage this younger fuel and to decouple waste receipt and waste emplacement. The following potential aging location options are evaluated: (1) Surface aging at four locations near the North Portal; (2) Subsurface aging in the permanent emplacement drifts; and (3) Subsurface aging in a new subsurface area. The following aging container options are evaluated: (1) Complete Waste Package; (2) Stainless Steel inner liner of the waste package; (3) Dual Purpose Canisters; (4) Multi-Purpose Canisters; and (5) New disposable canister for uncanistered commercial spent nuclear fuel. Each option is compared to a ''Base Case,'' which is the expected normal waste packaging process without aging. A Value Engineering approach is used to score each option against nine technical criteria and rank the options. Open issues with each of the options and suggested future actions are also presented. Costs for aging containers and aging locations are evaluated separately. Capital costs are developed for direct costs and distributable field costs. To the extent practical, unit costs are presented. Indirect costs, operating costs, and total system life cycle costs will be evaluated outside of this study. Three recommendations for aging commercial spent nuclear fuel--subsurface, surface, and combined surface and subsurface are presented for further review in the overall design re-evaluation effort. Options that were evaluated but not recommended are

  12. E-cigarette specialty retailers: Data to assess the association between retail environment and student e-cigarette use.

    Science.gov (United States)

    Bostean, Georgiana; Crespi, Catherine M; Vorapharuek, Patsornkarn; McCarthy, William J

    2017-04-01

    The retail environment is a major social determinant of health, yet little is known about the e-cigarette specialty retailer environment. The e-cigarette specialty retail environment may be associated with e-cigarette use by middle and high school students, an issue that was addressed in a recent article entitled, "E-cigarette use among students and e-cigarette specialty retailer presence near schools," by Bostean and colleagues (G. Bostean, C.M. Crespi, P. Vorapharuek, W.J. McCarthy, 2016 [1]). We present data relating to e-cigarette specialty retailers in Orange County, California. We describe the data collection method (including the search methodology to identify e-cigarette specialty retailers), present descriptive retailer data including school proximity, and provide data from multi-level regressions predicting individual-level student use of e-cigarettes based on presence of an e-cigarette specialty retailer in proximity to schools.

  13. Personality as a prognostic factor for specialty choice: a prospective study of 4 medical school classes.

    Science.gov (United States)

    Markert, Ronald J; Rodenhauser, Paul; El-Baghdadi, Mariam M; Juskaite, Kornelija; Hillel, Alexander T; Maron, Bradley A

    2008-02-27

    To augment the availability of medical care for a population that is older and more ethnically diverse, the number of US medical schools is increasing and existing medical schools are enlarging their class sizes. Predictors of specialty choice, especially primary care careers, are helpful to medical school officials and faculty involved in medical school recruitment and counseling and to students planning their career paths. The objective was to examine the association between personality characteristics and specialty choice. The Neuroticism-Extraversion-Openness Personality Inventory Revised (NEO PI-R) was administered to 4 Tulane University School of Medicine (New Orleans, Louisiana) classes (2003-2006). The NEO PI-R is a measure of 5 personality characteristics (neuroticism, extraversion, openness, agreeableness, and conscientiousness), with each domain having 6 underlying facets. The specialty choice of graduates was obtained from the National Residency Matching Program. Starting in 1999, 595 students matriculated and by June 2006, 542 (91%) had matched to residency programs in 22 specialties. There were differences among specialties for neuroticism (P = .006), openness (P personality characteristics on their path to making career choices.

  14. Certificate-of-Need regulation in outpatient surgery and specialty care: implications for plastic surgeons.

    Science.gov (United States)

    Pacella, Salvatore J; Comstock, Matthew; Kuzon, William M

    2005-09-15

    For plastic surgeons, independent development of outpatient surgical centers and specialty facilities is becoming increasingly common. These facilities serve as important avenues not only for increasing access and efficiency but in maintaining a sustainable, competitive specialty advantage. Certificate of Need regulation represents a major hurdle to plastic surgeons who attempt to create autonomy in this fashion. At the state level, Certificate of Need programs were initially established in an effort to reduce health care costs by preventing unnecessary capital outlays for facility expansion (i.e., managing supply of health care resources) in addition to assisting with patient safety and access to care. The purpose of this study was to examine the effect of Certificate of Need regulations on health care costs, patient safety, and access to care and to discuss specific implications of these regulations for plastic surgeons. Within Certificate of Need states, these regulations have done little, if anything, to control health care costs or affect patient safety. Presently, Certificate of Need effects coupled with recent provisions in the Medicare Modernization Act banning development of specialty hospitals may restrict patient access to ambulatory surgical and specialty care. For the plastic surgeon, these effects not only act as an economic barrier to entry but can threaten the efficiencies gained from providing surgical care in an ambulatory setting. An appreciation of these effects is critical to maintaining specialty autonomy and access to fiscal policy.

  15. Choosing a career in paediatrics: do trainees' views change over the first year of specialty training?

    Science.gov (United States)

    Goodyear, Helen M; Lakshminarayana, Indumathy; Wall, David; Bindal, Taruna

    2014-09-01

    To look at why a regional cohort of UK doctors chose a paediatric career and to ascertain views on their career near the end of training year one. A 20-item questionnaire was sent to all new regional paediatric specialty trainees. Three focus groups were held with trainees near the end of year one to elicit key themes. West Midlands Deanery, UK. Twenty-nine new regional paediatric specialty trainees in year one completed the questionnaire. A total of 15 trainees participated in the focus groups near the end of year one training. Reasons for choosing a paediatric career and factors which further influence career choice for trainees during their first specialty training year. Key influencing factors for choosing paediatrics were enjoying working with children and positive undergraduate experience of the specialty. All trainees had paediatrics as their first choice specialty and undertook a paediatric Foundation post. Near the end of year one, doubts were cast on career aspirations due to seeing middle grade colleagues struggling with work-life balance and a growing feeling that family came first. Senior trainees need to be aware that they act as powerful role models for their more junior colleagues and therefore have an influential role on how juniors perceive a paediatric career. Family friendly flexible working patterns in paediatrics are vital to retain junior trainees. All paediatric staff are role models and need to be enthusiastic, keen to teach and to promote a positive working environment.

  16. Much ado about nothing? The financial impact of physician-owned specialty hospitals.

    Science.gov (United States)

    Chakravarty, Sujoy

    2016-06-01

    The U.S. hospital industry has recently witnessed a number of policy changes aimed at aligning hospital payments to costs and these can be traced to significant concerns regarding selection of profitable patients and procedures by physician-owned specialty hospitals. The policy responses to specialty hospitals have alternated between payment system reforms and outright moratoriums on hospital operations including one in the recently enacted Affordable Care Act. A key issue is whether physician-owned specialty hospitals pose financial strain on the larger group of general hospitals through cream-skimming of profitable patients, yet there is no study that conducts a systematic analysis relating such selection behavior by physician-owners to financial impacts within hospital markets. The current paper takes into account heterogeneity in specialty hospital behavior and finds some evidence of their adverse impact on profit margins of competitor hospitals, especially for-profit hospitals. There is also some evidence of hospital consolidation in response to competitive pressures by specialty hospitals. Overall, these findings underline the importance of the payment reforms aimed at correcting distortions in the reimbursement system that generate incentives for risk-selection among providers groups. The identification techniques will also inform empirical analysis on future data testing the efficacy of these payment reforms.

  17. COGNITIVE STYLES OF STUDENTS, STUDYING DOUBLE SPECIALTIES WITH DIFFERENT SUCCESS LEVEL

    Directory of Open Access Journals (Sweden)

    N. V. Zhbankova

    2014-09-01

    Full Text Available The article analyses the problem of psychological determination of the successful double specialty education in higher institution. The question of peculiarities of cognitive styles affecting mastering of subjects of a certain specialty and two specialties simultaneously is posed. On the basis of the analysis of the history of cognitive style studies two approaches to understanding their nature are distinguished: as constant and not interconnected peculiarities of cognitive activity and as adaptive cognitive strategies formed by an individual to solve different problems. We introduce some research data of cognitive styles of students with different degree of success in mastering a double specialty History and English Philology: successful in learning the foreign language, successful in learning History and weak and successful in subjects of both specialties. A set of methods identifying the following parameters of cognitive styles was used in the study: “fielddependency – fieldindependency”, “analyticity – syntheticity”, “impulsiveness – reflexivity”, “intellectual lability” and “leading representative systems”. It was brought to light that groups of respondents possess significant differences in every parameter of the cognitive styles. On the basis of analytical interpretation of the research data the conclusion is drawn that a cognitive style can be both specialized and quite flexible, adaptive, which depends on the range of modalities used for perception and digestion of information (what modalities are used, in what quantity and combination.

  18. VAMOS: The verification and monitoring options study: Current research options for in-situ monitoring and verification of contaminant remediation and containment within the vadose zone

    Energy Technology Data Exchange (ETDEWEB)

    Betsill, J.D. [Sandia National Labs., Albuquerque, NM (United States); Gruebel, R.D. [Tech Reps., Inc., Albuquerque, NM (United States)

    1995-09-01

    The Verification and Monitoring Options Study Project (VAMOS) was established to identify high-priority options for future vadose-zone environmental research in the areas of in-situ remediation monitoring, post-closure monitoring, and containment emplacement and verification monitoring. VAMOS examined projected needs not currently being met with applied technology in order to develop viable monitoring and verification research options. The study emphasized a compatible systems approach to reinforce the need for utilizing compatible components to provide user friendly site monitoring systems. To identify the needs and research options related to vadose-zone environmental monitoring and verification, a literature search and expert panel forums were conducted. The search included present drivers for environmental monitoring technology, technology applications, and research efforts. The forums included scientific, academic, industry, and regulatory environmental professionals as well as end users of environmental technology. The experts evaluated current and future monitoring and verification needs, methods for meeting these needs, and viable research options and directions. A variety of high-priority technology development, user facility, and technology guidance research options were developed and presented as an outcome of the literature search and expert panel forums.

  19. The Dynamics of Triads in Aggregated Journal-Journal Citation Relations: Specialty Developments at the Above-Journal Level

    OpenAIRE

    2015-01-01

    Dyads of journals related by citations can agglomerate into specialties through the mechanism of triadic closure. Using the Journal Citation Reports 2011, 2012, and 2013, we analyze triad formation as indicators of integration (specialty growth) and disintegration (restructuring). The strongest integration is found among the large journals that report on studies in different scientific specialties, such as PLoS ONE, Nature Communications, Nature, and Science. This tendency towards large-scale...

  20. EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care.

    Science.gov (United States)

    de la Torre-Díez, Isabel; González, Sandra; López-Coronado, Miguel

    2013-02-01

    One of the problems of the Spanish Public Health National System is the lack of interoperability in the implemented Electronic Health Records (EHRs) systems in primary and specialty care. There is a deficiency in the electronic health systems that store the data of primary care patients, so one of the basic problems that prevent that every hospital and health center working on the same method is that deficiency. In this paper we research on this problem and to give expression to a series of solutions to it. Bibliographic material in this work has been obtained mainly from MEDLINE source. Additionally, due to the lack of information and privacy about the different EHRs systems, we have resorted to making direct contact with the organizations that have implemented those systems and technological providers. Two solutions have been propounded given several aspects for a feasibility study. The first solution is based upon in the execution of backups in different EHRs databases, which implies a huge economical and infrastructure development. The second of these solutions so that due to the creation of protocols by means of Cloud Computing Technologies. It is crucial the need to reach a homogeneity concerning to the storage of patients clinical data. On the results achieved we can emphasize that maybe the main problems are not the economical handicaps or the large technological development needed, but, as for Health each Region manages its own competences, each one governs with independent policies and decisions.