WorldWideScience

Sample records for ten-year environmental situation

  1. Creative Climate: A global ten-year communications, research and learning project about environmental change

    Science.gov (United States)

    Brandon, M. A.; Smith, J.

    2010-12-01

    The next ten years have been described by influential science and policy figures as ‘the most important in human history’. Many believe that the actions taken will decide whether we catastrophically change the atmosphere and eradicate our fellow species or find an alternative, less-damaging development path. But communications and public engagement initiatives have tended to focus on near term impacts or debates - whether they emphasise hazards, or trumpet ‘solutions’. There are signs of diminishing returns on communications and public engagement efforts, and serious obstacles to engaging around 40% of publics in e.g. the US and the UK. The Creative Climate web project takes a new approach, inviting people to see humanity’s intellectual and practical journey with these issues as an inspiring, dynamic and unfolding story. We are inviting people to join us in building a huge living archive of experiences and ideas that respond to these issues. The website will collect thoughts and stories from doorstep to workplace, from lab to garden; from international conference to community meeting - from all over the world. The body of diaries lie at the core of the project, but these are supplemented by the offer of free online learning resources and broadcast-quality audio and video materials. The project is experimental in terms of its scope, its approach to environmental communications and debate and in its use of media. It works with formal partners, including the BBC, yet also makes the most of the opportunities for user generated content to create a rich multimedia resource that can support research, learning and engagement. The design of the project is informed by environmental social science and communications research, and by an awareness of the unfolding potential of Internet based communications to support social change. It is also intended that the Creative Climate platform will develop so as to serve researchers by offering an open resource of qualitative

  2. Ten-year variability in fluxes, meteorology, and environmental conditions at a Colorado subalpine forest site

    Science.gov (United States)

    Burns, S. P.; Turnipseed, A.; Bowling, D. R.; Hu, J.; Monson, R. K.

    2009-12-01

    Changing meteorological and environmental conditions affect fluxes; model analysis has shown that environmental variability directly accounts for about half the interannual variability in net ecosystem exchange (NEE) of CO2 whereas the other 50% is due to biotic responses to these changing variables (Richardson et al. 2007). In our study, ten years (1998-2008) of turbulent flux measurements of heat, water vapor, and CO2 at the Niwot Ridge AmeriFlux site (Monson et al. 2002) are examined with respect to meteorological conditions (atmospheric temperature, stability, precipitation, and cloudiness) as well as changes in environmental conditions, such as snow depth and soil moisture. The typical yearly cycle and an estimate of the magnitude of year-to-year variability in the diurnal fluxes and other variables for a high-elevation subalpine forest ecosystem are presented. Wintertime ecosystem respiration has an average 30-min NEE of 0.62 μmol m-2 s-1 with an interannual range between 0.5-1 μmol m-2 s-1. Uptake of CO2 in late summer has an average NEE of -0.71 μmol m-2 s-1 with an interannual range between -0.1 to -1.5 μmol m-2 s-1. Previous studies at the Niwot Ridge AmeriFlux site have described the importance of photosynthetic photon flux density (PPFD) (Monson et al. 2002) and also growing season length (Hu et al. 2009) on NEE. Water isotope ratios analyzed by Hu et al. (2009) have shown that trees at the site primarily rely on water from snowmelt to sustain them throughout the summer; combining this result with the SIPNET model, Hu et al. conclude that there is a limited connection between summer precipitation and the cumulative annual gross primary production (GPP). We have tested this conclusion more explicitly by examining the response of NEE to specific precipitation events and the effect of extended dry periods on the diel cycle of the fluxes, CO2 mole fraction, sap flow, and other meteorological and soil variables. Additionally, we examine the connection

  3. Multi-criteria decision analysis in environmental sciences: ten years of applications and trends.

    Science.gov (United States)

    Huang, Ivy B; Keisler, Jeffrey; Linkov, Igor

    2011-09-01

    Decision-making in environmental projects requires consideration of trade-offs between socio-political, environmental, and economic impacts and is often complicated by various stakeholder views. Multi-criteria decision analysis (MCDA) emerged as a formal methodology to face available technical information and stakeholder values to support decisions in many fields and can be especially valuable in environmental decision making. This study reviews environmental applications of MCDA. Over 300 papers published between 2000 and 2009 reporting MCDA applications in the environmental field were identified through a series of queries in the Web of Science database. The papers were classified by their environmental application area, decision or intervention type. In addition, the papers were also classified by the MCDA methods used in the analysis (analytic hierarchy process, multi-attribute utility theory, and outranking). The results suggest that there is a significant growth in environmental applications of MCDA over the last decade across all environmental application areas. Multiple MCDA tools have been successfully used for environmental applications. Even though the use of the specific methods and tools varies in different application areas and geographic regions, our review of a few papers where several methods were used in parallel with the same problem indicates that recommended course of action does not vary significantly with the method applied. Published by Elsevier B.V.

  4. [Development of the situation of doctoral students in medicine: Results of two surveys at an interval of ten years (2001 and 2011)].

    Science.gov (United States)

    Jüttemann, A; Richter, F; Wagner, C; Dewey, M

    2014-04-01

    The topic medical dissertation is often discussed controversially without quantitative data in Germany. The aim of this survey was to analyze the situation of doctoral students in medicine again after ten years. Students at Charité - Berlin in their 11th to 14th semester completed an online survey about the progress and the support of their dissertations (n = 1081). The questionnaire included current and aborted dissertations. The present evaluation had almost the same percentage of respondents (28 %) as in 2001 (31 %) and showed improvements in the preparation for scientific work by curricular courses (p statistics because 50 % received no statistical support during the pursue of their thesis. The graduate program at Charité has been making a significant contribution towards improved preparation for scientific work and medical dissertations. However, there are still improvements necessary such as better financial support and statistical preparation of medical dissertations. © Georg Thieme Verlag KG Stuttgart · New York.

  5. Affordances: Ten Years On

    Science.gov (United States)

    Brown, Jill P.; Stillman, Gloria

    2014-01-01

    Ten years ago the construct, affordance, was rising in prominence in scholarly literature. A proliferation of different uses and meanings was evident. Beginning with its origin in the work of Gibson, we traced its development and use in various scholarly fields. This paper revisits our original question with respect to its utility in mathematics…

  6. A Ten-Year Reflection

    Science.gov (United States)

    Phillip, Cyndi

    2016-01-01

    Five initiatives launched during Cyndi Phillip's term as American Association of School Librarians (AASL) President (2006-2007) continue to have an impact on school librarians ten years later. They include the rewriting of AASL's learning standards, introduction of the SKILLS Act, the presentation of the Crystal Apple Award to Scholastic Library…

  7. Environmental management as situated practice

    DEFF Research Database (Denmark)

    Lippert, Ingmar; Krause, Franz; Hartmann, Niklas Klaus

    2015-01-01

    We propose an analysis of environmental management (EM) as work and as practical activity. This approach enables empirical studies of the diverse ways in which professionals, scientists, NGO staffers, and activists achieve the partial manageability of specific “environments”. In this introduction......, we sketch the debates in Human Geography, Management Studies, and Science and Technology Studies to which this special issue contributes. We identify the limits of understanding EM though the framework of ecological modernisation, and show how political ecology and work-place studies provide...

  8. Ten years into the marshes – Hapalemur alaotrensis conservation ...

    African Journals Online (AJOL)

    This article describes the approach that Madagascar Wildlife Conservation has been implementing during the past ten years at Lake Alaotra, discussing the plan of action and challenges for environmental education, ecotourism and alternative livelihoods. Les problèmes de gestion des ressources naturelles impliquent ...

  9. Ten-year urban forestry action plan

    Science.gov (United States)

    J.W." Jerry" Van Sambeek

    2017-01-01

    The Ten-year Urban Forestry Action Plan: 2016-2026 was published in September, 2015 (see http://www.urbanforestry.subr.edu/FinalActionPlan_Complete_11_17_15.pdf). This 260 page heavily illustrated document was prepared by the National Urban and Community Forestry Advisory Council (NUCFAC) under leadership and funding from the USDA Forest Service. The Plan's...

  10. Czech, Slovak science ten years after split

    CERN Multimedia

    2003-01-01

    Ten years after the split of Czechoslovakia Czech and Slovak science are facing the same difficulties: shortage of money for research, poor salaries, obsolete equipment and brain drain, especially of the young, according to a feature in the Daily Lidove Noviny (1 page).

  11. Global expertise of the ten-year environmental assessment (1993-2004) of AREVA NC.3. part: reuse of deads in the public field; Expertise globale du bilan decennal environnemental (1993-2004) d'AREVA NC. 3. partie: reutilisation de steriles miniers dans le domaine public

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    The present document corresponds to the third and last phase of the global critical analysis of the ten-year environmental assessment. It has for objective to evaluate the knowledge on the conditions of reuse, in the public area, of deads coming from the sites of Limousin and to propose an exploratory analysis of conceivable actions to complete this knowledge in order to better identify the sectors and, or, the potentially risk uses. At this day, the knowledge on the transfer of deads and their use in the public field rests on the data recorded in a register implemented by Areva Nc from 1984. According to the transfers anterior to 1984, the situation of knowledge especially about the places of destination and purpose are poor. The analysis of Areva NC data allowed to I.R.S.N. to identify the areas of improvement of knowledge. The first one consists in achieving information concerning deads occurring before 1984. the second one aims to check that every use of deads in the 1984-1995 period are compatible with the exposure levels. (N.C.)

  12. Romania: Ten Years of EU Membership

    Directory of Open Access Journals (Sweden)

    Gábor Hunya

    2017-06-01

    Full Text Available By joining the European Union as of 1st of January 2007, Romania made use of a window of opportunity which may not have been open later. In the ten years that followed, advantages and challenges of the membership have in part been overshadowed by the impact of the global financial crisis. The country went through a boom-bust-boom economic cycle. The swing from overheating to depression and back again to overheating has been amplified by pro-cyclical economic policy. Romania has been a selective policy taker in the EU often delaying fiscal and legal actions resulting in lost benefits. By reviewing the current political uncertainties in Europe, the conclusion emerges that more effective governance and more active foreign policy is necessary under the current Europe-wide orientation loss. The country may need to develop a mobilising strategy and policy beyond the direct benefits provided by the EU, one that also contributes to the success of the European integration.

  13. Choledochal cysts: our ten year experience.

    LENUS (Irish Health Repository)

    Cianci, F

    2012-04-01

    We present our experience in the management of choledochal cysts from 1999 to 2009. A retrospective review of all charts with a diagnosis of choledochal cysts in our institution in this ten-year period. Data was collated using Excel. A total of 17 patients were diagnosed with choledochal cyst: 9 females and 8 males. The average age at diagnosis was 28 months (range from 0 to 9 years). The most common presenting symptoms were obstructive jaundice 6 (35%) and abdominal pain and vomiting 4 (23%). Ultrasound (US) was the initial diagnostic test in all cases with 4 patients requiring further investigations. All patients underwent Roux-en-Y Hepaticojejunostomy. The average length of stay was 11 days. Patients were followed up with Liver Function Tests (LFTS) and US 4-6 weeks post-operatively. Three patients developed complications including post-op collection, high drain output requiring blood transfusion and adhesive bowel obstruction. Our overall experience with choledochal cyst patients has been a positive one with effective management and low complication rates.

  14. The first ten years of Swift supernovae

    Science.gov (United States)

    Brown, Peter J.; Roming, Peter W. A.; Milne, Peter A.

    2015-09-01

    The Swift Gamma Ray Burst Explorer has proven to be an incredible platform for studying the multiwavelength properties of supernova explosions. In its first ten years, Swift has observed over three hundred supernovae. The ultraviolet observations reveal a complex diversity of behavior across supernova types and classes. Even amongst the standard candle type Ia supernovae, ultraviolet observations reveal distinct groups. When the UVOT data is combined with higher redshift optical data, the relative populations of these groups appear to change with redshift. Among core-collapse supernovae, Swift discovered the shock breakout of two supernovae and the Swift data show a diversity in the cooling phase of the shock breakout of supernovae discovered from the ground and promptly followed up with Swift. Swift observations have resulted in an incredible dataset of UV and X-ray data for comparison with high-redshift supernova observations and theoretical models. Swift's supernova program has the potential to dramatically improve our understanding of stellar life and death as well as the history of our universe.

  15. Ten years for the public Web

    CERN Multimedia

    2003-01-01

    Ten years ago, CERN issued a statement declaring that a little known piece of software called the World Wide Web was in the public domain. Nowadays, the Web is an indispensable part of modern communications. The idea for the Web goes back to March 1989 when CERN Computer scientist Tim Berners-Lee wrote a proposal for a 'Distributed Information Management System' for the high-energy physics community. The Web was originaly conceived and developed to meet the demand for information sharing between scientists working all over the world. There were many obstacles in the 1980s to the effective exchange of information. There was, for example a great variety of computer and network systems, with hardly any common features. The main purpose of the web was to allow scientists to access information from any source in a consistent and simple way. By Christmas 1990, Berners-Lee's idea had become the World Wide Web, with its first server and browser running at CERN. Through 1991, the Web spread to other particle physics ...

  16. Povl Ole Fanger's impact ten years later

    DEFF Research Database (Denmark)

    d'Ambrosio Alfano, Francesca Romana; Olesen, Bjarne W.; Palella, Boris Igor

    2017-01-01

    This paper pays tribute to Povl Ole Fanger, the late professor at the Technical University of Denmark. His scientific studies, focused on the main parameters affecting indoor environmental quality, have inspired (and still inspire) professional design engineers and academic researchers on human...... after his death, this paper is a memorial of his research in the field of thermal comfort and some aspects of indoor air quality. Only the original papers of this Danish scientist will be discussed. The analysis of each single topic of his research and of its impact on past and present research would...

  17. Ten years left to eliminate blinding trachoma

    Directory of Open Access Journals (Sweden)

    Haddad D.

    2010-09-01

    Full Text Available n 1997, the World Health Organization formed the Global Alliance to Eliminate Blinding Trachoma by 2020 (GET 2020, a coalition of governmental, non-governmental, research, and pharmaceutical partners. In 1998, the World Health Assembly urged member states to map blinding trachoma in endemic areas, implement the SAFE strategy (which stands for surgery for trichiasis, antibiotics, facial-cleanliness and environmental change, such as clean water and latrines and collaborate with the global alliance in its work to eliminate blinding trachoma.

  18. Environmental situation in Austria. Pt. 5

    Energy Technology Data Exchange (ETDEWEB)

    Kasperowski, E.

    1981-01-01

    The greater part of Austrian soils is used for agriculture or forestry. Soil, which does not multiply, is indispensable as a site of vegetation, as a filter, storage for ground water and water retention. Environmental protection therefore demands a reduction of soil losses, reduction of erosion problems, reduction of mineral fertilizers and biocides, and limiting the development of the high regions of the Alpes by constructing roads and skiing slopes.

  19. Managing mountain hardwoods - a ten-year appraisal

    Science.gov (United States)

    George R., Jr. Trimble

    1961-01-01

    Ten years ago - in 1949 - four 5-acre plots were established on the Fernow Experimental Forest near Parsons, West Virginia, to show the effects upon mountain hardwoods of each of four management treatments.

  20. Deburring and surface finishing: The past ten years and projections for the next ten years

    Energy Technology Data Exchange (ETDEWEB)

    Gillespie, L.K.

    1990-09-01

    The 1970s were a decade of significant growth in deburring and surface finishing. In the 1980s progress was made in robotic finishing, burr formation models, surface finish measurement, new processes, equipment and tooling. The centers of burr and surface related research changed. The decade of the 1990s will bring greater competition, environmental restrictions, more processes, more automation, and better characterization and simulation of processes.

  1. Ten-year rank-order stability of personality traits and disorders in a clinical sample.

    Science.gov (United States)

    Hopwood, Christopher J; Morey, Leslie C; Donnellan, M Brent; Samuel, Douglas B; Grilo, Carlos M; McGlashan, Thomas H; Shea, M Tracie; Zanarini, Mary C; Gunderson, John G; Skodol, Andrew E

    2013-06-01

    This study compares the 10-year retest stability of normal traits, pathological traits, and personality disorder dimensions in a clinical sample. Ten-year rank-order stability estimates for the Revised NEO Personality Inventory, Schedule for Nonadaptive and Adaptive Personality, and Diagnostic Interview for DSM-IV Personality Disorders were evaluated before and after correcting for test-retest dependability and internal consistency in a clinical sample (N = 266). Dependability-corrected stability estimates were generally in the range of.60-.90 for traits and.25-.65 for personality disorders. The relatively lower stability of personality disorder symptoms may indicate important differences between pathological behaviors and relatively more stable self-attributed traits and imply that a full understanding of personality and personality pathology needs to take both traits and symptoms into account. The five-factor theory distinction between basic tendencies and characteristic adaptations provides a theoretical framework for the separation of traits and disorders in terms of stability in which traits reflect basic tendencies that are stable and pervasive across situations, whereas personality disorder symptoms reflect characteristic maladaptations that are a function of both basic tendencies and environmental dynamics. © 2012 Wiley Periodicals, Inc.

  2. Closer to zero: Reflections on ten years of ART rollout

    African Journals Online (AJOL)

    To reflect upon ten years of antiretroviral therapy. (ART) rollout, one really should set the clock back a little further to see the massive impact of ART on our lives – for clinicians and patients alike. My own journey with HIV began in 1999 when, as a young doctor, I decided to venture into private practice with a local general ...

  3. A ten-year histopathological study of generalised lymphadenopathy ...

    African Journals Online (AJOL)

    2010-07-31

    Jul 31, 2010 ... Original Research: A ten-year histopathological study of generalised lymphadenopathy in India. 267. Vol 53 No 3. S Afr Fam Pract 2011. Introduction. The body contains approximately 600 lymph nodes, but only those in the submandibular, axillary and inguinal regions may be palpable in healthy people.

  4. Ten-year-olds' reflections on their life in preschool

    DEFF Research Database (Denmark)

    Broström, Stig

    2016-01-01

    What do children think of their time in preschool? In the present study, twelve ten-year-old children collected data from their classmates. The children tend to remember their friends, and reflect on what games they played and with whom. Only about one in three respondents even mentioned the day...

  5. Changes in users' Web search performance after ten years ...

    African Journals Online (AJOL)

    The changes in users' Web search performance using search engines over ten years was investigated in this study. Matched data obtained from samples in 2000 and 2010 were used for the comparative analysis. The patterns of Web search engine use suggested a dominance in using a particular search engine. Statistical ...

  6. Epidemiological analysis of tuberculosis in Ethiopia: A ten-year ...

    African Journals Online (AJOL)

    A time-series study design was applied to analyze the ten-year trends of Tuberculosis in Ethiopia. Data on ten-key indicators for the period of 2000-2009 was obtained from the Ministry of Health public documents. Five stratifying variables were used to analyze the trends in the key TB indicators. The data on the indicators ...

  7. Ten Years after Columbine: The Tragedy of Youth Deepens

    Science.gov (United States)

    Giroux, Henry A.

    2009-01-01

    For young people it just gets worse. Ten years after the Columbine tragedy, the debate over school safety has clearly shown that educators, parents, politicians, and the mainstream media have created the conditions in which young people have increasingly become the victims of adult mistreatment, indifference, neglect, even violence. The tragic…

  8. The African Association for Lexicography: After Ten Years

    OpenAIRE

    Mariëtta Alberts

    2011-01-01

    ABSTRACT: This year it has been ten years since the establishment of AFRILEX. After an expla-nation of what led to its forming, this article gives a short overview of its composition and activi-ties.


    Keywords: AFRICAN ASSOCIATION FOR LEXICOGRAPHY (AFRILEX), AFRICAN LAN-GUAGES ASSOCIATION OF SOUTH AFRICA (ALASA), BUREAU OF THE WOORDEBOEK VAN DIE AFRIKAANSE TAAL (WAT), DICTIONARY OF SOUTH AFRICAN ENGLISH (DSAE), LINGUISTIC ASSOCIATION OF SOUTHERN AFRICA (L...

  9. The next ten years in neonatology: new directions in research

    Directory of Open Access Journals (Sweden)

    Vassilios Fanos

    2014-06-01

    Full Text Available This paper is a prelude to proceedings of the 10th International Workshop on Neonatology to be held in Cagliari, Italy from October 21st to 25th, 2014. These proceedings will be a significant milestone, highlighting the new frontiers of perinatal and neonatal research. Over the five days of this meeting, we aim to (1 examine the roots of the new directions in perinatal and neonatal research; (2 predict the trajectories of advancement in medical technologies, research, clinical care and teaching that will be the future of perinatology and neonatology. The discussion will be in four sections:back to the future: the placenta and perinatal programming;paradigm shift: the revolution of metabolomics in perinatalogy and neonatology;brave new world: the microbiome and microbiomics from perinatal to adult life;new inhabitants on the planet earth: adults who were born with extremely low birth weight. Proceedings of the 10th International Workshop on Neonatology · Cagliari (Italy · October 22nd-25th, 2014 · The last ten years, the next ten years in Neonatology Guest Editors: Vassilios Fanos, Michele Mussap, Gavino Faa, Apostolos Papageorgiou

  10. Eight to ten years follow-up after carotid endarterectomy

    DEFF Research Database (Denmark)

    Knudsen Rathenborg, Lisbet; Sillesen, H; Schroeder, T

    1990-01-01

    Follow-up information was obtained on 185 patients who consecutively underwent carotid endarterectomy eight to ten years previously. Doppler ultrasound examination was performed in 59 patients who were still alive and living within 100 miles of the hospital. Using lifetable analysis, the annual...... of restenosis and the development of symptoms, perhaps with the exception of internal carotid artery occlusion, which is not an accepted indication for carotid endarterectomy. Together with recent data from the literature, these observations challenge the indication for reoperative carotid surgery....... rate of focal strokes was estimated to be 2% and 1.5% on the operated and the contralateral, non-operated carotid artery, respectively. Doppler examination revealed 48% re-stenoses, including 14% occlusion and 15% greater than 50% stenosis. However, there was no association between the occurrence...

  11. Ten Years of Support for Basic Scientific Research by CONACYT

    Directory of Open Access Journals (Sweden)

    Luis Humberto Fabila Castillo

    2014-01-01

    Full Text Available This paper reviews the results of ten years of support for basic scientific research by the CONACYT. The paper identifies the strongest areas of knowledge in basic science in Mexico and concludes that the institutions where basic science is done are mainly public higher education institutions, followed by also public research centers, while private institutions of higher education and companies carry out almost no research in basic science. Findings show that research on basic science in state universities has grown impressively in recent years, reaching the level of the institutions of higher education of the Federal District. Finally, the implications of these findings as well as the public policies through which support has been granted are discussed.

  12. 78 FR 57573 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year...

    Science.gov (United States)

    2013-09-19

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year PM 10 Maintenance Plan for Aspen AGENCY: Environmental Protection Agency (EPA). ACTION...

  13. 78 FR 56185 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year...

    Science.gov (United States)

    2013-09-12

    ... From the Federal Register Online via the Government Publishing Office ] ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year Carbon Monoxide Maintenance Plan for Fort Collins AGENCY: Environmental Protection Agency...

  14. 78 FR 46861 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year...

    Science.gov (United States)

    2013-08-02

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year Carbon Monoxide Maintenance Plan for Greeley AGENCY: Environmental Protection Agency (EPA...

  15. 78 FR 41342 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year...

    Science.gov (United States)

    2013-07-10

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year PM 10 Maintenance Plan for Ca on City AGENCY: Environmental Protection Agency (EPA...

  16. 78 FR 46552 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year...

    Science.gov (United States)

    2013-08-01

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year Carbon Monoxide Maintenance Plan for Colorado Springs AGENCY: Environmental Protection...

  17. Ten years of integrated care for the older in France

    Directory of Open Access Journals (Sweden)

    Dominique Somme

    2011-12-01

    Full Text Available Background: This paper analyzes progress made toward the integration of the French health care system for the older and chronically ill population.Policies: Over the last ten years, the French health care system has been principally influenced by two competing linkage models that failed to integrate social and health care services: local information and coordination centers, governed by the social field, and the gerontological health networks governed by the health field. In response to this fragmentation, Homes for the Integration and Autonomy for Alzheimer patients (MAIAs is currently being implemented at experimental sites in the French national Alzheimer plan, using an evidence-based model of integrated care. In addition, the state's reforms recently created regional health agencies (ARSs by merging seven strategic institutions to manage the overall delivery of care.Conclusion: The French health care system is moving from a linkage-based model to a more integrated care system. We draw some early lessons from these changes, including the importance of national leadership and governance and a change management strategy that uses both top-down and bottom-up approaches to implement these reforms.

  18. Foothills Model Forest: a ten-year review

    Energy Technology Data Exchange (ETDEWEB)

    Simpson, R.

    2002-04-01

    The first ten years of the Foothills Model Forest, established in 1992, is reviewed. The model forest has been established to develop sustainable forest management within the broader concept of sustainable development and integrated resource management. The project focuses on issues such as wildlife habits and habitats; biodiversity monitoring; natural disturbance trends and patterns; and socio-economic studies. In Phase One of the Canadian Model Forest Network the Foothills Model Forest focused primarily on conducting world class research to advance the concept of sustainable forest management. Phase Two was devoted to communicating the results of that research, with a strong emphasis on generating baseline awareness of the concept of sustainable forest management and creating public awareness of the project's mandate in Alberta. Work during the next five years is expected to focus on demonstration and implementation of research results to forest managers and practitioners and others with a stake in the continued sustainability of Alberta's forests. The Sustainable Forest Management project shares a common objective with the Alberta Chamber of Resources' Integrated Landscape Management project; both projects recognise that reducing the industrial footprint is key to sustainable development. The emphasis on demonstration and implementation in the third phase of the Foothills Model Forest is expected to ensure continued sustainability of forests, ecosystems, communities and resources, with full recognition of the fact that the goal of sustainable development can be achieved only by full cooperation and integrated action of all stakeholders.

  19. Ten years of integrated care for the older in France

    Directory of Open Access Journals (Sweden)

    Dominique Somme

    2011-12-01

    Full Text Available Background: This paper analyzes progress made toward the integration of the French health care system for the older and chronically ill population. Policies: Over the last ten years, the French health care system has been principally influenced by two competing linkage models that failed to integrate social and health care services: local information and coordination centers, governed by the social field, and the gerontological health networks governed by the health field. In response to this fragmentation, Homes for the Integration and Autonomy for Alzheimer patients (MAIAs is currently being implemented at experimental sites in the French national Alzheimer plan, using an evidence-based model of integrated care. In addition, the state's reforms recently created regional health agencies (ARSs by merging seven strategic institutions to manage the overall delivery of care. Conclusion: The French health care system is moving from a linkage-based model to a more integrated care system. We draw some early lessons from these changes, including the importance of national leadership and governance and a change management strategy that uses both top-down and bottom-up approaches to implement these reforms.

  20. [TEN YEARS OF OPIOID CONSUMPTION BY CHILDREN (2001-2010)].

    Science.gov (United States)

    Freud, Tamar; Sherf, Michael; Battat, Erez; Vardy, Daniel; Shvartzman, Pesach

    2015-09-01

    Opioids are considered a cornerstone in the treatment of pain. They are rarely used in almost half of the countries of the world, especially in children. The aim of this study was to assess opioid use over a ten-year study period from 2001-2010, among children 0-18 years old who are members of Clalit Health Services (CHS), the largest HMO in Israel Data on the purchase of opioids, authorized for use in Israel, was obtained from the computerized databases of CHS. In addition, the patient's demographic details and cancer morbidity were also extracted. The data was analyzed after all the doses of all opioids consumed (fentanyl patch, oxycodone, methadone, hydromorphone, oral transmucosal fentanyl) were converted into oral morphine equivalents (OME). In all, 1,098 children purchased at least one opioid prescription during the study period. Of them, 27.3% had a diagnosis of cancer and 55.5% were female. A 42% decrease in total annual OME (mg) purchased, from 209,443 mg to 122,048 mg, was observed from 2001 to 2010. There was no specific pattern or trend in the annual number of pediatric and adolescent patients who purchased at least one opioid drug during the study period. In 86.5% of the cases, children with a non-cancer cause of pain purchased opioids for only one month. There is a low and inconsistent rate of opioid consumption among pediatric and adolescent members of the CHS. Further study is needed to explore the reasons for this low opioid consumption rate in this population group.

  1. Floridi’s “Open Problems in Philosophy of Information”, Ten Years Later

    Directory of Open Access Journals (Sweden)

    Gordana Dodig Crnkovic

    2011-05-01

    Full Text Available In his article Open Problems in the Philosophy of Information [1] Luciano Floridi presented a Philosophy of Information research program in the form of eighteen open problems, covering the following fundamental areas: Information definition, information semantics, intelligence/cognition, informational universe/nature and values/ethics. We revisit Floridi’s program, highlighting some of the major advances, commenting on unsolved problems and rendering the new landscape of the Philosophy of Information (PI emerging at present. As we analyze the progress of PI we try to situate Floridi’s program in the context of scientific and technological development that have been made last ten years. We emphasize that Philosophy of Information is a huge and vibrant research field, with its origins dating before Open Problems, and its domains extending even outside their scope. In this paper, we have been able only to sketch some of the developments during the past ten years. Our hope is that, even if fragmentary, this review may serve as a contribution to the effort of understanding the present state of the art and the paths of development of Philosophy of Information as seen through the lens of Open Problems.

  2. Levels of asbestos air pollution in some environmental situations.

    Science.gov (United States)

    Sebastien, P; Billon, M A; Dufour, G; Gaudichet, A; Bonnaud, G; Bignon, J

    1979-01-01

    Asbestos contamination of the outside aid in Paris and suburbs has been monitored in some environmental situations, namely, "typical" urban sites removed from known sources of asbestos emissions, crossroad locations, the vicinity of a freeway, areas with buildings under construction, and areas around asbestos factories. In the same manner, measurements have been performed inside buildings of various types: those sprayed with asbestos-containing materials, those fitted with asbestos products, and control buildings. Air has been sampled by use of 0.45 micrometer pore size Millipore filters. After low-temperature ashing, ultrasonicated ashes were transferred to carbon film on 200-mesh gold grids examined under an analytic transmission electron microscope. Levels of pollution were expressed in terms of gravimetric concentrations. Inside buildings, when the air was in contact with significant amounts of asbestos-containing materials (spray, sheets), the levels were in the range 0.1--1000 10(-9) g m-3. In the vicinities of asbestos plants, the concentrations were higher: 1000--3000 10(-9) g m-3. Under other circumstances, the levels were of the same order of magnitude: 99% of the values were below 7 X 10(-9) g m-3. The Conseil Supérieur d'Hygiène Publique de France proposed a numerical ambient air quality standard of 50 X 10(-9) g m-3 inside buildings sprayed with asbestos.

  3. Pierre Bourdieu, dez anos depois Pierre Bourdieu, ten years after

    Directory of Open Access Journals (Sweden)

    Cristina Carta Cardoso de Medeiros

    2013-03-01

    Full Text Available O presente texto procura discutir o legado deixado pelo sociólogo francês Pierre Bourdieu. Dez anos após sua morte, tem-se discutido, em nível internacional, a relevância deste autor, um dos mais influentes e citados teóricos do mundo. Para a identificação desta influência no Brasil, mais especificamente no campo educacional brasileiro, pesquisou-se nas teses e dissertações encontradas no banco de dados da CAPES, que referenciavam Bourdieu, de que forma estaria se dando a apropriação de seu quadro teórico de análise para construção de conhecimento no referido campo. Concluiu-se que o número de produções defendidas nos Programas de Pós-Graduação em Educação no Brasil, de 1965 a 2010, cresce de forma exponencial, demonstrando o quão profícua a utilização da teoria sociológica de Bourdieu tem se mostrado para explicar a realidade da Educação no Brasil na contemporaneidade. Encerra-se o artigo com uma reflexão sobre a consideração do status de Bourdieu como um clássico da Sociologia que, paradoxalmente, se mostra mais atual e vivo do que qualquer outro autor quando se trata de aplicar seu princípio maior, a saber, analisar o mundo social e suas lógicas, desvelando as formas de dominação e as misérias sociais.This paper's intent is to discuss the legacy left by the French sociologist Pierre Bourdieu. Ten years after his death, it has been discussed at an international level the relevance of this author, one of the most cited and influential theorists in the world. To identify such influence in Brazil, more specifically in the Brazilian educational field, we investigated theses and dissertations found in CAPES database, which referenced Bourdieu, to identify how those works use his theoretical framework of analysis for construction of knowledge in that field. It was concluded that the number of productions held in post-graduate programs in education in Brazil, from 1965 to 2010, grows exponentially

  4. Idaho National Laboratory 2015-2023 Ten-Year Site Plan

    Energy Technology Data Exchange (ETDEWEB)

    Sheryl Morton; Elizabeth Connell; Bill Buyers; John Reisenauer; Rob Logan; Chris Ischay; Ernest Fossum; Paul Contreras; Joel Zarret; Steve Hill; Jon Tillo

    2013-09-01

    This Idaho National Laboratory (INL) Ten-Year Site Plan (TYSP) describes the strategy for accomplishing the long-term objective of sustaining the INL infrastructure to meet the Department of Energy Office of Nuclear Energy (DOE-NE) mission: to promote nuclear power as a resource capable of making major contributions in meeting the nation’s energy supply, environmental and energy security needs. This TYSP provides the strategy for INL to accomplish its mission by: (1) linking R&D mission goals to core capabilities and infrastructure requirements; (2) establishing a ten-year end-state vision for INL facility complexes; (3) identifying and prioritizing infrastructure needs and capability gaps; (4) establishing maintenance and repair strategies that allow for sustainment of mission-critical (MC) facilities; and (5) applying sustainability principles to each decision and action. The TYSP serves as the infrastructure-planning baseline for INL; and, though budget formulation documents are informed by the TYSP, it is not itself a budget document.

  5. Ecological Situation and Environmental Protection Policy in Russian Regions

    Directory of Open Access Journals (Sweden)

    Tatiana Olegovna Tagaeva

    2016-03-01

    Full Text Available The present ecological situation and negative influence of ecological factors on public health in the Russian Federation are analysed in this article. Russia is one of the most polluted countries in the world, and the environmental problem is very important here. In spite of some decrease in pollution during the crisis period, nature does not have time to neutralize pollution accumulated before, and as a result, there is an increase in the pollution concentration. In 66 cities (40 million people with excess 10 times and more than permitted maximum concentration level, the morbidity is above the average Russian level of 1.6 — 2 times. The forecast of emission according to the various scenarios of Russian development has been done: a pessimistic scenario with a slowdown in economic growth and an optimistic scenario with the acceleration of economic growth. The optimistic scenario is realized under the hypothesis about the oil prices increase and the real rouble exchange rate strengthening at the end of 2015, the revival of investment processes, the successful policy of import substitution, and the competent using of the instruments of monetary and fiscal policy. The pessimistic scenario is implemented under the assumption of negative economic tendency prolongation of 2014. For the forecast analysis, the dynamic inter-industry model with the ecological block was used. At the optimistic scenario implementation, the additional burden on the natural environment should be expected. The most important result of the research is the estimation of the rates of ecological payments which are necessary for performing the functions stimulating the environmental protection activity. The article presents the findings about the need to improve the institutional ecological structures, the scientific basis of pollution taxes, the introductions of the stimulating tools of the economic nature protection mechanism. The results presented in the article may be used

  6. INTERLIBRARY LOAN, 1952-62: TEN YEARS OF PROGRESS?

    Science.gov (United States)

    KEENAN, E L

    1964-01-01

    Although the revised General Interlibrary Loan Code of 1952 was designed to alleviate the "crisis" in interlibrary loan services existing at the time, libraries today find that they are still facing the same problems as they did in 1952, namely, excessive use of large, distant libraries for materials available locally, unverified references, stringent restrictions on the materials lent and their subsequent use, and the rising cost of operating interlibrary loan programs. A brief description of the use and abuse of interlibrary loans at the National Library of Medicine is followed by consideration of the alternatives to the concept of interlibrary loan presently under study in various regions. To relieve the current situation, it is proposed that federal funds be made available to medical and scientific libraries on the basis of the percentage of interlibrary loan transactions handled (2 percent of their total circulation figure), that present lending restrictions on materials be relaxed, that photocopying of articles in lieu of loan of the original be done to a greater extent, and that standardized procedures in handling requests be instituted.

  7. Comparison of the refractive error changes among young children in ten years interval

    Directory of Open Access Journals (Sweden)

    Hai-Yan Li

    2013-07-01

    Full Text Available AIM: To compare the optometric examination results of myopic young children between those diagnosed in the period from 1998 to 2000 and those diagnosed in the period from 2008 to 2010; and to find out the causes of myopia and factors that worsen the condition, and suggest methods of its prevention and treatment.METHODS: This study was a retrospective case study. We randomly selected sample from out-patient department register of cases and divided them into two main groups, ‘ten year before group'(TYBG(1998/2000 year casesand ‘ten years later group'(2008/2010 year cases(TYLG. Each group was further subdivided into three sub-groups by age: under-six years old children group(CG, seven-twelve years old primary-school group(PSGand thirteen-eighteen years old middle-school group(MSG. The optometric examination results were statistically analyzed.RESULTS: The difference of the mean dioptre between the TYBG and TYLG was strongly statistically significant, also forward-lead trend of age when children suffered from myopia was found(P0.01. There was a significant increase of dioptre among PSG and MSG in TYLG compared to TYBG(PCONCLUSION: Our study shows that the age of getting myopia was forward lead, the dioptre increases by 1.00 degree and the prevalence of myopia is increasing gradually. This situation may due to the modern life style and changes of living standard of the population. Therefore, prevention of myopia should concentrate more on younger children at kindergarten and primary school stage students.

  8. The Catholic School under Scrutiny: Ten Years of Research in Italy (1998-2008)

    Science.gov (United States)

    Malizia, Guglielmo; Cicatelli, Sergio

    2011-01-01

    This book delineates the evolution of the Study Centre for Catholic Schools (CSSC) in its first ten years of existence since its foundation in 1998 by the Italian Bishops' Conference. The volume is divided into three main sections. The first outlines the context and the activity of the CSSC during ten years: the role, the functions, the tasks and…

  9. Situating trends in environmental education within the ecological debate

    Energy Technology Data Exchange (ETDEWEB)

    Faulconer, T.

    1992-01-01

    For centuries there have been two philosophical orientations toward nature; one assumes humans to be the rightful owners and managers of nature, and the other is founded on a belief that humans are equal citizens within the earth's biotic community. Today these two approaches are located within reform environmentalism and deep ecology. In 1948, Aldo Leopold wrote an essay entitled [open quotes]The Land Ethic[close quotes] which proposed that humans include the land and its inhabitants within their circle of ethical concern. This essay has become a focal point of the debate between these two philosophies. The purpose of this study is to discover and describe the conceptual trends in environmental education since Leopold published [open quotes]The Land Ethic.[close quotes] Eighty-two articles, published in educational journals from 1950 to 1990, were analyzed to determine whether they expressed a reform environmentalism orientation or a deep ecology perspective. Articles were selected which provided a statement of the purposes and goals of conservation education and environmental education. Until 1969, articles were drawn from a wide variety of educational journals. After 1969, the selection was limited to articles in The Journal of Environmental Education when that journal became the leading forum for environmental education discourse. The results showed that in the 1950s and 1960s the focus was almost entirely on wise-use conservation and reform environmentalism. In the last two decades, however, even though reform environmentalism remained a dominant influence, there has been a definite trend toward incorporating deep ecology concepts in this educational discourse. Further research is needed to determine how these ideas influence curriculum design and instructional practice.

  10. Situational Favorability and Perceived Environmental Uncertainty: An Integrative Approach

    Science.gov (United States)

    Nebeker, Delbert M.

    1975-01-01

    Presents the conceptual and empirical basis for a possible combining of Fiedler's contingency model of leadership effectiveness and Lawrence and Lorsch's contingency organization theory. Using perceived environmental uncertainty as the integrating concept, a measure of decision uncertainty was found to be significantly related to Fiedler's…

  11. Ten-year follow-up of an anatomical hydroxyapatite-coated total hip prosthesis

    OpenAIRE

    Canales Cortés, V.; Panisello Sebastiá, J. J.; Herrera Rodríguez, A.; Peguero Bona, A.; Martínez Martín, A.; Herrero Barcos, L.; García-Dihinx, L.

    2006-01-01

    We report our results after ten year follow-up of 107 consecutive ABG-I hip prostheses implanted between June 1990 and December 1992: Only 84 prostheses were still in the study after ten years, but only six patients had undergone surgical revision. We can consider our clinical outcomes as excellent, with a whole-implant survival rate greater than 96%, a mean Merle D’Aubigne and Postel score increasing from 7.97 before operation to 16.17 at ten year follow-up, and a personal subjective assessm...

  12. A Vision for the Next Ten Years for Integrated Ocean Observing Data

    Science.gov (United States)

    Willis, Z. S.

    2012-12-01

    Ocean observing has come a long way since the Ocean Sciences Decadal Committee met over a decade ago. Since then, our use of the ocean and coast and their vast resources has increased substantially - with increased shipping, fishing, offshore energy development and recreational boating. That increased use has also spearheaded advances in observing systems. Cutting-edge autonomous and remotely operated vehicles scour the surface and travel to depths collecting essential biogeochemical data for better managing our marine resources. Satellites enable the global mapping of practically every physical ocean variable imaginable. A nationally-integrated coastal network of high-frequency radars lines the borders of the U.S. feeding critical navigation, response, and environmental information continuously. Federal, academic, and industry communities have joined in unique partnerships at regional, national, and global levels to address common challenges to monitoring our ocean. The 2002 Workshop, Building Consensus: Toward an Integrated and Sustained Ocean Observing System laid the framework for the current United States Integrated Ocean Observing System (U.S. IOOS). Ten years later, U.S. IOOS has moved from concept to reality, though much work remains to meet the nation's ocean observing needs. Today, new research and technologies, evolving users and user requirements, economic and funding challenges, and diverse institutional mandates all influence the future growth and implementation of U.S. IOOS. In light of this new environment, the Interagency Ocean Observation Committee (IOOC) will host the 2012 Integrated Ocean Observing System Summit in November 2012, providing a forum to develop a comprehensive ocean observing vision for the next decade, utilizing the knowledge and expertise gained by the IOOS-wide community over the past ten years. This effort to bring together ocean observing stakeholders at the regional, national, and global levels to address these challenges

  13. Prevalence of oral squamous cell carcinoma cases for ten years in Qazvin province (2003-13

    Directory of Open Access Journals (Sweden)

    F. Keshani

    2017-06-01

    Full Text Available Background: Human cancers comprise a large group of diseases that despite modern methods of diagnosis and advanced treatment techniques its mortality rate is high. Considering the role of environmental and cultural factors in the prevalence of oral cancer, epidemiological studies have a great importance. Objective: The aim of this research was to determine the prevalence of oral squamous cell carcinoma (OSCC in the province of Qazvin in a period of ten years. Methods: In this descriptive - analytical study, the documents of 88 patients with OSCC that were recorded by the Qazvin Cancer Registry Center during 2003-13, were used. Demographic data including age, sex and location of lesions were extracted from patient records. Data analysis were performed using chi-square, t-test and fisher exact test. Findings: Among the 88 patients, the average age was 64.3±17.7. The male to female ratio was 1 to 1.37 and the most involved area was tongue with 39 cases (63.9%, and the lowest was upper lip with 1 case (1.6%. The most of the patients were in the age between 70-80 years old. Conclusions: Pattern of OSCC in this study was similar to the other studies but the number of females and the mean age of patient had increased. Also, the mean age of patients was increased in eight decades and the most involved area tongue was reported.

  14. The statistical analysis of failure of a MEVATRON77 DX67 linear accelerator over a ten year period

    CERN Document Server

    Aoyama, H; Tahara, S; Uno, H; Kadohisa, S; Azuma, Y; Nakagiri, Y; Hiraki, Y

    2003-01-01

    A linear accelerator (linac) takes a leading role in radiation therapy. A linac consists of complicated main parts and systems and it is required that highly accurate operational procedures should be maintained. Operational failure occurs for various reasons. In this report, the failure occurrences of one linac over a ten year period were recorded and analyzed. The subject model was a MEVATRON77 DX67 (Siemens, Inc). The failure rate for each system, the form classification of the contents of failure, the operation situation at the time of failure, and the average performance life of the main parts were totaled. Moreover, the relation between the number of therapies that patients received (operating efficiency) and the failure rate within that number and the relation between environment (temperature and humidity) and the failure rate attributed to other systems were analyzed. In this report, irradiation interruption was also included with situations where treatment was unable to begin in total for the number o...

  15. Early Predictors of Ten-Year Course in First-Episode Psychosis

    DEFF Research Database (Denmark)

    Friis, Svein; Melle, Ingrid; Johannessen, Jan Olav

    2016-01-01

    OBJECTIVE: Identifying patients at risk of poor outcome at an early stage of illness can aid in treatment planning. This study sought to create a best-fit statistical model of known baseline and early-course risk factors to predict time in psychosis during a ten-year follow-up period after a first...... psychotic episode. METHODS: Between 1997 and 2000, 301 patients with DSM-IV nonorganic, nonaffective first-episode psychosis were recruited consecutively from catchment area-based sectors in Norway and Denmark. Specialized mental health personnel evaluated patients at baseline, three months, and one, two......, five, and ten years (N=186 at ten years). Time in psychosis was defined as time with scores ≥4 on any of the Positive and Negative Syndrome Scale items P1, P3, P5, P6, and G9. Evaluations were retrospective, based on clinical interviews and all available clinical information. During the first two years...

  16. The Aethereal Network on Chip after Ten Years: Goals, Evolution, Lessons, and Future

    NARCIS (Netherlands)

    Goossens, Kees; Hansson, A.

    2010-01-01

    The goals for the Æthereal network on silicon, as it was then called, were set in 2000 and its concepts were defined early 2001. Ten years on, what has been achieved? Did we meet the goals, and what is left of the concepts? In this paper we answer those questions, and evaluate different

  17. Theory-Based Evaluation: Reflections Ten Years On. Theory-Based Evaluation: Past, Present, and Future

    Science.gov (United States)

    Rogers, Patricia J.; Weiss, Carol H.

    2007-01-01

    This chapter begins with a brief introduction by Rogers, in which she highlights the continued salience of Carol Weiss's decade-old questions about theory-based evaluation. Theory-based evaluation has developed significantly since Carol Weiss's chapter was first published ten years ago. In 1997 Weiss pointed to theory-based evaluation being mostly…

  18. Quality of Life in South Africa--The First Ten Years of Democracy

    Science.gov (United States)

    Moller, Valerie

    2007-01-01

    South Africa celebrated ten years of democracy in 2004. This special issue of "Social Indicators Research" ("SIR") reviews developments that have impacted on the quality of life of ordinary South Africans during the transition period. The issue updates an earlier volume of "SIR" (Volume 41) published in 1997 and as a…

  19. Educational Virtual Environments: A Ten-Year Review of Empirical Research (1999-2009)

    Science.gov (United States)

    Mikropoulos, Tassos A.; Natsis, Antonis

    2011-01-01

    This study is a ten-year critical review of empirical research on the educational applications of Virtual Reality (VR). Results show that although the majority of the 53 reviewed articles refer to science and mathematics, researchers from social sciences also seem to appreciate the educational value of VR and incorporate their learning goals in…

  20. Acute lower abdominal pain caused by adnexal torsion in a ten-year-old girl

    DEFF Research Database (Denmark)

    Steinthorsdottir, Kristin Julia; Hansen, Lars Folmer; Bisgaard, Thue

    2014-01-01

    A ten-year-old girl presented with four days of lower abdominal pain. A diagnostic laparoscopy on the suspicion of acute appendicitis revealed left-sided adnexal torsion. The cyanotic ovary was detorsed and recovered. At three-month follow-up there were no clinical or ultrasonic signs of pathology...

  1. Ten years after the Jali Commission Assessing the state of South ...

    African Journals Online (AJOL)

    Ten years have lapsed since the Jali Commission's final report became publicly available, and it is therefore an opportune time to assess the state of South Africa's prison system. The Jali Commission was appointed when it became clear that the state had lost control of the Department of Correctional Services (DCS).

  2. Ten-year mortality review in a pioneer psychiatric hospital in West ...

    African Journals Online (AJOL)

    Objective: To determine the mortality among admitted patients in the study centre, a pioneer psychiatric facility in the West African sub-region. Design: A detailed retrospective study of the records of all deaths among the inpatients during the ten-year period of January, 1991 to December, 2000. Setting: Psychiatric Hospital ...

  3. Survival and vigour of ultra-dry seeds after ten years of hermetic storage

    NARCIS (Netherlands)

    Hong, T.D.; Ellis, R.H.; Astley, D.; Pinnegar, A.E.; Groot, S.P.C.; Kraak, H.L.

    2005-01-01

    Seeds of carrot, groundnut, lettuce, oilseed rape and onion were stored hermetically in laminated aluminium foil packets in four environments (dry or ultra-dry moisture contents combined factorially with temperatures of 20 degrees C or -20 degrees C), replicated at several sites. After ten years'

  4. Randomized Trial of Treatment for Children with Sexual Behavior Problems: Ten-Year Follow-Up

    Science.gov (United States)

    Carpentier, Melissa Y.; Silovsky, Jane F.; Chaffin, Mark

    2006-01-01

    This study prospectively follows 135 children 5-12 years of age with sexual behavior problems from a randomized trial comparing a 12-session group cognitive-behavioral therapy (CBT) with group play therapy and follows 156 general clinic children with nonsexual behavior problems. Ten-year follow-up data on future juvenile and adult arrests and…

  5. Ten Years of bored tunnels in the Netherlands : Part I: Geotechnical issues

    NARCIS (Netherlands)

    Bakker, K.J.; Bezuijen, A.

    2008-01-01

    Ten years have passed since in 1997 for the first time construction of bored tunnels in the Netherlands soft soil was undertaken. Before that date essentially only immersed tunnels and cut-and-cover tunnels were constructed in the Netherlands. The first two bored tunnels were Pilot Projects, the 2nd

  6. Changing Course: Ten Years of Tracking Online Education in the United States

    Science.gov (United States)

    Allen, I. Elaine; Seaman, Jeff

    2013-01-01

    "Changing Course: Ten Years of Tracking Online Education" in the United States is the tenth annual report on the state of online learning in U.S. higher education. The survey is designed, administered and analyzed by the Babson Survey Research Group. Data collection is conducted in partnership with the College Board. This year's study, like those…

  7. Mechanical birth injuries in the Niger Delta: a ten-year review (1989 ...

    African Journals Online (AJOL)

    Mechanical birth injuries in the Niger Delta: a ten-year review (1989-1998). Cosmos E Enyindah, Alice R Nte. Abstract. Context: Birth traumas associated with poor obstetric services contribute significantly not only to the high perinatal morbidity and mortality, but also to long-term sequelae in the survivors in many developing ...

  8. Transverse patella fracture in a ten year old boy: case report ...

    African Journals Online (AJOL)

    Patella fractures are rare in children. Transverse fractures in particular are an uncommon pattern. We report a case of a transverse patella fracture in a ten year old boy. He presented with inability to actively extend his left knee, two months after a fall. On evaluation he was found to have a transverse fracture of his left patella.

  9. Careers as Viewed by Five and Ten Year Graduates of Home Economics and Journalism Programs.

    Science.gov (United States)

    Crumley, Wilma; Sailor, Patricia

    This study examined the reactions of women who chose a traditional career (home economics) and women who chose a nontraditional career (journalism) five and ten years after graduation. The study included 171 home economics graduates and 75 journalism graduates. Of these, 36 were males and 210 females. Sixty-eight graduated in 1965 and 178 in 1969.…

  10. Preliminary ten year results from a randomised single centre mass screening trial for abdominal aortic aneurysm

    DEFF Research Database (Denmark)

    Lindholt, Jes S.; Juul, Svend; Fasting, Helge

    2006-01-01

    analysis of the ten-year mortality from AAA, based upon population-based data until 2002 (7 years) and incomplete hospital-based information on deaths until 2005 (10 years). METHODS AND MATERIAL: In 1994 we started a randomised screening trial of 12,639 64-73 year-old males; 6,306 were controls, and 6...

  11. Mathematical Skills in Undergraduate Students. A Ten-Year Survey of a Plant Physiology Course

    Science.gov (United States)

    Llamas, A.; Vila, F.; Sanz, A.

    2012-01-01

    In the health and life sciences and many other scientific disciplines, problem solving depends on mathematical skills. However, significant deficiencies are commonly found in this regard in undergraduate students. In an attempt to understand the underlying causes, and to improve students' performances, this article describes a ten-year survey…

  12. Historical Evolution of Instructional Technology in Teacher Education Programs: A Ten-Year Update

    Science.gov (United States)

    Betrus, Anthony

    2012-01-01

    The content and emphasis of the introductory technology courses for undergraduate preservice teachers has historically been examined, with the earliest study conducted by Stracke in 1932. In an attempt to identify trends in the course DeKieffer conducted a series of studies over ten year intervals, in 1947, 1957, 1967, and 1977. In 2000 the first…

  13. Opportunities for Environmental Crime: A Test of Situational Crime Prevention Theory

    NARCIS (Netherlands)

    Huisman, W.; van Erp, J.

    2013-01-01

    Recently, Situational Crime Prevention Theory (SCPT) has been proposed as an alternative to offender-based theories of white-collar crime. This paper uses the results of a cross-case analysis of 23 criminal investigations of environmental crime in the Netherlands to explore the fruitfulness of SCPT

  14. [Competent and diverse. Portrayal of older adults in Dutch television commercials ten years later].

    Science.gov (United States)

    van Selm, M; Westerhof, G J; de Vos, B

    2007-05-01

    The present study replicates our study of older adults' portrayal in Dutch television commercials conducted in 1993. The central question is whether older adults are being portrayed more visibly in Dutch television commercials and whether this portrayal has become more diverse compared to ten years ago. Based on a list of descriptions of all commercials broadcasted by public television channels in 2003 (N= 4767) 117 commercials featuring older adults were selected. By means of a quantitative content analysis it was examined whether and how older men and women are portrayed. It was concluded that although older adults are not more prevalent compared to ten years ago, their portrayal is more diverse with respect to their roles and the advertised products. Older adults were portrayed as more competent and less age-stereotypical in television commercials.

  15. A prospective ten-year follow-up of patients with chronic urticaria.

    Science.gov (United States)

    Dionigi, P C L; Menezes, M C S; Forte, W C N

    2016-01-01

    Chronic urticaria can be the initial clinical presentation of a number of different diseases. The objective of the present study was to report the associated diseases during a ten-year clinical-laboratory follow-up in patients with an initial diagnosis of chronic spontaneous urticaria (CSU) of unknown cause. A prospective, longitudinal cohort study with a ten-year clinical-laboratory follow-up was conducted. Patients with a history of urticarial plaques of over six weeks presenting as the only clinical symptom were selected. Individuals with other clinical conditions, urticaria of known causes or chronic physical urticaria were excluded. The following tests were initially performed: haemogram, urine type I, stool parasite exam and sedimentation rate. The following exams were ordered during follow-up: PPD; urine culture; serology tests; antithyroid and antinuclear antibodies, rheumatoid factor, lupus anticoagulant; thyroid hormones; serum immunoglobulin; paranasal sinus and thorax radiographs; testing for BK and Helicobacter pylori; and prick tests. Infections were diagnosed in 29% of patients (syphilis, parasitosis, H. pylori, urinary infection, tuberculosis, hepatitis B and C); autoimmune diseases in 21% (thyroiditis, rheumatoid arthritis and antiphospholipid antibody syndrome); primary immunodeficiencies in 4% (IgA and IgG2 deficiencies); and chronic myeloid leukaemia in 1%. At ten-years of follow-up, the urticaria diagnosis was CSU of unknown cause in 45% of the cases. This ten-year clinical-laboratory follow-up of 100 individuals with chronic urticaria as the initial diagnosis revealed the presence of associated diseases in over half of the cases. The most prevalent diseases were infections and autoimmune diseases besides primary immunodeficiencies and blood diseases. Copyright © 2016 SEICAP. Published by Elsevier España, S.L.U. All rights reserved.

  16. Ten Years of Monitoring 3C 273 with XMM–Newton Liu Liu ...

    Indian Academy of Sciences (India)

    Abstract. We present ten years optical/UV/X-ray observations of 3C. 273 performed using XMM–Newton between 2000 and 2009. The short- time scale variability behaviour of the soft and hard X-ray light curves may suggest different origins of the soft/hard X-ray emissions. We fit well the 0.2–10 keV X-ray spectrum with a ...

  17. Ten Years of Monitoring 3C 273 with XMM–Newton

    Indian Academy of Sciences (India)

    2016-01-27

    Jan 27, 2016 ... We present ten years optical/UV/X-ray observations of 3C 273 performed using XMM–Newton between 2000 and 2009. The short-time scale variability behaviour of the soft and hard X-ray light curves may suggest different origins of the soft/hard X-ray emissions. We fit well the 0.2–10 keV X-ray spectrum ...

  18. The AES total ankle arthroplasty analysis of failures and survivorship at ten years.

    Science.gov (United States)

    Di Iorio, Alexandre; Viste, Anthony; Fessy, Michel Henry; Besse, Jean Luc

    2017-09-04

    AES mobile-bearing total ankle replacement was developed from the Buechel Pappas model. It was withdrawn in 2009, after identification of a higher than expected complication rate. The purpose of the current study was to analyse clinical outcomes, failures and survival of the initial series of 50 AES published in 2009. In this single-centre continuous prospective study (2003-2006), 50 AES prostheses were included. Pre-operative osteoarthritis was mainly post-traumatic (50%) and secondary to instability (36%). All patients were assessed with clinical and radiographic follow-up at six months, one year, two years and every two to three years thereafter. A CT-scan was systematically performed before procedure, and at two years, five years and ten years. At last follow-up, all patients with TAR had a functional (SF 36, AOFAS) and clinical assessment. All complications or surgical events were analysed. The mean follow-up was ten ± two years (range, 9-13). The mean AOFAS score was 75 points (range, 26-100). The mean SF 36 score was 69 points (range, 35-97). There was a significant deterioration in AOFAS score at five years and at last follow-up (p < 0.05). Fifteen TARs underwent reoperation for cyst curettage-graft because of development of periprosthetic lesions. Six of them ended up with prosthesis removal-arthrodesis. At the last follow-up, 14 TARs were removed for arthrodesis. Of the 30 prostheses seen at last follow-up, four are awaiting prosthesis removal-arthrodesis and one for cyst curettage-graft. The ten year survivorships free of any prosthesis removal or arthrodesis and free of any reoperation were 68% (95% CI, 55-85) and 57% (95% CI, 44-74), respectively. Our data suggested a high rate of reoperation. Overall ten year survival was lower than with other designs, particularly due to cyst lesions. Level IV, prospective case series.

  19. Compromises in orchestra pit design: A ten-year trench war in The Royal Theatre, Copenhagen

    DEFF Research Database (Denmark)

    Gade, Anders Christian; Mortensen, Bo

    1998-01-01

    years this new flexibility caused a formal battle between the orchestra, the singers, and management, because each group had different interests as to how the pit should be configured for each new production. In the 1990s, increased concern about the musicians' hearing and the increase in the popularity...... of opera finally opened the way for a new renovation of the pit, which solved most of the problems. The paper describes the many lessons learned during the ten-year period in which the authors were involved with the case as acoustic consultants. Questions of how pit configuration influences mutual hearing...

  20. Spontaneous Mediastinitis in a Ten-year-old Girl: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Kyung Eun; Kim, Ji Hong; Yoon, Choon Sik [Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of); Lee, Mi Jung; Kim, Myung Joon [Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2011-01-15

    Acute suppurative mediastinitis is an uncommon, life threatening condition with a mortality rate of up to 40%. It is mainly caused by esophageal perforation or post-operative complications, and acute mediastinitis not caused by trauma or surgery is rare. To the best of our knowledge, no cases of spontaneous mediastinal abscess in children have been reported in the English medical literature. We report here on a case of an acute mediastinal abscess in a ten-year-old girl and there was no demonstrable clinical or radiologic etiology for infection

  1. Plant and equipment division laboratory services series: a ten-year building-maintenance cost history

    Energy Technology Data Exchange (ETDEWEB)

    Keesee, H.F.

    1976-09-01

    Maintaining a multifacility national laboratory in a safe, reliable condition is a complex management responsibility in terms of budgets, costs, and proper utilization of personnel and material resources. Increasing wage rates and material costs, combined with decreased budgets and aging facilities, create unusual challenges to maintenance managers. A ten-year history of building-maintenance costs, a brief description of the maintenance program, analyses of personnel requirements, cost increase indexes, unit costs, cost controls, procedures, and a brief discussion of alterations and improvements are presented.

  2. Colorectal carcinoma in a ten-year-old girl: A case report

    Directory of Open Access Journals (Sweden)

    Sarbani Chattopadhyay

    2012-01-01

    Full Text Available Colorectal carcinoma is very rare in childhood. In this case report, we depict a ten-year-old girl who presented with features of intestinal obstruction which turned out to be due to poorly differentiated mucin secreting adenocarcinoma of descending colon. Only increased awareness of this malignancy in this age-group and a high index of suspicion can help when a child complains of persistent pain of abdomen, altered bowel habits or rectal bleeding, and may provide diagnosis at an earlier stage, thereby improving the prognosis.

  3. Moving Upstream and Going Local: The Responsibility to Protect Ten Years Later

    Directory of Open Access Journals (Sweden)

    Bridget Moix

    2015-10-01

    Full Text Available Ten years ago the international community pledged to protect civilians from genocide, ethnic cleansing, war crimes, and crimes against humanity by endorsing the responsibility to protect (R2P doctrine. Yet today, horrific violence against civilians continues in places like Syria, Iraq, and South Sudan. This article examines some of the progress and gaps in the international community’s efforts to better protect civilians against mass violence over the past decade. It proposes two emerging directions for advancing the R2P agenda in the coming years: 1 greater focus on upstream prevention, and 2 increased support for locally-led peacebuilding and prevention actors and capacities.

  4. Ten Years Back, Five Years Forward: The Data Seal of Approval

    OpenAIRE

    Ingrid Dillo; Lisa de Leeuw

    2015-01-01

    If we want to share data, the long-term storage of those data in a trustworthy digital archive is an essential condition. Trust is the basis of storing and sharing data. That trust must be present in the various stakeholders involved. Certification of digital archives can make an important contribution to the confidence of these stakeholders in the digital archives.Ten years ago DANS was assigned the task of developing a Seal of Approval for digital data to ensure that archived data can still...

  5. Ten years of forensic odontology: a report from the Department of Forensic Odontology, Stockholm, Sweden.

    Science.gov (United States)

    Teivens, A; Mornstad, H

    1992-12-01

    The practical activities of the Department of Forensic Odontology at the National Board for Forensic Medicine in Stockholm, Sweden, have been reviewed over a ten year period (1980-1989). The number of cases has increased from 72 in 1980 to 278 in 1989, and a total of 1402 tasks have been carried out. Seventy-five per cent of the cases have concerned identification of single individuals, 14% have involved the National Register of Missing Persons with the remaining cases being age determination (34), bite marks (27), oral examination after criminal assault (69), examination of skeletal remains, dentures, restorative materials (33) and written reports to be presented at court (159).

  6. Idaho National Laboratory 2013-2022 Ten-Year Site Plan

    Energy Technology Data Exchange (ETDEWEB)

    Calvin Ozaki; Sheryl L. Morton; Elizabeth A. Connell; William T. Buyers; Craig L. Jacobson; Charles T. Mullen; Christopher P. Ischay; Ernest L. Fossum; Robert D. Logan

    2011-06-01

    The Idaho National Laboratory (INL) Ten-Year Site Plan (TYSP) describes the strategy for accomplishing the long-term objective of transforming the laboratory to meet Department of Energy (DOE) national nuclear research and development (R&D) goals, as outlined in DOE strategic plans. The plan links R&D mission goals and INL core capabilities with infrastructure requirements (single- and multi-program), establishs the 10-year end-state vision for INL complexes, and identifies and prioritizes infrastructure needs and capability gaps. The TYSP serves as the basis for documenting and justifying infrastructure investments proposed as part of the FY 2013 budget formulation process.

  7. Ten years of democracy: attitudes and identity among some South African school children

    Directory of Open Access Journals (Sweden)

    Charlyn Dyers

    2011-08-01

    Full Text Available Ten years into South Africa’s democracy, how do school children feel about themselves as part of specific groups, and what is the role of language in their socio-cultural identities? This paper looks at the ways in which two groups of fourteen-year-old Xhosa-speaking and mixed-race ‘Coloured’ South African secondary school learners in a new housing area near Cape Town negotiate their identities through language in a context of rapid social change. It analyses their beliefs and attitudes about the languages and speech communities to which they are exposed.

  8. Ten Years of GWOT, the Failure of Democratization, and the Fallacy of

    Directory of Open Access Journals (Sweden)

    David Oakley

    2012-01-01

    Full Text Available October 7, 2011, marked a decade since the United States invaded Afghanistan and initiated the Global War on Terrorism (GWOT. While most ten-year anniversary gifts involve aluminum, tin, or diamonds, the greatest gift U.S. policymakers can present American citizens is a reconsideration of the logic that guides America's counterterrorism strategy. Although the United States has successfully averted large-scale domestic terrorist attacks, its inability to grasp the nature of the enemy has cost it dearly in wasted resources and, more importantly, lost lives. Two of the most consistent and glaring policy flaws revolve around the concepts of filling "ungoverned spaces" and installing democracy by force.

  9. Early detection, early symptom progression and symptomatic remission after ten years in a first episode of psychosis study

    DEFF Research Database (Denmark)

    Ten Velden Hegelstad, Wenche; Haahr, Ulrik; Larsen, Tor K

    2013-01-01

    Poor symptom outcome remains a challenge in psychosis: At least 50% of first-episode patients continue to have positive and/or negative symptoms after ten years.......Poor symptom outcome remains a challenge in psychosis: At least 50% of first-episode patients continue to have positive and/or negative symptoms after ten years....

  10. A ten year audit of maternal mortality: Millennium development still a distant goal

    Directory of Open Access Journals (Sweden)

    Anshuja Singla

    2017-01-01

    Full Text Available Objective: To assess various causes of maternal mortality over a ten year period Design: Retrospective audit of hospital case records Setting: Tertiary care hospital Population: Pregnant women who expired in the premises of GTB Hospital. Materials and Methods: A retrospective audit of case records of maternal deaths was conducted for a ten year period (January 2005 to December 2014. Results: There were a total of 647 maternal deaths out of 1,16,641 live births. Sixty-eight percent (n = 445 of women were aged 21-30 years, while 10.5% (n = 68 were <20 years of age. The most common direct causes of maternal mortality were preeclampsia/eclampsia in 24.4% (n = 158, obstetric hemorrhage in 19.1% (n = 124 and puerperal sepsis in 14.5% (n = 94. With regards to indirect causes, anemia accounted for 15.3% (n = 99 mortality. There was only 1 (0.1% mortality because of HIV/AIDS. Other notable causes of maternal mortality were infective hepatitis in 7.1% (n = 46. Tuberculosis, that is a disease of tropical countries, accounted for 3.0% (n = 20 of the total deaths. Conclusion: High maternal mortality in GTB hospital can be due to it being a tertiary hospital with referrals from all neighbouring states. Accessible antenatal care can help prevent these maternal deaths. Female education can be of immense help in dealing with the problem and improving the utilization of public health facilities.

  11. Ten years of telerehabilitation: A literature overview of technologies and clinical applications.

    Science.gov (United States)

    Rogante, Marco; Grigioni, Mauro; Cordella, Daniele; Giacomozzi, Claudia

    2010-01-01

    This paper aims at delivering a structured overview of telerehabilitation literature by analysing the entire set of articles under the search terms "telerehabilitation" or "tele-rehabilitation" to portray "state of the art" ten years after the publication of the first scientific article on the topic. A structured study has been conducted by considering all those articles containing the word "telerehabilitation" or "tele-rehabilitation". Medline, Embase, Cochrane, UK Centre for Reviews and Dissemination, Canadian Agency for Drugs and Technologies in Health databases have been interrogated for articles between 1998 and 2008. 146 scientific articles were found. 56 articles focus on patient treatment, 23 are reviews, 3 are to be considered as both patient treatment papers and reviews, 53 are either technical reports, system descriptions or analyses of new approaches; 8 are general discussion on telerehabilitation. The present paper draw the scenario of the first ten years of telerehabilitation, focussing on clinical applications and technologies. Basically, it confirms the lack of comprehensive studies providing evidence for supporting decision and policy-makers in adopting telerehabilitation technologies in the clinical practice. An overall lack of standardisation in the used terminology also results from the analysis of keywords, which is typical of quite recent fields of application.

  12. Ten years of progress in the Hokkaido birth cohort study on environment and children's health: cohort profile--updated 2013.

    Science.gov (United States)

    Kishi, Reiko; Kobayashi, Sachiko; Ikeno, Tamiko; Araki, Atsuko; Miyashita, Chihiro; Itoh, Sachiko; Sasaki, Seiko; Okada, Emiko; Kobayashi, Sumitaka; Kashino, Ikuko; Itoh, Kumiko; Nakajima, Sonomi

    2013-11-01

    The Hokkaido Study on Environment and Children's Health is an ongoing cohort study that began in 2002. The study consists of two prospective birth cohorts, the Sapporo cohort (n = 514) and the Hokkaido large-scale cohort (n = 20,940). The primary goals of this study are to first examine the potential negative effects of perinatal environmental chemical exposures on birth outcomes, including congenital malformations and growth retardation; second, to evaluate the development of allergies, infectious diseases and neurodevelopmental disorders and perform longitudinal observations of the children's physical development to clarify the causal relationship between these outcomes and environmental chemicals; third, to identify individuals genetically susceptible to environmental chemicals; finally, to identify the additive effects of various environmental factors in our daily life, such as secondhand smoke exposure or low folate intake during early pregnancy. In this paper, we introduce our recent progress in the Hokkaido study with a cohort profile updated in 2013. For the last ten years, we followed pregnant women and their offspring, measuring various environmental chemicals, i.e., PCB, OH-PCB and dioxins, PFCs (Perfluorinated Compounds), Organochlorine pesticides, Phthalates, bisphenol A and mercury. We discovered that the concentration of toxic equivalents (TEQ) of dioxin and other specific congeners of PCDF or PCDD have effects on birth weight, infants' neurodevelopment and immune function. There were significant gender differences in these effects; our results suggest that male infants have more susceptibility to those chemical exposures than female infants. Interestingly, we found maternal genetic polymorphisms in AHR, CYP1A1 or GSTs that significantly modified the dioxin concentrations in maternal blood, suggesting different dioxin accumulations in the bodies of individuals with these genotypes, which would lead to different dioxin exposure levels. These genetic

  13. Ten year experience with antiretroviral treatment in Cambodia: Trends in patient characteristics and treatment outcomes.

    Directory of Open Access Journals (Sweden)

    Phirum Lay

    Full Text Available Although HIV disease stage at ART initiation critically determines ART outcomes, few reports have longitudinally monitored this within Asia. Using prospectively collected data from a large ART program at Sihanouk Hospital Center of Hope in Cambodia, we report on the change in patient characteristics and outcomes over a ten-year period.We conducted a retrospective analysis including all adults (≥ 18 years old starting ART from March 2003-March 2013 in a non-governmental hospital in Phnom Penh, Cambodia. The cumulative incidence of death, lost to follow-up (LTFU, attrition (death or LTFU and first line treatment failure were calculated using Kaplan-Meier methods. Independent risk factors for these outcomes were determined using Cox regression modeling.Over the ten-year period, 3581 patients initiated ART with a median follow-up time of 4.8 years (IQR 2.8-7.2. The median age was 35 years (IQR 30-41, 54% were female. The median CD4 count at ART initiation increased from 22 cells/μL (IQR 4-129 in 2003 to 218 (IQR 57-302 in 2013. Over the 10 year period, a total of 282 (7.9% individuals died and 433 (12.1% were defined LTFU. Program attrition (died or LTFU was 11.1% (95% CI: 10.1%- 12.4% at one year, 16.3% (95% CI: 15.1%-17.6% at three years, 19.8% (95% CI: 18.5%-21.2% at five years and 23.3% (95% CI: 21.6-25.1 at ten years. Male sex and low baseline body mass index (BMI were associated with increased attrition. Factors independently associated with mortality included a low baseline CD4 count, older age, male sex, low baseline BMI and hepatitis B co-infection. Individuals aged above 40 years old had an increased risk of mortality but were less likely to LTFU. There were a total of 137 individuals with first line ART failure starting second line treatment. The probability of first line failure was estimated at 2.8% (95% CI: 2.3%-3.4% at 3 years, 4.6% (95% CI: 3.9%-5.5% at 5 years and 7.8% (95% CI 4.8%-12.5% at ten years of ART. The probability was

  14. Ten year experience with antiretroviral treatment in Cambodia: Trends in patient characteristics and treatment outcomes.

    Science.gov (United States)

    Lay, Phirum; An, Sokkab; Soeung, Sunpiseth; Srey, Pich Sovannary; Thai, Sopheak; Lynen, Lutgarde; Griensven, Johan van

    2017-01-01

    Although HIV disease stage at ART initiation critically determines ART outcomes, few reports have longitudinally monitored this within Asia. Using prospectively collected data from a large ART program at Sihanouk Hospital Center of Hope in Cambodia, we report on the change in patient characteristics and outcomes over a ten-year period. We conducted a retrospective analysis including all adults (≥ 18 years old) starting ART from March 2003-March 2013 in a non-governmental hospital in Phnom Penh, Cambodia. The cumulative incidence of death, lost to follow-up (LTFU), attrition (death or LTFU) and first line treatment failure were calculated using Kaplan-Meier methods. Independent risk factors for these outcomes were determined using Cox regression modeling. Over the ten-year period, 3581 patients initiated ART with a median follow-up time of 4.8 years (IQR 2.8-7.2). The median age was 35 years (IQR 30-41), 54% were female. The median CD4 count at ART initiation increased from 22 cells/μL (IQR 4-129) in 2003 to 218 (IQR 57-302) in 2013. Over the 10 year period, a total of 282 (7.9%) individuals died and 433 (12.1%) were defined LTFU. Program attrition (died or LTFU) was 11.1% (95% CI: 10.1%- 12.4%) at one year, 16.3% (95% CI: 15.1%-17.6%) at three years, 19.8% (95% CI: 18.5%-21.2%) at five years and 23.3% (95% CI: 21.6-25.1) at ten years. Male sex and low baseline body mass index (BMI) were associated with increased attrition. Factors independently associated with mortality included a low baseline CD4 count, older age, male sex, low baseline BMI and hepatitis B co-infection. Individuals aged above 40 years old had an increased risk of mortality but were less likely to LTFU. There were a total of 137 individuals with first line ART failure starting second line treatment. The probability of first line failure was estimated at 2.8% (95% CI: 2.3%-3.4%) at 3 years, 4.6% (95% CI: 3.9%-5.5%) at 5 years and 7.8% (95% CI 4.8%-12.5%) at ten years of ART. The probability was

  15. Incommensurate Environmental Risks and the Regulator’s Dilemma in the Governance of Emergency Situation

    Directory of Open Access Journals (Sweden)

    Vesela Radovic

    2016-12-01

    Full Text Available In the 21st century humans face with the great risk how to protect themselves from disasters of different kinds. Emergencies happened in many countries and caused a great suffering of humans. The main question of stakeholders is: ‘’how to protect human health and environment in an adequate way’’. Emergency management is an issue which is included in numerous education institutions all over the globe and the action of various national and international organizations. Therefore it is interesting that in the process of fostering emergency management many countries neglect the need of creating more effective tools for response, preparedness and recovery in environmental emergencies. The paper is based on analyzes of Serbian approach in the governance of emergency situation followed by incommensurate environmental risks. Serbia had to accept International environmental emergency help after the floods in 2014. The Joint United Nations Environment Programme (UNEP / Office for the Coordination of Humanitarian Affairs (OCHA Environment Unit (JEU helped Serbia to mitigate consequences of horrified environmental emergency in “Stolice” mine near city Krupanj. This assistance was needed because Serbia did not have enough capacity to struggle with the consequences of breaking the dam and contamination of soil and rivers. This study shows that a similar disaster in the future could be solved only by strengthening multilateral response of different actors at local and national level. After all, Serbia is at the beginning of the path, and need to highlight strategic challenges in the governance of emergency situation followed by environmental emergencies. Only with full implementation of positive practice of the international community Serbia could avoid long term impact on life support functions, nature and humans.

  16. Introduction to "Tsunami Science: Ten Years After the 2004 Indian Ocean Tsunami. Volume I"

    Science.gov (United States)

    Rabinovich, Alexander B.; Geist, Eric L.; Fritz, Hermann M.; Borrero, Jose C.

    2015-03-01

    Twenty-two papers on the study of tsunamis are included in Volume I of the PAGEOPH topical issue "Tsunami Science: Ten Years after the 2004 Indian Ocean Tsunami." Eight papers examine various aspects of past events with an emphasis on case and regional studies. Five papers are on tsunami warning and forecast, including the improvement of existing tsunami warning systems and the development of new warning systems in the northeast Atlantic and Mediterranean region. Three more papers present the results of analytical studies and discuss benchmark problems. Four papers report the impacts of tsunamis, including the detailed calculation of inundation onshore and into rivers and probabilistic analysis for engineering purposes. The final two papers relate to important investigations of the source and tsunami generation. Overall, the volume not only addresses the pivotal 2004 Indian Ocean (Sumatra) and 2011 Japan (Tohoku) tsunamis, but also examines the tsunami hazard posed to other critical coasts in the world.

  17. Introduction to "Tsunami Science: Ten Years after the 2004 Indian Ocean Tsunami. Volume II."

    Science.gov (United States)

    Rabinovich, Alexander B.; Geist, Eric L.; Fritz, Hermann M.; Borrero, Jose C.

    2015-12-01

    Twenty papers on the study of tsunamis and respective tsunamigenic earthquakes are included in Volume II of the PAGEOPH topical issue "Tsunami Science: Ten Years after the 2004 Indian Ocean Tsunami". The papers presented in this second of two special volumes of Pure and Applied Geophysics reflect the state of tsunami science during this time, including five papers devoted to new findings specifically in the Indian Ocean. Two papers compile results from global observations and eight papers cover Pacific Ocean studies, focusing mainly on the 2011 Tohoku earthquake and tsunami. Remaining papers in this volume describe studies in the Atlantic Ocean and Mediterranean Sea and tsunami source studies. Overall, the volume not only addresses the pivotal 2004 Indian Ocean and 2011 Tohoku tsunamis, but also examines the tsunami hazard posed to other critical coasts in the world.

  18. A ten-year search for synchronous cells: obstacles, solutions and practical applications

    Directory of Open Access Journals (Sweden)

    Charles Edward Helmstetter

    2015-03-01

    Full Text Available My effort to use synchronously dividing cultures to examine the Escherichia coli cell cycle involved a ten-year struggle with failure after failure punctuated by a few gratifying successes, especially at the end. In this essay, I recount my personal journey in this obsessive experimental pursuit. That narrative is followed by a description of a simplified version of the baby machine, a technique that was developed to obtain minimally disturbed, synchronously growing E. coli cells. Subsequent studies with this methodology led to an understanding of the basic properties of the relationship between chromosome replication and cell division. Accordingly, I end this reminiscence with a simple, fool-proof graphical strategy for deducing the pattern of chromosome replication during the division cycle of cells growing at any rate.

  19. The State of the Art Ten Years After a State of the Art

    DEFF Research Database (Denmark)

    Sturm, Bob L.

    2014-01-01

    A decade has passed since the first review of research on a ``flagship application" of music information retrieval (MIR): the problem of music genre recognition (MGR). During this time, about 500 works addressing MGR have been published, and at least 10 campaigns have been run to evaluate MGR sys......, the problems of validity in evaluation also affect research in music emotion recognition and autotagging. We conclude by discussing the implications of our work for MGR and MIR in the next ten years.......A decade has passed since the first review of research on a ``flagship application" of music information retrieval (MIR): the problem of music genre recognition (MGR). During this time, about 500 works addressing MGR have been published, and at least 10 campaigns have been run to evaluate MGR...

  20. The church and society in South Africa celebrating first ten years of democracy (1994-2004

    Directory of Open Access Journals (Sweden)

    R T H Dolamo

    2005-10-01

    Full Text Available In this article, colonialism, slavery, racism and apartheid are singled out as scourges that have afflicted South Africans for over three-and-half centuries in respect of the first four scourge, and for four-and-half decades in respect of apartheid.� Against this backdrop, the struggles of the people of South Africa against these scourges are portrayed and analysed.� With the attainment of freedom and democracy in 1994, the� ANC led government enacted pieces of legislation whose aim was to deepen and broaden democracy, thereby transforming the society beyond recognition of how it was before 1994. Celebrating the first ten years of freedom and democracy, the people of South Africa are taking stock of what has been achieved and not achieved and bracing themselves for the challenges that are facing them into the second decade.

  1. Idaho National Laboratory Ten-Year Site Plan Project Description Document

    Energy Technology Data Exchange (ETDEWEB)

    Not Listed

    2012-03-01

    This document describes the currently active and proposed infrastructure projects listed in Appendix B of the Idaho National Laboratory 2013-2022 Ten Year Site Plan (DOE/ID-11449). It was produced in accordance with Contract Data Requirements List I.06. The projects delineated in this document support infrastructure needs at INL's Research and Education Campus, Materials and Fuels Complex, Advanced Test Reactor Complex and the greater site-wide area. The projects provide critical infrastructure needed to meet current and future INL opereational and research needs. Execution of these projects will restore, rebuild, and revitalize INL's physical infrastructure; enhance program execution, and make a significant contribution toward reducing complex-wide deferred maintenance.

  2. A ten-year global record of absorbing aerosols above clouds from OMI's near-UV observations

    Science.gov (United States)

    Jethva, Hiren; Torrres, Omar; Ahn, Changwoo

    2016-05-01

    Aerosol-cloud interaction continues to be one of the leading uncertain components of climate models, primarily due to the lack of an adequate knowledge of the complex microphysical and radiative processes associated with the aerosolcloud system. The situations when aerosols and clouds are found in the same atmospheric column, for instance, when light-absorbing aerosols such as biomass burning generated carbonaceous particles or wind-blown dust overlay low-level cloud decks, are commonly found over several regional of the world. Contrary to the cloud-free scenario over dark surface, for which aerosols are known to produce a net cooling effect (negative radiative forcing) on climate, the overlapping situation of absorbing aerosols over cloud can potentially exert a significant level of atmospheric absorption and produces a positive radiative forcing at top-of-atmosphere. The magnitude of direct radiative effects of aerosols above cloud depends directly on the aerosol loading, microphysical-optical properties of the aerosol layer and the underlying cloud deck, and geometric cloud fraction. We help in addressing this problem by introducing a novel product of optical depth of absorbing aerosols above clouds retrieved from near-UV observations made by the Ozone Monitoring Instrument (OMI) on board NASA's Aura platform. The presence of absorbing aerosols above cloud reduces the upwelling radiation reflected by cloud and produces a strong `color ratio' effect in the near-UV region, which can be unambiguously detected in the OMI measurements. Physically based on this effect, the OMACA algorithm retrieves the optical depths of aerosols and clouds simultaneously under a prescribed state of atmosphere. The algorithm architecture and results from a ten-year global record including global climatology of frequency of occurrence and above-cloud aerosol optical depth, and a discussion on related future field campaigns are presented.

  3. A Ten-Year Global Record of Absorbing Aerosols Above Clouds from OMI's Near-UV Observations

    Science.gov (United States)

    Jethva, Hiren; Torres, Omar; Ahn, Changwoo

    2016-01-01

    Aerosol-cloud interaction continues to be one of the leading uncertain components of climate models, primarily due to the lack of an adequate knowledge of the complex microphysical and radiative processes associated with the aerosol-cloud system. The situations when aerosols and clouds are found in the same atmospheric column, for instance, when light-absorbing aerosols such as biomass burning generated carbonaceous particles or wind-blown dust overlay low-level cloud decks, are commonly found over several regional of the world. Contrary to the cloud-free scenario over dark surface, for which aerosols are known to produce a net cooling effect (negative radiative forcing) on climate, the overlapping situation of absorbing aerosols over cloud can potentially exert a significant level of atmospheric absorption and produces a positive radiative forcing at top-of-atmosphere. The magnitude of direct radiative effects of aerosols above cloud depends directly on the aerosol loading, microphysical-optical properties of the aerosol layer and the underlying cloud deck, and geometric cloud fraction. We help in addressing this problem by introducing a novel product of optical depth of absorbing aerosols above clouds retrieved from near-UV observations made by the Ozone Monitoring Instrument (OMI) on board NASA's Aura platform. The presence of absorbing aerosols above cloud reduces the upwelling radiation reflected by cloud and produces a strong 'color ratio' effect in the near-UV region, which can be unambiguously detected in the OMI measurements. Physically based on this effect, the OMACA algorithm retrieves the optical depths of aerosols and clouds simultaneously under a prescribed state of atmosphere. The algorithm architecture and results from a ten-year global record including global climatology of frequency of occurrence and above-cloud aerosol optical depth, and a discussion on related future field campaigns are presented.

  4. Medical School Attrition-Beyond the Statistics A Ten Year Retrospective Study

    Directory of Open Access Journals (Sweden)

    Maher Bridget M

    2013-01-01

    Full Text Available Abstract Background Medical school attrition is important - securing a place in medical school is difficult and a high attrition rate can affect the academic reputation of a medical school and staff morale. More important, however, are the personal consequences of dropout for the student. The aims of our study were to examine factors associated with attrition over a ten-year period (2001–2011 and to study the personal effects of dropout on individual students. Methods The study included quantitative analysis of completed cohorts and qualitative analysis of ten-year data. Data were collected from individual student files, examination and admission records, exit interviews and staff interviews. Statistical analysis was carried out on five successive completed cohorts. Qualitative data from student files was transcribed and independently analysed by three authors. Data was coded and categorized and key themes were identified. Results Overall attrition rate was 5.7% (45/779 in 6 completed cohorts when students who transferred to other medical courses were excluded. Students from Kuwait and United Arab Emirates had the highest dropout rate (RR = 5.70, 95% Confidence Intervals 2.65 to 12.27;p  Absenteeism was documented in 30% of students, academic difficulty in 55.7%, social isolation in 20%, and psychological morbidity in 40% (higher than other studies. Qualitative analysis revealed recurrent themes of isolation, failure, and despair. Student Welfare services were only accessed by one-third of dropout students. Conclusions While dropout is often multifactorial, certain red flag signals may alert us to risk of dropout including non-EU origin, academic struggling, absenteeism, social isolation, depression and leave of absence. Psychological morbidity amongst dropout students is high and Student Welfare services should be actively promoted. Absenteeism should prompt early intervention. Behind every dropout statistic lies a personal story. All

  5. Ten-year results of phototherapeutic keratectomy on recurrent corneal erosions

    Directory of Open Access Journals (Sweden)

    Belquiz Rodrigues do Amaral Nassaralla

    2012-02-01

    Full Text Available PURPOSE: To determine the ten-year visual results and outcomes of excimer laser phototherapeutic keratectomy (PTK for recurrent corneal erosions. METHODS: Twenty-six eyes of 23 patients with recurrent corneal erosions were treated by PTK from 1996 to 2000 at the Goiania Eye Institute, Brazil. All eyes had failed to respond to conventional therapy. Data regarding preoperative and postoperative best-spectacle-corrected visual acuity (BSCVA, spherical equivalent (SE, symptomatic relief, incidence of recurrence, and complications arising from the laser treatment were analyzed. The mean duration of symptoms prior to PTK was 18 months (range, 8 to 36 months. The corneal epithelium was debrided, and laser ablation was performed to a depth of 5 micron with an ablation zone of 7 to 9 mm, using the Technolas 217C Plano Scan excimer laser. Mean postoperative follow-up was 12 years (range, 10 to 14 years. RESULTS: At the last follow-up visit, 15 eyes (57.69% were symptomsfree. Five eyes (19.2% had occasional mild symptoms of irritation and photophobia upon awakening. Recurrence of painful corneal erosions occurred in six eyes (23.07%, which required a PTK retreatment. Twenty-four eyes had a preserved or improved BCVA, while 2 eyes showed deterioration of 1 line on Snellen test. Eleven eyes (42.3% had no change in SE, and the others (57.69% had a change of less than +/-0.75 diopters (D. There were no major complications during the follow-up period. CONCLUSION: Ten-year data show that PTK is a safe, fast, effective and minimal invasive choice of treatment for recurrent corneal erosions in patients who do not respond to conventional treatments.

  6. Advanced situation awareness with localised environmental community observatories in the Future Internet

    Science.gov (United States)

    Sabeur, Z. A.; Denis, H.; Nativi, S.

    2012-04-01

    The phenomenal advances in information and communication technologies over the last decade have led to offering unprecedented connectivity with real potentials for "Smart living" between large segments of human populations around the world. In particular, Voluntary Groups(VGs) and individuals with interest in monitoring the state of their local environment can be connected through the internet and collaboratively generate important localised environmental observations. These could be considered as the Community Observatories(CO) of the Future Internet(FI). However, a set of FI enablers are needed to be deployed for these communities to become effective COs in the Future Internet. For example, these communities will require access to services for the intelligent processing of heterogeneous data and capture of advancend situation awarness about the environment. This important enablement will really unlock the communities true potential for participating in localised monitoring of the environment in addition to their contribution in the creation of business entreprise. Among the eight Usage Areas(UA) projects of the FP7 FI-PPP programme, the ENVIROFI Integrated Project focuses on the specifications of the Future Internet enablers of the Environment UA. The specifications are developed under multiple environmental domains in context of users needs for the development of mash-up applications in the Future Internet. It will enable users access to real-time, on-demand fused information with advanced situation awareness about the environment at localised scales. The mash-up applications shall get access to rich spatio-temporal information from structured fusion services which aggregate COs information with existing environmental monitoring stations data, established by research organisations and private entreprise. These applications are being developed in ENVIROFI for the atmospheric, marine and biodiversity domains, together with a potential to be extended to other

  7. Energy situation and renewables in Turkey and environmental effects of energy use

    Energy Technology Data Exchange (ETDEWEB)

    Akpinar, Adem; Koemuercue, Murat Ihsan; Kankal, Murat [Civil Engineering Department, Karadeniz Technical University, 61080 Trabzon (Turkey); Oezoelcer, Ismail Hakki [Civil Engineering Department, Zonguldak Karaelmas University, Zonguldak (Turkey); Kaygusuz, Kamil [Department of Chemistry, Karadeniz Technical University, 61080 Trabzon (Turkey)

    2008-10-15

    The effects on global and environmental air quality of pollutants released into the atmosphere from fossil fuels in power plants provide strong arguments for the development of renewable energy resources. Clean, domestic and renewable energy is commonly accepted as the key for future life, not only for Turkey but also for the world. In this regard, the objective of this paper is to present a review of the energy situation, technical and economical potential and utilization of renewables, including hydraulic energy, biomass energy, solar energy, wind energy and geothermal energy, in Turkey and then concerned with greenhouse gas emissions status, especially in air pollution, and environmental impacts of renewable energy sources. The renewable energy potential of the country, their present utilization, and greenhouse gas emissions status are evaluated based on the available data. The present paper shows that there is an important potential for renewables in Turkey and making use of renewable energy and energy efficiency resources to provide energy services to the electricity consumers can provide significant environmental benefits for Turkey. (author)

  8. Ten Years On, the Kimberley Process Certification Scheme and Zimbabwe's Marange and "Conflict Diamonds": Lessons to be learnt

    OpenAIRE

    Nazreen Shaik-Peremanov

    2014-01-01

    TEN YEARS ON, THE KIMBERLEY PROCESS CERTIFICATION SCHEME AND ZIMBABWE’S MARANGE AND "CONFLICT DIAMONDS": LESSONS TO BE LEARNT N Shaik-Peremanov* SUMMARY Remove by editor - Prof Christa Rautenbach email:

  9. Ten Years Back, Five Years Forward: The Data Seal of Approval

    Directory of Open Access Journals (Sweden)

    Ingrid Dillo

    2015-02-01

    Full Text Available If we want to share data, the long-term storage of those data in a trustworthy digital archive is an essential condition. Trust is the basis of storing and sharing data. That trust must be present in the various stakeholders involved. Certification of digital archives can make an important contribution to the confidence of these stakeholders in the digital archives.Ten years ago DANS was assigned the task of developing a Seal of Approval for digital data to ensure that archived data can still be found, understood and used in the future. In 2009 this Data Seal of Approval (DSA was transferred to an international body, the DSA Board, which has managed and further developed the guidelines and the peer review process ever since.The objectives of the DSA are to safeguard data, ensure high quality and guide reliable management of data for the future without requiring implementation of new standards, regulations or heavy investments. The DSA contains 16 guidelines for applying and verifying quality aspects concerning the creation, storage, use and reuse of digital data.Based on feedback from data archives that applied for a DSA and different case studies we have gained some insight into the benefits of DSA. Still, the impact of having the Seal is not easy to measure. Seal holders usually refer to qualitative benefits in the form of increased awareness of the value of their repositories to their communities, funders and publishers.Ten years down the line we can safely state that the Data Seal of Approval has proven its added value. If we try to look five years into the future, what can we expect? There are different developments: a growing interest in DSA among European research infrastructures, the collaboration between DSA and the ISCU World Data System under the umbrella of the RDA (Research Data Alliance and the European Commission is showing a growing interest in certification services.The success of DSA also provides the challenge to further

  10. Ten Years, Twenty Issues, and Two Hundred Papers of Numeracy: Toward International Reach and Transdisciplinary Utility

    Directory of Open Access Journals (Sweden)

    H.L. Vacher

    2017-07-01

    Full Text Available This issue completes the first ten years of Numeracy. The purpose of this introductory editorial is to review what has happened to the journal in those ten years. In the twenty issues, Numeracy’s output has been 201 papers counting the one or two editorials per issue. More than 50% of the papers are full, peer-reviewed articles, including 13 papers in two theme collections. The others are peer-reviewed notes and perspectives, editor-reviewed book reviews (15% of the total, and a column by contributing co-editor, Dorothy Wallace. The current issue marks an upswing in the number of notes, and our first discussion/reply. The number of papers per year has been increasing (e.g., 66% more in the last three years than in the first three years. The download rate has increased from about 5,000 in the first two years to 5,000 in about 40 days now. The editorial goes on to document two main outcomes. First, the journal is gaining an international reach: more than half the downloads occur outside the United States now, and the number of contributions from outside the United States has increased from 4 in the first five years to 15 in the second five years. Second, the across-the-curriculum nature of quantitative literacy is coming to the fore. The transdisciplinarity of QL is strikingly evident in this issue, which is discussed in some detail, especially how it conforms to the mission of the Association of American Colleges and Universities. The editorial ends with some results from a small ad hoc study of Google Scholar Citation Profiles. The question was, of the profiles that used “numeracy” or “quantitative literacy” as keywords, what other keywords did those profiles use, and what were the source countries? The results show that (1 QL is very much an American term, (2 there is, metaphorically, a vast and interesting numeracy ecosystem out there for Numeracy to engage and serve, and (3 as we become more global, the transdisciplinary relevance

  11. Prognostic factors in children with acute lymphoblastic leukemia: a ten year study

    Directory of Open Access Journals (Sweden)

    Oloomi yazdi Z.

    2008-06-01

    Full Text Available Background: Acute lymphoblastic leukemia (ALL is the most common cancer in the pediatric population. With modern treatments, the chance of the complete recovery is nearly 100%. The most important prognostic factors are appropriate treatment protocol and determination of patient risk factors based on clinical, morphological, immunological and cytological characteristics. In this study we reviewed frequency of these factors, like as age, gender, the primary white blood cell number, sub- group on the base of FAB classification, immunophenotype and the clinical progress. Methods: In this retrospective study, we reviewed 877 pediatric patients with the diagnosis of ALL between the years of 1994 and 2004. In these patients the age, gender, primary WBC count, sub-group based on the FAB classification, immunophenotype and the clinical progress in 177 patient with acute lymphoblastic leukemia at Imam Khomeini Hospital between the years of 1994 to 2004 were determined. Results: Of these patients, 1.6% was younger than one year, 24.8% more than ten years old and 73.6% were between the ages of one and ten years; 63.8% were male. WBC counts were above 50,000/ul in 28.8% of the patients. FAB classifications included L1 in 80.2%, L2 in 17.5% and L3 in 2.3% of the patients. Immunophenotypes included pre-B cell in 63.8%, early pre-B cell in 23.1%, T cell in 12.3% and mature B cell in 0.8% of the patients. Marker CD10+ was detected in 88.1% of the B cell cases. In this study group, 74% of the patients recovered, 16.3% died and 16.5% relapsed.Conclusions: The prevalence of FAB-L1 and pre-B cell cases in this study is greater than a previous study, while the prevalence of FAB-L2 and early pre-B cell cases is less than that of the previous study.

  12. The origin of the future ten questions for the next ten years

    CERN Document Server

    Gribbin, John

    2006-01-01

    How did the universe begin? Where do galaxies come from? How do stars and planets form? Where do the material particles we are made of come from? How did life begin? Today we have only provisional answers to such questions. But scientific progress will improve these answers dramatically over the next ten years, predicts John Gribbin in this riveting book. He focuses on what we know—or think we know—about ten controversial, unanswered issues in the physical sciences and explains how current cutting-edge research may yield solutions in the very near future. With his trademark facility for engaging readers with or without a scientific background, the author explores ideas concerning the creation of the universe, the possibility of other forms of life, and the fate of the expanding cosmos. He examines “theories of everything,” including grand unified theories and string theory, and he discusses the Big Bang theory, the origin of structure and patterns of matter in the galaxies, and dark mass and dark ene...

  13. Highlighting ten years of physics education research in the upper division

    Science.gov (United States)

    Ambrose, Bradley

    2015-04-01

    The field of Physics Education Research (PER) has for over thirty years provided insights into student thinking and guided the development and assessment of reformed teaching strategies and practices in introductory physics courses. In the last decade or so, researchers have expanded the domain of such investigations to upper-division courses where undergraduate majors study more advanced content and begin to see themselves as future physicists. The upcoming Focused Collection on Upper Division PER brings together work from researchers active in these new frontiers of PER. In this presentation we provide an overview of the studies in this collection, which offer to the PER and greater physics education communities: new insights about the thinking, behavior, and beliefs of students in the upper division; new tools to innovate instruction, assess student learning, and evaluate teaching effectiveness; and groundbreaking studies of identity development and ``thinking like a physicist'' among physics majors. In this session we also recognize the ten-year anniversary of Physical Review Special Topics: Physics Education Research, an occasion that we will celebrate with an informal reception immediately following the conclusion of this invited session.

  14. A ten-year study of depressive symptoms in Serbian medical students.

    Science.gov (United States)

    Ristić-Ignjatović, Dragana; Hinić, Darko; Jakovljević, Mihajlo; Fountoulakis, Kostas; Siepera, Marianna; Rancić, Nemanja

    2013-06-01

    The main objective of this study was to examine the rate of three dimensions of depressive symptoms in medical student population in Serbia, and to find out whether this rate had changed over the period often years. This cross-sectional study included 615 medical students (F = 61% and M = 39%), mean age = 23.60 (SD = 1.541), who were tested in five non-consecutive surveys between 2002 and 2012. Depressive symptoms were measured by the Beck Depression Inventory (BDI). The mean BDI score for the entire sample was 6.26 +/- 6.175. There was no significant difference in total BDI score among the values obtained during the ten years of testing. The greatest portion of the examined sample (77.24%) had no signs of depressive symptoms, and there was no difference in symptom intensity between medical students and other educational profiles. Similar to previous results, females had higher scores on all depressive dimensions except for one tested year, whereas a weak correlation was found between BDI scores and student age (r = 0.104; p = 0.010). Since there are still discrepancies among studies that do (not) report that medical students have typical depressive symptoms, potential explanations for the mentioned discrepancies may be found in individual characteristics of the members of the student population. Our suggestions for future studies are that they should include the stress factor, stress coping strategies, estimated life satisfaction, and the impact of these factors on the potential mental disorders.

  15. Ten years of iPSC: clinical potential and advances in vitro hematopoietic differentiation.

    Science.gov (United States)

    Paes, Bárbara Cristina Martins Fernandes; Moço, Pablo Diego; Pereira, Cristiano Gonçalves; Porto, Geciane Silveira; de Sousa Russo, Elisa Maria; Reis, Luiza Cunha Junqueira; Covas, Dimas Tadeu; Picanço-Castro, Virginia

    2017-06-01

    Ten years have passed since the first publication announcing the generation of induced pluripotent stem cells (iPSCs). Issues related to ethics, immune rejection, and cell availability seemed to be solved following this breakthrough. The development of iPSC technology allows advances in in vitro cell differentiation for cell therapy purpose and other clinical applications. This review provides a perspective on the iPSC potential for cell therapies, particularly for hematological applications. We discuss the advances in in vitro hematopoietic differentiation, the possibilities to employ iPSC in hematology studies, and their potential clinical application in hematologic diseases. The generation of red blood cells and functional T cells and the genome editing technology applied to mutation correction are also covered. We highlight some of the requirements and obstacles to be overcome before translating these cells from research to the clinic, for instance, iPSC variability, genotoxicity, the differentiation process, and engraftment. Also, we evaluate the patent landscape and compile the clinical trials in the field of pluripotent stem cells. Currently, we know much more about iPSC than in 2006, but there are still challenges that must be solved. A greater understanding of molecular mechanisms underlying the generation of hematopoietic stem cells is necessary to produce suitable and transplantable hematopoietic stem progenitor cells from iPSC.

  16. A Ten Year Analysis of Fatal Peripheral Vascular Injuries Autopsy Study

    Directory of Open Access Journals (Sweden)

    Salim Tuncer

    2016-04-01

    Full Text Available Aim: Peripheral vascular injuries are usually associated with fatal injuries. Early diagnosis and intervention are so vital for improving a favorable outcome for traumatic vascular injuries. As a preventable cause of death, we aimed to evaluate peripheral vascular injuries in overall deaths in ten year period, 2003-2012. Material and Method: A retrospective evaluation was made of 2845 death cases which had post-mortem examination and autopsy from the 10-year period of 2003-2012 in Eskisehir, Turkey. The mean age of the cases included in the study was 32.5±7.9 years with the highest rate of cases occurring in the 30-39 years age group. Males constituted 89.2% of the victims. The most frequent manner of death was homicide 83.8%.The femoral artery was the most commonly injured vessel 29 cases (78.4%. In this study it was identified that, 33 patients (89.3% died before any medical intervention could be performed. Discussion: Our study shows that, peripheral vascular injuries most commonly caused by sharp objects. The injuries have a low mortality rate when early intervention is made. Autopsies are conducted is very important to explain not only the cause of death but also the treatment process, which would clear the cases of any potential malpractice or negligence claims.

  17. Ten years of ozone research at DLR; Ergebnisse aus zehn Jahren Ozonforschung im DLR

    Energy Technology Data Exchange (ETDEWEB)

    Dameris, M.; Schumann, U. [Deutsche Forschungsanstalt fuer Luft- und Raumfahrt e.V. (DLR), Wessling (Germany). Inst. fuer Physik der Atmosphaere

    2000-02-01

    After ten years of ozone research, depletion of stratospheric ozone over the Antarctic and Arctic regions and also over Europe is still not fully understood although its progress can be predicted by models. The state of the art was presented in the report 'Scientific Assessment of Ozone Depletion: 1998' of the World Meteorological Organisation. There is also a national documentation '10 Jahre Deutsche Ozonforschung 1989 bis 1999', to which DLR scientists made significant contributions. Some of their projects and findings are presented here. Research will be stimulated by the 2001 start of the ENVISAT satellite of the ESA. [German] Nach zehn Jahren Ozonforschung ist die Abnahme der Ozonschicht in der Stratosphaere nicht nur ueber der Antarktis (Ozonloch), sondern auch ueber der Arktis und Europa ein Faktum, das man heute weitgehend, wenn auch immer noch nicht vollstaendig versteht und dessen weitere Entwicklung man mit Modellen berechnen kann. Der Stand des Wissens wurde in einem umfassenden Bericht 'Scientific Assessment of Ozone Depletion: 1998' unter Federfuehrung der World Meteorological Organisation zusammengestellt. National gibt es eine Dokumentation '10 Jahre Deutsche Ozonforschung 1989 bis 1999'. Wissenschaftler des DLR haben zu den Erkenntnissen mit zahlreichen Publikationen wesentlich beigetragen. Einige der Projekte und Ergebnisse werden hier vorgestellt. Mit dem fuer 2001 geplanten Start des Umweltsatelliten ENVISAT der ESA erhaelt das Thema neue Aktualitaet. (orig.)

  18. Ten Years of Observatory Science from Saanich Inlet on the VENUS Cabled Ocean Observatory

    Science.gov (United States)

    Dewey, R. K.; Tunnicliffe, V.; Macoun, P.; Round, A.

    2016-02-01

    The Saanich Inlet array of the VENUS cabled ocean observatory, maintained and operated by Ocean Networks Canada, was installed in February 2006, and in 2016 will have supported ten years of comprehensive interactive science. Representing the first in the present generation of cabled observing technologies, this coastal array has provided continuous high power and broadband communications to a variety of instrument platforms, hundreds of sensors, and enabled dozens of short, medium, and long-term studies. Saanich Inlet is a protected fjord with limited tidal action, resulting in an extremely productive environment, with strong seasonal chemical variations driven by episodic deep water renewal events and oxygen reduction processes. The breadth of the research has included microbial and benthic community dynamics, biogeochemical cycles, forensics, quantifying inter-annual variations, benthic-pelagic coupling, sensor testing, plankton dynamics, and bio-turbulence. Observatory measurements include core water properties (CTD & O2) and water-column echo-sounder records, as well as experiment-oriented deployments utilizing cameras, Gliders, Dopplers, hydrophones, and a variety of biogeochemical sensors. With a recently installed Buoy Profiler System for monitoring the entire water column, community plans continue with a dedicated Redox experiment through the 2016-17 seasons. Highlights from the dozens of research papers and theses will be presented to demonstrate the achievements enabled by a comprehensive coastal cabled observing system.

  19. Modeling the Office of Science Ten Year Facilities Plan: The PERI Architecture Tiger Team

    Energy Technology Data Exchange (ETDEWEB)

    de Supinski, Bronis R.; Alam, Sadaf; Bailey, David H.; Carrington, Laura; Daley, Chris; Dubey, Anshu; Gamblin, Todd; Gunter, Dan; Hovland, Paul D.; Jagode, Heike; Karavanic, Karen; Marin, Gabriel; Mellor-Crummey, John; Moore, Shirley; Norris, Boyana; Oliker, Leonid; Olschanowsky, Catherine; Roth, Philip C.; Schulz, Martin; Shende, Sameer; Snavely, Allan; Spear, Wyatt; Tikir, Mustafa; Vetter, Jeff; Worley, Pat; Wright, Nicholas

    2009-06-26

    The Performance Engineering Institute (PERI) originally proposed a tiger team activity as a mechanism to target significant effort optimizing key Office of Science applications, a model that was successfully realized with the assistance of two JOULE metric teams. However, the Office of Science requested a new focus beginning in 2008: assistance in forming its ten year facilities plan. To meet this request, PERI formed the Architecture Tiger Team, which is modeling the performance of key science applications on future architectures, with S3D, FLASH and GTC chosen as the first application targets. In this activity, we have measured the performance of these applications on current systems in order to understand their baseline performance and to ensure that our modeling activity focuses on the right versions and inputs of the applications. We have applied a variety of modeling techniques to anticipate the performance of these applications on a range of anticipated systems. While our initial findings predict that Office of Science applications will continue to perform well on future machines from major hardware vendors, we have also encountered several areas in which we must extend our modeling techniques in order to fulfill our mission accurately and completely. In addition, we anticipate that models of a wider range of applications will reveal critical differences between expected future systems, thus providing guidance for future Office of Science procurement decisions, and will enable DOE applications to exploit machines in future facilities fully.

  20. Management of orbital cellulitis and subperiosteal orbital abscess in pediatric patients: A ten-year review.

    Science.gov (United States)

    Sciarretta, Vittorio; Demattè, Marco; Farneti, Paolo; Fornaciari, Martina; Corsini, Ilaria; Piccin, Ottavio; Saggese, Domenico; Fernandez, Ignacio Javier

    2017-05-01

    Pediatric periorbital cellulitis represents a common disease complicating a nasal infection. A ten-year retrospective review of fifty-seven children admitted to our institution with the diagnosis of periorbital cellulitis as a complication of sinus infections was carried out. The age varied from one month to eleven years (mean 3.9 years). Thirty-five were males (62%), while twenty-two were females (38%). Nine out of fifty-seven (15.8%) presented exophthalmos associated with eyelid erythema and edema, while the rest suffered mainly from eyelid erythema and edema. Twenty-two patients complaining of exophthalmos or not responding to medical therapy within 48 h were assessed with a computed tomography scan (38.6%). A subperiosteal orbital abscess was detected in nine cases and these patients underwent surgical drainage (15,8%). Recurrence of orbital infection occurred in three cases (5.3%). Medical management is the main treatment for both preseptal and postseptal orbital cellulitis. Nevertheless, there is no universally accepted guideline for the treatment of subperiosteal abscesses and each case should be treated accordingly. Urgent surgical drainage should be considered in cases not responding to adequate medical management, or those cases presenting visual deterioration. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Scientometric analysis of published papers in global ophthalmology in the past ten years.

    Science.gov (United States)

    Yu, Zheng-Lu; Hu, Xin-Yue; Wang, Ying-Na; Ma, Zheng

    2017-01-01

    To investigate the published papers of ophthalmology in past ten years and explore the development of ophthalmology. The data of this study retrieved from Science Citation Index Expanded and downloaded online in November 2017, including all the papers with publication year from 2007-2016 were analyzed. The papers were based on the Web of Science category and the journals were based on the Journal Citation Report category. The number of ophthalmology papers increased from 7450 to 9089 during 2007 to 2017. The average rate increased 2.2% annually. USA accounts for one thirds of the total and two thirds of the highly cited papers. In Asia, China, Japan and South Korea were in Top 10 by the number of ophthalmology papers. UK, Germany, Japan and Australia also had great impact in global ophthalmology. The hot spots included endothelial growth factor, optical coherence tomography and open-angle glaucoma. USA is in the leading position in global ophthalmology. Part of Asian countries play an important role in the development of ophthalmology, but the impact needs to be improved.

  2. [The ten-year retrospect of nutrition and health status of pregnant women in China].

    Science.gov (United States)

    Dong, C X; Yin, S A

    2018-01-06

    Improvement of the nutrition and health status of pregnant women should be one of the top priority strategies of improving the physical fitness of next generation and reserve of talented person for national sustainable development. This paper reviews the nutrition and health status of pregnant women in China over the recent ten years and discusses the underlying factors and changing trends. The most popular nutrition-related problem is dietary imbalance, and many micronutrient intakes are lower than the recommended dietary intakes or adequate intakes, and some of nutrient intakes are still at a very low level for a long time such as vitamin D and calcium. The nutrition-related health problems are mainly anemia, vitamin D and vitamin A deficiencies; iodine intake is not in optimal state with a large proportion of inadequate and individual cases facing excessive intake risk. Overweight and obesity, pregnancy complications such as gastrocnemius muscle spasms, pregnancy hypertensive disorders and gestational diabetes were prevalent among pregnant women. We should address both malnutrition and nutrition imbalance in the same time in order to improve the nutrition and health status of pregnant women, by developing and implementing relevant laws and regulations, giving higher attention to pregnant women with advanced age, which in turns prevent a variety of micronutrient deficiencies, reduce adverse pregnant outcomes, and improve nutrition and health status of maternal and child.

  3. Implantable cardioverter defibrillator therapy: ten years experience in a medical center.

    Science.gov (United States)

    Chen, Tien-En; Wang, Chun-Chieh; Chang, Shang-Hung; Yeh, San-Jou; Wu, Delon

    2008-01-01

    An implantable cardioverter defibrillator (ICD) is the therapy of choice for survivors of life-threatening ventricular tachyarrhythmias or sudden cardiac death. To date there is little data concerning the clinical features and outcome of ICD therapy among Taiwanese. This study identifies factors related to the outcome of ICD therapy over a ten-year period at this institution. Forty-nine ICDs were implanted in 46 patients between August 1996 and January 2006. The mean follow-up duration was 32 +/- 21 months. Patient data, primary cardiac diagnosis, presenting cardiac arrhythmia, echocardiographic parameters, hemodynamic indexes, electrophysiologic findings, and follow-up observations were analyzed. The findings were compared to those of the Taiwan ICD Multicenter Registry (TIMR) Study and major secondary prevention ICD trials in the literature. The patients in this study were comparable to those of TIMR but were younger and had better left ventricular ejection fractions (LVEF) than those in Western countries. Furthermore, higher mortality on follow-up was observed in patients with any of the following: LVEF or = 55 mm, a left ventricular end diastolic dimension > or = 75 mm, an end systolic dimension > or = 60 mm, triple vessel disease, a prior anterior myocardial infarction, and amiodarone or diuretic therapy. Patients with structural heart disease other than ischemic heart disease or dilated cardiomyopathy had higher event recurrence rates. Left ventricular function is a major determinant affecting the outcome in ICD recipients. Aggressive treatment for heart failure is warranted in these patients.

  4. Naive (commonsense) geography and geobrowser usability after ten years of Google Earth

    Science.gov (United States)

    Hamerlinck, J. D.

    2016-04-01

    In 1995, the concept of ‘naive geography’ was formally introduced as an area of cognitive geographic information science representing ‘the body of knowledge that people have about the surrounding geographic world’ and reflecting ‘the way people think and reason about geographic space and time, both consciously and subconsciously’. The need to incorporate such commonsense knowledge and reasoning into design of geospatial technologies was identified but faced challenges in formalizing these relationships and processes in software implementation. Ten years later, the Google Earth geobrowser was released, marking the beginning of a new era of open access to, and application of, geographic data and information in society. Fast-forward to today, and the opportunity presents itself to take stock of twenty years of naive geography and a decade of the ubiquitous virtual globe. This paper introduces an ongoing research effort to explore the integration of naive (or commonsense) geography concepts in the Google Earth geobrowser virtual globe and their possible impact on Google Earth's usability, utility, and usefulness. A multi-phase methodology is described, combining usability reviews and usability testing with use-case scenarios involving the U.S.-Canadian Yellowstone to Yukon Initiative. Initial progress on a usability review combining cognitive walkthroughs and heuristics evaluation is presented.

  5. Ten years after "Worrying trends in econophysics": developments and current challenges

    Science.gov (United States)

    Ormerod, Paul

    2016-12-01

    Econophysics has made a number of important additions to scientific knowledge. Yet it continues to lack influence with both economists and policy makers. Ten years ago, I and three other economists sympathetic to econophysics wrote a paper on worrying trends within the discipline. For example, its lack of awareness of the economics literature, and shortfalls in the use of statistical analysis. These continue to be obstacles to wider acceptance by economists. Like all agents, policy makers respond to incentives, and economists understand this very well. Much of the econophysics community appears to think that simply doing good science is sufficient to have the work recognised, rather than relating to the motivations and incentives of policy makers. Nevertheless, econophysics now has three major opportunities to advance knowledge in areas where policy makers perceive weaknesses in what they are presented with by economists. All can benefit from the analysis of Big Data. The first is a core model of agent behaviour which is more relevant to cyber society than the rational agent model of economics. Second, extending our understanding of the business cycle, primarily by incorporating the importance of networks into models. Third, devising proper measures of output in cyber society.

  6. [Thinking about academic development of acupuncture and moxibustion in recent ten years].

    Science.gov (United States)

    Wen, Bi-ling; Jia, Chun-sheng; Liu, Wei-hong; Yang, Yong-qing; Wang, Ling-ling; Yang, Hua-yuan; Wu, Xiao-dong; Shen, Xue-yong; Xu, Ping; Zhao, Jing-shen; Liu, Jun-ling; Cheng, Kai; Zhu, Wen-zeng

    2009-12-01

    Through combing the academic development of acupuncture in recent ten years, objectively reflects the real development status of acupuncture subject on these aspects sucl as basis, clinic, equipment, teaching and standardization, etc., shows the scientific and technological achievements and the highlights of the acupuncture academic development, analyzes the bottleneck and dilemma of the acupuncture academic development. It is indicated that there are several problems existed in acupuncture researche at present, such as the scale and the input of the acupuncture theory research are not enough, the basic research and clinical application is disjointed, the correlation between the acupoints and viscera need more systematic and further researches, the design level of clinical research on acupoints' main indications should be improved. From now on we should follow the inherent rule of the traditional theory of Chinese medicine and the way of integrated thinking, explore the new rule of acupuncture academic development, in order to fit the new historical period, and comprehensively promote the sustainable and coordinated development of acupuncture science.

  7. Ten-year operational dust forecasting - Recent model development and future plans

    Energy Technology Data Exchange (ETDEWEB)

    Kallos, G; Spyrou, C; Astitha, M; Mitsakou, C; Solomos, S; Kushta, J; Pytharoulis, I; Katsafados, P; Mavromatidis, E; Papantoniou, N; Vlastou, G [University of Athens, School of Physics, Atmospheric Modeling and Weather Forecasting Group - UOA/AM and WFG, University Campus, Bldg. PHYS-V, Athens 15784 (Greece)], E-mail: kallos@mg.uoa.gr

    2009-03-01

    The Sahara desert is one of the major sources of mineral dust on Earth, producing up to 2x10{sup 8} t yr-{sup 1}. A combined effort has been devoted during the last ten years at the University of Athens (UOA) from the Atmospheric Modeling and Weather Forecasting Group (AM and WFG) to the development of an analysis and forecasting tool that will provide early warning of Saharan dust outbreaks. The developed tool is the SKIRON limited-area forecasting system, based on the Eta limited area modeling system with embedded algorithms describing the dust cycle. A new version of the model is currently available, with extra features like eight-size particle bins, radiative transfer corrections, new dust source identification and utilization of rocky soil characterization and incorporation of more accurate deposition schemes. The new version of SKIRON modeling system is coupled with the photochemical model CAMx in order to study processes like the shading effect of dust particles on photochemical processes and the production of second and third generation of aerosols. Moreover, another new development in the AM and WFG is based on the RAMS model, with the incorporation of processes like dust and sea-salt production, gas and aqueous phase chemistry and particle formation. In this study, the major characteristics of the developed (and under development) modeling systems are presented, as well as the spatiotemporal distribution of the transported dust amounts, the interaction with anthropogenically-produced particles and the potential implications on radiative transfer.

  8. Global public-private health partnerships: lessons learned from ten years of experience and evaluation.

    Science.gov (United States)

    Buse, Kent; Tanaka, Sonja

    2011-08-01

    Global Health Partnerships (GHPs) have contributed significantly to improved global health outcomes as well as the manner in which global health is governed. Yet in a context of an increasingly complex global health landscape, resource scarcity and a shift from disease-specific to systems strengthening approaches, it is important to continually enhance and apply our understanding of how to improve GHP performance. The authors reviewed and synthesised findings from eight independent evaluations of GHPs as well as research projects conducted by the authors over the past several years, the most recent of which involved semi-structured discussions with 20 'partnership pioneers'. This paper presents the major drivers of the GHP trend, briefly reviews the significant contributions of GHPs to global health and sets out common findings from evaluations of these global health governance instruments. The paper answers the question of how to improve GHP performance with reference to a series of lessons emerging from the past ten years of experience. These lessons cover the following areas: • Value-added and niche orientation • Adequate resourcing of secretariats • Management practices • Governance practices • Ensuring divergent interests are met • Systems strengthening • Continuous self-improvement. These and other critical reflections inform the 'what's next' agenda for GHP development. © 2011 FDI World Dental Federation.

  9. [Ten years of human papilloma virus vaccination. From dermatology to oncology via the infectious diseases department].

    Science.gov (United States)

    Moraga-Llop, Fernando A

    2018-02-07

    Human papilloma virus (HPV) was first identified in dermatology, and it was subsequently demonstrated that is was required for the development of uterine cervical cancer and other tumours, after a persistent infection by any of its oncogenic genotypes. Ten years ago, the most common infections and cancers associated with HPV could be prevented by immunisation with 2vaccines, one bivalent, and another tetravalent, and having just marketed a nonavalent one. During the period 2007-2008, the HPV vaccine was included in the Autonomous Communities vaccination calendar, and it is the second vaccine, after that of Hepatitis B, that prevents cancer. In these 10 years that these vaccines have been available the knowledge has progressed and there have been significant advances in vaccination strategies, as well as in the indications and recommendations. These include, lowering the age in the vaccination schedule, prescribing of 2doses at 9 years and at 13-14 years, systematic vaccination of the male in some countries, immunisation of the woman after adolescence, implementation of vaccination programmes in developed countries, prevention of other cancers, recommendations for vaccinations for populations at high risk of HPV infection, scientific evidence on the impact and effectiveness of vaccination, and confirmation of the safety of these vaccines, with more than 270 million doses administered, as has already been observed in clinical trials. The role of health professionals is essential to achieve and maintain high vaccine coverage. Copyright © 2018. Publicado por Elsevier España, S.L.U.

  10. Green Tea as an Agricultural Based Health Promoting Food: The Past Five to Ten Years

    Directory of Open Access Journals (Sweden)

    Qin-Yin Shi

    2012-12-01

    Full Text Available The consumption of tea originated in ancient China over 4000 years ago and is currently the second most popular beverage in the world after water. Tea is an aromatic beverage prepared by pouring hot water over cured leaves of the Camellia sinensis plant. The link between tea intake, most notably green tea, and health has resulted in intense research on the components responsible for preventing the onset of several chronic diseases, including atherosclerosis, cancer, obesity and diabetes. In particular, the high levels of chemically diverse phenols (e.g., phenolic acids, flavonoids present in tea exhibit potent protective properties against many of these diseases. Although health related research on green tea and its predominant phenol (catechins has been on-going for decades, major advances have occurred in the last 5–10 years. Therefore, this review focuses on seminal studies reported primarily within the last five years but not extending past ten years on the link between health and green tea with an emphasis on the catechins.

  11. SOCIAL AND ENVIRONMENTAL SITUATION IN POPULAR HOUSING IN FOZ DO IGUAÇU-PR

    Directory of Open Access Journals (Sweden)

    Felipe Samways Santos

    2016-03-01

    Full Text Available Urban development in Brazil, without proper planning, generating a series of environmental problems, among which we can mention unemployment, lack of access to urban infrastructure, inadequate housing, among others. This study aimed to survey and analyze the social and environmental situation of the residents of the people's Conjunto Popular Vila União in Foz do Iguaçu - PR. Data collection and analysis were conducted between May and November 2010 through interviews and checklist. It was concluded that 67.86% of the surveyed families have up to three people living in the same residence. The percentage of people aged 16 and over employed is 72.46%. With respect to income, 42.86% of families residing at the site has an average monthly income above two minimum salaries. However, 57.14% have an average monthly income of up to two minimum salaries. Some factors such as public sanitation, noise, size, maintenance and painting of the apartments and even the lack of government attention have been criticized by families, where 53.57% of respondents cited these factors. Still, issues related to urban infrastructure showed 46.43% of dissatisfaction of local people. Regarding the disposal of solid waste, the site is covered by the dealership that performs public gathering, meeting 100% of households. Keywords: urban planning; environment; urbanization.

  12. Situation of Environmental Health of Rural Communities in Palpa District of Nepal

    Directory of Open Access Journals (Sweden)

    Moushami Ghimire

    2013-12-01

    Full Text Available Background: Sanitation  refers to create and  maintain  hygienic conditions, through services such as garbage collection and its proper disposal, wastewater disposal, consumption of safe drinking water, housing condition and its surrounding, an act or process of making sanitary,  the promotion of hygiene and prevention of disease. Human being is a social animal and being a part of society, factors affecting the society also affect human and his surroundings. The study is concerned to demographic variables and environmental practices in rural communities. Objectives: To find out environmental situation and observe an impact of demographic variables on environmental factors. Materials and methods: A cross-sectional study was followed to conduct the study in palpa district of Nepal at 2012. Three hundred thirty nine households were selected through simple random procedure. Semi-structure interview schedule was used to collect information. Data were analyzed using software SPSS for windows version 16.0.  Results: Most of the families were faithful to ethnic group. Practices of refuse and excreta disposable had unsatisfactory where percentages of throwing refuse and open field defecation was 39.2 and 9.1 respectively. 77.6% households were consumed tap water. Most of the households (53.4% did not have proper drainage system around their houses. Conclusion: Family type and caste of households were strongly associated with practice related to excreta disposal, drainage system and refuse disposable. Improper sanitation could be main threat to public health promotion and disease prevention in study areas.

  13. Family religion and psychopathology in children of depressed mothers: ten-year follow-up.

    Science.gov (United States)

    Jacobs, Martha; Miller, Lisa; Wickramaratne, Priya; Gameroff, Marc; Weissman, Myrna M

    2012-02-01

    Previously we found that transmission of religion from mother to adult offspring as measured by correlations on ratings of personal importance of religion and frequency of attendance at religious services was hindered by maternal depression. Concordance of denomination, a measure indicating successful transmission of denomination within a mother and offspring pair, was associated with a 71% decreased risk of major depressive disorder (MDD) in offspring. This study attempts to replicate the findings in a younger generation of mothers who were the original offspring or spouse of the original offspring in the previous study, and their offspring. Mothers (N=45) and offspring (N=78) were assessed for MDD and anxiety using semi-structured clinical interviews (The Diagnostic Schedule for Affective Disorders and Schizophrenia Modified for the Anxiety Disorders) at two points across a ten-year interval. Religiosity was assessed by report of personal spirituality, frequency of attendance at religious services, and religious denomination Results partially replicate previous findings that maternal depression hinders the transmission of importance but not attendance or denomination to offspring. Concordance of denomination is protective, decreasing by 91% the likelihood of childhood anxiety or depression, independent of maternal depression. Limitations include small sample size that represents few denominations, limited assessments of religiosity, and inability to control for the possible confound of a close relationship between mother and offspring in our analyses. Family agreement and practice of religious denomination may be a robust protective source from MDD or anxiety for youth, independent of the effects of maternal depression. Copyright © 2011 Elsevier B.V. All rights reserved.

  14. Epidemiology, management and survival outcomes of primary cutaneous melanoma: a ten-year overview.

    Science.gov (United States)

    Aubuchon, M M F; Bolt, L J J; Janssen-Heijnen, M L G; Verleisdonk-Bolhaar, S T H P; van Marion, A; van Berlo, C L H

    2017-02-01

    Malignant melanoma (MM) is the most aggressive type of skin cancer, accounting for 90% of all the skin cancer mortality. The objective of this study was providing an overview of current patient- and tumour characteristics, treatment strategies, complications and survival in patients with MM over the past ten years. Hereby, an up-to-date view of every day clinical practice is obtained. Files of patients treated for primary cutaneous melanoma (n = 686) in the VieCuri Medical Centre in the Netherlands between January 2002 and December 2013 were retrospectively reviewed. Relevant patient features, tumour characteristics, and (surgical) outcomes were evaluated. The majority of all the patients presented thin tumours (59.1% stage 1A/in situ melanoma). Men showed more ulceration (17.7% vs. 8.4%, p < .01) and a significantly higher Breslow thickness than women (1.2 mm vs. 0.9 mm, p < .01). 14.6% (40/273) underwent sentinel lymph node biopsy (SLNB); 10/40 (25%) showed nodal metastasis, 50 patients (7.3%) developed distant metastases (M: 10.6%, F: 5%, p < .01). One-, 5- and 10- year disease specific survival rates were 96%, 86% and 84%, respectively. Median survival for stage 4 MM was 3 months. Extensive surgery was uncommon (n = 3). Patients generally presented with thin melanomas. Lymph node disease and distant metastases remained infrequently observed during following years, and general 1- and 5-year overall disease-specific survival rates exceeded 85%. Small numbers of rescue surgery and palliative medical treatment warrant further centralisation and investigation.

  15. Ten years of RELEA: achievements and challenges for astronomy education development

    Science.gov (United States)

    Bretones, Paulo Sergio; Jafelice, Luiz Carlos; Horvath, Jorge Ernesto

    2015-08-01

    When an area of education, and more particularly the research within this area, is aimed to development, a basic requirement is the existence of a regular publication that accounts for the scientific production in that area. This study aims to analyze 10 years of Latin-American Journal of Astronomy Education (RELEA). Publishing policies of the RELEA and their context are discussed in relation to submission, refereeing and publication. The 75 articles published in 18 editions are analyzed and classified by: year of publication, edition, the authors' institutions, school level, study focus and content. The results present trends and shortcomings of the production. A comparison with the number of articles published in other Brazilian journals of education and an analysis of the international scene in relation to other type publications along these ten years is made. Given that this journal is now consolidated, its future prospects in the international landscape are further considered. The challenges related to article submission are discussed: how to increase their number, the submission of Latin American countries, and how to bring in the issues and subjects not addressed until now. It is also considered the possibility of encouraging graduate studies, new lines of research in astronomy education, and dissemination of material in schools and universities for teachers and students. Finally, future possibilities are discussed given the IAU development programs. For example, more article submission from Portuguese-speaking countries with the support of Regional Nodes and Language Expertise Centers, and opportunities for volunteer IAU members and global projects for the development of astronomy education.

  16. Food items in the food intake of children aged seven to ten years.

    Science.gov (United States)

    Hinnig, Patrícia de Fragas; Hinnigi, Patrícia de Fragas; Bergamaschi, Denise Pimentel; Bergamaschi, Denise Pimental

    2012-06-01

    To describe the most representative food items regarding the total intake of energy, carbohydrates, proteins and lipids in children with ages between 7 and 10 years. A list was prepared with all food intake and quantities, and the diet composition in relation to energy and macronutrients was calculated. The list was based on information provided by a 3-day-Food Diary completed by 85 schoolchildren ranging from seven to ten years old and enrolled in a public school in São Paulo, Brazil. After dividing the food into 129 items, we calculated the percentage in which each item contributed to diet nutrient intake and identified those which contributed to up to 95% of the total intake of calories and selected nutrients. The items "White rice, Greek rice, rice with vegetables" and "Brown, black and white beans, lentils" contributed significantly to the total intake of energy and carbohydrates. The item "Whole milk, powdered milk" had a significant participation in the total intake of lipids, protein and energy. We emphasize the importance of carbohydrates and energy intake from sugar-sweetened beverages (sodas and processed juices) in the total diet intake of the children. the contribution of rice in the total food intake of energy and carbohydrates; of beans in energy, carbohydrates and proteins; of milk and meat in energy, protein and lipids; and bread in energy and carbohydrates is noticeable. The participation of sugar-sweetened beverage in the total intake in energy and carbohydrates and of candies in the total intake of lipids is also evident.

  17. Analysis of ten year return period floods in west african rivers

    Science.gov (United States)

    Nka Nnomo, Bernadette; Oudin, Ludovic; Paturel, Jean Emmanuel; Karambiri, Harouna; Ribstein, Pierre

    2014-05-01

    In West Africa, flood and flow are usually determined by using methods advocated by the FAO (1996) and developed by ORSTOM and CIEH researchers in the 1960s. However, the 1970s, 1980s, 1990s decades were characterized by very low precipitation amounts, leading to low stream flows in river basins, except in the Sahelian region where the impact of human activities led to a substantial increase of floods in some catchments. More recently, studies pointed out an increase in the frequency of intense rainfall events and an increase of flood events. Consequently, the reliability of conventional methods for flood estimation is questionable. In this work, we analyzed the trends of the ten-year return period rainfall and stream flow events for several catchments in the Sahelian and Sudanian regions. We used eleven tributaries of large river basins (Niger, Nakambe, Senegal, Gambia) for which daily rainfall and flow data were collected from national hydrological services of four countries over West Africa (Burkina Faso, Mali, Niger, Senegal). The conjoint use of rainfall and flow data allowed us to analyze the possible causality link between the two variables. Mann-Kendall, Pettitt and Hubert tests were used to detect trends and abrupt change points in the annual maximum time series.The quantification of change was assessed by computing 10-year return period rain and flow values on sliding sub periods in the long-term maxima time series with the GEV distribution. Trend tests on annual maximum flows time series showed mixed results depending on the location of the catchments: generally speaking, a decrease is observed for Sudanian catchments and an increase is observed for Sahelian catchments. On a period of 50 years (1950 - 2010) we pointed out an increase of 72% of the mean value of flood 10-year return period for a station like Kakassi in the sahelian region, with respect to the period before the detected disruption; while for a soudanian catchment like Fadougou, the average

  18. [Home parenteral nutrition in patients with advanced cancer: experience of a single centre over ten years].

    Science.gov (United States)

    Moreno Villares, J M; Gomis Muñoz, P; Valero Zanuy, Ma A; León Sanz, M

    2004-01-01

    The use of Home Parenteral Nutrition (HPN) in patients with advanced cancer without the possibility of curative treatment continues to be a controversial subject entailing a considerable emotional burden. Nonetheless, this group of patients constitutes the main indication for HPN in many programmes. To present the characteristics of a series of patients included on an HPN programme over the last ten years. Retrospective study of the case histories of the 11 patients who received HPN over this period. The demographic and clinical details were noted along with their complications and evolution for comparison with those of a control group of patients with benign disease receiving HPN over the same period. For the comparisons, Student's t test and the chi-squared test were used as and when indicated. Results were considered statistically significant if p < 0.05. Eleven patients received HPN, nine of them because of an irresoluble intestinal obstruction and two because of a high flow fistula. The mean age at the start of HPN was 50.8 +/- 12.7 years versus 37.3 +/- 17.2 years for the group with benign disease (p < 0.05). The mean duration of HPN was 71.05 +/- 217 days in the first group, notably less than the second (387.15 +/- 995.85; p < 0.05), with a range between 5 and 760 days. The patients received the infusion through a previously implanted subcutaneous reservoir (n = 9) and on two occasions, electively, through a tunnelled catheter. The infection rate was higher in the group with cancer (0.34 episodes per patient and 1,000 days on HPN) than in the group with benign disease (0.08 episodes; p < 0.05). HPN was suspended in only one of the patients more than 5 days prior to death due to clinical deterioration. Two patients required admission due to a complication associated with the technique. In both cases, a fungal infection of the blood made it necessary to withdraw the catheter. The quality of life, measured by means of an activity scale, was similar at the start

  19. Campylobacter antimicrobial resistance in Peru: a ten-year observational study

    Directory of Open Access Journals (Sweden)

    Pollett Simon

    2012-08-01

    Full Text Available Abstract Background Campylobacter jejuni and Campylobacter coli are food-borne pathogens of great importance and feature prominently in the etiology of developing world enteritis and travellers’ diarrhoea. Increasing antimicrobial resistant Campylobacter prevalence has been described globally, yet data from Peru is limited. Our objective was to describe the prevalence trends of fluoroquinolone and macrolide-resistant C. jejuni and C. coli stool isolates from three regions in Peru over a ten-year period. Methods Surveillance for enteric pathogens was conducted in Lima, Iquitos and Cusco between 2001 and 2010. Campylobacter stool isolates were tested for susceptibilities to ciprofloxacin, azithromycin and erythromycin. Susceptibilities were reviewed for 4652 isolates from Lima ( n = 3419, Iquitos ( n = 625 and Cusco ( n = 608. Results Comparing the study periods of 2001-2005 and 2006-2010, prevalence of ciprofloxacin-resistant C. jejuni isolates rose in the study areas of Lima (73.1% to 89.8%, p p C. coli rates also increased in Lima (48.1% to 87.4%, p p = 0.005. Small but significant increases in azithromycin-resistant and erythromycin-resistant C. jejuni prevalence were noted in Iquitos (2.2% to 14.9%, p p = 0.002, and erythromycin-resistant C. coli rates increased in Lima (0.0% to 5.3%, p = 0.038. The prevalence of C. jejuni isolates resistant to both ciprofloxacin and azithromycin increased in Iquitos (0.3% to 14.9%, p C. jejuni isolates resistant to both ciprofloxacin and erythromycin rose in Iquitos (0.0% to 14.9%, p C. coli prevalence increased in Lima (0.0% to 5.3%, p = 0.034. Conclusions These results have implications for the empirical management of enterocolitis in Peru. Ongoing surveillance is essential to guide appropriate antimicrobial use in this setting. Local epidemiological studies to explore the relationship between increasing antimicrobial resistance and agricultural or human antibiotic

  20. Review suggests high survival rates for veneers at five and ten years.

    Science.gov (United States)

    Watt, Eileen; Conway, David I

    2013-03-01

    The Cochrane Library, Medline, Embase, and Web of Knowledge databases were searched and the Evidence-Based Dentistry, International Journal of Prosthodontics, Journal of Prosthetic Dentistry, Journal of Adhesive Dentistry, Journal of Esthetic and Restorative Dentistry, and Journal of Oral Rehabilitation were hand searched. Clinical trials registers, conference proceedings and academic colleagues were contacted to identify unpublished data, abstracts and other gray literature. There were no language limits. Article identification, screening, and eligibility and inclusion assessments were completed independently by two reviewers. Prospective and retrospective cohort and controlled trials assessing the outcome of feldspathic porcelain veneers in more than 15 patients were included. Some veneers in each study had to be in situ for five years. Veneers placed using unusual techniques, such as with no enamel preparation or excessive incisal edge lengthening, were excluded. Estimated cumulative survival and standard error for each study were assessed and used for meta-, sensitivity and post hoc analyses. The I(2) statistic and the Cochran Q test and its associated P value were used to evaluate statistical heterogeneity, with a random-effects meta-analysis used when the P value for heterogeneity was less than 0.1. Heterogeneity, publication patterns and small study biases were explored. Eleven studies were included with six (four prospective and two retrospective cohorts) contributing to the meta-analysis. The estimated cumulative survival for feldspathic porcelain veneers was 95.7% (95% confidence interval [CI]: 92.9% to 98.4%) at five years and ranged from 64% to 95% at ten years across three studies. A post hoc meta-analysis indicated that the 10-year best estimate may approach 95.6% (95% CI: 93.8% to 97.5%). High levels of statistical heterogeneity were found. When bonded to enamel substrate, feldspathic porcelain veneers have a very high 10-year survival rate that may

  1. [Good agricultural practice (GAP) of Chinese materia medica (CMM) for ten years: achievements, problems and proposals].

    Science.gov (United States)

    Guo, Lan-Ping; Zhang, Yan; Zhu, Shou-Dong; Wang, Gui-Hua; Wang, Xiu; Zhang, Xiao-Bo; Chen, Mei-Lan; He, Ya-Li; Han, Bang-Xing; Chen, Nai-Fu; Huang, Lu-Qi

    2014-04-01

    This paper aims to summarize the achievements during the implementation process of good agricultural practice (GAP) in Chinese Materia Medica (CMM), and on basis of analyzing the existing problems of GAP, to propose further implementation of GAP in TCM growing. Since the launch of GAP in CMM growing ten years ago, it has acquired great achievements, including: (1) The promulgation of a series of measures for the administration of the GAP approval in the CMM growing; (2) The expanded planting area of CMM; (3) The increased awareness of standardized CMM growing among farmers and enterprises; (4) The establishment of GAP implementation bases for CMM growing; (5) The improvement of theory and methodology for CMM growing; (6) The development of a large group of experts and scholars in GAP approval for CMM production. The problems existing in the production include: (1) A deep understanding of GAP and its certification is still needed; (2) The distribution of the certification base is not reasonable; (3) The geo-economics effect and the backward farming practices are thought to be the bottlenecks in the standardization of CMM growing and the scale production of CMM; (4) Low comparative effectiveness limits the development of the GAP; (5) The base of breeding improved variety is blank; (6) The immature of the cultivation technique lead to the risk of production process; (7) The degradation of soil microbial and the continuous cropping obstacle restrict the sustainable development of the GAP base. To further promote the health and orderly GAP in the CMM growing, the authors propose: (1) To change the mode of production; (2) To establish a sound standard system so as to ensure quality products for fair prices; (3) To fully consider the geo-economic culture and vigorously promote the definite cultivating of traditional Chinese medicinal materials; (4) To strengthen the transformation and generalization of basic researches and achievements, in order to provide technical

  2. review of a community oral health programme in nigeria after ten years

    African Journals Online (AJOL)

    Dr Olaleye

    COHP) which is situated in Idikan, a low income urban community in Ibadan, south western Nigeria. The programme which has been in existence since 1988, is part of a comprehensive primary health care (PHC) delivery system that caters for ...

  3. Ten years of eLearning within the Engineering Education in the Czech Republic

    Directory of Open Access Journals (Sweden)

    Ivana Simonova

    2012-07-01

    Full Text Available This paper deals with the process of eLearning implementation in engineering education. It is structured into four parts which (1 analyze this process in the Czech Republic, (2 evaluate the contribution of eLearning seminars, conferences and competitions held at the Faculty of Informatics and Management, University of Hradec Kralove, Czech Republic, (3 provide reflection of the situation in current research activities in this field and (4 present data collected at the University of Hradec Kralove.

  4. [Neuroethics of pharmaceutical cognitive enhancement: the first ten years: current problems and practical guiding principles].

    Science.gov (United States)

    Metzinger, T K

    2012-01-01

    An evaluating survey of the development of the neuroethics of pharmaceutical cognitive enhancement (PCE) during the last decade, focussing on the situation in Germany, has been undertaken. This article presents the most important conceptual problems, current substances and central ethical and legal issues. Very first guidelines and recommendations for policy-makers are formulated at the end of the text. © Georg Thieme Verlag KG Stuttgart · New York.

  5. Early detection, early symptom progression and symptomatic remission after ten years in a first episode of psychosis study

    DEFF Research Database (Denmark)

    Simonsen, Erik; ten Velden Hegelstad, Wenche; Haahr, Ulrik Helt

    2013-01-01

    years, 50% of patients were in symptomatic remission. Non-remission was predicted by positive symptoms at inclusion and during the first year of treatment. Of individual symptoms only hallucinations were significantly predictive of ten-year non-remission. Early symptom differences were not reflected...

  6. Cause-Specific Mortality in HIV-Positive Patients Who Survived Ten Years after Starting Antiretroviral Therapy

    DEFF Research Database (Denmark)

    Trickey, Adam; May, Margaret T; Vehreschild, Jorg-Janne

    2016-01-01

    OBJECTIVES: To estimate mortality rates and prognostic factors in HIV-positive patients who started combination antiretroviral therapy between 1996-1999 and survived for more than ten years. METHODS: We used data from 18 European and North American HIV cohort studies contributing to the Antiretro...

  7. Dying from cancer or other chronic diseases in the Netherlands: ten-year trends derived from death certificate data.

    NARCIS (Netherlands)

    Velden, L.F.J. van der; Francke, A.L.; Hingstman, L.; Willems, D.L.

    2009-01-01

    BACKGROUND: For the further development of palliative care, it is relevant to gain insight into trends in non-acute mortality. The aim of this article is twofold: (a) to provide insight into ten-year trends in the characteristics of patients who died from cancer or other chronic diseases in the

  8. Dying from cancer or other chronic diseases in the Netherlands: ten-year trends derived from death certificate data

    NARCIS (Netherlands)

    van der Velden, Lud Fj; Francke, Anneke L.; Hingstman, Lammert; Willems, Dick L.

    2009-01-01

    ABSTRACT: BACKGROUND: For the further development of palliative care, it is relevant to gain insight into trends in non-acute mortality. The aim of this article is twofold: (a) to provide insight into ten-year trends in the characteristics of patients who died from cancer or other chronic diseases

  9. Ten years of sustainability evaluation using the MESMIS framework: Lessons learned from its application in 28 Latin American case studies

    NARCIS (Netherlands)

    Speelman, E.N.; López Ridaura, S.; Aliana-Colomer, N.; Astier, M.; Masera, O.

    2007-01-01

    This paper focuses on sustainability evaluation and, more specifically, it describes and analyses the Indicator-based Framework for Evaluation of Natural Resource Management Systems (MESMIS, its Spanish acronym), ten years after its development. This framework fulfilled a pioneering role by

  10. Minimum ten-year follow-up of acetabular fracture fixation from the Irish tertiary referral centre.

    LENUS (Irish Health Repository)

    Magill, Paul

    2012-04-01

    Successful outcome from acetabular fracture fixation is multi-factorial. Long-term results are not frequently reported. Pooling such data from high output centres will help progress acetabular fixation. This paper presents the first ten-year data from the Irish tertiary referral centre.

  11. Ten Years On, the Kimberley Process Certification Scheme and Zimbabwe's Marange and "Conflict Diamonds": Lessons to be learnt

    Directory of Open Access Journals (Sweden)

    Nazreen Shaik-Peremanov

    2014-04-01

    Full Text Available TEN YEARS ON, THE KIMBERLEY PROCESS CERTIFICATION SCHEME AND ZIMBABWE’S MARANGE AND "CONFLICT DIAMONDS": LESSONS TO BE LEARNT N Shaik-Peremanov* SUMMARY Remove by editor - Prof Christa Rautenbach email: Christa.Rautenbach@nwu.ac.za

  12. Organisation and Management of a Complete Bachelor Degree Offered Online at the University of Milan for Ten Years

    Science.gov (United States)

    Milani, Manuela; Papini, Sabrina; Scaccia, Daniela; Scarabottolo, Nello

    2014-01-01

    This paper is aimed at presenting some reflections on organisation and management of SSRI online: an e-learning initiative started at the University of Milan (Italy) in the academic year 2004/05 and offered to students over the last ten years. The initiative consisted in implementing the online version of an already existing three-year bachelor…

  13. Cause-Specific Mortality in HIV-Positive Patients Who Survived Ten Years after Starting Antiretroviral Therapy

    Science.gov (United States)

    May, Margaret T.; Vehreschild, Janne; Obel, Niels; Gill, Michael John; Crane, Heidi; Boesecke, Christoph; Samji, Hasina; Grabar, Sophie; Cazanave, Charles; Cavassini, Matthias; Shepherd, Leah; d’Arminio Monforte, Antonella; Smit, Colette; Saag, Michael; Lampe, Fiona; Hernando, Vicky; Montero, Marta; Zangerle, Robert; Justice, Amy C.; Sterling, Timothy; Miro, Jose; Ingle, Suzanne; Sterne, Jonathan A. C.

    2016-01-01

    Objectives To estimate mortality rates and prognostic factors in HIV-positive patients who started combination antiretroviral therapy between 1996–1999 and survived for more than ten years. Methods We used data from 18 European and North American HIV cohort studies contributing to the Antiretroviral Therapy Cohort Collaboration. We followed up patients from ten years after start of combination antiretroviral therapy. We estimated overall and cause-specific mortality rate ratios for age, sex, transmission through injection drug use, AIDS, CD4 count and HIV-1 RNA. Results During 50,593 person years 656/13,011 (5%) patients died. Older age, male sex, injecting drug use transmission, AIDS, and low CD4 count and detectable viral replication ten years after starting combination antiretroviral therapy were associated with higher subsequent mortality. CD4 count at ART start did not predict mortality in models adjusted for patient characteristics ten years after start of antiretroviral therapy. The most frequent causes of death (among 340 classified) were non-AIDS cancer, AIDS, cardiovascular, and liver-related disease. Older age was strongly associated with cardiovascular mortality, injecting drug use transmission with non-AIDS infection and liver-related mortality, and low CD4 and detectable viral replication ten years after starting antiretroviral therapy with AIDS mortality. Five-year mortality risk was <5% in 60% of all patients, and in 30% of those aged over 60 years. Conclusions Viral replication, lower CD4 count, prior AIDS, and transmission via injecting drug use continue to predict higher all-cause and AIDS-related mortality in patients treated with combination antiretroviral therapy for over a decade. Deaths from AIDS and non-AIDS infection are less frequent than deaths from other non-AIDS causes. PMID:27525413

  14. Cause-Specific Mortality in HIV-Positive Patients Who Survived Ten Years after Starting Antiretroviral Therapy.

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    Adam Trickey

    Full Text Available To estimate mortality rates and prognostic factors in HIV-positive patients who started combination antiretroviral therapy between 1996-1999 and survived for more than ten years.We used data from 18 European and North American HIV cohort studies contributing to the Antiretroviral Therapy Cohort Collaboration. We followed up patients from ten years after start of combination antiretroviral therapy. We estimated overall and cause-specific mortality rate ratios for age, sex, transmission through injection drug use, AIDS, CD4 count and HIV-1 RNA.During 50,593 person years 656/13,011 (5% patients died. Older age, male sex, injecting drug use transmission, AIDS, and low CD4 count and detectable viral replication ten years after starting combination antiretroviral therapy were associated with higher subsequent mortality. CD4 count at ART start did not predict mortality in models adjusted for patient characteristics ten years after start of antiretroviral therapy. The most frequent causes of death (among 340 classified were non-AIDS cancer, AIDS, cardiovascular, and liver-related disease. Older age was strongly associated with cardiovascular mortality, injecting drug use transmission with non-AIDS infection and liver-related mortality, and low CD4 and detectable viral replication ten years after starting antiretroviral therapy with AIDS mortality. Five-year mortality risk was <5% in 60% of all patients, and in 30% of those aged over 60 years.Viral replication, lower CD4 count, prior AIDS, and transmission via injecting drug use continue to predict higher all-cause and AIDS-related mortality in patients treated with combination antiretroviral therapy for over a decade. Deaths from AIDS and non-AIDS infection are less frequent than deaths from other non-AIDS causes.

  15. [Ten years retrospective review of the application of digital medical technology in general surgery in China].

    Science.gov (United States)

    Fang, C H; Lau, Y Y; Zhou, W P; Cai, W

    2017-12-01

    Digital medical technology is a powerful tool which has forcefully promoted the development of general surgery in China. In this article, we reviews the application status of three-dimensional visualization and three-dimensional printing technology in general surgery, introduces the development situation of surgical navigation guided by optical and electromagnetic technology and preliminary attempt to combined with mixed reality applied to complicated hepatectomy, looks ahead the development direction of digital medicine in the era of artificial intelligence and big data on behalf of surgical robot and radiomics. Surgeons should proactively master these advanced techniques and accelerate the innovative development of general surgery in China.

  16. Visual disability rates in a ten-year cohort of patients with anterior visual pathway meningiomas.

    Science.gov (United States)

    Bor-Shavit, Elite; Hammel, Naama; Nahum, Yoav; Rappaport, Zvi Harry; Stiebel-Kalish, Hadas

    2015-01-01

    To examine the visual outcome of anterior visual pathway meningioma (AVPM) patients followed for at least one year. Data were collected on demographics, clinical course and management. Visual disability was classified at the first and last examination as follows: I--no visual disability; II--mild visual defect in one eye; III--mild visual defect in both eyes; IV--loss of driver's license; V--legally blind. Eight-one AVPM patients had their tumor originate in the clinoid process in 23 (28%), sphenoid-wing area in 18 (22%), cavernous sinus in 15 (19%), tuberculum sellae in 8 (10%), and mixed in 17 (21%). On last examination, 46 patients (57%) had good visual acuity in one or both eyes (Class I or II) and 17 (21%) were mildly affected in both eyes. The rate of Class IV disability was 16%, and Class V disability was 6%. Attention needs to be addressed to the considerable proportion of patients with AVPM (22% in this study) who may lose their driver's license or become legally blind. Occupational therapists should play an important role in the multidisciplinary management of those patients to help them adapt to their new physical and social situation. Anterior visual pathway meningiomas (AVPMs) are commonly not life-threatening but they can lead to profound visual disability, especially when the tumor originates in the tuberculum sellae and cavernous sinus. Particular attention should be paid to visual acuity and visual field deficits, as these can profoundly affect the patient's quality of life including ability to drive and activities of daily living. The interdisciplinary management of patients with AVPM should include the neurosurgeon, neuro-ophthalmologist and occupational therapist. Also, early intervention by the occupational therapist can help patients adapt to their current physical and social situation and return to everyday tasks more rapidly.

  17. Ten years of the Three Gorges Dam: a call for policy overhaul

    Science.gov (United States)

    Yang, Xiankun; Lu, X. X.

    2013-12-01

    The Three Gorges Dam (TGD), the world’s largest source of ‘clean’ hydroelectric power (Shen and Xie 2004), has entered its tenth year after the first turbine went into operation in June 2003. The dam, with a generating capacity 20 times that of the United States’ Hoover Dam, has been hailed as a crucial part of a solution to China’s energy crisis. Despite great benefits, however, major concerns have been voiced over the disastrous environmental and social consequences of this massive engineering project (Stone 2011). In this paper, we review the benefits and impacts learned from the controversial megadam over the past decade and discuss perspective quests on policy overhaul for future environmental protection.

  18. Ten Years of Change: National Library of Medicine TOXMAP Gets a New Look

    OpenAIRE

    Hochstein, Colette; Gemoets, Darren; Goshorn, Jeanne

    2014-01-01

    The United States National Library of Medicine (NLM) TOXNET® databases provide broad coverage of environmental health information covering a wide variety of topics, including access to the U.S. Environment Protection Agency (EPA)’s Toxics Release Inventory (TRI) data. The NLM web-based geographic information system (GIS), TOXMAP® , provides interactive maps which show where TRI chemicals are released into the environment and links to TOXNET for information about these chemicals. TOXMAP also ...

  19. Ten Years Experience In Geo-Databases For Linear Facilities Risk Assessment (Lfra)

    Science.gov (United States)

    Oboni, F.

    2003-04-01

    Keywords: geo-environmental, database, ISO14000, management, decision-making, risk, pipelines, roads, railroads, loss control, SAR, hazard identification ABSTRACT: During the past decades, characterized by the development of the Risk Management (RM) culture, a variety of different RM models have been proposed by governmental agencies in various parts of the world. The most structured models appear to have originated in the field of environmental RM. These models are briefly reviewed in the first section of the paper focusing the attention on the difference between Hazard Management and Risk Management and the need to use databases in order to allow retrieval of specific information and effective updating. The core of the paper reviews a number of different RM approaches, based on extensions of geo-databases, specifically developed for linear facilities (LF) in transportation corridors since the early 90s in Switzerland, Italy, Canada, the US and South America. The applications are compared in terms of methodology, capabilities and resources necessary to their implementation. The paper then focuses the attention on the level of detail that applications and related data have to attain. Common pitfalls related to decision making based on hazards rather than on risks are discussed. The paper focuses the last sections on the description of the next generation of linear facility RA application, including examples of results and discussion of future methodological research. It is shown that geo-databases should be linked to loss control and accident reports in order to maximize their benefits. The links between RA and ISO 14000 (environmental management code) are explicitly considered.

  20. Unemployment in TB patients - ten-year observation at regional center of pulmonology in Bydgoszcz, Poland.

    Science.gov (United States)

    Przybylski, Grzegorz; Dabrowska, Anita; Pilaczyńska-Cemel, Marta; Krawiecka, Dorota

    2014-11-02

    Tuberculosis (TB) affects the poorest of the poor and is an example of a disease that can contribute to the "disease-poverty trap". The variable epidemiological situation is associated with social risk factors, such as unemployment, which may favor the occurrence of this disease. The aim of this study was to analyze unemployment as a factor that can influence the incidence and course of the disease. We analyzed TB patients with confirmed status of employment or unemployment admitted to the Regional Center of Pulmonology in Bydgoszcz in during the years 2001 to 2010. Out of 1130 patients, 604 were unemployed and the other confirmed their employment. The unemployed patients were mostly single men over age 40, with a low level of education, and living in a city. We observed that the proportions of smokers and alcohol abusers were significantly higher among the unemployed patients. The advanced radiological lesions, smear-positive pulmonary TB, and extra-pulmonary sites were diagnosed significantly more often in this group. The rate of death in the course of hospitalization was significantly higher in the group of unemployed patients. Unemployment among TB patients is a serious problem. We found that more advanced radiological lesions were associated with more frequent treatment interruptions and a higher rate of death in the course of hospitalization. Increased efforts are needed to reduce and eliminate the problem of unemployment among patients with TB. This may, indirectly, contribute to a decrease in notifications of TB cases and improve treatment outcomes.

  1. Bibliometric Analysis on the Research of Knowledge Organization in Recent Ten Years

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    Wang Liqing

    2017-12-01

    Full Text Available [Purpose/significance] The paper analyzes the 542 literatures related to knowledge organizations in 2007-2016, which are included in the core database of Web of ScienceTM, and aims to grasp the current research situation in this field and provides references for domestic relevant research. [Method/process] Based on the method of bibliometrics, the CiteSpace software was used to analyze and draw the knowledge map from the aspects of annual issuers, authors, countries and research institutions, keywords, co-citation and so on. [Result/conclusion] The results show that authors the most publications are B. Hjorland, I. Dahlberg , V. Broughton etc; the cooperation between researchers and institutions is relatively rare; knowledge organization research areas focus on the knowledge organization itself and classification, ontology and so on; B. Hjorland, H.A. Olson, I. Nonaka and other cited scholars and their cited literatures have high influence on this theme; Knowledge Organization, Journal of Documentation is most important journals for the knowledge organization.

  2. The Spanish long-term care system in transition: Ten years since the 2006 Dependency Act.

    Science.gov (United States)

    Peña-Longobardo, Luz María; Oliva-Moreno, Juan; García-Armesto, Sandra; Hernández-Quevedo, Cristina

    2016-10-01

    At the end of 2006, a new System for Promotion of Personal Autonomy and Assistance for Persons in a Situation of Dependency (SAAD) was established in Spain through the approval of the Act 39/2006 of 14th December (the Dependency Act, DA). The DA acknowledged the universal entitlement of Spanish citizens to social services. The recent economic crisis added degrees of uncertainty to several dimensions of the SAAD implementation process. Firstly, the political consensus on which its foundation rested upon has weakened. Secondly, implementation of the SAAD was hampered by several challenges that emerged in the context of the economic crisis. Thirdly, the so-called "dependency limbo" (i.e. the existence of a large number of people eligible for benefits but who do not receive them) has become a structural feature of the system. Finally, contrary to the spirit of the DA, monetary benefits have become the norm rather than a last resort. High heterogeneity across regions regarding the number of beneficiaries covered and services provided reveal the existence of regional inequity in access to long-term care services in the country. Broadly, the current evidence on the state of the SAAD suggests the need to improve the quality of governance, to enhance coordination between health and social systems, to increase the system's transparency, to foster citizens' participation in decision-making and to implement a systematic monitoring of the system. Copyright © 2016 The Author(s). Published by Elsevier Ireland Ltd.. All rights reserved.

  3. Ten years of Italian historiography of psychology: a field in progress.

    Science.gov (United States)

    Ceccarelli, Glauco; Cimino, Guido; Foschi, Renato

    2010-08-01

    This article briefly outlines a picture of the activities and research conducted in Italy on the history of psychology during the last 10 years, focusing its attention on institutions, scholars, conferences, archives, journals, and so forth. At the dawn of the 21st century, the tradition of historical-psychological studies that developed in the last quarter of the 20th century has led to a renewed situation in teaching organization and research, with the emergence of several groups, especially at the universities of Rome "Sapienza", Bari, Milan-Bicocca, and Urbino, and of a second generation of young historians increasingly engaged on an international level. After a general survey conducted with historiometric method on the principal areas of research cultivated and on the themes dealt with, we mention a change that has occurred in the historiographical approach, a transition from a historiography addressed prevalently to the "history of ideas" to one that, pursuing the approach of a new and critical "multifactorial" history, proves to be more attentive to the social and institutional history, in correspondence with established international trends.

  4. Investigation of sea level around the island of Gavdos from ten years of TOPEX/POSEIDON satellite altimetry data

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    A.C. BANKS

    2004-05-01

    Full Text Available The European Union project ‘GAVDOS’ (MERTIKAS & PAVLIS, 1999 has been designed to lead to the establishment of a calibration and sea level monitoring site for the JASON-1 and ENVISAT satellites as well as the GLObal Sea level monitoring System (GLOSS. Within the context of this project, nearly ten years of TOPEX/POSEIDON satellite altimetry data (cycle 1 to 364 from the vicinity of the Gavdos Island (Crete, Greece have been processed and analysed. The results presented here are from the application of a method that incorporates the calculation of a corrected sea surface height from the altimetry data, along-track and cross-track data interpolation because of orbital drift, near coastal error filtering, and the use of a new geoid for the area. This method was applied in order to create ten year time series of sea level and associated parameters for the area around Gavdos island. The results reveal the pattern of sea level and local seasonal cycle around Gavdos over the last ten years.

  5. Ten years of transcriptomics in wild populations: what have we learned about their ecology and evolution?

    Science.gov (United States)

    Alvarez, Mariano; Schrey, Aaron W; Richards, Christina L

    2015-02-01

    Molecular ecology has moved beyond the use of a relatively small number of markers, often noncoding, and it is now possible to use whole-genome measures of gene expression with microarrays and RNAseq (i.e. transcriptomics) to capture molecular response to environmental challenges. While transcriptome studies are shedding light on the mechanistic basis of traits as complex as personality or physiological response to catastrophic events, these approaches are still challenging because of the required technical expertise, difficulties with analysis and cost. Still, we found that in the last 10 years, 575 studies used microarrays or RNAseq in ecology. These studies broadly address three questions that reflect the progression of the field: (i) How much variation in gene expression is there and how is it structured? (ii) How do environmental stimuli affect gene expression? (iii) How does gene expression affect phenotype? We discuss technical aspects of RNAseq and microarray technology, and a framework that leverages the advantages of both. Further, we highlight future directions of research, particularly related to moving beyond correlation and the development of additional annotation resources. Measuring gene expression across an array of taxa in ecological settings promises to enrich our understanding of ecology and genome function. © 2015 John Wiley & Sons Ltd.

  6. Ten years of change: National Library of Medicine TOXMAP gets a new look.

    Science.gov (United States)

    Hochstein, Colette; Gemoets, Darren; Goshorn, Jeanne

    2014-01-01

    The United States National Library of Medicine (NLM) TOXNET® databases provide broad coverage of environmental health information covering a wide variety of topics, including access to the U.S. Environment Protection Agency (EPA)'s Toxics Release Inventory (TRI) data. The NLM web-based geographic information system (GIS), TOXMAP® , provides interactive maps which show where TRI chemicals are released into the environment and links to TOXNET for information about these chemicals. TOXMAP also displays locations of Superfund sites on the EPA National Priority List, as well as information about the chemical contaminants at these sites. This column focuses on a new version of TOXMAP which brings it up to date with current web GIS technologies and user expectations.

  7. Ten-Year Retrospective Longitudinal-Study of Student Perspectives on Value of REU

    Science.gov (United States)

    Slater, T. F.; Slater, S. J.

    2013-12-01

    experience related to the nature of scientific work, the scientific process, or the culture of academia when considered in a comparative context of students' other educational experiences. Results further indicated that the REU did not serve to transform participants' conceptions about themselves as situated in science, and learning gains with regard to other aspects of the self, were somewhat limited. Instead, the data suggests that these women arrived at the REU with pre-existing and remarkably strong conceptions in these areas, and that the REU did not functional to alter those states. These conceptions were frequently the result of interactions with mentors/scientists from middle school until well into the undergraduate period.

  8. Congenital anomalies among live births in a polluted area. A ten-year retrospective study

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    Gianicolo Emilio Antonio Luca

    2012-12-01

    Full Text Available Abstract Background Congenital anomalies and their primary prevention are a crucial public health issue. This work aimed to estimate the prevalence of congenital anomalies in Brindisi, a city in southeastern Italy at high risk of environmental crisis. Methods This research concerned newborns up to 28 days of age, born between 2001 and 2010 to mothers resident in Brindisi and discharged with a diagnosis of congenital anomaly. We classified cases according to the coding system adopted by the European Network for the Surveillance of Congenital Anomalies (EUROCAT. Prevalence rates of congenital anomalies in Brindisi were compared with those reported by EUROCAT. Logistic regression models were adapted to evaluate the association between congenital anomalies and municipality of residence of the mother during pregnancy. Results Out of 8,503 newborns we recorded 194 subjects with congenital anomalies (228.2/10,000 total births, 1.2 times higher than the one reported by the EUROCAT pool of registries. We observed 83 subjects with congenital heart diseases with an excess of 49.1%. Odds Ratios for congenital heart diseases significantly increased for newborns to mothers resident in Brindisi (OR 1.75 CI 95% 1.30-2.35. Conclusions Our findings indicated an increased prevalence of Congenital Anomalies (especially congenital heart diseases in the city of Brindisi. More research is needed in order to analyze the role of factors potentially involved in the causation of congenital anomalies.

  9. Constructed wetlands for tannery wastewater treatment in Portugal: ten years of experience.

    Science.gov (United States)

    Calheiros, Cristina S C; Rangel, António O S S; Castro, Paula M L

    2014-01-01

    Wastewaters from tannery industry are complex in composition and providing adequate treatment can be difficult. Constructed wetlands (CW) are regarded as an alternative treatment to the conventional biological systems, as a developing cost-effective and environmentally friendly phytoremediation technology. The present review compiles and integrates information on CWs technology for the needs of the tannery sector. The following issues arise as crucial for the implementation of such systems, namely i) an accurate wastewater characterization and an effective pretreatment before reaching the CW, ii) choosing the plants species better adapted to the imposed conditions, iii) substrate selection and iv) range of organic loadings applied. The examples practiced in Portugal give indication that horizontal subsurface flow systems, with expanded clay media, are a suitable option to be considered when dealing with high organic loading tannery wastewater (up to c.a. 3800 kgCODha(-1)d(-1)), being resilient to a wide range of hydraulic variations. Plants such as Phragmites and Typha have shown to be adequate for tannery wastewater depuration, with Arundo donax proving resilient to high salinity wastewaters. The flexibility of implementation allows the CW to be adapted to different sites with different configurations, being suitable as main secondary or tertiary treatment stage.

  10. Ten Years of Advancing Sample Management Best Practices: The System for Earth Sample Registration (SESAR)

    Science.gov (United States)

    Carter, M.; Lehnert, K.

    2016-12-01

    Physical samples collected and curated as part of Earth science research represent both research resources and research products that need to be properly documented, shared, and cited. The System for Earth Sample Registration (SESAR) is a registry for Earth and environmental science samples operated as part of the IEDA Data Facility that supports discovery and access of samples by making sample metadata openly and persistently accessible on the web for both humans and machines, and by providing IGSNs as unique, persistent identifiers for samples that resolve to sample metadata profiles at SESAR and at other sample catalogs. SESAR was developed more than a decade ago, and was at the time the only Allocating Agent for the IGSN. Although the IGSN system now consists of a globally-distributed architecture with six Allocating Agents in three countries, SESAR remains the primary sample registration and metadata management system for many investigators and even repositories, even those from other countries with operating allocating agents, and provides unmatched services that support the sample curation workflow. In its ongoing effort to respond to the needs of its users, SESAR continues to upgrade its interfaces (web application MySESAR as the personal workspace and web services) and functionality. We will present an update on the most recent developments and most highly-used functionalities, including role-based access to MySESAR functionalities, grouping and sharing subsets of sample metadata, customizing and printing labels, and transferring ownership of sample metadata. In addition to its many functionalities, SESAR enforces a high-level of metadata quality control, which is made possible through a combination of automated validation procedures and data curator-expertise.

  11. Building Lasting Impact: Ten Years of the Earth to Sky Interagency Partnership

    Science.gov (United States)

    Davis, A.; Lacome, B.; Merrick, B.; Morris, J.; Paglierani, R.; Spakoff, S.

    2014-12-01

    Beginning in Fall of 2004, NASA and the National Park Service (NPS) embarked on collaborative work aimed at bringing the wonders of NASA science and education content into the hands of outstanding and highly regarded science "communicators" - interpreters in NPS. What began as a showcase of NASA content delivered in an interpretive workshop has evolved and matured into a long-standing, and growing partnership focused on climate change communication. The partnership has been fruitful and successful, producing a variety of professional development events that have resulted in participants reaching millions of Park and Refuge visitors and thousands of interpreters and educators, with content derived from our courses. Earth to Sky (ETS) now includes the US Fish and Wildlife Service and NOAA, and is working towards establishment of a network of regional networks made up of alumni and their communities. The key to our success has been the careful building and nurturing of the partnership, and its resulting community of practice, beginning with excellent facilitated meetings of the parties involved, and continuing through implementation of best practices in partnership and collaborative work. Project design, development, and execution were accomplished in true partnership with leaders from our intended audience, NPS interpreters, and later USFWS environmental educators. Our partners were fully involved, from the inception of the first workshop design, through its implementation and assessment, to strategic planning for sustainability and all subsequent efforts. ETS can serve as a model of an effective partnership in climate communication efforts, drawing upon the strengths of partners with widely different areas of expertise to produce cohesive work with high impact. We will share the ETS model of partnership, and discuss how this model might be useful as the climate communication community moves towards a more coherent approach to improve climate literacy.

  12. Indonesia municiple solid waste life cycle and environmental monitoring: current situation, before and future challenges

    Science.gov (United States)

    Susmono

    2017-03-01

    Indonesia is a big country with circa 250 million population, with more than 500 Local Governments and they are going to improve their municiple solid waste dumping method from Open Dumping to Sanitary Landfill (SLF) and to promote Reduce-Reuse-Recycling (3R) since many years ago, and it is strengthened by issuing of Solid Waste Management Act No.18/2008, MSW Government Regulation No.12/2012 and other regulations which are issued by Central Government and Local Governments. During “Water and Sanitation Decade 1980-1990” through “Integrated Urban Infrastructures Development Program” some pilot project such as 30 units of 3R station were developed in the urban areas, and modified or simplification of SLF call Controlled Landfill (CLF) were implemented. In the year of 2002 about 45 units of composting pilot projects were developed under “Western Java Environmental Management Project”, and the result was notified that some of them are not sustain because many aspects. At the beginning of 2007 until now, some pilot projects of 3R were continued in some cities and since 2011 some Waste Banks are growing fast. In the year of 2014 was recorded that of 70 % of 3Rs in Java Island well developed (2014, Directorate of Environment Sanitation Report), and in the year of 2012 was recorded that development of Communal Waste Banks were growing fast during two months from 400 units to 800 units (2012, Ministry of Environment report), now more Communal Waste Banks all ready exist. After the last overview monitoring activity by Ministry of Environment and JICA (2008), because of lack of data is very difficult to give current accurate information of Municiple Solid Waste Handling in Indonesia. Nevertheless some innovation are developed because of impact of many pilot projects, Adipura City Cleanest Competition among Local Governments and growing of the spirit of autonomous policy of Local Governments, but some Local Governments still dependence on Central Government support

  13. Comparison of the impacts of climate change and anthropogenic disturbances on the El Arish coast and seaweed vegetation after ten years in 2010, North Sinai, Egypt

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    Gihan Ahmed El Shoubaky

    2013-08-01

    Full Text Available Human activities on coasts and climate changes during the past ten years have given rise to considerable shoreline changes along the El Arish coast (the northern coast of the Sinai Peninsula. In the El Arish Power Plant, sediment accretion has reached the tip of the breakwaterof the cooling water intake basin, necessitating extensive dredging inside the basin. To the east of El Arish Harbour, the shoreline has been incontinuous retreat. The differences between the year 2000 and 2010 in the shoreline along the El Arish coast weredetermined by analysing satellite images from NOAA-AVHRR images. The analyses revealed erosion and accretionpatterns along the coast. The physical parameters showed that the minimum water temperature of 18°C wasrecorded at site I in winter and that the maximum was 40°C at site II in summer. The latter temperature can be attributed to the effluent dischargeof cooling water from the El Arish power plant. Spatial and temporal patterns in the distribution and abundance of macroalgae were measured at four sites(I, II, III and IV along the El Arish coast. The percentage cover of the successional macroalgae exhibited environmental fluctuations. After ten years,the phytocommunity showed that red and green algae were dominant at the study sites. Significant differences between past and current flora were observed.39 taxa recorded in 2000 were absent in 2010, while 9 taxa not previously reported were present in 2010. These changes are discussed in the context ofpossible global warming effects.PERMANOVA showed significant changes (p < 0.001 between sites, seasons, species abundance and macroalgal groups along the El Arish coast in 2000 and2010. The similarity matrix showed a significant difference between the flora in 2010 and that recorded in 2000, indicating poor similarity and changes inspecies composition among the seasons at the different sites. Most of the algae belonged to the filamentous, coarsely branched and sheet

  14. Population Trend, Phenology and Dispersion of Common Waterfowl Species in Hungary Based on a Ten Year Long Time Series of the Hungarian Waterfowl Monitoring

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    GOSZTONYI, Lívia

    2009-01-01

    Full Text Available The HUNGARIAN WATERFOWL MONITORING (HWM takes place at 48 observation units. The current study shows the 25 common waterfowl species, their trend, phenology, and dispersion in Hungary using the data of a ten-year period between the 1996/1997 and 2005/2006 seasons. The six commonest species were: Anas platyrhynchos, Anser albifrons, Anser fabalis, Anser anser, Anas crecca and Fulica atra. During the ten-year period there were 8 species with about 1000 individuals or less (Anser erythropus, Mergus albellus, Tachybaptus ruficollis, Phalacrocorax pygmeus, Netta rufina, Podiceps nigricollis, Cygnus olor, Mergus merganser. We report a heavy increase of Aythya nyroca, Phalacrocorax pygmeus, Netta rufina, Podiceps nigricollis, Anas clypeata, Cygnus olor, Anser albifrons, Podiceps cristatus, Anser anser, Anas strepera and a slight increase of Phalacrocorax pygmeus and Tachybaptus ruficollis. A strong decrease can be seen in Anser erythropus, Aythya fuligula, Anser fabalis, Anas querquedula, Aythya ferina, Anas crecca, Mergus albellus, Anas penelope, Mergus merganser, a slight decrease in the case of Anas platyrhynchos and Bucephala clangula. The 25 species were put into six different groups based on their types of phenology: late summer migrating species, species migrating dominantly in autumn, over wintering species, species passing through Hungary dominantly in spring, spring and late summer migrants, species with a stable population. Eco-geographical differences between Transdanubia and the Great Hungarian Plain explain the differences in the dispersion of species: distribution dominance in Transdanubia, dispersion dominance in the Great Hungarian Plain, even distribution. Our conclusions confirmed some of the earlier results, but in some cases we made conclusions different from the earlier suggestions. It is obvious that changing environmental conditions affect the changes in population parameters of waterfowl species.

  15. Keeping Up with the Reality Show: A Ten-Years-Later Review of Surviving Teaching on the Internet

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    M. Louise Ripley

    2013-08-01

    Full Text Available A dozen years ago, I set out to teach my first Internet course at York University, a large urban Canadian university with 55,000+ students who are mainly commuters. Two years later I wrote an article titled, "Survivor!: When the Next Reality Show is You Teaching Your First Internet Course", in which I argued that there are ten major things you should not do when teaching on the Internet. Now ten years later, in this paper I revisit those recommendations to see if they still hold true, and to see if we need to add any new ones.

  16. Duration of Sexual Harassment and Generalized Harassment in the Workplace Over Ten Years: Effects on Deleterious Drinking Outcomes

    Science.gov (United States)

    McGinley, Meredith; Richman, Judith A.; Rospenda, Kathleen M.

    2012-01-01

    While harassment in the workplace has been linked to deleterious drinking outcomes, researchers have yet to examine the long-term effects of chronic workplace harassment. During a ten year longitudinal mail survey, university employees (N = 2265) were administered measures of sexual harassment, generalized workplace harassment, and problematic drinking. Using growth mixture modeling, two latent classes of workplace harassment emerged: infrequent and chronic. Demographic characteristics (gender, age, and race) predicted the shape of the trajectories and likelihood of class membership. As hypothesized, membership in the chronic harassment classes was linked to future problematic drinking, even after controlling for previous drinking. PMID:21745045

  17. Review of ten-years presence of Aedes albopictus in Spain 2004-2014: known distribution and public health concerns.

    Science.gov (United States)

    Collantes, Francisco; Delacour, Sarah; Alarcón-Elbal, Pedro María; Ruiz-Arrondo, Ignacio; Delgado, Juan Antonio; Torrell-Sorio, Antonio; Bengoa, Mikel; Eritja, Roger; Miranda, Miguel Ángel; Molina, Ricardo; Lucientes, Javier

    2015-12-23

    Ten years have gone by since the Asian tiger mosquito Aedes albopictus was recorded for the first time in Spain. In this paper, all relevant published information about this vector in Spain for the period 2004-2014 is reviewed. The known distribution for 2014 is provided, including all historical records (published and unpublished data) and the results from samplings of the last year. The consequences on public health about the presence of the Asian tiger mosquito in Spain are also highlighted. Further, legal aspects and control plans related to the management and diseases transmitted by this invasive vector species are also discussed.

  18. Chinese Students' Awareness of Relationship between Green Finance, Environmental Protection Education and Real Situation

    Science.gov (United States)

    Zhu, Wenzhong; Zhu, Zhengguo; Fang, Shuqiong; Pan, Wentsao

    2017-01-01

    Chinese government puts forward a concept: five in one, putting environment in the same significant position as economy, politics, society and culture, which highlights the significance of environment. With the continuous increase of environmental awareness, many scholars pay more attention to green finance. However, the researches based on…

  19. An assessment of the health and environmental situation in the mining community Krasnokamensk, East Siberia, Russian Federation

    Energy Technology Data Exchange (ETDEWEB)

    Ehdwall, H.; Rising, A.; Hjalmar, A.; Lindholm, I.; Persson, Bertil; Wingren, H.

    1995-12-01

    A Swedish delegation has visited a uranium mining area, Krasnokamensk, in east Siberia to find facts concerning health and environment in the area. The impression of the delegation is that the uranium activities as such have not had any significant impact on the health and environmental situation in the area. However, there is a small village within the mining area, Octyabrskij, where indoor radon levels are increased. As the Russian authorities are aware of this matter, dwellings having radon levels above the limit will be evacuated and later demolished. 19 figs, 15 tabs.

  20. Ten Years of Chandra

    Science.gov (United States)

    Weisskopf, Martin C.

    2009-01-01

    We celebrated the 10-th anniversary of the Launch of the Chandra X-ray Observatory on July 13, 2009. During these 10 years data from this Great Observatory have had a profound impact on 21st century astrophysics. With its unrivaled capability to produce sub-arcsecond images, the Observatory has enabled astronomers to make new discoveries in topics as diverse as comets and cosmology. We shall review some of the highlights, discuss the current status, and future plans.

  1. Peer-review and editorial process of the Ethiopian Medical Journal: ten years assessment of the status of submitted manuscripts.

    Science.gov (United States)

    Enquselassie, Fikre

    2013-04-01

    The Ethiopian Medical Journal (EMJ) is a peer-reviewed journal, now 50 years old. Many medical journals, including EMJ, follow a peer review system that has evolved from the 18th century process for reviewing submitted manuscripts. However, not much is known about peer review and editorial processes by many authors who submit manuscripts to the EMJ. To describe procedures related to EMJ peer-review and editorial decision making and asses the status of manuscripts submitted to the journal in the ten year period between 2001 and 2010. All the minutes of the editorial board meetings of the ten years period 2001-2010 and relevant documents were reviewed. The minutes have details including date of submission, dates to and from reviewers, date of decision, number of assigned peer reviewers and comments given by reviewers for each submitted manuscript. The length of time took in the processes and the decision made (accepted or rejected) for each submitted manuscript was calculated from the dates. All submitted manuscripts passed through three stages: internal per-review by an editorial board member, external peer review by selected reviewers and final editing stage by an assigned editorial member. A total of 615 manuscripts were submitted to EMJ in the ten years period 2001-2010. Five hundred and one (82.7%) manuscripts were accepted for publication by peer reviewers, while 74 (12.2%) were rejected and 31 (5.1%) were withdrawn. Acceptance was lowest among original articles (81.3%) followed by teaching or review articles (84.3%) and case reports (89.3%). Thirty-two (8.4%) manuscripts were accepted within 6 months following submission and 50% were accepted within in one year of submission. About 6% of manuscripts were delayed for more than two years with a maximum delay of 43 months. Even though, there is a decline trend on the delay of processing manuscripts, EMJ has long to go in order to improve the quality of the journal and shorten the slow peer review process

  2. [Situation of environmental and food area disinfectants registered in Spain under directive 98/8/CE].

    Science.gov (United States)

    Jiménez Zabala, Ana; Otazua Font, Mónica; Maiztegi Gallastegi, Pepa; Serrano Ibarbia, Elena; Juaristi Arrieta, Ana; Santa Marina Rodríguez, Loreto

    2011-01-01

    Directive 98/8/EC harmonizes and regulates in the European market authorization and registration of biocides and establishes a period of 14 years for review of active substances. This study analyzes the most significant changes produced in the registry of biocides used as disinfectants registered since the publication of the Directive. Information was obtained from the registry of biocides published in the website of the Ministry of Health, Social Policy and Equality in May 2010. We used an Excel data base for the dump and data processing. There are 1575 biocides with intended use as environmental and food area disinfectants registered in Spain (1137 formulas and 438 active ingredients). Formulas are composed of 56 active sustances which are being assessed for their inclusion in the Community list of authorized substances. 54% of the formulas are registered as both bactericide and fungicide, 79% are contact disinfectants, 42% of the formulas correspond to those composed of quaternary ammonium compounds and 67.9% are made with a single active substance. Regarding hazardous properties 45.3% are corrosive, 25.7% irritant, 9.8% harmful, 1.1% toxic , and 33.1% are dangerous to the environment. The Spanish registry of biocides has complied with the provisions of the Directive cancelling the registrations of the formulas containing substances not included in the list. Of all the substances which are under review in Europe, 58% of environmental disinfectants and 76.4% of food area disinfectants are authorized in Spain.

  3. USING A GERMICIDAL INSTALLATION TO IMPROVE THE ENVIRONMENTAL SITUATION AT A POULTRY FARM

    Directory of Open Access Journals (Sweden)

    T. L. Mayorova

    2016-01-01

    Full Text Available Aim. The aim is to study the effect of bactericidal installation in combination with a device for creating a water curtain on the microclimate in the poultry house and environment. Methods. Epizootic research was carried out according to "epizootic methodology", FGI «Federal Centre for Animal Health» (FGI «ARRIAH». Gas composition of air was investigated by means of universal gas-analyzer (UG-2; the content of carbon dioxide was measured by Subbotin-Nagorskiy titrimetric method; the amount of dust in the air was measured by a gravimetric (weight method. Air humidity was calculated by means of August statistical psychrometer. Evaluation of the microbial contamination of air was carried out using the Krotov’s device. Results. The performed studies before and after the air bactericidal purification in a poultry farm showed a reduction of carbon dioxide and ammonia by 2-2.5 times, the total microbial contamination of air by 1.9 times and the dust by 4.3 times. We found a direct link between the increases in the amount of microbial bodies of air depending on the age of the bird. Thus, after air-cleaning in the poultry house room where they kept 15-d-old chicks, we calculated 5 thousand microbial cells per one m3 found (E.coli, and at the age of 45 days, the level of contamination reached 11 thousand microbial bodies. Conclusion. Research in the poultry house reveals that using bactericidal installation paired with water curtain device can significantly reduce the concentration of gases, dust and microorganisms in the air of the house and decrease the release into the environment, which will undoubtedly have an impact on the ecological situation of the environment, animal and human health. 

  4. Trace element contamination in the Guadalquivir River Estuary ten years after the Aznalcóllar mine spill.

    Science.gov (United States)

    Tornero, Victoria; Arias, Alberto M; Blasco, Julián

    2014-09-15

    Sediments, clams Scrobicularia plana and worms Hediste diversicolor from the Guadalquivir estuary were collected ten years after the Aznalcóllar mine spill and analyzed for metals. Significant seasonal and spatial effects were detected for most elements, so data from different sampling periods and locations were treated separately. Overall, the most polluted sites were found upstream, although Zn and Cu tended to accumulate at the estuary mouth. A significant decline of Zn in sediments and clams was observed compared to levels reported following the spill, so the estuarine ecosystem has recovered. However, the concentrations of some elements in S. plana were still higher than those of heavily contaminated regions. In this mollusk, Pb and As levels were higher in 2008 than in previous years, suggesting a new source entering into the estuary. Metals in sediments presented low bioavailability for biota, so other sources must account for the concentrations observed in these species. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Ten-year follow-up of giant basilar aneurysm treated by sole stenting technique: a case report.

    Science.gov (United States)

    Zenteno, Marco; Gómez, Camilo R; Santos-Franco, Ja; Vinuela, Fernando; Aburto-Murrieta, Y; Lee, Angel

    2010-02-22

    The sole stenting technique has emerged as a new tool for the management of intracranial aneurysms. However, several concerns have emerged about the long-term behavior of intracranial stents, particularly their safety and efficacy. We present the first case of an intracranial aneurysm intentionally treated with the sole stenting technique. After ten years of clinical and imaging follow-up, the lesion has healed and no intrastent stenosis is observed.Several issues concerning this technique are discussed. For instance, the modification of the angle and intra-aneurysmal thrombosis may account as positive effects; negative outcomes include in-stent thrombosis or stenosis. This case report, involving a long clinical and imaging follow-up, provides an example of the effectiveness, safety, durability and simplicity of the sole stenting technique in the management of intracranial aneurysms.

  6. Ten-year follow-up of giant basilar aneurysm treated by sole stenting technique: a case report

    Directory of Open Access Journals (Sweden)

    Lee Angel

    2010-02-01

    Full Text Available Abstract Introduction The sole stenting technique has emerged as a new tool for the management of intracranial aneurysms. However, several concerns have emerged about the long-term behavior of intracranial stents, particularly their safety and efficacy. Case presentation We present the first case of an intracranial aneurysm intentionally treated with the sole stenting technique. After ten years of clinical and imaging follow-up, the lesion has healed and no intrastent stenosis is observed. Several issues concerning this technique are discussed. For instance, the modification of the angle and intra-aneurysmal thrombosis may account as positive effects; negative outcomes include in-stent thrombosis or stenosis. Conclusions This case report, involving a long clinical and imaging follow-up, provides an example of the effectiveness, safety, durability and simplicity of the sole stenting technique in the management of intracranial aneurysms.

  7. Rotationplasty type BI versus type BIIIa in children under the age of ten years. Should the knee be preserved?

    Science.gov (United States)

    Hardes, J; Gosheger, G; Vachtsevanos, L; Hoffmann, C; Ahrens, H; Winkelmann, W

    2005-03-01

    Type BI rotationplasty is currently indicated for children with tumours of the proximal femur whereas type BIIIa rotationplasty is reserved for those in which the entire femur has to be removed. Our aim was to compare these two types of rotationplasty and determine whether the knee should be preserved in children with tumours of the proximal femur. We compared the post-operative complications, oncological outcome, range of movement, Enneking score and radiographs of six children, who had undergone type BI rotationplasty with those of 12 who had undergone type BIIIa rotationplasty. Patients with type BI rotationplasty had a mean Enneking score of 21.6 compared with 24.4 in those with type BIIIa rotationplasty, and worse mean results in all of the parameters investigated. We conclude that type BI rotationplasty has a worse functional outcome and more complications than type BIIIa rotationplasty in children under the age of ten years.

  8. Learning from lawsuits: Ten-years of NHS litigation authority claims against 11 surgical specialities in England.

    Science.gov (United States)

    Ford, Kathryn E; Cooper, Lilli R L

    2016-05-06

    Medico-legal claims are a drain on NHS resources and promote defencive practice. The litigious burden of surgery in England has not been previously described. This paper describes trends over ten years of claims made against the NHS across 11 surgical specialities. Data were requested for all claims received by the NHS Litigation Authority (NHSLA) from 2004 to 2014. Surgical specialities included cardiothoracic, general, neurosurgery, obstetric, oral and maxillofacial (OMFS), orthopaedic, otorhinolaryngology, paediatric, plastic, urology and vascular surgery. A literature review of peer-reviewed publications was performed with search terms 'NHSLA' and 'Surgery'. The NHS paid out approximately £1.5 billion across 11 surgical specialities from 2004 to 2014. Orthopaedic, obstetric and general surgery received the largest number of claims per year, and paediatric surgery the least. The mean time from registration of claim with the NHSLA to settlement was 25.5 months (range 17.8 months-35 months). Neurosurgery was responsible for the highest average amount paid per claim, and OMFS the lowest. Failure/delay in treatment and/or diagnosis and failure to warn/adequately consent were the three leading types of claim. 806 never events were successfully claimed for during the ten-year period. Sharing information and good practice should be a priority for surgical professionals. Lessons learnt from medico-legal claims are transferrable in strategic planning. This pan-speciality report has demonstrated considerable burden on the NHS and should promote improvement in practice on an individual level in addition to providing systems based recommendations to NHS and international organisations. Copyright © 2016 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

  9. Advanced HIV Disease at Enrolment in HIV Care: Trends and Associated Factors over a Ten Year Period in Cambodia.

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    Reaksmey Pe

    Full Text Available Early HIV diagnosis and enrolment in care is needed to achieve early antiretroviral treatment (ART initiation. Studies on HIV disease stage at enrolment in care from Asian countries are limited. We evaluated trends in and factors associated with late HIV disease presentation over a ten-year period in the largest ART center in Cambodia.We conducted a retrospective analysis of program data including all ARV-naïve adults (> 18 years old enrolling into HIV care from March 2003-December 2013 in a non-governmental hospital in Phnom Penh, Cambodia. We calculated the proportion presenting with advanced stage HIV disease (WHO clinical stage IV or CD4 cell count <100 cells/μL and the probability of ART initiation by six months after enrolment. Factors associated with late presentation were determined using multivariate logistic regression.From 2003-2013, a total of 5642 HIV-infected patients enrolled in HIV care. The proportion of late presenters decreased from 67% in 2003 to 44% in 2009 and 41% in 2013; a temporary increase to 52% occurred in 2011 coinciding with logistical/budgetary constraints at the national program level. Median CD4 counts increased from 32 cells/μL (IQR 11-127 in 2003 to 239 cells/μL (IQR 63-291 in 2013. Older age and male sex were associated with late presentation across the ten-year period. The probability of ART initiation by six months after enrolment increased from 22.6% in 2003-2006 to 79.9% in 2011-2013.Although a gradual improvement was observed over time, a large proportion of patients still enroll late, particularly older or male patients. Interventions to achieve early HIV testing and efficient linkage to care are warranted.

  10. The occurrence of osteoarthritis at a minimum of ten years after reconstruction of the anterior cruciate ligament

    Directory of Open Access Journals (Sweden)

    Patt Thomas W

    2008-06-01

    Full Text Available Abstract Objective The objective of this study was to evaluate the incidence of radiographic osteoarthritis in the operated knee in comparison with the contralateral knee ten years after a bone-tendon bone patellar autograft ACL-reconstruction and to evaluate to which level patients regain activity ten years after reconstruction. Methods Fifty-three patients with ACL instability were operated arthroscopically using the central third of the patellar tendon as a bone-tendon-bone autograft. At a minimum of 10 year follow up 28/44 patients matched the inclusion criteria and could be reached for follow-up. Evaluation included a patient satisfaction evaluation using a Visual Analog Scale, physical examination (International Knee Documentation Committee score, Tegner score, Lysholm score, KT-1000 stabilometry and a radiological evaluation (Kellgren and Fairbanks classification. Results The patients' satisfaction, at a mean of 10,3 year follow-up, measured with a VAS score (0–10 was high with a mean of 8.5 (range 4 to 10. The KT 1000 arthrometer laxity measurements revealed in 55% of the patients an A rating (1–2 mm, in 29% a B rating (3–5 mm and in 16% a C rating (6–10 mm. According to the Tegner score 54% of the patients were able to perform at the same activity level as pre-operatively. The mean pre-operative Tegner score was 6.8 and the mean post-operative Tegner score was 6.0 at final follow up. The Lysholm score showed satisfactory results with a mean of 91 points (range 56 to 100. According to the Kellgren and Fairbank classifications, there is a significant difference (p Conclusion The patellar BTB ACL reconstruction does not prevent the occurrence of radiological OA after 10 years but does help the patient to regain the pre-operative level of activity.

  11. Socioeconomic position and ten-year survival and virologic outcomes in a Ugandan HIV cohort receiving antiretroviral therapy.

    Directory of Open Access Journals (Sweden)

    Andrew G Flynn

    Full Text Available Lifelong ART is essential to reducing HIV mortality and ending the epidemic, however the interplay between socioeconomic position and long-term outcomes of HIV-infected persons receiving antiretroviral therapy (ART in sub-Saharan Africa is unknown. Furthering the understanding of factors related to long-term ART outcomes in this important region will aid the successful scale-up of ART programs. We enrolled 559 HIV-infected Ugandan adults starting ART in 2004-2005 at the Infectious Diseases Institute in Kampala, Uganda and followed them for 10 years. We documented baseline employment status, regular household income, education level, housing description, physical ability, and CD4 count. Viral load was measured every six months. Proportional hazard regression tested for associations between baseline characteristics and 1 mortality, 2 virologic failure, and 3 mortality or virologic failure as a composite outcome. Over ten years 23% (n = 127 of participants died, 6% (n = 31 were lost-to-follow-up and 23% (107/472 experienced virologic treatment failure. In Kaplan-Meier analysis we observed an association between employment and mortality, with the highest cumulative probability of death occurring in unemployed individuals. In univariate analysis unemployment and disease severity were associated with mortality, but in multivariable analysis the only association with mortality was disease severity. We observed an association between higher household income and an increased incidence of both virologic failure and the combined outcome, and an association between self-employment and lower incidence of virologic failure and the combined outcome when compared to unemployment. Formal education level and housing status were unrelated to outcomes. It is feasible to achieve good ten-year survival, retention-in-care, and viral suppression in a socioeconomically diverse population in a resource-limited setting. Unemployment appears to be related to adverse 10

  12. Environmental stresses and strains in an extreme situation: the repair of electrometallurgy furnaces.

    Science.gov (United States)

    Chaurel, C; Mercier-Gallay, M; Stoklov, M; Romazini, S; Perdrix, A

    1993-01-01

    Whenever continuous casting furnace breaks down, the emergency intervention necessary to repair it has to be carried out under exceptional environmental conditions caused mainly by heat, as the furnace must be stopped for the shortest possible time. In this study, we aimed to evaluate the stresses and strains to which boilermakers are subjected during the replacement of an electrode element of a 20 MW furnace. The thermal stress was evaluated by the wet bulb globe temperature (WBGT) index. CO2 was measured continuously at the furnace periphery and sporadically in the center of the furnace using an electrochemical method, while CO was also measured in both areas, using Dräger tubes. Dusts were sampled by a CPM3 (Andersen particle fractionating sampler) and a CIP10 (personal sampler). The strain was evaluated by continuous ECG recording with an Aclan IFC 85, breathing performance was assessed with an HI 298 microspirometer, and blood oxygen saturation was evaluated using a Biox oximeter. Thermal stresses are extreme: WBGT was 55 degrees C in the furnace center and 34 degrees C in the furnace periphery. In spite of the ventilation, the reduction in heat during the 6 h of the intervention was negligible and did not provide sufficient cooling. The analysis of gases and dusts were of minor interest, although the mean CO level at the furnace periphery was 40 ppm, with a peak level of 140 ppm in furnace center. CO2 and SO2 levels did not exceed TLV-TWA and TLV-Stel values.(ABSTRACT TRUNCATED AT 250 WORDS)

  13. Environmental situation and development of mineral raw material base in Russia

    Science.gov (United States)

    Larikova, O. I.

    2003-04-01

    The necessity of the further development of mineral raw material base and exploration for new deposits in Russia, connected with the loss of traditional sources of mineral and raw material resources in the former USSR republics, let us to study several ecological problems of top priority: 1. To determine all natural factors that affect the development of mineral raw material base; to determine the availability of the Russian territory ranged according to the favorable conditions for the development of its mineral raw material base. 2. To determine all natural factors in order to find regions where natural environment is not capable of self-restoration and where additional burden resulted from deposits' development could cause irreversible environmental changes and ecological catastrophes. 3. To evaluate the main negative results arisen from deposits' development and to set up the complex of nature protection measures in order to reduce negative influence on the environment. To solve the first task, scientists from VIEMS and VNIIgeosystem have compiled the Atlas of electronic geo-ecological maps of Russia consisting of more than 20 digital geoecological maps grouped into 4 blocks: - natural factors, including continuous and discontinuous permafrost, seismological danger, avalanche and mudflow hazards, manifestation of exogenous geological processes; - unique natural resources and objects, including current and designed reservation parks, unique lake systems, areas used mainly by small-in-numbers peoples of the North; - hydro geological factors - rate of underground water resources in operation and provision of population with fresh underground water; - social and economic factors, including density and natural increase of population disease and mortality rates, the number of unemployed, etc. On the final map, the whole territory of Russia has been divided into 4 categories: - territories, where the law prohibits the exploration, - territories, those are adverse for

  14. Helicobacter pylori (H pylori infection in Greece: the changing prevalence during a ten-year period and its antigenic profile

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    Katsilambros Nicolaos

    2002-05-01

    Full Text Available Abstract Background To evaluate changes in H pylori infection prevalence in Greece during a ten-year period, and to examine its antigenic profile. Methods Three groups of patients were studied. Group O-87: Banked serum samples of 200 consecutive adult outpatients, from the Hepato-Gastroenterology clinic of a teaching hospital at Athens, collected in 1987. Group O-97: Serum samples of 201 similarly selected outpatients from the same Unit, collected in 1997. Group BD-97: Serum samples of 120 consecutive blood donors from the same hospital, collected in 1997. H pylori IgG antibody seroprevalence was studied by a quantitative ELISA. Antigenic profile was studied by western-blot IgG assay, in 62 IgG positive patients of O-97 and BD-97. Results were analyzed by conventional statistics and multivariate regression analysis. Results The H pylori seroprevalence increased with age in the three tested groups. In O-97, seroprevalence did not differ from that, in BD-97. On the contrary, there was a significant decrease in seropositivity between O-87 and O-97 (59.5% vs 49.2%, p = 0.039. Multiple regression analysis showed that age over 35 years (OR:3.45, 95% CI:1.59–7.49, p = 0.002 and year of patients' selection – that is 1987 or 1997 – (OR:1.73, 95% CI:1.14–2.65 for 1987, p = 0.010, were independent risk factors of H pylori infection. The seroprevalence of CagA+ and VacA+ strains was 77.4% and 58.5%, respectively, and type I(CagA+/VacA+ strains were significantly more common than type II(CagA-/VacA- strains (59.7% vs 22.6%, p Conclusions During a ten-year period, we found a significant decrease of H pylori infection in Greece and our data support the birth cohort phenomenon as an explanation for the age-dependent increase of H pylori infection. The prevalence of CagA and/or VacA positive strains is relatively high, in a country with low incidence of gastric cancer.

  15. Ten years of a model of aesthetic appreciation and aesthetic judgments : The aesthetic episode - Developments and challenges in empirical aesthetics.

    Science.gov (United States)

    Leder, Helmut; Nadal, Marcos

    2014-11-01

    About a decade ago, psychology of the arts started to gain momentum owing to a number of drives: technological progress improved the conditions under which art could be studied in the laboratory, neuroscience discovered the arts as an area of interest, and new theories offered a more comprehensive look at aesthetic experiences. Ten years ago, Leder, Belke, Oeberst, and Augustin (2004) proposed a descriptive information-processing model of the components that integrate an aesthetic episode. This theory offered explanations for modern art's large number of individualized styles, innovativeness, and for the diverse aesthetic experiences it can stimulate. In addition, it described how information is processed over the time course of an aesthetic episode, within and over perceptual, cognitive and emotional components. Here, we review the current state of the model, and its relation to the major topics in empirical aesthetics today, including the nature of aesthetic emotions, the role of context, and the neural and evolutionary foundations of art and aesthetics. © 2014 The British Psychological Society.

  16. Malaria in pregnancy; facts from the parasitology laboratory: a ten-year study in Abuja, North Central Nigeria

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    Ibecheozor, N.K.O

    2014-09-01

    Full Text Available Malaria, which is transmitted by female Anopheles mosquitoes, is the major cause of mortality among the pregnant women in the sub-Saharan Africa. A ten year study of malaria in pregnancy was carried out in Abuja, North Central Nigeria. Thick and thin blood films were stained with the Giemsa methodology. Of the 16760 pregnant women blood samples, 4571 (27.3% were positive for malaria parasites caused by Plasmodium falciparum. Of the 4571 positive cases, 75 (1.7% had parasite density of >5000 parasites/µl of blood; 148 (3.2% had between 500-5000 parasites/µl of blood; 520 (11.4% had between 50 - 500 parasites/µl of blood; while 3828 (83.7% had between 5-50 parasites/µl of blood. With the current estimate of over 4500 deaths of pregnant women in Nigeria due to malaria annually, we must make deliberate efforts to stop these unacceptable and painful losses. The continued use of malaria rapid diagnostic tests (M-RDTs methodologies should be discontinued because of its negative implications. Therefore, the microscopic laboratory diagnostic component should be included in ANC at all level of health care facility.

  17. Ten years water and energy surface balance from the CNR-ISAC micrometeorological station in Salento peninsula (southern Italy)

    Science.gov (United States)

    Martano, P.; Elefante, C.; Grasso, F.

    2015-06-01

    Data of surface-atmosphere energy and water transfer from a ten years (2003-2013) period of activity of the ISAC-Lecce micrometeorological station (isac.cnr.it"target="_blank">http://www.basesperimentale.le.isac.cnr.it) have been analyzed: to the authors' knowledge this is the first decadal data set of surface-atmosphere transfer in Salento peninsula. The surface energy budget shows a tendency to a positive bias possibly due to several reasons that require more investigations. Some suitable indices related to the surface water balance, such as the precipitation intensity, the aridity index and the ground water infiltration fraction have been calculated. Possible trends of these annual averages in the decadal period are considered, also taking into account the statistical uncertainty associated to measurement errors and missing data. The results indicate a significant increasing in the precipitation intensity together with an experimental evidence of increasing of the ground water infiltration in the measurement area, that is in agreement with recent estimations for the whole Salento peninsula. On the other hand, recent studies show that seawater intrusion and salinization of the deep underground aquifer keep increasing in the same period.

  18. Prehospital trauma care reduces mortality. Ten-year results from a time-cohort and trauma audit study in Iraq

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    Murad Mudhafar K

    2012-02-01

    Full Text Available Abstract Background Blunt implementation of Western trauma system models is not feasible in low-resource communities with long prehospital transit times. The aims of the study were to evaluate to which extent a low-cost prehospital trauma system reduces trauma deaths where prehospital transit times are long, and to identify specific life support interventions that contributed to survival. Methods In the study period from 1997 to 2006, 2,788 patients injured by land mines, war, and traffic accidents were managed by a chain-of-survival trauma system where non-graduate paramedics were the key care providers. The study was conducted with a time-period cohort design. Results 37% of the study patients had serious injuries with Injury Severity Score ≥ 9. The mean prehospital transport time was 2.5 hours (95% CI 1.9 - 3.2. During the ten-year study period trauma mortality was reduced from 17% (95% CI 15 -19 to 4% (95% CI 3.5 - 5, survival especially improving in major trauma victims. In most patients with airway problems, in chest injured, and in patients with external hemorrhage, simple life support measures were sufficient to improve physiological severity indicators. Conclusion In case of long prehospital transit times simple life support measures by paramedics and lay first responders reduce trauma mortality in major injuries. Delegating life-saving skills to paramedics and lay people is a key factor for efficient prehospital trauma systems in low-resource communities.

  19. Influence of marital status on testosterone levels-A ten year follow-up of 1113 men

    DEFF Research Database (Denmark)

    Holmboe, Stine A; Priskorn, Lærke; Jørgensen, Niels

    2017-01-01

    Based on a large population of 1113 men aged 30-60 at baseline (mean: 44.1 years, standard deviation: 10.5), we investigated whether intra-individual changes in testosterone (T) and related reproductive hormones during a ten year period were dependent of marital status at baseline and follow...... in testosterone was observed. However, independent of age and lifestyle, we observed that men who went from unmarried to married (n=81) during the study period experienced an accelerated age-related decline in testosterone (-6.6nmol/L) whereas men who went from married to unmarried (n=67) experienced...... an attenuated age-related decline (-2.3nmol/L). Men who were either married or unmarried at both time points (n=167, n=798, respectively) had a testosterone decline in between (-3.7nmol/L and -4.6nmol/L, respectively). Changes in T/LH ratio did not differ according to marital status indicating that the lowered...

  20. Vaccine Adverse Events Reported during the First Ten Years (1998–2008 after Introduction in the State of Rondonia, Brazil

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    Mônica P. L. Cunha

    2013-01-01

    Full Text Available Despite good safety records, vaccines given to young children can cause adverse events. We investigated the reported adverse events following immunization (AEFI of vaccines given to children of less than seven years of age during the first ten years (1998 to 2008 in the state of Rondonia, Brazil. We worked with the events related to BCG (Bacillus Calmett-Guérin, HB (hepatitis B, DTwP/Hib (diphtheria-tetanus-pertussis+Hemophillus influenza b, DTP (diphtheria-tetanus-pertussis, MMR (mumps, measles, rubella, and YF (yellow fever vaccines because they were part of the recommended scheme. The number of doses of vaccines given was 3,231,567 with an average of AEFI of 57.2/year during the studied period. DTwP/Hib was responsible for 298 (57.8%, DTP 114 (22.9%, HB 31 (6%, MMR 28 (5.4%, BCG 24 (4.7%, and YF 20 (3.9% of the reported AEFI. The combination of the AEFI for DTwP/Hib vaccines showed the highest number of systemic (61.4% and local events (33.8%. Young children (≤1-year old were more susceptible to AEFI occurring in the 6 hours (54.2% following vaccine uptake. This study suggests significant differences in reactogenicity of vaccines and that despite limitations of the AEFI Brazilian registry system we cannot ignore underreporting and should use the system to expand our understanding of adverse events and effects.

  1. Land evaluation suitability for settlement based on soil permeability, topography and geology ten years after tsunami in Banda Aceh, Indonesia

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    Muhammad Rusdi

    2015-12-01

    Full Text Available Years after the tragedy of the tsunami in Banda Aceh researchers are still saddled with the problem of water permeability, slope and geology suitability for settlements. Social and ecological vulnerability to disasters and outcomes of Oceanic earthquakes causing tsunamis remain an indelible phobia to potential residents at the western coast of Sumatra upto the northern part of Indonesia. Ten years after the disaster, this study evaluates the topography of the area to determine the level of suitability of the area for human habitat. This article examines the concept of land suitability evaluation and its potential as a tool of determining appropriateness of a settlement. The focus of the study centered on the application of geographic information systems GIS in handling spatial data permeability, slope and geology of the land in accordance with the FAO land suitability standard. To ensure that the application works, it requires geospatial analysis compiled based on the permeability, slope and geology that can be observed and measured for the residential requirements. Results showed that almost all the cities within Banda Aceh are suitable for residency (Ordos.

  2. Multifocal osteonecrosis related to corticosteroid: ten years later, risk of progression and observation of subsequent new osteonecroses.

    Science.gov (United States)

    Flouzat-Lachaniette, Charles-Henri; Roubineau, François; Heyberger, Clemence; Bouthors, Charlie; Hernigou, Philippe

    2016-04-01

    No study has reported the risk of other site osteonecroses after the diagnosis of multifocal osteonecrosis related to corticosteroids in patients who continue this corticosteroid treatment. An analysis of the time-course to other sites of osteonecrosis, as well as the effects of underlying corticosteroid risk factor on the evolution of asymptomatic lesions at the time of diagnosis, is presented. Two hundred patients were followed prospectively every year during a minimum ten years with a radiograph if a joint became symptomatic. In absence of evidence of osteonecrosis on radiographs of a symptomatic or non-symptomatic joint (hips, shoulders, knees, ankles), patients had an MRI performed at the most recent follow up. The average duration of follow-up after inclusion of the patient in the study was 15 years (range 10-20). Of the 200 patients followed for an average of 15 years (minimum 10 years, maximum 20 years), 35 patients developed new osteonecrosis lesions during the period of study. Asymptomatic lesions became symptomatic and a high number of collapse was observed resulting in 258 arthroplasties (187 hips, 51 shoulders, 20 knees) at the most recent follow up. The continuation of peak doses (>200 mg) of corticosteroids predicted (p = 0.04) occurrence of new lesions and the continuation of corticosteroids without peak dose was a risk for quicker progression to collapse.

  3. Increasing trends of diabetes mellitus and body weight: a ten year observation at gondar university teaching referral hospital, northwest ethiopia.

    Science.gov (United States)

    Abebe, Solomon Mekonnen; Berhane, Yemane; Worku, Alemayehu; Alemu, Shitay

    2013-01-01

    Diabetes mellitus is becoming one of the major causes of premature adult mortality in developing countries. However, there is a very little documentation of the morbidity trend in such countries. To assess the ten-year trend of diabetes mellitus at Gondar University Teaching Referral Hospital, northwest Ethiopia. A hospital-based retrospective record review was done at the main referral hospital in northwest Ethiopia. Data were obtained from medical records of all registered diabetic patients in the Diabetic Follow up Clinic between 2000 and 2009. An Extended Mantel-Haenzel chi-square test for the linear trend was used to examine the trend over time. Out of the total 354,524 patients who visited the Outpatient Department of the hospital during the study period, 1553 (4.4/1000) were diabetes patients, of which 50.1% was type 1 and 49.9% type 2 diabetes mellitus. The average increase in the proportion of both Type 1 and Type 2 diabetes mellitus cases between 2000 and 2009 was 125%. The mean (±SD) age for Type 1 diabetes mellitus was 29.1 (±12), and 53.5 (±12) for Type 2 diabetes. Overall 42.5% of the diabetes mellitus patients were female and 31.7% were rural residents. The mean body mass index for both type of diabetes mellitus increased from 15.9 to 18.3 kg for type 1 and from 23.8 to 24.6 for type 2 between 2000 and 2009, respectively. The number of diabetes mellitus cases seen at Gondar Referral Hospital is rising steadily. A comprehensive diabetes prevention, treatment, and care program is needed to improve the quality of life of the increasing diabetes mellitus cases in Ethiopia.

  4. Clinical presentation and treatment outcome of molar pregnancy: Ten years experience at a Tertiary Care Hospital in Dammam, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Ayman A Al-Talib

    2016-01-01

    Full Text Available Objectives: To study the clinical presentation and treatment outcome of molar pregnancy at a Tertiary Care Hospital in Dammam, Saudi Arabia. Materials and Methods: Reviewed medical records of all molar pregnancy cases among all the deliveries at a tertiary care hospital in Dammam from 2005 to 2014, after approval by institutional ethical review committee. Data abstracted included patient′s age, parity, presenting symptoms, gestational age at diagnosis, uterine size, ultrasonographic findings, BhCG level at the time of diagnosis and at follow-up after evacuation, and blood loss during evacuation. Data was entered and analyzed using Excel; frequency distribution for categorical variables and descriptive statistics for continuous variables were computed. Results: Of a total of 25,000 deliveries in ten years, 22 cases of complete molar pregnancy were encountered: 0.9 cases of molar pregnancy per 1000 pregnancies. Majority of patients (63.7% were older than 35 years, and were nulliparous (45.5%. The commonest symptom was vaginal bleeding (86.4% followed by hyperemesis gravidarum (41.0%; Hyperthyroidism was seen in 1 patient (4.5%. Ovarian enlargement by theca-lutin cyst was seen in 3 patients (13.6%. The majority of patients (63.6% had normal BhCG within 9 weeks (63 days after suction curettage. The majority of the cases followed a benign course. Conclusion: Aged older than 35 years seems a risk factor and vaginal bleeding is the commonest presenting symptom. Early booking of pregnant women to antenatal care clinics and routine first trimester ultrasound made diagnosis easier and earlier before complications appear.

  5. [Bilateral Congenital Multiple Pigmented Vitreous Cysts in a Three-year-old Girl: Ten Years Follow up].

    Science.gov (United States)

    Štěpánková, J; Hósová, M; Dotřelová, D

    2017-01-01

    The authors present a case report of a three-year-old female patient with bilateral multiple anterior vitreous cysts. During examination for intermittent esotropia of the right eye was diagnosed not only hypermetropia, astigmatism and anisometropia, but also pigmented changes in peripheral retrolental space of both eyes. Clinical examination under general anaesthesia revealed bilateral multiple pigmented immobile vitreous cysts. There were five almost spherical, translucent, but slightly pigmented cysts on its cover on the right eye and four similar on the left, but visible only with dilated pupils. A dilating of pupils was slow and required more mydriatics than in similar aged children. Follow up period is ten years now. Occlusion therapy of amblyopia was performed to nine years of age. Treatment of refractive error and esotropia with correction for hypermetropia, astigmatism and anisometropia continues. Best corrected visual acuity in thirteen-year-old girl is 1,0 in both eyes without any visual disturbances described by patient. Corrected visual acuity in each eye is 1,0, right eye with +3,5 D sph., -3,5D cyl., axis 175°, left eye with +7,5 D sph., -3,0 D cyl., axis 35°. Patient is otherwise healthy and without any mental deficit. Position of all cysts remains unchanged and stabile during the follow up period (with recommendation to avoid hits to the head for all time, mainly in sports). Formation and slow progression of partial cortical cataract in the area of contact of the lens and one cyst in inferonasal quadrant of the lens on the right eye is monitored. A lamellar retinal extrafoveal defect of posterior pole of the right eye was found by OCT imaging.Key words: vitreous cyst, idiopathic, congenital, bilateral, multiple, pigmented, immobile, hypermetropia, astigmatism, anisometropia, esotropia, cortical cataract, retinal lamellar extrafoveal defect, OCT.

  6. Ten-Year Trends (1999-2010) of Adherence to the Mediterranean Diet among the Balearic Islands' Adult Population.

    Science.gov (United States)

    Bibiloni, Maria Del Mar; González, Mónica; Julibert, Alicia; Llompart, Isabel; Pons, Antoni; Tur, Josep A

    2017-07-14

    The aim of this work was to assess ten-year trends (1999-2010) of adherence to the Mediterranean dietary pattern (MDP) among the Balearic Islands' adult population. Two independent cross-sectional dietary surveys (1999-2000, n = 1200 and 2009-2010 n = 1388, including participants aged 16-65 years) were carried out in the Balearic Islands, Spain. Dietary habits were assessed by means of two 24 h diet recalls and a validated semi-quantitative food-frequency questionnaire that covers 145 food items. Adherence to the MDP was defined according to a score constructed considering the consumption of nine MDP characteristic components: high monounsaturated fatty acids:saturated fatty acids (MUFA:SFA) ratio, moderate ethanol consumption, high legumes, cereals and roots, fruits, vegetables, and fish consumption, and low consumption of meat and milk. Socio-economic status, education level, lifestyle factors and health status were also assessed. Adherence to the MDP was 43.1% (SD 5.8) in 1999-2000 and 44.6% (SD 8.3) in 2009-2010. Higher age was directly associated with higher adherence to the MDP, and this association was stronger in males than in females. Young generations and smokers showed the lowest adherence to MDP, whereas people with higher educational and socio-economic level, and who were physically active showed the highest adherence. According to the place of birth, the increase in the percentage of the adherence to the MDP was observed to be smaller among the Balearic Island's natives than among people born abroad. In 2009-2010, individuals in the MDP's fourth quartile were more likely to be older (aged 46-65 years), and were less likely to have a low occupational level, to have a light physical activity level and to be smoker than in 1999-2000. The adherence to the MDP has been stabilized and slightly recovered among the Balearic Islands' adult population in the last decade.

  7. Monitoring of Pb exposure in waterfowl ten years after a mine spill through the use of noninvasive sampling.

    Directory of Open Access Journals (Sweden)

    Monica Martinez-Haro

    Full Text Available Lead exposure in waterfowl was studied using noninvasive fecal sampling in the Guadalquivir Marshes in Spain, an area affected by the 1998 Aznalcóllar mine disaster. Feces of greylag geese (Anser anser, n = 191 and purple gallinule (Porphyrio porphyrio, n = 91 were collected from three different impacted sites (Entremuros, Caracoles and Cerro de los Ánsares during the winters of 2004 to 2008. Lead and aluminium (an indicator of sediment ingestion and Pb isotope signatures (to discriminate between sources of Pb exposure were analyzed in freeze-dried, acid digested samples. The concentrations of fecal porphyrins and biliverdin were determined as noninvasive biomarkers to study Pb exposure effects. Results showed a decrease in Pb exposure over time in wintering greylag geese. In contrast, for purple gallinule resident in the Entremuros a clear trend was not evident. For both species, sediment ingestion appeared to be the main source of exposure to Pb. In the Entremuros, some samples from purple gallinule were detected with higher Pb levels than expected for simple soil ingestion, and these had Pb isotopic profiles compatible with mining sludge or Pb shot. Whilst fecal Pb isotopic profiles were effective in differentiating between samples from sites with different levels and sources of pollution, the combined use of element ratios (such as Pb/Al and other non-traditional stable isotope signatures may also prove worthwhile. Overall, the fecal Pb levels detected were below those described in feces for waterfowl from other uncontaminated areas(<10 µg/g d.w.. Despite this, for both species fecal Pb levels were positively correlated with porphyrin excretion, and for purple gallinule, with the coproporphyrin III/I ratio, suggesting some subtle effects on heme synthesis in birds. Ten years after the mine spill, Pb contamination in birds by this pollution source was still detectable and subtlethal effects may persist.

  8. [Disturbances of thyroid function in adult population of the city of Cracow followed up for ten years observation].

    Science.gov (United States)

    Buziak-Bereza, Monika; Gołkowski, Filip; Szybiński, Zbigniew

    2005-01-01

    The aim of the study was to define disturbances of thyroid function in adult population of the city of Cracow followed up for ten years. The analysis included the results obtained from 891 individuals, 571 females and 320 males aged 18-78 years examined prior to and after implementation of the obligatory model of iodine prophylaxis (years 1989-1990 and 1998-1999). After the exclusion of patients diagnosed earlier as having hyperthyroidism or hypothyroidism, the mean TSH level in the years 1998-1999 was significantly higher as compared to data obtained between 1989 and 1990 (1.44 microj/ml vs. 1.30 microj/ml) in the examined population. Our 10 years observation revealed an insignificant increase in frequency of hyperthyroidism only among females (1.6% vs. 0.9%) which did not indicate a clear, endemic in character increase at the population level. In the present investigations, hypothyroidism was demonstrated to occur more frequently as compared to the 1989-90 study (2.1% vs. 1.4% among females and 0.3% vs. 0% in males). Both differences were not statistically significant. As seen from the present results, over the investigated 10-year period, in the Cracow population, there occurred a clear, statistically significant (p<0.001) increase of the percentage of individuals with an elevated TPO antibody titter (3.8% vs. 11.8%). In our investigation no correlation was observed between anti-TPO antibodies and ioduria levels. The results reveal no statistically significant increase in incidence of hyperthyroidism and hypothyroidism after implementation of the obligatory model of iodine prophylaxis. The future studies are needed to clarify the mechanisms involved in increase of anti-TPO autoantibodies and verify its possible temporary nature.

  9. Urine Iodine Status of 8-10-Year Old School Children in Yazd Province during Ten Years (2007-2016

    Directory of Open Access Journals (Sweden)

    Yousof Naghiaee

    2017-08-01

    Full Text Available Background: Iodine is an essential element for growth and development and its inadequate intake leads to insufficient production of thyroid hormone. In developed countries iodine deficiency (ID is one of the reformable factors. So, this study determined urinary iodine (UI status of 8-10-year old school children in Yazd province during 2007 to 2016. Methods: This cross-sectional and descriptive study was conducted on 2236 students who were randomly selected from urban and rural regions with equal proportion of gender. Questionnaires were administered to gather the required descriptive data and then morning samples of urine were collected. Iodine concentration was determined with titration and acidic digestion. Data were analyzed through SPSS software. Results: During the study period, the percentage of students with UI of lower than 2 µg/dL, was zero and only 2.37 % of them had a UI level in the range of 2-4.90 µg/dL. Median of UI was 18.40 ± 7.70 µg/dL level of UI in normal range showed noticeable increase from 2013 to 2016. Level of normal UI in ten years was 79.02%. Conclusions: According to the results of this study, Yazd province was considered "IDD free" similar to some other provinces. Also, level of UI more than 30 µg/dL was decreased. It is clear that this approaches need continuous evaluation such as annual evaluation of UI in 8-10 years old students at province level and every five years evaluation at national level.

  10. Clinical diagnosis of syphilis: a ten-year retrospective analysis in a South Australian urban sexual health clinic.

    Science.gov (United States)

    Forrest, C E; Ward, A

    2016-12-01

    National notifications for infectious syphilis in Australia have increased in recent years. Outside of sexual health clinics, junior clinicians seldom encounter this disease in its infectious stage (primary, secondary and early latent). With such a variable clinical presentation, textbook teaching is no substitute for real-life experience. The importance of accurate classification and staging of disease is relevant to the risk of transmission and determines treatment duration. In this article, the authors review the clinical presentation of syphilis over ten years in an urban sexual health clinic with a focus on the clinical presentation and diagnosis of infectious syphilis, in particular secondary syphilis, compared with that outlined in the Australian National Notifiable Diseases Surveillance System guidelines. This retrospective review of all patients diagnosed with syphilis at an urban sexual health clinic showed that between 2005 and 2015, 226 cases of syphilis were diagnosed. Documentation of impression of clinical staging of disease was present in 46% of the cases. Seventeen of these cases were recorded as secondary syphilis. The criteria used by clinicians to diagnose the secondary syphilis cases were consistent with criteria defined by the Australian National Notifiable Diseases Surveillance System. All cases of secondary syphilis had at least one cutaneous manifestation of disease. The demographic of the cohort of syphilis cases was consistent with that recorded in the literature. This review showed that the clinician's diagnosis of secondary syphilis in this service is consistent with the National Notifiable Diseases Surveillance System guidelines. Continuing education of junior medical staff is important to facilitate diagnosis and improve documentation of clinical staging, minimise disease transmission and ensure appropriate treatment. © The Author(s) 2016.

  11. Ten-Year Monitored Natural Recovery of Lead-Contaminated Mine Tailing in Klity Creek, Kanchanaburi Province, Thailand.

    Science.gov (United States)

    Phenrat, Tanapon; Otwong, Ashijya; Chantharit, Aphichart; Lowry, Gregory V

    2016-10-01

    Klity Creek has become Thailand's first official remediation ordered by the court in 2013, 15 years after the spill of lead (Pb)-contaminated mine tailing into the creek. The Pollution Control Department (PCD) decided to restore the creek through monitored natural recovery (MNR) since 2006 but has not been successful. Interestingly, the most recent remediation plan in 2015 will still apply MNR to five out of the seven portions of the creek, despite no scientific feasibility evaluation of using MNR to restore the creek. This study qualitatively and quantitatively evaluated the feasibility of using MNR to clean up the creek in order to protect the Klity children from excess Pb exposure. We analyzed the physical and chemical transformation of Pb contaminated sediment in the creek and developed a remedial action goal and cleanup level using the Integrated Exposure Uptake Biokinetic model (IEUBK). We empirically determined the natural recovery (NR) potentials and rates using 10 years of data monitoring the water and sediment samples from eight monitoring stations (KC1 to KC8). Klity Creek has NR potential for water except at KC2, which is closest to the spill and the other improperly managed Pb sources. However, the creek has no NR potential for sediment except at the KC8 location (NR rate = 11.1 ± 3.0 × 10-3 month-1) farthest from the spill. The MNR method is not suitable to use as the sole remedial approach for Klity Creek (KC2 to KC7). Although MNR is applicable at KC8, it may require up to 377 ± 76 years to restore the sediment to the background Pb concentration. Phenrat T, Otwong A, Chantharit A, Lowry GV. 2016. Ten-year monitored natural recovery of lead-contaminated mine tailing in Klity Creek, Kanchanaburi Province, Thailand. Environ Health Perspect 124:1511-1520; http://dx.doi.org/10.1289/EHP215.

  12. The Ten Years Survey on Clinical and Epidemiologic Features of Guillain-Barre Syndrome in Sina Hospital, Hamadan, Iran

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    Sh. Mazaheri

    2007-07-01

    Full Text Available Introduction & Objective: Since the elimination of poliomyelitis from Iran, Guillain–Barre Syndrome (GBS has been the leading cause of acute flaccid paralysis. There are a few studies concerning clinical and epidemiologic features of Guillain-Barré syndrome in our country, therefore we evaluated ten years clinical and epidemiologic features of GBS in Sina hospital, Hamadan, Iran.Materials & Methods: In a retrospective descriptive study, we reviewed 80 records of patients with GBS who were hospitalized in Sina Hospital (Hamadan, Iran during 1993-2003. Because of incomplete data we excluded 29 patients from the study. We evaluated clinical and epidemiologic features, risk factors, lab data and management protocols. Complete remission defined as complete improved patient four weeks after the GBS treatment and partial remission as the continuation of the symptom after that time. All the data extracted manually and analyzed with SPSS software.Results: From 51 patients, 36 (70.59% were men and 15 (29.41% women, with a proportion of 2.4 men to 1 woman. The age ranged from 3 to 85 years. The highest frequency was observed in patients aged 11 to 20 (35.28%. 13 patients were student, 11 were house keeper, 11 were farmer, 7 were worker. 29 patients (56.84% had risk factors like respiratory and gastrointestinal track infection, surgery and fever before the disease onset. Complete and partial remission occurred in 17 and 28 patients respectively and 5 patients did not improve. Management failure occurred in 3 (8.83%, 2 (22.23% and 5 (62.5% patients who underwent IVIG, plasmapheresis and corticosteroids respectively.Conclusion: Our data was not similar to other studies in term of male to female proportion, age distribution and management protocols, therefore geographical pattern of the disease should be concerned for better patients’ management.

  13. Ten-year hemoglobin A1c trajectories and outcomes in type 2 diabetes mellitus: The Diabetes & Aging Study.

    Science.gov (United States)

    Laiteerapong, Neda; Karter, Andrew J; Moffet, Howard H; Cooper, Jennifer M; Gibbons, Robert D; Liu, Jennifer Y; Gao, Yue; Huang, Elbert S

    2017-01-01

    To classify trajectories of long term HbA1c values in patients after diagnosis of type 2 diabetes and examine each trajectory's associations with subsequent microvascular and macrovascular events and mortality. A longitudinal follow-up of 28,016 patients newly diagnosed with type 2 diabetes was conducted. Latent growth mixture modeling was used to identify ten-year HbA1c trajectories. Cox proportional hazards models were used to assess how HbA1c trajectories were associated with events (microvascular and macrovascular) and mortality. We identified 5 HbA1c trajectories: "low stable" (82.5%), "moderate increasing late" (5.1%), "high decreasing early" (4.9%), "moderate peaking late" (4.1%) and "moderate peaking early" (3.3%). After adjusting for average HbA1c, compared to the low stable trajectory, all non-stable trajectories were associated with higher incidences of microvascular events (hazard ratio (HR) range, 1.28 (95% CI, 1.08-1.53) (high decreasing early) to 1.45 (95% CI, 1.20-1.75) (moderate peaking early)). The high decreasing early trajectory was associated with an increased mortality risk (HR, 1.27 (95% CI, 1.03-1.58)). Trajectories were not associated with macrovascular events. Non-stable HbA1c trajectories were associated with greater risk of microvascular events and mortality. These findings suggest a potential benefit of early diabetes detection, prioritizing good glycemic control, and maintaining control over time. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Who requests their sperm donor's identity? The first ten years of information releases to adults with open-identity donors.

    Science.gov (United States)

    Scheib, Joanna E; Ruby, Alice; Benward, Jean

    2017-02-01

    To report findings from 10 years of requests from adults eligible to obtain their open-identity sperm donor's information. Analysis of archived family and donor data. Semistructured interviews at information releases. Not applicable. A total of 85 DI adults requesting 43 donor identities; program data on 256 DI families. None. We identified [1] demographic predictors of requesting donor identities, [2] information release timing and length, and [3] request motives. Just >35% of eligible DI adults requested their donor's identity. Adults ranged from 18-27 years, requesting at median age 18 years. More women than men requested. Proportionally fewer adults requested when they had heterosexual-couple parents, and proportionally more when they had one rather than two parents. In interviews, the common theme was wanting to know more about the donor, especially about shared characteristics. Most adults planned to contact their donor. More than 94% of adults had donors who were open to contact; adults expressed modest expectations about this contact. In 2001, the first adults became eligible to obtain their open-identity sperm donor's information. Ten years of identity requests at one program indicates that information about one's donor is important to a significant proportion of these DI adults. Most requested their donor's identity soon after becoming eligible, suggesting some urgency to wanting the information. Interview data highlighted the role of donor information in helping adults better understand themselves and their ancestry. Findings hold important implications for practice and policy. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  15. [Ten years experience with the first approved biosimilar recombinant human growth hormone drug in normal clinical practice].

    Science.gov (United States)

    López-Siguero, Juan Pedro; Palla García, Margarida; Martínez Busto, Elena; Rebollo, Francisco José; Pombo, Manuel

    2017-06-28

    Recombinant human growth hormone (rhGH) is the first biosimilar drug approved by the European Medicines Agency in 2006, using the biosimilar registration process. It was authorised for the treatment of growth hormone deficiency, and growth disorders associated with Turner's syndrome, chronic renal failure, Prader-Willi syndrome, and growth disorders in children/adolescents born small for gestational age, and replacement therapy in adults with pronounced growth hormone deficiency. This review is focused on the scientific evidence published about this drug in the last ten years, including the clinical trials on which the approval of the regulatory authority is based, and the most relevant studies evaluating the clinical impact of the drug in clinical practice. The equivalence between biosimilar and original product has been confirmed in the clinical trials published by Romer et al. and López-Siguero et al. Furthermore, studies carried out in real-life conditions confirm its long-term efficacy and safety, as well as the absence of clinical impact by switching treatment from the original to the biosimilar product. The number of patients receiving this medication has continuously increased since its approval. Its equivalence with the original product has been verified. Preliminary data from the post-authorisation PATRO study confirm the efficacy and safety of the biosimilar product in comparison with data from clinical trials. However, final results must be evaluated at the end of the study, which will provide additional information about the long-term efficacy and safety of the biosimilar drug. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  16. Monitoring of Pb Exposure in Waterfowl Ten Years after a Mine Spill through the Use of Noninvasive Sampling

    Science.gov (United States)

    Martinez-Haro, Monica; Taggart, Mark A.; Lefranc, Hugues; Martín-Doimeadiós, Rosa C.; Green, Andy J.; Mateo, Rafael

    2013-01-01

    Lead exposure in waterfowl was studied using noninvasive fecal sampling in the Guadalquivir Marshes in Spain, an area affected by the 1998 Aznalcóllar mine disaster. Feces of greylag geese (Anser anser, n = 191) and purple gallinule (Porphyrio porphyrio, n = 91) were collected from three different impacted sites (Entremuros, Caracoles and Cerro de los Ánsares) during the winters of 2004 to 2008. Lead and aluminium (an indicator of sediment ingestion) and Pb isotope signatures (to discriminate between sources of Pb exposure) were analyzed in freeze-dried, acid digested samples. The concentrations of fecal porphyrins and biliverdin were determined as noninvasive biomarkers to study Pb exposure effects. Results showed a decrease in Pb exposure over time in wintering greylag geese. In contrast, for purple gallinule resident in the Entremuros a clear trend was not evident. For both species, sediment ingestion appeared to be the main source of exposure to Pb. In the Entremuros, some samples from purple gallinule were detected with higher Pb levels than expected for simple soil ingestion, and these had Pb isotopic profiles compatible with mining sludge or Pb shot. Whilst fecal Pb isotopic profiles were effective in differentiating between samples from sites with different levels and sources of pollution, the combined use of element ratios (such as Pb/Al) and other non-traditional stable isotope signatures may also prove worthwhile. Overall, the fecal Pb levels detected were below those described in feces for waterfowl from other uncontaminated areas(Pb levels were positively correlated with porphyrin excretion, and for purple gallinule, with the coproporphyrin III/I ratio, suggesting some subtle effects on heme synthesis in birds. Ten years after the mine spill, Pb contamination in birds by this pollution source was still detectable and subtlethal effects may persist. PMID:23437364

  17. [Etiological aspects of acute gastroenteritis--a ten-year review (1.01. 2001-31.12.2010)].

    Science.gov (United States)

    Luca, Cătălina Mihaela; Nemescu, Roxana; Teodor, Andra; Fântânaru, Rodica; Petrovici, Cristina Mirela; Dorobăţ, Carmen

    2011-01-01

    Acute gastroentritis is one of the most common diseases in humans, and continues to be a significant cause of morbidity worldwide. To determine the bacterial pathogens associated with gastroenteritis in patients admitted to the Iasi Infectious Diseases Hospital in the last ten years. A total of 40481 stool samples were examined using conventional methods. Bacteria were found in 7.36% of cases, and parasites in 9.64%; 83% of the cases were viral, micotic, or disbiotic. The bacterial etiology was dominated by Salmonella spp. (58.34%), Shigella spp. (27.08%), Yersinia enterocolitica 03 (8.53%), Campylobacter spp. (1.31%), other bacterial pathogens (EPEC, Aeromonas hydrophilla/caviae/sobria, Plesiomonas shigelloides, Bacillus cereus, Staphylococcus aureus, etc) being detected in 3.74% of the cases. Of the Salmonella species, group B (51.99%) followed by group D (45.23%) were most common. Shigella sonnei and Shigella flexneri were found in almost the same proportion (49.45% and 49.70%, respectively); Shigella boydii was isolated in only 0.85% of cases. The trend of gastroenteritis caused by bacterial pathogens is decreasing: from 355 cases in 2001 to 105 cases in 2010; three peaks have been recorded in 2002, 2005 (when Salmonella typhi was isolated in a patient), and 2008 (469, 409, and 252 cases, respectively). Bacterial gastroenteritis affected both sexes almost equally (122 males and 118 females). The most affected age groups were: 0 - 4 years, 15 - 24 years, 5 - 14 years and 25 - 39 years. Laboratory investigations are essential in determining the etiology of gastroenteritis. Its unpredictable incidence justifies the human and material efforts aimed at controlling the spread of potentially epidemic acute gastroenteritis.

  18. Dying from cancer or other chronic diseases in the Netherlands: ten-year trends derived from death certificate data

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    Hingstman Lammert

    2009-02-01

    Full Text Available Abstract Background For the further development of palliative care, it is relevant to gain insight into trends in non-acute mortality. The aim of this article is twofold: (a to provide insight into ten-year trends in the characteristics of patients who died from cancer or other chronic diseases in the Netherlands; (b to show how national death statistics, derived from physicians' death certificates, can be used in this type of investigations. Methods Secondary analysis of data from 1996 to 2006 on the "primary" or "underlying" cause of death from official death certificates filled out by physicians and additional data from 2003 to 2006 on the place of death from these certificates. Results Of the 135,000 people who died in the Netherlands in 2006, 77,000 (or 57% died from a chronic disease. Cancer was the most frequent cause of death (40,000. Stroke accounted for 10,000 deaths, dementia for 8,000 deaths and COPD and heart failure each accounted for 6,000 deaths. Compared to 1996, the number of people who died from chronic diseases has risen by 6%. Of all non-acute deaths, almost three quarters were at least 70 years old when they died. Almost one third of the people died at home (31%, 28% in a hospital, 25% in a nursing home and 16% somewhere else. Conclusion Further investments to facilitate dying at home are desirable. Death certificate data proved to be useful to describe and monitor trends in non-acute deaths. Advantages of the use of death certificate data concern the reliability of the data, the opportunities for selection on the basis of the ICD-10, and the availability and low cost price of the data.

  19. [Transrectal ultrasound-guided prostatic biopsy: contribution of an ultrasound diagnostic unit after ten years of experience].

    Science.gov (United States)

    Rodríguez-Patrón Rodríguez, Rafael; Mayayo Dehesa, Teodoro; García González, Ricardo; Arias Fúnez, Fernándo; Lennie Zuccarino, Alberto; Sanz Mayayo, Enrique

    2006-05-01

    Although transrectal ultrasound-guided (TRUS) prostatic biopsy is the procedure of choice for the diagnosis of prostate cancer (PC), neither the ideal number of cores nor the number of repeated biopsies, nor the required diagnostic yield have been established. After our experience of ten years with TRUS biopsy we perform a review of the technique and its indications. PSA, ultrasound features, and pathologic data of 6000 patients undergoing modified sextant TRUS biopsy between 1994 to December 2002 were collected. 222 patients undergoing ten-core TRUS biopsy were included in an experimental group to study the role of the extended biopsy. The contribution of the extra cores to the diagnostic yield in the experimental group was studied to determine the effectiveness of the extended biopsy, using as a control group 552 patients undergoing sextant TRUS biopsy during 2002. Both groups were comparable for the study variables at the start of the study. The incidence of PC in the first biopsy in the group of 6000 patients was 39.1% (2345/6000). Patients with PSA between 4 and 10 ng/ml have an incidence of PC greater than 50% among prostates smaller than 20 cc, diminishing down to 8.9% in those greater than 50 cc. The percentage of PC among patients with negative digital rectal examination (DRE), normal TRUS, and PSA below 4 ng/ml was 16.7%. The diagnostic yield for PSA density lower than 0.11 ng/ml/cc was lower than 8%. The free/total PSA ratio shows a 13.7% incidence of PC with values higher than 0.24. Multivariate logistic regression analysis showed that the only non-significant parameter was free/total PSA. Sixty (27.15%) patients of the extended TRUS biopsy group had PC. Only 2.25% of the 221 patients benefited from the augmented number of biopsies. There were no significant differences in the figures of prostate cancer between groups. Only PSA and volume where significant in the multivariate logistic regression analysis; number of samples, PSA density and age lacked of

  20. Ten years of health workforce planning in the Netherlands: a tentative evaluation of GP planning as an example

    Directory of Open Access Journals (Sweden)

    Van Greuningen Malou

    2012-08-01

    Full Text Available Abstract Introduction In many countries, health-care labour markets are constantly being challenged by an alternation of shortage and oversupply. Avoiding these cyclic variations is a major challenge. In the Netherlands, a workforce planning model has been used in health care for ten years. Case description Since 1970, the Dutch government has explored different approaches to determine the inflow in medical schools. In 2000, a simulation model for health workforce planning was developed to estimate the required and available capacity of health professionals in the Netherlands. In this paper, this model is explained, using the Dutch general practitioners as an example. After the different steps in the model are clarified, it is shown how elements can be added to arrive at different versions of the model, or ‘scenarios’. A comparison is made of the results of different scenarios for different years. In addition, the subsequent stakeholder decision-making process is considered. Discussion and evaluation Discussion of this paper shows that workforce planning in the Netherlands is a complex modelling task, which is sensitive to different developments influencing the balance between supply and demand. It seems plausible that workforce planning has resulted in a balance between supply and demand of general practitioners. Still, it remains important that the modelling process is accepted by the different stakeholders. Besides calculating the balance between supply and demand, there needs to be an agreement between the stakeholders to implement the advised training inflow. The Dutch simulation model was evaluated using six criteria to be met by models suitable for policy objectives. This model meets these criteria, as it is a comprehensive and parsimonious model that can include all relevant factors. Conclusion Over the last decade, health workforce planning in the Netherlands has become an accepted instrument for calculating the required supply of

  1. Ten-Year Trends (1999–2010) of Adherence to the Mediterranean Diet among the Balearic Islands’ Adult Population

    Science.gov (United States)

    Bibiloni, Maria del Mar; González, Mónica; Julibert, Alicia; Llompart, Isabel

    2017-01-01

    The aim of this work was to assess ten-year trends (1999–2010) of adherence to the Mediterranean dietary pattern (MDP) among the Balearic Islands’ adult population. Two independent cross-sectional dietary surveys (1999–2000, n = 1200 and 2009–2010 n = 1388, including participants aged 16–65 years) were carried out in the Balearic Islands, Spain. Dietary habits were assessed by means of two 24 h diet recalls and a validated semi-quantitative food-frequency questionnaire that covers 145 food items. Adherence to the MDP was defined according to a score constructed considering the consumption of nine MDP characteristic components: high monounsaturated fatty acids:saturated fatty acids (MUFA:SFA) ratio, moderate ethanol consumption, high legumes, cereals and roots, fruits, vegetables, and fish consumption, and low consumption of meat and milk. Socio-economic status, education level, lifestyle factors and health status were also assessed. Adherence to the MDP was 43.1% (SD 5.8) in 1999–2000 and 44.6% (SD 8.3) in 2009–2010. Higher age was directly associated with higher adherence to the MDP, and this association was stronger in males than in females. Young generations and smokers showed the lowest adherence to MDP, whereas people with higher educational and socio-economic level, and who were physically active showed the highest adherence. According to the place of birth, the increase in the percentage of the adherence to the MDP was observed to be smaller among the Balearic Island’s natives than among people born abroad. In 2009–2010, individuals in the MDP’s fourth quartile were more likely to be older (aged 46–65 years), and were less likely to have a low occupational level, to have a light physical activity level and to be smoker than in 1999–2000. The adherence to the MDP has been stabilized and slightly recovered among the Balearic Islands’ adult population in the last decade. PMID:28708083

  2. The Canadian Arctic Atmospheric Chemistry Experiment (ACE) Validation Project: Overview and results from ten years of ACE operations

    Science.gov (United States)

    Walker, Kaley; Strong, Kimberly

    2014-05-01

    As of February 2014, the Canadian-led Atmospheric Chemistry Experiment (ACE) satellite mission has been making measurements of the Earth's atmosphere for ten years. As ACE operations have extended beyond the initial two-year mission, there is a continuing need to validate the trace gas data products from the ACE-Fourier Transform Spectrometer (ACE-FTS) and the Measurement of Aerosol Extinction in the Stratosphere and Troposphere Retrieved by Occultation (ACE-MAESTRO) instruments. Ground-based measurements provide critical data for the validation of satellite retrievals of trace gases and for the assessment of long-term stability of these measurements. In particular, validation comparisons are needed for ACE during Arctic springtime to understand better the measurements of species involved in stratospheric ozone chemistry. To this end, eleven Canadian Arctic Atmospheric Chemistry Experiment (ACE) Validation Campaigns have been conducted during the spring period (February - April in 2004 - 2014) at the Polar Environment Atmospheric Research Laboratory (PEARL) in Eureka, Nunavut (80°N, 86°W). This period coincides with the most chemically active time of year in the Arctic, as well as a significant number of satellite overpasses. A suite of as many as 12 ground-based instruments, as well as frequent balloon-borne ozonesonde and radiosonde launches, have been used in each campaign. These instruments include: a ground-based version of the ACE-FTS (PARIS - Portable Atmospheric Research Interferometric Spectrometer), a terrestrial version of the ACE-MAESTRO, a SunPhotoSpectrometer, two zenith-viewing UV-visible grating spectrometers, a Bomem DA8 Fourier transform spectrometer, a Bruker 125HR Fourier transform spectrometer, a Systeme d'Analyse par Observations Zenithales (SAOZ) instrument, and several Brewer spectrophotometers. In the past several years, these results have been used to validate the measurements by the ACE-FTS and ACE-MAESTRO instruments on SCISAT as well

  3. What do you want to be in ten years? - Advising meteorology students in the post-Twister era

    Science.gov (United States)

    Snow, J. T.; Hempe, M.

    2012-12-01

    "What do you want to be in ten years?' This is a question we ask our students, freshmen and transfer, when they first arrive in the College student services center. Often the answer is "I don't know. I just want to be in meteorology." This response leads to a discussion of career opportunities in meteorology and related fields, including what might be called faux-careers, such as professional storm chasing and weather tour operations. (Students often have been misled by what they have seen in television shows.) Many students arrive on our doorstep with their heart set on a degree in meteorology, but lack knowledge of what the field is about or how challenging a meteorology degree program really is. We find ourselves spending a great deal of time convincing students that they need to explore the real opportunities in meteorology and related fields, which are many. Fortunately, because of the concentration of University and federal weather organizations in the National Weather Center and private sector weather companies in adjacent buildings, we are able to show concrete examples of real careers by means of tours, job shadowing, and introductions to alumni employed in these organizations. Also, as the students' progress in their studies, they discover the many opportunities for undergraduate employment, research experiences, and internships in these same organizations, through which they gain an appreciation for what constitutes a real career in modern meteorology. Further, many of today's careers in meteorology require a broad, global perspective. Unfortunately, many meteorology students have not traveled widely, but again have only seen what the media provides about distant lands and peoples. Accordingly, we encourage our undergraduate students to take advantage of our unique opportunities for overseas experiences in meteorology. Through arrangements with the met programs at the University of Reading (England), Monash University (Australia), and University of

  4. Interconnections at the microbial and societal scales: The response of hypersaline microbial communities to environmental perturbations and a situated exercise in the democratization of science

    OpenAIRE

    Andrade, Karen

    2015-01-01

    AbstractInterconnections at the microbial and societal scales: The response of hypersaline microbial communities to environmental perturbations and a situated exercise in the democratization of sciencebyKaren AndradeDoctor of Philosophy in Environmental Science, Policy, and ManagementUniversity of California, BerkeleyProfessor Jillian F. Banfield, Co-ChairProfessor Alastair T. Iles, Co-ChairRegardless of the scale at which it is defined, at the core of a community is the interdependence and ...

  5. Factors associated with severe malaria among children below ten years in Mutasa and Nyanga districts, Zimbabwe, 2014-2015.

    Science.gov (United States)

    Mutsigiri-Murewanhema, Faith; Mafaune, Patron Trish; Shambira, Gerald; Juru, Tsitsi; Bangure, Donewell; Mungati, More; Gombe, Notion Tafara; Tshimanga, Mufuta

    2017-01-01

    Severe malaria is a rare life threatening illness. Only a small proportion of patients with clinical malaria progress to this medical emergency. On reviewing 61 malaria death investigation forms submitted to the provincial office in 2014, 22(36%) were children below ten years who succumbed to severe malaria. Mutasa and Nyanga Districts reported 73% of these deaths. This study was conducted to determine factors associated with severe malaria so as to come up with evidence based interventions to prevent severe malaria and associated mortality. A 1:2 unmatched case control study was conducted. A case was defined as a child 10 years and below, who was admitted at Hauna (Mutasa) or Nyanga District Hospitals between September 2014 and May 2015 with a primary diagnosis of severe malaria. Controls were children of similar age with uncomplicated malaria. Permission to conduct the study was sought and granted by the Medical Research Council of Zimbabwe (Approval number B/874), Joint Research Ethics Committee, Health Studies Office and the Manicaland Directorate Institutional Review Board. Written informed consent was sought from all caregivers of enrolled children. Interviewer administered questionnaires were used to ascertain exposures. A total of 52 cases and 104 controls were enrolled into the study. The median age of cases was 4 years (Q1=3, Q3=9) and 6 years for controls (Q1=3, Q3=8). The Case Fatality Rate among cases was 28.8%. The independent risk factors for severe malaria were; distance >10km to the nearest health facility [Adjusted Odds Ratio (aOR)=14.35, 95% CI=1.30, 158.81], duration of symptoms before seeking medical care >2 days [aOR=9.03, 95% CI=2.21, 36.93], having comorbidities [aOR=5.38, 95% CI=1.90, 15.19], staying in a house under construction [aOR=4.51, 95%CI=1.80, 11.32] and duration of illness before receiving antimalarial medicines >24 hours [aOR=3.82, 95% CI=1.44, 10.12]. Owning at least one ITN in the household [aOR=0.32, 95% CI=0.11, 0.95] and

  6. Students' Constitutional Right to a Sound Basic Education: New York State's Unfinished Agenda. Part 1. A Roadmap to Constitutional Compliance Ten Years after "CFE v. State"

    Science.gov (United States)

    Rebell, Michael A.; Wolff, Jessica R.

    2016-01-01

    Ten years have passed since New York's highest court ruled in the landmark school-funding and educational-rights case, "Campaign for Fiscal Equity (CFE) v. State of New York," that the state was violating students' constitutional right to the "opportunity for a sound basic education" and ordered significant reforms of the…

  7. The ten-year course of depression in primary care and long-term effects of psychoeducation, psychiatric consultation and cognitive behavioral therapy

    NARCIS (Netherlands)

    Conradi, Henk Jan; Bos, Elisabeth H; Kamphuis, Jan H; de Jonge, Peter

    BACKGROUND: While the majority of depressed patients are treated in primary care, long-term follow-up data on the naturalistic course of depression and treatment effectiveness in this setting are scarce. This study examined the ten-year course of depression in primary care patients who had

  8. Let Book Joy Begin @ Your Library[R]!: Ten Years of El Dia de los Ninos/El Dia de los Libros

    Science.gov (United States)

    Roy, Loriene

    2007-01-01

    Ten years ago, in 1996, poet and children's book author, Pat Mora began celebrating "book joy" by founding a children's book and reading day, El Dia de los Ninos/El Dia de los Libros or Children's Day/Book Day. Dia is modeled on National Children's Day Celebrations in Mexico held since 1925 when it was launched in conjunction with a…

  9. Environmental Literacy in America: What Ten Years of NEETF/Roper Research and Related Studies Say about Environmental Literacy in the U.S.

    Science.gov (United States)

    Coyle, Kevin

    2005-01-01

    In 1944, noted conservationist Aldo Leopold wrote: "Acts of conservation without the requisite desires and skill are futile. To create these desires and skills, and the community motive, is the task of education." Almost sixty years later, in January 2003, the National Science Foundation released a report of its Advisory Committee for…

  10. Deaths from injury and poisoning of children in Liverpool: a ten-year survey 1978-1987.

    Science.gov (United States)

    Armstrong, A M; Robson, W J

    1992-05-01

    Deaths of children in Liverpool under 16 years of age from injury and poisoning were examined for the period 1978-1987: 174 deaths occurred during the 10-year period. The commonest causes of death were road traffic accidents: 103 cases (60%). Of these 87 were of pedestrians struck by vehicles. Many of these children were very young and were unsupervised, or poorly supervised by other children. Drivers of vehicles were largely responsible for the accidents in 20 cases. The ability of children to cope in various traffic situations is discussed and responsibilities of parents and drivers are considered in relation to matters of accident prevention.

  11. Total copper, manganese, and zinc levels in a Cecil soil during ten years of poultry litter application

    Science.gov (United States)

    Heavy metals in poultry litter (PL) can cause environmental problems despite the cost-effectiveness of PL as source of plant nutrients. We compared total Cu, Mn, and Zn levels in a Cecil soil near Watkinsville, GA, in a 5-yr of cotton and 5-yr of corn study under conventional tillage (CT) and no-til...

  12. Ten-year follow-up study of three alternative bearing surfaces used in total hip arthroplasty in young patients: a prospective randomised controlled trial.

    Science.gov (United States)

    Atrey, A; Ward, S E; Khoshbin, A; Hussain, N; Bogoch, E; Schemitsch, E H; Waddell, J P

    2017-12-01

    We present the ten-year data of a cohort of patients, aged between 18 and 65 years (mean age 52.7 years; 19 to 64), who underwent total hip arthroplasty. Patients were randomised to be treated with a cobalt-chrome (CoCr) femoral head with an ultra-high molecular weight polyethylene (UHMWPE), highly cross-linked polyethylene (XLPE) or ceramic-on-ceramic (CoC) bearing surface. A total of 102 hips (91 patients) were randomised into the three groups. At ten years, 97 hips were available for radiological and functional follow-up. Two hips (two patients) had been revised (one with deep infection and one for periprosthetic fracture) and three were lost to follow-up. Radiological analysis was performed using a validated digital assessment programme to give linear, directional and volumetric wear of the two polyethylene groups. There was a significantly reduced rate of steady-state linear wear with XLPE (0.07 mm/yr) compared with UHMWPE (0.37 mm/yr) (p = 0.001). Volumetric wear was also significantly reduced in the XLPE group (29.29 mm 3 /yr) compared with the UHMWPE group (100.75mm 3 /yr) (p = 0.0001). There were six patients with UHMWPE who had non-progressive osteolysis and none in the XLPE group. All three bearing groups had significant improvements in 12-item short form health survey scores, Western Ontario and McMaster Universities Osteoarthritis Index score and Harris Hip Score. However, the improvement in HSS was significantly less in the UHMWPE group (p = 0.0188) than in the other two groups. At ten years, the rates of volumetric and linear wear in the XLPE group remain low and predominantly below the estimated threshold for osteolysis (1 mm/yr). The rate of linear wear in the XLPE group was three times less than in the UHMWPE group at five-year follow-up and five times less at ten years. The rate of volumetric wear was also three times less in the XLPE group at ten years. While CoC also performs well, XLPE at ten years remains a safe and excellent bearing option

  13. Oilheat research agenda: A ten year blueprint for residential oilheat research and development in the Twenty-First Century

    Energy Technology Data Exchange (ETDEWEB)

    McDonald, R.J. [Brookhaven National Lab., Upton, NY (United States); Batey, J.E. [Energy Research Center (United States)

    1996-05-01

    This report summarizes a joint research agenda planned for the US Department of Energy and the National Oilheat Research Alliance (NORA) under a cooperative effort between the Federal government and the private sector industries involved in oilheat marketing. The objective of the oilheat research program is to develop the technical basis for improved equipment designs and operating strategies based on an enhanced understanding of oil-burning fundamentals, heat transfer, and associated environmental factors. The program will continue to provide the oil-fueled heating equipment industry with the basis for developing a new, modern generation of equipment and provide the oil marketers, equipment installers, and consumers with improved knowledge of how best to install, maintain, and operate such equipment for maximum performance and minimum fuel use and environmental impact.

  14. The present state and future prospects of occupational therapy using technical aids : From an analysis of Japanese Occupational Therapy Society journals for the last ten years.

    OpenAIRE

    笹田, 哲; 宮前, 珠子

    2014-01-01

    The present state of occupational therapy using technical aids was assessed by examining journals of the Japanese Occupational Therapy Society for the last ten years. The findings were that occupational therapists offered not only bathing aids and excretion aids, but also locomotion and communication aids. Technical aids manufactured by occupational therapists accounted for a little over 50% of the total number. Of the technical aids which the journals had deemed effective, in 70% of cases pl...

  15. Ten-Year Follow-Up of Desarthrodesis of the Knee Joint 41 Years after Original Arthrodesis for a Bone Tumor

    OpenAIRE

    Ahmed Hamed Kassem Abdelaal; Norio Yamamoto; Katsuhiro Hayashi; Akihiko Takeuchi; Shinji Miwa; Hiroyuki Inatani; Hiroyuki Tsuchiya

    2015-01-01

    Introduction. The main indication for knee arthrodesis in tumor surgery is a tumor that requires an extensive resection in which the joint surface cannot be preserved. We report a patient that had knee desarthrodesis 41 years after giant cell tumor resection followed by a knee arthrodesis. This is the longest reported follow-up after desarthrodesis and conversion to total knee arthroplasty (TKA), almost ten years. Case Report. A 71-year-old man with a distal femoral giant cell tumor had under...

  16. Prevalence of dental anxiety and fear among five to ten year old children: a behaviour based cross sectional study.

    Science.gov (United States)

    Chhabra, N; Chhabra, A; Walia, G

    2012-03-01

    Dental anxiety and fear pose a considerable challenge for the practice of clinical dentistry as these are problematic entities in the management of child patients and present a potential barrier to the utilization of oral health care services. The aim of this study was to estimate the prevalence of dental anxiety and fear among the 5-10 years aged Indian child population. A total of 523 children aged 5-10 years and their parents, visiting Krishna Dental College, Ghaziabad, India were finally recruited in this study. Dental Fear/anxiety distribution in the children was studied using the Indian parent's version of the Dental Subscale of the Children's Fear Survey Schedule (CFSS-DS). Total fear scores were calculated separately for boys and girls and at different age levels. The collected data was statistically analyzed using a SPSS statistical program. The estimated prevalence of dental anxiety among 5 to 10 year old children in the study population was 6.3%. The overall median CFSS-DS score was 23 and the overall mean value of CFSS-DS score was 24. The prevalence of dental anxiety in children aged 5 years was 7.9%, 7.1% for 6 years old, 6.6% in 7 years old, 6.5% in 8 years old, 6.3% for 9 year old children and 5.8% in children aged 10 years. No statistically significant gender differences were found in the dental anxiety scores. The most fear provoking situations were the sight of injections, the drilling procedures by the dentist, touch of a stranger and noise of drilling by the dentist. The results of this study indicate the need for preventive health education and intervention programmes in India to prevent and reduce dental anxiety/fear and to promote children's oral health.

  17. Ten years after entry into force of the Stockholm Convention: What do air monitoring data tell about its effectiveness?

    Science.gov (United States)

    Wöhrnschimmel, Henry; Scheringer, Martin; Bogdal, Christian; Hung, Hayley; Salamova, Amina; Venier, Marta; Katsoyiannis, Athanasios; Hites, Ronald A; Hungerbuhler, Konrad; Fiedler, Heidelore

    2016-10-01

    More than a decade ago, the Stockholm Convention on Persistent Organic Pollutants (POPs), one of the multilateral environmental agreements administered by the United Nations Environment Programme (UNEP), entered into force. The objective of this Convention is to protect human health and the environment by controlling the releases of POPs. According to its Article 16, the effectiveness of the Stockholm Convention shall be evaluated using comparable monitoring data on the presence of POPs as well as their regional and global environmental transport. Here, we present a time series analysis on atmospheric POP concentrations from 15 monitoring stations in North America and Europe that provide long-term data and have started operations between 1990 and 2003. We systematically searched for temporal trends and significant structural changes in temporal trends that might result from the provisions of the Stockholm Convention. We find that such structural changes do occur, but they are related mostly to effects of national regulations enforced prior to the implementation of the Stockholm Convention, rather than to the enforcement of the provisions laid out in the Convention. One example is that concentrations of polychlorinated biphenyls, many of which started to decrease rapidly during the 1990s. Also effects of chemical transport and fate, for instance the re-volatilization of POPs from secondary sources, are thought to be a cause of some of the observed structural changes. We conclude that a decade of air monitoring data has not been sufficient for detecting general and statistically significant effects of the Stockholm Convention. Based on these lessons, we present recommendations for the future operation of existing monitoring programs and advocate for a stricter enforcement of the provisions of the Stockholm Convention, in the current absence of proof for its effectiveness. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. RNA extraction from ten year old formalin-fixed paraffin-embedded breast cancer samples: a comparison of column purification and magnetic bead-based technologies

    Directory of Open Access Journals (Sweden)

    Zhang Haiyu

    2007-12-01

    Full Text Available Abstract Background The development of protocols for RNA extraction from paraffin-embedded samples facilitates gene expression studies on archival samples with known clinical outcome. Older samples are particularly valuable because they are associated with longer clinical follow up. RNA extracted from formalin-fixed paraffin-embedded (FFPE tissue is problematic due to chemical modifications and continued degradation over time. We compared quantity and quality of RNA extracted by four different protocols from 14 ten year old and 14 recently archived (three to ten months old FFPE breast cancer tissues. Using three spin column purification-based protocols and one magnetic bead-based protocol, total RNA was extracted in triplicate, generating 336 RNA extraction experiments. RNA fragment size was assayed by reverse transcription-polymerase chain reaction (RT-PCR for the housekeeping gene glucose-6-phosphate dehydrogenase (G6PD, testing primer sets designed to target RNA fragment sizes of 67 bp, 151 bp, and 242 bp. Results Biologically useful RNA (minimum RNA integrity number, RIN, 1.4 was extracted in at least one of three attempts of each protocol in 86–100% of older and 100% of recently archived ("months old" samples. Short RNA fragments up to 151 bp were assayable by RT-PCR for G6PD in all ten year old and months old tissues tested, but none of the ten year old and only 43% of months old samples showed amplification if the targeted fragment was 242 bp. Conclusion All protocols extracted RNA from ten year old FFPE samples with a minimum RIN of 1.4. Gene expression of G6PD could be measured in all samples, old and recent, using RT-PCR primers designed for RNA fragments up to 151 bp. RNA quality from ten year old FFPE samples was similar to that extracted from months old samples, but quantity and success rate were generally higher for the months old group. We preferred the magnetic bead-based protocol because of its speed and higher quantity of

  19. Effects of Listening to Music versus Environmental Sounds in Passive and Active Situations on Levels of Pain and Fatigue in Fibromyalgia.

    Science.gov (United States)

    Mercadíe, Lolita; Mick, Gérard; Guétin, Stéphane; Bigand, Emmanuel

    2015-10-01

    In fibromyalgia, pain symptoms such as hyperalgesia and allodynia are associated with fatigue. Mechanisms underlying such symptoms can be modulated by listening to pleasant music. We expected that listening to music, because of its emotional impact, would have a greater modulating effect on the perception of pain and fatigue in patients with fibromyalgia than listening to nonmusical sounds. To investigate this hypothesis, we carried out a 4-week study in which patients with fibromyalgia listened to either preselected musical pieces or environmental sounds when they experienced pain in active (while carrying out a physical activity) or passive (at rest) situations. Concomitant changes of pain and fatigue levels were evaluated. When patients listened to music or environmental sounds at rest, pain and fatigue levels were significantly reduced after 20 minutes of listening, with no difference of effect magnitude between the two stimuli. This improvement persisted 10 minutes after the end of the listening session. In active situations, pain did not increase in presence of the two stimuli. Contrary to our expectations, music and environmental sounds produced a similar relieving effect on pain and fatigue, with no benefit gained by listening to pleasant music over environmental sounds. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  20. Controlling bovine brucellosis in the state of São Paulo, Brazil: results after ten years of a vaccination program

    Directory of Open Access Journals (Sweden)

    Ricardo Augusto Dias

    2016-11-01

    Full Text Available A cross- sectional study was carried out, between May and November 2011, to estimate the situation of the bovine brucellosis in São Paulo State, 10 years after the commencement of the vaccination of the heifers with the S19 strain. The State was divided into seven regions and in each of them, 300 farms with reproductive activity were randomly chosen and considered as primary sample units. A fixed number of cows was randomly selected and tested for antibodies against Brucella spp. A farm was considered infected if at least one female tested positive. In the selected farms, an epidemiological questionnaire was administered which focused on herd traits as well as husbandry and sanitary practices that could be associated with the risk of infection. The prevalence (percentile, [95% confidence interval] of infected herds was 10.2% [8.8-11.8] for the State, and for the regions, it varied from 7.3% [4.7-11.2] to 12.3% [8.8-16.8], not showing significant difference between different regions. The apparent prevalence of positive farms in the State and regions remained similar to the prevalence observed 10 years before. The prevalence of positive animals was 2.4% [1.8-3.1] in the State and varied from 1.1% [0.6-2] to 3.5% [1.7-7.1] in the regions, not showing significant difference between regions. Again, there was no difference in the prevalence of positive animals after 10 years of the vaccination program. The risk factors (odds ratio, 95% confidence interval associated with bovine brucellosis in the State included number of cows ? 24 (3.08, 2.22-4.27 and the acquisition of breeding animals (1.33, 0.95-1.87. The São Paulo State should conduct systematic vaccination coverage of above 80% of the eligible heifers with the S19 strain vaccine annually. Moreover, the State should emphatically use RB51 strain vaccine in females above 8 months of age not vaccinated with S19 strain vaccine. An efficient animal health education program to orientate farmers to

  1. [Peer review procedures in pathology - more than ten years of experience in the free state of Saxony].

    Science.gov (United States)

    Eberlein-Gonska, Maria; Baretton, Gustavo; Habeck, Jörg-Olaf

    2012-01-01

    The positive experiences regarding peer review practice go back to the 1990s and can be traced in the position paper of the German Medical Association concerning quality assurance in the field of pathology. This evolved into the initiative of pathologists in Saxony to implement the peer review practice within the remit of their State Medical Association. Since the 14(th) of May 1999 various institutes as well as medical group practices in pathology and cytology have joined forces to undertake voluntary inter-institutional quality control measures. The aim was to improve the process and especially the outcome quality by reviewing each other's quality (analysing samples) on the basis of defined criteria. A positive review outcome report, which will have to be unanimously agreed upon by all participants, will lead to a positive recommendation for a certificate issued by the Medical Association of Saxony. Between 1999 and 2011 a total of 56 peer review proceedings took place. The potentials for improvement concern the problem of "kitchen pathology" still being used in the context of macroscopic description, the quality of microscopic description including the use of correct nomenclature, the quality of tumour classification and immune histological investigations. Statements concerning the advantage of the peer review method in particular refer to the integration of resident pathologists. Due to the long period of implementation of the peer review system und the small number of proceedings, it is not possible to come to a clear conclusion about the improvement or deterioration of quality. During a period of more than 10 years three peer review proceedings were not successful. In this situation, it is appropriate to ask the question of how restrictive peer reviews should be. The three most important aspects for the pathologists in Saxony are: self-determination, learning from each other, and a commitment to quality improvement. So this method set an example of how a

  2. Ten years of antibiotic consumption in ambulatory care: Trends in prescribing practice and antibiotic resistance in Austria

    Directory of Open Access Journals (Sweden)

    Apfalter Petra

    2009-05-01

    Full Text Available Abstract Background The primary aims of this study were (i to determine the quantity and pattern of antibiotic use in Austria between 1998 and 2007 and (ii to analyze antibiotic resistance rates in relation to antibiotic consumption in important clinical situations in order to provide data for empirical therapeutic regimens for key indications. Methods Consumption data and resistance data were obtained via the Austrian surveillance networks European Antimicrobial Resistance Surveillance System (EARSS and European Surveillance on Antimicrobial Consumption (ESAC. The EARSS collects data on isolates from blood and cerebrospinal fluid obtained predominantly in the hospital setting. The Anatomical Therapeutic Chemical (ATC classification and the Defined Daily Dose (DDD measurement units were assigned to the data. The number of DDDs and packages per 1,000 inhabitants (PID were used to calculate the level of antibiotic consumption. Antibiotic resistance was expressed in resistance rates, i.e., the percentage of resistant isolates compared to all isolates of one bacterial species. Results The overall antibiotic consumption measured in DIDs increased by 10% between 1998 and 2007, whereas PIDs decreased by 3%. The consumption of substances within the drug utilization 90% segment (measured in PID increased for ciprofloxacin (+118.9, clindamycin (+76.3, amoxicillin/clavulanic acid (+61.9%, cefpodoxime (+31.6, azithromycin (+24.7; and decreased for erythromycin (-79.5%, trimethoprim (-56,1%, norfloxacin (-48.8%, doxycycline (-44.6, cefaclor (-35.1%, penicillin (-34.0%, amoxicillin (-22.5, minocycline (-21.9% and clarithromycin (-9.9%. Starting in 2001, an increase in the percentage of invasive E. coli isolates resistant to aminopenicillins (from 35% to 53%, fluoroquinolones (from 7% to 25.5% and third-generation cephalosporins (from 0% to 8.8% was observed. The percentage of nonsusceptible or intermediate penicillin-resistant pneumococcal isolates remained

  3. Ten years of change to coral communities off Mona and Desecheo Islands, Puerto Rico, from disease and bleaching.

    Science.gov (United States)

    Bruckner, Andrew W; Hill, Ronald L

    2009-11-16

    Remote reefs off southwest Puerto Rico have experienced recent losses in live coral cover of 30 to 80%, primarily due to the decline of Montastraea annularis and M. faveolata from disease and bleaching. These species were formerly the largest, oldest, and most abundant corals on these reefs, constituting over 65% of the living coral cover and 40 to 80% of the total number of colonies. From 1998 to 2001, outbreaks of yellow band disease (YBD) and white plague (WP) affected 30 to 60% of the M. annularis (complex) colonies. Disease prevalence declined beginning in 2002, and then increased immediately following the 2005 mass bleaching event. Colonies of M. annularis (complex) have been reduced in abundance by 24 to 32%, and remaining colonies are missing more than half their tissue. Both M. annularis and M. faveolata have failed to recruit, resheeting has been minimal, and exposed skeletal surfaces are being colonized by macroalgae, bioeroding sponges, and hydrozoans. Other scleractinian corals were smaller in size (mean = 28 cm diameter) and exhibited lower levels of partial mortality; these taxa were affected to a lesser extent by coral diseases and bleaching-associated tissue loss over the last decade. The numbers of small colonies (1 to 9 cm) of these species identified since 2005 also exceeded numbers of larger colonies that died. These reefs appear to be exhibiting shifts in species assemblages, with replacement of M. annularis (complex) by shorter-lived brooding species and other massive and plating corals (Agaricia, Porites, Meandrina, Eusmilia, Diploria, and Siderastrea spp.). To avoid a catastrophic and permanent loss of the dominant, slow-growing reef-building corals, the causes and effects of diseases need to be better understood, and possible control mechanisms must be developed. In particular, steps must be taken to mitigate environmental and anthropogenic stressors that increase the spread and severity of disease.

  4. Ten-Year Trend of Acute Respiratory Infection (ARI and Diarrheal Diseases Based on Healthy Houses in Indonesia

    Directory of Open Access Journals (Sweden)

    Dwi Hapsari

    2014-08-01

    Full Text Available Background: Housing is a basic human need that can affect health. To achieve a decent standard of living, peopleshould live in an adequate housing, so that its occupants have a safe and healthy environment. Condition of the houseis part of the quality of the environment. One of the environment-related diseases is ARI and diarrhea. Objectives: Thisstudy determines trends of ARI and diarrheal diseases and their relation to healthy houses in Indonesia in the last tenyears. Methods: This analysis combines two data sources that are Riskesdas 2007–2010 and Susenas 2001–2010. Thedesign of Riskesdas and Susenas is descriptive cross sectional. Research area for this analysis covers the entire provincein Indonesia. The limitation of this analysis is only eight variables that can be used from data sources every year, beside 14 indicators of healthy houses. Results: This study indicates that: 1. Trends of ARI and diarrheal disease against healthy houses are similar. If percentage of healthy houses are high then the percentage of ARI and diarrheal disease are low, andvice versa. Therefore, there is a correlation among healthy houses with ARI and diarrhea; 2. In low-income groups with similar healthy houses conditions, the percentage of ARI and diarrheal disease is higher than high-income groups. The role of economic status is an important point to reduce the percentage of ARI and diarrheal diseases; 3. During 2007, it shows a rise in ARI and diarrhea rate along with a decrease percentage of healthy houses. Conclusion: This study concludes that if the percentage of healthy houses is low then the percentage of ARI and diarrhea will increase, and vice versa. Socioeconomic factors have a role in the rise of healthy houses and a reduction in the percentage of ARI and diarrhealdiseases. Recommendation: the population needs to increase awareness of the environmental and healthy behaviors toform a Healthy Household.

  5. Ten years of MIPAS measurements with ESA Level 2 processor V6 – Part 1: Retrieval algorithm and diagnostics of the products

    Directory of Open Access Journals (Sweden)

    P. Raspollini

    2013-09-01

    Full Text Available The MIPAS (Michelson Interferometer for Passive Atmospheric Sounding instrument on the Envisat (Environmental satellite satellite has provided vertical profiles of the atmospheric composition on a global scale for almost ten years. The MIPAS mission is divided in two phases: the full resolution phase, from 2002 to 2004, and the optimized resolution phase, from 2005 to 2012, which is characterized by a finer vertical and horizontal sampling attained through a reduction of the spectral resolution. While the description and characterization of the products of the ESA processor for the full resolution phase has been already described in previous papers, in this paper we focus on the performances of the latest version of the ESA (European Space Agency processor, named ML2PP V6 (MIPAS Level 2 Prototype Processor, which has been used for reprocessing the entire mission. The ESA processor had to perform the operational near real time analysis of the observations and its products needed to be available for data assimilation. Therefore, it has been designed for fast, continuous and automated analysis of observations made in quite different atmospheric conditions and for a minimum use of external constraints in order to avoid biases in the products. The dense vertical sampling of the measurements adopted in the second phase of the MIPAS mission resulted in sampling intervals finer than the instantaneous field of view of the instrument. Together with the choice of a retrieval grid aligned with the vertical sampling of the measurements, this made ill-conditioned the retrieval problem of the MIPAS operational processor. This problem has been handled with minimal changes to the original retrieval approach but with significant improvements nonetheless. The Levenberg–Marquardt method, already present in the retrieval scheme for its capability to provide fast convergence for nonlinear problems, is now also exploited for the reduction of the ill-conditioning of

  6. Porous tantalum uncemented acetabular components in revision total hip arthroplasty: a minimum ten-year clinical, radiological and quality of life outcome study.

    Science.gov (United States)

    Konan, S; Duncan, C P; Masri, B A; Garbuz, D S

    2016-06-01

    Reconstruction of the acetabulum after failed total hip arthroplasty (THA) can be a surgical challenge in the presence of severe bone loss. We report the long-term survival of a porous tantalum revision acetabular component, its radiological appearance and quality of life outcomes. We reviewed the results of 46 patients who had undergone revision of a failed acetabular component with a Paprosky II or III bone defect and reconstruction with a hemispherical, tantalum acetabular component, supplementary screws and a cemented polyethylene liner. After a minimum follow-up of ten years (ten to 12), the survivorship of the porous tantalum acetabular component was 96%, with further revision of the acetabular component as the end point. The ten-year survivorship, with hip revision for any reason as the end point, was 92%. We noted excellent pain relief (mean Western Ontario and McMaster Universities Arthritis Index (WOMAC) score pain 92.6, (40 to 100)) and good functional outcomes (mean WOMAC function 90.3 (30.9 to 100), mean University of California Los Angeles activity scale 5 (2 to 10)) and generic quality of life measures (mean Short Form-12 (SF-12) physical component 48.3 (18.1 to 56.8), mean SF-12 mental component 56.7 (32.9 to 70.3)). Patient satisfaction with pain relief, function and return to recreational activities were excellent. Uncemented acetabular reconstruction using a tantalum acetabular component gives excellent clinical and quality of life outcomes at a minimum follow-up of ten years. Cite this article: Bone Joint J 2016;98-B:767-71. ©2016 The British Editorial Society of Bone & Joint Surgery.

  7. Management and treatment goals in Polish patients with type 2 diabetes of more than ten years' duration - results of ARETAEUS2-Grupa Study.

    Science.gov (United States)

    Bała, Małgorzata M; Płaczkiewicz-Jankowska, Ewa; Leśniak, Wiktoria; Topór-Mądry, Roman; Jankowski, Miłosz; Grzeszczak, Władysław; Sieradzki, Jacek

    2014-01-01

    Previous studies have shown insufficient diabetes control in patients with type 2 diabetes (T2DM). Diabetes Poland changed the target HbA1c and blood pressure (BP) values in diabetic patients in their practice guidelines in 2011, that were further sustained. To assess the management and treatment choices in T2DM of more than ten years' duration and the degree to which diabetic control criteria recommended by the Diabetes Poland clinical practice guidelines 2012 are being met. ARETAEUS2-Grupa was a cross-sectional questionnaire-based study conducted in Poland in 2012 (April-June). It involved 1,740 patients of any age and both genders, with T2DM diagnosed more than ten years before the study, and recruited by randomly selected physicians. All patients received pharmacological treatment, most of them combination therapy or insulin in monotherapy. 40% of patients met the goal for HbA1c control (≤ 7%) and the median value of HbA1c was above the recommended threshold (7.2%). Only 8% of thetotal population met all three goals (HbA1c, BP and lipid levels), 26% - two goals, and 40% - only one goal. Over 25% of patients did not meet any of the treatment goals. We observed considerable deviations from treatment targets recommended by current clinical practice guidelines for patients with T2DM of more than ten years' duration. The frequency of cardiovascular risk factors and late diabetes complications was high, while a relatively high percentage of patients was not examined for late diabetes complications.

  8. Prevalence of overweight and obesity among children six to ten years of age in the north-east health region of Jamaica.

    Science.gov (United States)

    Blake-Scarlettl, B E; Younger, N; McKenzie, C A; Van den Broeck, J; Powell, C; Edwards, S; Win, S S; Wilks, R J

    2013-03-01

    To estimate the prevalence and correlates of overweight and obesity among children six to ten years old in the North-East Health Region (NEHR) ofJamaica. Weights and heights were measured in a representative sample of 5710 children between the ages of six and ten years in 34 schools between October 2008 and March 2009. Overweight and obesity were defined as body mass index (BMI) Z-score > 1SD and >2SD, respectively based on the World Health Organization (WHO)-endorsed age and gender-specific growth standards for children. Point prevalence estimates of overweight and obesity were calculated. Odds ratios (OR) and 95% confidence intervals (CI) were used to estimate associations between overweight and obesity and age, gender and school location. Overweight and obesity prevalence among children six to ten years old in NEHR, Jamaica, was 10.6% and 7.1%, respectively. Overweight (OR = 1.11, 95% CI: 1.04, 1.18) and obesity (OR = 1.17, 95% CI: 1.08, 1.26) prevalence increased significantly with age. Overweight (OR = 1.51, 95% CI: 1.27, 1.80) and obesity (OR = 1.36, 95% CI: 1.11, 1.67) prevalence was significantly higher among girls than boys. Children attending rural-public schools had less risk of being overweight (OR = 0.57, 95% CI: 0.46, 0.70) and obese (OR = 0.35, 95% CI: 0.28, 0.44) when compared with urban-public schools and private schools. Both overweight (OR = 2.11, 95% CI: 1.60, 2.78) and obesity (OR = 1.68, 95% CI: 1.24, 2.28) were significantly more common among children attending private schools. After adjusting for age and gender the results still remained statistically significant. Overweight/obesity prevalence among children six to ten years old in NEHR of Jamaica is 17.7% with older children and girls having higher rates. Children attending urban-public and private schools have higher prevalence than those attending rural schools. Appropriately targeted interventions are needed to combat this problem.

  9. Preparing Science-Trained Professionals for the Biotechnology Industry: A Ten-Year Perspective on a Professional Science Master’s Program

    Directory of Open Access Journals (Sweden)

    Paul T. Hamilton

    2012-02-01

    Full Text Available The biotechnology industry has a need for business-savvy scientists; however, this is not the way scientists are traditionally trained at universities and colleges. To address this need, universities have developed Professional Science Master’s (PSM degree programs that offer advanced training in a technical field along with professional skills development through team-based projects and internships. Nearly ten years ago, the Department of Microbiology at NCSU started a PSM program in Microbial Biotechnology (MMB. This article provides an overview of the MMB program, and shares some of the lessons that we have learned.

  10. Disaster exposure as a risk factor for mental health problems, eighteen months, four and ten years post-disaster – a longitudinal study

    Directory of Open Access Journals (Sweden)

    van den Berg Bellis

    2012-09-01

    Full Text Available Abstract Background Disaster experiences have been associated with higher prevalence rates of (mental health problems. The objective of this study was to examine the independent relation between a series of single disaster experiences versus the independent predictive value of a accumulation of disaster experiences, i.e. a sum score of experiences and symptoms of distress and post-traumatic stress disorder (PTSD. Methods Survivors of a fireworks disaster participated in a longitudinal study and completed a questionnaire three weeks (wave 1, eighteen months (wave 2 and four years post-disaster (wave 3. Ten years post-disaster (wave 4 the respondents consisted of native Dutch survivors only. Main outcome measures were general distress and symptoms of PTSD. Results Degree of disaster exposure (sum score and some disaster-related experiences (such as house destroyed, injured, confusion were related to distress at waves 2 and 3. This relation was mediated by distress at an earlier point in time. None of the individual disaster-related experiences was independently related to symptoms of distress. The association between the degree of disaster exposure and symptoms of PTSD at waves 2 and 3 was still statistically significant after controlling for symptoms of distress and PTSD at earlier point in time. The variable ‘house destroyed’ was the only factor that was independently related to symptoms of PTSD at wave 2. Ten years after the disaster, disaster exposure was mediated by symptoms of PTSD at waves 2 and 3. Disaster exposure was not independently related to symptoms of PTSD ten years post-disaster. Conclusions Until 4 years after the disaster, degree of exposure (a sum score was a risk factor for PTSD symptoms while none of the individual disaster experiences could be identified as an independent risk factor. Ten years post-disaster, disaster exposure was no longer an independent risk factor for symptoms of PTSD. Since symptoms of PTSD and

  11. Ten years of demographic and genetic monitoring of Stachys maritima in Catalonia (2001-2010. Implications for a recovery plan

    Directory of Open Access Journals (Sweden)

    Massó, S.

    2010-12-01

    Full Text Available Stachys maritima is a species typical of the coastal dunes, with a wide distribution within the Mediterranean Basin. In spite of this, the species shows a clear regression. In Catalonia, it has been observed an important reduction of its populations since early 20th century, where it has disappeared from several localities in which it was relatively common (Tarragonès, Barcelonès. Herein we present the results of the demographic monitoring of the species during the last 10 years (2001-2010 in the known localities in Catalonia. Besides corroborating the disappearance (northern Sant Martí d’Empúries, the re-discovering (Llobregat Delta beach and the detection of new populations (inner dunes of the Montgrí, a large year-to-year fluctuation of the monitored populations is stated; the possible reasons are discussed. In addition, the present work also includes the results of the allozyme diversity analysis of the new detected populations as well as the rediscoveries of the period 2004-2008, which were not included in a former study of genetic diversity carried out in 2002-2003. It is necessary to emphasize that the contribution of the new populations to the genetic diversity of Stachys maritima is very small, which can be attributed to their limited population size and /or to founder effects. Despite that the species is included in the Annex 2 (“En Perill d’Extinció” within the Catàleg de Flora Amenaçada de Catalunya (Catalogue of Endangered Flora of Catalonia, and some “soft” conservation measures have been applied at local level (signposting of the beach accesses, environmental education, etc. coupled with other more significant measures (e.g. translocation of individuals discovered in an artificial sandbank, it would be necessary the coordinated action and the scientific support of any initiative of conservation that could be carried out. The general frame to initiate actions of conservation should be the recovery plan of

  12. A Comparative Study of Environmental Conditions, Bee Management and the Epidemiological Situation in Apiaries Varying in the Level of Colony Losses

    Directory of Open Access Journals (Sweden)

    Pohorecka Krystyna

    2014-12-01

    Full Text Available Explaining the reasons for the increased mortality of the honey bee (Apis mellifera L. in recent years, in Europe and North America, has become a global research priority in apicultural science. Our project was aimed at determining the relationship between environmental conditions, beekeeping techniques, the epidemiological situation of pathogens, and the mortality rate of bee colonies. Dead bee samples were collected by beekeepers from 2421 colonies. The samples were examined for the presence of V. destructor, Nosema spp. (Nosema apis and Nosema ceranae, chronic bee paralysis virus (CBPV, acute bee paralysis virus (ABPV, deformed wing virus (DWV, and Israeli acute paralysis virus (IAPV.

  13. Long-term effects of a ten-year osteoporosis intervention program in a Swedish population—A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Ann-Charlotte Grahn Kronhed

    2017-03-01

    Full Text Available The aim of the study was to explore long-term effects seven years after the completion of a ten-year community-based osteoporosis intervention program in Vadstena, Sweden. The association between calcaneal bone mineral density and several life style factors, and the impact of risk factors for sustaining a fracture after the age of 50 were also studied. Previous participants in the intervention group, and matched subjects were invited to calcaneal bone mass measurement by a portable device including the dual X-ray and laser (DXL technology by Calscan, and to complete a questionnaire in 2006. A total of 417 persons (63% of those invited in the intervention (I group, and 120 persons (47% of those invited in the control (C group participated. Mean age was 63 years (37–94 years. There was somewhat more knowledge of osteoporosis in the I-group (M = 18 than in the C-group (M = 17 (p −2.5. The long-term effects of a ten-year, community-based, osteoporosis intervention program on knowledge and behavior were modest seven years after its completion.

  14. [Ten years of commitment to persons living with HIV-AIDS: evaluation of the management in three ambulatory treatment centers of the French Red Cross in Africa].

    Science.gov (United States)

    Mouala, C; Madec, Y; Adam, G; Courpotin, C; Fikouma, V; Gentilini, M; Ould Mohamedoune, A; Nzounza, P; Schaer, E; Simon, B; Mattei, J-F

    2008-01-01

    The French Red Cross (FRC) has developed a strategy for the follow-up of people living with HIV-AIDS in Africa by setting-up and managing healthcare centers specialized in the management of HIV infection. Nearly one hundred and seventy thousand patients have had access to care in fifteen Ambulatory Treatment Centers (ATCs). For the ten years anniversary of the FRC's AIDS programs, we present the results of the evaluation of three ATCs in Africa. These results which show a low mortality rate in the patients on antiretroviral therapy and a very low rate of second line patients (1.5%) confirm the efficiency of the management of people living with HIV in the ATCs and generally of the AIDS programs of the FRC. However, the mortality remains high in patients who have a CD4+ cell count of less than 50/mm3 when antiretrovirals (ARVs) initiation. Services and care dispensed in the ATCs and particularly the antiretroviral therapy have demonstrated their feasibility and efficiency. In ten years, the challenge of the management of HIV has changed. Today, there is a need to integrate additional actions in the area of the supply of primary healthcare, of training and of motivation of the care providers. In addition, the follow-up/evaluation of the patient management programs remains useful to determine the impact and long-term efficacy of ARVs in resource-limited countries.

  15. Environmental noise exposure, early biological risk and mental health in nine to ten year old children: a cross-sectional field study

    Directory of Open Access Journals (Sweden)

    Stansfeld Stephen A

    2011-05-01

    Full Text Available Abstract Background Previous research suggests that children born prematurely or with a low birth weight are more vulnerable to the mental health effects of ambient neighbourhood noise; predominantly road and rail noise, at home. This study used data from the Road Traffic and Aircraft Noise Exposure and Children's Cognition and Health (RANCH study to see if this finding extends to aircraft and road traffic noise at school. Methods Children and their parents from schools around three European airports were selected to represent a range of aircraft and road traffic noise exposure levels. Birth weight and gestation period were merged to create a dichotomous variable assessing 'early biological risk'. Mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ. Complete data were available for 1900 primary school children. Results Children who were 'at risk' (i.e. low birth weight or premature birth were rated as having more conduct problems and emotional symptoms and poorer overall mental health than children not at risk. However, there was no interaction between aircraft or road traffic noise exposure at school and early biological risk. Conclusions Data from the RANCH study suggests that children with early biological risk are not more vulnerable to the effects of aircraft or road traffic noise at school on mental health than children without this risk; however they are more likely to have mental ill-health.

  16. Ten Years of Net Work

    Science.gov (United States)

    Anklam, Patti

    2009-01-01

    Purpose: The purpose of this paper is to provide a perspective on the emergence of social media and their adoption as a critical element in knowledge management strategy. Social media are defined as the collection of software tools and web-based applications that are personalized, that is, that communications identify individuals by name and…

  17. A Ten Year Epidemiological Appraisal

    African Journals Online (AJOL)

    A descriptive analysis of road traffic accidents data in. Tanzania was done using routine police records. The trends, road users injured or killed and conservative factors were recorded. The results showed that between 1990 and 2000 the number of road traffic accidents rose by 44% from a total 10,107. At the same time the ...

  18. Situated Transgressiveness

    DEFF Research Database (Denmark)

    Muhr, Sara Louise; Sullivan, Katie Rose; Rich, Craig

    2016-01-01

    conversations within queer theory, transgender and organization studies by highlighting how situated contexts mediate the political potential of queer bodies at work. By developing the concept ‘situated transgressiveness’, this article challenges notions of transgender as a stable, ideal disruptive category...

  19. Evidence of social and environmental vulnerability in Sepetiba Bay: an analysis of risk situations - doi:10.5020/18061230.2009.p209

    Directory of Open Access Journals (Sweden)

    Aldo Pacheco Ferreira

    2012-01-01

    Full Text Available Objective: To identify, among the population of Sepetiba Bay, risk situations of environmental vulnerability. Methods: Data collection was performed through a self-administered questionnaire with open and closed questions in a determined population of 895 subjects, between 2007 and 2009. The techniques used consisted of semi-structured interviews, structured questionnaires and participant observation (triangulation of methods. After the validation of the instrument by stages (face validity, content validity and construct validity,the main risks reported by the subjects were determined. Results: A total of 675 environmental risk situations was detected, especially the contamination of the water, soil and air; the waste; the impact on flora and social demands. It was observed that the same risk may simultaneously affect more than one location, emphasizing that one same problem was mentioned in more than one location of the bay. Conclusions: The results support the hypothesis guiding the research that the environment is part of the culture of a particular community or group as a process of interaction between cultural and natural environment.

  20. Situational Leadership

    OpenAIRE

    Süttö, Marián

    2016-01-01

    This thesis is focused on field of leadership, particularly situational leadership model by Hersey and Blanchard. Thesis is mostly theoretical framework aimed to offer the possibility for reader to get overview in leadership issues. Theoretical framework of the thesis is focused on leadership definition, the most important leadership theories in the past, and especially to situational leadership approach. The focus of this thesis is to get detailed insight in this model and therefore offer in...

  1. Ten-year observation of dentin bonding durability of 4-META/MMA-TBB resin cement--a SEM and TEM study.

    Science.gov (United States)

    Aoki, Kanako; Kitasako, Yuichi; Ichinose, Shizuko; Burrow, Michael F; Ariyoshi, Meu; Nikaido, Toru; Tagami, Junji

    2011-01-01

    This study aimed to assess dentin bond durability of 4-META/MMA-TBB resin cement over ten years, by evaluating the tensile bond strength, and SEM and TEM observations. Tensile bond strength of Super Bond C&B (SB) to bovine dentin was evaluated at 1 day and after 10 years. The mode of failure after debonding was observed by SEM. Interfacial ultrastructure and nanoleakage was observed by TEM at the baseline and after 10 y. The tensile bond strength significantly dropped after 10 y. The failure pattern shifted from cohesive failure in resin towards adhesive failure or cohesive failure in dentin. TEM observation revealed degradation of both resin and collagen networks within the hybrid layer and nanoleakage at the base of the hybrid layer after 10 y. The bond strength of SB to dentin significantly decreased, and the hybrid layer degraded, while the overlying hydrophobic resin layer showed little disintegration over 10 y.

  2. Organic matter components, aggregate stability and biological activity in a horticultural soil fertilized with different rates of two sewage sludges during ten years.

    Science.gov (United States)

    Albiach, R; Canet, R; Pomares, F; Ingelmo, F

    2001-04-01

    The effects of the application as fertilizer during ten years of two sewage sludges (aerobically and anaerobically digested, at rates of 400, 800, and 1200 kg of N/ha yr), on the aggregate stability and contents of related organic matter components, microbial biomass and levels of five enzymatic activities (alkaline phosphomonoesterase, phosphodiesterase, urease, arylsulphatase and dehydrogenase) were investigated. The application of both sludges at mid and high rates gave rise to significant increases of organic matter, humified substances and humic acids, but no effects on carbohydrates, microbial gums and aggregate stability were observed. As for biological activity in soils, the high variability of data led to a general absence of statistical significance despite the large differences between treatments observed. Significant increases of phosphodiesterase activity were nevertheless produced by the high rate of aerobic sludge and the mid and high rates of the anaerobic sludge.

  3. Endovascular treatment of false-aneurysm ten years after dacron patch aortoplasty for coarctation of the aortic isthmus. Report of a case.

    Science.gov (United States)

    Illuminati, Giulio; Pacilè, Maria Antonietta; Palumbo, Piergaspare; Salvatori, Filippo Maria; Vietri, Francesco

    2013-01-01

    False aneurysm degeneration is a known complication of patch aortoplasty for coarctation of the aortic isthmus. Open surgical treatment consists of prosthetic graft repair of the involved aorta, often requires circulatory arrest to achieve a safe proximal aortic control and perform proximal anastomosis, and finally is associated with substantial perioperative morbidity. Endografting of the diseased aorta is a valuable alternative to open repair, when feasible, with good short and long term results. We now report one more case of false aneurysm ten years after Dacron patch aortoplasty for isthmic coarctation in a 26-year-old woman, successfully treated by endovascular repair via the left common iliac artery, and a complete exclusion of the aneurysm at two year follow-up.

  4. Ten-Year Summary and Evaluation of Operations and Performance of the Utica Aquifer and North Lake Basin Wetlands Restoration Project, 2004-2014

    Energy Technology Data Exchange (ETDEWEB)

    LaFreniere, Lorraine M. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-11-01

    This document reviews the performance of the groundwater (and wetlands) restoration program implemented by the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) at the former CCC/USDA grain storage facility in Utica, Nebraska, during the first ten years of this initiative (2004-2014). The results of the program for the first five-year period of operation were previously discussed in detail (Argonne 2011). The present report focuses on treatment system operational data and regulatory compliance monitoring results for the site during the second five-year period of operation (2010-2014), together with the results of (1) ongoing monitoring and (2) targeted groundwater sampling for volatile organic compounds (VOCs) analyses conducted at Utica in 2015 (following completion of the tenth year of systems operation), to assess the 10-year progress of the Utica remediation effort.

  5. Durability of the reaction to fire performance for fire retardant treated (FRT wood products in exterior applications – a ten years report

    Directory of Open Access Journals (Sweden)

    Östman Birgit

    2016-01-01

    Full Text Available Several long term experimental studies on the maintained reaction to fire performance of fire retardant treated (FRT wood products over time are presented. They are performed according to a European system based on earlier Nordic and North American systems and include accelerated ageing according to different procedures and natural weathering up to ten years. Main conclusions are: The hygroscopic properties are unchanged compared to untreated wood for most FRT wood products used commercially. The reaction to fire properties of FRT wood may be maintained after accelerated and natural ageing if the retention levels are high enough, but several FRT wood products loose most of their improved reaction to fire properties during weathering. Paint systems contribute considerably to maintain of the fire performance at exterior application and are usually needed to maintain the fire performance after weathering.

  6. Idaho National Laboratory Ten-year Site Plan (2012 through 2021) -- DOE-NE's National Nuclear Capability -- Developing and Maintaining the INL Infrastructure

    Energy Technology Data Exchange (ETDEWEB)

    Cal Ozaki

    2010-06-01

    To meet long-term objectives to transform the Idaho National Laboratory (INL), we are providing an integrated, long-term vision of infrastructure requirements that support research, development and demonstration (RD&D) goals outlined in the DOE strategic plans, including the NE Roadmap and reports such as Facilities for the Future of Nuclear Energy Research: A Twenty-year Outlook. The goal of the INL Ten-year Site Plan (TYSP) is to clearly link RD&D mission goals and INL core capabilities with infrastructure requirements (single and multi-program), establish the 10-year end-state vision for INL complexes, identify and prioritize infrastructure and capability gaps, as well as the most efficient and economic approaches to closing those gaps.

  7. Advancing the education in molecular diagnostics: the IFCC-Initiative "Clinical Molecular Biology Curriculum" (C-CMBC); a ten-year experience.

    Science.gov (United States)

    Lianidou, Evi; Ahmad-Nejad, Parviz; Ferreira-Gonzalez, Andrea; Izuhara, Kenji; Cremonesi, Laura; Schroeder, Maria-Eugenia; Richter, Karin; Ferrari, Maurizio; Neumaier, Michael

    2014-09-25

    Molecular techniques are becoming commonplace in the diagnostic laboratory. Their applications influence all major phases of laboratory medicine including predisposition/genetic risk, primary diagnosis, therapy stratification and prognosis. Readily available laboratory hardware and wetware (i.e. consumables and reagents) foster rapid dissemination to countries that are just establishing molecular testing programs. Appropriate skill levels extending beyond the technical procedure are required for analytical and diagnostic proficiency that is mandatory in molecular genetic testing. An international committee (C-CMBC) of the International Federation for Clinical Chemistry (IFCC) was established to disseminate skills in molecular genetic testing in member countries embarking on the respective techniques. We report the ten-year experience with different teaching and workshop formats for beginners in molecular diagnostics. Copyright © 2014 Elsevier B.V. All rights reserved.

  8. Epidemiological Study of RRT-Treated ESRD in Nanjing - A Ten-Year Experience in Nearly Three Million Insurance Covered Population.

    Directory of Open Access Journals (Sweden)

    Yu-Chen Han

    Full Text Available The growing burden of end-stage renal disease (ESRD has been a great challenge to the health care system of China. However, the exact epidemiological data for ESRD in China remain unclear. We aimed to investigate the epidemiology of ESRD treated by renal replacement therapy (RRT in Nanjing based on analysing ten-year data of Nanjing three million insurance covered population.Using the electronic registry system of Urban Employee Basic Medical Insurance (UEBMI, we included all subjects insured by UEBMI in Nanjing from 2005 to 2014 and identified subjects who developed ESRD and started RRT in this cohort.The UEBMI population in Nanjing increased from 1,301,882 in 2005 to 2,921,065 in 2014, among which a total of 5,840 subjects developed ESRD and received RRT. Over the 10-year period, the adjusted incidence rates of RRT in the UEBMI cohort gradually decreased from 289.3pmp in 2005 to 218.8pmp in 2014. However, the adjusted prevalence rate increased steadily from 891.7pmp in 2005 to 1,228.6pmp in 2014. The adjusted annual mortality rate decreased from 138.4 per 1000 patient-years in 2005 to 97.8 per 1000 patient-years in 2014. The long-term survival rate fluctuated over the past decade, with the 1-year survival rate ranging from 85.1% to 91.7%, the 3-year survival rate from 69.9% to 78.3% and the 5-year survival rate from 58% to 65.4%.Nanjing is facing an increasing burden of ESRD with its improvement of medical reform. The ten-year complete registry data on RRT in urban employees in Nanjing provided a unique opportunity to understand the real threat of ESRD confronting China during its process of health care transition.

  9. Long-term effects of a ten-year osteoporosis intervention program in a Swedish population-A cross-sectional study.

    Science.gov (United States)

    Grahn Kronhed, Ann-Charlotte; Salminen, Helena

    2017-03-01

    The aim of the study was to explore long-term effects seven years after the completion of a ten-year community-based osteoporosis intervention program in Vadstena, Sweden. The association between calcaneal bone mineral density and several life style factors, and the impact of risk factors for sustaining a fracture after the age of 50 were also studied. Previous participants in the intervention group, and matched subjects were invited to calcaneal bone mass measurement by a portable device including the dual X-ray and laser (DXL) technology by Calscan, and to complete a questionnaire in 2006. A total of 417 persons (63% of those invited) in the intervention (I) group, and 120 persons (47% of those invited) in the control (C) group participated. Mean age was 63 years (37-94 years). There was somewhat more knowledge of osteoporosis in the I-group (M = 18) than in the C-group (M = 17) (p cane spikes in elderly women in the I-group (67%) than in the C-group (40.5%). The fully adjusted model of logistic regression showed that participants with an osteoporotic DXL T-score (≤- 2.5) had a 3-fold increased risk (95%CI 1.48-6.89) of having a history of a self-reported fracture after the age of fifty compared to women with a calcaneal T-score >- 2.5. The long-term effects of a ten-year, community-based, osteoporosis intervention program on knowledge and behavior were modest seven years after its completion.

  10. Ten years onwards: Comparison of the South Eastern European regional public health strategy 2004 and the South Eastern European 2020 strategy

    Directory of Open Access Journals (Sweden)

    Christiane Wiskow

    2016-04-01

    Full Text Available Aim: Regional collaboration has continuously contributed to the development of public health in the South Eastern Europe (SEE region since 2000 when the Public Health Collaboration in SEE (PH-SEE was initiated. This article looks into two frameworks for regional collaboration in the area of public health: a framework developed in 2004 by a network of public health professionals and academics, and another one developed by the SEE Health Network as integral part of the SEE 2020 strategy on Jobs and Prosperity in a European Perspective, adopted in 2013. It compares the commonalities and differences of the two frameworks; considers what is still valid and relevant after ten years and which new features have emerged in the new strategy. Methods: A literature review was carried out and a qualitative analysis was applied for the comparison of the two frameworks. Results: Notwithstanding the time gap of nearly ten years, the commonalities between the two regional health strategies are significant. Major consistent goals include: improving equity in health; strengthening human resources for health; improving intersectoral cooperation and governance. The differences between the two regional strategies, including issues around social participation and regional health information systems, are partially due to their different development context. Cross-border policies and quality management have emerged as new or more pronounced topics in the SEE 2020 strategy’s health dimension. Conclusions: Many aspects addressed in the 2004 framework are pertinent with regard to the SEE 2020 health dimension and remain relevant in the current context. The integration of health as part of the economic SEE 2020 strategy reflects a significant paradigm shift and important step forward for public health.

  11. Ten-year chemical signatures associated with long-range transport observed in the free troposphere over the central North Atlantic

    Directory of Open Access Journals (Sweden)

    B. Zhang

    2017-03-01

    Full Text Available Ten-year observations of trace gases at Pico Mountain Observatory (PMO, a free troposphere site in the central North Atlantic, were classified by transport patterns using the Lagrangian particle dispersion model, FLEXPART. The classification enabled identifying trace gas mixing ratios associated with background air and long- range transport of continental emissions, which were defined as chemical signatures. Comparison between the chemical signatures revealed the impacts of natural and anthropogenic sources, as well as chemical and physical processes during long transport, on air composition in the remote North Atlantic. Transport of North American anthropogenic emissions (NA-Anthro and summertime wildfire plumes (Fire significantly enhanced CO and O3 at PMO. Summertime CO enhancements caused by NA-Anthro were found to have been decreasing by a rate of 0.67 ± 0.60 ppbv/year in the ten-year period, due possibly to reduction of emissions in North America. Downward mixing from the upper troposphere and stratosphere due to the persistent Azores-Bermuda anticyclone causes enhanced O3 and nitrogen oxides. The 'd' [O3]/'d' [CO] value was used to investigate O3 sources and chemistry in different transport patterns. The transport pattern affected by Fire had the lowest 'd' [O3]/'d' [CO], which was likely due to intense CO production and depressed O3 production in wildfire plumes. Slightly enhanced O3 and 'd' [O3]/'d' [CO] were found in the background air, suggesting that weak downward mixing from the upper troposphere is common at PMO. Enhancements of both butane isomers were found during upslope flow periods, indicating contributions from local sources. The consistent ratio of butane isomers associated with the background air and NA-anthro implies no clear difference in the oxidation rates of the butane isomers during long transport. Based on observed relationships between non-methane hydrocarbons, the averaged photochemical age of the air masses at

  12. Sleep, physical activity and BMI in six to ten-year-old children measured by accelerometry: a cross-sectional study.

    Science.gov (United States)

    Ekstedt, Mirjam; Nyberg, Gisela; Ingre, Michael; Ekblom, Örjan; Marcus, Claude

    2013-06-22

    The aim of this study is to describe the relationship between objective measures of sleep, physical activity and BMI in Swedish pre-adolescents. The day-to-day association between physical activity and sleep quality as well as week-day and weekend pattern of sleep is also described. We conducted a cross sectional study consisted of a cohort of 1.231 children aged six to ten years within the Stockholm county area. Sleep and physical activity were measured by accelerometry during seven consecutive days. Outcome measures are total sleep time, sleep efficiency, sleep start and sleep end; physical activity intensity divided into: sedentary ( 3 METS); and Body Mass Index standard deviations score, BMIsds. Total sleep time decreased with increasing age, and was shorter in boys than girls on both weekdays and weekends. Late bedtime but consistent wake-up time during weekends made total sleep time shorter on weekends than on weekdays. Day-to-day within-subject analysis revealed that moderate-to-vigorous intense physical activity promoted an increased sleep efficiency the following night (CI sleep time was not affected (CI -0.003 to 0.043). Neither sleep duration (CI -0.024 to 0.022) nor sleep efficiency (CI -0.019 to 0.028) affected mean physical activity level the subsequent day. The between-subject analysis indicates that the sleep of children characterized by high moderate-to-vigorous physical activity during the day was frequently interrupted (SE = -.23, P sleep duration was found (-.10, p sleep duration was associated with high BMI in six to ten year old children. This study underscores the importance of consistent bedtimes throughout the week for promoting sleep duration in preadolescents. Furthermore, this study suggests that a large proportion of intensive physical activity during the day might promote good sleep quality.

  13. Epidemiological Study of RRT-Treated ESRD in Nanjing - A Ten-Year Experience in Nearly Three Million Insurance Covered Population.

    Science.gov (United States)

    Han, Yu-Chen; Huang, Han-Ming; Sun, Ling; Tan, Chao-Ming; Gao, Min; Liu, Hong; Tang, Ri-Ning; Wang, Yan-Li; Wang, Bei; Ma, Kun-Ling; Liu, Bi-Cheng

    2016-01-01

    The growing burden of end-stage renal disease (ESRD) has been a great challenge to the health care system of China. However, the exact epidemiological data for ESRD in China remain unclear. We aimed to investigate the epidemiology of ESRD treated by renal replacement therapy (RRT) in Nanjing based on analysing ten-year data of Nanjing three million insurance covered population. Using the electronic registry system of Urban Employee Basic Medical Insurance (UEBMI), we included all subjects insured by UEBMI in Nanjing from 2005 to 2014 and identified subjects who developed ESRD and started RRT in this cohort. The UEBMI population in Nanjing increased from 1,301,882 in 2005 to 2,921,065 in 2014, among which a total of 5,840 subjects developed ESRD and received RRT. Over the 10-year period, the adjusted incidence rates of RRT in the UEBMI cohort gradually decreased from 289.3pmp in 2005 to 218.8pmp in 2014. However, the adjusted prevalence rate increased steadily from 891.7pmp in 2005 to 1,228.6pmp in 2014. The adjusted annual mortality rate decreased from 138.4 per 1000 patient-years in 2005 to 97.8 per 1000 patient-years in 2014. The long-term survival rate fluctuated over the past decade, with the 1-year survival rate ranging from 85.1% to 91.7%, the 3-year survival rate from 69.9% to 78.3% and the 5-year survival rate from 58% to 65.4%. Nanjing is facing an increasing burden of ESRD with its improvement of medical reform. The ten-year complete registry data on RRT in urban employees in Nanjing provided a unique opportunity to understand the real threat of ESRD confronting China during its process of health care transition.

  14. Positive effect of removal of subchondral bone plate for cemented acetabular component fixation in total hip arthroplasty: a randomised RSA study with ten-year follow-up.

    Science.gov (United States)

    Flivik, G; Kristiansson, I; Ryd, L

    2015-01-01

    We hypothesised that the removal of the subchondral bone plate (SCBP) for cemented acetabular component fixation in total hip arthroplasty (THA) offers advantages over retention by improving the cement-bone interface, without jeopardising implant stability. We have previously published two-year follow-up data of a randomised controlled trial (RCT), in which 50 patients with primary osteoarthritis were randomised to either retention or removal of the SCBP. The mean age of the retention group (n = 25, 13 males) was 70.0 years (sd 6.8). The mean age in the removal group (n = 25, 16 males) was 70.3 years (sd 7.9). Now we have followed up the patients at six (retention group, n = 21; removal group, n = 20) and ten years (retention group: n = 17, removal group: n = 18), administering clinical outcome questionnaires and radiostereometric analysis (RSA), and determining the presence of radiolucent lines (RLLs) on conventional radiographs. RSA demonstrated similar translation and rotation patterns up to six years. Between six and ten years, proximal acetabular component migration and changes of inclination were larger in the retention group, although the mean differences did not reach statistical significance. Differences in migration were driven by two patients in the SCBP retention group with extensive migration versus none in the SCBP removal group. The significant difference (p < 0.001) in the development of radiolucent lines in the retention group, previously observed at two years, increased even further during the course of follow-up (p < 0.001). While recognising SCBP removal is a more demanding technique, we conclude that, wherever possible, the SCBP should be removed to improve the cement-bone interface in order to maximise acetabular component stability and longevity. ©2015 The British Editorial Society of Bone & Joint Surgery.

  15. Situating Engagement

    DEFF Research Database (Denmark)

    Korn, Matthias

    everyday lives and the spaces we inhabit. Where email and the telephone have broken down barriers of geography, the relationship of technology with physical locations in people’s lives strengthens. From Occupy to the London riots and the Arab Spring, situated technologies offer new ways through which we......’ civic engagement activities in those spatial contexts that are at stake in land use planning. This approach enables engagement activities to be better integrated with people’s everyday lived experiences through connecting to the places that are personally meaningful and relevant to them. A ’research...... a plethora of different means for citizens to engage with planning issues within a plethora of different contexts and situations. The dissertation makes contributions of two kinds. Conceptually, it offers a richer understanding of what is implicated in the design of technologies for situated engagement...

  16. Situated communication:

    DEFF Research Database (Denmark)

    Kampf, Constance

    the power of mainstream images of "indian-ness" through a representation of Kumeyaay culture as living in the present San Diego county area of the U.S.  This case demonstrates the connection between ideology about Native Americans and the online responses which assert Kumeyaay identity as situated...

  17. Deep situationality

    DEFF Research Database (Denmark)

    Matejskova, Tatiana

    2014-01-01

    as a Slovak national with immigration experi- ence, a nominal outsider to both the country of research, Germany, and its immigrant subjects, the post-Soviet Russian-speaking migrants. Focusing on the production of time-spaces of proximity as a deeply situational process, I stress in particular the un...

  18. Situation Songs

    DEFF Research Database (Denmark)

    Kolar-Borsky, Agnes; Holck, Ulla

    2014-01-01

    The aim of this study was to survey the various therapeutic intentions behind the use of one particular improvisation method applied in pediatric music therapy, called the situation song (from the German term “Situationslied”- Plahl & Koch-Temming, 2008, p. 180). According to Plahl & Koch...... the therapeutic relationship; to enhance experience and development in the fields of emotion, behavior, expression and social skills; to express messages in language and to give structure to the child. The overall aim behind the use of situation songs is to offer essential experiences to the child in order...... to support his or her development. This study attempts to give an impulse to more international exchange of clinical terms applied in music therapy. The study was submitted as the first author’s master thesis in Music Therapy at the Aalborg University in Denmark. The second author supervised the process...

  19. Toxic Nodularia spumigena blooms in the coastal waters of the Gulf of Gdańsk: a ten-year survey

    Directory of Open Access Journals (Sweden)

    Hanna Mazur-Marzec

    2006-06-01

    Full Text Available In the Baltic Sea, summer blooms of the filamentous, nitrogen-fixingcyanobacterium Nodularia spumigena are favoured by high P concentrationsat low N:P ratios and a salinity range of 5-13 PSU. The bloomsare initiated by calm and sunny weather, an elevated surfacewater temperature and thermal stratification. The mass occurrenceof N. spumigena in coastal waters is a matter of special concern,as the cyanobacterium produces nodularin, a potent pentapeptidehepatotoxin. In the Gulf of Gdansk, the large-scale occurrenceof N. spumigena was recorded for the first time in 1994. Bloomsof a similar intensity occurred in 2001, 2003 and 2004. Nodularinconcentrations in freeze-dried bloom samples varied from 0.01to 4.01 mg g-1 d.w. In the coastal waters of the Gulf of Gdańsk,cell-bound nodularin concentrations in 2004 and 2005 attainedmaxima of 25852 ± 107 µg dm-3 and3964 ± 125 µg dm-3, respectively. Microscopic analysis revealedthe presence of diverse N. spumigena forms, with the dominance of curvedfilaments in bloom samples. The results of in situ studies and remotesensing measurements indicate a high frequency and intensity of cyanobacterialblooms in the Gulf of Gdańsk in the last ten years.

  20. Ten-Year Follow-Up of Desarthrodesis of the Knee Joint 41 Years after Original Arthrodesis for a Bone Tumor

    Directory of Open Access Journals (Sweden)

    Ahmed Hamed Kassem Abdelaal

    2015-01-01

    Full Text Available Introduction. The main indication for knee arthrodesis in tumor surgery is a tumor that requires an extensive resection in which the joint surface cannot be preserved. We report a patient that had knee desarthrodesis 41 years after giant cell tumor resection followed by a knee arthrodesis. This is the longest reported follow-up after desarthrodesis and conversion to total knee arthroplasty (TKA, almost ten years. Case Report. A 71-year-old man with a distal femoral giant cell tumor had undergone a resection of the distal femur and knee arthrodesis using Kuntscher nail in 1962. In July 2003 he experienced gradually increasing pain of his left knee. We performed a desarthrodesis and conversion to TKA in 2005. The postoperative period passed uneventfully as his pain and gait improved, with gradually increasing range of motion (ROM and no infection. He now walks independently, with no brace or contractures. Conclusion. Desarthrodesis of the knee joint and conversion to TKA are a difficult surgical choice with a high complication risk. However, our patient’s life style has improved, he has no pain, and he can ascend and descend stairs more easily. The surgeon has to be very meticulous in selecting a patient for knee arthrodesis and counseling them to realize that their expectations may not be achievable.

  1. Management techniques for the control of Melinis minutiflora P. Beauv. (molasses grass: ten years of research on an invasive grass species in the Brazilian Cerrado

    Directory of Open Access Journals (Sweden)

    Carlos Romero Martins

    2017-09-01

    Full Text Available ABSTRACT The invasion of exotic species is considered to be a major threat to the preservation of biodiversity. In the Parque Nacional de Brasília (National Park of Brasília, the invasive Melinis minutiflora (molasses grass occupies more than 10 % of the area of the park. The present, long-term, study compared two treatments of exposure to molasses grass: 1 fire and 2 integrated management (fire + herbicide sprays + manual removal. The aerial biomass of molasses grass in the experimental area initially represented ca. 55 % of the total aerial biomass, a percentage that apparently did not influence native plant species richness at this site. Fire alone was not sufficient to control molasses grass, which attained its pre-treatment biomass values after two years. Integrated management reduced, and maintained, biomass to less than 1 % of its original value after ten years, and maintained this level throughout the study, demonstrating that it is a promising strategy for the recovery of areas invaded by molasses grass in the Cerrado. However, because of the recolonization by molasses grass, long-term monitoring efforts are targeting outbreaks, which would require immediate intervention in order to maintain the native biological diversity of the region.

  2. Framingham ten-year general cardiovascular disease risk: agreement between BMI-based and cholesterol-based estimates in a South Asian convenience sample.

    Science.gov (United States)

    Jones, Charlotte A; Ross, Leanne; Surani, Nadia; Dharamshi, Narissa; Karmali, Karima

    2015-01-01

    The goal of this analysis was to determine the agreement between body mass index-based and cholesterol-based ten-year Framingham general cardiovascular disease risk scores among a convenience sample of 773 South Asian Canadian adults attending community-based screening clinics. Scores were calculated using age, systolic blood pressure, antihypertensive use, current smoking, diabetes, and total cholesterol and high density lipoprotein (for cholesterol-based risk) or height and weight (for body mass index-based risk). Mean risk score differences (body mass index-based risk minus cholesterol-based risk) were estimated using paired t-tests. Bland-Altman plots were used to assess agreement between scores. Finally, agreement across risk categories (low [ = 20%]) was examined using the kappa statistic. Average agreement between the two risk scores was quite good overall (mean differences of 0.6% for men and 0.5% for women), but increased to about 3% among participants 60-74 years of age. However, Bland-Altman plots revealed that the differences between the two scores and the variability of the differences increased with increasing average 10-year risk. In terms of clinical importance, the limits of agreement were reasonable for women values: 0.51 for women cholesterol-based) at all screening sessions.

  3. The influencing factors in the business environment of the Visegrád Group in the last ten years and their comparison to Russia's experience

    Directory of Open Access Journals (Sweden)

    Ilya Igorevich Bolotov

    2015-09-01

    Full Text Available Objective examination of development of the business environment in the Central and Eastern European Visegraacuted Group Czech Republic Slovak Republic Poland and Hungary in the last ten years 2004ndash2014 by determining its influencing factors and comparison of the results with the experience of the Russian Federation. Methods approximation of the business environment with the help of five businessentity oriented indicators and analysis of relationship between them and their influencing factors i.e. areas of competitiveness in the definition of the Heritage Foundation based on correlation analysis time series cointegration model and a specific panel cointegration model. Research results the characteristic feature of the business environment in the Visegraacuted Group was adapting to integration into regional and global value chains. The main influencing factors of these changes were fiscal trade and investment freedoms to a lesser extent ndash freedom from corruption as well as membership in the European Union. The development in the Russian Federation was focused on concentration of business activities improving all indicators of the business environment and being caused by third factors. Scientific novelty first major complex study on the business environment in the Visegraacuted Group and in Russia published in the Russian Federation. Practical value better insight in the development of the business environment in the Central and Eastern European economies and in Russia which can be used in macroeconomic policies of the Russian Federation. nbsp

  4. Ten-Year Follow-Up of Desarthrodesis of the Knee Joint 41 Years after Original Arthrodesis for a Bone Tumor.

    Science.gov (United States)

    Kassem Abdelaal, Ahmed Hamed; Yamamoto, Norio; Hayashi, Katsuhiro; Takeuchi, Akihiko; Miwa, Shinji; Inatani, Hiroyuki; Tsuchiya, Hiroyuki

    2015-01-01

    Introduction. The main indication for knee arthrodesis in tumor surgery is a tumor that requires an extensive resection in which the joint surface cannot be preserved. We report a patient that had knee desarthrodesis 41 years after giant cell tumor resection followed by a knee arthrodesis. This is the longest reported follow-up after desarthrodesis and conversion to total knee arthroplasty (TKA), almost ten years. Case Report. A 71-year-old man with a distal femoral giant cell tumor had undergone a resection of the distal femur and knee arthrodesis using Kuntscher nail in 1962. In July 2003 he experienced gradually increasing pain of his left knee. We performed a desarthrodesis and conversion to TKA in 2005. The postoperative period passed uneventfully as his pain and gait improved, with gradually increasing range of motion (ROM) and no infection. He now walks independently, with no brace or contractures. Conclusion. Desarthrodesis of the knee joint and conversion to TKA are a difficult surgical choice with a high complication risk. However, our patient's life style has improved, he has no pain, and he can ascend and descend stairs more easily. The surgeon has to be very meticulous in selecting a patient for knee arthrodesis and counseling them to realize that their expectations may not be achievable.

  5. Ten-year comparison of the influence of organic and conventional crop management practices on the content of flavonoids in tomatoes.

    Science.gov (United States)

    Mitchell, Alyson E; Hong, Yun-Jeong; Koh, Eunmi; Barrett, Diane M; Bryant, D E; Denison, R Ford; Kaffka, Stephen

    2007-07-25

    Understanding how environment, crop management, and other factors, particularly soil fertility, influence the composition and quality of food crops is necessary for the production of high-quality nutritious foods. The flavonoid aglycones quercetin and kaempferol were measured in dried tomato samples (Lycopersicon esculentum L. cv. Halley 3155) that had been archived over the period from 1994 to 2004 from the Long-Term Research on Agricultural Systems project (LTRAS) at the University of California-Davis, which began in 1993. Conventional and organic processing tomato production systems are part of the set of systems compared at LTRAS. Comparisons of analyses of archived samples from conventional and organic production systems demonstrated statistically higher levels (P organic tomatoes. Ten-year mean levels of quercetin and kaempferol in organic tomatoes [115.5 and 63.3 mg g(-1) of dry matter (DM)] were 79 and 97% higher than those in conventional tomatoes (64.6 and 32.06 mg g(-1) of DM), respectively. The levels of flavonoids increased over time in samples from organic treatments, whereas the levels of flavonoids did not vary significantly in conventional treatments. This increase corresponds not only with increasing amounts of soil organic matter accumulating in organic plots but also with reduced manure application rates once soils in the organic systems had reached equilibrium levels of organic matter. Well-quantified changes in tomato nutrients over years in organic farming systems have not been reported previously.

  6. Bacteriological profile of community acquired acute bacterial meningitis: A ten-year retrospective study in a tertiary neurocare centre in South India

    Directory of Open Access Journals (Sweden)

    Mani R

    2007-01-01

    Full Text Available Purpose: Ten years retrospective study to evaluate the bacteriological spectrum of community acquired acute bacterial meningitis (CAABM. Methods: Cerebrospinal fluid (CSF samples from 385 clinically suspected cases of pyogenic meningitis were processed for cell counts, cytospin Gram stain, culture, antigen detection by latex agglutination (LAT and antibiotic susceptibility test. Eighteen of these CSF samples were also subjected to a polymerase chain reaction (PCR assay for detection of pneumococcal DNA. Results: The etiological agent could be identified in 284 (73.8% of the total 385 cases by culture and/or smear and /or LAT. Streptococcus pneumoniae was the predominant pathogen accounting for 238 (61.8% cases. Haemophilus influenzae and Neisseria meningitidis accounted for 7 (1.8% and 4 (1% cases respectively. Other gram negative bacilli, Streptococcus spp. and Staphylococcus aureus were isolated from 19 (4.9%, 9 (2.3% and 7 (1.8% cases respectively. Conclusions: Streptococcus pneumoniae remains the major aetiological agent of CAABM both in adults and children in our set-up. No penicillin resistance was detected among the isolates. Further research should focus on preventable aspects of CAABM, especially pneumococcal vaccines, to help reduce the disease burden.

  7. [Dermatophytosis due to Trichophyton rubrum. Ten-year period (1996-2006) data collection in a Dermatology Department in Mexico City].

    Science.gov (United States)

    Hernández-Salazar, Amparo; Carbajal-Pruneda, Patricia; Fernández Martínez, Ramón; Arenas, Roberto

    2007-06-01

    Dermatophytosis is the most common mycosis in the world up to 80% caused by Trichophyton rubrum. The aim of the present study was to describe the clinical characteristics of the dermatophytosis caused by T. rubrum in a dermatological outpatient clinic during a ten years period, from 1996 to 2005. We collected the data from patients with a dermatophytosis from which we have isolated T. rubrum. A total of 776 patients with dermatophytosis caused by T. rubrum were found. A slight predominance of female patients (56.2%) was observed. The most commonly affected age group was those in the third to the fifth decade of life, and house working women (33.5%) were predominant. Onychomycosis was found in 63% of the cases, tinea pedis in 22.7%, tinea corporis in 5.2% and tinea cruris in 2.8%. In onychomycosis, the first toe nail was the most commonly affected (58.9%) and the dystrophic type was seen in 50.7% of them.

  8. Retrospective comparative ten-year study of cumulative survival rates of remaining teeth in large edentulism treated with implant-supported fixed partial dentures or removable partial dentures.

    Science.gov (United States)

    Yamazaki, Seiya; Arakawa, Hikaru; Maekawa, Kenji; Hara, Emilio Satoshi; Noda, Kinji; Minakuchi, Hajime; Sonoyama, Wataru; Matsuka, Yoshizo; Kuboki, Takuo

    2013-07-01

    This study aimed to compare the survival rates of remaining teeth between implant-supported fixed dentures (IFDs) and removable partial dentures (RPDs) in patients with large edentulous cases. The second goal was to assess the risk factors for remaining tooth loss. The study subjects were selected among those who received prosthodontic treatment at Okayama University Dental Hospital for their edentulous space exceeding at least four continuous missing teeth. Twenty-one patients were included in the IFD group and 82 patients were included in the RPD group. Survival rates of remaining teeth were calculated in three subcategories: (1) whole remaining teeth, (2) adjacent teeth to intended edentulous space, and (3) opposing teeth to intended edentulous space. The ten-year cumulative survival rate of the whole remaining teeth was significantly higher in the IFD group (40.0%) than in the RPD group (24.4%). On the other hand, there was no significant difference between two groups in the survival rate of teeth adjacent or opposing to intended edentulous space. A Cox proportional hazard analysis revealed that RPD restoration and gender (male) were the significant risk factors for remaining tooth loss (whole remaining teeth). These results suggest that IFD treatment can reduce the incidence of remaining tooth loss in large edentulous cases. Copyright © 2013 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

  9. Quality of life in the late follow-up of ulcerative colitis patients submitted to restorative proctocolectomy with sphincter preservation over ten years ago

    Directory of Open Access Journals (Sweden)

    Alberto Luiz Monteiro Meyer

    2009-01-01

    Full Text Available OBJECTIVE: To evaluate, by means of the Inflammatory Bowel Disease Questionnaire (IBDQ, the quality of life of ulcerative colitis patients submitted to proctocolectomy with sphincter preservation using J-pouch reconstruction over ten years ago. METHODS: The study consisted of 36 patients interviewed using the Inflammatory Bowel Disease Questionnaire. The score scale, resulting from the addition of each answer, ranged from 32 to 224, where the highest score indicates the best quality of life. The chi square test was used to verify the existence of meaningful differences between the results of the questionnaire and age, and gender proportion. For each section, as well as for all of them combined, the Kruskal-Wallis test was used to verify if there were differences in the Inflammatory Bowel Disease Questionnaire scores among the groups in relation to the proportions. RESULTS: After applying the Inflammatory Bowel Disease Questionnaire, it was determined that quality of life was considered excellent for 9 (25%, good for 11 (30.6%, regular for 13 (36.1%, and bad for 3 (8.3% patients. In our study, we determined that 85% of the patients were pleased with and thankful for the surgery that they underwent. CONCLUSION: We can conclude that the possibility of sphincter preservation should always be taken into account, since patients remain clinically stable and have a high quality of life even after long periods.

  10. Health Effects of Environmental Exposures, Occupational Hazards and Climate Change in Ethiopia: Synthesis of Situational Analysis, Needs Assessment and the Way Forward.

    Science.gov (United States)

    Berhane, Kiros; Kumie, Abera; Samet, Jonathan

    2016-01-01

    The burden of diseases caused by environmental and occupational health hazards and the effects of global climate change are of growing concerns in Ethiopia. However, no adequate information seems to be available on the current situation. This means there is a critical gap in research, policy framework and implementation in the country. The purpose of this paper was to synthesize evidence from a systematic situational analysis and needs assessment to help establish a hub for research and training on three major themes and their related policy frameworks: air pollution and health, occupational health and safety and climate change and health. The methods used in this work include a systematic review of secondary data from peer-reviewed literature, thesis reports from academia, government and national statistical reports. Limited primary data based on key informant interviews held with major stakeholders were also used as sources of data. Exposures to high levels of indoor and outdoor air pollutants were found to be major sources of public health challenges. Lack of occupational safety and health due to agricultural activities and exposure to industries was found to be substantial. Worse is the growing fear that climate change will pose increasingly significant multidimensional challenges to the environment and public health. Across all three areas of focus, there was a paucity of information on local scientific evidence. There is also very limited trained skilled manpower and physical infrastructure to monitor the environment and enforce regulatory guidelines. Research, policy frameworks and regulatory mechanisms were among the cross-cutting issues that needed urgent attention. Critical gaps were observed in research and training across the three themes. Also, there is a limitation in implementing the link between policy and related regulations in the environment and health.

  11. Secular trends: a ten-year comparison of the amount and type of physical activity and inactivity of random samples of adolescents in the Czech Republic

    Directory of Open Access Journals (Sweden)

    Frömel Karel

    2011-09-01

    Full Text Available Abstract Background An optimal level of physical activity (PA in adolescence influences the level of PA in adulthood. Although PA declines with age have been demonstrated repeatedly, few studies have been carried out on secular trends. The present study assessed levels, types and secular trends of PA and sedentary behaviour of a sample of adolescents in the Czech Republic. Methods The study comprised two cross-sectional cohorts of adolescents ten years apart. The analysis compared data collected through a week-long monitoring of adolescents' PA in 1998-2000 and 2008-2010. Adolescents wore either Yamax SW-701 or Omron HJ-105 pedometer continuously for 7 days (at least 10 hours per day excluding sleeping, hygiene and bathing. They also recorded their number of steps per day, the type and duration of PA and sedentary behaviour (in minutes on record sheets. In total, 902 adolescents (410 boys; 492 girls aged 14-18 were eligible for analysis. Results Overweight and obesity in Czech adolescents participating in this study increased from 5.5% (older cohort, 1998-2000 to 10.4% (younger cohort, 2008-2010. There were no inter-cohort significant changes in the total amount of sedentary behaviour in boys. However in girls, on weekdays, there was a significant increase in the total duration of sedentary behaviour of the younger cohort (2008-2010 compared with the older one (1998-2000. Studying and screen time (television and computer were among the main sedentary behaviours in Czech adolescents. The types of sedentary behaviour also changed: watching TV (1998-2000 was replaced by time spent on computers (2008-2010. The Czech health-related criterion (achieving 11,000 steps per day decreased only in boys from 68% (1998-2000 to 55% (2008-2010. Across both genders, 55%-75% of Czech adolescents met the health-related criterion of recommended steps per day, however less participants in the younger cohort (2008-2010 met this criterion than in the older cohort

  12. Ten Year Projections for US Residency Positions: Will There be Enough Positions to Accommodate the Growing Number of U.S. Medical School Graduates?

    Science.gov (United States)

    Hayek, Sarah; Lane, Samantha; Fluck, Marcus; Hunsinger, Marie; Blansfield, Joseph; Shabahang, Mohsen

    2017-09-14

    Recently, a multitude of new U.S. medical schools have been established and existing medical schools have expanded their enrollments. The National Residency Match Program (NRMP) reports that in 2016 there were 23,339 categorical residency positions offered in the match and 26,836 overall applicants with 17,789 (66.29%) of the total candidates being U.S. allopathic graduates. In view of the rapid growth of medical school graduates, the aim of this study is to determine if current trends suggest a shortage of residency positions within the next ten years. The total number of graduates from U.S. medical schools was obtained from the Association of American Medical Colleges (AAMC) for 2005-2014 academic years and was trended linearly for a 10-year prediction for the number of graduates. The yearly number of categorical positions filled by U.S. graduates for calendar years 2006-2015 was obtained from the NRMP and was trended longitudinally 10 years into the future. Analysis of subspecialty data focused on the comparison of differences in growth rates and potential foreseeable deficits in available categorical positions in U.S. residency programs. According to trended data from AAMC, the total number of graduates from U.S. medical schools has increased 1.52 percent annually (15,927 in 2005 to 18,705 in 2014); with a forecast of 22,280 U.S. medical school graduates in 2026. The growth rate of all categorical positions available in U.S. residency programs was 2.55 percent annually, predicting 29,880 positions available in 2026. In view of these results, an analysis of specific residencies was done to determine potential shortages in specific residencies. With 17.4 percent of all U.S. graduates matching into internal medicine and a 3.17 percent growth rate in residency positions, in 2026 the number of internal medicine residency positions will be 9,026 with 3,874 U.S. graduates predicted to match into these positions. In general surgery, residency positions note a growth

  13. Developing the Next Generation of Inspired and Enthusiastic Young African Scientists: Insights from the First Ten Years of AfricaArray

    Science.gov (United States)

    Manzi, M. S.; Webb, S. J.; Durrheim, R. J.; Gibson, R.

    2016-12-01

    The African continent is endowed with a wealth of resources that are the focus of vigorous exploration by international mining companies. However, it is unfortunate that many African countries have been unable to capitalize on resource development due to a lack of expertise in research, exploration, resource management and develop their mineral deposits. The capacity to develop natural resources in Africa is, inextricably linked to the ability to fully develop intellectual capacity. Thus, training young African geoscientists to investigate and manage Africa's natural resources, and developing scientific programs about Africa resources, their settings, controls and origins, should lie at the heart of all African universities. Ten years in to the AfricaArray program, it is worth reviewing some of the insights and successes we have gained. In Africa, there is a lack of knowledge of what a "scientist" is and University is often viewed as a continuation of high school. With no real exposure to research, students don't understand the huge difference between high school and university, and they treat the university as a high school. One way to mitigate this may be to include undergraduate research opportunities in the summer break but funding is difficult to allocate. This observation highlights the need to critically review our approach to research, teaching and learning, and social engagement at school level. At University level a key focus has been the development of capacity through international collaborative research and training. The School of Geosciences, at Wits University, is already the leading institution in Africa for its breadth of geosciences research and training, and the applied nature of its research, being ranked in the top 1% of institutions worldwide in its field. It is currently a lead partner in flagship international research geophysics programme focused on Africa - the AfricaArray Field School and AfricaArray Programme. Field school has spawned

  14. Ten-year health-related quality of life in cochlear implant recipients: prospective SF-36 data with SF-6D conversion.

    Science.gov (United States)

    Arnoldner, Christoph; Lin, Vincent Y; Honeder, Clemens; Shipp, David; Nedzelski, Julian; Chen, Joseph

    2014-01-01

    To evaluate the long-term impact of cochlear implantation on quality of life measured by the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Scores were also converted to the SF-6D to derive health utility scores. Prospective cohort study. Thirty-two patients undergoing cochlear implantation completed the SF-36 preoperatively, 1 year, and 10 years after cochlear implantation. SF-36 results showed improvements in seven of the eight attributes when preoperative scores where compared with 1- and 10-year results. Between 1 and 10 years postoperatively, six of eight domains deteriorated in scores. When converted to the SF-6D, the mean preoperative utility scores were 0.592 for standard gamble, 0.636 using the ordinal health state paradigm, and 0.579 using the Bayesian technique. Ten years postoperatively, health utility scores were 0.643 (standard gamble), 0.684 (ordinal health state), and 0.6 (Bayesian). Between preoperatively and 10-year postoperatively, improvements were therefore 0.051, 0.048, and 0.021 for standard gamble, ordinal health state, and Bayesian paradigm, respectively. This study establishes the long-term sustained benefits of cochlear implantation on quality of life. Nevertheless, both the SF-36 and SF-6D seem to underestimate the benefit accrued through this intervention. Our data are consistent with others regarding the unsuitability of the SF-36 in benefit assessment, notwithstanding that conversion to the SF-6D is feasible, and the SF-6D seemed to better depict possible benefits from cochlear implantation as compared to the SF-36. © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

  15. Ten-year trends in overweight/obesity among Ontario middle and high school students and their use in establishing baseline measures for government reduction targets.

    Science.gov (United States)

    Allison, Kenneth R; Irving, Hyacinth M; Adlaf, Edward M; Faulkner, Guy E J; Boak, Angela; Manson, Heather E; Hamilton, Hayley A; Ng, Bessie

    2016-03-16

    Public health concern about increasing levels of child/youth overweight and obesity has resulted in initiatives to address this issue. In 2012, the Ontario Ministry of Health and Long-Term Care (MOHLTC) established a target to reduce childhood obesity by 20% within five years. In this paper, we examine trends and establish baseline levels of overweight/obesity to assess the impacts of population-level interventions. We analyzed 10 years (2003-2013) of data accumulated from six cycles of the Ontario Student Drug Use and Health Survey using logistic regression to assess trends in the prevalence of overweight/obesity among middle and high school students. The 2013 data are used to begin monitoring progress toward achieving the MOHLTC target. From 2003 through 2013, the prevalence of overweight/obesity among middle school students in the province remained stable overall and among all subgroups except 7th-grade females, who showed a significant linear decline. Among high school students, the prevalence of overweight/obesity showed a significant linear increase and an increase among 11th graders, females, and 10th- and 11th-grade females specifically. The prevalence remained stable but elevated among 9th- and 12th-grade females as well as among males in all grades. In 2013 (baseline for the MOHLTC target), 25.1% of students in grades 7-12 were overweight or obese, implying a presumed 2018 target of 20.1%. Ten-year trends in overweight/obesity indicate stability among males and significant linear increases in some female subgroups. Also, baseline data (2013) will facilitate the monitoring of future interventions aimed at achieving the 2018 MOHLTC target.

  16. Ten Years of Rainfall and Community-Based Streamflow Monitoring in the Tropical Montane Cloud Forest Region of Central Veracruz, Mexico: What Do These Data Tell Us?

    Science.gov (United States)

    Holwerda, F.; Aranda-Delgado, E.; Castilleja-Delgado, E.; Munoz-Villers, L.

    2016-12-01

    Montane ecosystems and the water resources provided by them play a crucial role in the development and growth of cities and the productive sector in Mexico. For the planning and sustainable management of these resources, it is necessary to quantify the key hydrological components and have (at least some) basic understanding of the water cycle at the operational watershed-scale. However, the difficulty of implementing and maintaining rainfall-discharge observation networks due to the lack of financial resources and well-trained personnel, coupled with poor accessibility and safety, as well as the complexity of the biophysical and climatic conditions in montane regions have hampered progress in hydrological research and the generation of basic knowledge for the benefit of society. In 2005, research-motivated measurements of rainfall (P) and community-based observations of streamflow (Q) were initiated independently in the tropical montane cloud forest (TMCF) region of central Veracruz, Mexico. In this presentation, we will explore these data to study the seasonal and annual P inputs and Q outputs of the ca. 11,000 ha Pixquiac river watershed as observed during the past ten years (2005-2015). The P data used in this analysis include continuous measurements from the major recharge zone within the study area (2000-2300 m asl), supplemented with observations from lower and higher altitudes to determine the P-elevation relationship. The Q data of the Pixquiac river consist of monthly measurements made near the outlet of the watershed (1300-1400 m asl) by citizen volunteers using the Global Water Watch methodology. We expect that these observations will contribute to an improved understanding of the hydrometeorology of mesoscale TMCF watersheds in central Veracruz, which is a prerequisite for sustainable planning and management of the water resources in this region.

  17. Does present use of cardiovascular medication reflect elevated cardiovascular risk scores estimated ten years ago? A population based longitudinal observational study

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    Straand Jørund

    2011-03-01

    Full Text Available Abstract Background It is desirable that those at highest risk of cardiovascular disease should have priority for preventive measures, eg. treatment with prescription drugs to modify their risk. We wanted to investigate to what extent present use of cardiovascular medication (CVM correlates with cardiovascular risk estimated by three different risk scores (Framingham, SCORE and NORRISK ten years ago. Methods Prospective logitudinal observational study of 20 252 participants in The Hordaland Health Study born 1950-57, not using CVM in 1997-99. Prescription data obtained from The Norwegian Prescription Database in 2008. Results 26% of men and 22% of women aged 51-58 years had started to use some CVM during the previous decade. As a group, persons using CVM scored significantly higher on the risk algorithms Framingham, SCORE and NORRISK compared to those not treated. 16-20% of men and 20-22% of women with risk scores below the high-risk thresholds for the three risk scores were treated with CVM, while 60-65% of men and 25-45% of women with scores above the high-risk thresholds received no treatment. Among women using CVM, only 2.2% (NORRISK, 4.4% (SCORE and 14.5% (Framingham had risk scores above the high-risk values. Low education, poor self-reported general health, muscular pains, mental distress (in females only and a family history of premature cardiovascular disease correlated with use of CVM. Elevated blood pressure was the single factor most strongly predictive of CVM treatment. Conclusion Prescription of CVM to middle-aged individuals by large seems to occur independently of estimated total cardiovascular risk, and this applies especially to females.

  18. BIFoR FACE: A ten-year Free-Air Carbon Dioxide Enrichment (FACE) Experiment in Old Growth Deciduous English Woodland

    Science.gov (United States)

    Thomas, R. M.; MacKenzie, A. R.; Ellsworth, D.; Hemming, D.; Crous, K.; Pope, F.; Blaen, P.; Poynter, A.; Hamilton, L.; Blenkhorn, D.; Jarvis-Rouse, F.

    2015-12-01

    The Birmingham Institute of Forest research (BIFoR) will perform fundamental physical, biological, ecological, social and cultural research of direct relevance to forested landscapes worldwide. A core platform for BIFoR to study the ten-year response of a mature temperate deciduous forest ecosystem to against a large step-change in atmospheric [CO2] is the BIFoR Free-Air Carbon Dioxide Enrichment (FACE) experiment. BIFoR FACE is being established in Mill Haft, a mature (~150 year-old) oak (Quercus robur) and hazel (Corylus avellana) coppice-with-standards woodland in central England. The facility will enable elevated CO2 (eCO2) treatments to be introduced in 30 m diameter rings (3 treatment and 6 control plots), commencing in spring 2016. Under eCO2 conditions primary research questions will investigate carbon uptake and storage, corresponding nutrient limitations, and biodiversity and ecosystem responses. As well as describing the facility and experimental design, we present baseline data collected throughout 2015, prior to fumigation. These data include: biophysical tree properties; atmospheric CO2/H2O fluxes; airborne and ground laser scatterometry; leaf area index; geophysical survey data; phenology camera derivatives; soil and water chemical and physical properties; and invertebrate surveys. Data from an intensive campaign conducted during august 2015 are also shown, including in- and above- canopy characterisation of biogenic VOCs using a Proton Transfer Reaction Mass Spectrometer, aerosol loading including bioaerosols, and enhanced atmospheric chemistry. Further campaign results are presented from leaf level photosynthetic carbon-dioxide response curve (A/Ci) performed at different canopy heights on oak trees, and on the dominant understory species - hazel and sycamore (Acer pseudoplatinus) across the site. BIFoR FACE is an exciting new international facility for forest science - ideas for collaborations are encouraged. Please see http

  19. Poor performance of Enduron polyethylene liner in total hip arthroplasty: a minimum ten-year follow up and ultra-morphological analysis of wear particles.

    Science.gov (United States)

    Yan, Yufei; Chen, Hao; Feng, Jianmin; Chen, Kaizhe; Zhou, Kaidi; Hong, Weixiang; Wang, Yi; Liu, Zhihong; Zhang, Jiong; Yang, Qingming; Guo, Lei; He, Chuan

    2017-04-01

    The aim of the present study was to investigate the long-term outcome and the wear characteristics of two distinct types of ultra-high molecular weight polyethylene (UHMWPE) liners in total hip arthroplasty (THA). We conducted a retrospective clinical study on patients which were treated with total hip arthroplasty using either Enduron polyethylene (Enduron PE) or Trilogy polyethylene (Trilogy PE) liners based on a minimum of ten year follow up data. Morphological analyses of wear particles from tissue samples, which were harvested during revision surgeries, were also performed. A total of 79 THAs in the Enduron group and 55 THAs in the Trilogy group were available for analysis. Kaplan-Meier survival with revision for wear-related complications as the endpoint of the Enduron PE liners was lower than that of Trilogy PE liners at ten years (93.5 % and 100 %, P = 0.03). The Enduron group had higher mean linear wear rate than that of the Trilogy group (0.20 ± 0.09 and 0.09 ± 0.03 mm/year, P < 0.01). The incidence of osteolysis for the Enduron group was higher than that of the Trilogy group (33.3 % and 12 %, P = 0.04). Under transmission electron microscopy, the Enduron group had more than 82 % of the particles less than 1.0 μm in size and more than 57 % of the particles less than 0.5 μm. The long-term performance of Enduron liners was worse than that of Trilogy liners. Further clinical follow-up may be necessary in patients with Enduron PE liners in order to avoid catastrophic complications.

  20. The First Epidemic and New-emerging Human Fascioliasis in Kermanshah (Western Iran) and a Ten-year Follow Up, 1998-2008.

    Science.gov (United States)

    Hatami, Hossein; Asmar, Mahdi; Masoud, Jafar; Mansouri, Feizollah; Namdaritabar, Hengameh; Ramazankhani, Ali

    2012-04-01

    Fascioliasis is one of the most common zoonotic diseases in Iran and other parts of the world. Although the largest epidemic of this disease has occurred in northern provinces of Iran (Guilan) during the past two decades and a few cases have also been reported in Tehran and the other provinces, there has been no evidence of its' occurrence in western provinces of Iran such as Kermanshah before the outbreak which is being reported. The study was conducted by teamwork of infectious disease specialist, parasitologist, general practitioner, entomologist, and laboratory technician. It is an "epidemic investigation" and a cross sectional descriptive one. Clinical data and para-clinical changes are recorded considering all of the population of a village in Kangavar, one of the suburbs of Kermanshah (western Iran). The mean age was 21.65, (SD=12.44). Fifty three percent were female, and all of them were farmers. Eighty two percent had a history of watercress ingestion in a period of 1-2 months before the admission and 18% consumed other vegetables. The average of eosinophils was 32.35% (SD=26). The patients' Enzyme Linked Immunosorbent Assay (ELISA) and Counter Current Immuno-electrophoresis (CCIE) serological tests were reported positive by the department of parasitology, Pasteur Institute of Iran. Treatment response to triclabendazole was excellent. A ten-year clinical and laboratory follow-up revealed no evidence of abnormality in treated patients. It was the first case of human fascioliasis in west Iran and was a real epidemic and an emerging infectious disease for this area at that time. The clinical symptoms were less severe compared with other reports. Health education to inhabitants and health care workers can lead to rapid detection of such outbreaks.

  1. Ten-year blood pressure trajectories, cardiovascular mortality, and life years lost in 2 extinction cohorts: the Minnesota Business and Professional Men Study and the Zutphen Study.

    Science.gov (United States)

    Tielemans, Susanne M A J; Geleijnse, Johanna M; Menotti, Alessandro; Boshuizen, Hendriek C; Soedamah-Muthu, Sabita S; Jacobs, David R; Blackburn, Henry; Kromhout, Daan

    2015-03-09

    Blood pressure (BP) trajectories derived from measurements repeated over years have low measurement error and may improve cardiovascular disease prediction compared to single, average, and usual BP (single BP adjusted for regression dilution). We characterized 10-year BP trajectories and examined their association with cardiovascular mortality, all-cause mortality, and life years lost. Data from 2 prospective and nearly extinct cohorts of middle-aged men—the Minnesota Business and Professional Men Study (n=261) and the Zutphen Study (n=632)—were used. BP was measured annually during 1947-1957 in Minnesota and 1960-1970 in Zutphen. BP trajectories were identified by latent mixture modeling. Cox proportional hazards and linear regression models examined BP trajectories with cardiovascular mortality, all-cause mortality, and life years lost. Associations were adjusted for age, serum cholesterol, smoking, and diabetes mellitus. Mean initial age was about 50 years in both cohorts. After 10 years of BP measurements, men were followed until death on average 20 years later. All Minnesota men and 98% of Zutphen men died. Four BP trajectories were identified, in which mean systolic BP increased by 5 to 49 mm Hg in Minnesota and 5 to 20 mm Hg in Zutphen between age 50 and 60. The third systolic BP trajectories were associated with 2 to 4 times higher cardiovascular mortality risk, 2 times higher all-cause mortality risk, and 4 to 8 life years lost, compared to the first trajectory. Ten-year BP trajectories were the strongest predictors, among different BP measures, of cardiovascular mortality, all-cause mortality, and life years lost in Minnesota. However, average BP was the strongest predictor in Zutphen. © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  2. Frequency and antimicrobial resistance patterns of bacteria implicated in community urinary tract infections: a ten-year surveillance study (2000–2009

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    Linhares Inês

    2013-01-01

    Full Text Available Abstract Background Urinary tract infection (UTI is one of the most common infectious diseases at the community level. In order to assess the adequacy of the empirical therapy, the prevalence and the resistance pattern of the main bacteria responsible for UTI in the community (in Aveiro, Portugal was evaluated throughout a ten-year period. Methods In this retrospective study, all urine samples from patients of the District of Aveiro, in ambulatory regime, collected at the Clinical Analysis Laboratory Avelab during the period 2000–2009 were analysed. Samples with more than 105 CFU/mL bacteria were considered positive and, for these samples, the bacteria were identified and the profile of antibiotic susceptibility was characterized. Results From the 155597 samples analysed, 18797 (12.1% were positive for bacterial infection. UTI was more frequent in women (78.5% and its incidence varied with age, affecting more the elderly patients (38.6%. Although E. coli was, as usual, the most common pathogen implicated in UTI, it were observed differences related to the other bacteria more implicated in UTI relatively to previous studies. The bacteria implicated in the UTI varied with the sex of the patient, being P. aeruginosa a more important cause of infection in men than in women. The incidence of the main bacteria changed over the study period (P. aeruginosa, Klebsiella spp and Providencia spp increased and Enterobacter spp decreased. Although E. coli was responsible for more than an half of UTI, its resistance to antibiotics was low when compared with other pathogens implicated in UTI, showing also the lowest percentage of multidrug resistant (MDR isolates (17%. Bacteria isolated from females were less resistant than those isolated from males and this difference increased with the patient age. Conclusions The differences in sex and age must be taken into account at the moment of empirical prescription of antimicrobials. From the recommended

  3. Patterns and predictors of sitting time over ten years in a large population-based Canadian sample: Findings from the Canadian Multicentre Osteoporosis Study (CaMos

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    Klaus Gebel

    2017-03-01

    Full Text Available Our objective was to describe patterns and predictors of sedentary behavior (sitting time over 10 years among a large Canadian cohort. Data are from the Canadian Multicentre Osteoporosis Study, a prospective study of women and men randomly selected from the general population. Respondents reported socio-demographics, lifestyle behaviors and health outcomes in interviewer-administered questionnaires; weight and height were measured. Baseline data were collected between 1995 and 1997 (n = 9418; participation rate = 42%, and at 5- (n = 7648 and 10-year follow-ups (n = 5567. Total sitting time was summed across domain-specific questions at three time points and dichotomized into “low” (≤7 h/day and “high” (>7 h/day, based on recent meta-analytic evidence on time sitting and all-cause mortality. Ten-year sitting patterns were classified as “consistently high”, “consistently low”, “increased”, “decreased”, and “mixed”. Predictors of sedentary behavior patterns were explored using chi-square tests, ANOVA and logistic regression. At baseline (mean age = 62.1 years ± 13.4 average sitting was 6.9 h/day; it was 7.0 at 5- and 10-year follow-ups (p for trend = 0.12. Overall 23% reported consistently high sitting time, 22% consistently low sitting, 14% decreased sitting, 17% increased sitting with 24% mixed patterns. Consistently high sitters were more likely to be men, university educated, full-time employed, obese, and to report consistently low physical activity levels. This is one of the first population-based studies to explore patterns of sedentary behavior (multi-domain sitting within men and women over years. Risk classification of sitting among many adults changed during follow-up. Thus, studies of sitting and health would benefit from multiple measures of sitting over time.

  4. Metabolic syndrome, major depression, generalized anxiety disorder, and ten-year all-cause and cardiovascular mortality in middle aged and elderly patients.

    Science.gov (United States)

    Butnoriene, Jurate; Bunevicius, Adomas; Saudargiene, Ausra; Nemeroff, Charles B; Norkus, Antanas; Ciceniene, Vile; Bunevicius, Robertas

    2015-01-01

    Studies investigating specifically whether metabolic syndrome (MetS) and common psychiatric disorders are independently associated with mortality are lacking. In a middle-aged general population, we investigated the association of the MetS, current major depressive episode (MDE), lifetime MDE, and generalized anxiety disorder (GAD) with ten-year all-cause and cardiovascular disease mortality. From February 2003 until January 2004, 1115 individuals aged 45 years and older were randomly selected from a primary care practice and prospectively evaluated for: (1) MetS (The World Health Organization [WHO], National Cholesterol Education Program/Adult Treatment Panel III and International Diabetes Federation [IDF] definitions); (2) current MDE and GAD, and lifetime MDE (Mini International Neuropsychiatric Interview); and (3) conventional cardiovascular risk factors. Follow-up continued through January, 2013. During the 9.32 ± 0.47 years of follow-up, there were 248 deaths, of which 148 deaths were attributed to cardiovascular causes. In women, WHO-MetS and IDF-MetS were associated with greater all-cause (HR-values range from 1.77 to 1.91; p-values ≤ 0.012) and cardiovascular (HR-values range from 1.83 to 2.77; p-values ≤ 0.013) mortality independent of cardiovascular risk factors and MDE/GAD. Current GAD predicted greater cardiovascular mortality (HR-values range from 1.86 to 1.99; p-values ≤ 0.025) independently from MetS and cardiovascular risk factors. In men, the MetS and MDE/GAD were not associated with mortality. In middle aged women, the MetS and GAD predicted greater 10-year cardiovascular mortality independently from each other; 10-year all-cause mortality was independently predicted by the MetS. MetS and GAD should be considered important and independent mortality risk factors in women. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  5. Ten-year trends of atmospheric mercury in the high Arctic compared to Canadian sub-Arctic and mid-latitude sites

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    A. S. Cole

    2013-02-01

    Full Text Available Global emissions of mercury continue to change at the same time as the Arctic is experiencing ongoing climatic changes. Continuous monitoring of atmospheric mercury provides important information about long-term trends in the balance between transport, chemistry, and deposition of this pollutant in the Arctic atmosphere. Ten-year records of total gaseous mercury (TGM from 2000 to 2009 were analyzed from two high Arctic sites at Alert (Nunavut, Canada and Zeppelin Station (Svalbard, Norway; one sub-Arctic site at Kuujjuarapik (Nunavik, Québec, Canada; and three temperate Canadian sites at St. Anicet (Québec, Kejimkujik (Nova Scotia and Egbert (Ontario. Five of the six sites examined showed a decreasing trend over this time period. Overall trend estimates at high latitude sites were: −0.9% yr−1 (95% confidence limits: −1.4, 0 at Alert and no trend (−0.5, +0.7 at Zeppelin Station. Faster decreases were observed at the remainder of the sites: −2.1% yr−1 (−3.1, −1.1 at Kuujjuarapik, −1.9% yr−1 (−2.1, −1.8 at St. Anicet, −1.6% yr−1 (−2.4, −1.0 at Kejimkujik and −2.2% yr−1 (−2.8, −1.7 at Egbert. Trends at the sub-Arctic and mid-latitude sites agree with reported decreases in background TGM concentration since 1996 at Mace Head, Ireland, and Cape Point, South Africa, but conflict with estimates showing an increase in global anthropogenic emissions over a similar period. Trends in TGM at the two high Arctic sites were not only less negative (or neutral overall but much more variable by season. Possible reasons for differences in seasonal and overall trends at the Arctic sites compared to those at lower latitudes are discussed, as well as implications for the Arctic mercury cycle. The first calculations of multi-year trends in reactive gaseous mercury (RGM and total particulate mercury (TPM at Alert were also performed, indicating increases from 2002 to 2009

  6. Ten-year results of a randomized trial comparing tacrolimus versus cyclosporine a in combination with mycophenolate mofetil after heart transplantation.

    Science.gov (United States)

    Guethoff, Sonja; Meiser, Bruno M; Groetzner, Jan; Eifert, Sandra; Grinninger, Carola; Ueberfuhr, Peter; Reichart, Bruno; Hagl, Christian; Kaczmarek, Ingo

    2013-02-27

    Long-term results of prospective randomized trials comparing triple immunosuppressive strategies combining tacrolimus (TAC) or cyclosporine A (CsA) with mycophenolate mofetil (MMF) and steroids after heart transplantation (HTX) are rarely published. Therefore, we collected long-term follow-up data of an intervention cohort 10 years after randomization. Ten-year follow-up data of 60 patients included in a prospective, randomized trial between 1998 and 2000 were analyzed as intention-to-treat (TAC-MMF n=30; CsA-MMF n=30). Baseline characteristics were well balanced. Cardiac allograft vasculopathy (CAV) was graduated in accordance with the new ISHLT classification. Survival at 1, 5, and 10 years was 96.7%, 80.0%, and 66.7% for TAC-MMF and 90.0%, 83.3%, and 80.0% for CsA-MMF (P=ns). Freedom from acute rejection (AR) was significantly higher in TAC-MMF versus CsA-MMF (65.5% vs. 21.7%, log-rank 8.3, P=0.004). Freedom from ISHLT≥CAV1 after 5 and 10 years was in TAC-MMF 64.0% and 45.8%, and in CsA-MMF 36.0% (log-rank 3.0, P=0.085) and 8.0% (log-rank 9.0, P=0.003). No difference in long-term results for freedom from coronary angioplasty or stenting, renal dysfunction, diabetes mellitus, CMV infection, or malignancy was detected. Cross-over effects because of treatment switch may result in impairment of significance between the groups. The long-term analysis resulted in a significant difference in manifestation of CAV between the groups after 10 years. Less rejection in the TAC-group might have contributed to the lower incidence of CAV. Superior freedom from AR and CAV in the TAC-MMF group did not result in better long-term survival.

  7. Situating learning

    DEFF Research Database (Denmark)

    Ribeiro, Gustavo; Georg, Susse; Finchman, Rob

    2004-01-01

    This paper looks at learning experiences in South Africa and Thailand by highlighting the role of context and culture in the learning process. The authors are based at Danish and South African higher education institutions and have contributed to DUCED's TFS programme in the positions of overall....... Such exploration involves the participation of students as actors in the process of urban management and in the implementation of environmental projects by NGO's, CBO's and public institutions. It involves contact with communities and interaction with students and staff from local universities under the LUCED co...

  8. Itens alimentares no consumo alimentar de crianças de 7 a 10 anos Food items in the food intake of children aged seven to ten years

    Directory of Open Access Journals (Sweden)

    Patrícia de Fragas Hinnigi

    2012-06-01

    and macronutrients was calculated. The list was based on information provided by a 3-day-Food Diary completed by 85 schoolchildren ranging from seven to ten years old and enrolled in a public school in São Paulo, Brazil. After dividing the food into 129 items, we calculated the percentage in which each item contributed to diet nutrient intake and identified those which contributed to up to 95% of the total intake of calories and selected nutrients. RESULTS: The items "White rice, Greek rice, rice with vegetables" and "Brown, black and white beans, lentils" contributed significantly to the total intake of energy and carbohydrates. The item "Whole milk, powdered milk" had a significant participation in the total intake of lipids, protein and energy. We emphasize the importance of carbohydrates and energy intake from sugar-sweetened beverages (sodas and processed juices in the total diet intake of the children. CONCLUSIONS: the contribution of rice in the total food intake of energy and carbohydrates; of beans in energy, carbohydrates and proteins; of milk and meat in energy, protein and lipids; and bread in energy and carbohydrates is noticeable. The participation of sugar-sweetened beverage in the total intake in energy and carbohydrates and of candies in the total intake of lipids is also evident.

  9. Effectiveness of Seasonal Malaria Chemoprevention in Children under Ten Years of Age in Senegal: A Stepped-Wedge Cluster-Randomised Trial.

    Science.gov (United States)

    Cissé, Badara; Ba, El Hadj; Sokhna, Cheikh; NDiaye, Jean Louis; Gomis, Jules F; Dial, Yankhoba; Pitt, Catherine; NDiaye, Mouhamed; Cairns, Matthew; Faye, Ernest; NDiaye, Magatte; Lo, Aminata; Tine, Roger; Faye, Sylvain; Faye, Babacar; Sy, Ousmane; Konate, Lansana; Kouevijdin, Ekoue; Flach, Clare; Faye, Ousmane; Trape, Jean-Francois; Sutherland, Colin; Fall, Fatou Ba; Thior, Pape M; Faye, Oumar K; Greenwood, Brian; Gaye, Oumar; Milligan, Paul

    2016-11-01

    Seasonal Malaria Chemoprevention (SMC) with sulfadoxine-pyrimethamine (SP) plus amodiaquine (AQ), given each month during the transmission season, is recommended for children living in areas of the Sahel where malaria transmission is highly seasonal. The recommendation for SMC is currently limited to children under five years of age, but, in many areas of seasonal transmission, the burden in older children may justify extending this age limit. This study was done to determine the effectiveness of SMC in Senegalese children up to ten years of age. SMC was introduced into three districts over three years in central Senegal using a stepped-wedge cluster-randomised design. A census of the population was undertaken and a surveillance system was established to record all deaths and to record all cases of malaria seen at health facilities. A pharmacovigilance system was put in place to detect adverse drug reactions. Fifty-four health posts were randomised. Nine started implementation of SMC in 2008, 18 in 2009, and a further 18 in 2010, with 9 remaining as controls. In the first year of implementation, SMC was delivered to children aged 3-59 months; the age range was then extended for the latter two years of the study to include children up to 10 years of age. Cluster sample surveys at the end of each transmission season were done to measure coverage of SMC and the prevalence of parasitaemia and anaemia, to monitor molecular markers of drug resistance, and to measure insecticide-treated net (ITN) use. Entomological monitoring and assessment of costs of delivery in each health post and of community attitudes to SMC were also undertaken. About 780,000 treatments were administered over three years. Coverage exceeded 80% each month. Mortality, the primary endpoint, was similar in SMC and control areas (4.6 and 4.5 per 1000 respectively in children under 5 years and 1.3 and 1.2 per 1000 in children 5-9 years of age; the overall mortality rate ratio [SMC: no SMC] was 0.90, 95

  10. The prevalence of excessive weight in Balearic Islands' young and middle-aged women and its association with social and socioeconomic factors: a ten-year trend (2000-2010)

    National Research Council Canada - National Science Library

    Coll, Josep Ll; del Mar Bibiloni, Maria; Salas, Rogelio; Pons, Antoni; Tur, Josep A

    2015-01-01

    .... Therefore the aim was to assess a ten-year trend (2000-2010) in the prevalence of excessive weight in Balearic Islands' women and its association with socioeconomic factors. Young (18-35 year-old) and middle-aged (36-55 year-old...

  11. Less wear with aluminium-oxide heads than cobalt-chrome heads with ultra high molecular weight cemented polyethylene cups: a ten-year follow-up with radiostereometry.

    Science.gov (United States)

    Dahl, Jon; Söderlund, Per; Nivbrant, Bo; Nordsletten, Lars; Röhrl, Stephan M

    2012-03-01

    Wear is a major contributor to osteolysis and aseptic loosening of total hip replacements (THR). Both alumina (Al(2)O(3)) and cobalt-chrome (CoCr) femoral heads are commonly used. We investigated wear comparing alumina heads to cobalt-chrome heads against conventional cemented polyethylene (PE) cups for up to ten years. Linear wear was measured with radiostereometry (RSA). Our material was derived from two prospective randomised trials that investigated fixation of femoral stems, not wear, and was evaluated retrospectively (Level III). The mean (95% CI) proximal head penetration was 0.96 mm (0.68-1.23) in the cobalt-chrome group and 0.42 mm (0.30-0.53) in the alumina group at ten years (P = 0.001). The mean (95% CI) 3D penetration was 1.07 mm (0.79-1.35) and 0.53 mm (0.38-0.63), respectively, at ten years (P = 0.001). Alumina heads performed better than cobalt-chrome heads in this study after ten-year follow-up.

  12. Effectiveness of Seasonal Malaria Chemoprevention in Children under Ten Years of Age in Senegal: A Stepped-Wedge Cluster-Randomised Trial.

    Directory of Open Access Journals (Sweden)

    Badara Cissé

    2016-11-01

    Full Text Available Seasonal Malaria Chemoprevention (SMC with sulfadoxine-pyrimethamine (SP plus amodiaquine (AQ, given each month during the transmission season, is recommended for children living in areas of the Sahel where malaria transmission is highly seasonal. The recommendation for SMC is currently limited to children under five years of age, but, in many areas of seasonal transmission, the burden in older children may justify extending this age limit. This study was done to determine the effectiveness of SMC in Senegalese children up to ten years of age.SMC was introduced into three districts over three years in central Senegal using a stepped-wedge cluster-randomised design. A census of the population was undertaken and a surveillance system was established to record all deaths and to record all cases of malaria seen at health facilities. A pharmacovigilance system was put in place to detect adverse drug reactions. Fifty-four health posts were randomised. Nine started implementation of SMC in 2008, 18 in 2009, and a further 18 in 2010, with 9 remaining as controls. In the first year of implementation, SMC was delivered to children aged 3-59 months; the age range was then extended for the latter two years of the study to include children up to 10 years of age. Cluster sample surveys at the end of each transmission season were done to measure coverage of SMC and the prevalence of parasitaemia and anaemia, to monitor molecular markers of drug resistance, and to measure insecticide-treated net (ITN use. Entomological monitoring and assessment of costs of delivery in each health post and of community attitudes to SMC were also undertaken. About 780,000 treatments were administered over three years. Coverage exceeded 80% each month. Mortality, the primary endpoint, was similar in SMC and control areas (4.6 and 4.5 per 1000 respectively in children under 5 years and 1.3 and 1.2 per 1000 in children 5-9 years of age; the overall mortality rate ratio [SMC: no SMC

  13. PROFICIENCY AT OBJECT CONTROL SKILLS BY NINE- TO TEN-YEAR-OLD CHILDREN IN SOUTH AFRICA: THE NW-CHILD STUDY.

    Science.gov (United States)

    Pienaar, A E; Visagie, M; Leonard, A

    2015-08-01

    Adequate proficiency at object control skills, which is influenced by biological and environmental constraints, underlies the development of more complex sport-specific skills. This study describes proficiency at six object control skills and demographic correlates associated with each skill and each skill criteria in 9- to 10-year-old children who were randomly selected from 20 schools (N=826) and tested with the Test of Gross Motor Development-2. Cross-tabulation and hierarchical linear models were used to analyze the effects of sex (433 boys, 393 girls), ethnicity (619 Black, 207 White), and high (n=312) and low (n= 514) socioeconomic school environments. Twenty-three percent of the sample showed below average proficiency. Significant sex and socioeconomic school environment differences were found favoring boys and children from higher socioeconomic environments, although kicking showed significant interaction effects. It is concluded that environmental opportunities are the primary cause of differences across skills and the rates at which the skills are learned.

  14. Ten-year cleanup of U.S. Department of Energy weapon sites: The changing roles for technology development in an era of privatization

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, L.H. [Dept. of Energy, Washington, DC (United States)

    1996-12-31

    In its beginning, the U.S. Department of Energy (DOE) Office of Environmental Management (EM) viewed private industry as lacking adequate technology know-how to meet demands of hazardous and radioactive waste problems at the DOE`s laboratories and nuclear weapons production facilities. In November 1989, EM`s Office of Technology Development (recently renamed the Office of Science and Technology) embarked on a bold program of developing and demonstrating {open_quotes}innovative{close_quotes} waste cleanup technologies that would be safer, faster, more effective, and less expensive than the {open_quotes}baseline{close_quotes} commercial methods. This program has engaged DOE sites, national laboratories, and universities to produce preferred solutions to the problems of handling and treating DOE wastes. More recently, much of this work has shifted to joint efforts with private industry partners to accelerate the use of newly developed technologies and to enhance existing commercial methods. To date, the total funding allocation to the Office of Science and Technology program has been about $2.8 billion. If the technology applications` projects of the EM Offices of Environmental Restoration and Waste Management are included, the total funding is closer to $4 billion. Yet, the environmental industry generally has not been very receptive to EM`s innovative technology offerings. And, essentially the same can be said for DOE sites. According to the U.S. General Accounting Office in an August 1994 report, {open_quotes}Although DOE has spent a substantial amount to develop waste cleanup technologies, little new technology finds its way into the agency`s cleanup actions{close_quotes}. The DOE Baseline Environmental Management Report estimated cleanups of DOE`s Cold War legacy of wastes to require the considerable cost of $226 billion over a period of 75 years. 1 tab.

  15. Proton exchange membrane fuel cells modeling: A review of the last ten years results of the Fuel Cell Research Center-IEEF

    OpenAIRE

    Maher A.R. Sadiq Al-Baghdadi

    2017-01-01

    Fuel cell technology is expected to play an important role in meeting the growing demand for distributed power generation. In an ongoing effort to meet increasing energy demand and to preserve the global environment, the development of energy systems with readily available fuels, high efficiency and minimal environmental impact is urgently required. A fuel cell system is expected to meet such demands because it is a chemical power generation device, which converts the chemical energy of a ren...

  16. Ecological analysis of the ichthyofaunal community ten years after a diesel oil spill at Serra do Mar, Paraná state, Brazil

    Directory of Open Access Journals (Sweden)

    Aline Horodesky

    2015-07-01

    Full Text Available In February 2001, an accidental spill dumped 52,000 litres of diesel oil in Serra do Mar, Paraná state, Brazil, contaminating streams. This study aimed to evaluate if fish communities currently inhabiting environments exposed to the oil spill still showing evidence of spill-related impacts. Ichthyofauna communities were monitored in five rivers located in the region of the spill. Two sites exposed to oil (Meio and Sagrado rivers were considered treatment sites, and three unexposed sites with environmental characteristics similar to the treatment sites (Pinto, Passa Sete and Marumbi rivers were considered control sites. Analysis of water quality parameters indicated that sites within rivers were more similar than sites among rivers. The diversity and species composition of fish communities differed between the treatment and control groups and among the rivers. The distribution and species composition of ichthyofaunal communities likely reflect the environmental characteristics of each river and not related to the environmental contamination resulting from the oil spill.

  17. Continuous distal migration and internal rotation of the C-stem prosthesis without any adverse clinical effects: an RSA study of 33 primary total hip arthroplasties followed for up to ten years.

    Science.gov (United States)

    von Schewelov, T; Carlsson, A; Sanzén, L; Besjakov, J

    2014-05-01

    In 2005, we demonstrated that the polished triple-tapered C-stem at two years had migrated distally and rotated internally. From that series, 33 patients have now been followed radiologically, clinically and by radiostereometric analysis (RSA) for up to ten years. The distal migration within the cement mantle had continued and reached a mean of 2 mm (0.5 to 4.0) at ten years. Internal rotation, also within the cement mantle, was a mean 3.8° (external 1.6° to internal 6.6°) The cement mantle did not show any sign of migration or loosening in relation to the femoral bone. There were no clinical or radiological signs indicating that the migration or rotation within the cement mantle had had any adverse effects for the patients.

  18. Ten-year trends (1992 to 2002) in sociodemographic predictors and indicators of alcohol abuse and dependence among whites, blacks, and Hispanics in the United States.

    Science.gov (United States)

    Caetano, Raul; Baruah, Jonali; Chartier, Karen G

    2011-08-01

    The objective of this paper is to examine 10-year trends (1992 to 2002) in the number and type of indicators of DSM-IV abuse and dependence among whites, blacks, and Hispanics in the United States. Data are from the 1991 to 1992 National Longitudinal Alcohol Epidemiologic Survey (NLAES; n = 42,862) and the 2001 to 2002 National Epidemiologic Study on Alcohol and Related Conditions (NESARC; n = 43,093). Both surveys used multistage cluster sample procedures to select respondents 18 years of age and older from the U.S. household population. Increases in the prevalence of alcohol abuse between 1992 and 2002 seem associated with a rise in the prevalence of the indicator for "hazardous use." which usually means reports of driving after drinking. The decrease in dependence was not associated with changes in a particular indicator. In addition, both in 1992 and 2002, 12.3 to 15.4% of the men and 5.2 to 7.9% of the women were diagnostic "orphans." These respondents reported 1 or 2 indicators of alcohol dependence as present. The observed trends in number and types of indicators of DSM-IV alcohol abuse and dependence were probably triggered by a complex interplay between individuals' volume and pattern of drinking and reactions from the drinkers' social environment. The close association between hazardous use of alcohol and the prevalence of abuse deserves further discussion. A medical diagnostic category should not be so dependent on a criterion that may be influenced by social situations. It is necessary to understand more about diagnostic "orphans" to better design interventions to address their problems. Copyright © 2011 by the Research Society on Alcoholism.

  19. The situation in Italy; La situation en Italie

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2002-09-01

    Italy is the market leader for Autogas in Europe. It still has major potential for development in a context where environmental concerns are increasing, particularly in cities. Gianni Silvestrini, from the Italian Ministry of the Environment, outlined the situation in his country at the AEGPL Congress held in Prague. This article presents some extracts from his paper.

  20. Limits, achievements and perspectives of the RST (Robust Satellite Technique) approach in monitoring seismically active areas after ten years of applications

    Science.gov (United States)

    Tramutoli, V.; Aliano, C.; Corrado, R.; Filizzola, C.; Genzano, N.; Mazzeo, G.; Paciello, R.; Pergola, N.

    2009-04-01

    Robust Satellite Techniques (RST), firstly proposed by Tramutoli in 1998 as a general approach for monitoring natural and environmental risks, significantly improved present capabilities to investigate possible relations between an earthquake occurrence and space-time fluctuations of Earth's emitted Thermal Infra-Red (TIR) radiation observed from satellite. This work tries to offer an assessment of main achievements, residual limits and perspectives of the RST approach starting from results which were achieved by applying different RST-based algorithms to different satellite sensors (both on polar and geostationary platforms) and to tens of earthquakes occurred in different continents, in various geo-tectonic settings (compressive, transcurrent and distensive fault zones) and with a huge range of magnitudes (from 4.0 to 7.9). A critical reading of such studies seems to demonstrate that, even if it is not possible to surely relate (or to exclude) observed anomalous TIR transients to impending earthquakes, it is crucial the role played by a space-time persistence test in order to select TIR anomalies candidate to be associated to impending earthquakes. The long series of test cases allowed us to highlight a strong improvement of the signal/noise ratio moving from polar to geostationary satellites as well as using TIR sensors with split-windows channels. In addition, it was possible to identify (and correctly discard) TIR anomalies related to clouds and to image navigation errors. Finally, the numerous analysed earthquakes permitted us to verify the poor importance of spatial resolution of observations which encourages the use of passive MW sensors less affected by atmospheric conditions.

  1. Long tracks Energy: Views on ten years of research on green energy; Lange spor Energi: Blikk paa ti aar med forskning paa miljoevennlig energi

    Energy Technology Data Exchange (ETDEWEB)

    Coldevin, Grete Haakonsen

    2011-07-01

    RENERGI is the The Research Council of Norway's strategic research program aimed the energy sector. The program has given and gives us central knowledge about technologies, solutions, policies and instruments that could help solve the energy and climate challenges and support the Norwegian business opportunities for value creation.The program period extending from 2004 to 2013. This booklet presents an analysis Research shows the development of the research program has funded from the beginning to the present. The analysis of RENERGI, we call it 'Long Track' follows selected projects and portfolios of projects through more year to track the effectiveness Research Council funding had. And what are the key findings? Experiences from RENERGI and from the precursors to the program, show that increased funding for research in this field triggers innovative research and innovation.The program means adapted to industry characteristics: Energy requires strong communities, and the program has helped to build up such over time. These strong communities nest ground for the establishment of Centres for environmentally friendly energy (FME), the newest addition by the Research Council of instruments in this area. Analysis of research over time are important because they show effect of investing public funds in research. When initiate research, there is great expectations to short-term results. We know it can take time before results come. What gives returns today often based on research many years. Research using these analyzes as part of our knowledge base for future priorities and in our dialogue with research funding ministries. Research teams can use the results to summarize own operations over time. Businesses can benefit greatly Long-term analysis showing that energy research has opened for business start-ups and established companies given new products they can create value from. 'Long Track' emphasizes the importance of thinking long-term: When

  2. The Sustainability of green gas. A comparison of six green gas production scenarios for the environmental economic and social aspects of sustainability based on the current Dutch situation.

    NARCIS (Netherlands)

    Braaksma, Anne

    2010-01-01

    SUMMARY The use of fossil fuels has environmental consequences, which drives developments in bio-energy. For the Netherlands, green gas is a potential, new emerging form of bio-energy. Gener-ally, green gas is anaerobic digested biomass upgraded to natur

  3. The Consulting Teacher Program: Ten Years Later.

    Science.gov (United States)

    Perelman, Phyllis F.; And Others

    A program designed to train learning specialists called consulting teachers who, in turn, train classroom teachers to educate handicapped children in the regular classroom setting is described. Consulting teacher trainees are selected on the basis of teaching experience, leadership capability, academic promise, and commitment to special education.…

  4. Hong Kong: Ten Years After the Handover

    National Research Council Canada - National Science Library

    Martin, Michael F

    2007-01-01

    ... to where they stood prior to the Handover. There also is unease about the independence of Hong Kong's judicial system and the protection provided by Hong Kong's Basic Law in light of decisions made by the Chinese government...

  5. Ten years of integrated care in Switzerland

    Directory of Open Access Journals (Sweden)

    Peter Berchtold

    2011-03-01

    Full Text Available In Switzerland, a growing part of primary care is provided by networks of physicians and health maintenance organizations (HMOs acting on the principles of gatekeeping. To date, an average of one out of eight insured person in Switzerland, and one out of three in the regions in north-eastern Switzerland, opted for the provision of care by general practitioners in one of the 86 physician networks or HMOs. About 50% of all general practitioners and more than 400 other specialists have joined a physician networks. Seventy-three of the 86 networks (84% have contracts with the healthcare insurance companies in which they agree to assume budgetary co-responsibility, i.e. to adhere to set cost targets for particular groups of patients. Within and outside the physician networks, at regional and/or cantonal levels, several initiatives targeting chronic diseases have been developed, such as clinical pathways for heart failure and breast cancer patients or chronic disease management programs for patients with diabetes. The relevance of these developments towards more integration of healthcare as well as their implications for the future are discussed.

  6. Biased Regression: A Ten year Perspective,

    Science.gov (United States)

    1980-01-01

    the true coefficient vector 8 should be orthogonal to both VIand V 2’ a property not reflected in the least squares estimates because of the great...the formation of inter- action and quadratic terms. So long as one recognizes that the model para- meters are transformed as well, this is another

  7. The Columbine Tragedy Ten Years Later

    Science.gov (United States)

    Hammond, Jane

    2009-01-01

    Some tragedies are so emblazoned in people's minds that years later they can recall where they were when they first heard the news. The assassinations of John F. Kennedy and Martin Luther King Jr., the Challenger explosion, and the Sept. 11 terrorist attacks are among these events. So also is the Columbine High School tragedy of April 20, 1999.…

  8. "ON-AIR SECRETS": TEN YEARS LATER

    Directory of Open Access Journals (Sweden)

    Bysko Maxim V.

    2013-12-01

    Full Text Available The article is a scientific review on the training manual On-air secret by Andrey Bubukin, published in 2003. This guide has been written by a man who never had anything to do with radio, but by the will of fate suddenly became at once the program director of Russia's first non-state radio station Europa Plus Moscow, the commercial music radio. Then came to the fore not the questions of art qualities of broadcast, but technical-mathematical details of the automated programming of song material. Therefore, at the end of the Soviet broadcasting, it became possible appearance some people obviously alien to the electronic mass media. They are, however, strongly influenced the further "format" broadcasting in new Russia, so as the principles of songs rotation and playlist making on the radio still can’t do without recourse to the Bubukin's textbook. There are serious concerns about the fact that the book is intended not only for program directors, but for the music editors also. Extremely dubious assertions and recommendations related to the problems of arts, journalism, radio-presenter's skill, history of radio.

  9. Beijing--ten years after Mao.

    Science.gov (United States)

    1987-03-01

    10 years after Mao's death, Beijing is a different place; the average resident has more money to spend in a considerably freer marketplace, but still not a lot by Western standards. Clearly the biggest advertisers in China over the longest period, the Japanese sell more consumer products in China than any other country. The 1982 Chinese census placed the population of the municipality of Beijing at 9,230,687 people. Due mainly to the extensive development of heavy industry in Beijing and the creation of over 1 million jobs in this sector between 1949 and 1979, Beijing's population jumped to 8.7 million by 1979. Beijing's population will continue to grow despite its 1 child policy and drastically reduced fertility rates. A 1981 survey polling 8000 Beijing women found that the average age of 1st marriage and 1st childbirth is gradually rising while the interval between marriage and 1st childbirth is gradually rising while the interval between marriage and 1st birth is shortening. China's 1982 census indicates that 26% of city dwellers are under age 15, 21.6% between the ages of 15 and 24, 47.7% are between the ages of 25 and 64, and 4.7% 65 or over. As the burden shifts from supporting the dependent old, China will need to revamp its policies to alleviate the stress placed on Chinese families and to increase financial aid the elderly. In 1982, Beijing households averaged 3.9 persons per household, slightly lower than the 4.1. persons per urban household 1982 national figure. Demographic sources for China are listed and critiqued.

  10. Ovarian Kaleidoscope database: ten years and beyond.

    Science.gov (United States)

    Hsueh, Aaron J; Rauch, Rami

    2012-06-01

    Ovarian Kaleidoscope database (OKdb) is an online, searchable, public database containing text-based and DNA microarray data to facilitate research by ovarian researchers. Using key words and predetermined categories, users can search ovarian gene information based on gene function, cell type of expression, cellular localization, hormonal regulation, mutant phenotypes, chromosomal location, ligand-receptor relationship, and other criteria, either alone or in combination. For individual genes, users can access more than 10 extensive DNA microarray datasets to interrogate gene expression patterns in a development-specific and cell type-specific manner. All ligand and receptor genes expressed in the ovary are matched to facilitate investigation of paracrine/autocrine signaling. More than 3500 ovarian genes in the database are matched to 185 gene pathways in the Kyoto Encyclopedia of Genes and Genomes to allow for elucidation of gene interactions and relationships. In addition to >400 genes with infertility or subfertility phenotypes when mutated in mice or humans, the OKdb also lists ~50 and ~40 genes associated with polycystic ovarian syndrome and primary ovarian insufficiency, respectively. The expanding OKdb is updated weekly and allows submission of new genes by ovarian researchers to allow instant access to DNA microarray datasets for newly submitted genes. The present database is a virtual community for ovarian researchers and allows users to instantaneously provide their comments for individual gene pages based on an automated Web-discussion system. In the coming years, we will continue to add new features to serve the ovarian research community.

  11. Ten years of snakebites in Iran.

    Science.gov (United States)

    Dehghani, Rouhullah; Fathi, Behrooz; Shahi, Morteza Panjeh; Jazayeri, Mehrdad

    2014-11-01

    Many species of venomous snakes are found in Iran. The most medically important species which are responsible for the most snakebite incidents in Iran belong to the Viperidae family, including Vipera lebetina, Echis carinatus, Pseudocerastes persicus, Vipera albicornuta and the Elapidae family, especially Naja naja oxiana. At least one kind of venomous snake is found in each of the 31 provinces, and many provinces have more than one venomous species. As a result, snakebite is a considerable health hazard in Iran, especially in the rural area of south and south-west of Iran. A retrospective, descriptive study of snakebite in Iran during 2002-2011 was carried out in order based on data collected from medical records of bite victims admitted to hospitals and health centers. From 2002 to 2011, 53,787 cases of snake bites were reported by medical centers in Iran. The annual incidence of snake bites in 100,000 of population varied from 4.5 to 9.1 during this decade and the number of recorded deaths were about 67 cases. The highest rate of snakebite was found in provinces of south and southwest of Iran. We suggest that people, especially in the rural areas, need to be trained and educated about venomous snakes, their hazards, prevention of bite and the importance of early hospital referral and treatment of victims. Also adequate antivenins as the main life saving medicine should be made available based on the recorded numbers of victims in each area of the country. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. TEN YEARS OF PREOPERATIVE AUTOLOGOUS BLOOD DONA ...

    African Journals Online (AJOL)

    David Ofori-Adjei

    2006-12-01

    Dec 1, 2006 ... the council of Europe as a transfusion in which the donor and recipient is the same person, who will .... 20. 3.1. Genitourinary Surgery. 13. 2.0. Plastic Surgery. 4. 0.6. Eye Surgery. 1. 0.2. Total. 635. 100. 0. Patients undergoing gynaecological procedures were the largest subgroup, representing 76.7% of ...

  13. Virgin galactic the first ten years

    CERN Document Server

    Seedhouse, Erik

    2015-01-01

    Thirty years ago when Sir Richard Branson called up Boeing and asked if they had a spare 747, few would have predicted the brash entrepreneur would so radically transform the placid business of air travel. But today, Branson flies airlines on six continents, employs hundreds of jets and, in 2014, was predicting that his spaceship company – Virgin Galactic – would soon open the space frontier to commercial astronauts, payload specialists, scientists and space tourists. With more than 600 seats sold at $250,000 each, what started off as a dream to send people just for the excitement to look back and marvel at Earth, was on the cusp of finally being turned into a business. Then, on October 21, 2014, tragedy struck. SpaceShipTwo was on its most ambitious test flight to date. Seconds after firing its engine, Virgin Galactic’s spaceship was breaking through the sound barrier. In just the three seconds that it took for the vehicle to climb from Mach 0.94 to Mach 1.02, co-pilot Mike Alsbury made what many close...

  14. VOICE PROSTHESES – TEN YEARS AFTER

    Directory of Open Access Journals (Sweden)

    Igor Fajdiga

    2002-12-01

    Full Text Available Since the introduction of tracheoesophageal puncture method by Bloom and Singer in 1980, the success of restoring vocal communication in laryngectomees has improved significantly. At the University Department of Otorhinolaringology and Cervicofacial Surgery in Ljubljana, the method has been used since 1993. We have performed 76 secondary tracheoesophageal punctures in patients with no objective contraindications and with an interest for this method. The success rate was 92%. With regard to our 10-years experience, we wanted to (re define present and future role of tracheoesophageal voice/speech in the alaryngeal voice rehabilitation. To compare both alaryngeal speech modes, 32 patients using tracheoesophageal speech and 35 patients using esophageal speech were included into the study. In both groups the patients were established speakers. The complications that occurred in the patients with voice prostheses are presented. Most of them required only replacement of prostheses for their solution.The tracheoesophageal puncture and voice prosthesis insertion is a reliable and fast way of restoring good voice and speech after laryngectomy. In spite of some objective disadvantage in comparison to esophageal speech – like the use of hand, need for regular maintenance, and relying to medical service, its good characteristics should rank it immediately after a good esophageal speech. This means that tracheoesophageal voice prostheses should be offered to all patients, which are not able to learn a good esophageal voice in short time, to avoid a frustrating time with no vocal communication. After tracheoesophageal puncture and voice prosthesis insertion, the patient should still get a possibility to learn esophageal speech if he wants to avoid the drawbacks of the tracheoesophageal speech.

  15. TEN YEARS OF "CONDENSED MATTER PHYSICS"

    OpenAIRE

    Editors

    2003-01-01

    This year the journal "Condensed Matter Physics" celebrates its tenth anniversary. It was founded in 1993 by the Institute for Condensed Matter Physics of the National Academy of Sciences of Ukraine for the purpose of publishing the regular and review papers in the field of statistical mechanics and condensed matter theory.

  16. [Munchausen disease diagnosed ten years after debut].

    Science.gov (United States)

    Mrgan, Monija; Taasti, Lena Merete

    2013-09-02

    Munchausen disease is difficult to diagnose especially because it is often an exclusion diagnosis. We present a case of skin ulcers in a young woman, who was eventually diagnosed with Munchausen disease.

  17. Ten years of CR physics with PAMELA

    Science.gov (United States)

    Galper, A.; Spillantini, P.

    2017-09-01

    The satellite borne Pamela instrument is dedicated to the precise and high statistics study of CR fluxes on a four decades energy range. Pamela experiment is the last step of the "Russian-Italian Mission" (RIM) program established in 1992 between several Italian and Russian institutes and with the participation of Sweden and Germany. Designed as a cosmic ray observatory at 1 AU, it extensive program is made possible thanks to the outstanding performance of the instrument, the low energy threshold, the quasi-polar orbit and the 10 years duration of the observation. The physics program pays particular attention to the study of particles and antiparticles fluxes and includes search for dark matter, primordial antimatter, new matter in the Universe, study of cosmic-ray propagation, solar physics and solar modulation, and terrestrial magnetosphere. Very important is the discovery of the anomalous increase of the positron flux at energies higher that 50 GeV (the so called "Pamela anomaly"), and the abrupt spectral hardening of H and He, challenging the current paradigm of cosmic-ray acceleration and propagation in the Galaxy.

  18. Ten years of SLR production in Argentina

    Science.gov (United States)

    Pacheco, A.; Podestá, R.; Yin, Z.; Liu, W.; Actis, E.; Adarvez, S.; Quinteros, J.; Podestá, F.

    2017-07-01

    SLR technique is a proved astro-geodetic art with a significant power to contribute to Earth and Space Sciences. Therefore, scientific applications of SLR System are able to perform multiple tasks in the fields of Astrometry, Geodesy and Geophysics. The results we show here were obtained from satellite observations made at SLR 7406 Station of Observatorio Astronómico Félix Aguilar (OAFA) in San Juan, Argentina. The telescope was installed early on 2006, in concordance with an International Cooperation Agreement between Universidad Nacional de San Juan, Argentina and Chinese Academy of Sciences. In this abstract we show the current research being done with ILRS 7406 station: Length of day (LOD) and Angular velocity of Earth Rotation, calculated weekly; Pole Motion. ILRS7406 is daily surveying Pole coordinates x and y; Tracking SLR to GNSS constellations. SLR System contributes to the adjustment and validation of satellite GALILEO, GPS, GLONASS, and BEIDOU orbits. Our station is nowadays member of the new ITRF 2014 frame, and these past years has been one of the 3 highest producing SLR Stations on the ILRS net, composed of about 40 stations distributed all around the world. The obtained results during this first 10 years of experience are useful to enhance the traditional collaboration between OAFA and international services such as ILRS, IERS and NASA.

  19. A TEN-YEAR STUDY OF ANENCEPHALY

    Science.gov (United States)

    Smilkstein, Gabriel

    1962-01-01

    The incidence of anencephaly at the Los Angeles County General Hospital during the period of July, 1948 through June, 1958 was 0.049 per cent. Worldwide the range of reported incidence is 0.012 per cent to 0.671 per cent. In this study 65 per cent of the total number of anencephalics delivered were females, a predominance agreeing with reports by other investigators. Polyhydramnios appeared in 38 per cent of the anencephalic pregnancies of this study, while 15 per cent of the deliveries were complicated by placenta praevia. A significant number (48 per cent) of the multiparae gave a history of previous stillbirths or abortions. The present study does not support observations by other investigators which indicated an increase in anencephalic births during the winter months. Evidence from stillbirth statistics would seem to indicate that anencephaly is primarily a genetically induced phenomenon. Further evaluation and analysis of the predominance of females in anencephalic stillbirths and abortions is suggested, in order to study whether the observed secondary or birth sex ratio (in which males predominate) is, in fact, due to genetic effect. PMID:13914041

  20. Ten years of the project Chain Experiment

    Science.gov (United States)

    Susman, Katarina; Ziherl, Saša; Bajc, Jurij

    2017-05-01

    In this paper the project Chain Experiment is presented. It can be viewed as a competition or as a popularization activity for science, technology, and physics in particular. We present the basic idea of a toppling-domino-like chain of contraptions that are operated one after another, and each demonstrates different physical phenomena. The evolution into its current form with three different types of activities is briefly described. The emphasis of the paper is on the impact of the project on physics education. The ways in which physics students, physics teachers, and participating pupils profit from the different project activities are presented in detail.

  1. Ten years of the new Russia

    Directory of Open Access Journals (Sweden)

    Francesc Serra Massansalvador

    2002-10-01

    Full Text Available This article analyzes developments in Russia since the breaking-up of the Soviet Union in 1991. Given this objective, the author places particular emphasis on the debate on social and identity issues raised by the political and ideological transition from a USSRconsidered a superpower to a country that aspire to achieving political and economic stability and, ultimately, to retaining a limited area of influence as a regional power. In this, Russia has received strong, unconditional international support, which has allowed it to overcome various obstacles, but the difficult transition that the country has been through has made it impossible to avoid a severe collective trauma in terms of ideology and identity. The process has clearly been also accompanied by a significant disregard for the individual and collective rights of the Russian people, a price that, in the long term, may be too high a one to pay for a population that aspires to stability and for a countrythat aspires to respect and to equality with the rest of the world.

  2. Effect of Attitudinal, Situational and Demographic Factors on Annoyance Due to Environmental Vibration and Noise from Construction of a Light Rapid Transit System

    Science.gov (United States)

    Wong-McSweeney, Daniel; Woodcock, James; Waddington, David; Peris, Eulalia; Koziel, Zbigniew; Moorhouse, Andy; Redel-Macías, María Dolores

    2016-01-01

    The aim of this paper is to determine what non-exposure factors influence the relationship between vibration and noise exposure from the construction of a Light Rapid Transit (LRT) system and the annoyance of nearby residents. Noise and vibration from construction sites are known to annoy residents, with annoyance increasing as a function of the magnitude of the vibration and noise. There is not a strong correlation between exposure and levels of annoyance suggesting that factors not directly related to the exposure may have an influence. A range of attitudinal, situational and demographic factors are investigated with the aim of understanding the wide variation in annoyance for a given vibration exposure. A face-to-face survey of residents (n = 350) near three sites of LRT construction was conducted, and responses were compared to semi-empirical estimates of the internal vibration within the buildings. It was found that annoyance responses due to vibration were strongly influenced by two attitudinal variables, concern about property damage and sensitivity to vibration. Age, ownership of the property and the visibility of the construction site were also important factors. Gender, time at home and expectation of future levels of vibration had much less influence. Due to the measurement methods used, it was not possible to separate out the effects of noise and vibration on annoyance; as such, this paper focusses on annoyance due to vibration exposure. This work concludes that for the most cost-effective reduction of the impact of construction vibration and noise on the annoyance felt by a community, policies should consider attitudinal factors. PMID:27983662

  3. Report on the Present Situation of the Environmental Legislation in Europe and Spain; Informe sobre la Situacion Actual de la Legislacion Ambiental en Europa y Espana

    Energy Technology Data Exchange (ETDEWEB)

    Villadoniga, M.

    2006-07-01

    The normative system directed to the conservation and protection of the environment, guaranteeing a sustainable use of the natural resources and controlling the contamination, has a relatively recent origin, in the middle of the XXth century, but it has experienced a very fast growth due to the awareness on the part of the citizens and the administrations, of the damage that the human being causes to the environment and the serious consequences that this implies and that are being seen more and more often. The international standards are mainly based on Agreements and Programs without no legal entailment. The legislative frame of the European Union is based on the Programs of Communitarian Action, the last one published is the VI Program. The regulation of the different sectors is performed through Directives, that constitute the base for each group of sectorial norms. Spain, as member state of the European Union, must incorporate and transpose the communitarian norms that are promulgated. The environmental sectors and matters in which it is legislated are very varied, which implyis the existence of a profuse sectorial legislation, difficult to handle and apply. Therefore, the correct application and fulfillment of this norms constitute one of the greatest challenges for the industries and companies. (Author)

  4. Forecasting the Development of the Tourism Industry in the Regions of Russia in Light of Global Climate Change and Environmental Situation

    Science.gov (United States)

    Evreinov, O. B.; Maksimova, E. M.; Bakanova, A. A.; Yakovleva, M. P.

    2014-12-01

    Forecasting the development of the tourism industry is a strategic planning for periods ranging from 20 to 50 years. Basis for the development of tourism in the region is the presence of the necessary infrastructure - roads, communications, accommodation facilities and hospitality. Thus, all investments in the tourism industry are very long-term. Current approaches to long-term planning in tourism based on the most efficient use of the region's resources - natural, cultural, etc. But what will happen to these resources in 20-30 years? Global warming and climate change, a change in environmental conditions - all this gives the real impact today. Summer 2010 in Moscow and in the whole of Europe, warm snowless winters in St. Petersburg, monthly temperature records, permafrost thawing in Siberia - all this can affect the characteristics of the tourist regions in the future. In the presentation, the authors have tried to reflect the basic principles of strategic planning with regard to global and regional changes and to show the possible impact of such changes on Tourism industry in specific regions of Russia for the next 30-50 years.

  5. Road traffic injuries in Thailand: current situation.

    Science.gov (United States)

    Chadbunchachai, Witaya; Suphanchaimaj, Weraphan; Settasatien, Anuchar; Jinwong, Thanapong

    2012-07-01

    Road traffic injuries are a major public health problem in Thailand. The number of mortalities, morbidities and disabilities are huge, greatly affecting the individual victims, the families, society and the nation as a whole. To study the current situation regarding traffic injuries in Thailand. Retrospective study from multiple national data sources For over ten years, the annual death toll due to road accidents has been more than ten thousand Thais. The situation remains critical with a higher mortality and morbidity than many other low or middle income countries. Two-thirds of the victims were males: 80% were under 40 years of age. Most (80%) of the injured and dead were motorcyclists. The large number of traffic crashes, injuries, disabilities and deaths resulted in more than 168 thousand million Baht in economic losses in 2002. These losses are trending to increase. Traffic injuries are a persistent major public health concern primarily because of a lack of adherence to the use of safety restraints and obedience of traffic laws. The nation must not hesitate to increase efforts to address these problems, as they are costing life and limb of Thais every hour of every day, as well as adding a huge economic burden.

  6. About Stressful Situations

    Science.gov (United States)

    ... situation for you right now? It can help to write down your thoughts. For example: My family just ... you feel, given your situation. It can help to write down your feelings, too. For example: I feel ...

  7. Agoraphobia: A Situational Analysis.

    Science.gov (United States)

    Sinnott, Austin; And Others

    1981-01-01

    Agoraphobia patients answered a questionnaire describing anxiety-producing situations. Home environment was associated with supportive company. Situations requiring patients to venture out alone were most anxiety-producing. The overriding importance of a significant other suggests treatment implications. (JAC)

  8. Does the use of laminar flow and space suits reduce early deep infection after total hip and knee replacement?: the ten-year results of the New Zealand Joint Registry.

    Science.gov (United States)

    Hooper, G J; Rothwell, A G; Frampton, C; Wyatt, M C

    2011-01-01

    We have investigated whether the use of laminar-flow theatres and space suits reduced the rate of revision for early deep infection after total hip (THR) and knee (TKR) replacement by reviewing the results of the New Zealand Joint Registry at ten years. Of the 51 485 primary THRs and 36 826 primary TKRs analysed, laminar-flow theatres were used in 35.5% and space suits in 23.5%. For THR there was a significant increase in early infection in those procedures performed with the use of a space suit compared with those without (p space suit (p space suit (p space suits were used in those theatres (p deep infection has not been reduced by using laminar flow and space suits. Our results question the rationale for their increasing use in routine joint replacement, where the added cost to the health system seems to be unjustified.

  9. An investigation of whether factors associated with short-term attrition change or persist over ten years: data from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS

    Directory of Open Access Journals (Sweden)

    Chatfield Mark

    2006-07-01

    Full Text Available Abstract Background Factors associated with the loss of participants in long-term longitudinal studies of ageing, due to refusal or moves, have been discussed less than those with short term follow-up. Methods In a population-based study of cognition and ageing (the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS, factors associated with dropout due to refusal and moving in the first follow-up period (over two years are compared with factors associated with dropout over ten years. Participants at 10-year follow-up are compared with their age-standardised baseline contemporaries. Results Some consistent trends are found over the longer term. Refusers tended to have poorer cognition, less years of education, not have a family history of dementia and be women. Characteristics of people who moved differed between waves, but the oldest and people in worse health moved more. When surviving and responding individuals at ten years are compared with those of the same age at baseline many differences are found. Individuals of lower social class, education, cognitive ability, in residential care, with sight/hearing problems and poor/fair self-reported health are less likely to be seen after 10 years of follow-up. Individuals report more health problems when they participate in multiple interviews. Conclusion The characteristics of refusers in the longer term are similar to those refusing to participate over the shorter term. Long-term follow-up studies will under represent the disadvantaged and disabled but represent full health status of participating individuals better. There are advantages and disadvantages to both short-term and long-term follow-up.

  10. Changes in the first-pass success rate with the GlideScope video laryngoscope and direct laryngoscope: a ten-year observational study in two academic emergency departments.

    Science.gov (United States)

    Lee, Joon Ki; Kang, Hyunggu; Choi, Hyuk Joong

    2016-12-01

    The aim of this study was to assess the success rate of the GlideScope video laryngoscope (GVL) and direct laryngoscope (DL) over ten years in two academic emergency departments. We used adult intubation data using DL and GVL collected from airway management registries at two academic emergency departments. We analyzed changes in first-pass success (FPS) rate by device and operator training level. We conducted a multivariate logistic regression analysis to predict the FPS according to time period. Over the study period (2006 to 2010, season I; 2013-2015, season II) the DL usage rate dropped from 91.6% to 45.0% while the GVL usage rate increased from 8.4% to 55.4%. The FPS rate using DL also declined from 90.8% in 2007 to 75.5% in 2015. On the other hand, the FPS rate using GVL increased from 87.8% to 95.2%. With DL, all operators' FPS rate declined by approximately 10% in season II compared to season I. The FPS rate with GVL was significantly higher in the providers of postgraduate year over 3 years (P=0.043). Multivariate logistic regression analysis revealed an adjusted odds ratio for GVL FPS of 0.799 during season I (P=0.274). However, the adjusted odds ratio for GVL FPS was 3.744 during season II (P<0.001). We found that the FPS rates of GVL have slightly increased but DL's FPS rate has significantly decreased during the last ten years.

  11. Towards a framework for auditing environmental reports

    NARCIS (Netherlands)

    Kamp, A.E.M.

    2002-01-01

    Audits of environmental reports first appeared about ten years ago. Both the number of environmental reports and the audit of these reports is still increasing. Audit firms perform a major part of these audits, but other professionals are also active in this field. Even today there are still

  12. Situational method engineering

    CERN Document Server

    Henderson-Sellers, Brian; Ågerfalk, Pär J; Rossi, Matti

    2014-01-01

    While previously available methodologies for software ? like those published in the early days of object technology ? claimed to be appropriate for every conceivable project, situational method engineering (SME) acknowledges that most projects typically have individual characteristics and situations. Thus, finding the most effective methodology for a particular project needs specific tailoring to that situation. Such a tailored software development methodology needs to take into account all the bits and pieces needed for an organization to develop software, including the software process, the

  13. Cranfield situation awareness scale :

    OpenAIRE

    Dennehy, K.

    1997-01-01

    Training to enhance situation awareness depends upon having satisfactory quantitative methods for measuring situation awareness. Until the development of the Cranfield-SAS, there was no direct subjective rating scale to measure the situation awareness of student (ab initio) civil pilots (see appendix 4 for an overview of the measurement guidelines for an overview of the measurement guidelines for scale development). The development of the scale was part requirement for a Ph.D. at Cranfield Un...

  14. The socioeconomic and environmental health situation of ...

    African Journals Online (AJOL)

    (61%) were headed by men (p=0.0004). Educational status was low in both groups, with 6% of the heads of IM households having a tertiary education compared with. 90. 80. 70. 60. 50. 40. 30. 20. 10. 0. P ercen tage. Year. 2006. 2007. 2008. 2009. 2010. South African. International migrants. 81.6. 78.0. 76.7. 74.0. 78.0. 18.4.

  15. A Situational Maintenance Model

    DEFF Research Database (Denmark)

    Luxhoj, James T.; Thorsteinsson, Uffe; Riis, Jens Ove

    1997-01-01

    An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance.......An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance....

  16. Assessing Operational Situations

    DEFF Research Database (Denmark)

    Zhang, Xinxin

    In spite of the high level of automation commonly applied to today’s engineering system, humans’ skill and knowledge still plays a central role in the systems’ daily operation, critical decision making, and accident management. The complexity of the engineered system poses great challenge for human...... operators to perceive and understand the operational situation. The research domain of situation awareness approaches the operational challenges from the human cognition perspective while the presented thesis aims at supporting situation assessment from the system perspective. The thesis has reviewed...... different perspectives on situation awareness in the human factor studies and uses the knowledge reflectively for system representation and analysis. The human cognitive activities during complex plant operation and how they perceive a situation and what kind of knowledge has to be established in the human...

  17. DIEZ AÑOS DEL PROGRAMA INGENIERÍA DE PRODUCCIÓN DE LA UNIVERSIDAD CENTROCCIDENTAL LISANDRO ALVARADO // TEN YEARS OF THE PROGRAM OF PRODUCTION ENGINEERING AT UNIVERSIDAD CENTROCCIDENTAL LISANDRO ALVARADO

    Directory of Open Access Journals (Sweden)

    Roxana Martínez Sánchez

    2017-06-01

    Full Text Available Esta reseña presenta los logros alcanzados en el programa Ingeniería de Producción de la Universidad Centroccidental Lisandro Alvarado (UCLA, luego de diez años de haber dado inicio a éste, en el cual han egresado hasta éste momento un total de 205 profesionales, quienes se han formado en diferentes áreas de aplicación para el sector productivo. La misma parte de la reseña histórica del programa, abarcando el perfil y competencias que se alcanzan en el desarrollo del mismo, además de su relación con el sector productivo y los retos futuros que se presentan. // This review presents the achievements of UCLA's Production Engineering Program after ten years of having started it, in which a total of 205 professionals have graduated, who have trained in different areas of application for the productive sector. The same part of the historical overview of the program, covering the profile and competencies that are achieved in the development of the program, as well as its relationship with the productive sector and the future challenges that are presented.

  18. Clinical and Radiographic Evaluation of a Commercially Pure Cancellous-Structured Titanium Press Fit Total Hip Prosthetic Stem: Ten-Year Followup of the “Natural Hip” Femoral Stem

    Directory of Open Access Journals (Sweden)

    Thomas B. Pace

    2014-01-01

    Full Text Available This study evaluates the outcomes of 92 hip arthroplasties using a press fit, tapered, split tip, proximally porous ingrowth (CSTi femoral stem (Zimmer Natural Hip in consecutive hip arthroplasty patients followed for an average of ten years postoperatively (range 5–16 years. Patients were functionally and radiographically evaluated using Harris Hip Scores and plain radiographs assessing postarthroplasty groin or thigh pain and radiographic signs of stem subsidence, proximal femoral fixation, stress shielding, and related calcar resorption. At followup of 5–10 years, the incidence of groin pain and thigh pain was 9.1% and 3.6%, respectively. This incidence improved over time. Beyond 10 years of followup, groin pain was 2.7% and thigh pain zero. In 89% of cases, there was solid contact between the calcar and the undersurface of the stem collar. Five cases were revised for instability (5.4%. The Harris Hip Scores and the incidence of thigh or groin pain were very favorable compared to other reported press fit total hip arthroplasty stems and not significantly different across a broad age range. There were no cases of stem loosening of failure of bony ingrowth into the stem.

  19. Eso's Situation in Chile

    Science.gov (United States)

    1995-02-01

    that the best VLT site would be the Paranal Mountain, 700 km north of La Silla and 130 km south of Antofagasta, the capital of the Second Region in Chile. In October 1988, the Chilean Government by an official act donated the land surrounding Paranal (in all 725 sq. km) to ESO. As is the case for La Silla, this would serve to protect the planned, incredibly sensitive mega-telescope against all possible future sources of outside interference. The donation was made on the condition that ESO would indeed proceed with the construction of the VLT at Paranal within the next five years. The corresponding decision was taken by the ESO Council in December 1990. The construction of the VLT observatory site at Paranal started immediately thereafter, thus fulfilling the condition attached to the donation. The construction of the VLT is now well advanced. In Europe, the main parts of the first VLT unit 8.2-metre telescope will be pre-assembled later this year and the first two of the enormous mirrors are being polished. In Chile, the extensive landscaping of the Paranal peak was finished in 1993, during which around 300,000 cubic metres of rock and soil was removed to provide a 100x100 sq. metres platform for the VLT, and the concrete foundations are now ready. The installation of the first telescope enclosure can now begin and the next will start later this year. The first of the four telescopes is expected to start observations in late 1997. All in all, ESO has until now committed about 70 percent of the expected total investment for the VLT, estimated to be approximately 570 million DEM. THE OWNERSHIP OF PARANAL According to information later received, the Chilean Ministry of National Properties ("Bienes Nacionales") inscribed in 1977 in its name various lands in the commune of Taltal, including the area of the Paranal peak. At that time, i.e. ten years before ESO decided to construct the VLT, nobody in this Organisation could imagine that this telescope would one day be

  20. A Situational Change Typology

    Science.gov (United States)

    Stuart-Kotze, Robin

    1972-01-01

    The trainer or internal change agent in a firm undergoing an organizational development program may be instrumental in designing the implementation of a change strategy. Proposes a situational change typology which may be of use as a training instrument. (Author)

  1. Situational major depressive disorder.

    Science.gov (United States)

    Hirschfeld, R M; Klerman, G L; Andreasen, N C; Clayton, P J; Keller, M B

    1985-11-01

    Fifty-seven patients with situational major depression diagnosed by the Research Diagnostic Criteria were compared with 72 subjects with nonsituational major depression on demographic, clinical, and psychosocial variables. The situational patients tended to be younger and had fewer prior episodes of depression and fewer hospitalizations. No differences were found in categories of life events, in overall clinical picture, in social supports, or in family history.

  2. A comparative and retrospective study of three hundred and twenty primary Charnley type hip replacements with a minimum follow up of ten years to assess whether a dual mobility cup has a decreased dislocation risk.

    Science.gov (United States)

    Caton, Jacques H; Prudhon, Jean Louis; Ferreira, André; Aslanian, Thierry; Verdier, Régis

    2014-06-01

    Mid- and long-term follow-up of Charnley total hip arthroplasty (THA) demonstrated good functional results with 85 % survivorship at 25-year follow-up. However, dislocation still remains an unsolved problem. Dislocation may occur throughout the patient's and implant's life. The aim of this study is to answer the question: does a dual mobility cup (DMC) decrease the dislocation risk? We report comparative results at ten years of follow-up of two groups of primary cemented Charnley-type THA, one with a standard polyethylene cup (group 1, n = 215) and the other one with a DMC (group 2, n = 105). In group 1, 26 dislocations (12.9 %) occurred. In group 2 only one dislocation (0.9 %) occurred. This dislocation was successfully reduced by closed reduction, without any recurrence. This difference was statistically significant (p = 0.0018). In group 1, the reason for revision was recurrent dislocation in 21 cases. Five patients were revised for other reasons. The global revision rate was 12.9 %. In group 2, two patients needed revision surgery for aseptic loosening. The global revision rate was 2.1 %. This difference was statistically significant (p = 0.054). The goal was reached for the patients of group 2 who had more risks factors for dislocation (age, aetiology, American Society of Anesthesiologists and Devane scores) than those of group 1. When using a DMC, we observed a low rate of dislocation in primary THA (0.9 %). This surgical choice seems to be a safe and effective technique in Charnley-type THA, especially in a high-risk population.

  3. [Heterogeneity of the Departments of Mental Health in the Veneto Region ten years after the National Plan 1994-96 for Mental Health. Which implication for clinical practice? Findings from the PICOS Project].

    Science.gov (United States)

    Lasalvia, Antonio; Gentile, Bruno; Ruggeri, Mirella; Marcolin, Alessandro; Nosè, Flavio; Cappellari, Lodovico; Lamonaca, Dario; Toniolo, Emanuele; Busana, Claudio; Campedelli, Antonio; Cuccato, Giancarlo; Danieli, Andrea; De Nardi, Fabio; De Nardo, Vincenzo; Destro, Ernesto; Favaretto, Gerardo; Frazzingaro, Silvio; Giacopuzzi, Mario; Pristinger, Paolo; Pullia, Giuseppe; Rodighiero, Sandro; Tito, Paolo; Aprile, Francesco; Nicolaou, Stylianos; Coppola, Giuseppe; Garzotto, Nicola; Gottardi, Umberto; Lazzarin, Ermanna; Migliorini, Giuseppe; Pavan, Luigi; Ramaciotti, Fabrizio; Roveroni, Paolo; Russo, Salvatore; Urbani, Pierpaolo; Tansella, Michele

    2007-01-01

    This study aims to present data on structural and human resources of public mental health services located in the Veneto Region, Italy, and to discuss them in the light of implementation of the first National Target Plan for Mental Health ("Progetto Obiettivo 1994-1996") ten years after its launch. The study was conducted in the context of the PICOS (Psychosis Incident Cohort Outcome Study) Project, a large first-presentation multisite study on patients with psychotic disorders attending community mental heath services in the Veneto Region. Human and structural resources were surveyed in 26 study sites using a structured interview administered by the PICOS local referents. CMHCs and Day Centres were homogeneously distributed across the Region and their overall rates per resident population met the national standards; a wide variability in the distribution of Day Hospitals was found, with the overall rate per resident population very far from meeting the national standard; the overall rate for Residential Facilities beds was higher than the recommended national standard, showing however an high variability across sites. The overall rate of mental health professionals per resident population was only slightly below the national standard: this was mainly achieved thanks to non-profit organizations which supplement the public system with unspecialised professionals; however, a wide variability in the local rates per resident population was found, with the 50% of the sites showing rates far lower the national standard. Specific lack of trained professionals involved in the provision of psychosocial interventions was found in most sites. A marked variability in human and structural resources across community mental health services in the Veneto Region was found. Possible reasons for this heterogeneity were analysed and implications for mental health care provision were further discussed.

  4. Time-to-event versus ten-year-absolute-risk in cardiovascular risk prevention - does it make a difference? Results from the Optimizing-Risk-Communication (OptRisk) randomized-controlled trial.

    Science.gov (United States)

    Adarkwah, Charles Christian; Jegan, Nikita; Heinzel-Gutenbrunner, Monika; Kühne, Felicitas; Siebert, Uwe; Popert, Uwe; Donner-Banzhoff, Norbert; Kürwitz, Sarah

    2016-11-29

    The concept of shared-decision-making is a well-established approach to increase the participation of patients in medical decisions. Using lifetime risk or time-to-event (TTE) formats has been increasingly suggested as they might have advantages, e.g. in younger patients, to better show consequences of unhealthy behaviour. In this study, the most-popular ten-year risk illustration in the decision-aid-software arriba(TM) (emoticons), is compared within a randomised trial to a new-developed TTE illustration, which is based on a Markov model. Thirty-two General Practitioners (GPs) took part in the study. A total of 304 patients were recruited and counseled by their GPs with arriba(TM), and randomized to either the emoticons or the TTE illustration, followed by a patient questionnaire to figure out the degree of shared-decision-making (PEF-FB9, German questionnaire to measure the participation in the shared decision-making process, primary outcome), as well as the decisional conflict, perceived risk, accessibility and the degree of information, which are all secondary outcomes. Regarding our primary outcome PEF-FB9 the new TTE illustration is not inferior compared to the well-established emoticons taking the whole study population into account. Furthermore, the non-inferiority of the innovative TTE could be confirmed for all secondary outcome variables. The explorative analysis indicates even advantages in younger patients (below 46 years of age). The TTE format seems to be as useful as the well-established emoticons. For certain patient populations, especially younger patients, the TTE may be even superior to demonstrate a cardiovascular risk at early stages. Our results suggest that time-to-event illustrations should be considered for current decision support tools covering cardiovascular prevention. The study was registered at the German Clinical Trials Register and at the WHO International Clinical Trials Register Platform ( ICTRP, ID DRKS00004933 ); registered 2

  5. Good diagnostic performance of early migration as a predictor of late aseptic loosening of acetabular cups: results from ten years of follow-up with Roentgen stereophotogrammetric analysis (RSA).

    Science.gov (United States)

    Nieuwenhuijse, Marc J; Valstar, Edward R; Kaptein, Bart L; Nelissen, Rob G H H

    2012-05-16

    Excessive early migration of femoral stems following total hip arthroplasty and tibial components following total knee arthroplasty is associated with their long-term survival and allows reliable early evaluation of implant performance. However, a similar relationship involving acetabular components following hip arthroplasty has not been evaluated. This prospective, long-term study with clinical and Roentgen stereophotogrammetric analysis (RSA) follow-up establishes the existence of this relationship and its associated diagnostic performance. Thirty-nine consecutive patients (forty-one hips) who underwent total hip arthroplasty with a cemented Exeter stem and a cemented Exeter all-polyethylene cup had prospective clinical and RSA follow-up. Patients were evaluated postoperatively at six weeks, at three, six, and twelve months, and annually thereafter. Conventional anteroposterior and lateral radiographs were made at six weeks and at two, five, and ten years postoperatively as well as when indicated. The mean duration of follow-up (and standard deviation) was 9.4 ± 3.2 years. No patients were lost to follow-up; fifteen patients died during the follow-up period. Eleven acetabular components were observed to be loose on conventional radiographs after a mean of seventy-six months (range, twelve to 140 months). During the first two postoperative years, the failed acetabular components showed markedly greater and more rapid cranial translation and sagittal rotation. Both cranial translation (hazard ratio = 19.9 [95% confidence interval, 4.94 to 80.0], p RSA at two years postoperatively, has good diagnostic capabilities for the detection of acetabular components at risk for future aseptic loosening, and this method appears to be an appropriate means of assessing the performance of new implants or implant-related changes.

  6. Understanding leadership in the environmental sciences

    OpenAIRE

    Louisa S. Evans; Christina C. Hicks; Philippa J. Cohen; Peter Case; Murray Prideaux; David J. Mills

    2015-01-01

    Leadership is often assumed, intuitively, to be an important driver of sustainable development. To understand how leadership is conceptualised and analysed in the environmental sciences and to discover what this research says about leadership outcomes, we conducted a review of environmental leadership research over the last ten years. We find that much of the environmental leadership literature we reviewed focuses on a few key individuals and desirable leadership competencies. It also reports...

  7. Planning as situated design

    DEFF Research Database (Denmark)

    Axel, Erik

    and situated, too. In this presentation it will be argued that the investigation of systematic planning as conflictual cooperation will help us see that situated activity is not only based on the present conditions, but also relates them to events spread out in time and space, thereby opening up for another......It is common to associate situated activity with concrete, craftlike or manual activity here and now and to reserve theoretical and abstract thinking for activities like theoretical experimentation and systematic planning. Much work has gone into demonstrating that these activities are concrete...... understanding of theoretical thinking. Some material from the empirical research project developed with Klaus Nielsen on the design and engineering of a house will be presented. On this basis a conception of planning will be unfolded. It will be understood differently from the way it is understood...

  8. Personalizing situation awareness

    Energy Technology Data Exchange (ETDEWEB)

    Collins, Linn Marks [Los Alamos National Laboratory; Powell, James E [Los Alamos National Laboratory; Roman, Jorge R [Los Alamos National Laboratory; Martinez, Mark L B [Los Alamos National Laboratory; Mane, Ketan K [RENCI

    2009-01-01

    Emergency responders need access to information but what counts as actionable information depends on their role, task, location, and other variables. For example, experts who have unique knowledge and experience and are called on to serve as scientific and teclmical responders, require correspondingly unique situation awareness in order to do their work. In our research-in-progress we leverage emerging and evolving web and digital library technologies to create personalized situation awareness tools that address the needs of these scientific and technical responders in real time, through focused information collection, extraction, integration, representation, and dissemination. We describe three personalized situation awareness tools in this paper: the Theme Awareness Tool (THEMAT), Social Awareness Tool (SAT), and Expertise Awareness Tool (EXPAT). The concepts and technologies we are developing in collaboration with experts apply to those who use the Web, in general, and offer an approach to the general issue of HCI design for emergencies.

  9. Daily atmospheric radionuclide observations and health impact estimation before and after the Fukushima-Daiichi nuclear accident: Five-year trends by Canadian monitoring stations - Ten-year trends of atmospheric lead-210 and the correlation to atmospheric mercury in the Canadian Arctic

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Weihua; Chen, Jing; Ungar, Kurt [Radiation Protection Bureau, Health Canada, 775 Brookfield Rd. Ottawa, K1A 1C1 (Canada)

    2014-07-01

    Mercury is a global threat to human and environmental health. Anthropogenic emissions of mercury have been larger than natural emissions since the start of the industrial age about 200 years ago. In the past decades, many studies have focused on monitoring and controlling anthropogenic emissions of mercury and their transport and transformation in the environment. In October 2013, the Minamata Convention on Mercury was formally adopted as international law. The new treaty aims to further cut mercury emissions and releases; it is the first global convention on environment and health. Coal burning for power generation and industrial use is one of the major sources of anthropogenic mercury emissions to the air. However, coal combustion processes produce significant quantities of dust containing not only mercury but also natural radionuclides that are released into the atmosphere. Like the case of mercury, those radionuclides can be transported over long distances, deposited on soil and oceans and accumulated in Arctic biota. Exposure to elevated levels of radiation is a health concern. This study analyses long-term trends of atmospheric lead-210 from Health Canada's radiological monitoring stations in the Arctic. Results are compared with ten-year records of atmospheric mercury reported by Environment Canada. A discussion is given on the correlation of long-range atmospheric transport of lead-210 and mercury from industrial sources, such as coal burning. It is expected that continuous decline of atmospheric mercury in the Arctic, especially with more and more countries signing the Minamata Convention, will result in a deceasing trend of atmospheric lead-210 from industrial sources as well. (authors)

  10. Situational theory of leadership.

    Science.gov (United States)

    Waller, D J; Smith, S R; Warnock, J T

    1989-11-01

    The situational theory of leadership and the LEAD instruments for determining leadership style are explained, and the application of the situational leadership theory to the process of planning for and implementing organizational change is described. Early studies of leadership style identified two basic leadership styles: the task-oriented autocratic style and the relationship-oriented democratic style. Subsequent research found that most leaders exhibited one of four combinations of task and relationship behaviors. The situational leadership theory holds that the difference between the effectiveness and ineffectiveness of the four leadership styles is the appropriateness of the leader's behavior to the particular situation in which it is used. The task maturity of the individual or group being led must also be accounted for; follower readiness is defined in terms of the capacity to set high but attainable goals, willingness or ability to accept responsibility, and possession of the necessary education or experience for a specific task. A person's leadership style, range, and adaptability can be determined from the LEADSelf and LEADOther questionnaires. By applying the principles of the situational leadership theory and adapting their managerial styles to specific tasks and levels of follower maturity, the authors were successful in implementing 24-hour pharmacokinetic dosing services provided by staff pharmacists with little previous experience in clinical services. The situational leadership model enables a leader to identify a task, set goals, determine the task maturity of the individual or group, select an appropriate leadership style, and modify the style as change occurs. Pharmacy managers can use this model when implementing clinical pharmacy services.

  11. Situations of dwelling

    DEFF Research Database (Denmark)

    Welling, Helen; Duelund Mortensen, Peder; Wiell Nordberg, Lene

    2006-01-01

    values and needs in differnet situations, lifestyles and stages. The study is based on information from users in new housing schemes in and around Copenhagen - 'open building' dwellings that reveal a variety of approaches to these problems? The analysis of the dwellings show that the architecture...... of the 'open dwelling' is dependent on three basic conditions: the static condition, the suitable condition and the situational condition. Each condition has its own powerful way of articulation. Our aim is to translate the observations of the projects in concepts and models that are applicable in new projects....

  12. Environmental

    Directory of Open Access Journals (Sweden)

    Sawsan M. Aboul Ezz

    2014-01-01

    Full Text Available Rotifers are one of the most common, abundant components of plankton in the coastal waters of the Mediterranean Sea, which means that they can be used as bio-indicators and provide useful information on the long-term dynamics of the El-Mex Bay ecosystem. Rotifera species were quantitatively and qualitatively assessed in the El-Mex Bay, west of Alexandria at eight stations to study spatial, temporal, dominance, and abundance of the rotifer community and their relation with changes in environmental conditions. Samples were collected seasonally from autumn 2011 to autumn 2012. Ecological parameters were determined and correlated with total rotifers abundance to gain information about the forces that structure the rotifer community in this dynamic environment. A total of 38 rotifer species were identified belonging to 16 genera within 12 families and 3 orders under one class and contributed about 12.1% of the total zooplankton in the study area with an average of 1077 specimens/m3. Maximum density was observed in summer 2012 with an average of 1445 specimens/m3. During autumn 2011 rotifers appeared in low density (434 specimens/m3. The predominant species Ascomorpha saltans, Brachionus urceolaris, Synchaeta oblonga, Synchaeta okai, Synchaeta pectinata and Synchaeta tremula were recorded in all study stations of the bay. Salinity, temperature, depth, and chlorophyll-a concentration were the most important environmental factors co-related with the abundance of rotifers in the El-Mex Bay. A significant positive correlation between the total rotifer abundance and chlorophyll-a was observed during winter 2012 and summer 2012 (r = 0.763 and r = 0.694, respectively, at p ⩽ 0.05.

  13. O pessegueiro em pomar compacto. IX. dez anos de produção de cultivares sob poda drástica bienal The peach meadow orchard system. IX. yield of cultivars during ten years on biennial drastic pruning

    Directory of Open Access Journals (Sweden)

    Wilson Barbosa

    1999-01-01

    Full Text Available O objetivo deste trabalho foi comparar o desenvolvimento vegetativo e reprodutivo de quatorze cultivares e seleções de pessegueiro (Prunus persica L. Batsch e nectarineira cultivadas no espaçamento de 4 x 1,5 m (1.667 pl/ha, sob poda drástica bienal da copa. Pelos resultados obtidos no decênio 1986-95, verificou-se que as cultivares e seleções mais produtivas foram (número e kg de frutos/planta respectivamente: Aurora-1 (112; 9,2, IAC 680-178 (94; 8,5, IAC 680-13 (95; 8,1, Talismã (99; 8,1, Régis (98; 7,8 e Flordaprince (91; 7,7. No ano agrícola de 1995, as variáveis analisadas, área da secção transversal do tronco, área da folha, número e massa dos frutos por cm² de tronco, apresentaram diferenciação estatística entre cultivares e seleções. A poda drástica bienal da copa ocasionou, tanto em material precoce quanto mediano, diminuição de produção a cada duas safras, não chegando, porém, a prejudicar a produtividade média do pomar.Fourteen peach (Prunus persica L. Batsch and nectarine cultivars and selections, budded on Okinawa rootstock, were grown under the meadow orchard system, with biennial drastic pruning at 4 x 1.5 m spacing. Results obtained during ten years of experiments (1986-95 clearly indicate that 'Aurora-1', IAC 680-178, IAC 680-13, 'Talismã', 'Régis' and 'Flordaprince' peaches were the best, with an average yield (fruits per tree of 112, 9.2; 94, 8.5; 95, 8.1; 99, 8.1; 98, 7.8 and 91, 7.7 number and kg/tree respectively. The biennial drastic pruning decreased the yield of trees every two years, without affecting the average decennial productivity. In 1995, data on trunk cross-sectional area, fruits and mass per cm² of trunk and leaf area presented significant differences among cultivars and selections.

  14. The prevalence of excessive weight in Balearic Islands' young and middle-aged women and its association with social and socioeconomic factors: a ten-year trend (2000-2010).

    Science.gov (United States)

    Coll, Josep Ll; del Mar Bibiloni, Maria; Salas, Rogelio; Pons, Antoni; Tur, Josep A

    2015-09-02

    Knowledge about trends in the socioeconomic patterning of overweight and obesity in women provides insights into the nature of the obesity epidemic. Therefore the aim was to assess a ten-year trend (2000-2010) in the prevalence of excessive weight in Balearic Islands' women and its association with socioeconomic factors. Young (18-35 year-old) and middle-aged (36-55 year-old) women were selected from two population-based cross-sectional nutritional surveys carried out in the Balearic Islands, Spain. The participation rate was 80% during 1999-2000 and 92.5% during 2009-2010. Measured weight and height was obtained, and body mass index (kg/m(2)) was classified as follows: overweight (25.0 < 30), obese (≥ 30) and excessive weight (≥ 25). In both surveys, a general questionnaire including questions relating to socioeconomic status factors was used. Logistic regression was used to examine the association of excessive weight with socioeconomic variables and to test the interaction between the survey period and the socioeconomic factors. Overall, while the prevalence of obesity mainly remained stable over the study period, the prevalence of overweight increased from 21.0 to 24.8%. Young women showed an increased prevalence of overweight and excessive weight, from 14.1 to 20.9% and from 20.9 to 28.6%, respectively. Significant differences were not found in middle-aged women. Over the whole period, the incidence of excessive weight was higher among middle-aged and foreign women, but lower in women with a high educational profile and in employment. The prevalence of excessive weight in young women was also around 2.5 times higher in women who were living with at least one child at home. The tendency towards excessive weight in employed women decreased significantly between 2000 and 2010 in the younger age group (OR: 0.42; 95% CI: 0.22-0.82). No significant increase in the prevalence of overweight/obesity was observed in middle-aged women, with a low level of education

  15. Leadership: Dispositional and Situational. Revision

    Science.gov (United States)

    1988-11-01

    block number) For over four decades, leadership research has examined the issue of whether internal dispositions ( traits ), situational characteristics... leadership research has examined the issue of whether internal dispositions ( traits ), situational characteristics (contexts), or some combination of...Situational 3 Leadership : Dispositional and Situational The person-situation debate has been a key issue in several areas of psychology and management

  16. Learning through Situated Innovation

    DEFF Research Database (Denmark)

    Dittrich, Yvonne; Eriksén, Sara; Wessels, Bridgette

    2014-01-01

    Specific, situated participatory design (PD) practices have always been at the heart of Participatory Design research. The role of the very situatedness and specificity of PD practice for theory-building within PD research is, however, seldom discussed explicitly. In this article, we explore why...

  17. Dealing with Problematic Situations

    DEFF Research Database (Denmark)

    Vidal, Rene Victor Valqui

    2004-01-01

    The main purpose of this paper is to outline a holistic answer to the following question: How to deal with problematic situations? A framework of a modern approach, a new meta-discipline, based on knowledge and experience from several other disciplines will be presented. We are focusing in those...

  18. Challenging Fieldwork Situations

    DEFF Research Database (Denmark)

    Bille, Thomas; Østergaard Steenfeldt, Vibeke

    2013-01-01

    Researching two different work settings, police work and hospice care, the authors experienced a strange sense of discomfort in their bodies during their fieldwork when investigating professional training and work situations, especially in encounters with citizens and patients. In some of those...

  19. Environmental Education

    African Journals Online (AJOL)

    The contextual profiling research was conducted by two South African universities .... situated circumstances is indeed an action research activity which engages ... classroom. These questionnaires required, among other issues, descriptions of respondents' views of environment and contemporary environmental issues,.

  20. Advanced Situation Awareness Technologies Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Advanced Situation Awareness Technologies (ASAT) will facilitate exploration of the moon surface, and other planetary bodies. ASAT will create an Advanced Situation...

  1. Situating beyond the social

    DEFF Research Database (Denmark)

    Soffer, Ann Katrine Bønnelykke

    2016-01-01

    it is applied to contemporary Danish nursing education are introduced. One issue that has arisen is the analytical requirement for an educational program to be a homogeneous, singular, and social phenomenon thereby discounting the varied and different sites and materialities found within nursing education......Situated learning serves as an analytical framework for learning in a community of practice and has been widely used to understand the learning process that is entailed in becoming a nurse. Yet in this paper, the difficulties encountered with the original notion of situated learning once...... framework. I suggest the notion of multi-configured learning, which captures the heterogeneity and materiality encountered during ethnographic fieldwork at a Danish nursing school....

  2. Situated Formative Feedback

    DEFF Research Database (Denmark)

    Lukassen, Niels Bech; Wahl, Christian; Sorensen, Elsebeth Korsgaard

    This study addresses the conceptual challenge of providing students with good quality feedback to enhance student learning in an online community of practice (COP). The aim of the study is to identify feedback mechanisms in a virtual learning environment (VLE) and to create a full formative...... feedback episode (FFE) through an online dialogue. The paper argues that dialogue is crucial for student learning and that feedback is not only something the teacher gives to the student. Viewing good quality feedback as social, situated, formative, emphasis is put on the establishment of dialogue. We...... refer to this type of feedback as, Situated Formative Feedback (SFF). As a basis for exploring, identifying and discussing relevant aspects of SFF the paper analyses qualitative data from a Moodle dialogue. Data are embedded in the qualitative analytic program Nvivo and are analysed with a system...

  3. Den retoriske situation

    DEFF Research Database (Denmark)

    Hansen, Jette Barnholdt

    2009-01-01

    Artiklen, som er skrevet på baggrund af et oplæg, som jeg holdt på  Årsmødet for Sektionen for Gymnasium og HF i Helsingør, oktober 2009, plæderer for anvendelsen af Lloyd F. Bitzers teori om den retoriske situation i retorikundervisningen i gymnasiet. I artiklen benytter jeg Bitzers teori som en...

  4. Análise postural fotogramétrica de crianças saudáveis de 7 a 10 anos: confiabilidade interexaminadores Photogrammetric postural analysis on healthy seven to ten-year-old children: interrater reliability

    Directory of Open Access Journals (Sweden)

    MM Santos

    2009-08-01

    Full Text Available OBJETIVOS: Testar a concordância interexaminadores da fotogrametria aplicada para avaliar o alinhamento postural em crianças. MÉTODOS: Foram mensurados 33 variáveis obtidas de imagens de 122 crianças saudáveis, 58 meninos (8,39±0,97 anos e 64 meninas (8,42±1,06 anos, na faixa etária de 7 a 10 anos. Foi utilizada uma máquina fotográfica digital Sony® 6.0MP DSC-T9, posicionada sobre um tripé (Vanguard VT-131 com altura de 90 cm, a uma distância de 300 cm da criança. Os pontos anatômicos de interesse foram marcados com adesivos coloridos (Pimaco® sobre esferas de isopor de 1 cm de diâmetro. Registros fotográficos foram obtidos com a criança em trajes de banho, em posição ortostática, nas vistas frontal anterior, posterior, lateral esquerda e direita. Cada registro fotográfico foi analisado por três examinadores previamente treinados que usaram o Software de Avaliação Postural (SAPo. O programa estatístico SAS/STAT v.9 foi usado para obtenção dos coeficientes de correlação interclasse (CCI. RESULTADOS: Os resultados demonstram uma excelente concordância interexaminadores (CCI>0,90 para 28 variáveis (84,85% e boa concordância (0,80> CCI>0,89 para 5 variáveis (15,15%, mesmo na vigência de uma categorização rigorosa. CONCLUSÃO: O método testado demonstrou ser viável e com potencial para gerar dados de referência sobre o alinhamento postural de crianças.OBJECTIVES: To test the interrater agreement of photogrammetry used to assess postural alignment among children. METHODS: Thirtythree variables were measured from images of 122 healthy children aged seven to ten years, that is, 58 boys (8.39±0.97 years and 64 girls (8.42±1.06 years. A digital camera (Sony® 6.0 MP DSC-T9 was positioned on a tripod (Vanguard VT-131 at a height of 90 cm and at a distance of 300 cm from the child. The anatomical points of interest were marked with colored adhesives (Pimaco® on polystyrene spheres of 1 cm in diameter. The

  5. Dez anos de heterocontrole da fluoretação de águas em Chapecó, Estado de Santa Catarina, Brasil Ten years of external control over water fluoridation in Chapecó, Santa Catarina State, Brazil

    Directory of Open Access Journals (Sweden)

    Mirvaine Panizzi

    2008-09-01

    Full Text Available O objetivo deste estudo foi analisar a concentração de flúor na água de abastecimento público em Chapecó, Santa Catarina, Brasil, no período de 1995 a 2005 e, adicionalmente, avaliar a efetividade de uma intervenção ocorrida em 2003 na qualidade da fluoretação. Foram analisadas 989 amostras de água. Para adequação da concentração de flúor as amostras foram classificadas obedecendo a três critérios utilizados no Brasil. Uma intervenção político-jurídica foi realizada pela municipalidade no ano de 2003. A fim de avaliar a tendência da fluoretação ao longo de todo período e antes e depois da intervenção, utilizou-se o procedimento de Prais-Winsten. Nos dez anos analisados, o sistema de fluoretação de águas apresentou 46%, 32% e 43% de amostras adequadas, dependendo do critério adotado. Previamente à intervenção municipal, a proporção de amostras adequadas foi de 40%, 26% e 36%, aumentando para 63%, 49% e 61% após intervenção, segundo os diferentes critérios de análise. Verificou-se uma melhora na adequação da concentração de flúor após a intervenção municipal. Recomenda-se a continuidade da vigilância da fluoretação de águas, considerando-a processual e de caráter permanente.This study aimed to analyze fluoride concentration in the public water supply in Chapecó, Santa Catarina State, Brazil, from 1995 to 2005 and to assess the effectiveness of a fluoridation quality intervention in 2003. A total of 989 water samples were analyzed. Fluoride concentrations were classified according to three different criteria used in Brazil. The city conducted a political and legal intervention in 2003. The Prais-Winsten procedure was used to evaluate the fluoride concentrations over time. In the ten years, the water fluoridation system showed 46%, 32%, and 43% of adequate samples, depending on the criterion. Prior to the municipal intervention, the proportion of adequate samples was 40%, 26%, and 36

  6. Qualitative postural analysis among boys and girls of seven to ten years of age Análise postural qualitativa entre meninos e meninas de sete a dez anos de idade

    Directory of Open Access Journals (Sweden)

    PJ Penha

    2008-10-01

    Full Text Available BACKGROUND: Postural abnormalities are often found in children. At this stage of life, posture undergoes many adjustments and adaptations due to body changes. Objective: To qualitatively identify the postural abnormalities which occur most frequently among children aged OBJECTIVE: Reven and ten years, comparing boys and girls, and to evaluate these subjects' lumbar flexibility. METHODS: One hundred and ninety-one children were photographed in the sagittal and frontal planes. The variables analyzed were: ankle (valgus and varus, tibiotarsal angle (opened and closed, knee (hyperextension and semiflexion, valgus and varus, pelvis (anteversion and retroversion; lateral pelvic inclination, trunk (antepulsion and retropulsion, lumbar spine (hyperlordosis and rectification, thoracic spine (hyperkyphosis and rectification, cervical spine (hyperlordosis and rectification, scoliosis, shoulder (imbalance and protraction, scapula (winged, abducted and adducted and head (tilt and protraction. The lumbar flexibility was assessed using Schöber's index. RESULTS: The boys had greater incidence of winged scapula, shoulder imbalance, protraction of shoulders and head and cervical hyperlordosis than the girls did. Conversely, the girls had greater incidence of head tilt and larger Schöber index values. CONCLUSIONS: There were abnormalities in children's postural development that are probably related to muscle, skeletal and flexibility differences between the genders. These differences may influence each child's postural pattern during growth.CONTEXTUALIZAÇÃO: Alterações posturais são freqüentemente encontradas em crianças. Nessa fase, a postura sofre uma série de ajustes e adaptações às mudanças no próprio corpo. OBJETIVO: Identificar, de maneira qualitativa, quais as alterações posturais mais freqüentes em crianças entre sete e dez anos, comparando meninos e meninas, e avaliar a flexibilidade lombar desses sujeitos. MATERIAIS E MÉTODOS: Cento e

  7. Environmental strategy

    DEFF Research Database (Denmark)

    Zabkar, Vesna; Cater, Tomaz; Bajde, Domen

    2013-01-01

    Environmental issues and the inclusion of environmental strategies in strategic thinking is an interesting subject of investigation. In general, managerial practices organized along ecologically sound principles contribute to a more environmentally sustainable global economy. From the managerial...... perspective, appropriate environmental strategies in compliance with environmental requirements aim at building competitive advantages through sustainable development. There is no universal “green” strategy that would be appropriate for each company, regardless of its market requirements and competitive...... situations. Instead, managers undertake careful consideration of the circumstances in which their company operates, paying special attention to their customers’ environmental preferences....

  8. Sound Art Situations

    DEFF Research Database (Denmark)

    Groth, Sanne Krogh; Samson, Kristine

    2017-01-01

    This article is an analysis of two sound art performances that took place June 2015 in outdoor public spaces in the social housing area Urbanplanen in Copenhagen, Denmark. The two performances were On the productions of a poor acoustics by Brandon LaBelle and Green Interactive Biofeedback...... Environments (GIBE) by Jeremy Woodruff. In order to investigate the complex situation that arises when sound art is staged in such contexts, the authors of this article suggest exploring the events through approaching them as ‘situations’ (Doherty 2009). With this approach it becomes possible to engage...... and combine theories from several fields. Aspects of sound art studies, performance studies and contemporary art studies are presented in order to theoretically explore the very diverse dimensions of the two sound art pieces. Visual, auditory, performative, social, spatial and durational dimensions become...

  9. Situation based housing

    DEFF Research Database (Denmark)

    Duelund Mortensen, Peder; Welling, Helen; Wiell Nordberg, Lene

    2007-01-01

    In the Nordic countries, there is a century-old tradition of dwellings that can be adapted, rebuilt and recycled regardless of time and place. Functionalism broke with this tradition and created the function-determined dwelling, which was planned on the basis of functional analyses and analyses...... of the average family's lifestyle. These dwellings were ground-breaking when they were built, but today are clearly a product of their time. The reaction to functionalism and the postwar mass production gave rise to flexible dwelling with countless possibilities for room division. The housing of this period has...... for living. The suitable condition consists of the dwelling's ability for physical displacement, spatial changes that can suit changing life styles. The situational condition is the not defined, the unfinished and the transitory, which continuously challenges the imagination and calls for the experiment. Our...

  10. Management Re-situated

    DEFF Research Database (Denmark)

    Lystbæk, Christian Tang

    The purpose of this paper is to examine ways to situate management within philosophy, that is, ways to analyze the philosophical assumptions in management history, theory and practice. Since Burrell and Morgan suggested the idea that “all theories of organization are based upon philosophy...... of science“ (Burrell & Morgan, 1979:1), philosophical reflections in terms of a series of “isms” informed by different schools or paradigms (such as positivism, structuralism, phenomenology, critical theory, and so on and so forth) have been a central part of management studies. Thus, today, it has become...... common sense to categorize different approaches to management according to their assumptions of ontology, epistemology and methodology. My paper will argue first (1) that, although sometimes very abstract and obtuse writing that seems to owe more to competition among academics than to illumination...

  11. Sound Art Situations

    DEFF Research Database (Denmark)

    Krogh Groth, Sanne; Samson, Kristine

    2017-01-01

    and combine theories from several fields. Aspects of sound art studies, performance studies and contemporary art studies are presented in order to theoretically explore the very diverse dimensions of the two sound art pieces: Visual, auditory, performative, social, spatial and durational dimensions become......This article is an analysis of two sound art performances that took place June 2015 in outdoor public spaces in the social housing area Urbanplanen in Copenhagen, Denmark. The two performances were On the production of a poor acoustics by Brandon LaBelle and Green Interactive Biofeedback...... Environments (GIBE) by Jeremy Woodruff. In order to investigate the complex situation that arises when sound art is staged in such contexts, the authors of this article suggest exploring the events through approaching them as ‘situations’ (Doherty 2009). With this approach it becomes possible to engage...

  12. Sizing Up the Situation

    Science.gov (United States)

    2004-01-01

    Hailstorm damage to the Space Shuttle's External Tank inspired a NASA innovation with extensive photography applications. In order to measure the defects caused by the storm, Kennedy Space Center used telephoto lenses to zoom in on the tank and view the damage clearly. However, since there was no reference object in the image, the engineers could not determine the scale of the damage. In photographic situations similar to this, an object, such as a ruler, is placed within the field of view. This allows a person to look at a photograph and have a visual indication of the scale of the objects in it. In the External Tank situation, however, this procedure was not possible. As a solution, Kennedy developed the Scaling and Measurement Device for Photographic Images, which provides a non-intrusive means of adding a scale to a photograph. In addition to meeting Kennedy's needs, scaling images is extremely important in crime and accident scene investigations, oil and chemical tank monitoring, and aerial photography. The innovation consists of a tool that attaches directly to a camera or charge coupled device using a standard screw. Two lasers fitted to the device provide parallel beams that are set 1 inch apart. These lasers enable the device to project a pattern into the field of view. When a photograph is taken, the image of the laser pattern appears, along with the image of the object under investigation, allowing the viewer quantifiable information as to the size of the object. The laser beams are accurate to approximately 200 feet. Windows-based software was developed to work with the scaling device tool. The software provides further techniques to measure objects in photographs and digital images. By using the software, any object in the image can be measured diagonally, vertically, and horizontally. The device and its software enable the user to determine two-dimensional measurements within a photograph.

  13. DEBATING ABOUT SITUATIONAL LEADERSHIP

    Directory of Open Access Journals (Sweden)

    Carmen CÎRSTEA

    2012-01-01

    Full Text Available In this paper we analyzed the cirumstances of every day life which requires the need to adapt the leadership style. Leadership needs a lot of abilities and skills, including the capability to communicate. The paper deals with leader’s need of changing the style of leading as organizational circumstances change. The process is efficient only when the leaders and the followers have the right climate. The importance of this process is reflected in the productivity of the organization. As the economic climate changes the leadership style needs to be changed and also the style of communication throughout the leader coaches, coordinates, evaluates and supervises. Leadership is about organizing a group of people to achieve a goal. The leader may or may not have any formal authority. Students of leadership have produced theories involving traits, situational interaction, function, behavior, power, vision and values, charisma, and intelligence, among others. This paper describes the styles of leadership which the leaders must use and switch when is needed in comparison with what leadership is about.

  14. Carsharing situation in Croatia

    Directory of Open Access Journals (Sweden)

    Aleksandar Erceg

    2014-10-01

    Full Text Available Carsharing is becoming very popular in the western world as an effective method to contain rising prices of fuel and vehicles. It was brought about as a possible solution to the changing condition of growing economies and population where there is an increased need for travel but there is also a need for expense economizing. Due to its role in reducing fuel consumption, controlling pollution and traffic congestion, there is an increased usage of carsharing services as an alternative transportation option in big cities. Today, worldwide several different carsharing methods are being used. This paper examines the current situation of carsharing in the world and two initiatives for starting carsharing programs in Croatia. The main goal of this paper is to define what carsharing is, how successful it is in the world and if there is potential for it in Croatia. The most developed carsharing regions in the world are Western Europe and North America. In the last several years Asia, Australia and South America have started carsharing projects and have the biggest growth in members and vehicles. Carsharing is still not recognized in Croatia. There were a few initiatives for starting the program but they failed. In order to determine the possibility and potential of carsharing in Croatia it is necessary to conduct further market research.

  15. Solutions for Hot Situations

    Science.gov (United States)

    2003-01-01

    From the company that brought the world an integral heating and cooling food service system after originally developing it for NASA's Apollo Program, comes yet another orbital offshoot: a product that can be as thin as paper and as strong as steel. Nextel Ceramic Textiles and Composites from 3M Company offer space-age protection and innovative solutions for hot situations, ranging from NASA to NASCAR. With superior thermal protection, Nextel fabrics, tape, and sleevings outperform other high temperature textiles such as aramids, carbon, glass, and quartz, permitting engineers and manufacturers to handle applications up to 2,500 F (1,371 C). The stiffness and strength of Nextel Continuous Ceramic Fibers make them a great match for improving the rigidity of aluminum in metal matrix composites. Moreover, the fibers demonstrate low shrinkage at operating temperatures, which allow for the manufacturing of a dimensionally stable product. These novel fibers also offer excellent chemical resistance, low thermal conductivity, thermal shock resistance, low porosity, and unique electrical properties.

  16. ENVIRONMENTAL ANDROGENS AND ANTIANDROGENS: AN EXPANDING CHEMICAL UNIVERSE

    Science.gov (United States)

    Within the last ten years, awareness has grown about environmental chemicals that display antiandrogenic or androgenic activity. While studies in the early 1990s focused on pesticides that acted as androgen receptor (AR) antagonists, it soon became evident that this was not the ...

  17. METHODOLOGICAL ELEMENTS OF SITUATIONAL ANALYSIS

    Directory of Open Access Journals (Sweden)

    Tetyana KOVALCHUK

    2016-07-01

    Full Text Available The article deals with the investigation of theoretical and methodological principles of situational analysis. The necessity of situational analysis is proved in modern conditions. The notion “situational analysis” is determined. We have concluded that situational analysis is a continuous system study which purpose is to identify dangerous situation signs, to evaluate comprehensively such signs influenced by a system of objective and subjective factors, to search for motivated targeted actions used to eliminate adverse effects of the exposure of the system to the situation now and in the future and to develop the managerial actions needed to bring the system back to norm. It is developed a methodological approach to the situational analysis, its goal is substantiated, proved the expediency of diagnostic, evaluative and searching functions in the process of situational analysis. The basic methodological elements of the situational analysis are grounded. The substantiation of the principal methodological elements of system analysis will enable the analyst to develop adaptive methods able to take into account the peculiar features of a unique object which is a situation that has emerged in a complex system, to diagnose such situation and subject it to system and in-depth analysis, to identify risks opportunities, to make timely management decisions as required by a particular period.

  18. Preparing for Emergency Situations

    Science.gov (United States)

    Asproth, Viveca; Amcoff Nyström, Christina

    2010-11-01

    Disaster relief can be seen as a dynamic multi actor process with actors both joining and leaving the relief work during the help and rescue phase after the disaster has occurred. Actors may be governmental agencies, non profit voluntary organisations or spontaneous helpers comprised of individual citizens or temporal groups of citizens. Hence, they will vary widely in agility, competence, resources, and endurance. To prepare for for disasters a net based Agora with simulation of emergency situations for mutual preparation, training, and organisational learning is suggested. Such an Agora will ensure future security by: -Rising awareness and preparedness of potential disaster responders by help of the components and resources in the netAgora environment; -Improving cooperation and coordination between responders; -Improving competence and performance of organisations involved in security issues; -Bridging cultural differences between responders from different organizations and different backgrounds. The developed models are intended to reflect intelligent anticipatory systems for human operator anticipation of future consequences. As a way to catch what should be included in this netbased Agora and to join the split pictures that is present, Team Syntegrity could be a helpful tool. The purpose of Team Syntegrity is to stimulate collaboration and incite cross fertilization and creativity. The difference between syntegration and other group work is that the participants are evenly and uniquely distributed and will collectively have the means, the knowledge, the experience, the perspectives, and the expertise, to deal with the topic. In this paper the possibilities with using Team Syntegrity in preparation for the development of a netbased Agora is discussed. We have identified that Team Syntegrity could be useful in the steps User Integration, Designing the netAgora environment, developing Test Scenarios, and assessment of netAgora environment.

  19. WOMEN SITUATION AT TEPEXILOTLA, MÉXICO

    Directory of Open Access Journals (Sweden)

    Silvia Pimentel-Aguilar

    2014-07-01

    Full Text Available Through the years, rural women have been immerse in different situations that have condemn them to suffer bad treatments or discrimination, machist treatments, and lack of equity. However, in recent years, Mexican public politics are looking after the improvement of women quality of life, particularly in the last ten years. Implementing governmental actions to prevent different ways of discrimination towards women, looking for gender equity in the Mexican society. In particular, Tepexilotla is a community of the Mexican state of Veracruz, that despite of being so small village, is actively its development. Regarding gender, after four years of continuous work in the community, there are initiating changes in social and familiar relationships, because is getting each time more involved in the economical activities, such as agroecotourism. Specifically, these have been observed on relation to their participation in the agro-ecoturistic activity that has started to be a resource of employment and development in the town. As far as Tepexilotla has been received the training from “Colegio de Postgraduados” to design rural touristic routes that have encouraged this activity en this community (between other active-research and projects in that microregion. Between these projects, Rural turism emerged from a integral participative diagnostic (DIP to detect potential projects of the microregion, where the people from the community raise their interest to learn “touristic guides” habilities, because they were interested on showing prehispanic ruins as well as caves and ecological areas, that emerged as potential resources for development. In this way, the project borned to achieve agro-ecoturistic activities that help to potentialize the agricultural, ecological and touristic activities, with the gender perspective view, (considering both men and women. In this project, rural women are being carrying out a very active role, which is empowering

  20. Sustainability and corporate environmental focus

    DEFF Research Database (Denmark)

    Madsen, Henning; Sinding, Knud; Ulhøi, John Parm

    1997-01-01

    In the past five to ten years, interest in the environmental roles of firms and their efforts in this area has grown enormously, first as a specialised field and more recently as an accepted element in the more mainstream management tradition. The increasing interest in firms and the environment...... has ranged widely, including different aspects of corporate environmental management, dedicated "green accounting" and "green auditing" and consumer behaviour and "green marketing". Furthermore, this growth has taken place against a background of generally increasing environmental awareness. The paper...... environmental perceptions, driving forces, and corporate responses. The final section discusses the possibility that corporate environmental management, and the many people involved in this area, are less deeply concerned with environmental imperatives than is usually expressed....

  1. How to lead complex situations

    DEFF Research Database (Denmark)

    Hansen, Michael Pingel

    2013-01-01

    The military leader is experiencing increasingly more complex situations, whether it is as leader in a foreign combat environment or in the home-based public administration. Complex situations like these call for a special set of managerial responses and a special way of leading organisations....... The proposition of this article is that the methods that drive innovative processes, strengthening the creative culture, are necessary to manage complex situations in military contexts....

  2. Advanced Situation Awareness Technologies Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Advanced Situation Awareness Technologies (ASAT) will facilitate exploration of the moon surface, and other planetary bodies. This powerful technology will also find...

  3. Stress situations in dental practice.

    Science.gov (United States)

    Bourassa, M; Baylard, J F

    1994-01-01

    Several studies indicate that stress is inherently present in dental practice. The present study was conducted to help identify the factors underlying this stress and the relative contribution of each factor. A questionnaire presented participating dentists with 52 potentially-stressful situations related to dental practice. Respondents were asked to rate each situation on a five-point scale, using a range of responses that varied from "not stressful" to "exceedingly stressful," and "I don't know" to "not applicable." The present data are based on the ratings given by the 1,332 dentists practicing in Québec who answered the questionnaire (52 per cent). Ten situations received a mean score of greater than 3.0, and were therefore considered as above average stress-producing situations. The majority of these situations could be classified as being related either to dental procedures and office organization or to interpersonal relationships involving patients and/or office personnel. It was found that the older age groups showed significantly less stress for six of the 10 most stressful situations. This study has indicated the specific situations that most frequently lead to stress in dentists. The precise identification of these situations could lead to reduced stress through the elimination of its vague and insidious character. Furthermore, an understanding of the most common stress-causing situations allows the practitioner to take preventive measures to eliminate its damaging effects in the dental practice.

  4. Situational Awareness and Logistics Division

    Data.gov (United States)

    Federal Laboratory Consortium — Volpe's Situational Awareness and Logistics Division researches, develops, implements, and analyzes advanced systems to protect, enhance, and ensure resilienceof the...

  5. Environmental spaces

    DEFF Research Database (Denmark)

    Larsen, Henrik Gutzon

    Using the development of intergovernmental environmental cooperation in the Baltic Sea area as a concrete example, the aim of this study is to explore how the 'environment' in situations of environmental interdependence is identified and institutionalised as political-geographical objects....... 'Environmental interdependence' is to this end conceptualised as a tension between 'political spaces' of discrete state territories and 'environmental spaces' of spatially nested ecosystems. This tension between geographies of political separateness and environmental wholeness is the implicit or explicit basis...... for a large and varied literature. But in both its critical and problemsolving manifestations, this literature tends to naturalise the spatiality of environmental concerns: environmental spaces are generally taken for granted. On the suggestion that there is a subtle politics to the specification...

  6. Emergency situations; Les situations d'urgence

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    The nuclear activities are exercised so as to prevent the accidents. They are subjected to a rule whom application is controlled by the Asn. The risk of grave accident is so limited to a very low level of probability. He cannot be however completely pushed aside. The expression ' radiological emergency situation ' indicates a situation which ensues from an incident or of an accident risking to lead to an emission of radioactive materials or a level of radioactivity susceptible to strike a blow at the public health. The term ' nuclear crisis ' is used for the events which can lead to a radiological emergency situation on a nuclear basic installation or during a transport of radioactive materials. The preparation and the management of emergency situations, that they are of natural, accidental or terrorist origin, became a major concern of our society. We propose you of to know more about it in this file. (N.C.)

  7. Fiscal 1995 survey report on the feasibility study of the environmentally friendly type coal utilization system. Feasibility study of the environmentally friendly type coal utilization system in Thailand; Kankyo chowagata sekitan riyo system kanosei chosa. Tai ni okeru kankyo chowagata sekitan riyo system kanosei chosa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-06-01

    The paper surveyed the present situation and future trend of economy, energy supply/demand, coal production/distribution/utilization and the environmental effects in Thailand. The survey on the coal utilization and its environmental effects was partially requested of the environmental research institute in Thailand. The amount of coal utilization in Thailand rapidly increased to nearly four times as large as that ten years ago mainly in terms of domestic lignite under the government`s policy on expansion of the domestic energy use. However, most of this domestic lignite is low-grade coal with low calories and high sulfur content, and the use of it was rapidly increased mostly in power generation sector without no adequate environmental measures taken. This caused an environmental problem on air pollution due to sulfur oxides at Mae Moh power plant in the north several years ago, and the damages to the regional residents, etc. were given much publicity by journalism and developed the social problem. Accordingly, Thai people are now critical of the coal resource exploration and the coal use expansion. Under the circumstances, the Ministry of Industry and the energy related ministries/offices are obliged to review their development/promotion plans. 84 figs., 99 tabs.

  8. Bringing the Psychology of Situations into Flow Research: Personality and Situation Characteristics as Predictors of Flow

    Directory of Open Access Journals (Sweden)

    Gaja Zager Kocjan

    2017-05-01

    Full Text Available The aim of the present study was to extend the existing findings on environmental flow precursors by adopting the DIAMONDS taxonomy of psychologically meaningful situation characteristics as a comprehensive theoretical framework. It was hypothesized that an individual's perception of the flow-related situation, particularly the dimensions of duty, intellect and positivity, would represent a more powerful predictor of the intensity of flow as compared to his or her basic personality traits. The first sample consisted of 169 employees who had to focus on the most engaging work-related event they had experienced in the past three months. They rated the characteristics of that situation and estimated the intensity of their flow experience. The second sample consisted of 96 students who participated in a challenging group activity. After the activity, they filled-in the same questionnaires as the first sample. Participants from both samples also rated their basic personality traits. Despite differences in the settings and flow-related situations evaluated, the obtained findings were similar for the two samples studied. While the association between flow and personality was weak, the situation characteristics were more strongly related to flow. Although the two samples differed with respect to the mean levels of the flow-related situation characteristics, regression analyses yielded similar results, suggesting that the intensity of flow at work and in studying is most prominently determined by situation characteristics related to intellect and positivity. Stable personality characteristics, on the other hand, had low predictive power in explaining the intensity of flow.

  9. Predictive Situational Awareness Tool Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Situational Awareness is the key element of performing safe and effective operations, and the space vehicle operations carried out by NASA is by no means an...

  10. Situational Prevention of Organised Crimes.

    OpenAIRE

    Bullock, KA; Clarke, R.(Physics Division, Lawrence Berkeley National Laboratory and University of California, Berkeley, CA, United States of America); Tilley, N

    2010-01-01

    Situational crime prevention is the art and science of reducing opportunities for crime. Despite accumulating evidence of its value in reducing many different kinds of crime - such as burglary, fraud, robbery, car theft, child sexual abuse and even terrorism - little has previously been published about its role in reducing organised crimes. This collection of case studies, by a distinguished international group of researchers, fills this gap by documenting the application of a situational pre...

  11. MEDIA INFLUENCE ON OPERATIVE SITUATION

    OpenAIRE

    Mikhail M. Ardavov

    2016-01-01

    The problems regarding the influence of the media on various aspects of society are viewed in the article. Historical facts of the media influence on large groups of people are given. Concerning the discussed problem views on the concept of operative situation are set out. Analysis of factors affecting the operative situation is given. Based on the analysis of publications devoted to the problem of the media influence on the processes in society, a generalization of areas of their impact on t...

  12. US-Hungarian Relations Ten Years After 1956

    Directory of Open Access Journals (Sweden)

    Tibor Glant

    2016-10-01

    Full Text Available 1966, the tenth anniversary of the 1956 Revolution, was a key year in US–Hungarian relations. Diplomatic relations were raised from the lowest to the highest level, but suspicion and tension remained. Neither side knew what to expect from the other on account of the anniversary, the Vietnam War, economic and cultural negotiations, and the fate of Cardinal Mindszenty. A traditional diplomatic historical approach is supplemented here with cultural materials to present the full scale of contacts ranging from high political issues to the visit of Hollywood movie star Kirk Douglas in Budapest. First Secretary of the Legation for Press and Cultural Affairs Edward Alexander receives special attention, because he played a crucial role in the events of 1966. As press secretary, he helped calm Hungarian fears over what American journalists might report about the anniversary, while as cultural affairs officer he worked on documenting and expanding American cultural presence in Hungary. In the latter capacity, he opened the USIA Library at the Legation, fraternized with blacklisted painters of the Zuglói Kör [‘Zugló Circle’], monitored the Hungarian stage production of My Fair Lady, and reported on the publication of American literature in Hungarian.

  13. 1959 - 1969 Ten years in the life of a machine

    CERN Multimedia

    1969-01-01

    Operation and development of the PS have brought a dramatic improvement in its capabilities. This article describes the years of getting to know the machine and of developing its potential, picking out some major landmarks on the way. The article was put together with the help of P.H. Standley (PS Division Head), C.S. Taylor (Linac), G. Plass, W. Richter (Mam Ring), M. Georgijevic (Power Supply), J.H.B. Madsen (Operation), and G.L. Munday (Experimental Areas).

  14. Ten-year changes in anthropometric characteristics of elderly Europeans

    NARCIS (Netherlands)

    Groot, de C.P.G.M.; Enzi, G.; Matthys, C.; Moreiras, O.; Roszkowski, W.; Schroll, M.

    2002-01-01

    OBJECTIVE: Assess longitudinal (10-y) changes in height, body weight and circumferences in elderly Europeans. DESIGN: Longitudinal assessments including baseline measurements taken in 1988/1989 which were repeated in 1993 (follow-up) and in 1999 (Finale). SETTING: Longitudinal data were collected in

  15. Ten years of transition and... / Rika Ishii, Nick Sten

    Index Scriptorium Estoniae

    Ishii, Rika

    1999-01-01

    Ülevaade majandusreformidest Baltimaades ja Baltimaade majandussuhetest Euroopa Liidu ning Venemaaga. Tabel: SKP, inflatsioon, väliskaubandus ja välisinvesteeringud Eestis, Lätis, Leedus ja Kesk- ja Ida-Euroopa riikides aastatel 1991-1998

  16. Preface: Special issue: ten years of advances in computer entertainment

    NARCIS (Netherlands)

    Katayose, Haruhiro; Rauterberg, M; Reidsma, Dennis

    2014-01-01

    This special issue celebrates the 10th edition of the International Conference on Advances in Computer Entertainment (ACE) by collecting six selected and revised papers from among this year’s accepted contributions.

  17. Ten-year growth of planted slash pine after thinnings

    Science.gov (United States)

    Hans G. Enghardt; W.F. Mann

    1972-01-01

    volume growth of slash pine between ages 17 and 27 years was directly related to residual basal area per acre after thinning. Diameter growth was inversely related to stand density, and very heavy cutting was required to attain a rate of 3 inches in 10 years.

  18. Exploiting ten years of MERIS data over Land Surfaces

    Science.gov (United States)

    Gobron, Nadine

    2012-07-01

    Envisat's Medium Resolution Imaging Spectrometer (MERIS) acquires multi-spectral imagery of the Earth in the optical domain over terrestrial surfaces since a decade at global scale. Characteristics of the instrument will be first summarized and then several achievements for terrestrial applications will be presented as scientists have used data or products for characterizing the state of the global system and its variability. The ESA- GlobCover which has developed a service capable of delivering land cover maps on the basis of 300m spectral reflectance measurements will be summarized (Bicheron et al, 2008; Arino et al, 2010). We will highlight recent research results for continental land cover mapping over South America using MERIS data from 2009 and 2010 (Hojas Gascon et al, 2012). The objective and originality of this work was to generate a new land cover using selected MERIS data instead of all available images and supplementary information from associated Level-2 product, i.e. FAPAR, provided at a reduced resolution of 1 km. As the actual two level-2 products provided by ESA correspond to geophysical products such as the FAPAR (Fraction of Synthetically Active Radiation) and the MERIS terrestrial chlorophyll index (MTCI). With this latter, phenology studies as this product is sensitive to canopy chlorophyll content, a vegetation property that is a useful proxy for the canopy physical and chemical alterations associated with phenological change. (Dash and Curran, 2004; Boyd et al, 2011). For exploiting the use of the MGVI, ESA-Joint Research Center (JRC) FAPAR project has been created for producing time-series of geophysical products and will be summarized (Gobron et al, 2006, 2010; Fusco et al, 2003). It uses through various examples such as assessing drought at regional scale (Rossi etl a, 2010) or monitoring the state and changes of land surfaces global scale (Gobron et al, 2012). As the FAPAR value constitutes a state variable in advanced Earth system models that contains a detailed enough description of the terrestrial biosphere, it has been exploited for exploratory and diagnostic assessments of the biosphere through machine learning technique (Jung et al, 2010) and data assimilation technique (Kaminski at al, 2011). In this latter, the simultaneous assimilation of FAPAR and Carbon fluxes provides parameter estimates and uncertainty ranges that are consistent with the observational information. This works quantifies for the first time how MERIS products improve the accuracy of the current and future (net and gross) carbon flux estimates (within and beyond the assimilation period). Finally, the exploitation of MERIS data over land surfaces since 10 years has creating new area of research for the use of earth observation and is going towards new challenges for assessing the state of the global climate system.

  19. Methadone-related deaths. A ten year overview.

    Science.gov (United States)

    Vignali, Claudia; Stramesi, Cristiana; Morini, Luca; Pozzi, Fulvia; Groppi, Angelo

    2015-12-01

    Over the last 10 years we have registered in our district (about 500,000 inhabitants) 36 cases of fatal methadone poisoning, involving both patients on treatment and naive subjects: this is a significant increase of deaths due to methadone use, misuse or abuse compared with previous years. Twenty-four patients (66.7%) were on methadone maintenance programs for heroin detoxification, while 12 (33.3%) were taking the drug without a medical prescription. The average blood concentration of methadone in patients undergoing a maintenance program was 1.06 mg/L (0.21-3.37 mg/L), against 0.79 mg/L (0.2-3.15 mg/L) in those taking the non-prescribed drug. Since 111 heroin-related deaths were recorded in our district in the same period, the fact that there appear to be many methadone deaths (about a third of heroin-related deaths) cannot be overlooked. The aim of this work is to understand the possible reasons for such a large number of methadone-related deaths. On this subject, we have noticed that risks associated with methadone intake are often underestimated by clinicians prescribing the drug: sometimes methadone is prescribed without taking into account patient's tolerance to opiates, and a large number of subjects enrolled in methadone maintenance programs in Italy, have also been given take-home doses, thus increasing the risk of abuse and diversion. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  20. Ten years of integrated care for the older in France.

    Science.gov (United States)

    Somme, Dominique; de Stampa, Matthieu

    2011-01-01

    This paper analyzes progress made toward the integration of the French health care system for the older and chronically ill population. Over the last 10 years, the French health care system has been principally influenced by two competing linkage models that failed to integrate social and health care services: local information and coordination centers, governed by the social field, and the gerontological health networks governed by the health field. In response to this fragmentation, Homes for the Integration and Autonomy for Alzheimer patients (MAIAs) is currently being implemented at experimental sites in the French national Alzheimer plan, using an evidence-based model of integrated care. In addition, the state's reforms recently created regional health agencies (ARSs) by merging seven strategic institutions to manage the overall delivery of care. The French health care system is moving from a linkage-based model to a more integrated care system. We draw some early lessons from these changes, including the importance of national leadership and governance and a change management strategy that uses both top-down and bottom-up approaches to implement these reforms.

  1. Ten years of pathway analysis: current approaches and outstanding challenges.

    Science.gov (United States)

    Khatri, Purvesh; Sirota, Marina; Butte, Atul J

    2012-01-01

    Pathway analysis has become the first choice for gaining insight into the underlying biology of differentially expressed genes and proteins, as it reduces complexity and has increased explanatory power. We discuss the evolution of knowledge base-driven pathway analysis over its first decade, distinctly divided into three generations. We also discuss the limitations that are specific to each generation, and how they are addressed by successive generations of methods. We identify a number of annotation challenges that must be addressed to enable development of the next generation of pathway analysis methods. Furthermore, we identify a number of methodological challenges that the next generation of methods must tackle to take advantage of the technological advances in genomics and proteomics in order to improve specificity, sensitivity, and relevance of pathway analysis.

  2. Ten years of pathway analysis: current approaches and outstanding challenges.

    Directory of Open Access Journals (Sweden)

    Purvesh Khatri

    Full Text Available Pathway analysis has become the first choice for gaining insight into the underlying biology of differentially expressed genes and proteins, as it reduces complexity and has increased explanatory power. We discuss the evolution of knowledge base-driven pathway analysis over its first decade, distinctly divided into three generations. We also discuss the limitations that are specific to each generation, and how they are addressed by successive generations of methods. We identify a number of annotation challenges that must be addressed to enable development of the next generation of pathway analysis methods. Furthermore, we identify a number of methodological challenges that the next generation of methods must tackle to take advantage of the technological advances in genomics and proteomics in order to improve specificity, sensitivity, and relevance of pathway analysis.

  3. Ten Years Trend Analysis of Malaria Prevalence and its Correlation ...

    African Journals Online (AJOL)

    Malaria is one of the most devastating diseases in the World and caused by a protozoan parasite of the genus Plasmodium. The disease remains one of the most important causes of human morbidity and mortality with enormous medical, economic and emotional impact in the world, and in most African countries including ...

  4. Hospital usage of marketing research over a ten year period.

    Science.gov (United States)

    Sanchez, P M

    1995-01-01

    The acceptance and use of marketing techniques and concepts in the health care area is a phenomenon well known to most marketers. Prior to 1979, marketing in the health care field was relatively unknown. Since that time, however, the growth of health care marketing has not been accompanied by commensurate growth in marketing research efforts.

  5. Causes of Pig Mortality in Kenya - A Ten Year Retrospective ...

    African Journals Online (AJOL)

    Although, the etiological agent(s) were not fully characterized, bacteria (B. anthracis, Escherichia coli, Campylobacter spp, Salmonella spp, Mycoplasma spp, Pasteurella spp, Haemophilus spp and Brachyspira spp), viruses (African swine fever virus and transmissible gastroenteritis virus) and nematode parasites (Trichuris ...

  6. Poland in the European Union.Ten Years of Membership

    OpenAIRE

    Katarzyna Kolodziejczyk

    2016-01-01

    Twelve years have passed since the Polish entry into the European Union. For Poland the date of 1 May 2004 is the culmination of a transformation process launched at the end of the Cold War in 1989. One of the priorities of Polish foreign policy, the expansion of the political, economic and cultural relations with Western Europe and the United States has been met. This approach has been described as ‘the return to Europe’. Membership in the European Union changed the Polish economy and the ne...

  7. Poland in the European Union.Ten Years of Membership

    Directory of Open Access Journals (Sweden)

    Katarzyna Kolodziejczyk

    2016-01-01

    Full Text Available Twelve years have passed since the Polish entry into the European Union. For Poland the date of 1 May 2004 is the culmination of a transformation process launched at the end of the Cold War in 1989. One of the priorities of Polish foreign policy, the expansion of the political, economic and cultural relations with Western Europe and the United States has been met. This approach has been described as ‘the return to Europe’. Membership in the European Union changed the Polish economy and the new politics opened up new opportunities for businesses and citizens. The aim of the article is to analyze the balance of the Polish membership in the European Union in the economic, financial, political and social dimensions.

  8. A Ten Year Retrospective Survey of Childhood Oro-facial ...

    African Journals Online (AJOL)

    Background Reports in the literature on childhood orofacial neoplasms do not seem to agree on a prevalent pathology, with several authors expressing a divide on the prevalence of orofacial malignancies. Objective To review the relevant clinico-pathologic features of neoplasms of the orofacial region amongst children in a ...

  9. Odontogenic Mixoma in a Ten-Year-Old Patient.

    Science.gov (United States)

    Triana, Ennya Lieseth Leonel; Melo-Uribe, Mario; Castro-Núñez, Jaime

    2016-10-01

    Odontogenic myxomas are benign, rarely seen intraosseous tumors arising from the embryonic connective tissue associated to tooth formation. The authors present the case of a 10-year-old patient affected by this entity.

  10. Effects of ten years treated wastewater drip irrigation on soil ...

    African Journals Online (AJOL)

    Water shortage in most countries of the southern Mediterranean basin has led to the reuse of municipal wastewater for irrigation. Despite numerous advantages for soil fertility and crop productivity, recycling wastewater in the soil also has several ecotoxicological and sanitary problems. To evaluate the chronic soil ...

  11. Effects of ten years treated wastewater drip irrigation on soil ...

    African Journals Online (AJOL)

    SWEET

    Water shortage in most countries of the southern Mediterranean basin has led to the reuse of municipal wastewater for irrigation. Despite numerous advantages for soil fertility and crop productivity, recycling wastewater in the soil also has several ecotoxicological and sanitary problems. To evaluate the chronic.

  12. Ten-year (1993 - 2002) retrospective evaluation of vaccination of ...

    African Journals Online (AJOL)

    Record books in form of one thousand, four hundred and seventy eight (1478) registers, case notes and vaccination certificates of registered dogs were assessed for rabies vaccination and its booster coverage. The dogs which consisted of 850 males and 628 females were presented at the Small Animal and Preventive ...

  13. Research, records and responsibility ten years of PARADISEC

    CERN Document Server

    Harris, Amanda

    2015-01-01

    Research, records and responsibility' explores developments in collaborative archiving practice between archives and the communities they serve and represent, incorporating case studies of historical recordings, visual data and material culture.

  14. Ten-year survival rate for cantilevered fixed partial dentures.

    Science.gov (United States)

    Anderson, James D

    2005-01-01

    PubMed (1966-April 2004) provided the primary data source along with the bibliographies from identified articles and reviews. A manual search of two relevant journals (Clinical Implant Dentistry and Related Research, Clinical Oral Implants Research, International Journal of Oral & Maxillofacial Implants, International Journal of Periodontics and Restorative Dentistry, International Journal of Prosthodontics, Journal of Clinical Periodontology, Journal of Periodontology and Journal of Prosthetic Dentistry published; published 2001-2003) provided a further source of data. Because there were no randomised controlled trials (RCT) that compared fixed partial dentures (FPD) with and without cantilever extensions, other studies were selected if they met the following criteria: were published in the English language; were prospective and retrospective cohort studies; had a mean follow-up of >5 years; included patients who were clinically examined at follow-up; and reported details on suprastructures and described at least one-third of reconstructions as FPD. Two independent reviewers screened articles for inclusion. Disagreements were resolved by discussion and agreement determined by kappa. Two reviewers extracted data on the survival and success of the reconstructions and on biological and technical complications. Failure and complication rates were calculated by dividing the number of events by the total exposure time. Three prospective and 10 retrospective cohort studies incorporating 700 patients and 816 FPD were included. The mean number of cantilever extensions ranged from 1.1 to 6.0. Meta-analyses gave an estimated survival, after 10 years, of 81.8% [95% confidence interval (CI), 78.2-84.9] and a proportion success of 63% (95% CI, 54.7-70.2). Considering biological complications using Poisson model analyses, the estimated rate of FPD lost because of caries after 10 years was 3.1% (95%CI, 1.0-8.8) and that for loss of vitality was 32.6% (95% CI, 13.9-64.9). The rate of FPD lost because of periodontitis was 1% (95% CI, 0.3-3.0). Cumulative 10-year complication rates were: 2.9% (95% CI, 1.7-5.0) for fracture of abutment tooth; 2.4% (95% CI, 0.6-9.8) for rate of loss as a result of abutment fracture; 16.1% (95% CI, 8.8-28.4) for loss of retention; and 5.9% (95% CI, 3.3-10.4) for material complications. Success and survival rates for cantilever FPD are poorer than those for conventional FPD and this is accompanied by frequent biological and technical complications.

  15. The future of the Dutch public library: ten years on

    NARCIS (Netherlands)

    Frank Huysmans; Carlien Hillebrink

    2008-01-01

    The public library is the biggest cultural institution in the Netherlands, with around 4 million members and 130 million items lent each year. Inspite of this, the library is under pressure: membership numbers and borrowings have been declining steadily for several years. In the last six

  16. Analysis of ten years of publishing in Pharmacy Practice

    Directory of Open Access Journals (Sweden)

    Mendes AE

    2016-12-01

    Full Text Available Objective: The aim of this study is to characterize the patterns and trends in the editorial process and features of the first decade of Pharmacy Practice, with the final goal of initiating a benchmarking process to enhance the quality of the journal. Methods: Metadata of all of the articles published from 2006 issue #3 to 2016 issue #2 were extracted from PubMed and complemented by a manual data extraction process on the full-text articles. Citations of these articles were retrieved from Web of Science (WOS, Scopus, and Google Scholar on August 15, 2016. The references from all of the articles published by Pharmacy Practice in 2015 were also extracted. International collaboration was explored with a network analysis. Results: A total of 40 issues were published in this timespan, including 349 articles, 91.1% of which were original research articles. The number of citations received by these articles varies from 809, as reported by the WOS, to the 1162 reported by Scopus and the 2610 reported by Google Scholar. The journals cited by Pharmacy Practice are mainly pharmacy journals, including Pharm Pract (Granada, Int J Clin Pharm, Am J Health-Syst Pharm, Am J Pharm Educ, and Ann Pharmacother. Only 17.3% of the articles involved international collaboration. Delays in the editorial process increased in 2013, mainly due to an increase in acceptance delay (mean=138 days. Conclusion: Pharmacy Practice has improved its visibility and impact over the past decade, especially after 2014, when the journal became indexed in PubMed Central. The editorial process duration is one of the weaknesses that should be tackled. Further studies should investigate if the low international collaboration rate is common across other pharmacy journals.

  17. Ten-year survival of patients with oesophageal squamous cell ...

    African Journals Online (AJOL)

    oesophageal junction ... after treatment of cancer. Reports of actual 10-year survivors of oesophageal squamous cell carcinoma (SCC) are rare, and demographic .... nodes, number of resected lymph nodes, adjuvant treatment and length of survival.

  18. [After ten years of AIDS, a vision emanating from feminism].

    Science.gov (United States)

    Liguori, A L

    1991-01-01

    AIDS and the economic crisis in Mexico are threatening the epidemiologic transition in which infectious diseases ceased to be the only major cause of death and chronic degenerative diseases began to account for a growing proportion of deaths. Many factors combined to produce the sexual, gay, and women's liberation movements beginning in the 1970s. At the beginning of the feminist movement, women proposed different kinds of interpersonal relations both between women and with men. Women together realized their rights to control their own bodies, to sexual enjoyment, to abortion, and to free themselves of feelings of shame and guilt. The weight of moral pressures was lessened and the personal desires of the woman assumed a greater role in selection of sexual partners. Conservative forces grew stronger in the 1980s, and the proliferation of sexually transmitted diseases began to imperil the sexual revolution. But these setbacks were minor compared to AIDS. Now, 10 years after its appearance, it is clear that AIDS is not limited to homosexual men. The number of cases in Mexico increased from none 10 years ago to some 10,000 estimated cases reported and unreported today. 1/6 of the cases are in women. Many women and heterosexuals felt immune from AIDS in the beginning, and some still do, but many more have become aware of the danger. Women now fear contracting AIDS, but they also fear confronting their partners to suggest that they use condoms. Denial may play a role, but deeply rooted cultural factors that women may recognize but fee powerless to change may also be at play. Many women over 30 have difficulty taking the initiative in sexual matters. They are embarrassed to buy condoms and even more embarrassed to propose their use. They imagine that men will consider them "loose" if they carry condoms. Mexican women are poorly prepared to tell their men explicitly what they want sexually, and Mexican men are also poorly equipped to ask what women want, accustomed as they are to exercising sexuality exclusively to satisfy their own needs. The entire problem of condom use is related to ethical-moral and ideological factors and to broader attitudes toward knowledge. Those with more rational orientations see AIDS as a disease rather than a divine punishment and can more easily accept condom use as a preventive.

  19. Prevalence of loneliness over ten years among the oldest old.

    Science.gov (United States)

    Nyqvist, Fredrica; Cattan, Mima; Conradsson, Mia; Näsman, Marina; Gustafsson, Yngve

    2017-06-01

    This study examined the prevalence of loneliness among the oldest old within a 10-year period and studied the influence of various sociodemographic, social and health characteristics on loneliness. The study used population-based data from the Umeå85+/GErontological Regional DAtabase-study (GERDA) for the years 2000-2002, 2005-2007 and 2010-2012 including 85-year-old, 90-year-old and ⩾95-year-old participants. A final sample of 304 participants in 2000-2002, 329 participants in 2005-2007 and 401 participants in 2010-2012 was included in the analyses. Although the level of loneliness was already high in 2000-2002 (49.3% reported frequent loneliness), the results showed limited changes in loneliness during the 10-year study period. Loneliness was closely related to living alone, depressive symptoms and living in institutional settings. Although societal changes such as solitary living and growing urbanization suggest a changing trend in loneliness, we found that the prevalence of loneliness was relatively stable in this study. Nevertheless, loneliness is common among the oldest old and a focus on social issues related to living arrangements and on depressive symptoms is important in understanding loneliness.

  20. Acute care to prevent back disability. Ten years of progress.

    Science.gov (United States)

    Bigos, S J; Battié, M C

    1987-08-01

    Efforts to curb back problems through preemployment screening, safety measures, and educational programs have had little effect on this most expensive musculoskeletal malady. Present knowledge raises doubts about the possibility of preventing back pain. However, recent scientific investigations indicate that chronic back pain disability, which accounts for 80% of the costs for back problems, can be prevented. In Gothenburg, Sweden, the collective use of proven treatment methods during the acute stage of back symptoms markedly reduced the period of time patients were disabled from back problems. Effective early intervention centers around: teaching patients about back care, including how to control symptoms through improved body mechanics; applying these educational principles, specifically to the patient's livelihood; avoiding the debilitation that results from overusing bed rest and medication; recommendations to increase cardiovascular fitness; and the judicious use of orthopedic surgery. This approach targets the few patients who tend to be disabled the longest, suffer the most, and become the most costly to society.

  1. Ten-year experience of insulin treatment in gestational diabetes.

    Science.gov (United States)

    Berne, C; Wibell, L; Lindmark, G

    1985-01-01

    Between 1975-1984, 119 women with gestational diabetes (GDM) were treated with insulin in Uppsala, representing a mean yearly incidence of 4.5/1,000 pregnancies. Women with GDM were older and more obese than the general pregnant population. Insulin treatment was instituted during a 5-7 day stay in hospital. The mean total daily dose of insulin prepartum, when fasting blood glucose had been normalized, was 53 (SD +/- 25) units (34 +/- 15 units of rapid-acting and 20 +/- 11 units of medium-acting insulin), divided into two doses daily. Mean duration of treatment was 6.4 weeks. The perinatal mortality was 0.8%, compared with 7.4% in previous pregnancies in the same women. The perinatal morbidity was generally mild and included hypoglycaemia (10.9%), hyperbilirubinaemia requiring treatment (2.5%), shoulder dystocia (2.5%) and one case of mild respiratory distress syndrome. The rate of macrosomia was reduced in the present pregnancies compared with previous ones in the women with GDM, but not abolished completely, probably because of too short a duration of improved metabolic control. Spontaneous delivery was favoured and the rate of Caesarean section was 13.5%. Thus, treatment with high doses of insulin in an unselected group of women with GDM is feasible. Normal perinatal mortality, reduced macrosomia, and no gross perinatal morbidity was found in the infants. Though the extent to which insulin treatment per se contributed to the favourable outcome is difficult to assess, it is suggested that the case for a high level of ambition for metabolic normalization in GDM should be a subject of further study.

  2. [Acute pyelonephritis treated under "home hospitalization." Ten years' experience].

    Science.gov (United States)

    Regalado, José; Mendoza, Humberto; Aizpuru, Felipe; Altuna, Elena; Gómez, Montserrat; Cía, Juan M

    2006-12-01

    We present the experience of the Vitoria-Gasteiz Hospital at Home Unit in the treatment of acute pyelonephritis, including an analysis of potential predictors of failure. A total of 369 episodes of acute pyelonephritis without septic shock or renoureteral obstruction are described. After initiating intravenous antibiotic therapy in the hospital emergency department, all patients were referred to the HH. We analyzed the characteristics of the cases and the relationship between several clinical factors and failure of HH care, defined as the need to readmit the patient to conventional hospitalization. During the study period, 280 women and 89 men (age 16-88 years) met the inclusion criteria. Mean length of HH stay was 5 days and duration of intravenous therapy was 3 days. Sixteen of the 369 cases (4%) had to be readmitted to the hospital because of hypotension, vomiting, pain, fever, or signs of obstruction on ultrasound or because they requested it (four patients). Patients who were readmitted had a higher maximum temperature (mean 39.4 vs. 38.7 degrees C; p = 0.006) than those who remained at the HH. There were no differences between the groups with respect to the other clinical variables studied. The evolution of all 16 hospitalized patients was favorable; only one required a urological intervention. Hospital at home care was an effective alternative for managing acute pyelonephritis without shock in 96% of cases referred by the emergency department, and obviated conventional hospital admission, which is usually indicated for this disease.

  3. Inflammatory dentigerous cyst in a ten-year-old child

    OpenAIRE

    Kumar, Rakesh; Singh, Rajeev K.; Pandey, Ramesh K.; Mohammad, Shadab; Ram, Hari

    2012-01-01

    Dentigerous cyst may be developmental or inflammatory in origin. The latter is found only in mixed dentition with a low frequency. Treatment of inflammatory type of dentigerous cyst in children should be done with the aim of saving developing permanent teeth which should not be sacrificed as far as possible. This is a case report of a large inflammatory dentigerous cyst in a 10-year-old female patient treated conservatively by marsupialization method saving all teeth (mandibular permanent lef...

  4. Inflammatory dentigerous cyst in a ten-year-old child.

    Science.gov (United States)

    Kumar, Rakesh; Singh, Rajeev K; Pandey, Ramesh K; Mohammad, Shadab; Ram, Hari

    2012-01-01

    Dentigerous cyst may be developmental or inflammatory in origin. The latter is found only in mixed dentition with a low frequency. Treatment of inflammatory type of dentigerous cyst in children should be done with the aim of saving developing permanent teeth which should not be sacrificed as far as possible. This is a case report of a large inflammatory dentigerous cyst in a 10-year-old female patient treated conservatively by marsupialization method saving all teeth (mandibular permanent left canine, first and second premolars) in relation to the cyst.

  5. Ten years of extensive green roof experience in Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Grau, U.; Siemsen, M. [Humboldt Univ., Berlin (Germany). Inst. for Agrarian and Urban Ecological Projects; Gomez, G.N. [Chapingo Autonomous Univ., Chapingo (Mexico)

    2005-07-01

    This paper described the installation of an extensive green roof in Mexico City as part of a collaboration between a German and a Mexican university. While the plants used in the project were indigenous to Mexico, most of the materials and green roof technologies came from Germany. The aim of the project was to create an extensive green roof system on a low maintenance basis without additional irrigation, and to determine the limits of growth and development of the vegetation. The project was conducted on 4 identical adjacent flat roofs. After a layer of filter cloth was installed to avoid damage to the waterproof membrane, a drainage layer of expanded clay was installed with different thicknesses on each of the 4 roofs. The growing medium was composed of Mexican volcanic material, a mineral material from Germany, and organic material consisting of coco fibers and sugarcane residues. Eight different substrate mixtures were tested. After several years it became clear that it was possible to implement an extensive green roof under extreme climatic conditions. However, it was observed that some plant specimens only survived in certain areas of the roof. The roofs underwent a complete renovation, and surviving specimens were salvaged. Vulnerable areas where leakage occurred were detected near air conditioning units and perimeter areas. Overheating of the areas led to distortion and contraction of the membrane, which led to its failure. All perimeter areas were covered by a zinc sheet to avoid direct solar radiation on the unprotected membrane. The selected plant material required supplemental irrigation during the first 2 months. No further additional watering was given. Ten months later, the vegetation was well established and had covered the surface density. One of the roofs was instrumented to measure a series of factors such as precipitation, stormwater runoff, temperature underneath a roof membrane. It was concluded that some plant species are capable of surviving the extreme climatic conditions in the region on an extensive green roof without additional watering. 12 figs.

  6. Otological Findings Ten Years after Myringotomy with Tympanostomy Tube Insertion

    Directory of Open Access Journals (Sweden)

    Ali Goljanian Tabrizi

    2011-01-01

    Full Text Available Introduction: To study the long-term complications of tympanostomy tube insertion in young children 10 years after surgery.   Materials and Methods: In September 2011, the medical records of all patients who had undergone myringotomy with tympanostomy tube insertion between February 2000 and March 2001 at the two general hospitals of Isfahan University of Medical Sciences were studied. Of the 98 patients who fulfilled the inclusion criteria, 82 patients agreed to participate and were enrolled in the study. The complications of the operation were evaluated in these patients.   Results: Of the 164 ears that were operated on, myringosclerosis was found in 17.1%, atrophy of the tympanic membrane in 1.2%, permanent perforation of the tympanic membrane in 0.6% and tympanic membrane atelectasis in 0.6%. None of the patients developed cholesteatoma as a complication of tympanostomy tube insertion.   Conclusion:  Considering the low risk of serious complications after 10 years, tympanostomy tube insertion is a safe and effective treatment option in the treatment of otitis media with effusion.

  7. The Politics of French University Reform: Ten Years after May.

    Science.gov (United States)

    Ambler, John S.

    1978-01-01

    Examines French higher education in terms of Michel Crozier's theory that views the French as torn between two conflicting desires: to maximize personal autonomy and to assure an ordered and orderly environment. Participation on all levels in the university system is described. (AMH)

  8. Purpose in life predicts allostatic load ten years later.

    Science.gov (United States)

    Zilioli, Samuele; Slatcher, Richard B; Ong, Anthony D; Gruenewald, Tara L

    2015-11-01

    Living a purposeful life is associated with better mental and physical health, including longevity. Accumulating evidence shows that these associations might be explained by the association between life purpose and regulation of physiological systems involved in the stress response. The aim of this study was to investigate the prospective associations between life purpose and allostatic load over a 10-year period. Analyses were conducted using data from the Midlife in the United States (MIDUS) survey. Assessment of life purpose, psychological covariates and demographics were obtained at baseline, while biomarkers of allostatic load were assessed at the 10-year follow-up. We found that greater life purpose predicted lower levels of allostatic load at follow-up, even when controlling for other aspects of psychological well-being potentially associated with allostatic load. Further, life purpose was also a strong predictor of individual differences in self-health locus of control-i.e., beliefs about how much influence individuals can exert on their own health-which, in turn, partially mediated the association between purpose and allostatic load. Although life purpose was also negatively linked to other-health locus of control-i.e., the extent to which individuals believe their health is controlled by others/chance-this association did not mediate the impact of life purpose on allostatic load. The current study provides the first empirical evidence for the long-term physiological correlates of life purpose and supports the hypothesis that self-health locus of control acts as one proximal psychological mechanism through which life purpose may be linked to positive biological outcomes. Copyright © 2015. Published by Elsevier Inc.

  9. Stakeholder perceptions of a school food policy ten years on.

    Science.gov (United States)

    Pettigrew, Simone; Talati, Zenobia; Sauzier, Megan; Ferguson, Amanda

    2018-01-24

    To assess (i) the extent to which stakeholders have accepted and implemented a Healthy Food and Drink Policy for schools a decade after its introduction and (ii) any resulting implications for canteen profitability. Online survey distributed via electronic newsletter to school principals. Western Australian public schools. Principals, teachers, canteen managers, and parents and citizens committee presidents (n 307). Large majorities of respondents reported that the policy has made the foods and drinks provided in schools healthier (85 %) and that the policy constitutes a good opportunity to teach children about healthy eating (90 %). Only small proportions of respondents felt it had been difficult to implement the policy in their schools (13 %) or that the policy fails to accommodate parents' rights to choose the foods consumed by their children (16 %). Most of the policy outcomes assessed in both the initial post-implementation evaluation (2008) and the 10-year follow-up evaluation (2016) demonstrated significant improvement over time. The study results indicate that comprehensive school food policies can favourably influence the foods and drinks provided on school premises and can be highly acceptable to key stakeholders, without adversely affecting profitability. The results are encouraging for policy makers in other jurisdictions considering the implementation of similar policies.

  10. Hospital centralization and performanced in Denmark - ten years on

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Vrangbæk, Karsten

    2017-01-01

    Denmark implemented a major reform of the administrative and political structure in 2007 when the previous 13 counties were merged into five new regions and the number of municipalities was reduced from 271 to 98. A main objective was to create administrative units that were large enough to support....... The reform emphasized an improved acute service and high quality. The number of acute hospitals was reduced from about 40 to 21 hospitals with joint acute facilities. The restructuring and geographical placement of acute hospitals took place in a democratic process subject to central guidelines...

  11. Hospital centralization and performanced in Denmark - ten years on

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Vrangbæk, Karsten

    2017-01-01

    Denmark implemented a major reform of the administrative and political structure in 2007 when the previous 13 counties were merged into five new regions and the number of municipalities was reduced from 271 to 98. A main objective was to create administrative units that were large enough to suppo...

  12. Chandra: Ten Years of Amazing Science with a Great Observatory

    Science.gov (United States)

    Weisskopf, Martin C.

    2009-01-01

    We review briefly review the history of the development of the Chandra X-Ray Observatory, highlighting certain details that many attendees of this Conference might not be aware of. We then present a selection of scientific highlights of the first 10 years of this remarkable and unique mission.

  13. Kwashiorkor: A Prospective Ten-Year Follow-up Study*

    African Journals Online (AJOL)

    recent estimate that 60% of the total pre-school popula- tion of the world (i.e. 300 million children) suffer from ... may reach near normal growth in spite of prolonged periods of undernutrition"" and, in Rhesus monkeys ..... the lowest weights recorded immediately after loss of .oedema were used in all the calculations instead ...

  14. Ten years integrated care for mental disorders in the Netherlands

    Directory of Open Access Journals (Sweden)

    Christina M van der Feltz-Cornelis

    2011-03-01

    Full Text Available Background and problem statement: Integrated care for mental disorders aims to encompass forms of collaboration between different health care settings for the treatment of mental disorders. To this end, it requires integration at several levels, i.e. integration of psychiatry in medicine, of the psychiatric discourse in the medical discourse; of localization of mental health care and general health care facilities; and of reimbursement systems.   Description of policy practice: Steps have been taken in the last decade to meet these requirements, enabling psychiatry to move on towards integrated treatment of mental disorder as such, by development of a collaborative care model that includes structural psychiatric consultation that was found to be applicable and effective in several Dutch health care settings. This collaborative care model is a feasible and effective model for integrated care in several health care settings. The Bio Psycho Social System has been developed as a feasible instrument for assessment in integrated care as well. Discussion: The discipline of Psychiatry has moved from anti-psychiatry in the last century, towards an emancipated medical discipline. This enabled big advances towards integrated care for mental disorder, in collaboration with other medical disciplines, in the last decade. Conclusion: Now is the time to further expand this concept of care towards other mental disorders, and towards integrated care for medical and mental co-morbidity. Integrated care for mental disorder should be readily available to the patient, according to his/her preference, taking somatic co-morbidity into account, and with a focus on rehabilitation of the patient in his or her social roles.

  15. Ten years integrated care for mental disorders in the Netherlands

    Directory of Open Access Journals (Sweden)

    Christina M van der Feltz-Cornelis

    2011-03-01

    Full Text Available Background and problem statement: Integrated care for mental disorders aims to encompass forms of collaboration between different health care settings for the treatment of mental disorders. To this end, it requires integration at several levels, i.e. integration of psychiatry in medicine, of the psychiatric discourse in the medical discourse; of localization of mental health care and general health care facilities; and of reimbursement systems.  Description of policy practice: Steps have been taken in the last decade to meet these requirements, enabling psychiatry to move on towards integrated treatment of mental disorder as such, by development of a collaborative care model that includes structural psychiatric consultation that was found to be applicable and effective in several Dutch health care settings. This collaborative care model is a feasible and effective model for integrated care in several health care settings. The Bio Psycho Social System has been developed as a feasible instrument for assessment in integrated care as well.Discussion: The discipline of Psychiatry has moved from anti-psychiatry in the last century, towards an emancipated medical discipline. This enabled big advances towards integrated care for mental disorder, in collaboration with other medical disciplines, in the last decade.Conclusion: Now is the time to further expand this concept of care towards other mental disorders, and towards integrated care for medical and mental co-morbidity. Integrated care for mental disorder should be readily available to the patient, according to his/her preference, taking somatic co-morbidity into account, and with a focus on rehabilitation of the patient in his or her social roles.

  16. Ten years of multidisciplinary mental health guidelines in the Netherlands.

    Science.gov (United States)

    Franx, Gerdien; Niesink, Peter; Swinkels, Jan; Burgers, Jako; Wensing, Michel; Grol, Richard

    2011-08-01

    From 1999 until 2009 the National Steering Group for Multidisciplinary Guideline Development in Mental Health led a national guideline programme in the Netherlands. Ten service user and carer groups and 30 professional organizations were involved. Within the programme 13 practice guidelines and a range of other deliverables, such as patient versions, checklists and implementation materials, were produced. Lessons learned included the methodology of developing guidelines, service user and carer involvement, and the dissemination and implementation of the guidelines. There are important future challenges such as following a strict and transparent methodology, adhering to process management, improving integration of the service user and professional perspectives, and bridging the gap between guideline and practice.

  17. Beijing--ten years after Mao: country profile.

    Science.gov (United States)

    Rusoff, D

    1987-03-01

    An examination of demographic trends in Beijing--China's capital and the center of its political and cultural life--can yield important information on future consumer trends for the country as a whole. Age and income are the most influential demographic characteristics in determining what people will buy. As a result of economic reforms under Deng Xiaoping, per capita income available for living expenses in urban China almost doubled between 1978 and 1984, from 316 to 608 yuan. By the year 2000, the purchase of commodities in urban staff and worker households is projected to account for 88% of total expenditures, with noncommodity expenditures accounting for the remaining 12%. The average age of 1st marriage and 1st childbirth is gradually rising, while the interval between marriage and 1st birth is decreasing. The fertility rate in Beijing was 1.6 births/woman in 1981 and 91% of all births in 1983 were 1st births. Despite its one-child policy and drastically reduced fertility rates, Beijing's population will continue to grow until the large numbers of young people born during the high fertility period of the 1950s and 1960s pass out of their childbearing years. Given a life expectancy of 78 years for men and 80 years for women and an average of 1.5 births/woman, the proportion of those over age 65 years in China is projected to stand at 29% by 2040. This trend toward demographic aging suggests a need to revamp social policies to alleviate the stress placed on Chinese families and increase financial aid to the elderly. There have been proposals to adopt a norm that would allow couples 2 children spaced 8-10 years apart. The average household size in Beijing in 1982 was 3.9 persons, with 2.3 jobholders/household. Between 1981 and 1984, the percentage of urban households having annual per capita incomes above 600 yuan rose from 18% to 49%.

  18. Stevens Johnson syndrome in Pakistan: a ten-year survey.

    Science.gov (United States)

    Ahmed, Y I; Azeem, S; Khan, O; Majid, T H; Ahmed, D; Amin, A; Mahmood, A; Hameed, K

    2004-06-01

    A pre-tested questionnaire-based, retrospective study to highlight the causative factors, mode of presentation, complications and outcome of patients with Stevens Johnson syndrome. Aga Khan University Hospital over a 10 year period. All case records with a diagnosis of Steven Johnson Syndrome in the period 1990 to 2000 were retrospectively reviewed. Data was retrieved on a comprehensive questionnaire. The demographic variatbles and drugs taken within the previous 21 days were noted. Date analysis was done by Epi-Info Version 6.0. Of the 101 studied patient files, the most common offender was found to be the Penicillins as a group and Sulfadoxine-Pyrimethamine (Fansidar) when considering all drugs individually. Most common complications included electrolyte disturbances (13.9%) and congestive heart failure (6.9%). Mortality rate was high at 10.1%. SJS was found to be a rare condition but having a mortality rate of 10.1%. As it can be induced by a large number of drugs, caution should be practiced while prescribing.

  19. Laser Fusion: The First Ten Years 1962-1972

    Energy Technology Data Exchange (ETDEWEB)

    Kidder, R E

    2006-07-06

    This account of the beginning of the program on laser fusion at Livermore in 1962, and its subsequent development during the decade ending in 1972, was originally prepared as a contribution to the January 1991 symposium 'Achievements in Physics' honoring Professor Keith Brueckner upon his retirement from the University of San Diego at La Jolla. It is a personal recollection of work at Livermore from my vantage point as its scientific leader, and of events elsewhere that I thought significant. This period was one of rapid growth in which the technology of high-power short-pulse lasers needed to drive the implosion of thermonuclear fuel to the temperature and density needed for ignition was developed, and in which the physics of the interaction of intense light with plasmas was explored both theoretically and experimentally.

  20. Ten Years in the Academic Integrity Trenches: Experiences and Issues

    Science.gov (United States)

    Atkinson, Doug; Nau, S. Zaung; Symons, Christine

    2016-01-01

    In 2016, our university launched its Academic Integrity Program (AIP) in order to promote and protect academic integrity. All commencing students must complete this online AIP within 14 days of starting their course. Satisfactory completion of this module with a test score of 80% is required before students can access their course materials.…

  1. TESTICULAR TUMORS IN PORT HARCOURT (A ten-year review)

    African Journals Online (AJOL)

    testicular tumors.12 '. RESULTS. A'total of twelve testicular tumours were reviewed. The yOungest patient was 3 years old while the oldest was. 48 years old. I. Table 1 ... 66.7% preschool age group and drivers had 16.7% each. Table I : Age distribution of; patients with testicular tumours. Age group Number Percent in years.

  2. Ten Years of Tamoxifen Reduces Breast Cancer Recurrences, Improves Survival

    Science.gov (United States)

    ... Years of Tamoxifen Reduces Breast Cancer Recurrences, Improves Survival For some women with breast cancer , taking adjuvant ... Years of Tamoxifen Reduces Breast Cancer Recurrences, Improves Survival was originally published by the National Cancer Institute.” ...

  3. Permitting of Landfill Bioreactor Operations: Ten Years after ...

    Science.gov (United States)

    Prior to promulgation of the Rule, there were approximately 20 full-scale bioreactor projects in North America, including one in Canada. Of these, six were permitted by EPA (four Project XL sites and two projects listed separately under a cooperative research agreement at the Outer Loop Landfill in Kentucky). In March 2014, there were about 40 bioreactor projects reported, including 30 active RD&D projects in 11 approved states and one project on tribal lands. Wisconsin features the largest number of projects at 13, due primarily to the fact that landfill owners in the state must either eliminate landfill disposal of biodegradable materials or to achieve the complete stabilization of deposited organic waste at MSW landfills within 40 years after closure. Most landfill operators have selected a bioreactor approach to attempt to achieve the latter goal. In summary, only 16 of 50 (32%) states have currently adopted the Rule, meaning that development of RD&D permitting procedures that are consistent with EPA’s requirements has generally not occurred. The predominant single reason cited for not adopting the Rule was lack of interest amongst landfill facilities in the state. Subtitle D and its state derivatives already allow leachate recirculation over prescriptive (i.e., minimum technology) liner systems, which is often the primary goal of site operators seeking to control leachate treatment costs. Other reasons related to concerns over increased time, cost

  4. Radiosurgery as treatment for acoustic neuroma. Ten years' experience.

    Science.gov (United States)

    Llópez Carratalá, Ignacio; Escorihuela García, Vicente; Orts Alborch, Miguel; de Paula Vernetta, Carlos; Marco Algarra, Jaime

    2014-01-01

    The acoustic neuroma is a benign tumour that usually affects the vestibular portion of the vestibulocochlear nerve. It represents 8% of all intracranial tumours and 80% of those arising at the cerebellopontine angle. There are 3 treatment options: microsurgery (the technique of choice), radiosurgery and observation. The objective of the study was to evaluate the results and side effects obtained using radiosurgery as treatment for acoustic neuroma. We performed a review of all patients treated with radiosurgery (Gamma Knife and linear accelerator) at doses of 1200-1300 cGy for unilateral acoustic neuroma in our hospital from January 1999 until January 2010. In all patients we evaluated the overall state, tumour growth control rate (tumour smaller or remaining the same size), the involvement of v and vii cranial nerves and central nervous system disorders. We also assessed follow-up time and changes in hearing thresholds after radiosurgery. From a total of 35 patients studied, with a mean age of 58.29 years and lacking statistically significant differences in gender, the tumour growth control rate was over 90%. The main reason for visit (65.71%) was unilateral and progressive hearing loss. After treatment, 34.28% of patients had hearing loss. The involvement of the cranial nerves (v-vii) was transitory in 100% of cases. Gamma Knife radiosurgery was administered in 82.85% of patients. Although microsurgery is the treatment of choice for acoustic neuroma, we consider radiosurgery as a valid alternative in selected patients (elderly, comorbidity, small tumour size and sensorineural hearing loss, among others). Copyright © 2013 Elsevier España, S.L.U. y Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial. All rights reserved.

  5. Ten years at war: comprehensive analysis of amputation trends.

    Science.gov (United States)

    Krueger, Chad A; Wenke, Joseph C; Ficke, James R

    2012-12-01

    While multiple studies have examined amputations that have occurred during the current conflicts in Iraq and Afghanistan, none of these studies have provided an overarching characterization of all of these injuries. A retrospective study of all major extremity amputations sustained by US Service Members from January 2001 through July 30, 2011, was performed. Data obtained from these amputees included amputation level(s), mechanism of injury, time to amputation, Injury Severity Score (ISS), age, rank, number of trauma admissions, and number of troops deployed. There were 1,221 amputees who met inclusion criteria. These amputees sustained a total of 1,631 amputations. The number of amputations performed each year has increased dramatically in 2010 (196) and the first half of 2011 (160) from 2008 (105) and 2009 (94). The number of amputations performed per every 100 traumatic admissions (3.5-14) and the number of amputations per 100,000 deployed troops (2-14) has also increased in 2010 and the first half of 2011. Most amputations occurred at the transtibial (683, 41.8%) and transfemoral (564, 34.5%) levels. Thirty percent of the amputees (366) sustained multiple amputations, and 14% of all amputations (228) performed involved the upper extremity. There were 127 amputees (10%) who underwent their amputation more than 90 days after the date of injury. The number of amputations occurring during the current Iraqi and Afghanistan conflicts has increased in 2010 and the first half of 2011. Most amputations involve the lower extremities, and there is a much higher percentage of amputees who have sustained multiple amputations during current operations than previous conflicts. Epidemiologic study, level IV.

  6. The Gestational Trophoblastic Diseases: A Ten Year Retrospective Study

    Directory of Open Access Journals (Sweden)

    Razieh Mohammadjafari

    2010-01-01

    Full Text Available Background: Gestational trophoblastic disease (GTD defines a heterogenenous group ofinterrelated lesions that arise from the trophoblastic epithelium of the placenta. There are severalhistologically distinct types of GTD: hydatiform mole (complete or partial, persistant/invasivegestational trophoblastic neoplasia (GTN, choriocarcinoma and placenta site trophoblastictumors. The aim of this study was to determine the frequency and risk factors of GTD amongwomen admitted to Imam Khomeini Hospital in Ahvaz, Iran.Materials and Methods: This was a cross-sectional study conducted at Imam KhomeiniHospital in Ahvaz, Iran. All hospital records related to GTD (132 from 1996 until 2006 werereviewed. Demographic and histo-pathologic characteristics were extracted. Chi-square andFisher-exact tests were used to analyze all variables. P ≤ 0.05 was considered statisticallysignificant. SPSS, version 11 was used for statistical analysis.Results: The mean age of patients was 27.6 years. Most patients who presented with GTDwere of ages 18-35 years (71.3%. There was no relationship between age and hydatiformmole during the reproductive years. There were 28 (18.9% patients over the age 40, of which18 (15.90% of these had a complete hydatiform mole. Within this group, 9 (6.8% changedto a persistent mole. There was a significant relationship between age over 40 and completemole (p<0.02. The percentage of patients with blood groups A and O was the same (37.9%.There was a significant relationship between blood groups (O+ and A+ and complete mole(p<0.05.Conclusion: The most common age range for hydatiform mole was 18-35 years. Women overthe age of 40 had a more complete hydatiform mole, which is similar to the other countries.Age and blood group are two risk factors for hydatiform mole.

  7. The Last Ten Years in the Bristish Education System

    OpenAIRE

    Rodriguez Rico, Juan Antonio

    2016-01-01

    Después de la Segunda Guerra mundial, Gran Bretaña se encontró con una escasez de trabajadores cualificados sin precedente. El problema más importante era como animar a la población más joven a continuar su educación ya que cada uno de ellos era una pieza imprescindible en la reconstrucción nacional y en la imagen internacional del país. La discriminación racial y la filosofía de Charles Darwin ayudó a elaborar la idea que el británico blanco tenía la superioridad económica , moral e inte...

  8. Minimal intervention dentistry procedures: a ten year retrospective study.

    Science.gov (United States)

    Freitas, Mfl; Santos, Jm; Fuks, A; Bezerra, Acb; Azevedo, Tdpl

    2014-01-01

    Minimal Intervention Dentistry (MID) is an effective treatment approach with increasing acceptance among dental professionals. This study aimed to evaluate the MID impact on Dentistry by analyzing procedures performed on patients treated at a Pediatric Dentistry Graduate Program clinic which implemented MID. The number of procedures including sealants, modified atraumatic restorative treatment (mART), resin crowns, direct pulp capping, pulpotomy, pulpectomy, and deciduous/ permanent extractions from 333 pediatric patients treated between the years 2001 to 2003 and 2008 to 2010 in Distrito Federal, Brazil were analyzed. Statistical analysis involved chi-square and G Williams tests. 783 procedures were analyzed and demonstrated that there was a significant reduction of sealant placement in the last triennium when compared to the first one (ppulpectomy (p=0.0002). Based on the results, MID represented a positive impact on the intervention on caries lesions in patients, mainly reflected by the significant reduction in the number of direct pulp capping, pulpotomy and pulpectomy.

  9. “Crowdsourcing” ten years in: A review

    Science.gov (United States)

    Wazny, Kerri

    2017-01-01

    Background First coined by Howe in 2006, the field of crowdsourcing has grown exponentially. Despite its growth and its transcendence across many fields, the definition of crowdsourcing has still not been agreed upon, and examples are poorly indexed in peer–reviewed literature. Many examples of crowdsourcing have not been scaled–up past the pilot phase. In spite of this, crowdsourcing has great potential, especially in global health where resources are lacking. This narrative review seeks to review both indexed and grey crowdsourcing literature broadly in order to explore the current state of the field. Methods This is a review of reviews of crowdsourcing. Semantic searches were conducted using Google Scholar rather than indexed databases due to poor indexing of the topic. 996 articles were retrieved, of which 69 were initially identified as being reviews or theoretically–based. 21 of these were found to be irrelevant and 48 articles were reviewed. Results This narrative review focuses on defining crowdsourcing, taxonomies of crowdsourcing, who constitutes the crowd, research that is amenable to crowdsourcing, regulatory and ethical aspects of crowdsourcing and some notable examples of crowdsourcing. Conclusions Crowdsourcing has the potential to be hugely promising, especially in global health, due to its ability to collect information rapidly, inexpensively and accurately. Rigorous ethical and regulatory controls are needed to ensure data are collected and analysed appropriately and crowdsourcing should be considered complementary to traditional research methods. PMID:29302322

  10. Ten Years of Cloud Optical and Microphysical Retrievals from MODIS

    Science.gov (United States)

    Platnick, Steven; King, Michael D.; Wind, Galina; Hubanks, Paul; Arnold, G. Thomas; Amarasinghe, Nandana

    2010-01-01

    The MODIS cloud optical properties algorithm (MOD06/MYD06 for Terra and Aqua MODIS, respectively) has undergone extensive improvements and enhancements since the launch of Terra. These changes have included: improvements in the cloud thermodynamic phase algorithm; substantial changes in the ice cloud light scattering look up tables (LUTs); a clear-sky restoral algorithm for flagging heavy aerosol and sunglint; greatly improved spectral surface albedo maps, including the spectral albedo of snow by ecosystem; inclusion of pixel-level uncertainty estimates for cloud optical thickness, effective radius, and water path derived for three error sources that includes the sensitivity of the retrievals to solar and viewing geometries. To improve overall retrieval quality, we have also implemented cloud edge removal and partly cloudy detection (using MOD35 cloud mask 250m tests), added a supplementary cloud optical thickness and effective radius algorithm over snow and sea ice surfaces and over the ocean, which enables comparison with the "standard" 2.1 11m effective radius retrieval, and added a multi-layer cloud detection algorithm. We will discuss the status of the MOD06 algorithm and show examples of pixellevel (Level-2) cloud retrievals for selected data granules, as well as gridded (Level-3) statistics, notably monthly means and histograms (lD and 2D, with the latter giving correlations between cloud optical thickness and effective radius, and other cloud product pairs).

  11. Characteristics of ten-year old self-directed learners

    Directory of Open Access Journals (Sweden)

    Rydze Oxana A.

    2016-01-01

    Full Text Available This paper discusses the development of the skill to learn in the context of the Federal State Educational Standard (FSES requirements of primary education. The author analyses three groups of typical difficulties of the dependent students and gives the examples of their emergence during carrying out mathematics practice test. The article also defines the strategies to develop successful and effective self-directed learners.

  12. Ten-year retrospective: OPEC and the world oil market

    Energy Technology Data Exchange (ETDEWEB)

    Gately, D.

    1984-09-01

    This paper reviews the main events in the world oil market since 1973 and some major explanations as to what happened and why (Section I). Then there is a discussion of some projections for the next two decades and of some implications of various theories about OPEC's decisionmaking process (Section II). Section III summarizes what we have learned about modeling OPEC and the world oil market. This includes: the dominant theoretical approach based on the wealth-maximization model of Harold Hotelling (1931); the simulation approach most common in the applied literature, which envisages target-capacity-utilization pricing by OPEC; and the difficult problem of modeling price behavior during disruptions. Finally, Section IV discusses some important unresolved issues, both theoretical and empirical. A variety of contributions to the literature are considered, but the discussion pays special attention to two important recent works. One is the book OPEC Behavior and World Oil Prices (1982) (EAPA 9:3899) edited by James Griffin and David Teece, an important collection of papers on OPEC and world oil, prepared for a 1981 conference at the University of Houston. The other is the 1980 to 1981 world oil study by the Energy Modeling Forum of Stanford Univesity, which involved ten prominent models of the world oil market. 31 references.

  13. Interventions and outcomes infetal hydrops - a ten year experience

    LENUS (Irish Health Repository)

    O'Sullivan, C

    2011-02-01

    Institute of Obstetricians & Gynaecologists, RCPI Four Provinces Meeting, Junior Obstetrics & Gynaecology Society Annual Scientific Meeting, Royal Academy of Medicine in Ireland Dublin Maternity Hospitals Reports Meeting, Nov 2010

  14. A Ten Year Citation Analysis of Major Australian Research Institutions

    Science.gov (United States)

    Batterham, Robin J.

    2011-01-01

    The introduction of the Excellence in Research for Australia scheme has heightened debate amongst research institutions over the use of metrics such as citations, especially given the ready availability of citation data. An analysis is presented of the citation performance of nine Australian universities and the Commonwealth Scientific, Industrial…

  15. Ten years on, the web spans the globe

    CERN Multimedia

    Dalton, A W

    2003-01-01

    Short article on the history of the WWW. Prof Berner-Lee states that one of the main reasons the web was such a success was due to CERN's decision to make the web foundations and protocols available on a royalty-free basis (1/2 page).

  16. Ten year neurocognitive trajectories in first-episode psychosis

    DEFF Research Database (Denmark)

    Simonsen, Erik; Barder, Helene E.; Sundet, Kjetil

    2013-01-01

    Memory for patients with psychotic relapse in the first year[F-(4,F- (38)) = 5.8, p = 0.001, eta(2) = 0.40]. Conclusions: Main findings are long-term stability in neurocognitive functioning in FEP patients, with the exception of verbal memory in patients with psychotic relapse or non-remission early......Objective: Neurocognitive impairment is commonly reported at onset of psychotic disorders. However, the long-term neurocognitive course remains largely uninvestigated in first episode psychosis (FEP) and the relationship to clinically significant subgroups even more so. We report 10 year...... longitudinal neurocognitive development in a sample of FEP patients, and explore whether the trajectories of cognitive course are related to presence of relapse to psychosis, especially within the first year, with a focus on the course of verbal memory. Method: Forty-three FEP subjects (51% male, 28 +/- 9...

  17. NHS litigation in bariatric surgery over a ten year period.

    Science.gov (United States)

    Ratnasingham, Kumaran; Knight, James; Liu, Mamie; Karatsai, Eleni; Humadi, Samer; Irukulla, Shashi

    2017-04-01

    Negligence claims in the UK NHS has increased over the last 30 years. The aim of this present study was determine the number of claims and the cost of litigation in Bariatric Surgery and compare it to similar other specialties. Data was received from NHS Litigation Authority (NHSLA) in response to Freedom of Information data request. There was a total of 7 claims, of which 4 were successful. The total pay out sum was £210,000 in 10 years. This is a very low amount compared to other surgical specialties. This low level of litigation probably indicates that the current bariatric surgical services in the NHS are delivering safe care with good patient satisfaction. This needs to be carefully considered prior to changing the payment tariffs for bariatric surgery. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  18. Perspective on the next ten years in plasma physics

    Energy Technology Data Exchange (ETDEWEB)

    Killeen, J.

    1985-04-01

    A brief survey of developments in the plasma physics of magnetic fusion research is presented. The major experimental facilities of the next decade are listed. Eight fusion physics issues are identified which must be addressed as a complete plasma system in order to reach the goal of a fusion reactor. In order to resolve the physics issues the results from these new experimental facilities must be augmented by an extensive program of computer modeling. The use of computer models of a magnetically confined plasma and the implementation of these models on the new supercomputers of the next decade are the main topics of this paper.

  19. REVIEW ARTICLE PAEDIATRIC MALARIA: A TEN-YEAR ...

    African Journals Online (AJOL)

    boaz

    and contributes to drug resistance. Finally, appropriate antimalarial drugs for treatment should be given free to all malaria positive children. Keywords: Malaria, paediatric patients, parasite density, prevalence, laboratory diagnosis, treatment. INTRODUCTION. The bare facts are that malaria is a public health problem in more ...

  20. Vietnam 1963-1973: Ten Years of Operational Contract Support

    Science.gov (United States)

    2014-05-22

    determine which contractors operate within the market.29 This study uses the framework of the microeconomic phenomenon of monopsony to explain the...increases. Third, when the size of the military decreases, then the dependence on PMCs increases. In order to 27Edwin Mansfield, Microeconomics ...operates in an imbalanced market where the U.S. Government becomes the sole buyer on the demand side. This is a microeconomic phenomenon known as

  1. Molar pregnancy: a ten year review at Onitsha, Nigeria | Obiechina ...

    African Journals Online (AJOL)

    The incidence of molar pregnancy was 1:332 deliveries or 1.416 pregnancies. There was no definite age pattern in the distribution of molar pregnancy. The commonest clinical presentation was recurrent vaginal bleeding 90.6% while the least was uterine size less than date in 3.8% of the cases. Syntocinon induction with ...

  2. Development of a ten-year pulse research strategy | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Enhanced Preservation of Fruits Using Nanotechnology (CIFSRF Phase 2). Poor handling of fruit results in post-harvest losses of nearly 40% in tropical countries. View moreEnhanced Preservation of Fruits Using Nanotechnology (CIFSRF Phase 2) ...

  3. TEN-YEAR MORTALITY REVIEW IN A PIONEER PSYCHIATRIC ...

    African Journals Online (AJOL)

    Kateee

    2003-07-01

    Jul 1, 2003 ... FWACP, Consultant Psychiatrist/ Director of Clinical Services, Psychiatric Hospital, Yaba, Lagos, Nigeria, and A. O. Owoeye, MBChB, Senior Registrar in ... 1:1.6. Schizophrenia (26%) and major depression (25%) constituted the main psychiatric diagnoses at the time of admission among the cohort.

  4. Ten-year publication trends in dermatology in mainland China.

    Science.gov (United States)

    Xin, Shujun; Mauro, Jacqueline A; Mauro, Theodora M; Elias, Peter M; Man, Mao-Qiang

    2014-10-01

    China has been experiencing huge changes in all aspects, including dermatologic research, since its reform in 1978. However, it is not known how the economic and intellectual development has influenced the publication trends in the field of dermatology, which could mirror the scientific development in other medical disciplines. In the present study, we analyzed publication trends from dermatology departments in mainland China from 2002 to 2011. All publication data were obtained from www.pubmed.com. Only papers published from dermatology departments in mainland China were used for analysis. The number of publications increased 10-fold over this 10-year period. A total of 1231 articles were published in English in 251 journals between 2002 and 2011. A total of 129 journals published only one paper from dermatology departments in mainland China. Over 60% of articles were original research, and 21.7% were case reports. Among these 251 journals, foremost was the Journal of Clinical Experimental Dermatology, which published 5.9% of all papers from mainland China; 2.7% of papers were published in the Journal of Investigative Dermatology. The number of publications positively correlated with the changes in gross domestic product per capita during the study period. These results suggest that the number of publications in the dermatology field has increased markedly in mainland China over the last 10 years. This dramatic increase in publications could be attributed, at least partially, to the significant improvement in economic conditions in mainland China. © 2013 The International Society of Dermatology.

  5. Ten-Year Course of Borderline Personality Disorder

    Science.gov (United States)

    Gunderson, John G.; Stout, Robert L.; McGlashan, Thomas H.; Shea, M. Tracie; Morey, Leslie C.; Grilo, Carlos M.; Zanarini, Mary C.; Yen, Shirley; Markowitz, John C.; Sanislow, Charles; Ansell, Emily; Pinto, Anthony; Skodol, Andrew E.

    2011-01-01

    Context Borderline personality disorder (BPD) is traditionally considered chronic and intractable. Objective To compare the course of BPD’s psychopathology and social function with that of other personality disorders and with major depressive disorder (MDD) over 10 years. Design A collaborative study of treatment-seeking, 18-to 45-year-old patients followed up with standardized, reliable, and repeated measures of diagnostic remission and relapse and of both global social functioning and subtypes of social functioning. Setting Nineteen clinical settings (hospital and outpatient) in 4 northeastern US cities. Participants Three study groups, including 175 patients with BPD, 312 with cluster C personality disorders, and 95 with MDD but no personality disorder. Main Outcome Measures The Diagnostic Interview for DSM-IV Personality Disorders and its follow-along version (the Diagnostic Interview for DSM-IV Personality Disorders–Follow-Along Version) were used to diagnose personality disorders and assess changes in them. The Structured Clinical Interview for DSM-IV Axis I Disorders and the Longitudinal Interval Follow-up Evaluation were used to diagnose MDD and assess changes in MDD and in social function. Results Eighty-five percent of patients with BPD remitted. Remission of BPD was slower than for MDD (Ppersonality disorders (Ppersonality disorders (P=.008). All BPD criteria declined at similar rates. Social function scores showed severe impairment with only modest albeit statistically significant improvement; patients with BPD remained persistently more dysfunctional than the other 2 groups (Pdisorder. PMID:21464343

  6. Radiation safety assessment and development of environmental radiation monitoring technology

    CERN Document Server

    Choi, B H; Kim, S G

    2002-01-01

    The Periodic Safety Review(PSR) of the existing nuclear power plants is required every ten years according to the recently revised atomic energy acts. The PSR of Kori unit 1 and Wolsong unit 1 that have been operating more than ten years is ongoing to comply the regulations. This research project started to develop the techniques necessary for the PSR. The project developed the following four techniques at the first stage for the environmental assessment of the existing plants. 1) Establishment of the assessment technology for contamination and accumulation trends of radionuclides, 2) alarm point setting of environmental radiation monitoring system, 3) Development of Radiation Safety Evaluation Factor for Korean NPP, and 4) the evaluation of radiation monitoring system performance and set-up of alarm/warn set point. A dynamic compartment model to derive a relationship between the release rates of gas phase radionuclides and the concentrations in the environmental samples. The model was validated by comparing ...

  7. The France energy situation; La situation energetique de la France

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    This analysis of the french energy situation provides information and key data on some key facts about the energy in France, the France energy supply and demand, the major principles of energy policy, the challenges of french energy policy and the DGEMP (general directorate for energy and raw materials). (A.L.B.)

  8. [Situational reactions in suicidologic practice].

    Science.gov (United States)

    Ambrumova, A G; Vrono, E M

    1985-01-01

    The paper is devoted to the description of suicidal manifestations in mentally normal adolescents among typical behavioural disorders characteristic of situational reactions of this age. Three types of suicido-dangerous situational responses of adolescents were specified with regard to their age and auto-and heteaggressiveness ratio: reaction of deprivation, explosive reaction and reaction of auto-elimination. Suicidogenic conflicts were analyzed and spheres of age-specific suicidal conflicts were defined. It is advisable that outpatient management of mentally normal adolescents with a history of a suicidal attempt be conducted in a special room of presentive suicidological service.

  9. Upper secondary students’ situational interest:

    DEFF Research Database (Denmark)

    Dohn, Niels Bonderup

    2013-01-01

    ’ interest was investigated by a descriptive interpretive approach, based on data from classroom and field trip observations, video recording, and interviews. The findings provided evidence that substantial situational interest can be generated during a fieldtrip to a zoo. Students’ interest was triggered......This paper comprises a presentation of the findings of a case study that investigated how situational factors triggered 12th grade students’ interest during a field trip to a zoo. The purpose was to identify sources of interest and to investigate the attributes that make them interesting. Students...

  10. Cyber defense and situational awareness

    CERN Document Server

    Kott, Alexander; Erbacher, Robert F

    2015-01-01

    This book is the first publication to give a comprehensive, structured treatment to the important topic of situational awareness in cyber defense. It presents the subject in a logical, consistent, continuous discourse, covering key topics such as formation of cyber situational awareness, visualization and human factors, automated learning and inference, use of ontologies and metrics, predicting and assessing impact of cyber attacks, and achieving resilience of cyber and physical mission. Chapters include case studies, recent research results and practical insights described specifically for th

  11. Energy consumption of office buildings and shopping centres - Developments over the last ten years and potential for optimisation; Energieverbrauch von Buerogebaeuden und Grossverteilern. Erhebung des Strom- und Waermeverbrauchs, der Verbrauchsanteile, der Entwicklung in den letzen 10 Jahren und Identifizierung der Optimierungspotentiale

    Energy Technology Data Exchange (ETDEWEB)

    Aiulfi, D.; Maschio, I.; Dellsperger, V.; Brunet, L. [Sorane SA, rationalisation energetique, Ecublens (Switzerland); Primas, A.; Hagel, M; Benz-Karlstroem, P. [Basler und Hofmann Ing. und Planer AG, Zuerich (Switzerland); Jakob, M.; Honegger-Ott, A.; Grodofzig Fuerst, B. [Centre for Energy Policy and Economics (CEPE) und TEP Energy GmbH, Zuerich (Switzerland)

    2010-01-15

    This comprehensive report for the Swiss Federal Office of Energy (SFOE) takes a look at the results of a study which investigated developments concerning the energy consumption of office buildings and supermarkets over the past ten years and the potential available for optimisation. The aims of the project are discussed as is its implementation. Data collection principles and case studies are discussed, as are terminologies and norms used and recommendations made. Performance figures for space heating and electricity consumption are looked at. In particular, the energy consumption of office buildings and developments in this area are examined. Also, the energy consumption of large-scale consumers such as shopping centres is looked at, including the analysis of energy consumption for lighting, heating, air-conditioning and ventilation. The report is augmented with recommendations and a literature list.

  12. Situated Learning: Conceptualization and Measurement

    Science.gov (United States)

    Goel, Lakshmi; Johnson, Norman; Junglas, Iris; Ives, Blake

    2010-01-01

    A focus on the interaction between cognitive schemas and context in situ has been suggested as fundamental in organizational decision making and information interpretation. Past research suggests that the situation and the social interaction that occur during learning at the cognitive level consist of factors that affect the process, but the…

  13. Average Convexity in Communication Situations

    NARCIS (Netherlands)

    Slikker, M.

    1998-01-01

    In this paper we study inheritance properties of average convexity in communication situations. We show that the underlying graph ensures that the graphrestricted game originating from an average convex game is average convex if and only if every subgraph associated with a component of the

  14. Albanian: Basic Course. Basic Situations.

    Science.gov (United States)

    Defense Language Inst., Monterey, CA.

    The purpose of this volume is to provide the student with a vehicle for reviewing the grammar and vocabulary of Lessons 1-120 of "Albanian: Basic Course," and, with practice and the help of new words and idioms, increasing his fluency and scope of expression. The volume contains eleven units, each unit describing a situation, which in turn is…

  15. The Language Situation in Macao

    Science.gov (United States)

    Yan, Xi

    2017-01-01

    In postcolonial societies, forces associated with globalization operate along with local geopolitical changes. The complex and multifaceted interactions between local, national, and global forces may take different sociolinguistic shapes in postcolonial societies. This study provides an overview of the language situation in Macao. The Portuguese…

  16. Environmental factors and semen quality

    DEFF Research Database (Denmark)

    Jurewicz, Joanna; Hanke, Wojciech; Radwan, Michal

    2009-01-01

    OBJECTIVES: An increasing number of reports suggest that chemical and physical agents in the environment, introduced and spread by human activity, may affect male fertility in humans. This article aims at evaluating the impact of environmental exposures (pesticides, phthalates, PCBs, air pollution......, trihalomethanes (THMs), mobile phones) on semen quality, by reviewing most recent published literature. MATERIALS AND METHODS: Epidemiological studies focusing on exposure to environmental factors and semen quality for the last ten years were identified by a search of the Pubmed, Medline, Ebsco, Agricola...... motility but also the sperm counts, viability and morphology. In spite of their consistent results, most of the studies are rather small. Association between exposure to THMs and poor semen quality was not observed. CONCLUSIONS: Epidemiological studies suggest awareness of environmental factors which may...

  17. Nuclear situation in Japan; La situation du nucleaire au Japon

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    This analysis takes stock on the nuclear situation in Japan. It discusses the ambitious equipment program in collaboration with the France, the destabilization of the japanese nuclear industry following the accidents and the energy policy evolutions. It presents the projects of the japanese nuclear industry: the Monju reactor restart, the Pluthermal project, the reprocessing power plant of Rokkasho Mura, the new reactors, the russian weapons dismantling, the ITER site selection and the buy out of Westinghouse by Toshiba. (A.L.B.)

  18. Editorial: Situated Culture, Ethics and New Learning Theory ...

    African Journals Online (AJOL)

    Editorial: Situated Culture, Ethics and New Learning Theory: Emerging Perspectives in Environmental Education Research. H Lotz-Sisitka. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE ...

  19. Situation Awareness in Sea Kayaking: Towards a Practical Checklist

    Science.gov (United States)

    Aadland, Eivind; Vikene, Odd Lennart; Varley, Peter; Moe, Vegard Fusche

    2017-01-01

    Ever-changing weather and sea conditions constitute environmental hazards that sea kayakers must pay attention to and act upon to stay safe. The aim of this study was to propose a tool to aid sea kayakers' situation awareness (SA). We developed a checklist guided by theory on the concept of SA and expert problem detection, judgement and…

  20. Upper secondary students’ situational interest:

    DEFF Research Database (Denmark)

    Dohn, Niels Bonderup

    2013-01-01

    This paper comprises a presentation of the findings of a case study that investigated how situational factors triggered 12th grade students’ interest during a field trip to a zoo. The purpose was to identify sources of interest and to investigate the attributes that make them interesting. Students......’ interest was investigated by a descriptive interpretive approach, based on data from classroom and field trip observations, video recording, and interviews. The findings provided evidence that substantial situational interest can be generated during a fieldtrip to a zoo. Students’ interest was triggered....... The study implies that zoo visits can provide students with affective experiences, which can be a powerful way to stimulate students’ learning motivation....