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Sample records for twenty sections provide

  1. PLSS Townships and Sections, Section, range, townships given to us by R&S Digital, Published in Not Provided, Norton County Appraisal Office.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This PLSS Townships and Sections dataset, was produced all or in part from Not Provided information as of Not Provided. It is described as 'Section, range, townships...

  2. Cesarean section rate in Iran, multidimensional approaches for behavioral change of providers: a qualitative study.

    Science.gov (United States)

    Yazdizadeh, Bahareh; Nedjat, Saharnaz; Mohammad, Kazem; Rashidian, Arash; Changizi, Nasrin; Majdzadeh, Reza

    2011-07-05

    The cesarean section rate has been steadily rising from 35% in 2000 to 40% in 2005 in Iran. The objective of this study was to identify barriers of reduce the cesarean section rate in Iran, as perceived by obstetricians and midwives as the main behavioral change target groups. A qualitative study with purposive sampling was designed in which data were collected through in-depth interviews and document analyses. Hospitals were selected on the bases of being public and or private and their response to the ministry's C-section reduction interventions. The hospital director, obstetricians and midwives from each hospital were included in the study. The classification of barriers suggested by Grol and Wensing was used for the thematic analysis. After 26 in-depth interviews and document analyses, the barriers were identified as: financial, insurance and judicial problems at the economic and political context level; the type and ownership of hospitals, absence of an on call physician, absence of clear job-descriptions for obstetricians and midwives, too many interventions in the delivery process and shortage of human resources and facilities at the organizational context level; distrust and insufficient collaborations between obstetricians and midwives from macro to micro level at the social context level; attitudes toward complications of C-section, reduced capabilities of obstetricians, midwives and residents at the individual professional level; and finally, at the innovation level, vaginal delivery is time consuming, imposes high stress levels and is unpredictable. Changing service providers' behavior is not possible through presentation of scientific evidence alone. A multi-level and multidisciplinary approach using behavior change theories is unavoidable. In future studies, the effect of the barriers should be determined to help policy makers recognize the most effective interventional package.

  3. Cultural Competence among Maternal Healthcare Providers in Bahir Dar City Administration, Northwest Ethiopia: Cross sectional Study.

    Science.gov (United States)

    Aragaw, Amanu; Yigzaw, Tegbar; Tetemke, Desalegn; G/Amlak, Wubalem

    2015-09-24

    Cultural competency is now a core requirement for maternal health providers working in multicultural society. However, it has not yet received due attention in Ethiopia. This study aimed to determine the level of cultural competence and its associated factors among maternal health care providers in Bahir Dar City Administration, Northwest Ethiopia. Institution based cross-sectional study was carried out using both quantitative and qualitative methods. Maternal health care providers from all health facilities were our study participants. Structured Questionnaire with some modification of Campinha Bacote's tool was used to collect quantitative data from health workers and semi structured guide line was used for qualitative data among women. While quantitative data analysis was done using SPSS, qualitative data was analyzed using open code software. P-value of less than 0.05 was taken to determine statistical significance. Cronbach's alpha was used to test internal reliability and a factor loading of 0.3 or greater was the criterion used to retain items. Two hundred seventy four health workers and seven women were involved in the study. The overall competency level was 57.3 % thought vary in different subscales or stages. Of the cultural competent health workers near to three fourth (73.0 %) were in awareness stage which is the earliest stage of competence in which individuals were aware only their own culture but not the world view of their clients. The voices of mothers in the qualitative assessment also showed discordance in cultural competence with their healthcare providers. Female health workers almost six times [AOR,5.5; 2.71, 11.30] more competent than male providers and those who got in-service training related to maternal care provided services more culturally competent than their counter parts with [AOR,3.5; 1.4, 8.64]. Reliability Cronbach's α coefficient value of cultural competence subscales showed 0.672,0 .719, 0.658, 0.714, and 0.631 for cultural

  4. Cross-Sectional Survey of Physicians on Providing Volunteer Care for In-Flight Medical Events.

    Science.gov (United States)

    Chatfield, Eric; Bond, William F; McCay, Bradley; Thibeault, Claude; Alves, Paulo M; Squillante, Marc; Timpe, Joshua; Cook, Courtney J; Bertino, Raymond E

    2017-09-01

    Airline carriers have equipment, procedures, and protocols in place to handle in-flight medical events (IFMEs). Community physicians may be asked for aid during IFMEs. Cross-Sectional Survey of Physicians on Providing Volunteer Care for In-Flight Medical Events surveyed self-assessed awareness and knowledge, perceived barriers, and suggestions for improving responses to IFMEs. We composed a survey regarding clinicians' self-assessed understanding of in-flight resources, procedures, flight environmental issues, and Good Samaritan protections. The survey was distributed primarily via electronic mail to medical staff list serves to a total of approximately 1300 physicians representing 2 health networks that serve urban, suburban, and rural areas in both inpatient and outpatient settings. Total number of responses was 418. Physician response rate was 29.2% (379/1300). In 3% (39/1300), the responder either failed to indicate their background or was another type of health care professional (e.g., dentist, medical student, physician assistant). Of the physicians, 37.5% (142/379) were primary care and 42% (177/418) of responders reported at least one experience of being asked to volunteer. When asked how well they understand the protocols with which medical events are handled, 64% (262/412) responded "not at all" and 23% (94/412) reported "a little" knowledge. Only 56% (223/397) answered that 75% or more of U.S. flights have ground medical support available. There were 73% (298/411) who believed airlines were required to have medical supplies, but 54% (222/410) reported no knowledge of supplies available. A total of 69% (279/403) believed or were sure that the U.S. has a Good Samaritan law that applies to IFMEs. Many physicians lack basic knowledge about IFMEs. Responders may assist more effectively if better informed about protocols and the availability of ground medical support. Education and timely information support are recommended.Chatfield E, Bond WF, McCay B

  5. 29 CFR 778.402 - The statutory exception provided by section 7(f) of the Act.

    Science.gov (United States)

    2010-07-01

    ..., DEPARTMENT OF LABOR STATEMENTS OF GENERAL POLICY OR INTERPRETATION NOT DIRECTLY RELATED TO REGULATIONS OVERTIME COMPENSATION Exceptions From the Regular Rate Principles Guaranteed Compensation Which Includes... subsection (a) or (b) of section 6 (whichever may be applicable) and compensation at not less than one...

  6. 20 CFR 668.510 - What services may INA grantees provide to the community at large under section 166?

    Science.gov (United States)

    2010-04-01

    ...) Strengthen the capacity of Native American-controlled institutions to provide education and work-based..., or similar activities to further the economic and social development of Native American communities... community at large under section 166? 668.510 Section 668.510 Employees' Benefits EMPLOYMENT AND...

  7. Knowledge, attitude & practice on human papillomavirus vaccination: A cross-sectional study among healthcare providers

    Directory of Open Access Journals (Sweden)

    P Cheena Chawla

    2016-01-01

    Interpretation & conclusions: The findings reinforce continued medical education of healthcare providers, particularly those from the government sector on HPV vaccination for cervical cancer prevention. Public education is also pertinent for a successful HPV vaccination programme in the country.

  8. The Health Tourists’ Satisfaction Level of Services Provided: A Cross-Sectional Study in Iran

    Science.gov (United States)

    Varzi, Ali Mohammad; Saki, Koroush; Momeni, Khalil; Vasokolaei, Ghasem Rajabi; Khodakaramifard, Zahra; Zouzani, Morteza Arab; Jalilian, Habib

    2016-01-01

    Introduction: Patient satisfaction with provided services is used as an indicator of health care quality. Patient satisfaction is defined as patient perception of provided care compared to expected care. This study was administered to evaluate the health tourists’ satisfaction of provided services in Lorestan University of Medical Sciences affiliated hospitals in 2015. Method: In this descriptive case study, 1800 (696 (54.4%) men and 812 (45.6%) women, 74.5 province native) patients were selected by random sampling from among the patients of Lorestan University of Medical Sciences affiliated hospitals in 2015 spring. The data collection instrument is a semi-structured questionnaire in this study. The questionnaire has 62 general and specific items. Each of the specific items is scaled on four points; satisfied, fairly satisfied, dissatisfied and O.K. In order to analyze the data both descriptive and inferential statistics were used. Results: Poldokhtar Imam Khomeini Hospital had the highest Level of satisfaction of 68 percent in all aspects (hoteling, discharge, paramedical, nurses, medical and admission) among the studied hospitals. Kuhdasht Imam Khomeini hospital had the lowest level of satisfaction of 53 percent. The overall satisfaction level in all hospitals was 61%. Discussion and Conclusion: Despite the shortcomings observed in different areas, the results of the present study are in an intermediate status compared to other studies. While treating patients, patient-centered issue and patients ‘need and preferences should be focused on to enhance health care quality. Considering Patients preferences not only are morally good but also lead to improved care and access to sustainable care practices. Therefore it is needed to drive organizational management approach toward the customer preferences management and needs. PMID:27157181

  9. Willingness to provide behavioral health recommendations: a cross-sectional study of entering medical students

    Directory of Open Access Journals (Sweden)

    McCurdy Stephen A

    2012-05-01

    Full Text Available Abstract Background Behavioral factors contribute importantly to morbidity and mortality, and physicians are trusted sources for information on reducing associated risks. Unfortunately, many clinical encounters do not include prevention counseling, and medical school curriculum plays an important role in training and promoting such counseling among medical students. Methods We surveyed all 93 freshman medical students at entry to the University of California, Davis School of Medicine in 2009 to evaluate baseline knowledge of population health principles and examine their approach to clinical situations involving four common behavioral risk factors illustrated in brief clinical vignettes: smoking, alcohol use in a patient with indications of alcoholism, diet and exercise in an overweight sedentary patient, and a 16-year-old contemplating initiation of sexual intercourse. Based on vignette responses, we assessed willingness to (1 provide information on risks, (2 recommend elimination of the behavior as the most efficacious means for reducing risk, (3 include strategies apart from elimination of the behavior for lowering risk (i.e., harm reduction, and (4 assure of their intention to continue care whether or not recommendations are accepted. Results Students answered correctly 71.4 % (median; interquartile range 66.7 % - 85.7 % of clinical prevention and population health knowledge questions; men scored higher than women (median 83.3 % vs. 66.7 %, p Conclusion Students showed high willingness to educate and respect patient autonomy. There was high willingness to recommend elimination of risk behaviors for smoking, alcohol, and poor diet/exercise, but not for sexual intercourse in an adolescent considering sexual debut. Further research should address promoting appropriate science-based preventive health messages, and curriculum should include explicit discussion of content of recommendations.

  10. Knowledge, attitude, willingness and readiness of primary health care providers to provide oral health services to children in Niagara, Ontario: a cross-sectional survey

    Science.gov (United States)

    Singhal, Sonica; Figueiredo, Rafael; Dupuis, Sandy; Skellet, Rachel; Wincott, Tara; Dyer, Carolyn; Feller, Andrea; Quiñonez, Carlos

    2017-01-01

    Background: Most children are exposed to medical, but not dental, care at an early age, making primary health care providers an important player in the reduction of tooth decay. The goal of this research was to understand the feasibility of using primary health care providers in promoting oral health by assessing their knowledge, attitude, willingness and readiness in this regard. Methods: Using the Dillman method, a mail-in cross-sectional survey was conducted among all family physicians and pediatricians in the Niagara region of Ontario who have primary contact with children. A descriptive analysis was performed. Results: Close to 70% (181/265) of providers responded. More than 90% know that untreated tooth decay could affect the general health of a child. More than 80% examine the oral cavity for more than 50% of their child patients. However, more than 50% are not aware that white spots or lines on the tooth surface are the first signs of tooth decay. Lack of clinical time was the top reason for not performing oral disease prevention measures. Interpretation: Overall, survey responses show a positive attitude and willingness to engage in the oral health of children. To capitalize on this, there is a need to identify mechanisms of providing preventive oral health care services by primary health care providers; including improving their knowledge of oral health and addressing other potential barriers.

  11. School Counselors' Attitudes towards Providing Services to Students Receiving Section 504 Classroom Accommodations: Implications for School Counselor Educators

    Science.gov (United States)

    Romano, Dawn M.; Paradise, Louis V.; Green, Eric J.

    2009-01-01

    Questions have arisen regarding counselor's capabilities in assisting students with special needs (Milsom & Akos, 2003; Studer & Quigney, 2005). This study examined school counselors' training and attitudes toward providing services to students with learning disabilities who qualified for services only under Section 504 of the Rehabilitation Act.…

  12. 7 CFR 1822.278 - Special requirements for RHS section 523 loans (loans to organizations providing sites for self...

    Science.gov (United States)

    2010-01-01

    ... PRIMARILY FOR REAL ESTATE PURPOSES RURAL HOUSING LOANS AND GRANTS Rural Housing Site Loan Policies... to organizations providing sites for self-help housing). 1822.278 Section 1822.278 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL...

  13. A fortran code CVTRAN to provide cross-section file for TWODANT by using macroscopic file written by SRAC

    Energy Technology Data Exchange (ETDEWEB)

    Yamane, Tsuyoshi [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Tsuchihashi, Keichiro

    1999-03-01

    A code CVTRAN provides the macroscopic cross-sections in the format of XSLIB file which is one of Standard interface files for a two-dimensional Sn transport code TWODANT by reading a macroscopic cross section file in the PDS format which is prepared by SRAC execution. While a two-dimensional Sn transport code TWOTRAN published by LANL is installed as a module in the SRAC code system, several functions such as alpha search, concentration search, zone thickness search and various edits are suppressed. Since the TWODANT code was released from LANL, its short running time, stable convergence and plenty of edits have attracted many users. The code CVTRAN makes the TWODANT available to the SRAC user by providing the macroscopic cross-sections on a card-image file XSLIB. The CVTRAN also provides material dependent fission spectra into a card-image format file CVLIB, together with group velocities, group boundary energies and material names. The user can feed them into the TWODANT input, if necessary, by cut-and-paste command. (author)

  14. Post-abortion family planning counselling practice among abortion service providers in China: a nationwide cross-sectional study.

    Science.gov (United States)

    Tang, Longmei; Wu, Shangchun; Li, Jiong; Wang, Kun; Xu, Jialin; Temmerman, Marleen; Zhang, Wei-Hong

    2017-02-01

    To assess the practice of post-abortion family planning (PAFP) counselling among Chinese abortion service providers, and identify the influencing factors. A cross-sectional questionnaire survey was conducted between July and September 2013 among abortion services providers in 30 provinces in China. Univariate and multivariable logistic regression analyses were used to identify the factors that influenced PAFP counselling. 94% of the 579 service providers responded to the questionnaire in the survey. The median age was 39 years (range 20-72), and 95% were females. 92% providers showed a positive attitude and had promoted the PAFP counselling services; however, only 57% spent more than 10 min for it. The overall knowledge on PAFP was limited to the participants. After adjusting for potential confounding factors: providers from the middle region (compared with 'east region', ORadj = 3.33, 95% CI: 2.12-5.21) conducted more PAFP counseling; providers with more knowledge (ORadj = 2.08, 95% CI: 1.38-3.15) provided more counseling; and compared with 'middle school and below', providers with higher education gave more counseling [ORadj(95% CI)] for 'college', 'university' and 'master/doctor' [1.99 (1.01,3.92), 2.32 (1.22,4.40) and 2.34 (1.06,5.17), respectively]. The majority of providers could provide PAFP counselling to women undergone an abortion, but some of them had insufficient time to make it available. Education, knowledge about fertility and reproductive health and residence region were the main factors influencing the practice. Training of health providers and integrating family planning as a part of abortion services are essential to provide adequate PAFP to abortion seekers, thereby reducing the risk of unintended pregnancy.

  15. Nurse practitioners as primary care providers with their own patient panels and organizational structures: A cross-sectional study.

    Science.gov (United States)

    Poghosyan, Lusine; Liu, Jianfang; Norful, Allison A

    2017-05-25

    Health care systems globally are facing challenges of meeting the growing demand for primary care services due to a shortage of primary care physicians. Policy makers and administrators are searching for solutions to increase the primary care capacity. The effective utilization of nurse practitioners (NPs) has been proposed as a solution. However, organizations utilize NPs in variable capacities. In some settings, NPs serve as primary care providers delivering ongoing continuous care to their patients, referred to as patient panels, whereas in other settings they deliver episodic care. Little is known about why organizations deploy NPs differently. Investigate the NP role in care delivery-primary care providers with the own patient panels or delivering episodic care-within their organizations and understand how work environments affect their role. A cross-sectional survey design was used to collect data from primary care NPs. The study was conducted in one state in the United States (Massachusetts). Data from 163 primary care organizations was obtained, which employed between one to 12 NPs. 807 NPs recruited from the Massachusetts Provider Database received mail surveys; 314 completed and returned the survey, yielding a response rate of 40%. The survey contained measures of NP role in care delivery and work environment. NP role was measured by an item asking NPs to report if they deliver ongoing continuous care to their patient panel or if they do not have patient panel. The work environment was measured with the Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP-PCOCQ). The multilevel Cox regression models investigated the influence of organization-level work environment on NP role in care delivery. About 45% of NPs served as primary care providers with their own patient panel. Organization-level Independent Practice and Support subscale, an NP-PCOCQ subscale, had a significant positive effect on NP role (risk ratio=2.33; 95% CI: 1

  16. Determinants of satisfaction with health care provider interactions at health centres in central Ethiopia: a cross sectional study

    Science.gov (United States)

    2010-01-01

    Background In primary health care, provider-patient interaction is fundamental platform and critically affects service delivery. Nevertheless, it is often ignored in medical research and practice and it is infrequently subjected to scientific inquiry, particularly in Ethiopia. This study aimed to assess patient satisfaction with health care provider interactions and its influencing factors among out-patients at health centers in West Shoa, Central Ethiopia. Methods A cross sectional facility based study was conducted on 768 out-patients of six health centers in West Shoa Zone, Central Ethiopia. The total sample size was allocated to each of the six health centers based on patient flow during the ten days prior to the start of data collection. Pre-tested instruments were used for data collection and the data were analyzed using SPSS version 16.0 statistical software. Factor score was computed for the items identified to represent the satisfaction scale by varimax rotation method. Using this regression factor score, multivariate linear regression analysis was performed and the effect of independent variables on the regression factor score was quantified. Results Seventy three percent of the respondents perceived that provider's empathy was good and 35% complained that providers were not technically competent enough. In addition, 82% of the respondents rated non-verbal communication by the providers to be good, very good or excellent on a five-point ordinal scale. Regardless of the process, only 34.1% of the patients implied that the consultations made a difference in understanding their illness and coping with it. Generally speaking, 62.6% of the patients reported that they have been satisfied with their visit. Perceived empathy, perceived technical competency, non-verbal communication, patient enablement, being told the name of once illness, type and frequency of visit, knowing the providers and educational status were main independent predictors of patient

  17. Determinants of satisfaction with health care provider interactions at health centres in central Ethiopia: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Woldie Mirkuzie

    2010-03-01

    Full Text Available Abstract Background In primary health care, provider-patient interaction is fundamental platform and critically affects service delivery. Nevertheless, it is often ignored in medical research and practice and it is infrequently subjected to scientific inquiry, particularly in Ethiopia. This study aimed to assess patient satisfaction with health care provider interactions and its influencing factors among out-patients at health centers in West Shoa, Central Ethiopia. Methods A cross sectional facility based study was conducted on 768 out-patients of six health centers in West Shoa Zone, Central Ethiopia. The total sample size was allocated to each of the six health centers based on patient flow during the ten days prior to the start of data collection. Pre-tested instruments were used for data collection and the data were analyzed using SPSS version 16.0 statistical software. Factor score was computed for the items identified to represent the satisfaction scale by varimax rotation method. Using this regression factor score, multivariate linear regression analysis was performed and the effect of independent variables on the regression factor score was quantified. Results Seventy three percent of the respondents perceived that provider's empathy was good and 35% complained that providers were not technically competent enough. In addition, 82% of the respondents rated non-verbal communication by the providers to be good, very good or excellent on a five-point ordinal scale. Regardless of the process, only 34.1% of the patients implied that the consultations made a difference in understanding their illness and coping with it. Generally speaking, 62.6% of the patients reported that they have been satisfied with their visit. Perceived empathy, perceived technical competency, non-verbal communication, patient enablement, being told the name of once illness, type and frequency of visit, knowing the providers and educational status were main independent

  18. Provider performance in treating poor patients - factors influencing prescribing practices in lao PDR: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Petzold Max

    2011-01-01

    Full Text Available Abstract Background Out-of-pocket payments make up about 80% of medical care spending at hospitals in Laos, thereby putting poor households at risk of catastrophic health expenditure. Social security schemes in the form of community-based health insurance and health equity funds have been introduced in some parts of the country. Drug and Therapeutics Committees (DTCs have been established to ensure rational use of drugs and improve quality of care. The objective was to assess the appropriateness and expenditure for treatment for poor patients by health care providers at hospitals in three selected provinces of Laos and to explore associated factors. Methods Cross-sectional study using four tracer conditions. Structured interviews with 828 in-patients at twelve provincial and district hospitals on the subject of insurance protection, income and expenditures for treatment, including informal payment. Evaluation of each patient's medical record for appropriateness of drug use using a checklist of treatment guidelines (maximum score = 10. Results No significant difference in appropriateness of care for patients at different income levels, but higher expenditures for patients with the highest income level. The score for appropriate drug use in insured patients was significantly higher than uninsured patients (5.9 vs. 4.9, and the length of stay in days significantly shorter (2.7 vs. 3.7. Insured patients paid significantly less than uninsured patients, both for medicines (USD 14.8 vs. 43.9 and diagnostic tests (USD 5.9 vs. 9.2. On the contrary the score for appropriateness of drug use in patients making informal payments was significantly lower than patients not making informal payments (3.5 vs. 5.1, and the length of stay significantly longer (6.8 vs. 3.2, while expenditures were significantly higher both for medicines (USD 124.5 vs. 28.8 and diagnostic tests (USD 14.1 vs. 7.7. Conclusions The lower expenditure for insured patients can help reduce

  19. Twenty lectures on thermodynamics

    CERN Document Server

    Buchdahl, H A

    2013-01-01

    Twenty Lectures on Thermodynamics is a course of lectures, parts of which the author has given various times over the last few years. The book gives the readers a bird's eye view of phenomenological and statistical thermodynamics. The book covers many areas in thermodynamics such as states and transition; adiabatic isolation; irreversibility; the first, second, third and Zeroth laws of thermodynamics; entropy and entropy law; the idea of the application of thermodynamics; pseudo-states; the quantum-static al canonical and grand canonical ensembles; and semi-classical gaseous systems. The text

  20. Appropriate Management of Acute Diarrhea in Children Among Public and Private Providers in Gujarat, India: A Cross-Sectional Survey.

    Science.gov (United States)

    Walker, Christa L Fischer; Taneja, Sunita; LeFevre, Amnesty; Black, Robert E; Mazumder, Sarmila

    2015-05-07

    Diarrhea remains a leading cause of morbidity and mortality among children under 5 years of age in low- and middle-income countries. In 2006, the Indian government formally endorsed the World Health Organization guidelines that introduced zinc supplementation and low-osmolarity oral rehydration salts (ORS) for the treatment of diarrhea. Despite this, zinc is rarely prescribed and has not been available in the public sector in India until very recently. The Diarrhea Alleviation Through Zinc and ORS Treatment (DAZT) project was implemented in Gujarat between 2011 and 2013 to accelerate the uptake of zinc and ORS among public and private providers in 6 rural districts. As part of an external evaluation of DAZT, we interviewed 619 randomly selected facility- and community-based public and private providers 2-3 months after a 1-day training event had been completed (or, in the case of private providers, after at least 1 drug-detailing visit by a pharmaceutical representative had occurred) and supplies were in place. The purpose of the interviews was to assess providers' knowledge of appropriate treatment for diarrhea in children, reported treatment practices, and availability of drugs in stock. More than 80% of all providers interviewed reported they had received training or a drug-detailing visit on diarrheal treatment in the past 6 months. Most providers in all cadres (range, 68% to 100%) correctly described how to prepare ORS and nearly all (range, 90% to 100%) reported routinely prescribing it to treat diarrhea in children. Reported routine prescription of zinc was lower, ranging from 62% among private providers to 96% among auxiliary nurse-midwives. Among providers who reported ever not recommending zinc (n = 242), the 2 most frequently reported reasons for not doing so were not completely understanding zinc for diarrhea treatment and not having zinc in stock at the time of contact with the patient. In a multiple logistic regression analysis, recent training or

  1. Twenty Years of KSHV

    Directory of Open Access Journals (Sweden)

    Yuan Chang

    2014-11-01

    Full Text Available Twenty years ago, Kaposi’s sarcoma (KS was the oncologic counterpart to Winston Churchill’s Russia: a riddle, wrapped in a mystery, inside an enigma. First described by Moritz Kaposi in 1872, who reported it to be an aggressive skin tumor, KS became known over the next century as a slow-growing tumor of elderly men—in fact, most KS patients were expected to die with the tumor rather than from it. Nevertheless, the course and manifestations of the disease varied widely in different clinical contexts. The puzzle of KS came to the forefront as a harbinger of the AIDS epidemic. The articles in this issue of Viruses recount progress made in understanding Kaposi’s sarcoma herpesvirus (KSHV since its initial description in 1994.

  2. New Zealand Medical Students Have Positive Attitudes and Moderate Confidence in Providing Nutrition Care: A Cross-Sectional Survey

    OpenAIRE

    Jennifer Crowley; Lauren Ball; Dug Yeo Han; Bruce Arroll; Michael Leveritt; Clare Wall

    2015-01-01

    Throughout the world, medical students and doctors report inadequate nutrition education and subsequently lack of knowledge, attitude, and skills to include nutrition in patient care. This study described New Zealand’s students’ attitudes to and self-perceived skills in providing nutrition care in practice as well as perceived quantity and quality of nutrition education received in training. 183 medical students from New Zealand’s largest medical school (response rate 52%) completed a 65-item...

  3. Top at Twenty

    CERN Document Server

    2015-01-01

    The "Top at Twenty" workshop is dedicated to the celebration of 20 years since the top quark discovery at Fermilab in 1995. Speakers from all experiments capable of studying top quark, ATLAS, CDF, CMS and DZero, will present the most recent results of the top quark studies based on Run II of the Tevatron and Run I of the LHC. Reviews of such fundamental measurements as mass of the top quark, its spin, charge and production properties are planned with some of them orders of magnitude better in precision in comparison with original CDF and DZero papers announcing the top quark discovery. Measurements of top quark production and decay that illuminate the nature of the Higgs boson and seek new phenomena will be presented. Theoretical talks on how the top quark fits into the Standard Model and its potential extensions will also be presented. This workshop will complement the yearly Top Workshop which is held in September and will benefit from many new results expected to be presented at winter conferences in 2015...

  4. Cultural events provided by employer and occupational wellbeing of employees: A cross-sectional study among hospital nurses.

    Science.gov (United States)

    Tuisku, Katinka; Pulkki-Råback, Laura; Virtanen, Marianna

    2016-09-27

    Occupational well-being in health care is essential for the quality of care and productivity. Some of the major challenges facing hospital nurses are the personnel turnover, emotional loading and health care reforms. After primary occupational safety and risk management, complementary positive health promotion approaches with cultural interventions can be experimented. To examine the association between well-being indicators of hospital nurses and their participation in cultural events provided by the employer (theater, concerts, exhibitions, museums, sight-seeing, and musicals) during past 6 months. Subjective well-being was measured by work engagement, workplace support for new ideas, work satisfaction and experienced stress. A dose-dependent association was found between participation in cultural events and positive psychology parameters of occupational well-being (support for new ideas and work engagement), but the experience of stress was unrelated to participation in cultural events. Collective participation has a positive covariant effect on work engagement and seems to mediate the innovative work climate measured by workplace support for new ideas. Collective cultural events for employees may promote positive aspects of occupational wellbeing.

  5. Outlook: The Next Twenty Years

    Energy Technology Data Exchange (ETDEWEB)

    Murayama, Hitoshi

    2003-12-07

    I present an outlook for the next twenty years in particle physics. I start with the big questions in our field, broken down into four categories: horizontal, vertical, heaven, and hell. Then I discuss how we attack the bigquestions in each category during the next twenty years. I argue for a synergy between many different approaches taken in our field.

  6. Twenty-Channel Voice Response System.

    Science.gov (United States)

    1981-06-01

    programs and vocabulary. 0 Telephone Company (TELCO) Switched Lines - provides access to VRS using telephones. * Bell 407C Data Sets - Converts the Touch...from the twenty 407C units. 0 DLII-E - Asynchronous interface to the 11/34 unibus for the VOTRAX unit. * 20 Channel ADPCM Decoder - a specially designed

  7. Patients' Perception of Chronic-Pain-Related Patient-Provider Communication in Relation to Sociodemographic and Pain-Related Variables: A Cross-Sectional Nationwide Study.

    Science.gov (United States)

    Jonsdottir, Thorbjorg; Gunnarsdottir, Sigridur; Oskarsson, Gudmundur K; Jonsdottir, Helga

    2016-10-01

    Pain is a personal experience and patient-provider communication therefore an essential part of diagnosis and treatment where the patient's perspective needs to be central. The aim of this descriptive cross-sectional study was to investigate chronic-pain-related patient-provider communication in the context of sociodemographic variables, pain variables, perceived outcome of care, and satisfaction with health care providers. A postal questionnaire measuring socio-demographic variables, pain characteristics, pain-related health care utilization and patient-provider communication was sent to a sample of 4,500 individuals randomly drawn from the national population of Iceland. A subsample reporting chronic pain and having visited a health care provider for pain the previous six months (n = 401) was analyzed. Relationships between patient-provider communication and other measured variables were tested using bivariate and multivariate statistics. The more chronic pain impaired health-related quality of life, the more provider control the patients perceived in the patient-provider communication. There was also a strong negative relationship between patients' perception of providers' support and openness to discussing symptoms, and satisfaction with health care provider. Patients' perception of their own control in patient-provider communication and involvement in decisions regarding care was related to sociodemographic variables (specifically, education and residence) but not to pain related variables. This study highlights the importance of assessing chronic pain in a broad spectrum, listening, and giving patients time and support to communicate chronic pain and how it affects their life situation. The more interfering the pain is, the more important this is. Copyright © 2016 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  8. Attributes and perspectives of public providers related to provision of medical abortion at public health facilities in Vietnam: a cross-sectional study in three provinces

    Directory of Open Access Journals (Sweden)

    Ngo TD

    2014-08-01

    Full Text Available Thoai D Ngo,1,2 Caroline Free,1 Hoan T Le,3 Phil Edwards,1 Kiet HT Pham,4 Yen BT Nguyen,4 Thang H Nguyen5 1Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK; 2Research, Monitoring and Evaluation Team, Health System Department, Marie Stopes International, London, UK; 3Department of Environmental Health, 4Department of Health Economics, Hanoi Medical University, 5Research and Metrics Team, Marie Stopes International Vietnam, Hanoi, Vietnam Background: The purpose of this study was to investigate attributes of public service providers associated with the provision of medical abortion in Vietnam. Methods: We conducted a cross-sectional study via interviewer-administered questionnaire among abortion providers from public health facilities in Hanoi, Khanh Hoa, and Ho Chi Minh City in Vietnam between August 2011 and January 2012. We recruited abortion providers at all levels of Vietnam's public health service delivery system. Participants were questioned about their medical abortion provision practices and perspectives regarding abortion methods. Results: A total of 905 providers from 62 health facilities were included, comprising 525 (58.0% from Hanoi, 122 (13.5% from Khanh Hoa, and 258 (28.5% from Ho Chi Minh City. The majority of providers were female (96.7%, aged ≥25 years (94%, married (84.4%, and had at least one child (89%; 68.9% of providers offered only manual vacuum aspiration and 31.1% performed both medical abortion and manual vacuum aspiration. Those performing both methods included physicians (74.5%, midwives (21.7%, and nurses (3.9%. Unadjusted analyses showed that female providers (odds ratio 0.1; 95% confidence interval 0.01–0.30 and providers in rural settings (odds ratio 0.3; 95% confidence interval 0.08–0.79 were less likely to provide medical abortion than their counterparts. Obstetricians and gynecologists were more likely to provide medical abortion than providers with

  9. Effects of the DRG-based prospective payment system operated by the voluntarily participating providers on the cesarean section rates in Korea.

    Science.gov (United States)

    Lee, Kwangsoo; Lee, Sangil

    2007-05-01

    This study explored the effects of the diagnosis-related group (DRG)-based prospective payment system (PPS) operated by voluntarily participating organizations on the cesarean section (CS) rates, and analyzed whether the participating health care organizations had similar CS rates despite the varied participation periods. The study sample included delivery claims data from the Korean national health insurance program for the year 2003. Risk factors were identified and used in the adjustment model to distinguish the main reason for CS. Their risk-adjusted CS rates were compared by the reimbursement methods, and the organizations' internal and external environments were controlled. The final risk-adjustment model for the CS rates meets the criteria for an effective model. There were no significant differences of CS rates between providers in the DRG and fee-for-service system after controlling for organizational variables. The CS rates did not vary significantly depending on the providers' DRG participation periods. The results provide evidence that the DRG payment system operated by volunteering health care organizations had no impact on the CS rates, which can lower the quality of care. Although the providers joined the DRG system in different years, there were no differences in the CS rates among the DRG providers. These results support the future expansion of the DRG-based PPS plan to all health care services in Korea.

  10. Assessing health-care providers' readiness for reporting quality and patient safety indicators at primary health-care centres in Lebanon: a national cross-sectional survey.

    Science.gov (United States)

    Alameddine, Mohamad; Saleh, Shadi; Natafgi, Nabil

    2015-05-22

    Successful endorsement of quality indicators hinges on the readiness and acceptability of care providers for those measures. This paper aims to assess the readiness of care providers in the primary health-care sector in Lebanon for the implementation of quality and patient safety indicators. A cross-sectional survey methodology was utilized to gather information from 943 clinical care providers working at 123 primary health-care centres in Lebanon. The questionnaire included two sections: the first assessed four readiness dimensions (appropriateness, management support, efficacy, and personal valence) of clinical providers to use quality and safety indicators using the Readiness for Organization Change (ROC) scale, and the second section assessed the safety attitude at the primary care centre utilizing the Agency of Health Research and Quality (AHRQ) Safety Attitude Questionnaire (SAQ)-Ambulatory version. Although two thirds (66%) of respondents indicated readiness for implementation of quality and patient safety indicators in their centres, there appear to be differences by professional group. Physicians displayed the lowest scores on all readiness dimensions except for personal valence which was the lowest among nurses (60%). In contrast, allied health professionals displayed the highest scores across all readiness dimensions. Generally, respondents reflected a positive safety attitude climate in the centres. Yet, there remain a few areas of concern related to punitive culture (only 12.8% agree that staff should not be punished for reported errors/incidents), continuity of care (41.1% believe in the negative consequences of lack in continuity of care process), and resources (48.1% believe that the medical equipment they have are adequate). Providers with the highest SAQ score had 2.7, 1.7, 7 and 2.4 times the odds to report a higher readiness on the appropriateness, efficacy, management and personal valence ROC subscales, respectively (P value quality and patient

  11. Examination of psychosocial predictors of Chinese hospital pharmacists' intention to provide clinical pharmacy services using the theory of planned behaviour: a cross-sectional questionnaire study

    Science.gov (United States)

    He, Yuan; Yang, Fan; Mu, Dongqin; Xing, Yuan; Li, Xin

    2016-01-01

    Objectives Main study aim was as follows: (1) to explore the usefulness of the theory of planned behaviour (TPB) model in predicting Chinese hospital pharmacists' intention to provide clinical pharmacy services (CPSs), including auxiliary CPSs and core CPSs; (2) to identify the main factors affecting the Chinese hospital pharmacists' intention to provide core CPSs based on TPB quantitatively. Design Cross-sectional questionnaire study. Setting The study was conducted in 22 general hospitals in seven cities located in the eastern and western part of China. Participants 416 hospital pharmacists (292 (70.2%) female) entered and completed the study. Primary and secondary outcome measures Quantitative responses with hospital pharmacists' intention, attitude, subjective norms (SNs) and perceived behavioural control (PBC) over provision of CPSs and their past behaviour (PB)-related CPSs. Results The structural equation model analysis found that attitude (p=0.0079, β=0.12), SN (p=0.038, β=0.10) and the pharmacists' intention to provide auxiliary CPSs (p=0.0001, β=0.63) significantly predicted of their intention to provide core CPSs, accounting for 54.0% of its variance. Attitude (p=0.0001, β=0.35), PBC (p=0.0182, β=0.12) and PB (p=0.0009, β=0.15) are significant predictors of pharmacists' intention, accounting for 21% of the variance in pharmacists' intention to provide auxiliary CPSs. Conclusions The TPB with the addition of PB is a useful framework for predicting pharmacists' intention to provide CPSs in Chinese hospital care context. Strategies to improve hospital pharmacists' intention to provide CPSs should focus on helping the individuals related medical care see the value of CPSs, altering their perception of social pressure towards core CPSs and the removal of obstacles that impede the translation of intentions into behaviour. PMID:27707835

  12. Examination of psychosocial predictors of Chinese hospital pharmacists' intention to provide clinical pharmacy services using the theory of planned behaviour: a cross-sectional questionnaire study.

    Science.gov (United States)

    He, Yuan; Yang, Fan; Mu, Dongqin; Xing, Yuan; Li, Xin

    2016-10-05

    Main study aim was as follows: (1) to explore the usefulness of the theory of planned behaviour (TPB) model in predicting Chinese hospital pharmacists' intention to provide clinical pharmacy services (CPSs), including auxiliary CPSs and core CPSs; (2) to identify the main factors affecting the Chinese hospital pharmacists' intention to provide core CPSs based on TPB quantitatively. Cross-sectional questionnaire study. The study was conducted in 22 general hospitals in seven cities located in the eastern and western part of China. 416 hospital pharmacists (292 (70.2%) female) entered and completed the study. Quantitative responses with hospital pharmacists' intention, attitude, subjective norms (SNs) and perceived behavioural control (PBC) over provision of CPSs and their past behaviour (PB)-related CPSs. The structural equation model analysis found that attitude (p=0.0079, β=0.12), SN (p=0.038, β=0.10) and the pharmacists' intention to provide auxiliary CPSs (p=0.0001, β=0.63) significantly predicted of their intention to provide core CPSs, accounting for 54.0% of its variance. Attitude (p=0.0001, β=0.35), PBC (p=0.0182, β=0.12) and PB (p=0.0009, β=0.15) are significant predictors of pharmacists' intention, accounting for 21% of the variance in pharmacists' intention to provide auxiliary CPSs. The TPB with the addition of PB is a useful framework for predicting pharmacists' intention to provide CPSs in Chinese hospital care context. Strategies to improve hospital pharmacists' intention to provide CPSs should focus on helping the individuals related medical care see the value of CPSs, altering their perception of social pressure towards core CPSs and the removal of obstacles that impede the translation of intentions into behaviour. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  13. Knowledge, perceptions, and experiences of family caregivers and home care providers of physical restraint use with home-dwelling elders: a cross-sectional study in Japan.

    Science.gov (United States)

    Kurata, Sadami; Ojima, Toshiyuki

    2014-03-27

    The use of physical restraints by family caregivers with home-dwelling elders has not been extensively studied but it might be widespread. Furthermore, it is also not clear how home care providers who support family caregivers perceive the use of physical restraint in elders' homes. This study assessed family caregivers' and home care providers' knowledge and perceptions of physical restraint used with elders living at home in Japan, a country with the highest proportion of elders in the world and where family caregiving is common. We undertook a cross-sectional study of 494 family caregivers, 201 home helpers, 78 visiting nurses, 131 visiting physicians, and 158 care managers of home-dwelling frail elders needing some care and medical support in Japan, using questionnaires on knowledge of 11 physical restraint procedures prohibited in institutions and 10 harmful effects of physical restraints, perceptions of 17 reasons for requiring physical restraints, and experiences involving physical restraint use. Family caregivers were aware of significantly fewer recognized prohibited physical restraint procedures and recognized harmful effects of physical restraint than home care providers, and differences among home care providers were significant. The average importance rating from 1 (least) to 5 (most) of the 17 reasons for requiring physical restraints was significantly higher among family caregivers than home care providers, and significantly different among the home care providers. Moreover, these differences depended in part on participation in physical restraint education classes. While 20.1% of family caregivers had wavered over using physical restraints, 40.5% of home care providers had seen physical restraints used in elders' homes and 16.7% had advised physical restraint use or used physical restraints themselves. Knowledge and perceptions of physical restraints differed between family caregivers and home care providers and were also diverse among home care

  14. A cross-sectional study of early identification of postpartum depression: Implications for primary care providers from The Ontario Mother & Infant Survey

    Directory of Open Access Journals (Sweden)

    Sword Wendy

    2002-04-01

    Full Text Available Abstract Background This survey's objective was to provide planning information by examining utilization patterns, health outcomes and costs associated with existing practices in the management of postpartum women and their infants. In particular, this paper looks at a subgroup of women who score ≥ 12 on the Edinburgh Postnatal Depression Survey (EPDS. Methods The design is cross-sectional with follow-up at four weeks after postpartum hospital discharge. Five Ontario hospitals, chosen for their varied size, practice characteristics, and geographic location, provided the setting for the study. The subjects were 875 women who had uncomplicated vaginal deliveries of live singleton infants. The main outcome measures were the EPDS, the Duke UNC Functional Social Support Questionnaire and the Health and Social Services Utilization Questionnaire. Results EPDS scores of ≥ 12 were found in 4.3 to 15.2% of otherwise healthy women. None of these women were being treated for postpartum depression. Best predictors of an EPDS score of ≥ 12 were lack: of confident support, lack of affective support, household income of Conclusions Primary care physicians, midwives, and public health nurses need to screen for depression at every opportunity early in the postpartum period. A mother's expression of undue concern about her own or her baby's health may be predictive of postpartum depression. Flexible, mother-focused support from community providers may decrease the prevalence of postpartum depression.

  15. Knowledge, attitudes and other factors associated with assessment of tobacco smoking among pregnant Aboriginal women by health care providers: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Passey Megan E

    2012-03-01

    Full Text Available Abstract Background As with many Indigenous peoples, smoking rates among Aboriginal Australians are considerably higher than those of the non-Indigenous population. Approximately 50% of Indigenous women smoke during pregnancy, a time when women are more motivated to quit. Antenatal care providers are potentially important change agents for reducing the harms associated with smoking, yet little is known about their knowledge, attitudes or skills, or the factors associated with providing smoking cessation advice. Methods This paper aimed to explore the knowledge and attitudes of health care providers caring for pregnant Australian Aboriginal women with regard to smoking risks and cessation; and to identify factors associated with self-reported assessment of smoking. A cross-sectional survey was undertaken with 127 staff providing antenatal care to Aboriginal women from two jurisdictions: the Northern Territory and New South Wales, Australia. Measures included respondents' estimate of the prevalence of smoking among pregnant women; optimal and actual assessment of smoking status; knowledge of risks associated with antenatal smoking; knowledge of smoking cessation; attitudes to providing cessation advice to pregnant women; and perceived barriers and motivators for cessation for pregnant women. Results The median provider estimate of the smoking prevalence was 69% (95%CI: 60,70. The majority of respondents considered assessment of smoking status to be integral to antenatal care and a professional responsibility. Most (79% indicated that they assess smoking status in 100% of clients. Knowledge of risks was generally good, but knowledge of cessation was poor. Factors independently associated with assessing smoking status among all women were: employer service type (p = 0.025; cessation knowledge score (p = 0.011; and disagreeing with the statement that giving advice is not worth it given the low level of success (p = 0.011. Conclusions Addressing

  16. Concordance between nurses' perception of their ability to provide spiritual care and the identified spiritual needs of hospitalized patients: A cross-sectional observational study.

    Science.gov (United States)

    Wu, Li-Fen; Koo, Malcolm; Tseng, Hui-Chen; Liao, Yu-Chen; Chen, Yuh-Min

    2015-12-01

    Spiritual care is essential to the well-being of patients, and nurses provide spiritual care as a fundamental part of nursing practice. In this study, we investigated the spiritual care needs of hospitalized patients to determine whether the perceived knowledge of nurses corresponded with these spiritual care needs. A cross-sectional study was conducted on 1351 hospitalized patients and 200 registered nurses recruited from a medical center in central Taiwan. A questionnaire, including the 21-item Spiritual Care Needs Inventory (patient and nurse version) and basic demographic information, was distributed to eligible participants. The top three items of the spiritual care needs expressed by the hospitalized patients were respect for privacy and dignity, showing concern, and guidance in gaining a sense of hope in life; the percentages of nurses not knowing how to provide these spiritual care needs were 0%, 1%, and 15%, respectively. The spiritual care needs of patients showed a significant relationship with the knowledge of nurses, suggesting that the perceived knowledge of the nurses generally corresponded with the spiritual care items that the patients required most.

  17. Cross-sectional data on alcohol and marijuana use and sexual behavior among male and female secondary school students in New Providence, The Bahamas.

    Science.gov (United States)

    Kaljee, Linda; Wang, Bo; Deveaux, Lynette; Lunn, Sonja; Rolle, Glenda; Villar, Maria Elena; Stanton, Bonita

    2016-05-01

    While The Bahamas have significantly reduced poor reproductive health outcomes among adolescents and emerging adults, data indicate that youth are engaged in sexual risk behaviors. Substance use has been linked to increased risk for HIV and sexually transmitted infections in other contexts. There are limited data on Bahamian youth in relation to consumption of alcohol and marijuana use and engagement in sexual behaviors. This study aimed to assess potential relationships between alcohol and marijuana use and engagement in sexual behavior among government secondary school students in New Providence, The Bahamas. Total sample size was 2572, and about 56% of respondents were female. Mean age was 14.2 (SD 2.7 years). Cross-sectional data came from a baseline survey conducted as part of a longitudinal randomized controlled evaluation of a school-based HIV prevention and reproductive health program in New Providence. Overall, 46.5% (519) males and 44.8% (652) females reported alcohol consumption; 7.3% (82) males and 1.7% (25) females reported use of marijuana in the last 6 months. About 43% (477) male respondents and 16% (231) female respondents reported ever having vaginal sex. Logistic regression analysis indicates that increased likelihood of engaging in sex during the past 6 months is associated with being older, male, and consuming alcohol and marijuana. These data provide a 'global correlation' between substance use and engagement in sexual behaviors among Bahamian adolescents. Longitudinal research is needed to assess event specific risks and identify mediating and moderating factors. These findings indicate the importance of integrating reproductive health and substance use education.

  18. Twenty Practices of an Entrepreneurial University

    DEFF Research Database (Denmark)

    Gjerding, Allan Næs; Wilderom, Celeste P.M.; Cameron, Shona P.B.;

    2006-01-01

    similarities; especially that entrepreneurship within universities has to be welcomed and facilitated top-down, but organically occurs and develops bottom-up. Implementing entrepreneurship at universities is thus about stimulating a culture of organic intrapreneurship and we provide practical recommendations...... studies twenty organisational practices against which a University's entrepreneurship can be measured. These twenty practices or factors in effect formed the basis for an entrepreneurship audit. During a series of interviews, the extent to which the universities are seen as entrepreneurial...... by the interviewees was surveyed. We showed that the practices have been implemented only to various degrees and rather unsystematically. There are important differences among the universities, to some extent depending on the level of ambition that each university has regarding each practice. There are also important...

  19. Factors Affecting the Acceptance of Pandemic Influenza A H1N1 Vaccine amongst Essential Service Providers: A Cross Sectional Study

    Directory of Open Access Journals (Sweden)

    Charlotte Roberts

    2012-12-01

    Full Text Available Although mentioned in the UK pandemic plan, essential service providers were not among the priority groups. They may be important targets of future influenza pandemic vaccination campaigns. Therefore, we conducted a cross-sectional survey among 380 employees from West Midlands police headquarters and 15 operational command units in the West Midlands Area during December 2009–February 2010 to identify factors affecting intention to accept the pandemic influenza A (H1N1 vaccine. One hundred and ninety nine (52.4% employees completed the questionnaire. 39.7% were willing to accept the vaccine. The most common reasons for intention to accept were worry about catching Swine Flu (n = 42, 53.2% and about infecting others (n = 40, 50.6%. The most common reason for declination was worry about side effects (n = 45, 57.0%. The most important factor predicting vaccine uptake was previous receipt of seasonal vaccine (OR 7.9 (95% CI 3.4, 18.5. Employees aged <40 years, males, current smokers, and those who perceived a greater threat and severity of swine flu were also more likely to agree to the vaccine. The findings of this study could be used to improve future pandemic immunization strategies. Targeted education programs should be used to address misconceptions; the single most important factor which might lead to a large improvement in uptake is to allay concern about side effects.

  20. Community burden of undiagnosed HIV infection among adolescents in Zimbabwe following primary healthcare-based provider-initiated HIV testing and counselling: A cross-sectional survey.

    Directory of Open Access Journals (Sweden)

    Victoria Simms

    2017-07-01

    Full Text Available Children living with HIV who are not diagnosed in infancy often remain undiagnosed until they present with advanced disease. Provider-initiated testing and counselling (PITC in health facilities is recommended for high-HIV-prevalence settings, but it is unclear whether this approach is sufficient to achieve universal coverage of HIV testing. We aimed to investigate the change in community burden of undiagnosed HIV infection among older children and adolescents following implementation of PITC in Harare, Zimbabwe.Over the course of 2 years (January 2013-January 2015, 7 primary health clinics (PHCs in southwestern Harare implemented optimised, opt-out PITC for all attendees aged 6-15 years. In February 2015-December 2015, we conducted a representative cross-sectional survey of 8-17-year-olds living in the 7 communities served by the study PHCs, who would have had 2 years of exposure to PITC. Knowledge of HIV status was ascertained through a caregiver questionnaire, and anonymised HIV testing was carried out using oral mucosal transudate (OMT tests. After 1 participant taking antiretroviral therapy was observed to have a false negative OMT result, from July 2015 urine samples were obtained from all participants providing OMTs and tested for antiretroviral drugs to confirm HIV status. Children who tested positive through PITC were identified from among survey participants using gender, birthdate, and location. Of 7,146 children in 4,251 eligible households, 5,486 (76.8% children in 3,397 households agreed to participate in the survey, and 141 were HIV positive. HIV prevalence was 2.6% (95% CI 2.2%-3.1%, and over a third of participants with HIV were undiagnosed (37.7%; 95% CI 29.8%-46.2%. Similarly, among the subsample of 2,643 (48.2% participants with a urine test result, 34.7% of those living with HIV were undiagnosed (95% CI 23.5%-47.9%. Based on extrapolation from the survey sample to the community, we estimated that PITC over 2 years identified

  1. Expectation and satisfaction of HIV/AIDS patients toward the pharmaceutical care provided at Gondar University Referral Hospital, Northwestern Ethiopia: a cross-sectional study

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    Abebe TB

    2016-10-01

    Full Text Available Tamrat Befekadu Abebe,1 Daniel Asfaw Erku,2 Begashaw Melaku Gebresillassie,1 Kaleab Taye Haile,3 Abebe Basazn Mekuria4 1Department of Clinical Pharmacy, 2Department of Pharmaceutical Chemistry, 3Department of Pharmaceutics, 4Department of Pharmacology, School of Pharmacy, University of Gondar, Gondar, Ethiopia Purpose: Measurements of patient satisfaction help to assess the performance of health service provision and predict treatment adherence and outcomes. This study aimed to assess human HIV/AIDS patients’ expectation of and satisfaction with the pharmaceutical service delivered at Gondar University Referral Hospital, Ethiopia. Patients and methods: An institution-based cross-sectional study was performed from May 11 to 25, 2015. A total of 291 patients living with HIV/AIDS were included using a simple random sampling method. Data were collected using structured questionnaires measuring expectation and satisfaction of respondents using a Likert scale of 1–5 through face-to-face interviews. The data collected were entered into and analyzed using Statistical Packages for Social Sciences. Comparison was made between those respondents who lived in and outside the town. Results: The overall mean expectation and satisfaction of respondents toward pharmacy setting and services were 3.62 and 3.13, respectively. More than half (56.1% of the participants were dissatisfied with the comfort and convenience of waiting area and private counseling room. Similarly, 69.3% of the respondents claimed that pharmacy professionals did not give information about side effects and drug–drug and drug–food interactions of antiretroviral medications. There was a statistically significant difference between respondents who live in and outside Gondar town in overall expectation (t=3.415, P=0.001 with the pharmacy setting and services. Conclusion: In this study, the overall satisfaction level of respondents with pharmaceutical service (pharmacy setting and services

  2. Twenty-first century vaccines

    Science.gov (United States)

    Rappuoli, Rino

    2011-01-01

    In the twentieth century, vaccination has been possibly the greatest revolution in health. Together with hygiene and antibiotics, vaccination led to the elimination of many childhood infectious diseases and contributed to the increase in disability-free life expectancy that in Western societies rose from 50 to 78–85 years (Crimmins, E. M. & Finch, C. E. 2006 Proc. Natl Acad. Sci. USA 103, 498–503; Kirkwood, T. B. 2008 Nat. Med 10, 1177–1185). In the twenty-first century, vaccination will be expected to eliminate the remaining childhood infectious diseases, such as meningococcal meningitis, respiratory syncytial virus, group A streptococcus, and will address the health challenges of this century such as those associated with ageing, antibiotic resistance, emerging infectious diseases and poverty. However, for this to happen, we need to increase the public trust in vaccination so that vaccines can be perceived as the best insurance against most diseases across all ages. PMID:21893537

  3. Installation test involving two cryomagnets. A short straight section is positioned next to a cryodipole using a remote-controlled Transfer Equipment Set provided by the Slovakian company ZTS VVU Kosice.

    CERN Multimedia

    Patrice Loïez

    2004-01-01

    Installation test involving two cryomagnets. A short straight section is positioned next to a cryodipole using a remote-controlled Transfer Equipment Set provided by the Slovakian company ZTS VVU Kosice.

  4. Cultural competency of health-care providers in a Swiss University Hospital: self-assessed cross-cultural skillfulness in a cross-sectional study.

    Science.gov (United States)

    Casillas, Alejandra; Paroz, Sophie; Green, Alexander R; Wolff, Hans; Weber, Orest; Faucherre, Florence; Ninane, Françoise; Bodenmann, Patrick

    2014-01-30

    As the diversity of the European population evolves, measuring providers' skillfulness in cross-cultural care and understanding what contextual factors may influence this is increasingly necessary. Given limited information about differences in cultural competency by provider role, we compared cross-cultural skillfulness between physicians and nurses working at a Swiss university hospital. A survey on cross-cultural care was mailed in November 2010 to front-line providers in Lausanne, Switzerland. This questionnaire included some questions from the previously validated Cross-Cultural Care Survey. We compared physicians' and nurses' mean composite scores and proportion of "3-good/4-very good" responses, for nine perceived skillfulness items (4-point Likert-scale) using the validated tool. We used linear regression to examine how provider role (physician vs. nurse) was associated with composite skillfulness scores, adjusting for demographics (gender, non-French dominant language), workplace (time at institution, work-unit "sensitized" to cultural-care), reported cultural-competence training, and cross-cultural care problem-awareness. Of 885 questionnaires, 368 (41.2%) returned the survey: 124 (33.6%) physicians and 244 (66.4%) nurses, reflecting institutional distribution of providers. Physicians had better mean composite scores for perceived skillfulness than nurses (2.7 vs. 2.5, p diverse populations (β = 0.11, p = 0.04). In stratified analyses among physicians alone, having French as a dominant language (β = -0.34, p diversity efforts in the work force, particularly among physicians.

  5. Cultural competency of health-care providers in a Swiss University Hospital: self-assessed cross-cultural skillfulness in a cross-sectional study

    Science.gov (United States)

    2014-01-01

    Background As the diversity of the European population evolves, measuring providers’ skillfulness in cross-cultural care and understanding what contextual factors may influence this is increasingly necessary. Given limited information about differences in cultural competency by provider role, we compared cross-cultural skillfulness between physicians and nurses working at a Swiss university hospital. Methods A survey on cross-cultural care was mailed in November 2010 to front-line providers in Lausanne, Switzerland. This questionnaire included some questions from the previously validated Cross-Cultural Care Survey. We compared physicians’ and nurses’ mean composite scores and proportion of “3-good/4-very good” responses, for nine perceived skillfulness items (4-point Likert-scale) using the validated tool. We used linear regression to examine how provider role (physician vs. nurse) was associated with composite skillfulness scores, adjusting for demographics (gender, non-French dominant language), workplace (time at institution, work-unit “sensitized” to cultural-care), reported cultural-competence training, and cross-cultural care problem-awareness. Results Of 885 questionnaires, 368 (41.2%) returned the survey: 124 (33.6%) physicians and 244 (66.4%) nurses, reflecting institutional distribution of providers. Physicians had better mean composite scores for perceived skillfulness than nurses (2.7 vs. 2.5, p cultural training (β = 0.14, p = 0.01) and lack of practical experience caring for diverse populations (β = 0.11, p = 0.04). In stratified analyses among physicians alone, having French as a dominant language (β = −0.34, p cultural competency improvement among providers. These results support the need for cross-cultural skills training with an inter-professional focus on nurses, education that attunes provider awareness to the local issues in cross-cultural care, and increased diversity efforts in the work force

  6. Private ownership of primary care providers associated with patient perceived quality of care: A comparative cross-sectional survey in three big Chinese cities.

    Science.gov (United States)

    Wei, Xiaolin; Yin, Jia; Wong, Samuel Y S; Griffiths, Sian M; Zou, Guanyang; Shi, Leiyu

    2017-01-01

    Ownership of primary care providers varies in different cities in China. Shanghai represented the full public ownership model of primary providers; Shenzhen had public-owned but private-operated providers; and Hong Kong represented the full private ownership. The study aims to assess the association of primary care ownership and patient perceived quality of care in 3 Chinese megacities.We conducted multistage stratified random surveys in 2013 in the 3 cities. Quality scores of primary care were measured using the validated primary care assessment tools. Multivariate linear regression models were used to compare quality scores after controlling potential confounders of patient demographic, socioeconomic, and healthcare utilization factors.Overall, 797 primary care users in Shanghai, 802 in Shenzhen, and 1325 in Hong Kong participated in the study. The mean total quality scores were reported the highest in Shanghai (28.39), followed by Shenzhen (25.82) and then Hong Kong (25.21) (P quality and less equitable care distribution. In China, it suggests that it may be beneficial to promote public-owned and nonprofit providers. Promoting privatization in primary care may be at the cost of quality and equity of primary care.

  7. The characterization of twenty sequenced human genomes.

    Directory of Open Access Journals (Sweden)

    Kimberly Pelak

    2010-09-01

    Full Text Available We present the analysis of twenty human genomes to evaluate the prospects for identifying rare functional variants that contribute to a phenotype of interest. We sequenced at high coverage ten "case" genomes from individuals with severe hemophilia A and ten "control" genomes. We summarize the number of genetic variants emerging from a study of this magnitude, and provide a proof of concept for the identification of rare and highly-penetrant functional variants by confirming that the cause of hemophilia A is easily recognizable in this data set. We also show that the number of novel single nucleotide variants (SNVs discovered per genome seems to stabilize at about 144,000 new variants per genome, after the first 15 individuals have been sequenced. Finally, we find that, on average, each genome carries 165 homozygous protein-truncating or stop loss variants in genes representing a diverse set of pathways.

  8. Changes in public health preparedness services provided to local health departments by regional offices in North Carolina: a comparison of two cross-sectional studies.

    Science.gov (United States)

    Donovan, Catherine V; Markiewicz, Milissa; Horney, Jennifer A

    2014-05-28

    In 2011, seven decentralized Public Health Regional Surveillance Teams (PHRSTs) were restructured into four centralized Public Health Preparedness and Response (PHP&R) regional offices to realign preparedness priorities and essential services with appropriate infrastructure; field-based staff was reduced, saving approximately $1 million. The objective of this study was to understand the impact that restructuring had on services provided to local health departments (LHDs) throughout North Carolina. A survey to document services that regional offices provide to LHDs in North Carolina was administered by the North Carolina Preparedness and Emergency Response Research Center in 2013. The results were compared to a similar survey from 2009, which identified services provided by regional teams prior to restructuring. Of 69 types of assistance, 14 (20%) were received by 50% or more LHDs in 2012. Compared to 2009, there was a significant decrease in the proportion of LHDs receiving 67% (n = 47) of services. The size of the region served by regional offices was shown to inversely impact the proportion of LHDs receiving services for 25% of services. There was a slight significant decline in perceived quality of the services provided by regional teams in 2012 as comparison to 2009. Following a system-wide review of preparedness in North Carolina, the state's regional teams were reorganized to refine their focus to planning, exercises, and training. Some services, most notably under the functions of epidemiology and surveillance and public health event response, are now provided by other state offices. However, the study results indicate that several services that are still under the domain of the regional offices were received by fewer LHDs in 2012 than 2009. This decrease may be due to the larger number of counties now served by the four regional offices.

  9. Misdiagnosis of obstetrical cases and the clinical and cost consequences to patients: a cross-sectional study of urban providers in the Philippines

    Directory of Open Access Journals (Sweden)

    Riti Shimkhada

    2016-12-01

    Full Text Available Background: Misdiagnosis may be a significant and under-recognized quality of care problem. In birthing facilities located in anurban Philippine setting, we investigated the diagnostic accuracy for three obstetric conditions: cephalopelvic disproportion (CPD, post-partum hemorrhage (PPH, and pre-eclampsia. Design: Identical simulated cases were used to measure diagnostic accuracy for every provider (n=103. We linked misdiagnosis – identified by the simulated cases – to obstetrical complications of the patients at the participating facilities. Patient-level data on health outcomes and costs were obtained from medical records and follow-home in-person interviews. Results: The prevalence of misdiagnosis among obstetric providers was 29.8% overall, 25% for CPD, 33% for PPH, and 31% for pre-eclampsia. Linking provider decision-making to patients, we found those who misdiagnosed the simulated cases were more likely to have patients with a complication (OR 2.96; 95% CI 1.39–3.77 compared with those who did not misdiagnose. Complicated patients were significantly less likely to be referred to a hospital immediately, were more likely to be readmitted to a hospital after delivery, had significantly higher medical costs, and lost more income than non-complicated patients. Conclusion: Diagnosis is arguably the most important task a clinician performs because it determines the subsequent course of evaluation and treatment, with the direct and indirect costs of diagnostic error, placing large financial burdens on the patient.

  10. Family Food Providers' Perceptions of the Causes of Obesity and Effectiveness of Weight Control Strategies in Five Countries in the Asia Pacific Region: A Cross-Sectional Survey.

    Science.gov (United States)

    Worsley, Anthony; Wang, Wei; Sarmugam, Rani; Pham, Quynh; Februhartanty, Judhiastuty; Ridley, Stacey

    2017-01-18

    The rise of the middle classes in developing countries and the associated epidemiological transition raises the importance of assessing this population group's awareness of the causes of obesity and effective weight control strategies in order to develop effective health promotion strategies. The study aimed to examine the perceptions of the causes of obesity and weight control strategies held by middle class household food providers in Melbourne, Singapore, Shanghai, Indonesia and Vietnam. An online survey was conducted in late 2013, early 2014 among 3945 respondents. Information about body weight concerns, perceived causes of obesity, effectiveness of weight control methods, demographics, self-reported height and weight, and personal values was elicited. Confirmatory factor analyses (CFA) derived nine reliable factors which were used in structural equation modelling (SEM). Two thirds of respondents were trying to change their body weight, of them, 71% were trying to lose weight. The CFA and SEM showed that demographics, region of residence, personal values and perceptions of the causes of obesity (Unhealthy food behaviours, influences Beyond personal control and Environmental influences) had direct and indirect associations with three weight control methods factors, named: Healthy habits, Eat less, sit less, and Dieting. Middle class food providers in the study regions share public health views of obesity causation and personal weight control. These findings could inform public health and food policies, and the design of public health interventions and communications. Further research is required among lower socio economic status (SES) populations.

  11. Experiences and meanings of integration of TCAM (Traditional, Complementary and Alternative Medical) providers in three Indian states: results from a cross-sectional, qualitative implementation research study.

    Science.gov (United States)

    Nambiar, D; Narayan, V V; Josyula, L K; Porter, J D H; Sathyanarayana, T N; Sheikh, K

    2014-11-25

    Efforts to engage Traditional, Complementary and Alternative Medical (TCAM) practitioners in the public health workforce have growing relevance for India's path to universal health coverage. We used an action-centred framework to understand how policy prescriptions related to integration were being implemented in three distinct Indian states. Health departments and district-level primary care facilities in the states of Kerala, Meghalaya and Delhi. In each state, two or three districts were chosen that represented a variation in accessibility and distribution across TCAM providers (eg, small or large proportions of local health practitioners, Homoeopaths, Ayurvedic and/or Unani practitioners). Per district, two blocks or geographical units were selected. TCAM and allopathic practitioners, administrators and representatives of the community at the district and state levels were chosen based on publicly available records from state and municipal authorities. A total of 196 interviews were carried out: 74 in Kerala, and 61 each in Delhi and Meghalaya. We sought to understand experiences and meanings associated with integration across stakeholders, as well as barriers and facilitators to implementing policies related to integration of Traditional, Complementary and Alternative (TCA) providers at the systems level. We found that individual and interpersonal attributes tended to facilitate integration, while system features and processes tended to hinder it. Collegiality, recognition of stature, as well as exercise of individual personal initiative among TCA practitioners and of personal experience of TCAM among allopaths enabled integration. The system, on the other hand, was characterised by the fragmentation of jurisdiction and facilities, intersystem isolation, lack of trust in and awareness of TCA systems, and inadequate infrastructure and resources for TCA service delivery. State-tailored strategies that routinise interaction, reward individual and system

  12. Proceedings: Twenty years of energy policy: Looking toward the twenty-first century

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-31

    In 1973, immediately following the Arab Oil Embargo, the Energy Resources Center, University of Illinois at Chicago initiated an innovative annual public service program called the Illinois Energy Conference. The objective was to provide a public forum each year to address an energy or environmental issue critical to the state, region and nation. Twenty years have passed since that inaugural program, and during that period we have covered a broad spectrum of issues including energy conservation nuclear power, Illinois coal, energy policy options, natural gas, alternative fuels, new energy technologies, utility deregulation and the National Energy Strategy.

  13. Decree No. 1900 of 24 August 1989 authorizing civil divorce before a notary for reasons provided in Section 8 of Article 154 of the Civil Code.

    Science.gov (United States)

    1989-01-01

    This Colombian Decree authorizes civil divorce to take place before a notary by means of public document when the spouses are in mutual agreement; the ground for the divorce is separation, either decreed by a court or formalized before a notary; and the separation has lasted more than 2 years. Such a divorce produces the same legal effects as a divorce decreed by a court. The document is to set forth the duties of both spouses with respect to the provisions of sentence 3 of Article 166 of the Civil Code. If there are minors, the document must receive the approval of the municipal or district representative. Decree No. 2275 of 7 October 1989 (Diario Oficial, 7 October 1989, pp. 75-76) amends this Decree to provide that the judgment of the municipal or district representative must be made within 10 days after the document is received. Sentence 3 of Article 166 of the Civil Code requires that spouses who are separating by mutual consent send to a judge their agreement with respect to the care and support of children, which the judge may reject if necessary in the interests of the children.

  14. The internal migration between public and faith-based health providers: a cross-sectional, retrospective and multicentre study from southern Tanzania.

    Science.gov (United States)

    Tabatabai, Patrik; Prytherch, Helen; Baumgarten, Inge; Kisanga, Oberlin M E; Schmidt-Ehry, Bergis; Marx, Michael

    2013-07-01

    To assess the magnitude, direction and underlying dynamics of internal health worker migration between public and faith-based health providers from a hospital perspective. Two complementary tools were implemented in 10 public and six faith-based hospitals in southern Tanzania. A hospital questionnaire assessed magnitude and direction of staff migration between January 2006 and June 2009. Interviews with 42 public and 20 faith-based maternity nurses evaluated differences in staff perspectives and motives for the observed migration patterns. The predominant direction of staff movement was from the faith-based to the public sector: 69.1% (n = 105/152) of hospital staff exits and 60.6% (n = 60/99) of hospital staff gains. Nurses were the largest group among the migrating health workforce. Faith-based hospitals lost 59.3% (n = 86/145) of nurses and 90.6% (n = 77/85) of registered nurses to the public sector, whereby public hospitals reported 13.5% (n = 59/436) of nurses and 24.4% (n = 41/168) of registered nurses being former faith-based employees. Interviews revealed significantly inferior staff perspectives among faith-based respondents than their public colleagues. Main differences were identified regarding career development and training, management support, employee engagement and workload. This study revealed considerable internal health worker migration from the faith-based to the public sector. Staff retention and motivation within faith-based hospitals are not restricted to financial considerations, and salary gaps can no longer uniquely explain this movement pattern. The consequences for the catchment area of faith-based hospitals are potentially severe and erode cooperation potential between the public and private health sector.

  15. Twenty Questions Games Always End With Yes

    CERN Document Server

    Gill, John T

    2010-01-01

    Huffman coding is often presented as the optimal solution to Twenty Questions. However, a caveat is that Twenty Questions games always end with a reply of "Yes," whereas Huffman codewords need not obey this constraint. We bring resolution to this issue, and prove that the average number of questions still lies between H(X) and H(X)+1.

  16. Capital in the Twenty-First Century

    DEFF Research Database (Denmark)

    Hansen, Per H.

    2014-01-01

    Review essay on: Capital in the Twenty-First Century. By Thomas Piketty . Translated by Arthur Goldhammer . Cambridge, Mass.: The Belknap Press of Harvard University Press, 2014. viii + 685 pp......Review essay on: Capital in the Twenty-First Century. By Thomas Piketty . Translated by Arthur Goldhammer . Cambridge, Mass.: The Belknap Press of Harvard University Press, 2014. viii + 685 pp...

  17. Germany: Twenty Years After The Union

    OpenAIRE

    Pete Mavrokordatos; Stan Stascinsky; Andrew Michael

    2010-01-01

    One of the most important events in the world after World War II was the reunification of Germany, during the late 1980s and early 1990s. The aim of this paper is to discuss the general economic conditions in Germany, before and after the reunification. This paper is divided into four parts. The introductory section provides a summative discussion of the economic conditions in East and West Germany from World War II until the time of reunification. The second section presents an evaluation of...

  18. Twenty-first century Irvings

    Energy Technology Data Exchange (ETDEWEB)

    Sawler, H.

    2007-07-01

    The Irving family is the most powerful family in Atlantic Canada and one of the richest families in the world. The family is valued at $5.9 billion. This book discussed the family's growth and gradual domination over the forestry, energy, and transportation industries in Atlantic Canada. The book examined how the family has managed to remain dominant and powerful, and examined the ability of future Irving generations to maintain their power in the future, as the family expands and disperses. Details of the Irvings' particular style of entrepreneurship and their use of vertical integration were presented, and their relationships with government agencies were also discussed. The book examined the business practices and methods of different generations of Irvings, from the origins of the family business. The book demonstrated how the family has remained a progressive economic force for more than 150 years. An Irving family business history was also provided. Family attitudes towards the environment, philanthropy, and the media were also discussed. refs.

  19. Which Russia, twenty years later?

    Directory of Open Access Journals (Sweden)

    Carmen Claudín

    2011-12-01

    Full Text Available Russia is proud of its position among the emerging powers, of the strength provided by its ample energetic resources and its nuclear potential with which it can influence the world and always be taken into account. Nevertheless, the perception within the country is that stagnation has become Russia’s dominant characteristic at present. The objective of this article is to explore how this situation came about, analysing the evolution of domestic processes in Russia during both of its most defining periods: Yeltsin and Putin’s leadership, since the ephemeral presidency of Medvedev proved to be basically a continuation of the latter. During the eight years of Boris Yeltsin’s tenure, the state of crisis, latent or open, developed into the way that political processes are carried out in Russia. With Putin’s arrival, however, stability and State control are imposed, against the backdrop of economic growth, and they become values in themselves, far from the democratic discourse of the first years.

  20. Twenty-One: a baseline for multilingual multimedia retrieval

    NARCIS (Netherlands)

    Jong, de Franciska; Hiemstra, Djoerd; Jong, de Franciska; Netter, Klaus

    1998-01-01

    In this paper we will give a short overview of the ideas underpinning the demonstrator developed within the EU-funded project Twenty-One; this system provides for the disclosure of information in a heterogeneous document environment that includes documents of different types and languages. As part o

  1. Twenty-One: a baseline for multilingual multimedia retrieval

    NARCIS (Netherlands)

    Unknown, [Unknown; Hiemstra, Djoerd; de Jong, Franciska M.G.; Netter, Klaus

    1998-01-01

    In this paper we will give a short overview of the ideas underpinning the demonstrator developed within the EU-funded project Twenty-One; this system provides for the disclosure of information in a heterogeneous document environment that includes documents of different types and languages. As part o

  2. Educating the Ablest: Twenty Years Later

    Science.gov (United States)

    Culross, Rita R.

    2015-01-01

    This study examines the current lives of thirty-five individuals who participated in high school gifted programs twenty years ago. The research specifically looked at educational attainment and career goals in terms of expressed aspirations in high school, using social media and other Internet sources. Results indicated continued support for the…

  3. Proceedings of the Twenty-Third Annual Software Engineering Workshop

    Science.gov (United States)

    1999-01-01

    The Twenty-third Annual Software Engineering Workshop (SEW) provided 20 presentations designed to further the goals of the Software Engineering Laboratory (SEL) of the NASA-GSFC. The presentations were selected on their creativity. The sessions which were held on 2-3 of December 1998, centered on the SEL, Experimentation, Inspections, Fault Prediction, Verification and Validation, and Embedded Systems and Safety-Critical Systems.

  4. Intelligence in the Twenty-First Century

    OpenAIRE

    2000-01-01

    The author concludes that the world will most probably remain rife with conflict even in the twenty first century and that the traditional role of intelligence will not only continue but will increase in importance. He characterizes the international situation as being "more of the same historically"; that is, the existence of several different centers of power and mutual conflicts based solely on national interests. In order to protect and promote one's national interests, sovereign states w...

  5. Servicing the twenty-first century

    Energy Technology Data Exchange (ETDEWEB)

    Fisk, D. [DTLR, London (United Kingdom)

    2002-04-01

    Twentieth century governments have committed themselves to the principle of sustainable development. Efforts to fulfil this goal offer an insight into changes in building services provision in the opening decades of the new century. Sustainable development indicators are used to identify possible trends. The analysis also forms the basis for some speculative conjectures as a basis for a research agenda for the twenty-first century. (Author)

  6. Twenty-first century learning in afterschool.

    Science.gov (United States)

    Schwarz, Eric; Stolow, David

    2006-01-01

    Twenty-first century skills increasingly represent the ticket to the middle class. Yet, the authors argue, in-school learning is simply not enough to help students develop these skills. The authors make the case that after-school (or out-of-school) learning programs are emerging as one of the nation's most promising strategies for preparing young people for the workforce and civic life. Most school systems have significant limitations for teaching twenty-first century skills. They have the limits of time: with only six hours per day there is barely enough time to teach even the basic skills, especially for those students starting already behind. They have the limits of structure: typical school buildings and classrooms are not physically set up for innovative learning. They have the limits of inertia and bureaucracy: school systems are notoriously resistant to change. And perhaps most important, they have the limits of priorities: especially with the onset of the No Child Left Behind Act, schools are laserlike in their focus on teaching the basics and therefore have less incentive to incorporate twenty-first century skills. Meanwhile, the authors argue that after-school programs are an untapped resource with three competitive advantages. First, they enable students to work collaboratively in small groups, a setup on which the modern economy will increasingly rely. Second, they are well suited to project-based learning and the development of mastery. Third, they allow students to learn in the real-world contexts that make sense. Yet the after-school sector is fraught with challenges. It lacks focus-Is it child care, public safety, homework tutoring? And it lacks rigorous results. The authors argue that the teaching of twenty-first century skills should become the new organizing principle for afterschool that will propel the field forward and more effectively bridge in-school and out-of-school learning.

  7. Medicare Provider Data - Hospice Providers

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Hospice Utilization and Payment Public Use File provides information on services provided to Medicare beneficiaries by hospice providers. The Hospice PUF...

  8. Early twenty-first-century droughts during the warmest climate

    Directory of Open Access Journals (Sweden)

    Felix Kogan

    2016-01-01

    Full Text Available The first 13 years of the twenty-first century have begun with a series of widespread, long and intensive droughts around the world. Extreme and severe-to-extreme intensity droughts covered 2%–6% and 7%–16% of the world land, respectively, affecting environment, economies and humans. These droughts reduced agricultural production, leading to food shortages, human health deterioration, poverty, regional disturbances, population migration and death. This feature article is a travelogue of the twenty-first-century global and regional droughts during the warmest years of the past 100 years. These droughts were identified and monitored with the National Oceanic and Atmospheric Administration operational space technology, called vegetation health (VH, which has the longest period of observation and provides good data quality. The VH method was used for assessment of vegetation condition or health, including drought early detection and monitoring. The VH method is based on operational satellites data estimating both land surface greenness (NDVI and thermal conditions. The twenty-first-century droughts in the USA, Russia, Australia and Horn of Africa were intensive, long, covered large areas and caused huge losses in agricultural production, which affected food security and led to food riots in some countries. This research also investigates drought dynamics presenting no definite conclusion about drought intensification or/and expansion during the time of the warmest globe.

  9. The Association between Provider Practice and Knowledge of ORS and Zinc Supplementation for the Treatment of Childhood Diarrhea in Bihar, Gujarat and Uttar Pradesh, India: A Multi-Site Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Laura M Lamberti

    Full Text Available Programs aimed at reducing the burden of diarrhea among children under-five in low-resource settings typically allocate resources to training community-level health workers, but studies have suggested that provider knowledge does not necessarily translate into adequate practice. A diarrhea management program implemented in Bihar, Gujarat and Uttar Pradesh, India trained private sector rural medical practitioners (RMPs and public sector Accredited Social Health Activists (ASHAs and Anganwadi workers (AWWs in adequate treatment of childhood diarrhea with oral rehydration salts (ORS and zinc. We used cross-sectional program evaluation data to determine the association between observed diarrhea treatment practices and reported knowledge of ORS and zinc among each provider cadre.We conducted principal components analysis on providers' responses to diarrhea treatment questions in order to generate a novel scale assessing ORS/zinc knowledge. We subsequently regressed a binary indicator of whether ORS/zinc was prescribed during direct observation onto the resulting knowledge scores, controlling for other relevant knowledge predictors.There was a positive association between ORS/zinc knowledge score and prescribing ORS and zinc to young children with diarrhea among private sector RMPs (aOR: 2.32; 95% CI: 1.29-4.17 and public sector ASHAs and AWWs (aOR 2.48; 95% CI: 1.90-3.24. Controlling for knowledge score, receipt of training in the preceding 6 months was a good predictor of adequate prescribing in the public but not the private sector. In the public sector, direct access to ORS and zinc supplies was also highly associated with prescribing.To enhance the management of childhood diarrhea in India, programmatic activities should center on increasing knowledge of ORS and zinc among public and private sector providers through biannual trainings but should also focus on ensuring sustained access to an adequate supply chain.

  10. Twenty-first-century medical microbiology services in the UK.

    Science.gov (United States)

    Duerden, Brian

    2005-12-01

    With infection once again a high priority for the UK National Health Service (NHS), the medical microbiology and infection-control services require increased technology resources and more multidisciplinary staff. Clinical care and health protection need a coordinated network of microbiology services working to consistent standards, provided locally by NHS Trusts and supported by the regional expertise and national reference laboratories of the new Health Protection Agency. Here, I outline my thoughts on the need for these new resources and the ways in which clinical microbiology services in the UK can best meet the demands of the twenty-first century.

  11. Ability of non-invasive intermittent blood pressure monitoring and a continuous non-invasive arterial pressure monitor (CNAP™) to provide new readings in each 1-min interval during elective caesarean section under spinal anaesthesia.

    Science.gov (United States)

    McCarthy, T; Telec, N; Dennis, A; Griffiths, J; Buettner, A

    2012-03-01

    We compared the ability of automated non-invasive intermittent oscillometric blood pressure monitoring with a new device, CNAP(TM) (continuous non-invasive arterial pressure) to provide a new blood pressure reading in each 1-min interval between spinal anaesthesia and delivery during caesarean section. We also compared the accuracy of continuous non-invasive arterial pressure readings with non-invasive blood pressure measurements before spinal anaesthesia. Fifty-nine women participated. The non-invasive and continuous non-invasive monitors displayed new blood pressure readings in a mean of 82% (11%) and 83% (13%) (p = 0.97) of the one-minute intervals between spinal anaesthesia and delivery, respectively. Continuous non-invasive arterial pressure was more likely to fail on two or more consecutive minutes (p=0.001). From the pre-spinal readings, the mean bias, defined as non-invasive-continuous non-invasive arterial pressure, and limits of agreement (±2SD mean bias) for systolic, diastolic and mean blood pressure respectively were +1.3 (±26.0), -2.9 (±21.8) and +2.6 (±20.4) mmHg. The new monitor has disadvantages compared with conventional non-invasive intermittent blood pressure monitoring. Anaesthesia © 2012 The Association of Anaesthetists of Great Britain and Ireland.

  12. Can biomedical and traditional health care providers work together? Zambian practitioners' experiences and attitudes towards collaboration in relation to STIs and HIV/AIDS care: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Höjer Bengt

    2006-07-01

    Full Text Available Abstract Background The World Health Organization's World health report 2006: Working together for health underscores the importance of human resources for health. The shortage of trained health professionals is among the main obstacles to strengthening low-income countries' health systems and to scaling up HIV/AIDS control efforts. Traditional health practitioners are increasingly depicted as key resources to HIV/AIDS prevention and care. An appropriate and effective response to the HIV/AIDS crisis requires reconsideration of the collaboration between traditional and biomedical health providers (THPs and BHPs. The aim of this paper is to explore biomedical and traditional health practitioners' experiences of and attitudes towards collaboration and to identify obstacles and potential opportunities for them to collaborate regarding care for patients with sexually transmitted infections (STIs and HIV/AIDS. Methods We conducted a cross-sectional study in two Zambian urban sites, using structured questionnaires. We interviewed 152 biomedical health practitioners (BHPs and 144 traditional health practitioners (THPs who reported attending to patients with STIs and HIV/AIDS. Results The study showed a very low level of experience of collaboration, predominated by BHPs training THPs (mostly traditional birth attendants on issues of safe delivery. Intersectoral contacts addressing STIs and HIV/AIDS care issues were less common. However, both groups of providers overwhelmingly acknowledged the potential role of THPs in the fight against HIV/AIDS. Obstacles to collaboration were identified at the policy level in terms of legislation and logistics. Lack of trust in THPs by individual BHPs was also found to inhibit collaboration. Nevertheless, as many as 40% of BHPs expressed an interest in working more closely with THPs. Conclusion There is indication that practitioners from both sectors seem willing to strengthen collaboration with each other. However

  13. Can biomedical and traditional health care providers work together? Zambian practitioners' experiences and attitudes towards collaboration in relation to STIs and HIV/AIDS care: a cross-sectional study.

    Science.gov (United States)

    Kaboru, Berthollet Bwira; Falkenberg, Torkel; Ndubani, Phillimon; Höjer, Bengt; Vongo, Rodwell; Brugha, Ruairi; Faxelid, Elisabeth

    2006-07-17

    The World Health Organization's World health report 2006: Working together for health underscores the importance of human resources for health. The shortage of trained health professionals is among the main obstacles to strengthening low-income countries' health systems and to scaling up HIV/AIDS control efforts. Traditional health practitioners are increasingly depicted as key resources to HIV/AIDS prevention and care. An appropriate and effective response to the HIV/AIDS crisis requires reconsideration of the collaboration between traditional and biomedical health providers (THPs and BHPs). The aim of this paper is to explore biomedical and traditional health practitioners' experiences of and attitudes towards collaboration and to identify obstacles and potential opportunities for them to collaborate regarding care for patients with sexually transmitted infections (STIs) and HIV/AIDS. We conducted a cross-sectional study in two Zambian urban sites, using structured questionnaires. We interviewed 152 biomedical health practitioners (BHPs) and 144 traditional health practitioners (THPs) who reported attending to patients with STIs and HIV/AIDS. The study showed a very low level of experience of collaboration, predominated by BHPs training THPs (mostly traditional birth attendants) on issues of safe delivery. Intersectoral contacts addressing STIs and HIV/AIDS care issues were less common. However, both groups of providers overwhelmingly acknowledged the potential role of THPs in the fight against HIV/AIDS. Obstacles to collaboration were identified at the policy level in terms of legislation and logistics. Lack of trust in THPs by individual BHPs was also found to inhibit collaboration. Nevertheless, as many as 40% of BHPs expressed an interest in working more closely with THPs. There is indication that practitioners from both sectors seem willing to strengthen collaboration with each other. However, there are missed opportunities. The lack of collaborative

  14. Cesarean Sections

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Cesarean Sections (C-Sections) KidsHealth > For Parents > Cesarean Sections (C-Sections) A A A What's in this ... babies in the United States are delivered via cesarean section (C-section). Even if you're envisioning a ...

  15. The twenty-first century in space

    CERN Document Server

    Evans, Ben

    2015-01-01

    This final entry in the History of Human Space Exploration mini-series by Ben Evans continues with an in-depth look at the latter part of the 20th century and the start of the new millennium. Picking up where Partnership in Space left off, the story commemorating the evolution of manned space exploration unfolds in further detail. More than fifty years after Yuri Gagarin’s pioneering journey into space, Evans extends his overview of how that momentous voyage continued through the decades which followed. The Twenty-first Century in Space, the sixth book in the series, explores how the fledgling partnership between the United States and Russia in the 1990s gradually bore fruit and laid the groundwork for today’s International Space Station. The narrative follows the convergence of the Shuttle and Mir programs, together with standalone missions, including servicing the Hubble Space Telescope, many of whose technical and human lessons enabled the first efforts to build the ISS in orbit. The book also looks to...

  16. Twenty Years After: Armenian Research Libraries Today

    Directory of Open Access Journals (Sweden)

    D. Aram Donabedian

    2012-05-01

    Full Text Available Since achieving statehood in 1991, Armenia has faced major economic and political obstacles which have significantly affected the nation’s research libraries. This research paper will quantitatively and qualitatively examine the challenges facing Armenian research libraries just over twenty years after the collapse of the Soviet Union. Specifically, the authors analyze their interviews with five library administrators at five major institutions, respectively. These include Yerevan State University Library, the National Library of Armenia, the Fundamental Scientific Library of the National Academy of Sciences of Armenia, the Republican Scientific-Medical Library of Armenia, and the Papazian Library of the American University of Armenia. The instrument for the interviews consists of 73 questions based on the 2004 Association of College and Research Libraries Standards for Libraries in Higher Education and evaluates the following factors:• The library’s mission, goals and objectives• Public or user services• Instruction activities at the library• Resources (print, media, or electronic and collection development• Access to the library’s resources• Outcome assessment, or evaluation of the library• Staffing issues• Facility maintenance and plans for library development• Communication and cooperation both within the library and with the user community• Administration• BudgetIn addition, we will focus on the strengths and weaknesses of these libraries and investigate the growing open access movement in Armenia. Based on our findings, the authors wish to facilitate dialogue and consider possible approaches to help these libraries meet Armenia’s pressing information needs.

  17. 22 CFR 181.5 - Twenty-day rule for concluded agreements.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Twenty-day rule for concluded agreements. 181.5 Section 181.5 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL AGREEMENTS COORDINATION, REPORTING AND..., including the Department of State, that concludes an international agreement within the meaning of the Act...

  18. Twenty-first century power needs. Challenges, and supply options

    Energy Technology Data Exchange (ETDEWEB)

    Criswell, D.R. [Houston Univ., TX (United States). Solar Energy Lab.

    1997-11-01

    The challenge of providing adequate power to enable world prosperity in the twenty-first century to continue was discussed. It was estimated that by 2050, a prosperous world of 10 billion people will require 60 TWt of thermal power. Conventional power systems will not be able to provide the needed energy because of limited fuels, contamination of the biosphere and costs. A viable, cost effective alternative will be solar energy that is captured in space and from facilities on the Moon, and that is imported to Earth by microwaves. Global electric power systems that use the Moon and deliver 1,000 TWe-Y of energy by 2070 was suggested as the most obvious alternative. Despite the huge initial cost of 20 to 100 trillion dollars, the long-term cost was said to be small compared to terrestrial and Earth-orbital options. 30 refs., 2 figs.

  19. Strategies for Teaching Maritime Archaeology in the Twenty First Century

    Science.gov (United States)

    Staniforth, Mark

    2008-12-01

    Maritime archaeology is a multi-faceted discipline that requires both theoretical learning and practical skills training. In the past most universities have approached the teaching of maritime archaeology as a full-time on-campus activity designed for ‘traditional’ graduate students; primarily those in their early twenties who have recently come from full-time undergraduate study and who are able to study on-campus. The needs of mature-age and other students who work and live in different places (or countries) and therefore cannot attend lectures on a regular basis (or at all) have largely been ignored. This paper provides a case study in the teaching of maritime archaeology from Australia that, in addition to ‘traditional’ on-campus teaching, includes four main components: (1) learning field methods through field schools; (2) skills training through the AIMA/NAS avocational training program; (3) distance learning topics available through CD-ROM and using the Internet; and (4) practicums, internships and fellowships. The author argues that programs to teach maritime archaeology in the twenty first century need to be flexible and to address the diverse needs of students who do not fit the ‘traditional’ model. This involves collaborative partnerships with other universities as well as government underwater cultural heritage management agencies and museums, primarily through field schools, practicums and internships.

  20. Intercollegiate Athletics in the Roaring Twenties.

    Science.gov (United States)

    Keefe, Robert J.

    College sports were started by students in the post Civil War period of the 1860's and 1870's. By the 1880's football, baseball, crew, and track and field were popular intercollegiate sports. The desire of the nation as a whole for diversion after World War I provided an impetus for sports in general and intercollegiate athletics in particular.…

  1. Twenty Years of Diagnosis and the DSM.

    Science.gov (United States)

    Seligman, Linda

    1999-01-01

    The process of diagnosing mental disorders and the use of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have been increasingly important for counselors. This article provides information on the hallmarks of this shift. Reviews and discusses the changes form the third and fourth editions of the DSM. Offers predictions as to future…

  2. Twenty-five questions for string theorists

    Energy Technology Data Exchange (ETDEWEB)

    Binetruy, Pierre; /Orsay, LPT; Kane, G.L.; /Michigan U., MCTP; Lykken, Joseph D.; /Fermilab; Nelson, Brent D.; /Pennsylvania U.

    2005-09-01

    In an effort to promote communication between the formal and phenomenological branches of the high-energy theory community, we provide a description of some important issues in supersymmetric and string phenomenology. We describe each within the context of string constructions, illustrating them with specific examples where applicable. Each topic culminates in a set of questions that we believe are amenable to direct consideration by string theorists, and whose answers we think could help connect string theory and phenomenology.

  3. Managing the Chronically Overworked Team: Twenty Strategies.

    Science.gov (United States)

    Hills, Laura

    2015-01-01

    Overwork, at first glance, seems like a problem that affects only the employee. But for medical practices and those who manage them, the problem is far greater than that. Chronically overworked employees may not be meeting their goals. They may be making more mistakes and letting things slip through the cracks. Ultimately, patients may have less-than-ideal experiences in a practice where the employees are stretched thin. And turnover may skyrocket in practices where employees are chronically overworked. This article offers practice managers 20 practical and affordable strategies they can use to manage a chronically overworked medical practice team. It suggests an effective technique they can use to tell their bosses that their employees are overworked. This article also suggests the costs to the practice of a chronically overworked staff, including a hidden cost many people overlook. It provides four coping strategies practice managers can teach to their overworked employees. It summarizes research exploring how overwork affects employees' sleep and eating habits, and additional research linking long hours of overwork to diminished productivity. Finally, this article provides five strategies practice managers can use to make their overworked employees feel valued.

  4. Twenty Seven Years of Quantum Cryptography!

    Science.gov (United States)

    Hughes, Richard

    2011-03-01

    One of the fundamental goals of cryptographic research is to minimize the assumptions underlying the protocols that enable secure communications between pairs or groups of users. In 1984, building on earlier research by Stephen Wiesner, Charles Bennett and Gilles Brassard showed how quantum physics could be harnessed to provide information-theoretic security for protocols such as the distribution of cryptographic keys, which enables two parties to secure their conventional communications. Bennett and Brassard and colleagues performed a proof-of-principle quantum key distribution (QKD) experiment with single-photon quantum state transmission over a 32-cm air path in 1991. This seminal experiment led other researchers to explore QKD in optical fibers and over line-of-sight outdoor atmospheric paths (``free-space''), resulting in dramatic increases in range, bit rate and security. These advances have been enabled by improvements in sources and single-photon detectors. Also in 1991 Artur Ekert showed how the security of QKD could be related to quantum entanglement. This insight led to a deeper understanding and proof of QKD security with practical sources and detectors in the presence of transmission loss and channel noise. Today, QKD has been implemented over ranges much greater than 100km in both fiber and free-space, multi-node network testbeds have been demonstrated, and satellite-based QKD is under study in several countries. ``Quantum hacking'' researchers have shown the importance of extending security considerations to the classical devices that produce and detect the photon quantum states. New quantum cryptographic protocols such as secure identification have been proposed, and others such as quantum secret splitting have been demonstrated. It is now possible to envision quantum cryptography providing a more secure alternative to present-day cryptographic methods for many secure communications functions. My talk will survey these remarkable developments.

  5. Yangzhou’s Famous Twenty-fourth Bridge

    Institute of Scientific and Technical Information of China (English)

    1992-01-01

    “LOOMING green moun-tains and runningstreams;grass does notwither and fall,though the autumnhas come to an end in the south.The bright moon arises overTwenty-fourth Bridge.Where doyou teach pure-jade Yangzhouwomen to play music on bambooflutes?”This poem by Du Mu(803-c.852),a famous poet of thelate Tang Dynasty,is well remem-bered today It made Yangzhou’sTwenty-fourth Bridge Known to la-ter generations.Of many ancientpoems about Twenty-fourth Bridge

  6. Way Forward in the Twenty-First Century in Content-Based Instruction: Moving towards Integration

    Science.gov (United States)

    Ruiz de Zarobe, Yolanda; Cenoz, Jasone

    2015-01-01

    The aim of this paper is to reflect on the theoretical and methodological underpinnings that provide the basis for an understanding of Content-Based Instruction/Content and Language Integrated Learning (CBI/CLIL) in the field and its relevance in education in the twenty-first century. It is argued that the agenda of CBI/CLIL needs to move towards…

  7. Twenty-One: cross-language disclosure and retrieval of multimedia documents on sustainable development

    NARCIS (Netherlands)

    Stal, ter W.G.; Beijert, J.-H.; Bruin, de G.; Gent, van J.; Jong, de F.M.G.; Kraaij, W.; Netter, K.; Smart, G.

    1998-01-01

    The Twenty-One project brings together environmental organisations, technology providers and research institutes from several European countries. The main objective of the project is to make documents on environmental issues—in particular, on the subject of sustainable development—available on CD-RO

  8. Way Forward in the Twenty-First Century in Content-Based Instruction: Moving towards Integration

    Science.gov (United States)

    Ruiz de Zarobe, Yolanda; Cenoz, Jasone

    2015-01-01

    The aim of this paper is to reflect on the theoretical and methodological underpinnings that provide the basis for an understanding of Content-Based Instruction/Content and Language Integrated Learning (CBI/CLIL) in the field and its relevance in education in the twenty-first century. It is argued that the agenda of CBI/CLIL needs to move towards…

  9. [The Gulf War Syndrome twenty years on].

    Science.gov (United States)

    Auxéméry, Y

    2013-10-01

    opposition or continuity links between the objective external exposure (smoke from petrol wells, impoverished uranium, biological agents, chemicals) and the share of inner emotion albeit reactive and characterised by a subjective stress. There were no lack of stress factors for the troops deployed: repeated alerts of chemical attacks, hostility of the environment with its sandstorms and venomous animals, climatic conditions making long hours of backup and static observation difficult, collecting bodies, lack of knowledge of the precise geography of their movements and uncertainty of the duration of the conflict. The military anti-nuclear-bacteriological-chemical uniform admittedly provided protective confinement, shutting out the hostile world from which the threat would come but, at the same time, this isolation increases the fear of a hypothetical risk whilst the internal perceptions are increased and can open the way to future somatisations. In a context like this, the somatic manifestations of anxiety (palpitations, sweating, paresthesia…) are willingly associated with somatised functional disorders to which can also be assigned over-interpretations of bodily feelings according to a hypochondriacal mechanism. The selective attention to somatic perceptions in the absence of mentalisations, the request for reassurance reiterated and the excessive use of the treatment system will be diagnostic indices of these symptoms caused by the stress. Rather than toxic exposure to such and such a substance, the non-specific syndrome called "Gulf War Syndrome" is the result of exposure to the eponymous operational theatre. But if the psychological and psychosomatic suffering occurring in veterans is immutable throughout history, the expression of these difficulties has specificities according to the past cultural, political and scientific context. In the example of GWS, the diffusion of the fear of a pathology resulting from chemical weapons has promoted this phenomenon. In the end

  10. HPV testing in first-void urine provides sensitivity for CIN2+ detection comparable with a smear taken by a clinician or a brush-based self-sample: cross-sectional data from a triage population.

    Science.gov (United States)

    Leeman, A; Del Pino, M; Molijn, A; Rodriguez, A; Torné, A; de Koning, M; Ordi, J; van Kemenade, F; Jenkins, D; Quint, W

    2017-08-01

    To compare the sensitivity of high-risk human papillomavirus (hrHPV) and genotype detection in self-collected urine samples in the morning (U1), and later on (U2), brush-based self-samples (SS), and clinician-taken smears (CTS) for detecting cervical intraepithelial neoplasia grade 2+ (CIN2+) in a colposcopic referral population. Cross-sectional single-centre study. A colposcopy clinic in Spain. A cohort of 113 women referred for colposcopy after an abnormal Pap smear. Women undergoing colposcopy with biopsy for abnormal Pap smears were sent a device (Colli-Pee™, Novosanis, Wijnegem, Belgium) to collect U1 on the morning of colposcopy. U2, CTS, and SS (Evalyn brush™, Rovers Medical Devices B.V., Oss, the Netherlands) were also analysed. All samples were tested for HPV DNA using the analytically sensitive SPF10-DEIA-LiPA25 assay and the clinically validated GP5+/6+-EIA-LMNX. Histologically confirmed CIN2+ and hrHPV positivity for 14 high-risk HPV types. Samples from 91 patients were analysed. All CIN3 cases (n = 6) tested positive for hrHPV in CTS, SS, U1, and U2 with both HPV assays. Sensitivity for CIN2+ with the SPF10 system was 100, 100, 95, and 100%, respectively. With the GP5+/6+ assay, sensitivity was 95% in all sample types. The sensitivities and specificities for both tests on each of the sample types did not significantly differ. There was 10-14% discordance on hrHPV genotype. CIN2+ detection using HPV testing of U1 shows a sensitivity similar to that of CTS or brush-based SS, and is convenient. There was substantial to almost excellent agreement between all samples on genotype with both hrHPV assays. There was no advantage in testing U1 compared with U2 samples. Similar CIN2+ sensitivity for HPV testing in first-void urine, physician-taken smear and brush-based self-sample. © 2017 Royal College of Obstetricians and Gynaecologists.

  11. New Bachelards?: Reveries, Elements and Twenty-First Century Materialisms

    Directory of Open Access Journals (Sweden)

    James L. Smith

    2012-10-01

    Full Text Available Recent years have seen an infusion of new ideas into material philosophy through the work of the so-called ‘new materialists’. Poignant examples appear within two recent books: the first, Vibrant Matter by Jane Bennett (2010, sets out to “enhance receptivity to the impersonal life that surrounds and infuses us” (2010: 4. The second, Elemental Philosophy by David Macauley (2010, advocates an anamnesis or recollection of the elements as imaginatively dynamic matter. Within his essays on the imagination of matter, Gaston Bachelard outlined an archetypal vision of the elements predicated upon the material imagination. He explored the manner in which the imagination inhabits the world, is triggered by the stimulus of material dynamism, and is formed from a co-constitution of subject and object. This article proposes that recent trends in materialist philosophy – as exemplified by the monographs of Bennett and Macauley – reinforce the ideas of Bachelard and take them in new directions. Bachelard provides us with a compelling argument for the rediscovery of material imagination, whereas New Materialism portrays a vision of matter filled with autonomous dynamism that lends itself to entering into a relationship with this imagination. Consequently, this article proposes that Gaston Bachelard has gained a new relevance as a result of contemporary trends in material philosophy, has taken on new possibilities through recent scholarship, and remains a force within the twenty-first century discursive landscape.

  12. Twenty-Seventh Symposium (International) on Combustion. Volume 1

    Science.gov (United States)

    1998-01-01

    pollutant emissions on human driving the development of highly efficient low- health range from respiratory diseases (e.g., child- emission combustion...Systems (N. 101. Stein, S. E., Walker, J. A., Suryan, M. M., and Fahr , Peters and B. Rogg, eds.), Lecture Notes in Physics, A., in Twenty-Third Symposium...M. M., and Fahr , A., and Kawano, H., Int. j. Chem. Kinet. 21:643-666 in Twenty-Third Symposium (International) on Com- (1989). bustion, The

  13. Assessing the Knowledge Level, Attitudes, Risky Behaviors and Preventive Practices on Sexually Transmitted Diseases among University Students as Future Healthcare Providers in the Central Zone of Malaysia: A Cross-Sectional Study

    Science.gov (United States)

    Folasayo, Adigun Temiloluwa; Oluwasegun, Afolayan John; Samsudin, Suhailah; Saudi, Siti Nor Sakinah; Osman, Malina; Hamat, Rukman Awang

    2017-01-01

    This study was done to assess the knowledge, attitudes, risky behaviors and preventive practices related to sexually-transmitted diseases (STDs) among health and non-health sciences university students as future healthcare providers in Malaysia. A total of 700 health and non-health sciences university students (255 male; 445 female) aged between 17 and 30 years were surveyed by using a self-administered questionnaire. The majority (86.6%) had heard of STDs, and 50.4% knew STDs could present without symptoms. HIV remains the best known STD (83.6%) by the students, while chlamydia (26%) and trichomoniasis (21.0%) were rarely known. Gender, age group, educational level and faculty type were strongly associated with knowledge level (p-values aware that STD screening was important while use of condoms was protective (63.8%). The majority of them strongly felt that treatment should be sought immediately if they (85.5%) and their partners (87.4%) have symptoms. Among the sexually-active students, 66.7% and 18% had sexual intercourse with multiple partners and commercial sex workers, while 17.4% and 9.4% took alcohol and drugs before having sex, respectively. By logistic regression analysis, students aged 24–30 years old (an odds ratio (AOR) = 0.57, 95% confidence interval (CI) = 0.377–0.859) and faculty type (AOR = 5.69, 95% CI = 4.019–8.057) were the significant predictors for the knowledge level. Knowledge on the non-HIV causes of STDs is still lacking, and the risky behavior practiced by the sexually-active students in this study is alarming. There is a need to revisit the existing STD education curriculum in both schools and universities so that appropriate intervention on STDs can be implemented. PMID:28208724

  14. Assessing the Knowledge Level, Attitudes, Risky Behaviors and Preventive Practices on Sexually Transmitted Diseases among University Students as Future Healthcare Providers in the Central Zone of Malaysia: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Adigun Temiloluwa Folasayo

    2017-02-01

    Full Text Available This study was done to assess the knowledge, attitudes, risky behaviors and preventive practices related to sexually-transmitted diseases (STDs among health and non-health sciences university students as future healthcare providers in Malaysia. A total of 700 health and non-health sciences university students (255 male; 445 female aged between 17 and 30 years were surveyed by using a self-administered questionnaire. The majority (86.6% had heard of STDs, and 50.4% knew STDs could present without symptoms. HIV remains the best known STD (83.6% by the students, while chlamydia (26% and trichomoniasis (21.0% were rarely known. Gender, age group, educational level and faculty type were strongly associated with knowledge level (p-values < 0.05. Most of them (88.8% were aware that STD screening was important while use of condoms was protective (63.8%. The majority of them strongly felt that treatment should be sought immediately if they (85.5% and their partners (87.4% have symptoms. Among the sexually-active students, 66.7% and 18% had sexual intercourse with multiple partners and commercial sex workers, while 17.4% and 9.4% took alcohol and drugs before having sex, respectively. By logistic regression analysis, students aged 24–30 years old (an odds ratio (AOR = 0.57, 95% confidence interval (CI = 0.377–0.859 and faculty type (AOR = 5.69, 95% CI = 4.019–8.057 were the significant predictors for the knowledge level. Knowledge on the non-HIV causes of STDs is still lacking, and the risky behavior practiced by the sexually-active students in this study is alarming. There is a need to revisit the existing STD education curriculum in both schools and universities so that appropriate intervention on STDs can be implemented.

  15. T₂ mapping provides multiple approaches for the characterization of muscle involvement in neuromuscular diseases: a cross-sectional study of lower leg muscles in 5-15-year-old boys with Duchenne muscular dystrophy.

    Science.gov (United States)

    Arpan, Ishu; Forbes, Sean C; Lott, Donovan J; Senesac, Claudia R; Daniels, Michael J; Triplett, William T; Deol, Jasjit K; Sweeney, H Lee; Walter, Glenn A; Vandenborne, Krista

    2013-03-01

    Skeletal muscles of children with Duchenne muscular dystrophy (DMD) show enhanced susceptibility to damage and progressive lipid infiltration, which contribute to an increase in the MR proton transverse relaxation time (T₂). Therefore, the examination of T₂ changes in individual muscles may be useful for the monitoring of disease progression in DMD. In this study, we used the mean T₂, percentage of elevated pixels and T₂ heterogeneity to assess changes in the composition of dystrophic muscles. In addition, we used fat saturation to distinguish T₂ changes caused by edema and inflammation from fat infiltration in muscles. Thirty subjects with DMD and 15 age-matched controls underwent T₂ -weighted imaging of their lower leg using a 3-T MR system. T₂ maps were developed and four lower leg muscles were manually traced (soleus, medial gastrocnemius, peroneal and tibialis anterior). The mean T₂ of the traced regions of interest, width of the T₂ histograms and percentage of elevated pixels were calculated. We found that, even in young children with DMD, lower leg muscles showed elevated mean T₂, were more heterogeneous and had a greater percentage of elevated pixels than in controls. T₂ measures decreased with fat saturation, but were still higher (P damage, edema and fat infiltration. This study shows that T₂ mapping provides multiple approaches that can be used effectively to characterize muscle tissue in children with DMD, even in the early stages of the disease. Therefore, T₂ mapping may prove to be clinically useful in the monitoring of muscle changes caused by the disease process or by therapeutic interventions in DMD.

  16. Assessing the Knowledge Level, Attitudes, Risky Behaviors and Preventive Practices on Sexually Transmitted Diseases among University Students as Future Healthcare Providers in the Central Zone of Malaysia: A Cross-Sectional Study.

    Science.gov (United States)

    Folasayo, Adigun Temiloluwa; Oluwasegun, Afolayan John; Samsudin, Suhailah; Saudi, Siti Nor Sakinah; Osman, Malina; Hamat, Rukman Awang

    2017-02-08

    This study was done to assess the knowledge, attitudes, risky behaviors and preventive practices related to sexually-transmitted diseases (STDs) among health and non-health sciences university students as future healthcare providers in Malaysia. A total of 700 health and non-health sciences university students (255 male; 445 female) aged between 17 and 30 years were surveyed by using a self-administered questionnaire. The majority (86.6%) had heard of STDs, and 50.4% knew STDs could present without symptoms. HIV remains the best known STD (83.6%) by the students, while chlamydia (26%) and trichomoniasis (21.0%) were rarely known. Gender, age group, educational level and faculty type were strongly associated with knowledge level (p-values students, 66.7% and 18% had sexual intercourse with multiple partners and commercial sex workers, while 17.4% and 9.4% took alcohol and drugs before having sex, respectively. By logistic regression analysis, students aged 24-30 years old (an odds ratio (AOR) = 0.57, 95% confidence interval (CI) = 0.377-0.859) and faculty type (AOR = 5.69, 95% CI = 4.019-8.057) were the significant predictors for the knowledge level. Knowledge on the non-HIV causes of STDs is still lacking, and the risky behavior practiced by the sexually-active students in this study is alarming. There is a need to revisit the existing STD education curriculum in both schools and universities so that appropriate intervention on STDs can be implemented.

  17. T2 mapping provides multiple approaches to characterize muscle involvement in neuromuscular diseases: a cross-sectional study of lower leg muscles in 5–15 year old boys with Duchenne Muscular Dystrophy

    Science.gov (United States)

    Arpan, Ishu; Forbes, Sean C; Lott, Donovan J; Senesac, Claudia R; Daniels, Michael J; Triplett, William T; Deol, Jasjit K; Sweeney, H Lee; Walter, Glenn A; Vandenborne, Krista

    2012-01-01

    Purpose Skeletal muscles of children with Duchenne muscular dystrophy (DMD) have enhanced susceptibility to damage and progressive lipid infiltration, which contribute to an increase in magnetic resonance proton transverse relaxation time (T2). Therefore, examining T2 changes in individual muscles may be useful for monitoring disease progression in DMD. In this study we utilized mean T2, percent elevated pixels, and T2 heterogeneity to assess changes in composition of dystrophic muscles. In addition, we used fat saturation (fatsat) to distinguish T2 changes due to edema and inflammation from fat infiltration in muscles. Methods Thirty subjects with DMD and 15 age-matched controls underwent T2-weighted imaging of their lower leg using 3-T MR system. T2 maps were developed and four lower leg muscles were manually traced (soleus, medial gastrocnemius, peroneal and tibialis anterior). Mean T2 of the traced regions of interest (ROI), width of T2 histograms, and percent-elevated pixels were calculated. Results We found that even in young children with DMD, muscles had elevated mean T2, were more heterogeneous, and had a greater percent-elevated pixels in the lower leg muscles than controls. T2 measures decreased with fat saturation, but were still higher (pmuscles than controls. Further, T2 measures showed positive correlations with timed functional tests (r=0.23–0.79). Conclusion The elevated T2 measures with and without fat saturation in all ages of DMD examined (5–15 years) compared to unaffected controls indicate that the dystrophic muscles have increased regions of damage, edema, and fat infiltration. This study shows that T2 mapping provides multiple approaches that can be effectively utilized to characterize muscle tissue in children with DMD even in the early stages of the disease. Therefore, T2 mapping may prove clinically useful in monitoring muscle changes due to disease process or therapeutic interventions in DMD. PMID:23044995

  18. “Prescribing sunshine”: a national, cross-sectional survey of 1,089 New Zealand general practitioners regarding their sun exposure and vitamin D perceptions, and advice provided to patients

    Directory of Open Access Journals (Sweden)

    Reeder Anthony

    2012-08-01

    Full Text Available Abstract Background The health effects of ultraviolet radiation vary according to wavelength, timing and pattern of exposure, personal characteristics and practices. Negative effects include skin cancers, eye diseases and immune suppression; positive effects primarily relate to endogenous vitamin D production which protects against bone disease. Drafting comprehensive guidelines regarding appropriate sun protective behaviours and vitamin D sufficiency is challenging. Advice given by general practitioners is potentially influential because they are widely respected. Methods A survey instrument was developed, pre-tested and provided to practising GP’s, either by on-line link or mailed, reply paid hard-copy. Odds ratios, differences in means, or ratios of geometric means from regression models are reported for potential predictor variables with 95% confidence intervals. Results Data (demographic, training, practicing, information accessing, confidence in vitamin D knowledge suitable for analysis were obtained from 1,089 GPs (32% participation. Many (43% were ‘not at all confident’ about their vitamin D knowledge. Recent information led 29% to recommend less sun protection during winter months and 10% less all year. Confidence was positively associated with non-‘Western’ medical training, information sources read and practising in a metropolitan centre with a medical school. Reading the Melanoma Clinical Practice Guidelines was associated with lower estimates of the amount of summer sun exposure required to obtain adequate vitamin D. Increasing years in practice was negatively associated with provision of recommended advice about summer and winter sun protection. Greater concern about vitamin D than skin cancer was expressed by females and those in practice longer. Conclusions Concern about the potentially negative impact of skin cancer prevention on vitamin D status may undermine appropriate sun protective recommendations. Reading some

  19. "Prescribing sunshine": a national, cross-sectional survey of 1,089 New Zealand general practitioners regarding their sun exposure and vitamin D perceptions, and advice provided to patients.

    Science.gov (United States)

    Reeder, Anthony Ivor; Jopson, Janet Ann; Gray, Andrew Robert

    2012-08-17

    The health effects of ultraviolet radiation vary according to wavelength, timing and pattern of exposure, personal characteristics and practices. Negative effects include skin cancers, eye diseases and immune suppression; positive effects primarily relate to endogenous vitamin D production which protects against bone disease. Drafting comprehensive guidelines regarding appropriate sun protective behaviours and vitamin D sufficiency is challenging. Advice given by general practitioners is potentially influential because they are widely respected. A survey instrument was developed, pre-tested and provided to practising GP's, either by on-line link or mailed, reply paid hard-copy. Odds ratios, differences in means, or ratios of geometric means from regression models are reported for potential predictor variables with 95% confidence intervals. Data (demographic, training, practicing, information accessing, confidence in vitamin D knowledge) suitable for analysis were obtained from 1,089 GPs (32% participation). Many (43%) were 'not at all confident' about their vitamin D knowledge. Recent information led 29% to recommend less sun protection during winter months and 10% less all year. Confidence was positively associated with non-'Western' medical training, information sources read and practising in a metropolitan centre with a medical school. Reading the Melanoma Clinical Practice Guidelines was associated with lower estimates of the amount of summer sun exposure required to obtain adequate vitamin D. Increasing years in practice was negatively associated with provision of recommended advice about summer and winter sun protection. Greater concern about vitamin D than skin cancer was expressed by females and those in practice longer. Concern about the potentially negative impact of skin cancer prevention on vitamin D status may undermine appropriate sun protective recommendations. Reading some educational resources was associated with confidence about vitamin D

  20. Flow Cytometry Section

    Data.gov (United States)

    Federal Laboratory Consortium — The primary goal of the Flow Cytometry Section is to provide the services of state-of-the-art multi-parameter cellular analysis and cell sorting for researchers and...

  1. The deep, hot biosphere: Twenty-five years of retrospection.

    Science.gov (United States)

    Colman, Daniel R; Poudel, Saroj; Stamps, Blake W; Boyd, Eric S; Spear, John R

    2017-07-03

    Twenty-five years ago this month, Thomas Gold published a seminal manuscript suggesting the presence of a "deep, hot biosphere" in the Earth's crust. Since this publication, a considerable amount of attention has been given to the study of deep biospheres, their role in geochemical cycles, and their potential to inform on the origin of life and its potential outside of Earth. Overwhelming evidence now supports the presence of a deep biosphere ubiquitously distributed on Earth in both terrestrial and marine settings. Furthermore, it has become apparent that much of this life is dependent on lithogenically sourced high-energy compounds to sustain productivity. A vast diversity of uncultivated microorganisms has been detected in subsurface environments, and we show that H2, CH4, and CO feature prominently in many of their predicted metabolisms. Despite 25 years of intense study, key questions remain on life in the deep subsurface, including whether it is endemic and the extent of its involvement in the anaerobic formation and degradation of hydrocarbons. Emergent data from cultivation and next-generation sequencing approaches continue to provide promising new hints to answer these questions. As Gold suggested, and as has become increasingly evident, to better understand the subsurface is critical to further understanding the Earth, life, the evolution of life, and the potential for life elsewhere. To this end, we suggest the need to develop a robust network of interdisciplinary scientists and accessible field sites for long-term monitoring of the Earth's subsurface in the form of a deep subsurface microbiome initiative.

  2. Twenty years of minimally invasive surgery in the Czech Republic

    Directory of Open Access Journals (Sweden)

    Miloslav Duda

    2011-03-01

    Full Text Available Aim: To outline the history and evaluate the development and current situation of miniinvasive surgery in the Czech Republic (CR.Material and methods: The authors discuss their experience with the introduction of miniinvasive surgery in CR. Questionnaires used repeatedly in surgical departments in CR provide the data for the evaluation of the development and current status of endoscopic surgery.Results: In the Czech Republic laparoscopic surgery was first performed in 1991, and by 1997 laparoscopic interventions were performed at all surgical departments. The proportion of the laparoscopic approach within overall abdominal surgery increased between 1997 and 2002 from 22% to 37%. The most frequent laparoscopic (L treatment applied today is cholecystectomy (CH, which is a method used at all departments. Nowadays, the proportion of LCH within all cholecystectomies performed is between 71% and 76%. CH is followed by appendectomy (A, which is carried out in 94-97% of surgical departments; the proportion of LA is between 38% and 41%. Laparoscopic herniotomy (H is performed at 85-87% of surgical departments, and its proportion within all herniotomies reached 19%. In 1997-1999 resection of the colon was performed at 9% of surgical departments, in 2004 at 26%, and in 2006 at as many as 58% of surgical departments. Between 2004 and 2006 the proportion of laparoscopic management of resection of colorectal carcinoma increased from 7% to 15%. A smaller number of departments perform highly specialized endoscopic surgery. In 2006 we recorded 365 gastric bandings for the treatment of obesity, 90 resections of the stomach, 139 resections of the liver, 60 splenectomies, and 70 adrenalectomies. Video-assisted thoracoscopic interventions also became routine: in 2006 we recorded 953, in 2007 there were 1214 this procedures performed, and in 2008 the number increased to 1163.Conclusions: The proportion of endoscopic surgery within all forms of surgical management has

  3. Twenty-Sixth Symposium (International) on Combustion, Volume 1.

    Science.gov (United States)

    1997-04-01

    Fundamental Aspects of Combustion, Oxford University Press, New York, 1993, p. 81. 12. Ross, H. D., Miller, F. J., Schiller, D. N., and Sirig- nano , W...Mech. 48:547-591 (1971). 2. Lazaro , B. J. and Lasheras, J. C, Phys. Fluids 1:1035 (1989). 3. Kiger, K. T. and Lasheras, J. C, Twenty-Fifth Sympo

  4. Proceedings of the Twenty Second Nordic Seminar on Computational Mechanics

    DEFF Research Database (Denmark)

    This book contains the proceedings of the Twenty Second Nordic Seminar on Computational Mechanics (NSCM22), taking event 22-23 October 2009 at Aalborg University, Denmark. The papers presented at the Optimization Seminar in Honour of Niels Olhoff, held 21 October 2009 at Aalborg University, Denmark...

  5. The Work Place of the Early Twenty-First Century.

    Science.gov (United States)

    Brown, James M.

    1991-01-01

    Major issues affecting the workplace of the twenty-first century include productivity growth, globalization, resistance to change, worker alienation, and telecommunications. Opposing views of technology are that (1) it will improve the economy and create jobs or (2) the majority of new jobs will not require high skills. (SK)

  6. Educators Guide to Free Filmstrips. Twenty-Third Edition.

    Science.gov (United States)

    Horkheimer, Mary Foley, Comp.; Diffor, John C., Comp.

    A total of 453 titles of filmstrips, slide sets, and sets of transparencies available free of charge to educators are listed in this guide. More than 20,000 separate frames are offered from 95 sources. Twenty of the filmstrips may be retained permanently by the borrower. The films cover topics in the fields of accident prevention, aerospace…

  7. Membership, Belonging, and Identity in the Twenty-First Century

    Science.gov (United States)

    Motteram, Gary

    2016-01-01

    This article takes a case study approach to exploring membership, belonging, and identity amongst English language teachers in the twenty-first century. It explores findings from two membership surveys conducted for the International Association of Teachers of English as a Foreign Language (IATEFL), and considers the impact of recommendations…

  8. Tall Fescue for the Twenty-first Century

    Science.gov (United States)

    Tall Fescue for the Twenty-first Century is a comprehensive monograph by experts from around the world about the science of tall fescue [Lolium arundinaceum (Schreb.) Darbysh. = Schedonorus arundinaceus (Schreb.) Dumort., formerly Fes¬tuca arundinacea Schreb. var. arundinacea] and its applications. ...

  9. Powering into the twenty-first century [Singapore Power Limited

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1997-07-01

    To meet the challenges of the twenty-first century power industry, Singapore Power was incorporated as a commercial entity in October 1995. As the leading energy company in Singapore, SP continues to invest heavily in infrastructure development to improve its service efficiency and reliability, and to maintain its reputation as one of the world`s best power suppliers. (UK)

  10. Afterword: Victorian Sculpture for the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    David J. Getsy

    2016-06-01

    Full Text Available Commenting on the directions proposed by this issue of '19', the afterword discusses the broad trends in twenty-first century studies of Victorian sculpture and the opportunity for debate arising from the first attempt at a comprehensive exhibition.

  11. Membership, Belonging, and Identity in the Twenty-First Century

    Science.gov (United States)

    Motteram, Gary

    2016-01-01

    This article takes a case study approach to exploring membership, belonging, and identity amongst English language teachers in the twenty-first century. It explores findings from two membership surveys conducted for the International Association of Teachers of English as a Foreign Language (IATEFL), and considers the impact of recommendations…

  12. Blended Instruction: The Roaring Twenties Meets Coursesites.com

    Science.gov (United States)

    Waldron, Diane L.

    2014-01-01

    The action research study described in this report outlines the design and implementation of a unit of blended instruction in a traditional high school English classroom. Twenty technical high school students in an 11th grade Honors English class engaged in a variety of internet-based activities in conjunction with traditional learning activities…

  13. Twenty years of physics at MAMI -What did it mean?

    Energy Technology Data Exchange (ETDEWEB)

    Mecking, B.A. [Thomas Jefferson National Accelerator Facility, Newport News, VA (United States)

    2006-05-15

    The development over the last twenty years of the physics program and the experimental facilities at the Mainz Microtron MAMI will be reviewed. Ground-breaking contributions have been made to the development of experimental techniques and to our understanding of the structure of nucleons and nuclei. (orig.)

  14. The Presidential Platform on Twenty-First Century Education Goals

    Science.gov (United States)

    Tichnor-Wagner, Ariel; Socol, Allison Rose

    2016-01-01

    As social and economic problems change, so do the goals of education reformers. This content analysis of presidential debates transcripts, state of the union addresses, and education budgets from 2000 to 2015 reveals the ways in which presidents and presidential candidates have framed education goals thus far in the twenty-first century. Using…

  15. Twenty years of physics at MAMI --What did it mean?

    Energy Technology Data Exchange (ETDEWEB)

    Bernhard Mecking

    2006-06-01

    The development over the last twenty years of the physics program and the experimental facilities at the Mainz Microtron MAMI will be reviewed. Ground-breaking contributions have been made to the development of experimental techniques and to our understanding of the structure of nucleons and nuclei.

  16. The Work Place of the Early Twenty-First Century.

    Science.gov (United States)

    Brown, James M.

    1991-01-01

    Major issues affecting the workplace of the twenty-first century include productivity growth, globalization, resistance to change, worker alienation, and telecommunications. Opposing views of technology are that (1) it will improve the economy and create jobs or (2) the majority of new jobs will not require high skills. (SK)

  17. Digital earth applications in the twenty-first century

    NARCIS (Netherlands)

    de By, R.A.; Georgiadou, P.Y.

    2014-01-01

    In these early years of the twenty-first century, we must look at how the truly cross-cutting information technology supports other innovations, and how it will fundamentally change the information positions of government, private sector and the scientific domain as well as the citizen. In those

  18. Automation and robotics for Space Station in the twenty-first century

    Science.gov (United States)

    Willshire, K. F.; Pivirotto, D. L.

    1986-01-01

    Space Station telerobotics will evolve beyond the initial capability into a smarter and more capable system as we enter the twenty-first century. Current technology programs including several proposed ground and flight experiments to enable development of this system are described. Advancements in the areas of machine vision, smart sensors, advanced control architecture, manipulator joint design, end effector design, and artificial intelligence will provide increasingly more autonomous telerobotic systems.

  19. Decadal potential predictability of twenty-first century climate

    Energy Technology Data Exchange (ETDEWEB)

    Boer, George J. [Canadian Centre for Climate Modelling and Analysis, Environment Canada, PO Box 3065, Victoria, BC (Canada)

    2011-03-15

    Decadal prediction of the coupled climate system is potentially possible given enough information and knowledge. Predictability will reside in both externally forced and in long timescale internally generated variability. The ''potential predictability'' investigated here is characterized by the fraction of the total variability accounted for by these two components in the presence of short-timescale unpredictable ''noise'' variability. Potential predictability is not a classical measure of predictability nor a measure of forecast skill but it does identify regions where long timescale variability is an appreciable fraction of the total and hence where prediction on these scale may be possible. A multi-model estimate of the potential predictability variance fraction (ppvf) as it evolves through the first part of the twenty-first century is obtained using simulation data from the CMIP3 archive. Two estimates of potential predictability are used which depend on the treatment of the forced component. The multi-decadal estimate considers the magnitude of the forced component as the change from the beginning of the century and so becomes largely a measure of climate change as the century progresses. The next-decade estimate considers the change in the forced component from the past decade and so is more pertinent to an actual forecast for the next decade. Long timescale internally generated variability provides additional potential predictability beyond that of the forced component. The ppvf may be expressed in terms of a signal-to-noise ratio and takes on values between 0 and 1. The largest values of the ppvf for temperature are found over tropical and mid-latitude oceans, with the exception of the equatorial Pacific, and some but not all tropical land areas. Overall the potential predictability for temperature generally declines with latitude and is relatively low over mid- to high-latitude land. Potential predictability for

  20. Understanding Contamination; Twenty Years of Simulating Radiological Contamination

    Energy Technology Data Exchange (ETDEWEB)

    Emily Snyder; John Drake; Ryan James

    2012-02-01

    A wide variety of simulated contamination methods have been developed by researchers to reproducibly test radiological decontamination methods. Some twenty years ago a method of non-radioactive contamination simulation was proposed at the Idaho National Laboratory (INL) that mimicked the character of radioactive cesium and zirconium contamination on stainless steel. It involved baking the contamination into the surface of the stainless steel in order to 'fix' it into a tenacious, tightly bound oxide layer. This type of contamination was particularly applicable to nuclear processing facilities (and nuclear reactors) where oxide growth and exchange of radioactive materials within the oxide layer became the predominant model for material/contaminant interaction. Additional simulation methods and their empirically derived basis (from a nuclear fuel reprocessing facility) are discussed. In the last ten years the INL, working with the Defense Advanced Research Projects Agency (DARPA) and the National Homeland Security Research Center (NHSRC), has continued to develop contamination simulation methodologies. The most notable of these newer methodologies was developed to compare the efficacy of different decontamination technologies against radiological dispersal device (RDD, 'dirty bomb') type of contamination. There are many different scenarios for how RDD contamination may be spread, but the most commonly used one at the INL involves the dispersal of an aqueous solution containing radioactive Cs-137. This method was chosen during the DARPA projects and has continued through the NHSRC series of decontamination trials and also gives a tenacious 'fixed' contamination. Much has been learned about the interaction of cesium contamination with building materials, particularly concrete, throughout these tests. The effects of porosity, cation-exchange capacity of the material and the amount of dirt and debris on the surface are very important factors

  1. Activities: Sectioning a Regular Tetrahedron.

    Science.gov (United States)

    Maletsky, Evan M., Ed.; And Others

    1980-01-01

    Worksheets are provided for use by students in grades 8 and above when sectioning a tetrahedron. Lesson objectives include the discovery of generalizations regarding the cross-sections of a tetrahedron. (MK)

  2. NATO’s Relevance in the Twenty-First Century

    Science.gov (United States)

    2012-03-22

    rules of engagement for force protection.19 NATO Foreign Ministers authorized the Supreme Allied Commander Europe (SACEUR) to begin the next stage of...the mission on 9 December 2004. The activation order for this next stage was given by SACEUR on 16 December 2004. It allowed the deployment of 300...Christopher Coker, Globalisation and Insecurity in the Twenty-first Century: NATO and the Management of Risk (The International Institute for Strategic

  3. Proceedings of the twenty-first LAMPF users group meeting

    Energy Technology Data Exchange (ETDEWEB)

    1988-04-01

    The Twenty-First Annual LAMPF Users Group Meeting was held November 9-10, 1987, at the Clinton P. Anderson Meson Physics Facility. The program included a number of invited talks on various aspects of nuclear and particle physics as well as status reports on LAMPF and discussions of upgrade options. The LAMPF working groups met and discussed plans for the secondary beam lines, experimental programs, and computing facilities.

  4. About capital in the twenty-first century

    OpenAIRE

    2015-01-01

    In this article, I present three key facts about income and wealth inequality in the long run emerging from my book, Capital in the Twenty-First Century, and seek to sharpen and refocus the discussion about those trends. In particular, I clarify the role played by r > g in my analysis of wealth inequality. I also discuss some of the implications for optimal taxation, and the relation between capital-income ratios and capital shares.

  5. Technological sciences society of the twenty-first century

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-04-15

    This book introduces information-oriented society of the twenty-first century connected to computer network for example memory of dream : F-ram, information-oriented society : New media, communications network for next generation ; ISDN on what is IDSN?, development of information service industry, from office automation to an intelligent building in the future, home shopping and home banking and rock that hinders information-oriented society.

  6. The November $J / \\Psi$ Revolution Twenty-Five Years Later

    CERN Document Server

    Khare, A

    1999-01-01

    Exactly twenty five years ago the world of high energy physics was set on fire by the discovery of a new particle with an unusually narrow width at 3095 MeV, known popularly as the $J/\\Psi$ revolution. This discovery was very decisive in our understanding as well as formulating the current picture regarding the basic constituents of nature. I look back at the discovery, pointing out how unexpected, dramatic and significant it was.

  7. Proceedings of the twenty-second LAMPF users groupd meeting

    Energy Technology Data Exchange (ETDEWEB)

    Marinuzzi, R.

    1989-04-01

    The Twenty-Second Annual LAMPF Users Group Meeting was held October 17--18, 1988, at the Clinton P. Anderson Meson Physics Facility. The program included a number of invited talks on various aspects of nuclear and particle physics as well as status reports on LAMPF and discussions of upgrade options. The LAMPF working groups met and discussed plans for the secondary beam lines, experimental programs, and computing facilities.

  8. Population and business exposure to twenty scenario earthquakes in the State of Washington

    Science.gov (United States)

    Wood, Nathan; Ratliff, Jamie

    2011-01-01

    This report documents the results of an initial analysis of population and business exposure to scenario earthquakes in Washington. This analysis was conducted to support the U.S. Geological Survey (USGS) Pacific Northwest Multi-Hazards Demonstration Project (MHDP) and an ongoing collaboration between the State of Washington Emergency Management Division (WEMD) and the USGS on earthquake hazards and vulnerability topics. This report was developed to help WEMD meet internal planning needs. A subsequent report will provide analysis to the community level. The objective of this project was to use scenario ground-motion hazard maps to estimate population and business exposure to twenty Washington earthquakes. In consultation with the USGS Earthquake Hazards Program and the Washington Division of Geology and Natural Resources, the twenty scenario earthquakes were selected by WEMD (fig. 1). Hazard maps were then produced by the USGS and placed in the USGS ShakeMap archive.

  9. PRES 2012 special section

    DEFF Research Database (Denmark)

    Klemeš, Jiří Jaromír; Varbanov, Petar Sabev; Wang, Qiuwang;

    2013-01-01

    This Special Section provides introduction to the 15th Conference Process Integration, Modelling and Optimisation for Energy Saving and Pollution Reduction (PRES 2012). In this editorial introduction, the editors are highlighting the individual articles included in this issue and discussing the m...... the main points. The main areas of this issue can be summarised as: Process Integration for Energy Saving, Integrating Renewable Energy Sources and Energy Optimisation issues.......This Special Section provides introduction to the 15th Conference Process Integration, Modelling and Optimisation for Energy Saving and Pollution Reduction (PRES 2012). In this editorial introduction, the editors are highlighting the individual articles included in this issue and discussing...

  10. Rethinking Individual Authorship: Robert Burns, Oral Tradition, and the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    Ruth Knezevich

    2011-10-01

    Full Text Available The songs of late-eighteenth-century Scottish poet Robert Burns provide a rich case study of literature that challenges existing notions of the author as an autonomous entity. Responding to twenty-first-century examples of contested issues of intellectual property and plagiarism in an age of digital media, this project illustrates the ways in which precepts of oral tradition can inform our thinking about cultural production within contexts seemingly permeated by ever-present literacy or text-based thinking in order to provide a new outlook on such situations of artistic borrowing or “plagiarism.”

  11. Twenty-first workshop on geothermal reservoir engineering: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    None

    1996-01-26

    PREFACE The Twenty-First Workshop on Geothermal Reservoir Engineering was held at the Holiday Inn, Palo Alto on January 22-24, 1996. There were one-hundred fifty-five registered participants. Participants came from twenty foreign countries: Argentina, Austria, Canada, Costa Rica, El Salvador, France, Iceland, Indonesia, Italy, Japan, Mexico, The Netherlands, New Zealand, Nicaragua, the Philippines, Romania, Russia, Switzerland, Turkey and the UK. The performance of many geothermal reservoirs outside the United States was described in several of the papers. Professor Roland N. Horne opened the meeting and welcomed visitors. The key note speaker was Marshall Reed, who gave a brief overview of the Department of Energy's current plan. Sixty-six papers were presented in the technical sessions of the workshop. Technical papers were organized into twenty sessions concerning: reservoir assessment, modeling, geology/geochemistry, fracture modeling hot dry rock, geoscience, low enthalpy, injection, well testing, drilling, adsorption and stimulation. Session chairmen were major contributors to the workshop, and we thank: Ben Barker, Bobbie Bishop-Gollan, Tom Box, Jim Combs, John Counsil, Sabodh Garg, Malcolm Grant, Marcel0 Lippmann, Jim Lovekin, John Pritchett, Marshall Reed, Joel Renner, Subir Sanyal, Mike Shook, Alfred Truesdell and Ken Williamson. Jim Lovekin gave the post-dinner speech at the banquet and highlighted the exciting developments in the geothermal field which are taking place worldwide. The Workshop was organized by the Stanford Geothermal Program faculty, staff, and graduate students. We wish to thank our students who operated the audiovisual equipment. Shaun D. Fitzgerald Program Manager.

  12. Twenty years of energy policy: What should we have learned?

    Energy Technology Data Exchange (ETDEWEB)

    Greene, D.L. [Oak Ridge National Lab., TN (United States). Center for Transportation Analysis

    1994-07-01

    This report examines the past twenty years of energy market events and energy policies to determine what may be useful for the future. The author focuses on two important lessons that should have been learned but which the author feels have been seriously misunderstood. The first is that oil price shocks were a very big and very real problem for oil importing countries, a problem the has not gone away. The second is that automobile fuel economy regulation has worked and worked effectively to reduce oil consumption and the externalities associated with it, and can still work effectively in the future.

  13. Accelerators for the twenty-first century a review

    CERN Document Server

    Wilson, Edmund J N

    1990-01-01

    The development of the synchrotron, and later the storage ring, was based upon the electrical technology at the turn of this century, aided by the microwave radar techniques of World War II. This method of acceleration seems to have reached its limit. Even superconductivity is not likely to lead to devices that will satisfy physics needs into the twenty-first century. Unless a new principle for accelerating elementary particles is discovered soon, it is difficult to imagine that high-energy physics will continue to reach out to higher energies and luminosities.

  14. Earth observations in the twenty-first century

    Science.gov (United States)

    Geller, M. A.

    1986-01-01

    Some of the achievements of earth observations from past space missions are described. Also discussed are the achievements to be anticipated from currently approved and planned earth observation missions. In looking forward to what the objectives of earth observations from space are expected to be in the future, together with what technology is expected to enable, what the earth observing program will look like during the first part of the twenty-first century is discussed. It is concluded that a key part of this program will be long-term observations holistically viewing the earth system.

  15. Vinte anos de efeito SERS Twenty years of SERS

    Directory of Open Access Journals (Sweden)

    Dalva L. A. de Faria

    1999-07-01

    Full Text Available The Surface Enhanced Raman Scattering (SERS effect was observed for the first time in 1974, but it was only considered a new effect three years later, hence, nearly twenty years ago. Since its discovery, a significant amount of investigations have been performed aiming at to clarify the nature of the observed enhancement, to improve the surface stability and to establish applications which nowadays range from the study of biomolecules to catalysis. Some of the more relevant aspects of this effect which have been examined across the last two decades are summarized in this paper which presents the introductory aspects of SERS alongside with several of its applications.

  16. The Renaissance of Word-of-Mouth Marketing: A ‘New’ Standard in Twenty-First Century Marketing Management?!

    Directory of Open Access Journals (Sweden)

    Norbert H. Meiners

    2010-12-01

    Full Text Available In this paper the importance of word of mouth for marketing management in the twenty-first century will be discussed. After a short introduction, there will be a focus on the demarcations and problems of traditional marketing. Then, in the third section, word ofmouth (WOM and word-of-mouth marketing (WOMM as a ‘new’ standard in modern marketing are described. The fourth section broaches the importance of word of mouth and word-of-mouth marketing from the point of view of business and consumers, and then in the fifth section their importance for the Internet is considered. Finally, in section six evangelism marketing is discussed as the most effective form of word-of-mouth marketing. Section seven concludes the paper with a short summary. The paper focuses on scholarly articles andcurrent research so as to keep theory as close as possible to reality.

  17. Noise Management in Twenty-First Century Libraries: Case Studies of Four U.S. Academic Institutions

    Science.gov (United States)

    Franks, Janet E.; Asher, Darla C.

    2014-01-01

    University libraries have had to provide acceptable noise levels for many years and this pressure has not diminished in the twenty-first century. Library space has to be utilized to ensure noise levels are best managed. A study was undertaken across four university libraries in South Florida to determine how universities utilized their limited…

  18. A Model for Reform. Two-Year Colleges in the Twenty-First Century: Breaking Down Barriers (TYC21).

    Science.gov (United States)

    Palmer, James C., Ed.

    This book describes the TYC21 project (Two-Year Colleges in the Twenty-First Century: Breaking Down Barriers), which provided a framework to implement reform in science, engineering, and physics education at two-year colleges via the cooperative efforts of faculty in cross-educational activities. The project sought to increase the quality of…

  19. Managing the twenty-first century reference department challenges and prospects

    CERN Document Server

    Katz, Linda S

    2014-01-01

    Learn the skills needed to update and manage a reference department that efficiently meets the needs of clients today?and tomorrow! Managing the Twenty-First Century Reference Department: Challenges and Prospects provides librarians with the knowledge and skills they need to manage an effective reference service. Full of useful and practical ideas, this book presents successful methods for recruiting and retaining capable reference department staff and management, training new employees and adapting current services to an evolving field. Expert practitioners address the changing role of the r

  20. Uncertainties in sea level projections on twenty-year timescales

    Science.gov (United States)

    Vinogradova, Nadya; Davis, James; Landerer, Felix; Little, Chris

    2016-04-01

    Regional decadal changes in sea level are governed by various processes, including ocean dynamics, gravitational and solid earth responses, mass loss of continental ice, and other local coastal processes. In order to improve predictions and physical attribution in decadal sea level trends, the uncertainties of each processes must be reflected in the sea level calculations. Here we explore uncertainties in predictions of the decadal and bi-decadal changes in regional sea level induced by the changes in ocean dynamics and associated redistribution of heat and freshwater (often referred to as dynamic sea level). Such predictions are typically based on the solutions from coupled atmospheric and oceanic general circulation models, including a suite of climate models participating in phase 5 of the Coupled Model Intercompasion Project (CMIP5). Designed to simulate long-term ocean variability in response to warming climate due to increasing green-house gas concentration ("forced" response), CMIP5 are deficient in simulating variability at shorter time scales. In contrast, global observations of sea level are available during a relatively short time span (e.g., twenty-year altimetry records), and are dominated by an "unforced" variability that occurs freely (internally) within the climate system. This makes it challenging to examine how well observations compare with model simulations. Therefore, here we focus on patterns and spatial characteristics of projected twenty-year trends in dynamic sea level. Based on the ensemble of CMIP5 models, each comprising a 240-year run, we compute an envelope of twenty-year rates, and analyze the spread and spatial relationship among predicted rates. An ensemble root-mean-square average exhibits large-scale spatial patterns, with the largest uncertainties found over mid and high latitudes that could be attributed to the changes in wind patterns and buoyancy forcing. To understand and parameterize spatial characteristics of the

  1. Managing asbestos in Italy: twenty years after the ban.

    Science.gov (United States)

    Silvestri, Stefano

    2012-01-01

    Establishing an asbestos ban is not sufficient to achieve effective primary prevention. Twenty years after the Italian asbestos ban, the residual presence of asbestos-containing materials, estimated to be 80 percent of the quantity existing in 1992, may still be the cause of negative effects to the health of workers and the general population. The so called "asbestos way-out" at this rate of cleaning up, roughly 1 percent per year, is too slow, and new policy to re-discuss the entire process is needed. Encouragement of the owners with tax relief when the substitution of the asbestos roofs is performed with photovoltaic panels, as well as reducing the cost of removal planning local landfills may be the keys to accelerate the cleanup process.

  2. The Dialectics of Discrimination in the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    John Stone

    2007-12-01

    Full Text Available This article explores some of the latest developments in the scholarship on race relations and nationalism that seek to address the impact of globalization and the changed geo-political relations of the first decade of the twenty-first century. New patterns of identification, some of which challenge existing group boundaries and others that reinforce them, can be seen to flow from the effects of global market changes and the political counter-movements against them. The impact of the “war on terrorism”, the limits of the utility of hard power, and the need for new mechanisms of inter-racial and inter-ethnic conflict resolution are evaluated to emphasize the complexity of these group relations in the new world disorder.

  3. Increased Prevalence of Dental Fluorosis after Twenty Years

    DEFF Research Database (Denmark)

    Richards, Alan; Larsen, Mogens Joost; Maare, L.

    2006-01-01

    children, of similar ages, examined in the same area in 1984. Results: The prevalence and severity of fluorosis varied between tooth types so that the later in childhood the teeth are mineralized the higher the prevalence of dental fluorosis. When the data were compared to those collected 20 years...... in the (later formed) premolars and second molars. Conclusions: A significant increase in fluorosis prevalence has occurred over the last 20 years due to increased fluoride exposure of pre-school children. These findings may be explained by increased use of fluoride toothpaste by this age group from......0977   Increased Prevalence of Dental Fluorosis after Twenty Years A. RICHARDS1, M. LARSEN1, L. MAARE2, and H. HEDEBOE2, 1Aarhus University, Faculty of Health Sciences, Denmark, 2Præstø School Dental Service, Denmark Objectives: To describe the prevalence and severity of dental fluorosis among all...

  4. The Danish eID Case: Twenty years of Delay

    DEFF Research Database (Denmark)

    Hoff, Jens Villiam; Hoff, Frederik Villiam

    2010-01-01

    The focus of this article is to explain why there is still no qualified digital signature in Denmark as defined by the EU eSignatures Directive nor any other nationwide eID even though Denmark had an early start in eGovernment, and a high level of "e-readiness" compared to other nations. Laying out...... of intergovernmental coordination and lack of cooperation between public and private sector. However, with the recent tender on digital signatures won by the PBS and the roll-out of the NemID it seems that Denmark will finally - after twenty years of delay - have an eID which can be widely used in the public as well...

  5. Therapy Provider Phase Information

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Therapy Provider Phase Information dataset is a tool for providers to search by their National Provider Identifier (NPI) number to determine their phase for...

  6. 78 FR 20168 - Twenty Fourth Meeting: RTCA Special Committee 203, Unmanned Aircraft Systems

    Science.gov (United States)

    2013-04-03

    ... Federal Aviation Administration Twenty Fourth Meeting: RTCA Special Committee 203, Unmanned Aircraft Systems AGENCY: Federal Aviation Administration (FAA), U.S. Department of Transportation (DOT). ACTION.../Approval of Twenty Third Plenary Meeting Summary Leadership Update Workgroup Progress...

  7. Twenty-first century science as a relational process: from eureka! to team science and a place for community psychology.

    Science.gov (United States)

    Tebes, Jacob Kraemer; Thai, Nghi D; Matlin, Samantha L

    2014-06-01

    In this paper we maintain that twenty-first century science is, fundamentally, a relational process in which knowledge is produced (or co-produced) through transactions among researchers or among researchers and public stakeholders. We offer an expanded perspective on the practice of twenty-first century science, the production of scientific knowledge, and what community psychology can contribute to these developments. We argue that: (1) trends in science show that research is increasingly being conducted in teams; (2) scientific teams, such as transdisciplinary teams of researchers or of researchers collaborating with various public stakeholders, are better able to address complex challenges; (3) transdisciplinary scientific teams are part of the larger, twenty-first century transformation in science; (4) the concept of heterarchy is a heuristic for team science aligned with this transformation; (5) a contemporary philosophy of science known as perspectivism provides an essential foundation to advance twenty-first century science; and (6) community psychology, through its core principles and practice competencies, offers theoretical and practical expertise for advancing team science and the transformation in science currently underway. We discuss the implications of these points and illustrate them briefly with two examples of transdisciplinary team science from our own work. We conclude that a new narrative is emerging for science in the twenty-first century that draws on interpersonal transactions in teams, and active engagement by researchers with the public to address critical accountabilities. Because of its core organizing principles and unique blend of expertise on the intersection of research and practice, community psychologists are well-prepared to help advance these developments, and thus have much to offer twenty-first century science.

  8. Physical inactivity in patients with rheumatoid arthritis: Data from twenty-one countries in a cross-sectional, international study

    DEFF Research Database (Denmark)

    Sokka, T.; Hakkinen, A.; Kautiainen, H.

    2008-01-01

    exercise: >80% in 7 countries, 60-80% in 12 countries, and 45% and 29% in 2 countries, respectively. Physical inactivity was associated with female sex, older age, lower education, obesity, comorbidity, low functional capacity, and higher levels of disease activity, pain, and fatigue. Conclusion. In many......Objective. Regular physical activity is associated with decreased morbidity and mortality. Traditionally, patients with rheumatoid arthritis (RA) have been advised to limit physical exercise. We studied the prevalence of physical activity and associations with demographic and disease...... countries, a low proportion of patients with RA exercise. These data may alert rheumatologists to motivate their patients to increase physical activity levels Udgivelsesdato: 2008/1/15...

  9. Establishing the R&D agenda for twenty-first century learning.

    Science.gov (United States)

    Kay, Ken; Honey, Margaret

    2006-01-01

    An infusion of twenty-first century skills into American public education necessitates a plan for research and development to further such reform. While the nation agrees that students must obtain critical thinking, problem-solving, and communication skills to succeed in the current global marketplace, this chapter puts forth a long-term, proactive agenda to invest in targeted research to propel and sustain this shift in education. The authors examine the impact such an R&D agenda would have on pedagogy and assessment and the implications for institutions of higher education. As the United States struggles to maintain dominance in the international economy, it faces a great challenge in keeping up with European and Asian competitors' strategies for preparing youth for the global marketplace. The authors hope the global reality will help contextualize the debate around American education--the current trend toward basics and accountability needs to be broadened. Building on frameworks created by the Partnership for 21st Century Skills, this chapter proposes questions to guide research around teaching, professional development, and assessment significant to twenty-first century skills. Knowing that educational change depends on providing teachers with the tools, support, and training to make fundamental changes in their practice, the authors argue for extensive research around best practices. In addition, if assessments are created to measure the desired outcomes, such measuring tools can drive reform. Furthermore, large-scale changes in teacher preparation programs must take place to allow teachers to adequately employ twenty-first century teaching and assessment strategies.

  10. Why American business demands twenty-first century skills: an industry perspective.

    Science.gov (United States)

    Bruett, Karen

    2006-01-01

    Public education is the key to individual and business prosperity. With a vested stake in education, educators, employers, parents, policymakers, and the public should question how this nation's public education system is faring. Knowing that recent international assessments have shown little or no gains in American students' achievement, the author asserts the clear need for change. As both a large American corporate employer and a provider of technology for schools, Dell is concerned with ensuring that youth will thrive in their adult lives. Changing workplace expectations lead to a new list of skills students will need to acquire before completing their schooling. Through technology, Dell supports schools in meeting educational goals, striving to supply students with the necessary skills, referred to as twenty-first century skills. The Partnership for 21st Century Skills, of which Dell is a member, has led an initiative to define what twenty-first century learning should entail. Through extensive research, the partnership has built a framework outlining twenty-first century skills: analytical thinking, communication, collaboration, global awareness, and technological and economic literacy. Dell and the partnership are working state by state to promote the integration of these skills into curricula, professional development for teachers, and classroom environments. The authors describe two current initiatives, one in Virginia, the other in Texas, which both use technology to help student learning. All stakeholders can take part in preparing young people to compete in the global economy. Educators and administrators, legislators, parents, and employers must play their role in helping students be ready for what the workforce and the world has in store for them.

  11. Twenty Meter Space Telescope Based on Diffractive Fresnel Lens

    Energy Technology Data Exchange (ETDEWEB)

    Early, J; Hyde, R; Baron, R

    2003-06-26

    Diffractive lenses offer two potential advantages for very large aperture space telescopes; very loose surface-figure tolerances and physical implementation as thin, flat optical elements. In order to actually realize these advantages one must be able to build large diffractive lenses with adequate optical precision and also to compactly stow the lens for launch and then fully deploy it in space. We will discuss the recent fabrication and assembly demonstration of a 5m glass diffractive Fresnel lens at LLNL. Optical performance data from smaller full telescopes with diffractive lens and corrective optics show diffraction limited performance with broad bandwidths. A systems design for a 20m space telescope will be presented. The primary optic can be rolled to fit inside of the standard fairings of the Delta IV vehicle. This configuration has a simple deployment and requires no orbital assembly. A twenty meter visible telescope could have a significant impact in conventional astronomy with eight times the resolution of Hubble and over sixty times the light gathering capacity. If the light scattering is made acceptable, this telescope could also be used in the search for terrestrial planets.

  12. Nuclear energy into the twenty-first century

    Energy Technology Data Exchange (ETDEWEB)

    Hammond, G.P. [Bath Univ. (United Kingdom). School of Mechanical Engineering

    1996-12-31

    The historical development of the civil nuclear power generation industry is examined in the light of the need to meet conflicting energy-supply and environmental pressures over recent decades. It is suggested that fission (thermal and fast) reactors will dominate the market up to the period 2010-2030, with fusion being relegated to the latter part of the twenty-first century. A number of issues affecting the use of nuclear electricity generation in Western Europe are considered including its cost, industrial strategy needs, and the public acceptability of nuclear power. The contribution of nuclear power stations to achieving CO2 targets aimed at relieving global warming is discussed in the context of alternative strategies for sustainable development, including renewable energy sources and energy-efficiency measures. Trends in the generation of nuclear electricity from fission reactors are finally considered in terms of the main geopolitical groupings that make up the world in the mid-1990s. Several recent, but somewhat conflicting, forecasts of the role of nuclear power in the fuel mix to about 2020 are reviewed. It is argued that the only major expansion in generating capacity will take place on the Asia-Pacific Rim and not in the developing countries generally. Nevertheless, the global nuclear industry overall will continue to be dominated by a small number of large nuclear electricity generating countries; principally the USA, France and Japan. (UK).

  13. Optical Studies of Twenty Longer-Period Cataclysmic Binaries

    CERN Document Server

    Thorstensen, John R; Skinner, Julie N

    2010-01-01

    We obtained time-series radial velocity spectroscopy of twenty cataclysmic variable stars, with the aim of determining orbital periods P_orb. All of the stars reported here prove to have P_orb > 3.5 h. For sixteen of the stars, these are the first available period determinations, and for the remaining four (V709 Cas, AF Cam, V1062 Tau, and RX J2133+51) we use new observations to improve the accuracy of previously-published periods. Most of the targets are dwarf novae, without notable idiosyncracies. Of the remainder, three (V709 Cas, V1062 Tau, and RX J2133+51) are intermediate polars (DQ Her stars); one (IPHAS 0345) is a secondary-dominated system without known outbursts, similar to LY UMa; one (V1059 Sgr) is an old nova; and two others (V478 Her and V1082 Sgr) are long-period novalike variables. The stars with new periods are IPHAS 0345 (0.314 d); V344 Ori (0.234 d); VZ Sex (0.149 d); NSVS 1057+09 (0.376 d); V478 Her (0.629 d); V1059 Sgr (0.286 d); V1082 Sgr (0.868 d); FO Aql (0.217 d); V587 Lyr (0.275 d); ...

  14. The Antigerminative Activity of Twenty-Seven Monoterpenes

    Directory of Open Access Journals (Sweden)

    Laura De Martino

    2010-09-01

    Full Text Available Monoterpenes, the main constituents of essential oils, are known for their many biological activities. The present work studied the potential biological activity of twenty-seven monoterpenes, including monoterpene hydrocarbons and oxygenated ones, against seed germination and subsequent primary radicle growth of Raphanus sativus L. (radish and Lepidium sativum L. (garden cress, under laboratory conditions. The compounds, belonging to different chemical classes, showed different potency in affecting both parameters evaluated. The assayed compounds demonstrated a good inhibitory activity in a dose-dependent way. In general, radish seed is more sensitive than garden cress and its germination appeares more inhibited by alcohols; at the highest concentration tested, the more active substances were geraniol, borneol, (±-β-citronellol and α-terpineol. Geraniol and carvone inhibited, in a significant way, the germination of garden cress, at the highest concentration tested. Radicle elongation of two test species was inhibited mainly by alcohols and ketones. Carvone inhibited the radicle elongation of both seeds, at almost all concentrations assayed, while 1,8-cineole inhibited their radicle elongation at the lowest concentrations (10−5 M, 10−6 M.

  15. The antigerminative activity of twenty-seven monoterpenes.

    Science.gov (United States)

    De Martino, Laura; Mancini, Emilia; de Almeida, Luiz Fernando Rolim; De Feo, Vincenzo

    2010-09-21

    Monoterpenes, the main constituents of essential oils, are known for their many biological activities. The present work studied the potential biological activity of twenty-seven monoterpenes, including monoterpene hydrocarbons and oxygenated ones, against seed germination and subsequent primary radicle growth of Raphanus sativus L. (radish) and Lepidium sativum L. (garden cress), under laboratory conditions. The compounds, belonging to different chemical classes, showed different potency in affecting both parameters evaluated. The assayed compounds demonstrated a good inhibitory activity in a dose-dependent way. In general, radish seed is more sensitive than garden cress and its germination appeares more inhibited by alcohols; at the highest concentration tested, the more active substances were geraniol, borneol, (±)-β-citronellol and α-terpineol. Geraniol and carvone inhibited, in a significant way, the germination of garden cress, at the highest concentration tested. Radicle elongation of two test species was inhibited mainly by alcohols and ketones. Carvone inhibited the radicle elongation of both seeds, at almost all concentrations assayed, while 1,8-cineole inhibited their radicle elongation at the lowest concentrations (10(-5) M, 10(-6) M).

  16. Familial Sarcoidosis: An Analysis of Twenty-Eight Cases

    Directory of Open Access Journals (Sweden)

    Dildar Duman

    2016-12-01

    Full Text Available Objective: Sarcoidosis is a multisystemic disease, exact cause of disease is unknown but it is assumed that genetic predisposition and ethnic factors play a role in etiology. Studies related with familial sarcoidosis is limited and only case reports about familial sarcoidosis is available from our country. We aimed to evaluate the prevelance of familial sarcoidosis and clinical findings of cases with familial sarcoidosis. Methods: We retrospectively documented file records of 678 patients diagnosed with sarcoidosis and followed up in outpatient clinic of sarcoidosis from January 1996 to February 2016. 28 familial sarcoidosis cases in 14 families were enrolled into the study. Their demographic findings, family relationship, symptoms, laboratory and pulmonary function test results, radiological apperances, diagnostic methods, treatments were recorded. Results: Twenty-eight sarcoidosis patients out of 678 reported as familial cases, giving a prevelance of familial sarcoidosis as 4%. There were 8 sarcoidosis sib, 4 sarcoidosis mother-child, 1 sarcoidosis father-child and 1 sarcoidosis cousin relationship. Female/male ratio was 1.8, mean age of the study population was 43, most freguent symptoms were cough and dyspnea, stage 2 was mostly seen according to chest X-ray, most common CT appearance was mediastinal lymphadenopathy and mediastinoscopy was the most freguent diagnostic method. Conclusion: This study is important to lead interrogation of family in patients with suspected sarcoidosis and future studies investigating familial aggregation in sarcoidosis.

  17. Superhumps in Cataclysmic Binaries. XXIV. Twenty More Dwarf Novae

    CERN Document Server

    Patterson, J; Kemp, J; Skillman, D R; Vanmunster, T; Harvey, D; Fried, R E; Jensen, L; Cook, L; Rea, R; Monard, B; McCormick, J; Velthuis, F; Walker, S; Martin, B; Bolt, G; Pavlenko, E P; O'Donoghue, D; Gunn, J; Novak, R; Masi, G; Garradd, G; Butterworth, N D; Krajci, T; Foote, J; Beshore, E

    2003-01-01

    We report precise measures of the orbital and superhump period in twenty more dwarf novae. For ten stars, we report new and confirmed spectroscopic periods - signifying the orbital period P_o - as well as the superhump period P_sh. These are GX Cas, HO Del, HS Vir, BC UMa, RZ Leo, KV Dra, KS UMa, TU Crt, QW Ser, and RZ Sge. For the remaining ten, we report a medley of P_o and P_sh measurements from photometry; most are new, with some confirmations of previous values. These are KV And, LL And, WX Cet, MM Hya, AO Oct, V2051 Oph, NY Ser, KK Tel, HV Vir, and RX J1155.4-5641. Periods, as usual, can be measured to high accuracy, and these are of special interest since they carry dynamical information about the binary. We still have not quite learned how to read the music, but a few things are clear. The fractional superhump excess epsilon [=(P_sh-P_o)/P_o] varies smoothly with P_o. The scatter of the points about that smooth curve is quite low, and can be used to limit the intrinsic scatter in M_1, the white dwarf ...

  18. Twenty-second Fungal Genetics Conference - Asilomar, 2003

    Energy Technology Data Exchange (ETDEWEB)

    Jonathan D. Walton

    2003-06-30

    The purpose of the Twenty Second Fungal Genetics Conference is to bring together scientists and students who are interested in genetic approaches to studying the biology of filamentous fungi. It is intended to stimulate thinking and discussion in an atmosphere that supports interactions between scientists at different levels and in different disciplines. Topics range from the basic to the applied. Filamentous fungi impact human affairs in many ways. In the environment they are the most important agents of decay and nutrient turnover. They are used extensively in the food industry for the production of food enzymes such as pectinase and food additives such as citric acid. They are used in the production of fermented foods such as alcoholic drinks, bread, cheese, and soy sauce. More than a dozen species of mushrooms are used as foods directly. Many of our most important antibiotics, such as penicillin, cyclosporin, and lovastatin, come from fungi. Fungi also have many negative impacts on human health and economics. Fungi are serious pathogens in immuno-compromised patients. Fungi are the single largest group of plant pathogens and thus a serious limit on crop productivity throughout the world. Many fungi are allergenic, and mold contamination of residences and commercial buildings is now recognized as a serious public health threat. As decomposers, fungi cause extensive damage to just about all natural and synthetic materials.

  19. Twenty years on: Poverty and hardship in urban Fiji

    Directory of Open Access Journals (Sweden)

    Jenny Bryant-Tokalau

    2012-09-01

    Full Text Available Through ‘official statistics’, academic and donor interpretations as well as the eyes of Suva residents, this paper presents an overview and case study of twenty years of growing poverty and hardship in the contemporary Pacific. Focusing on the past two decades, the paper notes how much, and yet so little, has changed for those attempting to make a living in the rapidly developing towns and cities. Changing interpretations of poverty and hardship are presented, moving from the ‘no such thing’ view, to simplification, and finally to an understanding that Pacific island countries, especially Fiji, are no longer an ‘extension’ of Australia and New Zealand, but independent nations actively trying to find solutions to their issues of economic, social and political hardship whilst facing challenges to traditional institutions and networks. Fiji is in some respects a very particular case as almost half of the population has limited access to secure land, but the very nature of that vulnerability to hardship and poverty holds useful lessons for wider analysis.

  20. [Anesthesia for cesarean section in patients with fetal anomaly].

    Science.gov (United States)

    Nakano, S; Tashiro, C; Nishimura, M; Ueyama, H; Uchiyama, A; Kubota, A; Suehara, N

    1991-05-01

    Twenty-two cases of Cesarean section due to fetal anomaly diagnosed prenatally were reviewed in terms of the anesthetic managements. In 6 cases, diazepam 0.3 mg.kg-1, which provides fetal anesthesia for surgery scheduled immediately after birth, was administered intravenously to the mothers with/without fentanyl (2 general anesthesia and 4 regional anesthesia). The diagnosis of their fetuses was congenital diaphragmatic hernia, congenital cystic adenomatoid malformation of the lung, gastroschisis or omphalocele. No fetal anesthesia was performed in the other 16 cases (15 spinal anesthesia and 1 general anesthesia). Seven of their fetuses were diagnosed as hydrops. Since the general condition of the diseased newborn is known to be deteriorated after receiving various stress and aerophagia, fetal anesthesia in Cesarean delivery has the advantage of stress reduction and prevention of aerophagia. When the newborn is considered to need immediate neonatal resuscitation or intensive care including surgery, fetal anesthesia may be a choice of anesthetic technique.

  1. HMO partnering: the provider dilemma.

    Science.gov (United States)

    Ayers, J; Benson, L; Bonhag, R

    1996-10-01

    While the growth of HMOs has slowed patient visits to doctors, it also has created a deluge of press clippings. On July 16, 1996, three articles on the subject appeared in the Wall Street Journal, front section. The headlines painted a vivid picture of the forces acting on HMOs and providers alike (Figure 1). The articles portended more change for healthcare. The "shake-out," a term applied to industries in serious transformation, brings shedding of excess capacity and loss of jobs and income. Providers, in particular, find themselves in a difficult dilemma. They must not only cut costs as reimbursement drops, but also retain patients with good outcomes and high quality service. Patient retention means keeping the individual patient from switching to another provider and keeping the insurer's group of patients as an authorized provider for that insurer. The relationship between provider and HMO lies at the heart of the provider dilemma. The HMO structure, which shifts financial risk for care, is quickly setting the standard, for healthcare pricing, medical standards, and management practices. Understanding and responding to HMO needs are vital to competitive advantage and survival. The article discusses the inherent dilemma of HMO and provider partnering and suggests provider responses.

  2. XCOM: Photon Cross Sections Database

    Science.gov (United States)

    SRD 8 XCOM: Photon Cross Sections Database (Web, free access)   A web database is provided which can be used to calculate photon cross sections for scattering, photoelectric absorption and pair production, as well as total attenuation coefficients, for any element, compound or mixture (Z <= 100) at energies from 1 keV to 100 GeV.

  3. Dependent rational providers.

    Science.gov (United States)

    Brothers, Kyle B

    2011-04-01

    Provider claims to conscientious objection have generated a great deal of heated debate in recent years. However, the conflicts that arise when providers make claims to the "conscience" are only a subset of the more fundamental challenges that arise in health care practice when patients and providers come into conflict. In this piece, the author provides an account of patient-provider conflict from within the moral tradition of St. Thomas Aquinas. He argues that the practice of health care providers should be understood as a form of practical reasoning and that this practical reasoning must necessarily incorporate both "moral" and "professional" commitments. In order to understand how the practical reasoning of provider should account for the needs and commitments of the patient and vice versa, he explores the account of dependence provided by Alasdair MacIntyre in his book Dependent Rational Animals. MacIntyre argues that St. Thomas' account of practical reasoning should be extended and adapted to account for the embodied vulnerability of all humans. In light of this insight, providers must view patients not only as the subjects of their moral reflection but also as fellow humans upon whom the provider depends for feedback on the effectiveness and relevance of her practical reasoning. The author argues that this account precludes responsive providers from adopting either moral or professional conclusions on the appropriateness of interventions outside the individual circumstances that arise in particular situations. The adoption of this orientation toward patients will neither eradicate provider-patient conflict nor compel providers to perform interventions to which they object. But this account does require that providers attend meaningfully to the suffering of patients and seek feedback on whether their intervention has effectively addressed that suffering.

  4. Proceedings of Twenty-Seventh Annual Institute on Mining Health, Safety and Research

    Energy Technology Data Exchange (ETDEWEB)

    Bockosh, G.R. [ed.] [Pittsburgh Research Center, US Dept. of Energy (United States); Langton, J. [ed.] [Mine Safety and Health Administration, US Dept. of Labor (United States); Karmis, M. [ed.] [Virginia Polytechnic Institute and State University. Dept. of Mining and Minerals Engineering, Blacksburg (United States)

    1996-12-31

    This Proceedings contains the presentations made during the program of the Twenty-Seventh Annual Institute on Mining Health, Safety and Research held at Virginia Polytechnic Institute and State University, Blacksburg, Virginia, on August 26-28, 1996. The Twenty-Seventh Annual Institute on Mining, Health, Safety and Research was the latest in a series of conferences held at Virginia Polytechnic Institute and State University, cosponsored by the Mine Safety and Health Administration, United States Department of Labor, and the Pittsburgh Research Center, United States Department of Energy (formerly part of the Bureau of Mines, U. S. Department of Interior). The Institute provides an information forum for mine operators, managers, superintendents, safety directors, engineers, inspectors, researchers, teachers, state agency officials, and others with a responsible interest in the important field of mining health, safety and research. In particular, the Institute is designed to help mine operating personnel gain a broader knowledge and understanding of the various aspects of mining health and safety, and to present them with methods of control and solutions developed through research. Selected papers have been processed separately for inclusion in the Energy Science and Technology database.

  5. Are Anesthesia Providers Ready for Hypnosis? Anesthesia Providers' Attitudes Toward Hypnotherapy.

    Science.gov (United States)

    Stone, Alexander B; Sheinberg, Rosanne; Bertram, Amanda; Seymour, Anastasia Rowland

    2016-04-01

    This study sought to measure current attitudes toward hypnosis among anesthesia providers using an in-person survey distributed at a single grand rounds at a single academic teaching hospital. One hundred twenty-six anesthesia providers (anesthesiologists and nurse anesthetists) were included in this study. A 10-question Institutional Review Board (IRB)-approved questionnaire was developed. One hundred twenty-six (73% of providers at the meeting) anesthesia providers completed the survey. Of the respondents, 54 (43%) were anesthesiologists, 42 (33%) were trainees (interns/residents/fellows) in anesthesia, and 30 (24%) were nurse anesthetists. Over 70% of providers, at each level of training, rated their knowledge of hypnosis as either below average or having no knowledge. Fifty-two (42%) providers agreed or strongly agreed that hypnotherapy has a place in the clinical practice of anesthesia, while 103 (83%) believed that positive suggestion has a place in the clinical practice of anesthesia (p hypnosis were that it is too time consuming (41%) and requires special training (34%). Only three respondents (2%) believed that there were no reasons for using hypnosis in their practice. These data suggest that there is a self-reported lack of knowledge about hypnosis among anesthesia providers, although many anesthesia providers are open to the use of hypnosis in their clinical practice. Anesthesia providers are more likely to support the use of positive suggestion in their practice than hypnosis. Practical concerns should be addressed if hypnosis and therapeutic verbal techniques are to gain more widespread use.

  6. Pressure effects on regional mean sea level trends in the German Bight in the twenty-first century

    Science.gov (United States)

    Albrecht, Frauke; Weisse, Ralf

    2014-05-01

    The effect of large-scale atmospheric pressure changes on regional mean sea level projections in the German Bight in the twenty-first century are considered. A developed statistical model is applied to climate model data of sea level pressure for the twenty-first century to assess the potential contribution of large-scale atmospheric changes to future sea level changes in the German Bight. Using 78 experiments, an ensemble mean of 1.4-cm rise in regional mean sea level is estimated until the end of the twenty-first century. Changes are somewhat higher for realisations of the special report on emission scenarios (SRES) A1B and A2, but generally do not exceed a few centimeters. This is considerably smaller than the changes expected from steric and self-gravitational effects. Large-scale changes in sea level pressure are thus not expected to provide a substantial contribution to twenty-first century sea level changes in the German Bight.

  7. Science Teacher Education in the Twenty-First Century: a Pedagogical Framework for Technology-Integrated Social Constructivism

    Science.gov (United States)

    Barak, Miri

    2016-01-01

    Changes in our global world have shifted the skill demands from acquisition of structured knowledge to mastery of skills, often referred to as twenty-first century competencies. Given these changes, a sequential explanatory mixed methods study was undertaken to (a) examine predominant instructional methods and technologies used by teacher educators, (b) identify attributes for learning and teaching in the twenty-first century, and (c) develop a pedagogical framework for promoting meaningful usage of advanced technologies. Quantitative and qualitative data were collected via an online survey, personal interviews, and written reflections with science teacher educators and student teachers. Findings indicated that teacher educators do not provide sufficient models for the promotion of reform-based practice via web 2.0 environments, such as Wikis, blogs, social networks, or other cloud technologies. Findings also indicated four attributes for teaching and learning in the twenty-first century: (a) adapting to frequent changes and uncertain situations, (b) collaborating and communicating in decentralized environments, (c) generating data and managing information, and (d) releasing control by encouraging exploration. Guided by social constructivist paradigms and twenty-first century teaching attributes, this study suggests a pedagogical framework for fostering meaningful usage of advanced technologies in science teacher education courses.

  8. Science Teacher Education in the Twenty-First Century: a Pedagogical Framework for Technology-Integrated Social Constructivism

    Science.gov (United States)

    Barak, Miri

    2017-04-01

    Changes in our global world have shifted the skill demands from acquisition of structured knowledge to mastery of skills, often referred to as twenty-first century competencies. Given these changes, a sequential explanatory mixed methods study was undertaken to (a) examine predominant instructional methods and technologies used by teacher educators, (b) identify attributes for learning and teaching in the twenty-first century, and (c) develop a pedagogical framework for promoting meaningful usage of advanced technologies. Quantitative and qualitative data were collected via an online survey, personal interviews, and written reflections with science teacher educators and student teachers. Findings indicated that teacher educators do not provide sufficient models for the promotion of reform-based practice via web 2.0 environments, such as Wikis, blogs, social networks, or other cloud technologies. Findings also indicated four attributes for teaching and learning in the twenty-first century: (a) adapting to frequent changes and uncertain situations, (b) collaborating and communicating in decentralized environments, (c) generating data and managing information, and (d) releasing control by encouraging exploration. Guided by social constructivist paradigms and twenty-first century teaching attributes, this study suggests a pedagogical framework for fostering meaningful usage of advanced technologies in science teacher education courses.

  9. Provider Health and Wellness.

    Science.gov (United States)

    Nanda, Anil; Wasan, Anita; Sussman, James

    2017-07-19

    Provider health and wellness is a significant issue and can impact patient care, including patient satisfaction, quality of care, medical errors, malpractice risk, as well as provider and office staff turnover and early retirement. Health and wellness encompasses various areas including burnout, depression, divorce, and suicide and affects providers of all specialties and at all levels of training. Providers deal with many everyday stresses, including electronic health records, office politics, insurance and billing issues, dissatisfied patients, and their own personal and family issues. Approximately half of all physicians suffer from burnout, and the rate of burnout among physicians of all specialties is increasing. An important first step in dealing with burnout is recognition and then seeking assistance. Strategies to prevent and treat burnout include increasing provider resiliency as well as implementing practical changes in the everyday practice of medicine. There is currently very little data regarding health and wellness specifically in the field of allergy and immunology, and studies are necessary to determine the prevalence of burnout and related issues in this field. Many medical specialties as well as state and national medical associations have health and wellness committees and other resources, which are essential for providers. Health and wellness programs should be introduced early in a provider's training and continued throughout a provider's career. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  10. Twenty-Five Year Site Plan FY2013 - FY2037

    Energy Technology Data Exchange (ETDEWEB)

    Jones, William H. [Los Alamos National Laboratory

    2012-07-12

    Los Alamos National Laboratory (the Laboratory) is the nation's premier national security science laboratory. Its mission is to develop and apply science and technology to ensure the safety, security, and reliability of the United States (U.S.) nuclear stockpile; reduce the threat of weapons of mass destruction, proliferation, and terrorism; and solve national problems in defense, energy, and the environment. The fiscal year (FY) 2013-2037 Twenty-Five Year Site Plan (TYSP) is a vital component for planning to meet the National Nuclear Security Administration (NNSA) commitment to ensure the U.S. has a safe, secure, and reliable nuclear deterrent. The Laboratory also uses the TYSP as an integrated planning tool to guide development of an efficient and responsive infrastructure that effectively supports the Laboratory's missions and workforce. Emphasizing the Laboratory's core capabilities, this TYSP reflects the Laboratory's role as a prominent contributor to NNSA missions through its programs and campaigns. The Laboratory is aligned with Nuclear Security Enterprise (NSE) modernization activities outlined in the NNSA Strategic Plan (May 2011) which include: (1) ensuring laboratory plutonium space effectively supports pit manufacturing and enterprise-wide special nuclear materials consolidation; (2) constructing the Chemistry and Metallurgy Research Replacement Nuclear Facility (CMRR-NF); (3) establishing shared user facilities to more cost effectively manage high-value, experimental, computational and production capabilities; and (4) modernizing enduring facilities while reducing the excess facility footprint. Th is TYSP is viewed by the Laboratory as a vital planning tool to develop an effi cient and responsive infrastructure. Long range facility and infrastructure development planning are critical to assure sustainment and modernization. Out-year re-investment is essential for sustaining existing facilities, and will be re-evaluated on an annual

  11. Teaching Archaeology in the Twenty-First Century.

    Science.gov (United States)

    Bender, Susan J., Ed.; Smith, George S., Ed.

    This book was written to offer ideas on how to open archeological education to more students, not just those seeking a Ph.D. Individuals in archaeology provide background and offer suggestions for a movement to provide greater access to the field. The book ponders 21st century archaeology, its possible directions and strategies, and call on those…

  12. Families and Elder Care in the Twenty-First Century

    Science.gov (United States)

    Bookman, Ann; Kimbrel, Delia

    2011-01-01

    Although most Americans know that the U.S. population is aging, they are far less informed about the reality of providing elders with personal care, health care, and social support. Families--particularly women--have always been critical in providing elder care, but the entry of so many women into the paid labor force has made elder care…

  13. Biomimetic Synthesis of Twenty-four Long-chained Diketones as Precursors for Muscone and Further Macrocyclic Ketones

    Institute of Scientific and Technical Information of China (English)

    GUO,Yuan; CHEN,Kang-yu; LI,Jian-Li; SHI,Zhen

    2008-01-01

    The one-carbon unit transfer reaction of tetrahydrofolate coenzyme was initiated. Bisbenzimidazolium salts were used as a tetrahydrofolate coenzyme model, and thus the biomimetic synthesis of twenty-four acyclic dike-tones as precursors for macrocyclic ketones was successfully accomplished by using the addition-hydrolysis reac-tion of the bisbenzimidazolium salts with alkyl magnesium halide, wherein six diketones have not been reported in literature. Accordingly, a short route to muscone analogues was provided.

  14. A Farewell to Innocence? African Youth and Violence in the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    Charles Ugochukwu Ukeje

    2012-12-01

    Full Text Available This is a broad examination of the issue of youth violence in twenty-first-century Africa, looking at the context within which a youth culture of violence has evolved and attempting to understand the underlining discourses of hegemony and power that drive it. The article focuses specifically on youth violence as apolitical response to the dynamics of (disempowerment, exclusion, and economic crisis and uses (postconflict states like Liberia, Sierra Leone, and Nigeriato explain not just the overall challenge of youth violence but also the nature of responses that it has elicited from established structures of authority. Youth violence is in many ways an expression of youth agency in the context of a social and economic system that provides little opportunity.

  15. Global threats from invasive alien species in the twenty-first century and national response capacities

    Science.gov (United States)

    Early, Regan; Bradley, Bethany A.; Dukes, Jeffrey S.; Lawler, Joshua J.; Olden, Julian D.; Blumenthal, Dana M.; Gonzalez, Patrick; Grosholz, Edwin D.; Ibañez, Ines; Miller, Luke P.; Sorte, Cascade J. B.; Tatem, Andrew J.

    2016-01-01

    Invasive alien species (IAS) threaten human livelihoods and biodiversity globally. Increasing globalization facilitates IAS arrival, and environmental changes, including climate change, facilitate IAS establishment. Here we provide the first global, spatial analysis of the terrestrial threat from IAS in light of twenty-first century globalization and environmental change, and evaluate national capacities to prevent and manage species invasions. We find that one-sixth of the global land surface is highly vulnerable to invasion, including substantial areas in developing economies and biodiversity hotspots. The dominant invasion vectors differ between high-income countries (imports, particularly of plants and pets) and low-income countries (air travel). Uniting data on the causes of introduction and establishment can improve early-warning and eradication schemes. Most countries have limited capacity to act against invasions. In particular, we reveal a clear need for proactive invasion strategies in areas with high poverty levels, high biodiversity and low historical levels of invasion. PMID:27549569

  16. Global threats from invasive alien species in the twenty-first century and national response capacities.

    Science.gov (United States)

    Early, Regan; Bradley, Bethany A; Dukes, Jeffrey S; Lawler, Joshua J; Olden, Julian D; Blumenthal, Dana M; Gonzalez, Patrick; Grosholz, Edwin D; Ibañez, Ines; Miller, Luke P; Sorte, Cascade J B; Tatem, Andrew J

    2016-08-23

    Invasive alien species (IAS) threaten human livelihoods and biodiversity globally. Increasing globalization facilitates IAS arrival, and environmental changes, including climate change, facilitate IAS establishment. Here we provide the first global, spatial analysis of the terrestrial threat from IAS in light of twenty-first century globalization and environmental change, and evaluate national capacities to prevent and manage species invasions. We find that one-sixth of the global land surface is highly vulnerable to invasion, including substantial areas in developing economies and biodiversity hotspots. The dominant invasion vectors differ between high-income countries (imports, particularly of plants and pets) and low-income countries (air travel). Uniting data on the causes of introduction and establishment can improve early-warning and eradication schemes. Most countries have limited capacity to act against invasions. In particular, we reveal a clear need for proactive invasion strategies in areas with high poverty levels, high biodiversity and low historical levels of invasion.

  17. 5 CFR 890.910 - Provider information.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Provider information. 890.910 Section 890.910 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS..., and FEHB Benefit Payments § 890.910 Provider information. The hospital provider information used...

  18. 48 CFR 445.302 - Providing facilities.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Providing facilities. 445.302 Section 445.302 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE CONTRACT MANAGEMENT GOVERNMENT PROPERTY Providing Government Property to Contractors 445.302 Providing facilities....

  19. 48 CFR 645.302 - Providing facilities.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Providing facilities. 645.302 Section 645.302 Federal Acquisition Regulations System DEPARTMENT OF STATE CONTRACT MANAGEMENT GOVERNMENT PROPERTY Providing Government Property to Contractors 645.302 Providing facilities....

  20. Twenty five years of organic chemistry with diiodosamarium

    Energy Technology Data Exchange (ETDEWEB)

    Kagan, Henri B. [Laboratoire de Synthese Asymetrique (UMR 8075), Institut de Chimie Moleculaire et des Materiaux d' Orsay, Universite Paris-Sud, 91405 Orsay (France)]. E-mail: kagan@icmo.u-psud.fr

    2006-02-09

    An historical account of the introduction of samarium diiodide in organic chemistry is presented in the first section, with the main initial results obtained. The basic organic transformations published in the author laboratory and by other groups during the initial period (1977-1987) are detailed. Some of the progresses subsequently obtained will be selected such as various transformations in synthesis, including asymmetric synthesis and total synthesis of natural products. The possible use of SmI{sub 2} in catalytic amount together with a terminal reducing agent is discussed. In the conclusion is summarized the wide scope of the chemistry induced by SmI{sub 2} with some comments on the future of this chemistry.

  1. Provider of Services File

    Data.gov (United States)

    U.S. Department of Health & Human Services — The POS file consists of two data files, one for CLIA labs and one for 18 other provider types. The file names are CLIA and OTHER. If downloading the file, note it...

  2. What HERA may provide?

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Hannes [DESY, Hamburg (Germany); De Roeck, Albert [CERN, Genf (Switzerland); Bartles, Jochen [Univ. Hamburg (DE). Institut fuer Theoretische Physik II] (and others)

    2008-09-15

    More than 100 people participated in a discussion session at the DIS08 workshop on the topic What HERA may provide. A summary of the discussion with a structured outlook and list of desirable measurements and theory calculations is given. (orig.)

  3. Internet Medline providers.

    Science.gov (United States)

    Vine, D L; Coady, T R

    1998-01-01

    Each database in this review has features that will appeal to some users. Each provides a credible interface to information available within the Medline database. The major differences are pricing and interface design. In this context, features that cost more and might seem trivial to the occasional searcher may actually save time and money when used by the professional. Internet Grateful Med is free, but Ms. Coady and I agree the availability of only three ANDable search fields is a major functional limitation. PubMed is also free but much more powerful. The command line interface that permits very sophisticated searches requires a commitment that casual users will find intimidating. Ms. Coady did not believe the feedback currently provided during a search was sufficient for sustained professional use. Paper Chase and Knowledge Finder are mature, modestly priced Medline search services. Paper Chase provides a menu-driven interface that is very easy to use, yet permits the user to search virtually all of Medline's data fields. Knowledge Finder emphasizes the use of natural language queries but fully supports more traditional search strategies. The impact of the tradeoff between fuzzy and Boolean strategies offered by Knowledge Finder is unclear and beyond the scope of this review. Additional software must be downloaded to use all of Knowledge Finders' features. Other providers required no software beyond the basic Internet browser, and this requirement prevented Ms. Coady from evaluating Knowledge Finder. Ovid and Silver Platter offer well-designed interfaces that simplify the construction of complex queries. These are clearly services designed for professional users. While pricing eliminates these for casual use, it should be emphasized that Medline citation access is only a portion of the service provided by these high-end vendors. Finally, we should comment that each of the vendors and government-sponsored services provided prompt and useful feedback to e

  4. Building Service Provider Capabilities

    DEFF Research Database (Denmark)

    Brandl, Kristin; Jaura, Manya; Ørberg Jensen, Peter D.

    In this paper we study whether and how the interaction between clients and the service providers contributes to the development of capabilities in service provider firms. In situations where such a contribution occurs, we analyze how different types of activities in the production process...... of the services, such as sequential or reciprocal task activities, influence the development of different types of capabilities. We study five cases of offshore-outsourced knowledge-intensive business services that are distinguished according to their reciprocal or sequential task activities in their production...... process. We find that clients influence the development of human capital capabilities and management capabilities in reciprocally produced services. While in sequential produced services clients influence the development of organizational capital capabilities and management capital capabilities....

  5. Achieving Provider Engagement

    Science.gov (United States)

    Greenfield, Geva; Pappas, Yannis; Car, Josip; Majeed, Azeem; Harris, Matthew

    2014-01-01

    The literature on integrated care is limited with respect to practical learning and experience. Although some attention has been paid to organizational processes and structures, not enough is paid to people, relationships, and the importance of these in bringing about integration. Little is known, for example, about provider engagement in the organizational change process, how to obtain and maintain it, and how it is demonstrated in the delivery of integrated care. Based on qualitative data from the evaluation of a large-scale integrated care initiative in London, United Kingdom, we explored the role of provider engagement in effective integration of services. Using thematic analysis, we identified an evolving engagement narrative with three distinct phases: enthusiasm, antipathy, and ambivalence, and argue that health care managers need to be aware of the impact of professional engagement to succeed in advancing the integrated care agenda. PMID:25212855

  6. What constitutes cerebral palsy in the twenty-first century?

    DEFF Research Database (Denmark)

    Smithers-Sheedy, Hayley; Badawi, Nadia; Blair, Eve

    2014-01-01

    AIM: Determining inclusion/exclusion criteria for cerebral palsy (CP) surveillance is challenging. The aims of this paper were to (1) define inclusion/exclusion criteria that have been adopted uniformly by surveillance programmes and identify where consensus is still elusive, and (2) provide an u...

  7. Twenty-Four Tuba Harmonics Using a Single Pipe Length

    Science.gov (United States)

    Holmes, Bud; Ruiz, Michael J.

    2017-01-01

    Harmonics arise naturally from the resonances in strings and pipes. A video demonstration (Ruiz 2016 "YouTube: Tuba Harmonics" (https://youtu.be/souhEzOP9c4)) is provided where a tubist (coauthor Holmes) produces a phenomenal 24 harmonics using a single tuba pipe length by controlling the buzz of his lips. The frequencies of the…

  8. Is the Classroom Obsolete in the Twenty-First Century?

    Science.gov (United States)

    Benade, Leon

    2017-01-01

    Lefebvre's triadic conception of "spatial practice, representations of space and representational spaces" provides the theoretical framework of this article, which recognises a productive relationship between space and social relations. Its writing stems from a current and ongoing qualitative study of innovative teaching and learning…

  9. Clinical characters of pregnancy complicated with epilepsy——with twenty cases reported

    Institute of Scientific and Technical Information of China (English)

    Ma Liang-kun; Huang Yan; Yang Jian-qiu; Bian Xu-ming; Liu Jun-tao

    2012-01-01

    Objective: To explore the clinical characteristics and perinatal management of pregnancy complicated with epilepsy.Methods: Twenty patients of pregnancy complicated with epilepsy from January 1995 to December 2011 were analyzed retrospectively.Results: The incidence of pregnancy complicated with epilepsy was 0.08%.The average age was 29.2 ± 5.3 years and average gestational week was 37.9 ± 3.7 week.Fifteen patients were diagnosed with epilepsy before pregnancy.Two patients who stopped the antiepileptic drugs (AEDs) before pregnancy and five patients who continued the AEDs before and during pregnancy had good seizure control.The other seven patients who discontinued the AEDs had convulsive seizures during pregnancy.One patient has never been treated and had generalized tonic-clonic seizures frequently.Five patients experienced their first seizures during pregnancy.There were no obvious predisposing factors except for severe viral encephalitis in one patient.Fourteen patients had cesarean section.The preterm delivery rate,small for gestational age rate and perinatal mortality rate were 20%,20% and 5 % respectively.Follow up of the children born by the epilepsy mothers showed no mental retardation or epilepsy.Conclusions: Proper preconception planning and good compliance with antiepileptic drugs are essential for women with epilepsy to have favorable pregnancy outcome.The cooperation of obstetric,neurology and anaesthesia doctor is important for pregnant women with epilepsy.

  10. Why the twenty-first century tropical Pacific trend pattern cannot significantly influence ENSO amplitude?

    Science.gov (United States)

    An, Soon-Il; Choi, Jung

    2015-01-01

    Although the climate is highly expected to change due to global warming, it is unclear whether the El Nino-Southern Oscillation (ENSO) will be more or less active in the future. One may argue that this uncertainty is due to the intrinsic uncertainties in current climate models or the strong natural long-term modulation of ENSO. Here, we propose that the global warming trend cannot significantly modify ENSO amplitude due to weak feedback between the global warming induced tropical climate change and ENSO. By analyzing Coupled Model Intercomparison Project Phase 5 and observation data, we found that the zonal dipole pattern of sea surface temperature [SST; warming in the eastern Pacific and cooling in the western Pacific or vice versa; `Pacific zonal mode' (PZM)] is highly correlated to change in ENSO amplitude. Additionally, this PZM is commonly identified in control experiments (pre-industrial conditions), twentieth century observations, and twenty-first century scenario experiments [representative concentration pathways 4.5 and 8.5 W m-2 (RCP 4.5, 8.5)]. PZM provides favorable conditions for the intensification of ENSO by strengthening air-sea coupling and modifying ENSO pattern. On the other hand, the twenty-first century SST trend pattern, which is different from PZM, is not favorable towards changing ENSO amplitude. Furthermore, we performed an intermediate ocean-atmosphere coupled model simulations, in which the SST trend pattern and PZM are imposed as an external anomalous heat flux or prescribed as a basic state. It was concluded that the SST trend pattern forcing insignificantly changes ENSO amplitude, and the PZM forcing intensifies ENSO amplitude.

  11. Providing Compassion through Flow

    Directory of Open Access Journals (Sweden)

    Lydia Royeen

    2015-07-01

    Full Text Available Meg Kral, MS, OTR/L, CLT, is the cover artist for the Summer 2015 issue of The Open Journal of Occupational Therapy. Her untitled piece of art is an oil painting and is a re-creation of a photograph taken while on vacation. Meg is currently supervisor of outpatient services at Rush University Medical Center. She is lymphedema certified and has a specific interest in breast cancer lymphedema. Art and occupational therapy serve similar purposes for Meg: both provide a sense of flow. She values the outcomes, whether it is a piece of art or improved functional status

  12. UNLV Special Collections in the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    Thomas Sommer

    2009-09-01

    Full Text Available University of Nevada Las Vegas (UNLV Special Collections is consistently striving to provide several avenues of discovery to its diverse range of patrons. Specifically, UNLV Special Collections has planned and implemented several online tools to facilitate unearthing treasures in the collections. These online tools incorporate Web 2.0 features as well as searchable interfaces to collections.

  13. Defining Theosophy in the Twenty-First century

    OpenAIRE

    René Dybdal Pedersen

    2008-01-01

    The concept theosophy has been used by different theological and philosophical positions with different meaning throughout western history. The concept can therefore not be understood as a trans-historical or universal one, but must be specified whenever it is applied, since several theosophies have existed over time. Nonetheless, a specification is seldom provided when the term is and has been applied in recent decades by scholars as well as the general public. Most often when used today, th...

  14. The $500,000 deduction limitation for remuneration provided by certain health insurance providers. Final regulations.

    Science.gov (United States)

    2014-09-23

    This document contains final regulations on the application of the $500,000 deduction limitation for remuneration provided by certain health insurance providers under section 162(m)(6) of the Internal Revenue Code (Code). These regulations affect certain health insurance providers providing remuneration that exceeds the deduction limitation.

  15. Twenty-four tuba harmonics using a single pipe length

    Science.gov (United States)

    Holmes, Bud; Ruiz, Michael J.

    2017-03-01

    Harmonics arise naturally from the resonances in strings and pipes. A video demonstration (Ruiz 2016 YouTube: Tuba Harmonics (https://youtu.be/souhEzOP9c4)) is provided where a tubist (coauthor Holmes) produces a phenomenal 24 harmonics using a single tuba pipe length by controlling the buzz of his lips. The frequencies of the harmonics, measured with the free software program Audacity, fall excellently on a linear fit using a spreadsheet. The skillful musical production of so many harmonics with a fixed pipe length is an extraordinary illustration of physics.

  16. High Temperature Superconductivity in the Past Twenty Years Part 1-Discovery, Material, and Theory

    Institute of Scientific and Technical Information of China (English)

    Jian-Xun Jin

    2008-01-01

    Twenty years after the discovery of high- temperature superconductors (HTSs), the HTS mate- rials now have been well developed. Meanwhile the mechanism of superconductivity is still one of the topical interests in physics. The achievements made on HTS materials and theories during the last twenty years are reviewed comprehensively in this paper.

  17. A Critical Feminist and Race Critique of Thomas Piketty's "Capital in the Twenty-First Century"

    Science.gov (United States)

    Moeller, Kathryn

    2016-01-01

    Thomas Piketty's "Capital in the Twenty-first Century" documents the foreboding nature of rising wealth inequality in the twenty-first century. In an effort to promote a more just and democratic global society and rein in the unfettered accumulation of wealth by the few, Piketty calls for a global progressive annual tax on corporate…

  18. A Critical Feminist and Race Critique of Thomas Piketty's "Capital in the Twenty-First Century"

    Science.gov (United States)

    Moeller, Kathryn

    2016-01-01

    Thomas Piketty's "Capital in the Twenty-first Century" documents the foreboding nature of rising wealth inequality in the twenty-first century. In an effort to promote a more just and democratic global society and rein in the unfettered accumulation of wealth by the few, Piketty calls for a global progressive annual tax on corporate…

  19. Slowmation: A Twenty-First Century Educational Tool for Science and Mathematics Pre-Service Teachers

    Science.gov (United States)

    Paige, Kathryn; Bentley, Brendan; Dobson, Stephen

    2016-01-01

    Slowmation is a twenty-first century digital literacy educational tool. This teaching and learning tool has been incorporated as an assessment strategy in the curriculum area of science and mathematics with pre-service teachers (PSTs). This paper explores two themes: developing twenty-first century digital literacy skills and modelling best…

  20. Twenty semesters later: how NFW helped us to multiply majors

    Science.gov (United States)

    Middleton, A. Alan

    2009-03-01

    In the Fall of 1997, I missed my daughter's first Halloween to attend the NFW. Though that was disappointing, I was pleasantly surprised to learn that there were a number of people who thought about teaching and had very constructive ideas to share. I immediately applied what I had learned in the large lecture class that I taught for a few years, with success for my students and my career. I then spent 7.5 years as the Director of Undergraduate Studies: the contacts and insights provided by the NFW and subsequent occasional attendance at AAPT meetings were most helpful in improving our program (the number of graduating majors increased from about 3 to over 15 per year), along with the help of a few dedicated faculty at Syracuse. The specific pedagogical viewpoints and tools introduced at the NFW were helpful in my teaching and administrative work, but the most useful part of the experience was the license granted to seek improvements in both teaching and the undergraduate program and providing contact with others who took such issues seriously.

  1. Twenty-seven Years of Cerebral Pyruvate Recycling.

    Science.gov (United States)

    Cerdán, Sebastián

    2017-01-18

    Cerebral pyruvate recycling is a metabolic pathway deriving carbon skeletons and reducing equivalents from mitochondrial oxaloacetate and malate, to the synthesis of mitochondrial and cytosolic pyruvate, lactate and alanine. The pathway allows both, to provide the tricarboxylic acid cycle with pyruvate molecules produced from alternative substrates to glucose and, to generate reducing equivalents necessary for the operation of NADPH requiring processes. At the cellular level, pyruvate recycling involves the activity of malic enzyme, or the combined activities of phosphoenolpyruvate carboxykinase and pyruvate kinase, as well as of those transporters of the inner mitochondrial membrane exchanging the corresponding intermediates. Its cellular localization between the neuronal or astrocytic compartments of the in vivo brain has been controversial, with evidences favoring either a primarily neuronal or glial localizations, more recently accepted to occur in both environments. This review provides a brief history on the detection and characterization of the pathway, its relations with the early developments of cerebral high resolution (13)C NMR, and its potential neuroprotective functions under hypoglycemic conditions or ischemic redox stress.

  2. What HERA May Provide?

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Hannes; /DESY; De Roeck, Albert; /CERN; Bartels, Jochen; /Hamburg U., Inst. Theor. Phys. II; Behnke, Olaf; Blumlein, Johannes; /DESY; Brodsky, Stanley; /SLAC /Durham U., IPPP; Cooper-Sarkar, Amanda; /Oxford U.; Deak, Michal; /DESY; Devenish, Robin; /Oxford U.; Diehl, Markus; /DESY; Gehrmann, Thomas; /Zurich U.; Grindhammer, Guenter; /Munich, Max Planck Inst.; Gustafson, Gosta; /CERN /Lund U., Dept. Theor. Phys.; Khoze, Valery; /Durham U., IPPP; Knutsson, Albert; /DESY; Klein, Max; /Liverpool U.; Krauss, Frank; /Durham U., IPPP; Kutak, Krzysztof; /DESY; Laenen, Eric; /NIKHEF, Amsterdam; Lonnblad, Leif; /Lund U., Dept. Theor. Phys.; Motyka, Leszek; /Hamburg U., Inst. Theor. Phys. II /Birmingham U. /Southern Methodist U. /DESY /Piemonte Orientale U., Novara /CERN /Paris, LPTHE /Hamburg U. /Penn State U.

    2011-11-10

    More than 100 people participated in a discussion session at the DIS08 workshop on the topic What HERA may provide. A summary of the discussion with a structured outlook and list of desirable measurements and theory calculations is given. The HERA accelerator and the HERA experiments H1, HERMES and ZEUS stopped running in the end of June 2007. This was after 15 years of very successful operation since the first collisions in 1992. A total luminosity of {approx} 500 pb{sup -1} has been accumulated by each of the collider experiments H1 and ZEUS. During the years the increasingly better understood and upgraded detectors and HERA accelerator have contributed significantly to this success. The physics program remains in full swing and plenty of new results were presented at DIS08 which are approaching the anticipated final precision, fulfilling and exceeding the physics plans and the previsions of the upgrade program. Most of the analyses presented at DIS08 were still based on the so called HERA I data sample, i.e. data taken until 2000, before the shutdown for the luminosity upgrade. This sample has an integrated luminosity of {approx} 100 pb{sup -1}, and the four times larger statistics sample from HERA II is still in the process of being analyzed.

  3. Twenty Years of the European Information Systems Academy at ECIS

    DEFF Research Database (Denmark)

    Stein, Mari-Klara; Galliers, Robert D.; Whitley, Edgar A.

    2016-01-01

    While the information systems (IS) community is increasingly international, it is reasonable to expect that different regions might display different research approaches, interests and publication orientations. This paper contributes to the growing number of historical accounts in the IS field...... by further developing the profile of European IS research that was reported on in EJIS following the first 10 years of the European Conference on Information Systems (ECIS). On the basis of an analysis of all papers published in ECIS proceedings during the 10-year period 2003–2012, the paper highlights three...... these observed characteristics within broader historical and contextual features such as the changing European academic landscape, with increasing pressures to ‘publish or perish’ in order to be internationally competitive. Our contribution lies in providing a contemporaneous account of the dominant contextual...

  4. [Twenty five years of residency training in the Netherlands].

    Science.gov (United States)

    van Tilburg, W

    2008-01-01

    Over the last 25 years in the Netherlands the residency training programme for psychiatry has been concerned primarily with teaching students to use practice guidelines, providing science education, promoting internationalisation and satisfying society's requirement for transparency. This has led to the transformation of the classical training programme with its paternalistic 'master-apprentice' relationship to a programme in which the required professional competencies are taught and assessed by supervisors who in the future will need to be explicitly qualified in particular areas. The dramatic increase in the number of women wanting to become psychiatrists has made it clear that the classical training programme puts a heavy burden on students who are struggling to combine private life with a heavy work-load and enthusiasm for their chosen subject. The compulsory personal therapy in the curriculum may be helpful in solving this problem.

  5. Microsurgery Training for the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    Simon Richard Myers

    2013-07-01

    Full Text Available Current educational interventions and training courses in microsurgery are often predicated on theories of skill acquisition and development that follow a ‘practice makes perfect’ model. Given the changing landscape of surgical training and advances in educational theories related to skill development, research is needed to assess current training tools in microsurgery education and devise alternative methods that would enhance training . Simulation is an increasingly important tool for educators because, whilst facilitating improved technical proficiency, it provides a way to reduce risks to both trainees and patients. The International Microsurgery Simulation Society has been founded in 2012 in order to consolidate the global effort in promoting excellence in microsurgical training. The society’s aim to achieve standarisation of microsurgical training worldwide could be realised through the development of evidence based educational interventions and sharing best practices.

  6. Strategy after oil in the twenty first century

    Energy Technology Data Exchange (ETDEWEB)

    AlBitar, O.

    1996-04-01

    When talking about energy, the basic question a person might ask, what is energy. One definition is, `Doing work requires the capacity to do work, this capacity is called energy.` But, in economical terms, energy is `The driving force, the universal factor, that enables people to convert natural resources to useful goods and services.` In fact, energy is the heartbeat of society and the means for their survival. Today, Oil and gas provide about 70 percent of the energy consumed in the United States. In order to manufacture goods and produce services, we require huge amounts of oil energy. In extreme cases, for example, it takes 10 million barrels of oil to build an aircraft carrier. To operate a battle group during its life cycle, it consumes approximately 64 million barrels of oil. Thus, to utilize many of the products, we need considerable amounts of this energy. Moreover, to dispose of them or to recycle them also requires additional amounts of energy.

  7. Strategic planning: preparing for the twenty-first century.

    Science.gov (United States)

    Andrews, M M

    1990-01-01

    If educational institutions for nursing are to survive these uncertain times and to experience new life in the advent of the 21st century, careful planning for the future must be undertaken. Strategic planning, a relatively new term in nursing education, is a concept designed to achieve goals in dynamic, competitive environments through the judicious allocation of resources. The primary purpose of strategic planning is to achieve success with mission while linking the institution's future to anticipated changes in the environment. Strategic planning enables an institution to function in such a manner that the acquisition of resources exceeds their depletion. The purposes of this article are to (1) provide an overview of the strategic planning process and (2) describe the strategic planning experience of one private, liberal arts college in a midwestern state. Although the case example focuses on a liberal arts college, the strategic planning process is applicable to other types of educational settings.

  8. Cyber Attacks and Terrorism: A Twenty-First Century Conundrum.

    Science.gov (United States)

    Albahar, Marwan

    2017-01-05

    In the recent years, an alarming rise in the incidence of cyber attacks has made cyber security a major concern for nations across the globe. Given the current volatile socio-political environment and the massive increase in the incidence of terrorism, it is imperative that government agencies rapidly realize the possibility of cyber space exploitation by terrorist organizations and state players to disrupt the normal way of life. The threat level of cyber terrorism has never been as high as it is today, and this has created a lot of insecurity and fear. This study has focused on different aspects of cyber attacks and explored the reasons behind their increasing popularity among the terrorist organizations and state players. This study proposes an empirical model that can be used to estimate the risk levels associated with different types of cyber attacks and thereby provide a road map to conceptualize and formulate highly effective counter measures and cyber security policies.

  9. Increasing Medical Practice Team Commitment: Twenty-Five Strategies.

    Science.gov (United States)

    Hills, Laura

    2016-01-01

    Employee commitment is one of the most important principles of practice man- agement. Yet commitment is delicate; it must be carefully earned, and it can easily deteriorate. This article explores practical strategies the medical practice manager can use to assess, foster, and increase employee commitment. It de- fines commitment and how commitment is manifested in employee attitudes and behavior. It provides a 10-question guide medical practice managers can use to assess employee commitment, and a four-part roadmap that will inspire commitment through leadership. This article also offers 25 hands-on strate- gies to increase employee commitment, and more than a dozen questions to guide difficult conversations with employees when their commitment level to the medical practice is low or unclear. Finally, this article suggest four drivers of employee commitment and a five-part strategy medical practice managers can use to model commitment through their own leadership.

  10. Microsurgery training for the twenty-first century.

    Science.gov (United States)

    Myers, Simon Richard; Froschauer, Stefan; Akelina, Yelena; Tos, Pierluigi; Kim, Jeong Tae; Ghanem, Ali M

    2013-07-01

    Current educational interventions and training courses in microsurgery are often predicated on theories of skill acquisition and development that follow a 'practice makes perfect' model. Given the changing landscape of surgical training and advances in educational theories related to skill development, research is needed to assess current training tools in microsurgery education and devise alternative methods that would enhance training. Simulation is an increasingly important tool for educators because, whilst facilitating improved technical proficiency, it provides a way to reduce risks to both trainees and patients. The International Microsurgery Simulation Society has been founded in 2012 in order to consolidate the global effort in promoting excellence in microsurgical training. The society's aim to achieve standarisation of microsurgical training worldwide could be realised through the development of evidence based educational interventions and sharing best practices.

  11. Revision of Beardius Reiss et Sublette, 1985 (Diptera: Chironomidae), with the description of twenty new species.

    Science.gov (United States)

    Pinho, Luiz Carlos; Mendes, Humberto Fonseca; Andersen, Trond

    2013-11-02

    The genus Beardius Reiss et Sublette, 1985 is revised and twenty new species, Beardius abbadi sp. n., B. arawak sp. n., B. bizzoi sp. n., B. bucephalus sp. n., B. curticaudatus sp. n., B. dioi sp. n., B. hirtidorsum sp. n., B. krenak sp. n., B. kumadueni sp. n., B. longicaudatus sp. n., B. mileneae sp. n., B. nebularius sp. n., B. neusae sp. n., B. novoairensis sp. n., B. phoenix sp. n., B. sapiranga sp. n., B. tupinamba sp. n., B. vanessae sp. n., and B. yperoig sp. n. from Brazil and Beardius chapala sp. n. from Mexico are described and figured. Further, the female, pupa and larva of B. urupeatan Pinho, Mendes et Andersen and the female and larva of B. cristhinae Trivinho-Strixino et Siqueira are described, and new records of Brazilian species are provided. Emended diagnoses for all stages and sexes are given. The phylogeny of the genus is outlined and seven tentative species groups, the parcus group, the truncatus group, the tupinamba group, the triangulatus group, the bucephalus group, the xylophilus group, and the roquei group, are proposed. Keys to males, females, pupae and larvae are provided.

  12. Insights from twenty years of bacterial genome sequencing

    Energy Technology Data Exchange (ETDEWEB)

    Land, Miriam L [ORNL; Hauser, Loren John [ORNL; Jun, Se Ran [ORNL; Nookaew, Intawat [ORNL; Leuze, Michael Rex [ORNL; Ahn, Tae-Hyuk [ORNL; Karpinets, Tatiana V [ORNL; Lund, Ole [Technical University of Denmark; Kora, Guruprasad H [ORNL; Wassenaar, Trudy [Molecular Microbiology & Genomics Consultants, Zotzenheim, Germany; Poudel, Suresh [ORNL; Ussery, David W [ORNL

    2015-01-01

    Since the first two complete bacterial genome sequences were published in 1995, the science of bacteria has dramatically changed. Using third-generation DNA sequencing, it is possible to completely sequence a bacterial genome in a few hours and identify some types of methylation sites along the genome as well. Sequencing of bacterial genome sequences is now a standard procedure, and the information from tens of thousands of bacterial genomes has had a major impact on our views of the bacterial world. In this review, we explore a series of questions to highlight some insights that comparative genomics has produced. To date, there are genome sequences available from 50 different bacterial phyla and 11 different archaeal phyla. However, the distribution is quite skewed towards a few phyla that contain model organisms. But the breadth is continuing to improve, with projects dedicated to filling in less characterized taxonomic groups. The clustered regularly interspaced short palindromic repeats (CRISPR)-Cas system provides bacteria with immunity against viruses, which outnumber bacteria by tenfold. How fast can we go? Second-generation sequencing has produced a large number of draft genomes (close to 90 % of bacterial genomes in GenBank are currently not complete); third-generation sequencing can potentially produce a finished genome in a few hours, and at the same time provide methlylation sites along the entire chromosome. The diversity of bacterial communities is extensive as is evident from the genome sequences available from 50 different bacterial phyla and 11 different archaeal phyla. Genome sequencing can help in classifying an organism, and in the case where multiple genomes of the same species are available, it is possible to calculate the pan- and core genomes; comparison of more than 2000 Escherichia coli genomes finds an E. coli core genome of about 3100 gene families and a total of about 89,000 different gene families. Why do we care about bacterial genome

  13. Proceedings of the Twenty-Fourth Annual Software Engineering Workshop

    Science.gov (United States)

    2000-01-01

    On December 1 and 2, the Software Engineering Laboratory (SEL), a consortium composed of NASA/Goddard, the University of Maryland, and CSC, held the 24th Software Engineering Workshop (SEW), the last of the millennium. Approximately 240 people attended the 2-day workshop. Day 1 was composed of four sessions: International Influence of the Software Engineering Laboratory; Object Oriented Testing and Reading; Software Process Improvement; and Space Software. For the first session, three internationally known software process experts discussed the influence of the SEL with respect to software engineering research. In the Space Software session, prominent representatives from three different NASA sites- GSFC's Marti Szczur, the Jet Propulsion Laboratory's Rick Doyle, and the Ames Research Center IV&V Facility's Lou Blazy- discussed the future of space software in their respective centers. At the end of the first day, the SEW sponsored a reception at the GSFC Visitors' Center. Day 2 also provided four sessions: Using the Experience Factory; A panel discussion entitled "Software Past, Present, and Future: Views from Government, Industry, and Academia"; Inspections; and COTS. The day started with an excellent talk by CSC's Frank McGarry on "Attaining Level 5 in CMM Process Maturity." Session 2, the panel discussion on software, featured NASA Chief Information Officer Lee Holcomb (Government), our own Jerry Page (Industry), and Mike Evangelist of the National Science Foundation (Academia). Each presented his perspective on the most important developments in software in the past 10 years, in the present, and in the future.

  14. Twenty years' experience of a telehealth service in the UK.

    Science.gov (United States)

    Mansfield, Peter

    2005-01-01

    Since 1996 a small call centre has been operated to provide instant self-help, non-medical advice to members. Non-clinical advisers work under a medical director. The scheme grew to 1,200 member-families from a regional catchment area, peaking at 2,500 across the country. About 30-50 telephone calls are received each day and up to 1,000 Web visits per day; about 20-50 postal items are sent out daily to members. In a telephone poll during 2001, half of our current members said that they used the National Health Service about 70% less than before they joined, but a third said that they used complementary and alternative medicines 80% more. Half had gained in confidence by about 50% in managing their own health. Members most often join for alternative medical help with a specific problem, but stay if they begin to appreciate the help we can give them in regaining and keeping health in the round. Our retention of new members for a second year is only 10-20%. The 'barefoot' profession of telehealth adviser appears to meet a community need.

  15. Censusing marine eukaryotic diversity in the twenty-first century.

    Science.gov (United States)

    Leray, Matthieu; Knowlton, Nancy

    2016-09-01

    The ocean constitutes one of the vastest and richest biomes on our planet. Most recent estimations, all based on indirect approaches, suggest that there are millions of marine eukaryotic species. Moreover, a large majority of these are small (less than 1 mm), cryptic and still unknown to science. However, this knowledge gap, caused by the lack of diagnostic morphological features in small organisms and the limited sampling of the global ocean, is currently being filled, thanks to new DNA-based approaches. The molecular technique of PCR amplification of homologous gene regions combined with high-throughput sequencing, routinely used to census unculturable prokaryotes, is now also being used to characterize whole communities of marine eukaryotes. Here, we review how this methodological advancement has helped to better quantify the magnitude and patterns of marine eukaryotic diversity, with an emphasis on taxonomic groups previously largely overlooked. We then discuss obstacles remaining to achieve a global understanding of marine eukaryotic diversity. In particular, we argue that 18S variable regions do not provide sufficient taxonomic resolution to census marine life, and suggest combining broad eukaryotic surveys targeting the 18S rRNA region with more taxon-focused analyses of hypervariable regions to improve our understanding of the diversity of species, the functional units of marine ecosystems.This article is part of the themed issue 'From DNA barcodes to biomes'.

  16. Percutaneous gastrostomy -a report of twenty-seven cases-

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Tae Ho; Lee, Ho Suk; Kim, Yong Joo; Kim, Tae Hun; Suh, Kyung Jin; Kang, Duk Sik [College of Medicine, Kyungpook National University, Daegu (Korea, Republic of)

    1991-05-15

    Nutritional support by gastrostomy feeding is an important treatment adjunct when major swallowing difficulty or debilitating diseases is present. This technique for percutaneous placement of a gastric feeding tube now provides many patients with a simple, safe, and well-tolerated alternative to surgical feeding gastrostomy. We experienced 27 cases of percutaneous gastrostomy from January 1989 to February 1991 at Kyungpook National University Hospital. The underlying diseases of the patients were esophageal cancer (11), pyriform sinus cancer (4), laryngeal cancer (3), tongue cancer (2), lye stricture (1), lung cancer (1), chordoma (1), lethal midline granuloma (1), malignant lymphoma (1), maxillary cancer (1), and tonsil cancer (1). Selding method was used in all cases. In five patients it was difficult to insert the nasogastric tube for air insufflation, and one patient had subtotal gastrectomy with gastrojejunostomy, but gastrostomy was performed in all cases. The general condition improved in all patients. We experienced one case of mild peritonitis, but no other significant complications were observed. Gastrostomy tubes were patient in all patients during their survival period, except two patients who experienced obstruction 2 and 6 months after the procedure. Percutaneous gastrostomy can be used safely and effectively in such patients who have pharyngoesophageal or CNS lesions precluding oral intake.

  17. Twenty years of social capital and health research: a glossary.

    Science.gov (United States)

    Moore, S; Kawachi, I

    2017-05-01

    Research on social capital in public health is approaching its 20th anniversary. Over this period, there have been rich and productive debates on the definition, measurement and importance of social capital for public health research and practice. As a result, the concepts and measures characterising social capital and health research have also evolved, often drawing from research in the social, political and behavioural sciences. The multidisciplinary adaptation of social capital-related concepts to study health has made it challenging for researchers to reach consensus on a common theoretical approach. This glossary thus aims to provide a general overview without recommending any particular approach. Based on our knowledge and research on social capital and health, we have selected key concepts and terms that have gained prominence over the last decade and complement an earlier glossary on social capital and health. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  18. Censusing marine eukaryotic diversity in the twenty-first century

    Science.gov (United States)

    Knowlton, Nancy

    2016-01-01

    The ocean constitutes one of the vastest and richest biomes on our planet. Most recent estimations, all based on indirect approaches, suggest that there are millions of marine eukaryotic species. Moreover, a large majority of these are small (less than 1 mm), cryptic and still unknown to science. However, this knowledge gap, caused by the lack of diagnostic morphological features in small organisms and the limited sampling of the global ocean, is currently being filled, thanks to new DNA-based approaches. The molecular technique of PCR amplification of homologous gene regions combined with high-throughput sequencing, routinely used to census unculturable prokaryotes, is now also being used to characterize whole communities of marine eukaryotes. Here, we review how this methodological advancement has helped to better quantify the magnitude and patterns of marine eukaryotic diversity, with an emphasis on taxonomic groups previously largely overlooked. We then discuss obstacles remaining to achieve a global understanding of marine eukaryotic diversity. In particular, we argue that 18S variable regions do not provide sufficient taxonomic resolution to census marine life, and suggest combining broad eukaryotic surveys targeting the 18S rRNA region with more taxon-focused analyses of hypervariable regions to improve our understanding of the diversity of species, the functional units of marine ecosystems. This article is part of the themed issue ‘From DNA barcodes to biomes’. PMID:27481783

  19. Director, Laboratory Animal Care and Use Section

    Data.gov (United States)

    Federal Laboratory Consortium — The NIAMS Laboratory Animal Care and Use Section (LACU) provides support to all NIAMS Intramural Research Program (IRP) Branches and Laboratories using animals. The...

  20. Twenty-first century brain banking: at the crossroads.

    Science.gov (United States)

    Graeber, Manuel B

    2008-05-01

    Brain banks form an increasingly important resource for research. In view of declining autopsy rates, brain banks are also gaining importance for medical diagnostics, quality control and teaching. In the case of neurodegenerative diseases, brain banks have become drivers of discovery and are yielding invaluable taxonomic references for neuropathologists. This article provides comments on two recent landmark papers in the field (Bell JE et al. Acta Neuropathol 2008. doi:10.1007/s00401-008-0358-8; Vonsattel JP et al. Acta Neuropathol 2008. doi:10.1007/s00401-007-0311-9). Professionalisation of brain banking standards, ethical principles safeguarding the running of a brain bank and a proposed code of conduct for brain bank staff are outlined and discussed. Special emphasis is placed on the need to enable sustainability of the human brain tissue resource in the face of increased financial pressures on medical institutions and raised public expectations towards ethical human brain banking in a globalised economic environment. It is proposed that brain banks undergo rigorous international audit as a prerequisite for their registration with the relevant national neuropathological society. This promises to be an important safeguard so that proper standards can be assured when tissue is handed out to commercial companies. Honesty, accountability and complete transparency are mandatory to allow long-lasting success of the brain banking operation by guaranteeing that the best possible use is made of the tissue. Preferred access by private tissue users must be avoided and money must never be allowed to buy access to a brain bank. Since brain banks operate internationally, any mistake made may be felt around the globe and could endanger the public's willingness to donate brains for research. The much-needed increase in the number of control brain donations will only be achievable if broad-based support from the general public can be won and maintained.

  1. Whooping cough, twenty years from acellular vaccines introduction.

    Science.gov (United States)

    Greco, D; Esposito, S; Tozzi, A; Pandolfi, E; Icardi, G; Giammanco, A

    2015-01-01

    Clinical pertussis resulting from infection with B. pertussis is a significant medical and public health problem, despite the huge success of vaccination that has greatly reduced its incidence. The whole cell vaccine had an undeniable success over the last 50 years, but its acceptance was strongly inhibited by fear, only partially justified, of severe side effects, but also, in the Western world, by the difficulty to enter in combination with other vaccines: today multi-vaccine formulations are essential to maintain a high vaccination coverage. The advent of acellular vaccines was greeted with enthusiasm by the public health world: in the Nineties, several controlled vaccine trials were carried out: they demonstrated a high safety and good efficacy of new vaccines. In fact, in the Western world, the acellular vaccines completely replaced the whole cells ones. In the last years, ample evidence on the variety of protection of these vaccines linked to the presence of different antigens of Bordetella pertussis was collected. It also became clear that the protection provided, on average around 80%, leaves every year a significant cohort of vaccinated susceptible even in countries with a vaccination coverage of 95%, such as Italy. Finally, it was shown that, as for the pertussis disease, protection decreases over time, to leave a proportion of adolescents and adults unprotected. Waiting for improved pertussis vaccines, the disease control today requires a different strategy that includes a booster at 5 years for infants, but also boosters for teenagers and young adults, re-vaccination of health care personnel, and possibly of pregnant women and of those who are in contact with infants (cocooning). Finally, the quest for better vaccines inevitably tends towards pertussis acellular vaccines with at least three components, which have demonstrated superior effectiveness and have been largely in use in Italy for fifteen years.

  2. Data Analysis in the Twenty-First Century

    Energy Technology Data Exchange (ETDEWEB)

    Goodman, A; Kamath, C; Kumar, V

    2007-08-16

    The 21st Century is characterized by complex multidisciplinary problems accompanied by massive datasets. 'We are drowning in data, but starving for knowledge', as the volumes of many commercial, industrial and scientific datasets have exceeded the terabyte range and are approaching petabytes and beyond. Statistical methodology has long been employed to find useful and usable information in data. More recently, data mining has harnessed the power of computer technology to find useful and usable patterns in such massive datasets. Although several data mining journals have joined the established statistical journals, no single journal provides an integrated treatment of statistical analysis methodology and data mining technology, particularly when applied to the solution of practical problems. This absence and the needs expressed above motivated the inauguration of John Wiley's new Journal on Statistical Analysis and Data Mining. The goals of this interdisciplinary journal are to encourage collaborations across disciplines, communication of data mining and statistical techniques to both novices and experts involved in the analysis of data from practical problems, and a principled and productive evaluation of analyses and solutions. The journal specifically encourages submission of works that have statistical rigor in the analysis of data, incorporate the most appropriate algorithms from data mining, and address the needs of applications. Applying data mining algorithms to practical problems is not sufficient, because we need to ensure that the results have a sound statistical basis, lest any decision based on these results lead to a catastrophe. Even data mining algorithms founded on sound statistical analysis are not sufficient, if they cannot solve a practical problem. Finally, employing a statistical analysis on a practical problem is not sufficient, unless it scales up to massive datasets. Statistical analysis and data mining are actually two sides

  3. Internet Addiction: A Review of the First Twenty Years.

    Science.gov (United States)

    Mihajlov, Martin; Vejmelka, Lucija

    2017-09-01

    Easy access to communication and information technologies has increased our dependence on technology for various aspects of our lives. Nevertheless, this remarkable growth of Internet Usage has been inextricably paired with a rise of excessive and dysfunctional Internet use. Conceptualized around 1996, a few years after the inception of the World Wide Web, Internet addiction has developed into a global issue influencing varying segments of the population at different levels. Despite heated debates on its addictive nature, consensus is emerging regarding the existence of this problematic behavior. In this paper we provide a comprehensive overview of the literature on Internet addiction in last 20 years. Purpose of this paper is to present crucial findings on Internet addiction to health profession. Besides numerous benefits of Internet use, the virtual environment brings various risks in every age group. The Internet is very significant in the everyday activities of children and youth and professional interventions with this age group should be specific considering their developmental characteristics. Exposure to online risks can have long-lasting and intense negative effects. Effective programs in prevention and treatment should include a multi-sectoral and interdisciplinary approach. Detail review of the symptomatology, diagnosis model an possibilities of treatment can be multiple beneficial to the health professionals and other helping professions due to actual needs for interventions in the field of the internet addiction treatment. Internet addiction is slowly becoming a societal concern as it particularly affects adolescents and children, who are more exposed and consequently more vulnerable. Findings presented in the paper can benefit in practice of treatment internet addiction and also as framework for further researches in the field.

  4. Defining Theosophy in the Twenty-First century

    Directory of Open Access Journals (Sweden)

    René Dybdal Pedersen

    2008-01-01

    Full Text Available The concept theosophy has been used by different theological and philosophical positions with different meaning throughout western history. The concept can therefore not be understood as a trans-historical or universal one, but must be specified whenever it is applied, since several theosophies have existed over time. Nonetheless, a specification is seldom provided when the term is and has been applied in recent decades by scholars as well as the general public. Most often when used today, the term is applied as synonymous to the theosophy introduced by Helena Petrovna Blavatsky (1831–91, co-founder of the Theosophical Society (TS established in 1875; consequently tending to include only the TS as tradition when evaluating a given theosophical theme. However, focussing on tradition rather than on theology—that is, focussing on the founding tradition rather than also including groups practising according to theosophical dogma—can give rise to a number of problems, particularly when considering the theosophical situation today. Using a wider perspective when evaluating the theosophical situation today reveals a different picture—one that shows that theosophy is not dying out, but rather, experiencing a renaissance. One obvious question evolving from these reflections is whether this theosophy experiencing a renaissance is the same theosophy as the Blavatskian or ‘modern’ theosophy, as Emely B. Sellon and Renée Weber have classified it, or if it is to be considered as a new type or kind. The aim of this article is to discuss this question, looking at how theosophy has developed in Denmark over the last century; a country in which a theosophical renaissance has indeed been observed in recent years.

  5. Neuromyotonia: Clinical profile of twenty cases from northwest India

    Directory of Open Access Journals (Sweden)

    Panagariya Ashok

    2006-01-01

    Full Text Available Objectives: We are presenting 20 cases of the intriguing clinico-electromyographic entity, now considered a potassium channel disorder, Neuromyotonia. Our experience with the clinical manifestations, underlying abnormalities and response to various therapies is documented. Materials and Methods: Patients with diffuse pain or undulating muscle movements, with or without stiffness were sent for electromyographic and further studies. Patients with "neuromyotonic discharges" were included after exclusion of hypocalcaemia. Results: Our cases included 19 males and one female of age group 15 to 52 years, the majority being between 30 to 45 years. Undulating movements were seen in 19, of which two had focal twitching. Muscle stiffness was a complaint in five; pain was the chief presenting complaint of 19, which started in the calf in all. Irritability, insomnia and a peculiar worried pinched face were present in 12 patients. CSF was abnormal with mildly raised protein in eight. Curiously, 11 of these patients had taken ayurvedic treatment for various complaints in the preceding one month. Bell′s palsy was associated in four, peripheral neuropathy in two and residual poliomyelitis in two. Electromyographic evidence of spontaneous activity in the form of "neuromyotonic discharges" was seen in all. Antibodies to voltage gated potassium channels was tested in one patient and was positive (titer was 1028 pM. Membrane stabilizers (e.g., phenytoin sodium in our experience did not provide adequate rapid relief; we tried high-dose intravenous Methylprednisolone in 19 with significant amelioration of complaints. One patient was offered intravenous immunoglobulin, to which he responded. Conclusions: Neuromyotonia is a heterogeneous condition and can present in varied ways including diffuse nonspecific pain. This uncommon condition is potentially treatable and can be picked up with high index of suspicion.

  6. C-section - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100191.htm C-section - series—Normal anatomy To use the sharing features ... M. Editorial team. Related MedlinePlus Health Topics Cesarean Section A.D.A.M., Inc. is accredited by ...

  7. FEMA DFIRM Cross Sections

    Data.gov (United States)

    Minnesota Department of Natural Resources — FEMA Cross Sections are required for any Digital Flood Insurance Rate Map database where cross sections are shown on the Flood Insurance Rate Map (FIRM). Normally...

  8. Birth after cesarean section

    Science.gov (United States)

    Velemínský, Miloš; Velemínský, Miloš; Piskorzová, Martina; Bašková, Martina; Tóthová, Valérie; Stránský, Pravoslav

    2011-01-01

    Summary Background The number of incoming expectant women who have previously experienced cesarean section has increased. This work sought to find the frequency and connections between vaginal deliveries, cesarean sections, and iterative cesarean sections from 2004 to 2008. Material/Methods In all, 828 women with previous cesarean sections were included. From this group, 8282 vaginal deliveries were performed. During these years, 828 women had a history of the cesarean section; in these women, iterative cesarean sections were indicated. To evaluate knowledge of educational material designed for women being prepared for the iterative delivery, we used information compiled on experience from 2002 to 2003; the same approach was used to evaluate the nursing process on interventions and diagnoses of cesarean sections. Results From 2004 to 2008, 11 279 deliveries were performed in the Perinatological Center in České Budějovice; this was significant (Pcesarean section. The number of iterative cesarean sections in women who had already experienced the cesarean section (828) and delivered by cesarean section again is 620. Other data were not significant. Only 2 to 3 pregnancies next to the first cesarean section were statistically significant in 2004 and 2005. Conclusions If a trial of labor after cesarean does not proceed to vaginal birth, the woman will need support and encouragement to express feelings about another cesarean birth. PMID:21278695

  9. Twenty-five years of sport performance research in the Journal of Sports Sciences.

    Science.gov (United States)

    Nevill, Alan; Atkinson, Greg; Hughes, Mike

    2008-02-15

    In this historical review covering the past 25 years, we reflect on the content of manuscripts relevant to the Sport Performance section of the Journal of Sports Sciences. Due to the wide diversity of sport performance research, the remit of the Sport Performance section has been broad and includes mathematical and statistical evaluation of competitive sports performances, match- and notation-analysis, talent identification, training and selection or team organization. In addition, due to the academic interests of its section editors, they adopted a quality-assurance role for the Sport Performance section, invariably communicated through key editorials that subsequently shaped the editorial policy of the Journal. Key high-impact manuscripts are discussed, providing readers with some insight into what might lead an article to become a citation "classic". Finally, landmark articles in the areas of "science and football" and "notation analysis" are highlighted, providing further insight into how such articles have contributed to the development of sport performance research in general and the Journal of Sports Sciences in particular.

  10. Section 5(4) (nurse's holding power) of the Mental Health Act 1983: a literature review.

    Science.gov (United States)

    Ashmore, R

    2015-04-01

    Section 5(4) (nurse's holding power) of the Mental Health Act 1983 permits nurses of the 'prescribed class' to detain an informal inpatient. The patient must already be receiving treatment for mental disorder. The section lasts for up to 6 h. Section 5(4) is over 30 years old; however, there is relatively little literature exploring its use. Existing literature has limited itself to surveys and audits investigating: nurses' opinions of Section 5(4); nurses' knowledge of Section 5(4); and trends associated with the implementation of Section 5(4). The literature review suggests that what is known about the implementation of Section 5(4) is incomplete. For example, there are no accounts of how and why the holding power is implemented from both a nursing and patient perspective. Section 5(4) (nurse's holding power) of the Mental Health Act 1983 in England and Wales accounts for 10% (n = 1714) of all detentions after admission to hospital. It is followed by further detention in 66% of cases and may require nurses to restrain, seclude or closely observe the patient to prevent them harming themselves and/or others. To conduct a literature review of empirical articles concerning the implementation of Section 5(4), a literature search was undertaken in ASSIA, British Nursing Index, Medline, PsycINFO and Lawtel, using a combination of the keywords 'Section 5(4)', 'nurse's holding powers', 'holding powers', 'Mental Health Act 1983', 'MHA', 'compulsory detention', 'formal detention', 'emergency psychiatric interventions', 'containment interventions' and 'involuntary commitment'. Twenty-five articles were included in the review. Existing literature has focused on surveys and audits investigating: nurses' opinions of Section 5(4); nurses' knowledge of Section 5(4); and trends associated with the implementation of Section 5(4). While this literature has provided some insights into the implementation of Section 5(4), it is clear that what is known about its use is incomplete

  11. Twenty-Four-Hour Ambulatory Blood Pressure Monitoring in Hypertension

    Science.gov (United States)

    2012-01-01

    Executive Summary Objective The objective of this health technology assessment was to determine the clinical effectiveness and cost-effectiveness of 24-hour ambulatory blood pressure monitoring (ABPM) for hypertension. Clinical Need: Condition and Target Population Hypertension occurs when either systolic blood pressure, the pressure in the artery when the heart contracts, or diastolic blood pressure, the pressure in the artery when the heart relaxes between beats, are consistently high. Blood pressure (BP) that is consistently more than 140/90 mmHg (systolic/diastolic) is considered high. A lower threshold, greater than 130/80 mmHg (systolic/diastolic), is set for individuals with diabetes or chronic kidney disease. In 2006 and 2007, the age-standardized incidence rate of diagnosed hypertension in Canada was 25.8 per 1,000 (450,000 individuals were newly diagnosed). During the same time period, 22.7% of adult Canadians were living with diagnosed hypertension. A smaller proportion of Canadians are unaware they have hypertension; therefore, the estimated number of Canadians affected by this disease may be higher. Diagnosis and management of hypertension are important, since elevated BP levels are related to the risk of cardiovascular disease, including stroke. In Canada in 2003, the costs to the health care system related to the diagnosis, treatment, and management of hypertension were over $2.3 billion (Cdn). Technology The 24-hour ABPM device consists of a standard inflatable cuff attached to a small computer weighing about 500 grams, which is worn over the shoulder or on a belt. The technology is noninvasive and fully automated. The device takes BP measurements every 15 to 30 minutes over a 24-to 28-hour time period, thus providing extended, continuous BP recordings even during a patient’s normal daily activities. Information on the multiple BP measurements can be downloaded to a computer. The main detection methods used by the device are auscultation and

  12. Cumulative Index to Twenty Five Semiannual Reports of the Commission to the Congress. January 1947 - January 1959

    Energy Technology Data Exchange (ETDEWEB)

    McCone, John A.

    1960-01-31

    The first twenty five semiannual reports of the United States Atomic Energy Commission to Congress cover the major unclassified activities of the Commission from January 1947 through January 1959. In addition to the semiannual summaries, a series of special reports on important atomic energy programs were included in many of the semiannual reports. This cumulative name and subject index provides a guide to the information published in these reports. Beginning in 1960, the Commission will be issuing annual reports, each separately indexed, ceasing the semiannual reporting.

  13. Historical Approach to the Role of Women in the Legislation of Iran: A Case Study on the Twenty-First Parliament

    Directory of Open Access Journals (Sweden)

    Sarah Sheibani

    2017-01-01

    Full Text Available One hundred and ten years ago, men and women took constitutionalism to achieve justice in Iran. National Council was the result of the Iranian people's struggle for justice, both women and men. Men policies from the beginning of legislation put women as minors and lunatics and bankrupted and banned them from vote. However, the Constitutional Revolution as a turning point and a national revolution played a key role in changing attitudes to women and structural context of their participation provided. In this paper, with the use of descriptive-analytical as well as quantitative methods, we sought to answer the question that what was the position of women in the twenty-first Parliament. The results of this study suggest that when Iranian women were allowed to participate politics, they have achieved to show their ability in politics as we saw examples in the twenty-first Parliament in which women had twenty-two percent participation.

  14. [The first Obesity Unit in Czechoslovakia was established twenty years ago].

    Science.gov (United States)

    Hainer, V; Kunesová, M; Stich, V

    2009-01-01

    The first Obesity Unit in former Czechoslovakia was established at the Fourth Department of Internal Medicine of the Faculty of General Medicine and Faculty Hospital I twenty years ago. Both personal resources (physicians specialized in metabolism and obesity, psychologist, dietician, physiatrist and medical nurses trained in the care of obese patients) and diagnostic tools (body composition assessment by hydrodensitometry, determination of energy expenditure by indirect calorimetry, evaluation of energy and nutrient intake by PC assessment of dietary records, hormonal and biochemical examinations etc.) enabled comprehensive examinations of obese patients. Obesity unit included a specialized in-patient department where the patients with severe and complicated obesity underwent a comprehensive treatment programme which consisted of very low energy diet developed in collaboration with the Obesity Unit. The article summarizes not only clinical experiences of the unit but also its engagement in education on obesity, in research projects and international collaboration over the past 20-years period. Obesity unit succeeded to keep its continuity in spite of repeated moving between 1997-2002. Since 2002 Obesity Unit has been a part of the Institute of Endocrinology which provided additional modern facilities for hormonal and molecular genetic examinations.

  15. Twenty years of renewable energy law; 20 Jahre Recht der Erneuerbaren Energien

    Energy Technology Data Exchange (ETDEWEB)

    Mueller, Thorsten (ed.)

    2012-07-01

    The present volume was compiled as part of a project funded by the German Federal Ministry for Environment, Nature Conservation and Reactor Safety, one event under which was the seventh Wuerzburg conference on environmental energy law with the title ''Twenty Years of Renewable Energy Law'' which took place on 13/14 October 2010. It comprises 36 contributions which, from different scientific perspectives, take stock of the significance of renewable energies for climate protection and the energy supply, examine the developments of the past 20 years and draw conclusions for the future use of renewable energy. The authors are scientists from the areas of climate research, economics, political science, engineering, environmental psychology and jurisprudence who have dedicated their work to issues that directly or indirectly relate to the expansion of renewable energies. Together they have created an overall picture of renewable energies with its many different aspects and related topics, a picture that necessarily cannot be complete but which nevertheless provides many rich insights. The great majority of articles were written around the turn of the year to 2011, just after the granting of lifetime extension for German nuclear power plants. They thus only take sparse account of the diverse and for some part far-reaching changes in German energy policy that came about after the reactor disaster in Fukushima.

  16. Introduction to the Special Section on Resurgence

    Science.gov (United States)

    Kestner, Kathryn M.; Peterson, Stephanie M.; Wacker, David P.

    2017-01-01

    In this introduction, the editors provide an overview of resurgence and its importance to practitioners. They also provide an overview of the four articles contained in this special section focusing on the applied implications of resurgence.

  17. Twenty-fourth Semiannual Report of the Commission to the Congress, July 1958

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, Lewis L.; McCone, John A.

    1958-07-31

    The document represents the twenty-fourth semiannual Atomic Energy Commission (AEC) report to Congress. The report sums up the major activities and developments in the national atomic energy program covering the period January - June 1958.

  18. Twenty-second Semiannual Report of the Commission to the Congress, July 1957

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, Lewis L.

    1957-07-31

    The document represents the twenty-second semiannual Atomic Energy Commission (AEC) report to Congress. The report sums up the major activities and developments in the national atomic energy program covering the period January - June 1957.

  19. Nutrients, technological properties and genetic relationships among twenty cowpea landraces cultivated in West Africa

    NARCIS (Netherlands)

    Madode, Y.E.E.; Linnemann, A.R.; Nout, M.J.R.; Vosman, B.J.; Hounhouigan, D.J.; Boekel, van T.

    2012-01-01

    The genetic relationships among twenty phenotypically different cowpea landraces were unravelled regarding their suitability for preparing West African dishes. Amplified fragment length polymorphism classified unpigmented landraces (UPs) as highly similar (65%, one cluster), contrary to pigmented la

  20. PLSS Townships and Sections, Section coverage, Published in unknown, CLAY COUNTY.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This PLSS Townships and Sections dataset as of unknown. It is described as 'Section coverage'. Data by this publisher are often provided in State Plane coordinate...

  1. Proceedings of the twenty-first workshop on geothermal reservoir engineering

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    This document contains the Proceedings of the Twenty-first Workshop in Geothermal Reservoir Engineering, held at Stanford University, Stanford, California, USA, January 22-24, 1996. Sixty-six papers were presented in the technical sessions of the workshop. Technical papers were organized into twenty sessions including: reservoir assessment, modeling, geology/geochemistry, fracture modeling/hot-dry-rock, low enthalpy, fluid injection, well testing, drilling, adsorption, and well stimulation.

  2. Chapter Twenty

    African Journals Online (AJOL)

    User

    The 1970s Nigeria witnessed oil boom which turns out to be a disaster to people ... pictures of destitute, starving children, raped and battered women and cases of ..... that demand high intelligence, proper planning and long term preparation.

  3. Age estimation using annulations in root cementum of human teeth: A comparison between longitudinal and cross sections

    Directory of Open Access Journals (Sweden)

    Kavya B Mallar

    2015-01-01

    Full Text Available Background: Age estimation is an important factor in the identification of an individual in forensic science. Research indicates that cemental annulations may be used more reliably than other morphological or histological traits of human skeleton for age estimation. Materials and Methods: Twenty-five teeth were sectioned longitudinally, and twenty-five teeth were cross-sectioned at the mid portion of the root. Sections were ground, mounted and viewed under a bright light microscope. The area selected for counting was photographed under ×10 objective, magnified 5 times; cemental lines were counted and added to the eruption age of that patient, to obtain the chronological age. The statistical software SAS 9.2, SPSS 15.0, Stata 10.1, MedCalc 9.0.1, Systat 12.0 and R environment ver.2.11.1 were used for the analysis of the data. Results: The P value comparing actual age and calculated age using longitudinal sections is moderately significant and the P value comparing actual age and calculated age in the age group of <30 years is significant. Interpretation and Conclusion: The middle third of tooth root was most suitable to count annulations. The cross sections are easier to count but longitudinal sections give more appropriate results on age estimation. Though the procedure predicts under assessment of age in the younger age group and over assessment of age in the older age group, it provides a close estimate of the actual age of an individual. It can be correlated with other age estimation methods for better reliability.

  4. Age estimation using annulations in root cementum of human teeth: A comparison between longitudinal and cross sections

    Science.gov (United States)

    Mallar, Kavya B; Girish, HC; Murgod, Sanjay; Kumar, BN Yathindra

    2015-01-01

    Background: Age estimation is an important factor in the identification of an individual in forensic science. Research indicates that cemental annulations may be used more reliably than other morphological or histological traits of human skeleton for age estimation. Materials and Methods: Twenty-five teeth were sectioned longitudinally, and twenty-five teeth were cross-sectioned at the mid portion of the root. Sections were ground, mounted and viewed under a bright light microscope. The area selected for counting was photographed under ×10 objective, magnified 5 times; cemental lines were counted and added to the eruption age of that patient, to obtain the chronological age. The statistical software SAS 9.2, SPSS 15.0, Stata 10.1, MedCalc 9.0.1, Systat 12.0 and R environment ver.2.11.1 were used for the analysis of the data. Results: The P value comparing actual age and calculated age using longitudinal sections is moderately significant and the P value comparing actual age and calculated age in the age group of <30 years is significant. Interpretation and Conclusion: The middle third of tooth root was most suitable to count annulations. The cross sections are easier to count but longitudinal sections give more appropriate results on age estimation. Though the procedure predicts under assessment of age in the younger age group and over assessment of age in the older age group, it provides a close estimate of the actual age of an individual. It can be correlated with other age estimation methods for better reliability. PMID:26980973

  5. 'Active' Thin Sections

    NARCIS (Netherlands)

    De Rooij, M.R.; Bijen, J.M.J.M.

    1999-01-01

    Optical microscopy using thin sections has become more and more important over the last decade to study concrete. Unfortunately, this technique is not capable of studying actually hydrating cement paste. At Delft University of Technology a new technique has been developed using 'active' thin section

  6. Debate: Nationalism or Sectionalism?

    Science.gov (United States)

    McDonald, Forrest; Genovese, Eugene D.

    1987-01-01

    McDonald contends that in the 1820s economic and technological changes were creating sectional differences in the United States while the political arena declined in influence. Genovese argues, however, that from the earliest days of the republic different ways of life in the north and south led to a sectional division changing the political…

  7. Chapter Twenty Chapter Twenty Eight

    African Journals Online (AJOL)

    User

    It is also true that each culture affects their writers' language and style differently in works ... Thus it calls for a cautious and positive use of words .... Memory is also fragrance from withered flowers. Memory is also the music from broken guitars.

  8. "The First Twenty Years," by Bernard J. Siegel. Annual Review of Anthropology, 22 (1993, pp. 1-34, Annual Reviews, Inc, Palo Alto

    Directory of Open Access Journals (Sweden)

    James A. Delle

    1995-05-01

    Full Text Available After twenty years as editor of the Annual Review ofAnthropology (ARA, Professor Siegel took on a daunting task with this article. In his words, he set out to "ponder the developments in the several subfields of anthropol­ogy over this period of time, as reflected in the topics selected for review in this enterprise" (p. 8. To this end Siegel, a cultural anthropologist, mined the collective knowledge contained within twenty years of the ARA. In his presentation, he considers the intellectual developments within each of the five subdisciplines separately (he includes applied anthropology, concluding with some brief remarks on the importance of maintaining a four or five field approach to anthropology. For our purposes here, I will limit my comments to his section on archaeology.

  9. SNL RML recommended dosimetry cross section compendium

    Energy Technology Data Exchange (ETDEWEB)

    Griffin, P.J.; Kelly, J.G.; Luera, T.F. [Sandia National Labs., Albuquerque, NM (United States); VanDenburg, J. [Science and Engineering Associates, Inc., Albuquerque, NM (United States)

    1993-11-01

    A compendium of dosimetry cross sections is presented for use in the characterization of fission reactor spectrum and fluence. The contents of this cross section library are based upon the ENDF/B-VI and IRDF-90 cross section libraries and are recommended as a replacement for the DOSCROS84 multigroup library that is widely used by the dosimetry community. Documentation is provided on the rationale for the choice of the cross sections selected for inclusion in this library and on the uncertainty and variation in cross sections presented by state-of-the-art evaluations.

  10. Projection of drought hazards in China during twenty-first century

    Science.gov (United States)

    Liang, Yulian; Wang, Yongli; Yan, Xiaodong; Liu, Wenbin; Jin, Shaofei; Han, Mingchen

    2017-06-01

    Drought is occurring with increased frequency under climate warming. To understand the behavior of drought and its variation in the future, current and future drought in the twenty-first century over China is discussed. The drought frequency and trend of drought intensity are assessed using the Palmer Drought Severity Index (PDSI), which is calculated based on historical meteorological observations and outputs of the fifth Coupled Model Intercomparison Project (CMIP5) under three representative concentration pathway (RCP) scenarios. The simulation results of drought period, defined by PDSI class, could capture more than 90% of historical drought events. Projection results indicate that drought frequency will increase over China in the twenty-first century under the RCP4.5 and RCP8.5 scenarios. In the mid-twenty-first century (2021-2050), similar patterns of drought frequency are found under the three emission scenarios, and annual drought duration would last 3.5-4 months. At the end of the twenty-first century (2071-2100), annual drought duration could exceed 5 months in northwestern China as well as coastal areas of eastern and southern China under the RCP8.5 scenario. Drought is slightly reduced over the entire twenty-first century under the RCP2.6 scenario, whereas drought hazards will be more serious in most regions of China under the RCP8.5 scenario.

  11. 14 CFR 252.7 - No-smoking sections.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false No-smoking sections. 252.7 Section 252.7... REGULATIONS SMOKING ABOARD AIRCRAFT § 252.7 No-smoking sections. (a) Except as provided in paragraph (b) of... shall provide, at a minimum: (1) A no-smoking section for each class of service; (2) A sufficient...

  12. Internet Provider Facilities, Published in Not Provided, US Army.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Internet Provider Facilities dataset as of Not Provided. Data by this publisher are often provided in Not Applicable coordinate system; in a Not Applicable...

  13. The summer institute in clinical dental research methods: still going and growing after twenty years.

    Science.gov (United States)

    Derouen, Timothy A; Wiesenbach, Carol

    2012-11-01

    The first Summer Institute in Clinical Dental Research Methods, a faculty development program at the University of Washington, was offered in the summer of 1992 for sixteen participants. The primary objective of the program was to give clinical faculty members in dentistry an introduction to and an understanding of the fundamental principles and methods used in good clinical research. In the twentieth offering of the institute in 2011, there were thirty-five participants, and over the twenty institutes, there has been a cumulative total of 463 participants who have come from thirty U.S. states as well as forty-three countries outside the United States. The curriculum has expanded from the initial offering of biostatistics, clinical epidemiology, behavioral research methods, and ethics in clinical research to now include clinical trials, grantsmanship, data analysis, an elective in molecular biology, and a team project that provides participants with hands-on experience in research proposal development as members of an interdisciplinary team. Enrollment has doubled since the first year, yet exit evaluations of the program content have remained consistently high (rated as very good to excellent). One of the indicators of program quality is that at least 50 percent of recent participants indicated that they attended because the program was recommended by colleagues who had attended. There seems to be an ever-increasing pool of dental faculty members who are eager to learn more about clinical research methodology through the institute despite the intensive demands of full-time participation in a six-week program.

  14. Teaching surgical skills in obstetrics using a cesarean section simulator – bringing simulation to life

    Directory of Open Access Journals (Sweden)

    Venkata Sujatha Vellanki

    2010-12-01

    Full Text Available Venkata Sujatha Vellanki1, Sarath Babu Gillellamudi21Department of Obstetrics and Gynaecology 2Department of General Surgery Kamineni Institute of Medical Sciences, Sreepuram, Narketpally, Nalgonda, Andhra Pradesh, IndiaPurpose: Cesarean section is the most common surgery performed in obstetrics. Incorporating a simulation model into training provides a safe, low-stress environment in which students can gain skills and receive feedback. The purpose of this study was to determine the effectiveness of obstetrics simulator training for medical students doing their internship.Methods: Twenty-five students posted in the Department of Obstetrics and Gynecology received a formal lecture on cesarean section and demonstration of the procedure on a mannequin in the first week of their internship, The study group (n = 12 practiced their skills on an obstetrics simulator under the direct supervision of a faculty member. The control group received no simulator-based training (n = 13 or further instruction. All students were asked to complete a prevalidated questionnaire to assess their level of confidence in performing the procedure after the educational session.Results: Compared with their peers in the study, students in the simulator group were significantly more likely to define the steps of cesarean section (91% vs 61.5%, and were comfortable in assisting cesarean section (100% vs 46.15% as they were able to identify the layers of abdomen opened during cesarean section. All 12 students reported this as an excellent experience.Conclusion: We were able to construct an inexpensive cesarean section trainer that facilitates instruction in cesarean section technique in a low-stress environment.Keywords: simulation, obstetrics, medical students

  15. Mechanical design of multiple zone plates precision alignment apparatus for hard X-ray focusing in twenty-nanometer scale

    Energy Technology Data Exchange (ETDEWEB)

    Shu, Deming; Liu, Jie; Gleber, Sophie C.; Vila-Comamala, Joan; Lai, Barry; Maser, Jorg M.; Roehrig, Christian; Wojcik, Michael J.; Vogt, Franz Stefan

    2017-04-04

    An enhanced mechanical design of multiple zone plates precision alignment apparatus for hard x-ray focusing in a twenty-nanometer scale is provided. The precision alignment apparatus includes a zone plate alignment base frame; a plurality of zone plates; and a plurality of zone plate holders, each said zone plate holder for mounting and aligning a respective zone plate for hard x-ray focusing. At least one respective positioning stage drives and positions each respective zone plate holder. Each respective positioning stage is mounted on the zone plate alignment base frame. A respective linkage component connects each respective positioning stage and the respective zone plate holder. The zone plate alignment base frame, each zone plate holder and each linkage component is formed of a selected material for providing thermal expansion stability and positioning stability for the precision alignment apparatus.

  16. Mechanical design of multiple zone plates precision alignment apparatus for hard X-ray focusing in twenty-nanometer scale

    Science.gov (United States)

    Shu, Deming; Liu, Jie; Gleber, Sophie C.; Vila-Comamala, Joan; Lai, Barry; Maser, Jorg M.; Roehrig, Christian; Wojcik, Michael J.; Vogt, Franz Stefan

    2017-04-04

    An enhanced mechanical design of multiple zone plates precision alignment apparatus for hard x-ray focusing in a twenty-nanometer scale is provided. The precision alignment apparatus includes a zone plate alignment base frame; a plurality of zone plates; and a plurality of zone plate holders, each said zone plate holder for mounting and aligning a respective zone plate for hard x-ray focusing. At least one respective positioning stage drives and positions each respective zone plate holder. Each respective positioning stage is mounted on the zone plate alignment base frame. A respective linkage component connects each respective positioning stage and the respective zone plate holder. The zone plate alignment base frame, each zone plate holder and each linkage component is formed of a selected material for providing thermal expansion stability and positioning stability for the precision alignment apparatus.

  17. Light Imaging Section

    Data.gov (United States)

    Federal Laboratory Consortium — The mission of the Light Imaging Section is to give NIAMS scientists access to state-of-the-art light imaging equipment and to offer training and assistance at all...

  18. Learn About Section 508

    Science.gov (United States)

    Find out about EPA's commitment to making its websites and other electronic and information technology (EIT) products accessible, learn what Section 508 of the Rehabilitation Act covers and why, and how to make your EIT 508 compliant.

  19. What is Section 508?

    Science.gov (United States)

    This section of the Rehabilitation Act required federal agencies to develop, procure, maintain, and use information and communications technology (ICT) that is accessible to people with disabilities, whether or not they work for the government.

  20. Floodplain Cross Section Lines

    Data.gov (United States)

    Department of Homeland Security — This table is required for any Digital Flood Insurance Rate Map database where cross sections are shown on the Flood Insurance Rate Map (FIRM). Normally any FIRM...

  1. Abstract sectional category

    CERN Document Server

    Diaz, F; Garcia, P; Murillo, A; Remedios, J

    2011-01-01

    We study, in an abstract axiomatic setting, the notion of sectional category of a morphism. From this, we unify and generalize known results about this invariant in different settings as well as we deduce new applications.

  2. Twenty years of the national program of surveillance radiation of the atmosphere and terrestrial environment; Veinte anos del programa nacional de vigilancia radiologica de la atmosfera y medio terrestre

    Energy Technology Data Exchange (ETDEWEB)

    Rey del Castillo, C.; Luque Heredia, S.; Marugan Tovar, I.; Salas Collantes, R.; Serling Carmona, A.; Lorente Lorente, P.; Ramos Salvador, L.

    2013-07-01

    This paper presents a global basis the information provided by the program in twenty years of operation, describing the main changes introduced and analyzing how they have influenced the results. The use of program data to inform and in response to questions from individuals or incidents is reviewed. And finally the prospects and major milestones expected to address in the next twenty years are described. (Author)

  3. Learning by Doing: Twenty Successful Active Learning Exercises for Information Systems Courses

    Directory of Open Access Journals (Sweden)

    Alanah Mitchell

    2017-01-01

    Full Text Available Aim/Purpose: This paper provides a review of previously published work related to active learning in information systems (IS courses. Background: There are a rising number of strategies in higher education that offer promise in regards to getting students’ attention and helping them learn, such as flipped classrooms and offering courses online. These learning strategies are part of the pedagogical technique known as active learning. Active learning is a strategy that became popular in the early 1990s and has proven itself as a valid tool for helping students to be engaged with learning. Methodology: This work follows a systematic method for identifying and coding previous research based on an aspect of interest. The authors identified and assessed research through a search of ABI/Inform scholarly journal abstracts and keywords, as well as additional research databases, using the search terms “active learning” and “information systems” from 2000 through June 2016. Contribution: This synthesis of active learning exercises provides guidance for information technology faculty looking to implement active learning strategies in their classroom by demonstrating how IS faculty might begin to introduce more active learning techniques in their teaching as well as by presenting a sample teaching agenda for a class that uses a mix of active and passive learning techniques to engage student learning. Findings: Twenty successful types of active learning exercises in IS courses are presented. Recommendations for Practitioners\t: This paper offers a “how to” resource of successful active learning strategies for IS faculty interested in implementing active learning in the classroom. Recommendation for Researchers: This work provides an example of a systematic literature review as a means to assess successful implementations of active learning in IS. Impact on Society: An updated definition of active learning is presented as well as a meaningful

  4. DESC - Providing Energy to Train, to Fight to Win. Defense Energy Support Center Fact Book, Fiscal Year 2006, Twenty-Ninth Edition

    Science.gov (United States)

    2007-03-14

    Pershing Support) in Neu Ulm, Germany, as the Petroleum Officer and later as a Company Commander. From 1987 to 1990 he served as the Petroleum Officer...Sep 04Hardin County Water District #1 Wastewater/ Stormwater Fort Knox Kentucky 41%$164,071$11.9M (For 50 Years) Jun 04Dominion Virginia Power...Kwajalein, Montana, Nevada , Oregon, New Mexico, Utah, Washington, Wake Island, and El Paso, TX. PRODUCT TECHNOLOGY & STANDARDIZATION DIVISION Technical

  5. A taxonomic revision of Mallotus section Philippinenses (former section Rottlera – Euphorbiaceae) in Malesia and Thailand

    NARCIS (Netherlands)

    Sierra, S.E.C.; Welzen, van P.C.; Slik, J.W.F.

    2005-01-01

    A revision of Mallotus section Philippinenses (former section Rottlera) in Malesia and Thailand is given. Descriptions, distribution maps, habit drawings, and a key to the species are provided. The diagnostic characters for the section are briefly discussed. Five species (M. kongkandae, M. leptostac

  6. Pediatric triage and allocation of critical care resources during disaster: Northwest provider opinion.

    Science.gov (United States)

    Johnson, Erin Margaret; Diekema, Douglas S; Lewis-Newby, Mithya; King, Mary A

    2014-10-01

    Following Hurricane Katrina and the 2009 H1N1 epidemic, pediatric critical care clinicians recognized the urgent need for a standardized pediatric triage/allocation system. This study collected regional provider opinion on issues of care allocation and pediatric triage in a disaster/pandemic setting. This study was a cross-sectional survey of United States (US) health care providers and public health workers who demonstrated interest in critical care and/or disaster care medicine by attending a Northwest regional pediatric critical care symposium on disaster preparation, held in 2012 at Seattle Children's Hospital in Seattle, Washington (USA). The survey employed an electronic audience response system and included demographic, ethical, and logistical questions. Differences in opinions between respondents grouped by professions and work locations were evaluated using a chi-square test. One hundred and twelve (97%) of 116 total attendees responded to at least one question; however, four of these responders failed to answer every question. Sixty-two (55%) responders were nurses, 29 (26%) physicians, and 21 (19%) other occupations. Fifty-five (51%) responders worked in pediatric hospitals vs 53 (49%) in other locations. Sixty-three (58%) of 108 successful responses prioritized children predicted to have a good neuro-cognitive outcome. Seventy-one (68%) agreed that no pediatric age group should be prioritized. Twenty-two (43%) of providers working in non-pediatric hospital locations preferred a triage system based on an objective score alone vs 14 (26%) of those in pediatric hospitals (P = .038).

  7. Serum concentrations and profiles of polychlorinated biphenyls in Taiwan Yu-cheng victims twenty years after the incident

    Energy Technology Data Exchange (ETDEWEB)

    Lung, S.-C. Candice [Research Center for Environmental Changes, Academia Sinica, Nankang, Taipei, Taiwan 115 (China); Guo, Y.-L.L. [Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, 138 Sheng-Li Rd., Tainan, Taiwan 70428 (China); Chang, H.-Y.[Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, 138 Sheng-Li Rd., Tainan, Taiwan 70428 (China)]. E-mail: h7154@mail.ncku.edu.tw

    2005-07-15

    In 1979, about 2000 people in central Taiwan were intoxicated via rice oil consumption that was contaminated with polychlorinated biphenyls (PCBs). This 'Yu-cheng' incident was one of the two known major human PCB intoxication episodes. Twenty years after the intoxication, serum samples of 435 Yu-cheng victims, 414 adults and 21 children, were collected. Sixteen PCB congeners were analyzed with a gas chromatograph-electron capture detector. We found the median concentration of total PCBs in the adult serum was 1500 ng/g lipid, still substantially higher than that of the general population in Taiwan (3.7-fold) and most seafood consumers in the world. Most of analyzed PCB congeners in children were below or around the detection limits. Congener no. 138, however, had the highest concentrations, approximately accounting for 55% and 29% in the child and adult groups, respectively. Given that PCBs are persistent organic pollutants and endocrine disruptors, the concentrations and congener-specific profiles regarding the Yu-cheng victims provide valuable information for the investigation of such chemicals in humans. - Total serum PCBs in the Yu-cheng adult victims twenty years after the incident were still higher than that of the general population in Taiwan.

  8. A needs assessment for DOE`s packaging and transportation activities - a look into the twenty-first century

    Energy Technology Data Exchange (ETDEWEB)

    Pope, R. [Oak Ridge National Lab., TN (United States); Turi, G.; Brancato, R.; Blalock, L. [Department of Energy, Germantown, MD (United States); Merrill, O. [Scientific Applications International Corp., Gaithersburg, MD (United States)

    1995-12-31

    The U.S. Department of Energy (DOE) has performed a department-wide scoping of its packaging and transportation needs and has arrived at a projection of these needs for well into the twenty-first century. The assessment, known as the Transportation Needs Assessment (TNA) was initiated during August 1994 and completed in December 1994. The TNA will allow DOE to better prepare for changes in its transportation requirements in the future. The TNA focused on projected, quantified shipping needs based on forecasts of inventories of materials which will ultimately require transport by the DOE for storage, treatment and/or disposal. In addition, experts provided input on the growing needs throughout DOE resulting from changes in regulations, in DOE`s mission, and in the sociopolitical structure of the United States. Through the assessment, DOE`s transportation needs have been identified for a time period extending from the present through the first three decades of the twenty-first century. The needs assessment was accomplished in three phases: (1) defining current packaging, shipping, resource utilization, and methods of managing packaging and transportation activities; (2) establishing the inventory of materials which DOE will need to transport on into the next century and scenarios which project when, from where, and to where these materials will need to be transported; and (3) developing requirements and projected changes for DOE to accomplish the necessary transport safely and economically.

  9. Twenty Years of Systems Engineering on the Cassini-Huygens Mission

    Science.gov (United States)

    Manor-Chapman, Emily

    2013-01-01

    Over the past twenty years, the Cassini-Huygens Mission has successfully utilized systems engineering to develop and execute a challenging prime mission and two mission extensions. Systems engineering was not only essential in designing the mission, but as knowledge of the system was gained during cruise and science operations, it was critical in evolving operational strategies and processes. This paper discusses systems engineering successes, challenges, and lessons learned on the Cassini-Huygens Mission gathered from a thorough study of mission plans and developed scenarios, and interviews with key project leaders across its twenty-year history.

  10. Border Crossing in Contemporary Brazilian Culture: Global Perspectives from the Twenty-First Century Literary Scene

    Directory of Open Access Journals (Sweden)

    Cimara Valim de Melo

    2016-06-01

    Full Text Available Abstract: This paper investigates the process of internationalisation of Brazilian literature in the twenty-first century from the perspective of the publishing market. For this, we analyse how Brazil has responded to globalisation and what effects of cultural globalisation can be seen in the Brazilian literary scene, focusing on the novel. Observing the movement of the novelists throughout the globe, the reception of Brazilian literature in the United Kingdom and the relations between art and the literary market in Brazil, we intend to provoke some reflections on Brazilian cultural history in the light of the twenty-first century.

  11. Border Crossing in Contemporary Brazilian Culture: Global Perspectives from the Twenty-First Century Literary Scene

    Directory of Open Access Journals (Sweden)

    Cimara Valim de Melo

    2016-06-01

    Full Text Available Abstract: This paper investigates the process of internationalisation of Brazilian literature in the twenty-first century from the perspective of the publishing market. For this, we analyse how Brazil has responded to globalisation and what effects of cultural globalisation can be seen in the Brazilian literary scene, focusing on the novel. Observing the movement of the novelists throughout the globe, the reception of Brazilian literature in the United Kingdom and the relations between art and the literary market in Brazil, we intend to provoke some reflections on Brazilian cultural history in the light of the twenty-first century.

  12. Report of material and equipment section`s activities at New York Shipbuilding Corporation during fabrication of AXC 167 1/2 starting May 18, 1951. Part 7, Section 1: Paragraphs 1--14

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, J.R.

    1954-02-28

    This document provides Part VII, Section I, Paragraphs 1 through 16 and Part VII, Section II of the Material and Equipment Section`s activities during the fabrication of reactor components and vessels at the New York Shipbuilding Corporation.

  13. Report of material and equipment section`s activities at New York Shipbuilding Corporation during fabrication of AXC 167 1/2 starting May 18, 1951. Part 7, Section 3

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, J.R.

    1954-04-28

    This document provides Part VII, Section III and Section IV of the report of the Material and Equipment Section`s activities at the New York Shipbuilding Corporation. The fabrication, inspection, and testing of reactor components is detailed.

  14. Downhole tool with replaceable tool sleeve sections

    Energy Technology Data Exchange (ETDEWEB)

    Case, W. A.

    1985-10-29

    A downhole tool for insertion in a drill stem includes elongated cylindrical half sleeve tool sections adapted to be non-rotatably supported on an elongated cylindrical body. The tool sections are mountable on and removable from the body without disconnecting either end of the tool from a drill stem. The half sleeve tool sections are provided with tapered axially extending flanges on their opposite ends which fit in corresponding tapered recesses formed on the tool body and the tool sections are retained on the body by a locknut threadedly engaged with the body and engageable with an axially movable retaining collar. The tool sections may be drivably engaged with axial keys formed on the body or the tool sections may be formed with flat surfaces on the sleeve inner sides cooperable with complementary flat surfaces formed on a reduced diameter portion of the body around which the tool sections are mounted.

  15. Amplitude-Equalized Microwave C-Section

    CERN Document Server

    Gupta, Shulabh

    2016-01-01

    An active microwave C-section is proposed which provides a flat magnitude transmission in a wide frequency band along with a frequency-dependent group delay response considering practical dissipation losses. The key lies in integrating a constant gain amplifier inside a microwave C-section, which perfectly compensates the distributed conductor and dielectric losses of the coupler, while preserving the intrinsic dispersion of the C-section. The operation of the proposed device is confirmed using numerical analysis.

  16. Ocean heat transport into the Arctic in the twentieth and twenty-first century in EC-Earth

    Science.gov (United States)

    Koenigk, Torben; Brodeau, Laurent

    2014-06-01

    The ocean heat transport into the Arctic and the heat budget of the Barents Sea are analyzed in an ensemble of historical and future climate simulations performed with the global coupled climate model EC-Earth. The zonally integrated northward heat flux in the ocean at 70°N is strongly enhanced and compensates for a reduction of its atmospheric counterpart in the twenty first century. Although an increase in the northward heat transport occurs through all of Fram Strait, Canadian Archipelago, Bering Strait and Barents Sea Opening, it is the latter which dominates the increase in ocean heat transport into the Arctic. Increased temperature of the northward transported Atlantic water masses are the main reason for the enhancement of the ocean heat transport. The natural variability in the heat transport into the Barents Sea is caused to the same extent by variations in temperature and volume transport. Large ocean heat transports lead to reduced ice and higher atmospheric temperature in the Barents Sea area and are related to the positive phase of the North Atlantic Oscillation. The net ocean heat transport into the Barents Sea grows until about year 2050. Thereafter, both heat and volume fluxes out of the Barents Sea through the section between Franz Josef Land and Novaya Zemlya are strongly enhanced and compensate for all further increase in the inflow through the Barents Sea Opening. Most of the heat transported by the ocean into the Barents Sea is passed to the atmosphere and contributes to warming of the atmosphere and Arctic temperature amplification. Latent and sensible heat fluxes are enhanced. Net surface long-wave and solar radiation are enhanced upward and downward, respectively and are almost compensating each other. We find that the changes in the surface heat fluxes are mainly caused by the vanishing sea ice in the twenty first century. The increasing ocean heat transport leads to enhanced bottom ice melt and to an extension of the area with bottom ice

  17. A taxonomic revision of Mallotus section Philippinenses (former section Rottlera – Euphorbiaceae) in Malesia and Thailand

    OpenAIRE

    Sierra, S.E.C.; Welzen, van, P.C.; J. W. F. Slik

    2005-01-01

    A revision of Mallotus section Philippinenses (former section Rottlera) in Malesia and Thailand is given. Descriptions, distribution maps, habit drawings, and a key to the species are provided. The diagnostic characters for the section are briefly discussed. Five species (M. kongkandae, M. leptostachyus, M. pallidus, M. philippensis, and M. repandus) are recognised. Mallotus chromocarpus is excluded from the section because it has more shared characters with the monospecific genus Octospermum...

  18. ULTRATHIN FROZEN SECTIONS

    Science.gov (United States)

    Bernhard, W.; Leduc, Elizabeth H.

    1967-01-01

    A relatively simple method for obtaining ultrathin, frozen sections for electron microscopy has been developed. Tissues, cultured cells, and bacteria may be employed. They are fixed in 1.25–4% glutaraldehyde for 1–4 hr, are washed overnight in buffer at 3°C, and are embedded in 20% thiolated gelatin or pure gelatin. Before sectioning they are partially dehydrated in 50% glycerol, frozen in liquid nitrogen on a modified tissue holder, and subsequently maintained at -70°C with dry ice. Finally, they are sectioned very rapidly with glass knives on a slightly modified Porter-Blum MT-1 microtome in a commercial deep-freeze maintained at -35°C and are floated in the trough of the knife on a 40% solution of dimethylsulfoxide (DMSO). The sections are picked up in plastic loops and transferred to distilled water at room temperature for thawing and removal of the DMSO, placed on grids coated with Formvar and carbon, air-dried, and stained with phosphotungstic acid, sodium silicotungstate, or a triple stain of osmium tetroxide, uranyl acetate, and lead. Large flat sections are obtained in which ultrastructural preservation is good. They are particularly useful for cytochemical studies. PMID:4167504

  19. Chronic obstructive pulmonary disease and cardiac comorbidities: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Mohit Kaushal

    2016-01-01

    Full Text Available Introduction: Chronic obstructive pulmonary disease (COPD is a global health issue with cigarette smoking being an important risk factor. COPD affects pulmonary blood vessels, right ventricle, as well as left ventricle leading to the development of pulmonary hypertension (PH, cor-pulmonale (COR-P, right and left ventricular dysfunction. Echocardiography provides a rapid, noninvasive, portable, and accurate method to evaluate cardiac functions. Early diagnoses and intervention for cardiac comorbidities would reduce mortalities. Materials and Methods: A cross-sectional study. Total 50 patients of moderate to severe COPD according to GOLD guidelines were taken from Department of Respiratory Medicine, Smt. B. K. Shah Medical Institute and Research Centre, Vadodara. All patients underwent investigations such as chest X-ray PA view, ECG, and spirometry followed by two-dimensional echocardiography. Results: We investigated 49 males and 1 female patients ranging from 35 to 80 years of age. Twenty-nine individuals were of moderate COPD and twenty-one of severe COPD. Of these cases 29 had left ventricular diastolic dysfunction (LVDD changes, 24 were diagnosed with PH and 16 had changes of COR-P. The study showed the linear relation between the severity of LVDD, PH, and COR-P with the severity of COPD. Conclusion: Our study put emphasis on early cardiac screening of all COPD patients which will be helpful in the assessment of the prognosis and will further assist in identifying the individuals likely to suffer increase morbidity and mortality.

  20. Attitudes and perspectives on medical abortion of health service providers; Manisa example

    Directory of Open Access Journals (Sweden)

    Saliha Ozpinar

    2015-04-01

    Full Text Available AIM: To better understand perceptions and perspectives of health service providers who provide medical abortion services and of senior students attending medical and nursing faculties in Manisa regarding medical abortion. METHODS: This study conducted in Manisa is a part of a Turkey-wide study on and #8220;health service providers and #8217; knowledge about, attitudes towards and perspectives on safe abortion and medical abortion and #8221;. It is a descriptive study. The questionnaire prepared by the researchers consists of two sections: one targeting health service providers and the other targeting students. The questionnaires were completed by individuals in the study group. RESULTS: According to the survey results, service providers know at least one abortion method. According to the study group, abortion performed by non-medical midwives ranks first in the definition of unsafe abortion. In the study, 100.0% of the gynecologists, 84.7% of the general practitioners, 74.6% of the nurses / midwives stated that they were knowledgeable about Medical abortion. According to the study group, of the advantages of medical abortion, the one ranks first is that no anesthesia is administered and of the disadvantages of medical abortion, the one ranks first is that the process takes a long time. Twenty-five percent of the obstetricians, 67.8% of the general practitioners, 57.3% of the nurses / midwives, 55.2% of the medical students and 63.2% of the nursing / midwifery students were unwilling to perform medical abortion and/or to assist it. CONCLUSION: The study indicates that although health service providers displayed a positive attitude towards medical abortion, not all of them had enough knowledge about it. Thus, it is important that medical abortion providers should attend pre-graduate training programs and that post-graduate training programs should be organized. [TAF Prev Med Bull 2015; 14(2.000: 87-92

  1. Movies to the Rescue: Keeping the Cold War Relevant for Twenty-First-Century Students

    Science.gov (United States)

    Gokcek, Gigi; Howard, Alison

    2013-01-01

    What are the challenges of teaching Cold War politics to the twenty-first-century student? How might the millennial generation be educated about the political science theories and concepts associated with this period in history? A college student today, who grew up in the post-Cold War era with the Internet, Facebook, Twitter, smart phones,…

  2. Violating Pedagogy: Literary Theory in the Twenty-First Century College Classroom

    Science.gov (United States)

    Johnson, Heather G. S.

    2015-01-01

    "Violating Pedagogy: Literary Theory in the Twenty-first Century College Classroom" discusses the challenge of teaching literary theory to undergraduate and graduate students in a cultural atmosphere that may at times feel simultaneously anti-intellectual and overpopulated with competing scholarly concerns. Approaching theory as a…

  3. Culture, Power, and the University in the Twenty-First Century

    Science.gov (United States)

    Murphy, Peter

    2012-01-01

    Powerful nations have influential systems of higher education. The article explores the possible pattern of geopolitics in the twenty-first century, and the competing prospects of America and its rivals in higher education and research. Pressures on both the American and non-American worlds are evaluated, along with relative economic strengths,…

  4. Twenty-Two Hispanic Leaders Discuss Poverty: Results from the Hispanic Leaders Study.

    Science.gov (United States)

    Quiroz, Julia Teresa

    This study reports twenty-two Hispanic leaders' responses to interviews assessing their perspectives on the nature, prevalence, and causes of poverty among Hispanics. This report contains six parts. Part 1 is an introduction. Part 2 presents the methodology used in the study. Part 3 gives the leaders' demographic and educational backgrounds. Part…

  5. A Comment on Class Productions in Elite Secondary Schools in Twenty-First-Century Global Context

    Science.gov (United States)

    Weis, Lois

    2014-01-01

    In this closing essay, Lois Weis offers a broad overview of the contributions of this Special Issue on class production in elite secondary schools in the twenty-first-century global context. Drawing upon her own research within US privileged secondary schools, Weis explores the contemporary social, economic and political landscape as connected to…

  6. How Do Students Value the Importance of Twenty-First Century Skills?

    Science.gov (United States)

    Ahonen, Arto Kalevi; Kinnunen, Päivi

    2015-01-01

    Frameworks of twenty-first century skills have attained a central role in school development and curriculum changes all over the world. There is a common understanding of the need for meta-skills such as problem solving, reasoning, collaboration, and self-regulation. This article presents results from a Finnish study, in which 718 school pupils…

  7. Non-International Armed Conflict in the Twenty-first Century

    Science.gov (United States)

    2012-01-01

    political and ecological aspirations, rather than by a sound analysis of State practice. State practice during non-international armed conflicts does...Chipka were visited in the English Channel, the German Las Palmas twenty-two nautical miles south of Cape Vicent and the German Archsum fifty-four

  8. 78 FR 31627 - Twenty-Second Meeting: RTCA Special Committee 224, Airport Security Access Control Systems

    Science.gov (United States)

    2013-05-24

    ...: RTCA Special Committee 224, Airport Security Access Control Systems AGENCY: Federal Aviation... 224, Airport Security Access Control Systems. SUMMARY: The FAA is issuing this notice to advise the public of the twenty-second meeting of the RTCA Special Committee 224, Airport Security Access...

  9. Twenty Years of Research on RNS for DSP: Lessons Learned and Future Perspectives

    DEFF Research Database (Denmark)

    Albicocco, Pietro; Cardarilli, Gian Carlo; Nannarelli, Alberto;

    2014-01-01

    In this paper, we discuss a number of issues emerged from our twenty-year long experience in applying the Residue Number System (RNS) to DSP systems. In early days, RNS was mainly used to reach the maximum performance in speed. Today, RNS is also used to obtain powerefficient (tradeoffs speed...

  10. Twenty-One Ways to Use Music in Teaching the Language Arts.

    Science.gov (United States)

    Cardarelli, Aldo F.

    Twenty-one activities that integrate music and the language arts in order to capitalize on children's interests are described in this paper. Topics of the activities are as follows: alphabetical order, pantomime, vocabulary building from words of a favorite song, words that are "the most (whatever)" from songs, mood words, a configuration clue…

  11. Twenty-Two Hispanic Leaders Discuss Poverty: Results from the Hispanic Leaders Study.

    Science.gov (United States)

    Quiroz, Julia Teresa

    This study reports twenty-two Hispanic leaders' responses to interviews assessing their perspectives on the nature, prevalence, and causes of poverty among Hispanics. This report contains six parts. Part 1 is an introduction. Part 2 presents the methodology used in the study. Part 3 gives the leaders' demographic and educational backgrounds. Part…

  12. Twenty-year trends in the prevalence of Down syndrome and other trisomies in Europe

    DEFF Research Database (Denmark)

    Loane, Maria; Morris, Joan K; Addor, Marie-Claude

    2013-01-01

    This study examines trends and geographical differences in total and live birth prevalence of trisomies 21, 18 and 13 with regard to increasing maternal age and prenatal diagnosis in Europe. Twenty-one population-based EUROCAT registries covering 6.1 million births between 1990 and 2009 participa...

  13. Yeast culture collections in the twenty-first century: new opportunities and challenges

    NARCIS (Netherlands)

    Boundy-Mills, Kyria L.; Glantschnig, Ewald; Roberts, Ian N.; Yurkov, Andrey; Casaregola, Serge; Daniel, Heide-Marie; Groenewald, Marizeth; Turchetti, Benedetta

    2016-01-01

    The twenty-first century has brought new opportunities and challenges to yeast culture collections, whether they are long-standing or recently established. Basic functions such as archiving, characterizing and distributing yeasts continue, but with expanded responsibilities and emerging opportunitie

  14. The Five Cs of Digital Curation: Supporting Twenty-First-Century Teaching and Learning

    Science.gov (United States)

    Deschaine, Mark E.; Sharma, Sue Ann

    2015-01-01

    Digital curation is a process that allows university professors to adapt and adopt resources from multidisciplinary fields to meet the educational needs of twenty-first-century learners. Looking through the lens of new media literacy studies (Vasquez, Harste, & Albers, 2010) and new literacies studies (Gee, 2010), we propose that university…

  15. Movies to the Rescue: Keeping the Cold War Relevant for Twenty-First-Century Students

    Science.gov (United States)

    Gokcek, Gigi; Howard, Alison

    2013-01-01

    What are the challenges of teaching Cold War politics to the twenty-first-century student? How might the millennial generation be educated about the political science theories and concepts associated with this period in history? A college student today, who grew up in the post-Cold War era with the Internet, Facebook, Twitter, smart phones,…

  16. An investigation of twenty-one cases of low-frequency noise complaints

    DEFF Research Database (Denmark)

    Pedersen, Christian Sejer; Møller, Henrik; Persson-Waye, Kerstin

    2007-01-01

    Twenty-one cases of low-frequency noise complaints were thoroughly investigated with the aim of answering the question whether it is real physical sound or low-frequency tinnitus that causes the annoyance. Noise recordings were made in the homes of the complainants taking the spatial variation...

  17. 38 CFR 8.31 - Total disability for twenty years or more.

    Science.gov (United States)

    2010-07-01

    ... AFFAIRS NATIONAL SERVICE LIFE INSURANCE Appeals § 8.31 Total disability for twenty years or more. Where the Disability Insurance Claims activity has made a finding of total disability for insurance purposes... will not be discontinued thereafter, except upon a showing that such a determination was based on fraud...

  18. Education for Future-Oriented Citizenship: Implications for the Education of Twenty-First Century Competencies

    Science.gov (United States)

    Lee, Wing On

    2012-01-01

    Globalization and the knowledge economy have opened up worldwide agendas for national development. Following this is the emphasis on the social dimension, otherwise known as social capital. Much of social capital includes "soft skills" and "twenty-first century skills", which broadly cover critical, creative and inventive…

  19. Land and Freedom [Twenty Lessons for High School American Studies Classroom Instruction].

    Science.gov (United States)

    Rubenstein, Stan

    Twenty self-contained lessons about land and freedom feature activities that can be used with high school social studies classes. The lessons are: Indian Land Ownership, The Dutch and the New World, Colonial Mercantilism, the Declaration and Natural Rights, Jefferson and Liberty, Louisiana Purchase, the Tariff Issue of 1824, Panic of 1837, John…

  20. Knowledge and Educational Research in the Context of "Twenty-First Century Learning"

    Science.gov (United States)

    Benade, Leon

    2014-01-01

    Educational researchers and academics cannot ignore the ever-present call for education, and schooling in particular, to reflect the needs of the twenty-first century knowledge economy. Since the 1990s, national curricula and education systems have reflected this call in their focus on technology and shifting pedagogy to increasingly…

  1. Theoretical Contexts and Conceptual Frames for the Study of Twenty-First Century Capitalism

    DEFF Research Database (Denmark)

    Hull Kristensen, Peer; Morgan, Glenn

    2012-01-01

    This chapter argues that the comparative institutionalist approach requires rethinking in the light of developments in the twenty-first century. The chapter emphasizes the following features of the new environment: first, the rise of the BRIC and the emerging economies; secondly, the changed...

  2. Humanities: The Unexpected Success Story of the Twenty-First Century

    Science.gov (United States)

    Davis, Virginia

    2012-01-01

    Humanities within universities faced challenges in the latter half of the twentieth century as their value in the modern world was questioned. This paper argues that there is strong potential for the humanities to thrive in the twenty-first century university sector. It outlines some of the managerial implications necessary to ensure that this…

  3. Visual Literacy: Does It Enhance Leadership Abilities Required for the Twenty-First Century?

    Science.gov (United States)

    Bintz, Carol

    2016-01-01

    The twenty-first century hosts a well-established global economy, where leaders are required to have increasingly complex skills that include creativity, innovation, vision, relatability, critical thinking and well-honed communications methods. The experience gained by learning to be visually literate includes the ability to see, observe, analyze,…

  4. Thomas Piketty – The Adam Smith of the Twenty-First Century?

    Directory of Open Access Journals (Sweden)

    Jacob Dahl Rendtorff

    2014-11-01

    Full Text Available Piketty’s book, Capital in the Twenty-First Century (2014 has become a bestseller in the world. Two month after its publication, it had sold more than 200.000 copies, and this success will surely continue for a long time. Piketty has established a new platform to discuss political economy.

  5. EXOGENOUS CHALLENGES FOR THE TOURISM INDUSTRY IN THE BEGINNING OF THE TWENTY FIRST CENTURY

    Directory of Open Access Journals (Sweden)

    Akosz Ozan

    2009-05-01

    Full Text Available Tourism is one of the fastest growing industries in the world. Besides its sustained growth the tourism industry has shown in the first years of the twenty first century that it can deal with political, military and natural disasters. The present paper ac

  6. Critical Remarks on Piketty's 'Capital in the Twenty-first Century'

    OpenAIRE

    Homburg, Stefan

    2014-01-01

    This paper discusses the central macroeconomic claims that are made in Thomas Piketty's book 'Capital in the Twenty-first Century'. The paper aims to show that Piketty's contentions are not only logically flawed but also contradicted by his own data.

  7. Teaching Middle School Language Arts: Incorporating Twenty-First Century Literacies

    Science.gov (United States)

    Small Roseboro, Anna J.

    2010-01-01

    "Teaching Middle School Language Arts" is the first book on teaching middle school language arts for multiple intelligences and related twenty-first-century literacies in technologically and ethnically diverse communities. More than 670,000 middle school teachers (grades six through eight) are responsible for educating nearly 13 million students…

  8. Testing Students under Cognitive Capitalism: Knowledge Production of Twenty-First Century Skills

    Science.gov (United States)

    Morgan, Clara

    2016-01-01

    Scholars studying the global governance of education have noted the increasingly important role corporations play in educational policy making. I contribute to this scholarship by examining the Assessment and Teaching of twenty-first century skills (ATC21S™) project, a knowledge production apparatus operating under cognitive capitalism. I analyze…

  9. Education for Future-Oriented Citizenship: Implications for the Education of Twenty-First Century Competencies

    Science.gov (United States)

    Lee, Wing On

    2012-01-01

    Globalization and the knowledge economy have opened up worldwide agendas for national development. Following this is the emphasis on the social dimension, otherwise known as social capital. Much of social capital includes "soft skills" and "twenty-first century skills", which broadly cover critical, creative and inventive thinking; information,…

  10. METHYLMERCURY BIOACCUMULATION DEPENDENCE ON NORTHERN PIKE AGE AND SIZE IN TWENTY MINNESOTA LAKES

    Science.gov (United States)

    Mercury accumulation in northern pike muscle tissue (fillets) was found to be directly related to fish age and size. Measurements were made on 173 individual northern pike specimens from twenty lakes across Minnesota. Best fit regressions of mercury fillet concentration (wet wt.)...

  11. Twenty-first Semiannual Report of the Commission to the Congress, January 1957

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, Lewis L.

    1957-01-31

    The document represents the twenty-first semiannual Atomic Energy Commission (AEC) report to Congress. The report sums up the major activities and developments in the national atomic energy program covering the period July - December 1956. A special part two of this semiannual report addresses specifically Radiation Safety in Atomic Energy Activities.

  12. Quiet Riots: Race and Poverty in the United States. The Kerner Report Twenty Years Later.

    Science.gov (United States)

    Harris, Fred R., Ed.; Wilkins, Roger W., Ed.

    This book grew out of the national conference "The Kerner Commission: Twenty Years Later." The Kerner Commission found in its 1968 Report that America was moving toward two separate and unequal societies, divided along racial lines, and that major efforts to combat poverty, unemployment, and racism were mandated. The essays in this book…

  13. Testing Students under Cognitive Capitalism: Knowledge Production of Twenty-First Century Skills

    Science.gov (United States)

    Morgan, Clara

    2016-01-01

    Scholars studying the global governance of education have noted the increasingly important role corporations play in educational policy making. I contribute to this scholarship by examining the Assessment and Teaching of twenty-first century skills (ATC21S™) project, a knowledge production apparatus operating under cognitive capitalism. I analyze…

  14. Why American business demands twenty-first century learning: A company perspective.

    Science.gov (United States)

    Knox, Allyson

    2006-01-01

    Microsoft is an innovative corporation demonstrating the kind and caliber of job skills needed in the twenty-first century. It demonstrates its commitment to twenty-first century skills by holding its employees accountable to a set of core competencies, enabling the company to run effectively. The author explores how Microsoft's core competencies parallel the Partnership for 21st Century Skills learning frameworks. Both require advanced problem-solving skills and a passion for technology, both expect individuals to be able to work in teams, both look for a love of learning, and both call for the self-confidence to honestly self-evaluate. Microsoft also works to cultivate twenty-first century skills among future workers, investing in education to help prepare young people for competitive futures. As the need for digital literacy has become imperative, technology companies have taken the lead in facilitating technology training by partnering with schools and communities. Microsoft is playing a direct role in preparing students for what lies ahead in their careers. To further twenty-first century skills, or core competencies, among the nation's youth, Microsoft has established Partners in Learning, a program that helps education organizations build partnerships that leverage technology to improve teaching and learning. One Partners in Learning grantee is Global Kids, a nonprofit organization that trains students to design online games focused on global social issues resonating with civic and global competencies. As Microsoft believes the challenges of competing in today's economy and teaching today's students are substantial but not insurmountable, such partnerships and investments demonstrate Microsoft's belief in and commitment to twenty-first century skills.

  15. Neutron cross-sections database for amino acids and proteins analysis

    Energy Technology Data Exchange (ETDEWEB)

    Voi, Dante L.; Ferreira, Francisco de O.; Nunes, Rogerio Chaffin, E-mail: dante@ien.gov.br, E-mail: fferreira@ien.gov.br, E-mail: Chaffin@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Rocha, Helio F. da, E-mail: hrocha@gbl.com.br [Universidade Federal do Rio de Janeiro (IPPMG/UFRJ), Rio de Janeiro, RJ (Brazil). Instituto de Pediatria

    2015-07-01

    Biological materials may be studied using neutrons as an unconventional tool of analysis. Dynamics and structures data can be obtained for amino acids, protein and others cellular components by neutron cross sections determinations especially for applications in nuclear purity and conformation analysis. The instrument used for this is the crystal spectrometer of the Instituto de Engenharia Nuclear (IEN-CNEN-RJ), the only one in Latin America that uses neutrons for this type of analyzes and it is installed in one of the reactor Argonauta irradiation channels. The experimentally values obtained are compared with calculated values using literature data with a rigorous analysis of the chemical composition, conformation and molecular structure analysis of the materials. A neutron cross-section database was constructed to assist in determining molecular dynamic, structure and formulae of biological materials. The database contains neutron cross-sections values of all amino acids, chemical elements, molecular groups, auxiliary radicals, as well as values of constants and parameters necessary for the analysis. An unprecedented analytical procedure was developed using the neutron cross section parceling and grouping method for data manipulation. This database is a result of measurements obtained from twenty amino acids that were provided by different manufactories and are used in oral administration in hospital individuals for nutritional applications. It was also constructed a small data file of compounds with different molecular groups including carbon, nitrogen, sulfur and oxygen, all linked to hydrogen atoms. A review of global and national scene in the acquisition of neutron cross sections data, the formation of libraries and the application of neutrons for analyzing biological materials is presented. This database has further application in protein analysis and the neutron cross-section from the insulin was estimated. (author)

  16. The Golden Section.

    Science.gov (United States)

    Runion, Garth E.

    The Golden Section, also known as the "Golden Mean" and the "Divine Proportion," is a ratio found in art and nature that has mathematical properties. This book explores these geometric and algebraic properties in a variety of activities. Construction problems, designs using the pentagon and pentagram, and opportunities to work…

  17. Operationsteknikker ved section

    DEFF Research Database (Denmark)

    Aabakke, Anna J M; Secher, Niels Jørgen; Krebs, Lone

    2014-01-01

    Caesarean section (CS) is a common surgical procedure, and in Denmark 21% of deliveries is by CS. There is an increasing amount of scientific evidence to support the different surgical techniques used at CS. This article reviews the literature regarding CS techniques. There is still a lack of evi...

  18. Sectional dentures revisited.

    Science.gov (United States)

    Karir, Naveen; Hindocha, Vishali; Walmsley, A Damien

    2012-04-01

    Sectional dentures are constructed in separate parts which join together intra-orally to create a single prosthesis. They are used to exploit undercuts around teeth, hard and soft tissues which require more than one path of insertion, and are usually of split pin or locking bolts design. By using two case studies, we aim to illustrate the provision of sectional dentures and to which situations their uses are best suited. A 30-year-old male was referred to the Department of Prosthetics at the Birmingham Dental Hospital for a replacement upper partial cobalt chrome denture of a Kennedy Class IV bounded saddle. The patient had a history of failed upper cobalt chrome removable partial dentures owing to loss of retention and poor stability over the previous 12 months. A 40-year-old female patient was referred by her GDP for restoration of a bounded saddle in the lower right quadrant with a history of intolerance to previous dentures. These two cases demonstrate the successful use of sectional dentures in the aesthetic zone. Although more technically demanding, they lie well within the scope of general practice and offer patients alternative solutions from dental implants and bridgework. These cases highlight the importance of the use of alternative prosthetic techniques which can be simple and achievable for all practitioners. Sectional dentures are a treatment modality for the edentulous space where the presence of one or more undercuts prevents restoration by more conventional techniques. This paper highlights some of the situations in which sectional dentures can be employed and emphasizes their use in general practice.

  19. Deconstructing adolescent same-sex attraction and sexual behavior in the twenty-first century: perspectives for the clinician.

    Science.gov (United States)

    Sison, Antonio C; Greydanus, Donald E

    2007-06-01

    The adolescent with same-sex attraction in the twenty-first century straddles ambivalent cultural and religious attitudes regarding gay, lesbian, bisexual, or transgender (GLBT) issues; rapid technologic advances that provide easy access to information on sex and sex partners; and the clinician's sensitivity about GLBT issues and his or her awareness of how adolescents can use technology for sex-seeking behavior. It is necessary to deconstruct these factors into defined frameworks. Three checklists, the Clinician's Framework Guide Questions for the GLBT Adolescent, Clinician Reaction to GLBT Issues Checklist, and Global GLBT Checklist for Biopsychosocial Risk Factors, may aid the clinician in acquiring an appreciation of the global dynamics between the gay adolescent, the clinician, and the impact of current social realities.

  20. Cesarean Section: The Operation

    Medline Plus

    Full Text Available ... providers Info for your patients Medical resources Professional education Awards, scholarships & grants For policy makers Policies & positions ... providers Info for your patients Medical resources Professional education Awards, scholarships & grants For policy makers Policies & positions ...

  1. Twenty Years of Data Management in the British Atmospheric Data Centre

    Directory of Open Access Journals (Sweden)

    Sam Pepler

    2015-06-01

    Full Text Available The British Atmospheric Data Centre (BADC has existed in its present form for 20 years, having been formally created in 1994. It evolved from the GDF (Geophysical Data Facility, a SERC (Science and Engineering Research Council facility, as a result of research council reform where NERC (Natural Environment Research Council extended its remit to cover atmospheric data below 10km altitude. With that change the BADC took on data from many other atmospheric sources and started interacting with NERC research programmes. The BADC has now hit early adulthood. Prompted by this milestone, we examine in this paper whether the data centre is creaking at the seams or is looking forward to the prime of its life, gliding effortlessly into the future. Which parts of it are bullet proof and which parts are held together with double-sided sticky tape? Can we expect to see it in its present form in another twenty years’ time? To answer these questions, we examine the interfaces, technology, processes and organisation used in the provision of data centre services by looking at three snapshots in time, 1994, 2004 and 2014, using metrics and reports from the time to compare and contrasts the services using BADC. The repository landscape has changed massively over this period and has moved the focus for technology and development as the broader community followed emerging trends, standards and ways of working. The incorporation of these new ideas has been both a blessing and a curse, providing the data centre staff with plenty of challenges and opportunities. We also discuss key data centre functions including: data discovery, data access, ingestion, data management planning, preservation plans, agreements/licences and data policy, storage and server technology, organisation and funding, and user management. We conclude that the data centre will probably still exist in some form in 2024 and that it will most likely still be reliant on a file system. However, the

  2. Structure-activity relationship of dendrimers engineered with twenty common amino acids in gene delivery.

    Science.gov (United States)

    Wang, Fei; Hu, Ke; Cheng, Yiyun

    2016-01-01

    Systematic explorations on the structure-activity relationship of surface-engineered dendrimers are essential to design high efficient and safe gene vectors. The chemical diversity of residues in naturally occurring amino acids allows us to generate a library of dendrimers with various surface properties. Here, we synthesized a total number of 40 dendrimers engineered with the twenty common amino acids and investigated their performances in gene delivery. The results show that gene transfection efficacy of the synthesized materials depends on both the type of amino acid and the conjugation ratio. Dendrimers engineered with cationic and hydrophobic amino acids possess relatively higher transfection efficacies. Engineering dendrimers with cationic amino acids such as arginine and lysine facilitates polyplex formation and cellular uptake, with histidine improves endosomal escape of the polyplexes, and with hydrophobic amino acids such as tyrosine and phenylalanine modulates the balance between hydrophobicity and hydrophilicity on dendrimer surface, which is beneficial for efficient cellular internalization. Dendrimers engineered with anionic or hydrophilic amino acids show limited transfection efficacy due to poor DNA binding capacity and/or limited cellular uptake. In the aspect of cytotoxicity, dendrimers engineered with arginine, lysine, tyrosine, phenylalanine and tryptophan show much higher cytotoxicity than other engineered dendrimers. These results are helpful for us to tailor the surface chemistry of dendrimers for efficient gene delivery. Cationic polymers such as dendrimers were widely used as gene vectors but are limited by relatively low delivery efficacy and high toxicity. To achieve efficient and low toxic gene delivery, the polymers were modified with various ligands. However, these ligand-modified polymers in gene delivery are reported by independent researchers using different polymer scaffolds and cell lines. It is hard to provide structure

  3. 29 CFR 825.125 - Definition of health care provider.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Definition of health care provider. 825.125 Section 825.125... Definition of health care provider. (a) The Act defines “health care provider” as: (1) A doctor of medicine... providing health care services. (b) Others “capable of providing health care services” include only:...

  4. AND STEP-SHAPED DOWNSTREAM SECTION

    Directory of Open Access Journals (Sweden)

    Bal'zannikov Mihail Ivanovich

    2012-10-01

    The article also presents the results of the hydraulic research of the pilot model of the proposed structure. The research has proven that the suppression of any excessive kinetic energy of the discharged water flows falling onto the step-shaped and curving section or the step-shaped section the shape of which is similar to the one made of geosynthetic shells is more efficient that the suppression provided by the smooth section by 50 % to 60 %, and the above suppression is almost equal to the one provided by the well-known step-shaped section. This conclusion can serve as the proof of the high rate of energy suppression demonstrated by the earth-filled dam designed at Samara University of Architecture and Civil Engineering. The dam in question has geosynthetic shells that connect the downstream section to the body of the dam.

  5. A conspectus of Combretum (Combretaceae in southern Africa, with taxonomic and nomenclatural notes on species and sections

    Directory of Open Access Journals (Sweden)

    M. Jordaan

    2011-12-01

    Full Text Available Two subgenera of Combretum Loefl. occur in the Flora of southern Africa (FSA region. Previous sectional classifications were assessed in view of molecular evidence and accordingly modified. Ten sections in subgen. Combretum, 25 species and eight subspecies are recognized. Subgen. Cacoucia (Aubl. Exell & Stace comprises four sections and seven species. C. engleri Schinz, C. paniculatum Vent. and C. tenuipes Engl. & Diels are reinstated as distinct species separate from C. schumannii Engl., C. microphyllum Klotzsch and C. padoides Engl. & Diels, respectively. C. schumannii occurs outside the FSA region. Records of C. adenogonium Steud. ex A.Rich., C. platypetalum Welw. ex M.A.Lawson subsp. oatesii (Rolfe Exell and subsp. baumii (Engl. & Gilg Exell in Botswana are doubtful. C. celastroides Welw. ex M.A.Lawson subsp. orientale Exell is elevated to species level as C. patelliforme Engl. & Diels. C. grandifolium F.Hoffm. is reduced to C. psidioides Welw. subsp. grandifolium (F.Hoffm. Jordaan. Twenty-six names are lectotypified. The type, a full synonymy, other nomenclatural and taxonomic information, the full distribution range and a distribution map are provided for each taxon. Selected specimens examined are given for poorly known species. Keys to subgenera, sections and species are provided.

  6. Organizational culture associated with provider satisfaction

    Science.gov (United States)

    Scammon, Debra L.; Tabler, Jennifer; Brunisholz, Kimberly; Gren, Lisa H.; Kim, Jaewhan; Tomoaia-Cotisel, Andrada; Day, Julie; Farrell, Timothy W.; Waitzman, Norman J.; Magill, Michael K.

    2014-01-01

    Objectives Assess 1) provider satisfaction with specific elements of PCMH; 2) clinic organizational cultures; 3) associations between provider satisfaction and clinic culture. Methods Cross sectional study with surveys conducted in 2011 with providers and staff in 10 primary care clinics implementing their version of a PCMH: Care by Design™. Measures included the Organizational Culture Assessment Instrument (OCAI) and the American Medical Group Association provider satisfaction survey. Results Providers were most satisfied with quality of care (M=4.14; scale=1–5) and interactions with patients (M=4.12) and least satisfied with time spent working (M=3.47), paper work (M =3.45) and compensation (M=3.35). Culture profiles differed across clinics with family/clan and hierarchical the most common. Significant correlations (p ≤ 0.05) between provider satisfaction and clinic culture archetypes included: family/clan negatively correlated with administrative work; entrepreneurial positively correlated with the Time Spent Working dimension; market/rational positively correlated with how practices were facing economic and strategic challenges; and hierarchical negatively correlated with Relationships with Staff and Resource dimensions. Discussion Provider satisfaction is an important metric for assessing experiences with features of a PCMH model. Conclusions Identification of clinic-specific culture archetypes and archetype associations with provider satisfaction can help inform practice redesign. Attention to effective methods for changing organizational culture is recommended. PMID:24610184

  7. Vertically stabilized elongated cross-section tokamak

    Science.gov (United States)

    Sheffield, George V.

    1977-01-01

    This invention provides a vertically stabilized, non-circular (minor) cross-section, toroidal plasma column characterized by an external separatrix. To this end, a specific poloidal coil means is added outside a toroidal plasma column containing an endless plasma current in a tokamak to produce a rectangular cross-section plasma column along the equilibrium axis of the plasma column. By elongating the spacing between the poloidal coil means the plasma cross-section is vertically elongated, while maintaining vertical stability, efficiently to increase the poloidal flux in linear proportion to the plasma cross-section height to achieve a much greater plasma volume than could be achieved with the heretofore known round cross-section plasma columns. Also, vertical stability is enhanced over an elliptical cross-section plasma column, and poloidal magnetic divertors are achieved.

  8. Prediction of Velocity-Dip-Position at the Central Section of Open Channels using Entropy Theory

    Directory of Open Access Journals (Sweden)

    Snehasis Kundu

    2017-01-01

    Full Text Available An analytical model to predict the velocity-dip-position at the central section of open channels is presented in this study. Unlike the previous studies where empirical or semi-empirical models were suggested, in this study the model is derived by using entropy theory. Using the principle of maximum entropy, the model for dip-position is derived by maximizing the Shannon entropy function after assuming dimensionless dip-position at the central section as a random variable. No estimation of empirical parameter is required for calculating dip-position from the proposed model. The model is able to predict the location of maximum velocity at the central section of an open channel with any aspect ratio. The developed model of velocity-dip-position is tested with experimental data from twenty-two researchers reported in literature for a wide range of aspect ratio. The model is also compared with other existing empirical models. The present model shows good agreement with the observed data and provides least prediction error compared to other models.

  9. Microscopic cross sections: An utopia?

    Energy Technology Data Exchange (ETDEWEB)

    Hilaire, S. [CEA Bruyeres-le-Chatel, DIF 91 (France); Koning, A.J. [Nuclear Research and Consultancy Group, PO Box 25, 1755 ZG Petten (Netherlands); Goriely, S. [Institut d' Astronomie et d' Astrophysique, Universite Libre de Bruxelles, Campus de la Plaine, CP 226, 1050 Brussels (Belgium)

    2010-07-01

    The increasing need for cross sections far from the valley of stability poses a challenge for nuclear reaction models. So far, predictions of cross sections have relied on more or less phenomenological approaches, depending on parameters adjusted to available experimental data or deduced from systematical relations. While such predictions are expected to be reliable for nuclei not too far from the experimentally known regions, it is clearly preferable to use more fundamental approaches, based on sound physical bases, when dealing with very exotic nuclei. Thanks to the high computer power available today, all major ingredients required to model a nuclear reaction can now be (and have been) microscopically (or semi-microscopically) determined starting from the information provided by a nucleon-nucleon effective interaction. We have implemented all these microscopic ingredients in the TALYS nuclear reaction code, and we are now almost able to perform fully microscopic cross section calculations. The quality of these ingredients and the impact of using them instead of the usually adopted phenomenological parameters will be discussed. (authors)

  10. Cesarean Section: The Operation

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    Full Text Available ... research Infant health research Prematurity research centers For providers Info for your patients Medical resources Professional education Awards, scholarships & grants For policy ...

  11. New Poetics of the Film Body: Docility, Molecular Fundamentalism and Twenty First Century Destiny

    Directory of Open Access Journals (Sweden)

    Flynn Susan

    2015-06-01

    Full Text Available Twenty first century film evokes a new topology of the body. Science and technology are the new century’s ‘sovereign power’ which enforces biopolitics through bodies which, by virtue of being seen at their most fundamental level, have become docile surfaces. The film body is at once manipulated and coerced into an ethos of optimization; a thoroughly scientific and ‘molecular’ optimization which proffers ‘normalization’ and intimately regulated bodies. In the film bodies of this millennium, bodily intervention results in surveillance becoming internalized. Now the body is both a means and an end of social control. This essay applies the philosophies Michel Foucault and Nikolas Rose to twenty first century Hollywood film, elucidating a new tropos, a new film body/body of film.

  12. Twenty-four-hour blood pressure among Greenlanders and Danes: relationship to diet and lifestyle

    DEFF Research Database (Denmark)

    Jørgensen, Marit Eika; Pedersen, M.B.; Siggaard, Cecilie

    2002-01-01

    the influence of Arctic food and lifestyle on blood pressure. Four groups of healthy subjects were recruited for the study. Group I: Danes in Denmark consuming European food; group II: Greenlanders in Denmark consuming European food; group III: Greenlanders in Greenland consuming mainly European food; and group......, outdoor temperature, and lifestyle factors. Greenlanders have a lower 24-h diastolic blood pressure than Danes, and it is suggested that genetic factors are mainly responsible for the lower blood pressure level among Greenlanders. Twenty-four-hour blood pressure among Greenlanders and Danes: Relationship...... to diet and lifestyle - ResearchGate. Available from: http://www.researchgate.net/publication/11001663_Twenty-four-hour_blood_pressure_among_Greenlanders_and_Danes_Relationship_to_diet_and_lifestyle [accessed Oct 7, 2015]....

  13. Knowledge and Antibiotics Prescription Pattern among Ugandan Oral Health Care Providers: A Cross-sectional Survey

    Directory of Open Access Journals (Sweden)

    Adriane Kamulegeya

    2011-06-01

    Full Text Available Background and aims. Irrational prescription of antibiotics by clinicians might lead to drug resistance. Clinicians do prescribe antibiotics for either prophylactic or therapeutic reasons. The decision of when and what to prescribe leaves room for misuse and therefore it is imperative to continuously monitor knowledge and pattern of prescription. The aim of the present study was to determine the knowledge of antibiotic use and the prescription pattern among dental health care practitioners in Uganda. Materials and methods. A structured and pretested questionnaire was sent to 350 dental health care practitioners by post or physical delivery. All the questionnaires were sent with self-addressed and prepaid postage envelopes to enable respondents to mail back the filled questionnaires. Chi-squared test was used to test for any significant differences between groups of respondents based on qualitative variables. Results. The response rate was 40.3% (n=140. Of these 52.9 % were public health dental officers (PHDOs and 47.1% were dental surgeons. The males constituted 74.3% of the respondents. There were statistically significant differences between dental surgeons and (PHDOs in knowledge on prophylactic antibiotic use (P = 0.001 and patient influence on prescription (P = 0.001. Amoxicillin, in combination with metronidazole, was the most common combination of antibiotics used followed by co-trimoxazole with metronidazole. Conclusion. The knowledge of dental health care practitioners in antibiotic use in this study was generally low. A combination of amoxicillin with metronidazole was the most commonly prescribed antibiotics subsequent to different dental procedures.

  14. TO PROVIDE RESISTANCE OF BALLASTED SECTION (ON WEAK BASIS DURING RAILWAY MODERNIZATION

    Directory of Open Access Journals (Sweden)

    A. V. Nikolaichuk

    2011-04-01

    Full Text Available In the article the issue of provision of stability of road bed on weak basis with application of geosynthetics is considered. Due to calculations of earthfill with bearing capacity, deformations and stability the substantiated application of geosynthetics to strengthen the soils of basement and slopes of deep embankments is possible.

  15. Twenty Years of Evolutionary Change in the Department of Defense’s Civil Support Mission

    Science.gov (United States)

    2013-05-23

    should include the foregoing statement.) ii ABSTRACT TWENTY YEARS OF EVOLUTIONARY CHANGE IN THE DEPARTMENT OF DEFENSE’S... gasping for air flooded television and print outlets across the globe. The casualty figures from the attack included twelve dead, fifty four...Biological Incident Response Force, II Marine Expeditionary Force, Indian Head, MD,” Marines: The Official Website of the United States Marine Corps

  16. Results of miconazole therapy in twenty-eight patients with paracoccidioidomycosis (South American blastomycosis).

    Science.gov (United States)

    Negroni, R; Rubinstein, P; Herrmann, A; Gimenez, A

    1977-01-01

    Results are presented of treatment with miconazole, orally and intravenously, in patients with paracoccidioidomycosis. Twenty-eight male patients aged from 34 to 66 years and exhibiting various clinical forms of the disease were studied. Twenty-five came from endemic areas in north east Argentina (Chaco, Formosa, Misiones, Corrientes and northern Santa Fe) and the remaining three from Paraguay. Twenty patients were engaged in agricultural work or at woodmills. single or multiple lesions were observed in 24 cases. Thirteen were suffering from infection of the larynx and in two of them a tracheotomy was necessary. Twenty-three showed pulmonary lesions on X-rays. Twelve had ganglionic lesions, eight had cutaneous lesions and one patient had osteoarthritis of the knee. One patient had hepatomegaly which was unrelated to chronic alcoholism. Fourteen patients had received previous treatments such as sulphonamides and amphotericin B (7 cases); sulphonamides (3), sulphonamides and the combination sulfamethoxazole + trimethoprim (3), and one patient had received all three medications. All patients had relapsed before starting miconazole therapy. Diagnosis was established by the presence of P. brasiliensis in all cases, recovered either from cutaneous or mucosal biopsy samples or from the sputum. Complement fixation tests were positive in all patients at the onset of the treatment and the immunodiffusion reactions showed precipitation bands in 27/28 patients. Skin tests with P. brasiliensis antigens proved to be positive in 18 cases and negative in 10. The erythrocyte sedimentation rate was markedly accelerated in 22 patients (greater than 20 mm in the first hour).(ABSTRACT TRUNCATED AT 250 WORDS) Images p24-a Fig 1 Fig 2 PMID:122643

  17. A Brief Analysis of O. Henry’s Writing Characteristics in"After Twenty Years"

    Institute of Scientific and Technical Information of China (English)

    王忠林

    2014-01-01

    O. Henry was one of the three world’s masters of short stories. He was known as the father of the modern American short stories. Even till today O. Henry’s short stories still enjoy a lot of popularity. This article analyzes the writing characteristics of O. Henry’s short stories by probing into one of his short stories"After Twenty Years".

  18. Twenty-First Century Europe: Emergence of Baltic States into European Alliances

    Science.gov (United States)

    2003-04-07

    sources of power supply. Estonia is the only country in the world where oil shale is the primary source of energy, supplying over 75 percent of its total...Unclassified The contributions of Estonia , Latvia, and Lithuania ("the Baltic States") to the North Atlantic Treaty Organization (NATO), the European...23 vi TWENTY-FIRST CENTURY EUROPE: EMERGENCE OF THE BALTIC STATES INTO EUROPEAN ALLIANCES BACKGROUND Estonia , Latvia, and Lithuania are often

  19. Monetary Policy Implementation and Results in Twenty Inflation-Targeting Countries.

    OpenAIRE

    Klaus Schmidt-Hebbel.; Matías Tapia

    2002-01-01

    Inflation targeting is an increasingly popular monetary regime among industrialized and developing central banks. However, there is little cross-country comparative information about commonalties and differences in monetary policy implementation and results across inflation-targeting countries. This paper presents the results of a survey on monetary policy conducted among the world’s twenty central banks that currently target inflation. Survey responses highlight operational features of monet...

  20. Proceedings of the twenty-sixth annual Institute on Mining Health, Safety and Research

    Energy Technology Data Exchange (ETDEWEB)

    Tinney, G.R.; Bacho, A.; Karmis, M. [eds.

    1995-12-31

    The proceedings of the Twenty-Sixth Annual Institute on Mining Health, Safety and Research are presented. The Conference was held in Blacksburg, Virginia on August 28-30, 1995 and covered such topics as themes of change, miner`s safety, personal and corporate liability, behavioral changes and positive reinforcement, and meeting health and safety objectives in mining operations. A separate abstract was prepared for the thirteen papers for inclusion in the Energy Science and Technology Database.

  1. A Summary of the Twenty-Ninth AAAI Conference on Artificial Intelligence

    OpenAIRE

    2015-01-01

    The Twenty-Ninth AAAI Conference on Artificial Intelligence, (AAAI-15) was held in January 2015 in Austin, Texas (USA) The conference program was cochaired by Sven Koenig and Blai Bonet. This report contains reflective summaries of the main conference, the robotics program, the AI and robotics workshop, the virtual agent exhibition, the what's hot track, the competition panel, the senior member track, student and outreach activities, the student abstract and poster program, the doctoral conso...

  2. Babesiosis for Health Care Providers

    Centers for Disease Control (CDC) Podcasts

    2012-04-25

    This podcast will educate health care providers on diagnosing babesiosis and providing patients at risk with tick bite prevention messages.  Created: 4/25/2012 by Center for Global Health, Division of Parasitic Diseases and Malaria.   Date Released: 4/25/2012.

  3. Radar cross section

    CERN Document Server

    Knott, Gene; Tuley, Michael

    2004-01-01

    This is the second edition of the first and foremost book on this subject for self-study, training, and course work. Radar cross section (RCS) is a comparison of two radar signal strengths. One is the strength of the radar beam sweeping over a target, the other is the strength of the reflected echo sensed by the receiver. This book shows how the RCS ?gauge? can be predicted for theoretical objects and how it can be measured for real targets. Predicting RCS is not easy, even for simple objects like spheres or cylinders, but this book explains the two ?exact? forms of theory so well that even a

  4. Long-term climate response to stabilized and overshoot anthropogenic forcings beyond the twenty-first century

    Energy Technology Data Exchange (ETDEWEB)

    Tsutsui, Junichi; Yoshida, Yoshikatsu; Kim, Dong-Hoon; Kitabata, Hideyuki; Nishizawa, Keiichi; Nakashiki, Norikazu; Maruyama, Koki [Central Research Institute of Electric Power Industry, Chiba (Japan)

    2007-02-15

    From multi-ensembles of climate simulations using the Community Climate System Model version 3, global climate changes have been investigated focusing on long-term responses to stabilized anthropogenic forcings. In addition to the standard forcing scenarios for the current international assessment, an overshoot scenario, where radiative forcings are decreased from one stabilized level to another, is also considered. The globally-averaged annual surface air temperature increases during the twenty-first century by 2.58 and 1.56 C for increased forcings under two future scenarios denoted by A1B and B1, respectively. These changes continue but at much slower rates in later centuries under forcings stabilized at year 2100. The overshoot scenario provides a different pathway to the lower B1 level by way of the greater A1B level. This scenario results in a surface climate similar to that in the B1 scenario within 100 years after the forcing reaches the B1 level. Contrasting to the surface changes, responses in the ocean are significantly delayed. It is estimated from the linear response theory that temperature changes under stabilized forcings to a final equilibrium state in the A1B (B1) scenario are factors of 0.3-0.4, 0.9, and 17 (0.3, 0.6, and 11) to changes during the twenty-first century, respectively, for three ocean layers of the surface to 100, 100-500, and 500 m to the bottom. Although responses in the lower ocean layers imply a nonlinear behavior, the ocean temperatures in the overshoot and B1 scenarios are likely to converge in their final equilibrium states. (orig.)

  5. Twenty-first century Arctic climate change in the CCSM3 IPCC scenario simulations

    Energy Technology Data Exchange (ETDEWEB)

    Teng, Haiyan; Washington, Warren M.; Meehl, Gerald A.; Buja, Lawrence E.; Strand, Gary W. [National Center for Atmospheric Research, Boulder, CO (United States)

    2006-05-15

    Arctic climate change in the Twenty-first century is simulated by the Community Climate System Model version 3.0 (CCSM3). The simulations from three emission scenarios (A2, A1B and B1) are analyzed using eight (A1B and B1) or five (A2) ensemble members. The model simulates a reasonable present-day climate and historical climate trend. The model projects a decline of sea-ice extent in the range of 1.4-3.9% per decade and 4.8-22.2% per decade in winter and summer, respectively, corresponding to the range of forcings that span the scenarios. At the end of the Twenty-first century, the winter and summer Arctic mean surface air temperature increases in a range of 4-14 C (B1 and A2) and 0.7-5 C (B1 and A2) relative to the end of the Twentieth century. The Arctic becomes ice-free during summer at the end of the Twenty-first century in the A2 scenario. Similar to the observations, the Arctic Oscillation (AO) is the dominant factor in explaining the variability of the atmosphere and sea ice in the 1870-1999 historical runs. The AO shifts to the positive phase in response to greenhouse gas forcings in the Twenty-first century. But the simulated trends in both Arctic mean sea-level pressure and the AO index are smaller than what has been observed. The Twenty-first century Arctic warming mainly results from the radiative forcing of greenhouse gases. The 1st empirical orthogonal function (explains 72.2-51.7% of the total variance) of the wintertime surface air temperature during 1870-2099 is characterized by a strong warming trend and a ''polar amplification''-type of spatial pattern. The AO, which plays a secondary role, contributes to less than 10% of the total variance in both surface temperature and sea-ice concentration. (orig.)

  6. Twenty first century climatic and hydrological changes over Upper Indus Basin of Himalayan region of Pakistan

    Science.gov (United States)

    Ali, Shaukat; Li, Dan; Congbin, Fu; Khan, Firdos

    2015-01-01

    This study is based on both the recent and the predicted twenty first century climatic and hydrological changes over the mountainous Upper Indus Basin (UIB), which are influenced by snow and glacier melting. Conformal-Cubic Atmospheric Model (CCAM) data for the periods 1976-2005, 2006-2035, 2041-2070, and 2071-2100 with RCP4.5 and RCP8.5; and Regional Climate Model (RegCM) data for the periods of 2041-2050 and 2071-2080 with RCP8.5 are used for climatic projection and, after bias correction, the same data are used as an input to the University of British Columbia (UBC) hydrological model for river flow projections. The projections of all of the future periods were compared with the results of 1976-2005 and with each other. Projections of future changes show a consistent increase in air temperature and precipitation. However, temperature and precipitation increase is relatively slow during 2071-2100 in contrast with 2041-2070. Northern parts are more likely to experience an increase in precipitation and temperature in comparison to the southern parts. A higher increase in temperature is projected during spring and winter over southern parts and during summer over northern parts. Moreover, the increase in minimum temperature is larger in both scenarios for all future periods. Future river flow is projected by both models to increase in the twenty first century (CCAM and RegCM) in both scenarios. However, the rate of increase is larger during the first half while it is relatively small in the second half of the twenty first century in RCP4.5. The possible reason for high river flow during the first half of the twenty first century is the large increase in temperature, which may cause faster melting of snow, while in the last half of the century there is a decreasing trend in river flow, precipitation, and temperature (2071-2100) in comparison to 2041-2070 for RCP4.5. Generally, for all future periods, the percentage of increased river flow is larger in winter than in

  7. Hospitals, providers collaborate on transitions.

    Science.gov (United States)

    2012-01-01

    Baystate Health, a three-hospital system with headquarters in Springfield, MA, is partnering with post-acute providers to improve transitions as patients move through the continuum of care. A multidisciplinary post-acute performance team partnered with post-acute providers to determine why patients are readmitted to the hospital and to work on ways to avoid readmissions. Facilities share information with the hospitals how they operate and what they need to ensure patients receive the care they need. The health system's director of post-acute services holds regular meetings with providers to brainstorm on improving patient care.

  8. Ecological Sections of Minnesota

    Data.gov (United States)

    Minnesota Department of Natural Resources — This coverage provides information for the second level of the Ecological Classification System. The boundaries of the polygons of this coverage were derived from...

  9. Cesarean Section: The Operation

    Medline Plus

    Full Text Available ... for your baby Feeding your baby Common illnesses Family health & safety Complications & Loss Pregnancy complications Preterm labor & ... health research Prematurity research centers For providers NICU Family Support® Prematurity Campaign Collaborative Info for your patients ...

  10. Organizational culture associated with provider satisfaction.

    Science.gov (United States)

    Scammon, Debra L; Tabler, Jennifer; Brunisholz, Kimberly; Gren, Lisa H; Kim, Jaewhan; Tomoaia-Cotisel, Andrada; Day, Julie; Farrell, Timothy W; Waitzman, Norman J; Magill, Michael K

    2014-01-01

    Organizational culture is key to the successful implementation of major improvement strategies. Transformation to a patient-centered medical home (PCHM) is such an improvement strategy, requiring a shift from provider-centric care to team-based care. Because this shift may impact provider satisfaction, it is important to understand the relationship between provider satisfaction and organizational culture, specifically in the context of practices that have transformed to a PCMH model. This was a cross-sectional study of surveys conducted in 2011 among providers and staff in 10 primary care clinics implementing their version of a PCMH: Care by Design. Measures included the Organizational Culture Assessment Instrument and the American Medical Group Association provider satisfaction survey. Providers were most satisfied with quality of care (mean, 4.14; scale of 1-5) and interactions with patients (mean, 4.12) and were least satisfied with time spent working (mean, 3.47), paperwork (mean, 3.45), and compensation (mean, 3.35). Culture profiles differed across clinics, with family/clan and hierarchical cultures the most common. Significant correlations (P ≤ .05) between provider satisfaction and clinic culture archetypes included family/clan culture negatively correlated with administrative work; entrepreneurial culture positively correlated with the Time Spent Working dimension; market/rational culture positively correlated with how practices were facing economic and strategic challenges; and hierarchical culture negatively correlated with the Relationships with Staff and Resource dimensions. Provider satisfaction is an important metric for assessing experiences with features of a PCMH model. Identification of clinic-specific culture archetypes and archetype associations with provider satisfaction can help inform practice redesign. Attention to effective methods for changing organizational culture is recommended.

  11. A fine-cut technique for permanent laryngeal sectioning.

    Science.gov (United States)

    Roy, S; Lundy, D S; Marcillo, A S; Casiano, R R

    2001-01-01

    A new technique for permanent sectioning of the human spinal cord has provided superior images over those produced with traditional methods. Application of this technique for sections of the human larynx may yield cost-effective, efficient, and accurate laryngeal anatomic dissections. This study was designed to evaluate this technique for dissections of the human larynx. Laryngeal sections from cadavers were submerged in a celloidin solution, a derivative of wallpaper plaster, and frozen to -15 degrees C. After preparation, axial and coronal cuts of 100 microm were made with a Macrocut Tome sectioning system. Sections were completed in approximately 30 hours. Digitized photographs of the laryngeal sections provide detailed images of precise anatomic relationships. Celloidin-based sectioning of the human larynx yields precise anatomic information beyond standard radiographic imagining and previous permanent laryngeal sectioning techniques in a cost-efficient and timely manner. Black and white fine-section photographs are provided.

  12. Narratives of Ghanaian abortion providers

    African Journals Online (AJOL)

    AJRH Managing Editor

    Keywords: Abortion, providers, law, access, reproductive health care ... administrative materials) into the decision-making process between a ... training, research, and outreach efforts of these ..... additional economic factors influence abortion.

  13. TERRAIN, PROVIDENCE COUNTY, RHODE ISLAND

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Providence AOI consists of the costal portion of the county, and meshes up seamlessly with the Kent county AOI directly south. Ground Control is collected...

  14. Medicare Referring Provider DMEPOS PUF

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset, which is part of CMSs Medicare Provider Utilization and Payment Data, details information on Durable Medical Equipment, Prosthetics, Orthotics and...

  15. Lodging Update: Providence, Rhode Island

    Directory of Open Access Journals (Sweden)

    Ragel Roginsky

    2013-04-01

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

  16. Recommended evaluation procedure for photonuclear cross section

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young-Ouk; Chang, Jonghwa; Fukahori, Tokio [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    1998-03-01

    In order to generate photonuclear cross section library for the necessary applications, data evaluation is combined with theoretical evaluation, since photonuclear cross sections measured cannot provide all necessary data. This report recommends a procedure consisting of four steps: (1) analysis of experimental data, (2) data evaluation, (3) theoretical evaluation and, if necessary, (4) modification of results. In the stage of analysis, data obtained by different measurements are reprocessed through the analysis of their discrepancies to a representative data set. In the data evaluation, photonuclear absorption cross sections are evaluated via giant dipole resonance and quasi-deutron mechanism. With photoabsorption cross sections from the data evaluation, theoretical evaluation is applied to determine various decay channel cross sections and emission spectra using equilibrium and preequilibrium mechanism. After this, the calculated results are compared with measured data, and in some cases the results are modified to better describe measurements. (author)

  17. 25 CFR 1200.42 - Who can provide technical assistance?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Who can provide technical assistance? 1200.42 Section... INDIAN TRUST FUND MANAGEMENT REFORM ACT Technical Assistance § 1200.42 Who can provide technical assistance? A sample of competent providers includes any of the following entities with the appropriate...

  18. Bits, Bytes and Dinosaurs: Using Levinas and Freire to Address the Concept of "Twenty-First Century Learning"

    Science.gov (United States)

    Benade, Leon

    2015-01-01

    The discourse of twenty-first century learning argues that education should prepare students for successful living in the twenty-first century workplace and society. It challenges all educators with the idea that contemporary education is unable to do so, as it is designed to replicate an industrial age model, essentially rear-focused, rather than…

  19. Pheochromocytoma after Cesarean Section

    Science.gov (United States)

    Naghshineh, Elham; Shahraki, Azar Danesh; Sheikhalian, Somaye; Hashemi, Leila

    2016-01-01

    Pheochromocytoma is a catecholamine-producing tumor. There are a very few reported cases of clinical pheochromocytoma. Here, we report a 27-year-old woman para 1 live 1 with chief complaint of headache, confusion, nausea, and vomiting 2 days after cesarean section. She was anxious and had palpitation. On physical examination, fever, tachycardia, tachypnea, high blood pressure, and right thyroid nodule were found. She was managed as pregnancy-induced hypertension at first. In laboratory data, epinephrine, norepinephrine, metanephrine, normetanephrine, and vanillylmandelic acid were increased in 24 h urine collection. An adrenal mass was detected in abdominal computed tomography. Regarding clinical and paraclinical findings, pheochromocytoma was diagnosed. The patient received medical treatment, but it was not effective; hence, she underwent adrenalectomy. PMID:27076898

  20. Pheochromocytoma after cesarean section

    Directory of Open Access Journals (Sweden)

    Elham Naghshineh

    2016-01-01

    Full Text Available Pheochromocytoma is a catecholamine-producing tumor. There are a very few reported cases of clinical pheochromocytoma. Here, we report a 27-year-old woman para 1 live 1 with chief complaint of headache, confusion, nausea, and vomiting 2 days after cesarean section. She was anxious and had palpitation. On physical examination, fever, tachycardia, tachypnea, high blood pressure, and right thyroid nodule were found. She was managed as pregnancy-induced hypertension at first. In laboratory data, epinephrine, norepinephrine, metanephrine, normetanephrine, and vanillylmandelic acid were increased in 24 h urine collection. An adrenal mass was detected in abdominal computed tomography. Regarding clinical and paraclinical findings, pheochromocytoma was diagnosed. The patient received medical treatment, but it was not effective; hence, she underwent adrenalectomy.

  1. 29 CFR 553.201 - Statutory provisions: section 7(k).

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Statutory provisions: section 7(k). 553.201 Section 553.201...: section 7(k). (a) Section 7(k) of the Act provides a partial overtime pay exemption for fire protection.... (b) As specified in §§ 553.20 through 553.28 of subpart A, workers employed under section 7(k) may...

  2. Ancillary Services Provided from DER

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, J.B.

    2005-12-21

    Distributed energy resources (DER) are quickly making their way to industry primarily as backup generation. They are effective at starting and then producing full-load power within a few seconds. The distribution system is aging and transmission system development has not kept up with the growth in load and generation. The nation's transmission system is stressed with heavy power flows over long distances, and many areas are experiencing problems in providing the power quality needed to satisfy customers. Thus, a new market for DER is beginning to emerge. DER can alleviate the burden on the distribution system by providing ancillary services while providing a cost adjustment for the DER owner. This report describes 10 types of ancillary services that distributed generation (DG) can provide to the distribution system. Of these 10 services the feasibility, control strategy, effectiveness, and cost benefits are all analyzed as in the context of a future utility-power market. In this market, services will be provided at a local level that will benefit the customer, the distribution utility, and the transmission company.

  3. Ecosystem services provided by waterbirds.

    Science.gov (United States)

    Green, Andy J; Elmberg, Johan

    2014-02-01

    Ecosystem services are ecosystem processes that directly or indirectly benefit human well-being. There has been much recent literature identifying different services and the communities and species that provide them. This is a vital first step towards management and maintenance of these services. In this review, we specifically address the waterbirds, which play key functional roles in many aquatic ecosystems, including as predators, herbivores and vectors of seeds, invertebrates and nutrients, although these roles have often been overlooked. Waterbirds can maintain the diversity of other organisms, control pests, be effective bioindicators of ecological conditions, and act as sentinels of potential disease outbreaks. They also provide important provisioning (meat, feathers, eggs, etc.) and cultural services to both indigenous and westernized societies. We identify key gaps in the understanding of ecosystem services provided by waterbirds and areas for future research required to clarify their functional role in ecosystems and the services they provide. We consider how the economic value of these services could be calculated, giving some examples. Such valuation will provide powerful arguments for waterbird conservation.

  4. Reconstruction Formulas for Photoacoustic Sectional Imaging

    CERN Document Server

    Elbau, Peter; Schulze, Rainer

    2011-01-01

    The literature on reconstruction formulas for photoacoustic tomography (PAT) is vast. The various reconstruction formulas differ by used measurement devices and geometry on which the data are sampled. In standard photoacoustic imaging (PAI), the object under investigation is illuminated uniformly. Recently, sectional photoacoustic imaging techniques, using focusing techniques for initializing and measuring the pressure along a plane, appeared in the literature. This paper surveys existing and provides novel exact reconstruction formulas for sectional photoacoustic imaging.

  5. 14 CFR Section 8 - General

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false General Section 8 Section 8 Aeronautics and... Section 8 General (a) The profit and loss accounts are designed to reflect, through natural groupings, the... activities, are set forth in section 7, Chart of Profit and Loss Accounts. (d) The prescribed system of...

  6. 14 CFR Section 4 - General

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false General Section 4 Section 4 Aeronautics and... Section 4 General (a) The balance sheet accounts are designed to show the financial condition of the air... prescribed in this system of accounts for each air carrier group are set forth in Section 3, Chart of Balance...

  7. PLSS Townships and Sections, Township, Range and Section grid lines., Published in 1988, Arizona State Land Department.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This PLSS Townships and Sections dataset as of 1988. It is described as 'Township, Range and Section grid lines.'. Data by this publisher are often provided in UTM...

  8. The Golden Section as Optical Limitation.

    Directory of Open Access Journals (Sweden)

    Mark A Elliott

    Full Text Available The golden section, ϕ = (1 + √5/2 = 1.618... and its companion ϕ = 1/ϕ = ϕ -1 = 0.618..., are irrational numbers which for centuries were believed to confer aesthetic appeal. In line with the presence of golden sectioning in natural growth patterns, recent EEG recordings show an absence of coherence between brain frequencies related by the golden ratio, suggesting the potential relevance of the golden section to brain dynamics. Using Mondrian-type patterns comprising a number of paired sections in a range of five section-section areal ratios (including golden-sectioned pairs, participants were asked to indicate as rapidly and accurately as possible the polarity (light or dark of the smallest section in the patterns. They were also asked to independently assess the aesthetic appeal of the patterns. No preference was found for golden-sectioned patterns, while reaction times (RTs tended to decrease overall with increasing ratio independently of each pattern's fractal dimensionality. (Fractal dimensionality was unrelated to ratio and measured in terms of the Minkowski-Bouligand box-counting dimension. The ease of detecting the smallest section also decreased with increasing ratio, although RTs were found to be substantially slower for golden-sectioned patterns under 8-paired sectioned conditions. This was confirmed by a significant linear relationship between RT and ratio (p < .001 only when the golden-sectioned RTs were excluded [the relationship was non-significant for the full complement of ratios (p = .217]. Image analysis revealed an absence of spatial frequencies between 4 and 8 cycles-per-degree that was exclusive to the 8-paired (golden-sectioned patterns. The significance of this was demonstrated in a subsequent experiment by addition of uniformly distributed random noise to the patterns. This provided a uniform spatial-frequency profile for all patterns, which did not influence the decrease in RT with increasing ratio but abolished

  9. 34 CFR 386.34 - What assurances must be provided by a grantee that intends to provide scholarships?

    Science.gov (United States)

    2010-07-01

    ... intends to provide scholarships? 386.34 Section 386.34 Education Regulations of the Offices of the... Award? § 386.34 What assurances must be provided by a grantee that intends to provide scholarships? A grantee under this part that intends to grant scholarships for any academic year beginning after June...

  10. The design and performance of a twenty barrel hydrogen pellet injector for Alcator C-Mod

    Energy Technology Data Exchange (ETDEWEB)

    Urbahn, John A. [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States)

    1994-05-01

    A twenty barrel hydrogen pellet injector has been designed, built and tested both in the laboratory and on the Alcator C-Mod Tokamak at MIT. The injector functions by firing pellets of frozen hydrogen or deuterium deep into the plasma discharge for the purpose of fueling the plasma, modifying the density profile and increasing the global energy confinement time. The design goals of the injector are: (1) Operational flexibility, (2) High reliability, (3) Remote operation with minimal maintenance. These requirements have lead to a single stage, pipe gun design with twenty barrels. Pellets are formed by in- situ condensation of the fuel gas, thus avoiding moving parts at cryogenic temperatures. The injector is the first to dispense with the need for cryogenic fluids and instead uses a closed cycle refrigerator to cool the thermal system components. The twenty barrels of the injector produce pellets of four different size groups and allow for a high degree of flexibility in fueling experiments. Operation of the injector is under PLC control allowing for remote operation, interlocked safety features and automated pellet manufacturing. The injector has been extrusively tested and shown to produce pellets reliably with velocities up to 1400 m/sec. During the period from September to November of 1993, the injector was successfully used to fire pellets into over fifty plasma discharges. Experimental results include data on the pellet penetration into the plasma using an advanced pellet tracking diagnostic with improved time and spatial response. Data from the tracker indicates pellet penetrations were between 30 and 86 percent of the plasma minor radius.

  11. The Association of Academic Health Sciences Libraries Annual Statistics: an exploratory twenty-five-year trend analysis.

    Science.gov (United States)

    Byrd, Gary D; Shedlock, James

    2003-04-01

    This paper presents an exploratory trend analysis of the statistics published over the past twenty-four editions of the Annual Statistics of Medical School Libraries in the United States and Canada. The analysis focuses on the small subset of nineteen consistently collected data variables (out of 656 variables collected during the history of the survey) to provide a general picture of the growth and changing dimensions of services and resources provided by academic health sciences libraries over those two and one-half decades. The paper also analyzes survey response patterns for U.S. and Canadian medical school libraries, as well as osteopathic medical school libraries surveyed since 1987. The trends show steady, but not dramatic, increases in annual means for total volumes collected, expenditures for staff, collections and other operating costs, personnel numbers and salaries, interlibrary lending and borrowing, reference questions, and service hours. However, when controlled for inflation, most categories of expenditure have just managed to stay level. The exceptions have been expenditures for staff development and travel and for collections, which have both outpaced inflation. The fill rate for interlibrary lending requests has remained steady at about 75%, but the mean ratio of items lent to items borrowed has decreased by nearly 50%.

  12. Knudsen Gas Provides Nanobubble Stability

    NARCIS (Netherlands)

    Seddon, James Richard Thorley; Zandvliet, Henricus J.W.; Lohse, Detlef

    2011-01-01

    We provide a model for the remarkable stability of surface nanobubbles to bulk dissolution. The key to the solution is that the gas in a nanobubble is of Knudsen type. This leads to the generation of a bulk liquid flow which effectively forces the diffusive gas to remain local. Our model predicts

  13. Twitter for travel medicine providers.

    Science.gov (United States)

    Mills, Deborah J; Kohl, Sarah E

    2016-03-01

    Travel medicine practitioners, perhaps more so than medical practitioners working in other areas of medicine, require a constant flow of information to stay up-to-date, and provide best practice information and care to their patients. Many travel medicine providers are unaware of the popularity and potential of the Twitter platform. Twitter use among our travellers, as well as by physicians and health providers, is growing exponentially. There is a rapidly expanding body of published literature on this information tool. This review provides a brief overview of the ways Twitter is being used by health practitioners, the advantages that are peculiar to Twitter as a platform of social media, and how the interested practitioner can get started. Some key points about the dark side of Twitter are highlighted, as well as the potential benefits of using Twitter as a way to disseminate accurate medical information to the public. This article will help readers develop an increased understanding of Twitter as a tool for extracting useful facts and insights from the ever increasing volume of health information. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

  14. Evaluation of the twenty-first century RCM simulations driven by multiple GCMs over the Eastern Mediterranean-Black Sea region

    Science.gov (United States)

    Önol, Barış; Bozkurt, Deniz; Turuncoglu, Ufuk Utku; Sen, Omer Lutfi; Dalfes, H. Nuzhet

    2014-04-01

    In this study, human-induced climate change over the Eastern Mediterranean-Black Sea region has been analyzed for the twenty-first century by performing regional climate model simulations forced with large-scale fields from three different global circulation models (GCMs). Climate projections have been produced with Special Report on Emissions Scenarios A2, A1FI and B1 scenarios, which provide greater diversity in climate information for future period. The gradual increases for temperature are widely apparent during the twenty-first century for each scenario simulation, but ECHAM5-driven simulation generally has a weaker signal for all seasons compared to CCSM3 simulations except for the Fertile Crescent. The contrast in future temperature change between the winter and summer seasons is very strong for CCSM3-A2-driven and HadCM3-A2-driven simulations over Carpathians and Balkans, 4-5 °C. In addition, winter runoff over mountainous region of Turkey, which feeds many river systems including the Euphrates and Tigris, increases in second half of the century since the snowmelt process accelerates where the elevation is higher than 1,500 m. Moreover, analysis of daily temperature outputs reveals that the gradual decrease in daily minimum temperature variability for January during the twenty-first century is apparent over Carpathians and Balkans. Analysis of daily precipitation extremes shows that positive trend is clear during the last two decades of the twenty-first century over Carpathians for both CCSM3-driven and ECHAM5-driven simulations. Multiple-GCM driven regional climate simulations contribute to the quantification of the range of climate change over a region by performing detailed comparisons between the simulations.

  15. Effects of energy constraints on transportation systems. [Twenty-six papers

    Energy Technology Data Exchange (ETDEWEB)

    Mittal, R. K. [ed.

    1977-12-01

    Twenty-six papers are presented on a variety of topics including: energy and transportaton facts and figures; long-range planning under energy constraints; technology assessment of alternative fuels; energy efficiency of intercity passenger and freight movement; energy efficiency of intracity passenger movement; federal role; electrification of railroads; energy impact of the electric car in an urban enviroment; research needs and projects in progress--federal viewpoint; research needs in transportation energy conservation--data needs; and energy intensity of various transportation modes--an overview. A separate abstract was prepared for each of the papers for inclusion in Energy Research Abstracts (ERA) and in Energy Abstracts for Policy Analysis (EAPA).

  16. [Discirculatory encephalopathy in liquidators of the Chernobyl nuclear power station: a twenty-year study].

    Science.gov (United States)

    Podsonnaia, I V; Shumakher, G I; Golovin, V A

    2009-01-01

    A comparative twenty-year study of 536 liquidators of the Chernobyl nuclear disaster and 436 patients without radiation anamnesis has been carried out. Discirculatory encephalopathy (DE) was more often developed in subjects exposed to radiation at the age 30 years. Compared to individuals from the general population, it is characterized by the earlier onset, malignant progression, rapid increase of signs of cerebral affection during the first two years after exposure to radiation, stability of clinical symptoms during the following 5-6 years and further progressive cerebral decompensation with early autonomic dysfunction, psychoorganic syndrome, epilepsy. Moreover, severe stroke is a common complication of DE in liquidators.

  17. Digital images and art libraries in the twenty-first century

    CERN Document Server

    Wyngaard, Susan

    2013-01-01

    Increase your knowledge of the digital technology that is essential for art librarianship today! Digital Images and Art Libraries in the Twenty-First Century is your key to cutting-edge discourse on digital image databases and art libraries. Just as early photographers tried to capture the world to make it accessible, now information professionals in art libraries and art museums are creating and sharing digital collections to make them broadly accessible. This collection shares the experience and insight of art information managers who have taken advantage of digital technology to exp

  18. Mid-Twentieth Century Modern Dance in the Twenty-first Century

    OpenAIRE

    Puleio, Dante

    2017-01-01

    Mid-Twentieth Century Modern Dance in the Twenty-First CenturyThe relevance of modern dance being performed today has been a growing topic in the dance field as legacy companies age and the field of contemporary dance continues to expand. This thesis begins with critical response to mid-century modern dance in the work of well-known dance critics John Martin, Edwin Denby and Louis Horst and how they substantiated modern dance’s place in dance history. My interviews with dance critics Alastair...

  19. Twenty years' application of agricultural countermeasures following the Chernobyl accident: lessons learned

    Energy Technology Data Exchange (ETDEWEB)

    Fesenko, S V [International Atomic Energy Agency, 1400 Vienna (Austria); Alexakhin, R M [Russian Institute of Agricultural Radiology and Agroecology, 249020 Obninsk (Russian Federation); Balonov, M I [International Atomic Energy Agency, 1400 Vienna (Austria); Bogdevich, I M [Research Institute for Soil Science and Agrochemistry, Minsk (Belarus); Howard, B J [Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LAI 4AP (United Kingdom); Kashparov, V A [Ukrainian Institute of Agricultural Radiology (UIAR), Mashinostroiteley Street 7, Chabany, Kiev Region 08162 (Ukraine); Sanzharova, N I [Russian Institute of Agricultural Radiology and Agroecology, 249020 Obninsk (Russian Federation); Panov, A V [Russian Institute of Agricultural Radiology and Agroecology, 249020 Obninsk (Russian Federation); Voigt, G [International Atomic Energy Agency, 1400 Vienna (Austria); Zhuchenka, Yu M [Research Institute of Radiology, 246000 Gomel (Belarus)

    2006-12-15

    The accident at the Chernobyl NPP (nuclear power plant) was the most serious ever to have occurred in the history of nuclear energy. The consumption of contaminated foodstuffs in affected areas was a significant source of irradiation for the population. A wide range of different countermeasures have been used to reduce exposure of people and to mitigate the consequences of the Chernobyl accident for agriculture in affected regions in Belarus, Russia and Ukraine. This paper for the first time summarises key data on countermeasure application over twenty years for all three countries and describes key lessons learnt from this experience. (review)

  20. Twenty of China's best physics PhD students visited CERN

    CERN Multimedia

    2006-01-01

    Twenty of the top physics PhD students in China were honoured with the 'E=mc2 to modern science' Einstein Award and received a three week tour of major laboratories in Germany and Switzerland, including CERN, DESY and the Max Planck Institute. The Einstein Award is co-sponsored by the German and Swiss Embassies in celebration of the 'Year of Physics' in 2005. For many years, Germany, Switzerland and China have been involved in numerous areas of scientific research and cooperation.

  1. Twenty-five cases of feline bronchial disease (1995-2000).

    Science.gov (United States)

    Foster, S F; Allan, G S; Martin, P; Robertson, I D; Malik, R

    2004-06-01

    Twenty-five cases of feline bronchial disease were identified retrospectively. The criteria for inclusion were consistent clinical signs or histopathology and no other identifiable aetiology. Patient records were analysed to determine historical, clinical, clinicopathologic and radiographic features. The main presenting complaints were coughing and dyspnoea. The most common physical finding was dyspnoea. The majority of radiographs had a bronchial pattern either as the sole change or as a component of a mixed pattern. Bronchoalveolar lavage cytology was neutrophilic or eosinophilic in the majority of cats. There was no association between age, breed, sex, clinical signs, bronchoalveolar lavage cytology or radiographic severity and disease severity.

  2. Twenty natural organic pigments for application in dye sensitized solar cells

    Science.gov (United States)

    Castillo, D.; Sánchez Juárez, A.; Espinosa Tapia, S.; Guaman, A.; Obregón Calderón, D.

    2016-09-01

    In this work we present the results of a study of twenty natural pigments obtained from plants and insects from southern Ecuador. Many of them will be considered as a potential natural sensitizer for the construction of DSSCs. The results indicate that these pigments have a good performance in the absorbance and wavelength spectra. Were selected four best pigments for the construction of DSSCs, Rumex tolimensis Wedd, Raphanus sativus, Hibiscus sabdariffa, and Prunus serótina, however the conversion efficiency is lower than 1%.

  3. Authority in the Virtual Sangat : Sikhism, Ritual and Identity in the Twenty-First Century

    OpenAIRE

    Jakobsh, Doris R.

    2006-01-01

    In her paper Authority in the Virtual Sanga. Sikhism, Ritual and Identity in the Twenty-First Century, Doris Jakobsh analyses the change of authority based on her research on Sikhs on the Internet. She stresses the Web as a ‘third place’ of communication among the Sikhs as well as the phenomenon of new authorities online. However, this does not imply the replacement of the traditional seats of authority, the Akal Takht, SGPC, or gurdwara managements, but one can recognize a significant shift ...

  4. Elevated dioxin levels in chloracne cases twenty years after the Seveso, Italy accident

    Energy Technology Data Exchange (ETDEWEB)

    Baccarelli, A.; Pesatori, A.C.; Consonni, D.; Bonzini, M.; Giacomini, S.M.; Bertazzi, P.A. [EPOCA Research Center, Univ. of Milan (Italy); Mocarelli, P. [Dept. of Lab. Medicine, Univ. of Milan-Bicocca, Desio (Italy); Patterson, D.G. Jr. [Centers for Disease Control and Prevention, Atlanta, GA (United States); Caporaso, N.E.; Landi, M.T. [Div. of Cancer Epidemiology and Genetics, National Cancer Inst., NIH, DHHS, Bethesda, MD (United States)

    2004-09-15

    In July 1976, an industrial accident contaminated a residential area surrounding Seveso, Italy, with high levels of 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD). The exposure was acute, relatively pure, and affected more than 45,000 men, women, and children. By February 1978, 193 chloracne cases, mostly children, had been identified in the exposed population. Twenty years after, we conducted a case-control study on subjects diagnosed with chloracne and control subjects, who had not developed chloracne after the accident, to evaluate their TCDD plasma levels, as well as the exposure-response relationship and possible determinants of susceptibility to TCDD effects in this population.

  5. A perspective of dental education in the twenty-first century.

    Science.gov (United States)

    Allen, D L; Finnegan, W N

    1989-04-01

    With the beginning of the twenty-first century only twelve years away, it is clearly not too early for dental educators to be planning for it. If one compares the practice of dentistry and the nature of dental education in 1888 with that of 1988, and then tries to project what they will be like in the year 2088, we have a difficult task indeed. As Alvin Toffler has pointed out in his book Future Shock, we are in an ever escalating period of change. Dentistry and dental education will change much more in the next one hundred years than they have in the last one hundred years.

  6. The economics of urologic practice in the twenty-first century.

    Science.gov (United States)

    Holtgrewe, H L

    1998-02-01

    Our nation's health care has been undergoing an economic revolution. The practice of urology has not escaped. Speculation regarding the economics of urologic practice in the twenty-first century must be based on the continuation of policy trends begun over the last decade by government and managed care coupled with the impact of changes in the science of urology, shifting population demographics, and changing social factors. The hallmarks of the years ahead include increased physician accountability, expanded use of clinical care guidelines, continued relentless penetration of managed care, and reduced reimbursement for surgical services.

  7. Twenty-five years of post-Bretton Woods experience: some lessons

    Directory of Open Access Journals (Sweden)

    H. ASKARI

    1999-03-01

    Full Text Available In 1971 many academic economists were predicting that the Bretton Woods system of fixed parities would collapse. Some, most notably Milton Friedman, became excited about the possibility of a floating system because the benefits of international capital mobility can only be achieved through the flexibility in the exchange rate. These economists argued that a floating exchange rate system can ensure positive results more than the fixed parities system. Twenty-five years later, however, there is still no consensus on the matter. The author reviews the post-Bretton Woods experience to highlight some policies and approaches that might be helpful for the future.

  8. Twenty years of „post-communism”: the radiography of a political failure

    Directory of Open Access Journals (Sweden)

    Aurora Martin

    2011-11-01

    Full Text Available This empirical view on the current „state” of Romania has as main objective to emphasize that the contemporary economic crisis actually revealed some other escalated crises in the very heart of the Romanian society. The vicious circle determined by three crises – one political, another social-institutional and last, but not least, a cultural one, continuously weakened the state for the last twenty years. Romania will overcome the economic crisis but the key for walking out of the above-mentioned circle would be the real transformation of its core systems – political, institutional and educational.

  9. To the Ocean Sciences section

    Science.gov (United States)

    Hickey, Barbara

    To maximize our ability to obtain recognition of Ocean Sciences Section members as Fellows of AGU while minimizing the associated workload, I have, in consultation with our executive committee, established an Ocean Sciences Fellows Committee chaired by the President-Elect to oversee and assist in the nomination process.The committee asks that anyone wanting to sponsor a nomination send a one-page proposal telling why an individual should be made a Fellow. Proposals will be reviewed by the commitee, and a number equal to 1 ½ to 2 times our nomination quota will be chosen for full presentation. Committee members will then work with nominators to select and contact seconders, while the nominator provides the required curriculum vitae and publication list. The committee will assist in any manner possible to insure that the files that go forward are both timely and well documented.

  10. Twenty-year trends in dietary patterns in French-speaking Switzerland: toward healthier eating.

    Science.gov (United States)

    Marques-Vidal, Pedro; Gaspoz, Jean-Michel; Theler, Jean-Marc; Guessous, Idris

    2017-07-01

    Background: Dietary patterns provide a summary of dietary intake, but to our knowledge, few studies have assessed trends in dietary patterns in the population.Objective: The aim was to assess 20-y trends in dietary patterns in a representative sample of the Geneva, Switzerland, population with the consideration of age, sex, education, and generation.Design: Repeated, independent cross-sectional studies were conducted between 1993 and 2014. Dietary intake was assessed by using a validated food-frequency questionnaire. Dietary patterns were assessed by using principal components analyses.Results: Among 18,763 adults, 1 healthy ("fish and vegetables") and 2 unhealthy ("meat and chips" and "chocolate and sweets") patterns were identified. Scores for the "fish and vegetables" pattern increased, whereas the "meat and chips" and "chocolate and sweets" pattern scores decreased in both sexes and across all age groups. The stronger increase in the "fish and vegetables" pattern score among the less well-educated participants led to a narrowing of educational differences (mean ± SD scores in 1993: -0.56 ± 1.39 compared with -0.05 ± 1.58 in low- compared with highly educated groups, respectively; P chocolate and sweets" was -0.021 (95% CI: -0.027, -0.014; P chocolate and sweets" pattern scores decreased. The stronger increases in the "fish and vegetables" pattern score among the less well-educated participants led to a smaller difference in dietary intake across the different educational levels. © 2017 American Society for Nutrition.

  11. Retinal imaging in the twenty-first century: state of the art and future directions.

    Science.gov (United States)

    Keane, Pearse A; Sadda, Srinivas R

    2014-12-01

    Assessment of chorioretinal disease is dependent on the ability to visualize pathologic changes occurring in the posterior segment of the eye using optical instruments, termed ophthalmoscopy. Ophthalmoscopy, in turn, has been enhanced greatly by the development of techniques that allow recording of these changes, termed retinal imaging. As well as documenting pathologic features, retinal and fundal imaging facilitates the identification of morphologic features not visible to the clinician on biomicroscopy. As such, advances in retinal imaging have proven fundamental to many paradigm shifts in our understanding and treatment of ocular disease. In the 1950s, with the advent of electronic flashes and 35-mm cameras, the field of modern fundus photography was born. Similarly, in the 1960s and 1970s, the introduction of fluorescein and indocyanine green angiography revolutionized our ability to assess the integrity of the chorioretinal vasculature. More recently, in the 1990s, the introduction of a wholly new form of noninvasive cross-sectional imaging, optical coherence tomography, has greatly facilitated use of emerging pharmacotherapies in diagnosing and monitoring chorioretinal disease. In this translational science review, we provide an overview of current, state-of-the-art retinal imaging technologies, as well as highlight many emerging imaging technologies that we believe are likely to transform the provision of eye care in the 21st century.

  12. Electron impact rotationally elastic total cross section for formamide

    Energy Technology Data Exchange (ETDEWEB)

    Vinodkumar, Minaxi, E-mail: minaxivinod@yahoo.co.in [V P and R P T P Science College, Vallabh Vidyanagar 388120 (India); Limbachiya, Chetan, E-mail: chetanlimbachiya2@yahoo.com [Department of Applied Physics, The M.S. University of Baroda, Vadodara 390001 (India); Desai, Hardik, E-mail: hardikdesai.phy@gmail.com; Vinodkumar, P. C., E-mail: p.c.vinodkumar@gmail.com [Department of Physics, Sardar Patel University, Vallabh Vidyanagar 388120 (India)

    2014-09-28

    This paper reports computational results of the total cross sections for electron impact on formamide (HCONH₂) over a wide range of energies from 0.01 eV to 5 keV. Total cross sections over such a wide range are reported for the first time as the earlier reported data is up to maximum of 12 eV. Below ionization threshold of the target, we performed ab initio calculations using UK molecular R-Matrix code within static, exchange plus polarization (SEP), and close coupling approximations. Twenty eight target states are included in close coupling formalism. Total 350 channels and 2410 configuration state functions are included in the calculations. We observe a π* shape resonance at 3.41 eV and a σ* resonance at 15.3 eV as against similar resonances reported at 3.77 eV and 14.9 eV, respectively, by Goumans et al. [J. Chem. Theory Comput. 5, 217 (2009)] using SEP model. The cross sections at higher energies are evaluated using the spherical complex optical potential formalism. The two methods are found to be consistent with a smooth cross over at 18 eV. The vertical excitation energies, electronic excitation cross sections, differential cross sections, momentum transfer, and total cross sections are computed. In absence of experimental data, we compared our computed total cross sections with available other theoretical results.

  13. RESULTS OF THE INTERNATIONAL INTERLABORATORY COMPARISON OF MGMT PROMOTER METHYLATION ANALYSIS INVOLVING TWENTY-THREE ACADEMIC CENTERS IN GERMANY, AUSTRIA AND THE NETHERLANDS

    Science.gov (United States)

    Reifenberger, Guido; Malzkorn, B.; Acker, T.; Bettstetter, M.; Buslei, R.; von Deimling, A.; Dietmaier, W.; Dubbink, H.J.; Eigenbrod, S.; Garvalov, B.K.; Gerstenmaier, U.; Giese, A.; Haase, D.; Hasselblatt, M.; Kirches, E.; Koch, A.; Marienfeld, R.; Mittelbronn, M.; Montesinos-Rongen, M.; Pagenstecher, A.; Riemenschneider, M.J.; Prinz, M.; Romeike, B.; Roos, A.; Spiegl-Kreinecker, S.; Schittenhelm, J.; Schlegel, J.; Thal, D.R.; Tops, B.B.J.; Weis, J.; Westphal, G.; Worm, K.; Felsberg, J.

    2014-01-01

    BACKGROUND: Molecular testing for MGMT promoter methylation has become of clinical importance in the diagnostic assessment of malignant gliomas since test results may guide therapeutic decision making, in particular in elderly patients with glioblastoma. However, the patterns and extent of MGMT promoter methylation may vary from tumor to tumor, and standardized approaches for its routine diagnostic assessment are lacking. Thus, external quality assessment (EQA) measures are required to ensure accuracy and reproducibility of results across different laboratories. METHODS: We performed an interlaboratory comparison of MGMT promoter methylation analysis involving twenty-three academic institutions in Germany, Austria and the Netherlands. Two different test rounds were carried out, the first one using high molecular weight DNA extracted from frozen tissue samples of 20 tumors and the second one using formalin-fixed paraffin-embedded tissue sections of 16 tumors. All samples were centrally retrieved from the CNS tumor tissue bank at Heinrich Heine University Düsseldorf. Each participating center evaluated the same set of samples using the locally established methods. Results were centrally collected, together with information on the individual assays and the number of tests carried out per year. RESULTS: Methylation specific-PCR was the most commonly used method at the participating centers. Other less common techniques included pyrosequencing of bisulfite-modified DNA, MethyQESD (methylation-quantification of endonuclease-resistant DNA), MLPA (Multiplex Ligation-dependent Probe Amplification), and PCR-based fragment analysis. MGMT testing results showed a good overall concordance across the participating laboratories for those tumors that either had strongly methylated or clearly unmethylated MGMT promoter sequences. However, poor concordance was obtained for cases with only weak or partial MGMT promoter methylation. CONCLUSIONS: Our study provides an overview of the

  14. Cimethidine pre-anesthetic. A prophylactic method against Mendelson's syndrome in cesarean section

    DEFF Research Database (Denmark)

    Qvist, N; Storm, K

    1983-01-01

    Twenty patients undergoing cesarean section received cimethidine 400 mg intramuscularly as pre-anesthetic approximately 70 minutes prior to gastric aspiration. The average pH was 5.05, as against 2.97 in the control group (p less than 0.01). No significant reduction in the aspirated volumes...... in the infants. Hence, cimethidine is a safe and useful pre-anesthetic for patients undergoing cesarean section, irrespective of indication and, consequently, much to be preferred to oral antacids....

  15. A Comparative Analysis of Designed Artificial Reefs as Ecosystem Service Providers: Building Social-Ecological Resilience on Atoll Islands

    OpenAIRE

    Schut, Kaj T.

    2013-01-01

    Coral reef ecosystems are under increasing threat from climatic and anthropogenic pressures. Research has revealed that approximately twenty per cent of the world’s coral reefs have already been degraded and it has been predicted that an additional twenty per cent will be lost if no action is taken. This is particularly problematic for the inhabitants of atoll islands who depend greatly on the goods and services provided by coral reefs. This study suggests that the resilience of social and ec...

  16. Service Provider DevOps

    OpenAIRE

    John, Wolfgang; Marchetto, Guido; Németh, Felicián; Sköldström, Pontus; Steinert, Rebecca; Meirosu, Catalin; Papafili, Ioanna; Pentikousis, Kostas

    2017-01-01

    Although there is consensus that software defined networking and network functions virtualization overhaul service provisioning and deployment, the community still lacks a definite answer on how carrier-grade operations praxis needs to evolve. This article presents what lies beyond the first evolutionary steps in network management, identifies the challenges in service verification, observability, and troubleshooting, and explains how to address them using our Service Provider DevOps (SP-DevO...

  17. Community dental clinics: providers' perspectives.

    Science.gov (United States)

    Wallace, Bruce B; MacEntee, Michael I; Harrison, Rosamund; Hole, Rachelle; Mitton, Craig

    2013-06-01

    Not-for-profit community dental clinics attempt to address the inequities of oral health care for disadvantaged communities, but there is little information about how they operate. The objective of this article is to explain from the perspective of senior staff how five community dental clinics in British Columbia, Canada, provide services. The mixed-methods case study included the five not-for-profit dental clinics with full-time staff who provided a wide range of dental services. We conducted open-ended interviews to saturation with eight senior administrative staff selected purposefully because of their comprehensive knowledge of the development and operation of the clinics and supplemented their information with a year's aggregated data on patients, treatments, and operating costs. The interview participants described the benefits of integrating dentistry with other health and social services usually within community health centres, although they doubted the sustainability of the clinics without reliable financial support from public funds. Aggregated data showed that 75% of the patients had either publically funded or no coverage for dental services, while the others had employer-sponsored dental insurance. Financial subsidies from regional health authorities allowed two of the clinics to treat only patients who are economically vulnerable and provide all services at reduced costs. Clinics without government subsidies used the fees paid by some patients to subsidize treatment for others who could not afford treatment. Not-for-profit dental clinics provide dental services beyond pain relief for underserved communities. Dental services are integrated with other health and community services and located in accessible locations. However, all of the participants expressed concerns about the sustainability of the clinics without reliable public revenues. © 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  18. Antibacterial Activity of Twenty Iranian Plant Extracts Against Clinical Isolates of Helicobacter pylori

    Directory of Open Access Journals (Sweden)

    Farahnaz Nariman

    2009-06-01

    Full Text Available Objective(sDue to increasing emergence of drug-resistance in Helicobacter pylori isolates, traditional plants arepotentially valuable sources of novel anti-H. pylori agents. In this research, anti-H. pylori activity of theorganic extracts of twenty native Iranian plants was determined against ten clinical isolates of H. pylori.Materials and MethodsDisc diffusion was used to determine the biological activity of 20 plant extracts as well as 8 antibioticscommonly used to treat H. pylori infections. Minimum inhibitory concentrations were also measured by tubeand agar dilution methods for the biologically active plant extracts.ResultsOf the twenty plant extracts analyzed, sixteen exhibited good anti-H. pylori activity, using disc diffusion.The ten most active extracts were Carum bulbocastanum, Carum carvi, Mentha longifolia, Saliva limbata,Saliva sclarea, Ziziphora clinopodioides, Thymus caramanicus, Glycyrrhiza glabra, Xanthium brasilicumand Trachyspermum copticum. Minimum inhibitory concentrations measured for the 10 biologically activeplant extracts were within the range of 31.25 to 500 μg/ml.ConclusionAmong the ten plant extracts effective against H. pylori clinical isolates, Carum carvi, Xanthium brasilicumand Trachyspermum copticum showed the highest activity.Keywords: Anti-Helicobacter pylori, Iranian plants, Organic extracts

  19. Secondary battery which flaps in the twenty-first century; 21seiki ni habataku nijidenchi

    Energy Technology Data Exchange (ETDEWEB)

    Takehara, Z. [kansai University, Osaka (Japan)

    1999-12-25

    The development of a secondary battery of large safety and high-power high energy density will be advanced in the twenty-first century, while both sides in environment and resources are considered. The high tension battery will be advantageous, and the development of this battery will be promoted mainly by the lithium secondary battery. The battery which uses manganese system compounds for cathode active material was used in the early time practically, and in addition, it will develop to the ferrous compounds. In the electrolyte, the metallic lithium is used in negative electrode active materials, and an organic polymer thin film including an ion cluster which is active in the nonaqueous solvent will be developed. The secondary battery which has only a power generation function at the inside of a container and has active material at the outside of the container is suitable for large-sized and large-capacity secondary batteries. The battery of this conformer of which belongs the redox, flow battery which possesses active material in liquid electrolyte and the fuel cell using a gas active material. The development of the lithium secondary battery using the new material will be promoted competitively with the development of the fuel cell and the redox, flow battery, etc., when the field where the application of the battery expanded in the twenty-first century was considered. (NEDO)

  20. Impact of Power Play Overs on the Outcome of Twenty20 Cricket Match

    Directory of Open Access Journals (Sweden)

    Dibyojyoti Bhattacharjee

    2016-04-01

    Full Text Available This study attempts to find if better performance in power play leads a team to victory in a Twenty20 match. Based on the methodology devised to do so, the study tries to measure the performance of both the teams during power play overs in terms of batting and bowling. The developed measure is called ‘Prod’ which is a product of the difference of batting and bowling performance of the teams during power play overs. The team with better performance in both the skills during power play is expected to win the match. But it would be difficult to predict the outcome of a match if the performance of a team is better in bowling and worse in batting and vice-versa. A total of 261 matches from different seasons of Indian Premier League (IPL are considered for the study. The outcomes of 220 matches are predicted based on the performance of two teams in power play out of which 153 of them were correctly predicted. Remaining 41 matches could not be predicted as it is not clear which team performed better during power play. Thus, out of the matches where the dominance of a team was clear in the power play, 70 percent cases that team ultimately won the match in Twenty20 cricket.

  1. Twenty-four hour Holter monitoring in finishing cattle housed outdoors.

    Science.gov (United States)

    Frese, D A; Thomason, J D; Reinhardt, C; Bartle, S; Rethorst, D; Loneragan, G H; Thomson, D

    2017-04-01

    Atrial premature complexes have been reported to be the most common arrhythmia in cattle and is suspected to be secondary to systemic disease, especially gastrointestinal disease. In order to properly identify pathologic arrhythmia in cattle, the normal rhythm and arrhythmia prevalence should be defined. The objective of this study was to determine the normal heart rate, rhythm, number of ventricular premature complexes (VPCs), and atrial premature complexes (APCs) in unrestrained Angus steers. Twenty-seven client owned steers with unremarkable physical examinations and serum biochemical analyses were used. Twenty-four hour Holter monitors, attached by a custom-made harness, were retrospectively evaluated. Three lead electrocardiographic registrations of good quality and normal sinus rhythm were obtained from all steers in the study. The mean heart rate was 66.8 bpm ± 16.4 bpm. Ventricular premature complexes were rare (noted in 14.8% of steers), and APCs were common (noted in 85% of the steers). Simple second degree AV block was observed in 18.5% of the steers. In summary, healthy steers have rare single VPCs, although it is possible for an individual animal to have apparent more frequent VPCs. Mean heart rate varies with a diurnal pattern similar to other species. Atrial premature complexes are the most prevalent abnormality observed in feedlot steers. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Twenty-first century changes in snowfall climate in Northern Europe in ENSEMBLES regional climate models

    Science.gov (United States)

    Räisänen, Jouni

    2016-01-01

    Changes in snowfall in northern Europe (55-71°N, 5-35°E) are analysed from 12 regional model simulations of twenty-first century climate under the Special Report on Emissions Scenarios A1B scenario. As an ensemble mean, the models suggest a decrease in the winter total snowfall in nearly all of northern Europe. In the middle of the winter, however, snowfall generally increases in the coldest areas. The borderline between increasing and decreasing snowfall broadly coincides with the -11 °C isotherm in baseline (1980-2010) monthly mean temperature, although with variation between models and grid boxes. High extremes of daily snowfall remain nearly unchanged, except for decreases in the mildest areas, where snowfall as a whole becomes much less common. A smaller fraction of the snow in the simulated late twenty-first century climate falls on severely cold days and a larger fraction on days with near-zero temperatures. Not only do days with low temperatures become less common, but they also typically have more positive anomalies of sea level pressure and less snowfall for the same temperature than in the present-day climate.

  3. Food Security in Older Adults: Community Service Provider Perceptions of Their Roles

    Science.gov (United States)

    Keller, Heather H.; Dwyer, John J. M.; Edwards, Vicki; Senson, Christine; Edward, H. Gayle

    2007-01-01

    Food insecurity in older adults is influenced by financial constraints, functional disability, and isolation. Twenty-eight social- and community-service providers participated in four focus groups to report (a) perceptions and experiences with food insecurity in their older clients, (b) beliefs about their potential role(s) in promoting food…

  4. Food Security in Older Adults: Community Service Provider Perceptions of Their Roles

    Science.gov (United States)

    Keller, Heather H.; Dwyer, John J. M.; Edwards, Vicki; Senson, Christine; Edward, H. Gayle

    2007-01-01

    Food insecurity in older adults is influenced by financial constraints, functional disability, and isolation. Twenty-eight social- and community-service providers participated in four focus groups to report (a) perceptions and experiences with food insecurity in their older clients, (b) beliefs about their potential role(s) in promoting food…

  5. Cross-sectional imaging with CT and/or MRI of pediatric chest tumors

    Energy Technology Data Exchange (ETDEWEB)

    Wyttenbach, R.; Vock, P.; Tschaeppeler, H. [Department of Diagnostic Radiology, Division of Children`s Radiology, University Hospital, Bern (Switzerland)

    1998-07-01

    The purpose of this study was to provide an overview of the spectrum of pediatric chest masses, to present the results of cross-sectional imaging with CT and/or MRI, and to define diagnostic criteria to limit differential diagnosis. Seventy-eight children with thoracic mass lesions were retrospectively evaluated using CT (72 patients) and/or MR imaging (12 patients). All masses were evaluated for tissue characteristics (attenuation values or signal intensity, enhancement, and calcification) and were differentiated according to age, gender, location, and etiology. Twenty-eight of 38 (74 %) mediastinal masses were malignant (neuroblastoma, malignant lymphoma). Thirty of 38 (79 %) pulmonary masses were metastatic in origin, all with an already known primary tumor (osteosarcoma, Wilms tumor). With one exception, all remaining pulmonary lesions were benign. Seventeen of 21 (81 %) chest wall lesions were malignant (Ewing sarcoma, primitive neuroectodermal tumor). The majority of mediastinal and chest wall tumors in children is malignant. Lung lesions are usually benign, unless a known extrapulmonary tumor suggests pulmonary metastases. Cross-sectional imaging with CT and/or MRI allows narrowing of the differential diagnosis of pediatric chest masses substantially by defining the origin and tissue characteristics. Magnetic resonance imaging is preferred for posterior mediastinal lesions, whereas CT should be used for pulmonary lesions. For the residual locations both modalities are complementary. (orig.) With 5 figs., 3 tabs., 20 refs.

  6. Section 4: Requirements Intertwining

    Science.gov (United States)

    Loucopoulos, Pericles

    Business analysts are being asked to develop increasingly complex and varied business systems that need to cater to the changing and dynamic market conditions of the new economy. This is particularly acute in today’s turbulent business environment where powerful forces such as deregulation, globalisation, mergers, advances in information and telecommunications technologies, and increasing education of people provide opportunities for organising work in ways that have never before been possible. Enterprises attempt to create wealth either by getting better at improving their products and services or by harnessing creativity and human-centred management to create innovative solutions. In these business settings, requirements become critical in bridging system solutions to organisational and societal problems. They intertwine organisational, social, cognitive, and implementation considerations and they can provide unique insights to change in systems and their business context. Such design situations often involve multiple stakeholders from different participating organisations, subcontractors, divisions, etc., who may have a diversity of expertise, come from different organisational cultures and often have competing goals. The success or failure of many projects depends, to a large extent, on understanding the contextual setting of requirements and their interaction amongst a diverse population of stakeholders.

  7. Industrial Section Convenor's Report

    Science.gov (United States)

    Barone, M.; Riboni, P.

    2002-11-01

    recently into the areas of interest of our community (Hourdakis and Intrasoft) and the examples of an Industry historically committed to a strong R&D effort (SAES-Getters). Finally a case of involvement of industry in a "Big Science" project (CMS) completed the palette of the contributions to this Industry Section. The full set of transparencies of the lectures, are filed and made available at the conference site: .

  8. LECTURES ON ACUPUNCTURE:Part Ⅰ Clinical Acupuncture Lecture Twenty-one MELANCHOLY

    Institute of Scientific and Technical Information of China (English)

    尚秀葵; 付娟; 董红英

    2001-01-01

    Melancholy is a general term for diseases resulting from emotional depressign and stagnation of qi. Disorder of qi-circulation can disturb functional activity of the blood system and result in many pathological changes. In this section, only hysteria is discussed. If you want to treat headache, insomnia, palpitation, seminal emission and globus hystericus, the relative sections in other lectures can be referred to.

  9. [Fast neutron cross section measurements

    Energy Technology Data Exchange (ETDEWEB)

    Knoll, G.F.

    1992-10-26

    From its inception, the Nuclear Data Project at the University of Michigan has concentrated on two major objectives: (1) to carry out carefully controlled nuclear measurements of the highest possible reliability in support of the national nuclear data program, and (2) to provide an educational opportunity for students with interests in experimental nuclear science. The project has undergone a successful transition from a primary dependence on our photoneutron laboratory to one in which our current research is entirely based on a unique pulsed 14 MeV fast neutron facility. The new experimental facility is unique in its ability to provide nanosecond bursts of 14 MeV neutrons under conditions that are clean'' and as scatter-free as possible, and is the only one of its type currently in operation in the United States. It has been designed and put into operation primarily by graduate students, and has met or exceeded all of its important initial performance goals. We have reached the point of its routine operation, and most of the data are now in hand that will serve as the basis for the first two doctoral dissertations to be written by participating graduate students. Our initial results on double differential neutron cross sections will be presented at the May 1993 Fusion Reactor Technology Workshop. We are pleased to report that, after investing several years in equipment assembly and optimization, the project has now entered its data production'' phase.

  10. Attitudes of Healthcare Providers towards Providing Contraceptives for Unmarried Adolescents in Ibadan, Nigeria.

    Directory of Open Access Journals (Sweden)

    Ezihe Loretta Ahanonu

    2014-03-01

    Full Text Available This study sought to assess the attitude of Healthcare Providers towards providing contraceptives for unmarried adolescents in four Local Government Areas in Ibadan, Nigeria.A cross-sectional descriptive study was conducted among 490 Healthcare Providers in 24 randomly selected healthcare facilities using self-administered, pre-tested questionnaires.More than half (57.5% of the respondents perceived the provision of contraceptives for unmarried adolescents as promoting sexual promiscuity. The attitude of 42.7% of them was informed by the Nigerian culture which does not support premarital sex. About half (51.7%, reported that unmarried adolescents should be asked to abstain from sex rather than providing them with contraceptives. Over a third (44.2% reported that providers should not provide services for both married and unmarried adolescents.Many healthcare providers have unfavourable attitudes towards the provision of contraceptives for unmarried adolescents. There is a need for further training of Healthcare Providers to address this situation.

  11. The perspective of rural physicians providing abortion in Canada: qualitative findings of the BC Abortion Providers Survey (BCAPS.

    Directory of Open Access Journals (Sweden)

    Jennifer Dressler

    Full Text Available BACKGROUND: An increasing proportion of Canadian induced abortions are performed in large urban areas. For unknown reasons the number of rural abortion providers in Canadian provinces, such as British Columbia (BC, has declined substantially. This study explored the experiences of BC rural and urban physicians providing abortion services. METHODS: The mixed methods BC Abortion Providers Survey employed self-administered questionnaires, distributed to all known current and some past BC abortion providers in 2011. The optional semi-structured interviews are the focus of this analysis. Interview questions probed the experiences, facilitators and challenges faced by abortion providers, and their future intentions. Interviews were transcribed and analyzed using cross-case and thematic analysis. RESULTS: Twenty interviews were completed and transcribed, representing 13/27 (48.1% rural abortion providers, and 7/19 (36.8% of urban providers in BC. Emerging themes differed between urban and rural providers. Most urban providers worked within clinics and reported a supportive environment. Rural physicians, all providing surgical abortions within hospitals, reported challenging barriers to provision including operating room scheduling, anesthetist and nursing logistical issues, high demand for services, professional isolation, and scarcity of replacement abortion providers. Many rural providers identified a need to "fly under the radar" in their small community. DISCUSSION: This first study of experiences among rural and urban abortion providers in Canada identifies addressable challenges faced by rural physicians. Rural providers expressed a need for increased support from hospital administration and policy. Further challenges identified include a desire for continuing professional education opportunities, and for available replacement providers.

  12. New Arsenic Cross Section Calculations

    Energy Technology Data Exchange (ETDEWEB)

    Kawano, Toshihiko [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-03-04

    This report presents calculations for the new arsenic cross section. Cross sections for 73,74,75 As above the resonance range were calculated with a newly developed Hauser-Feshbach code, CoH3.

  13. Section for qualitative methods (Letter)

    OpenAIRE

    Todd, Z.; Madill, A.

    2004-01-01

    Qualitative research methods are increasingly used in all areas of psychology. We have proposed a new Section – the Qualitative Methods in Psychology Section – for anyone with an interest in using these research methods.

  14. A nuclear cross section data handbook

    Energy Technology Data Exchange (ETDEWEB)

    Fisher, H.O.M.

    1989-12-01

    Isotopic information, reaction data, data availability, heating numbers, and evaluation information are given for 129 neutron cross-section evaluations, which are the source of the default cross sections for the Monte Carlo code MCNP. Additionally, pie diagrams for each nuclide displaying the percent contribution of a given reaction to the total cross section are given at 14 MeV, 1 MeV, and thermal energy. Other information about the evaluations and their availability in continuous-energy, discrete-reaction, and multigroup forms is provided. The evaluations come from ENDF/B-V, ENDL85, and the Los Alamos Applied Nuclear Science Group T-2. Graphs of all neutron and photon production cross-section reactions for these nuclides have been categorized and plotted. 21 refs., 5 tabs.

  15. Use of frozen section in genitourinary pathology.

    Science.gov (United States)

    Shen, Steven S; Truong, Luan D; Ro, Jae Y; Ayala, Alberto G

    2012-08-01

    Frozen section diagnosis provides critical information for immediate surgical management decision making. Over the last several years, there have been some significant advances in treatment of genitourinary cancer, particularly with regard to surgical techniques. These changes in turn impact the type and frequency of intraoperative frozen section requests. In this review, we describe the main indications and diagnostic challenges of frozen section diagnosis during surgeries of each genitourinary organ system including prostate, kidney, bladder, testis, and penis. The pitfalls and approaches to different diagnostic situations are discussed. It is also stressed that pathologists must not only be familiar with the histological diagnosis, but also understand the limitations of frozen section diagnosis and communicate with urologists during the intraoperative treatment decision making process.

  16. Polyphasic taxonomy of Aspergillus section Cervini

    Directory of Open Access Journals (Sweden)

    A.J. Chen

    2016-09-01

    Full Text Available Species belonging to Aspergillus section Cervini are characterised by radiate or short columnar, fawn coloured, uniseriate conidial heads. The morphology of the taxa in this section is very similar and isolates assigned to these species are frequently misidentified. In this study, a polyphasic approach was applied using morphological characters, extrolite data, temperature profiles and partial BenA, CaM and RPB2 sequences to examine the relationships within this section. Based on this taxonomic approach the section Cervini is resolved in ten species including six new species: A. acidohumus, A. christenseniae, A. novoguineensis, A. subnutans, A. transcarpathicus and A. wisconsinensis. A dichotomous key for the identification is provided.

  17. Wind Turbine Providing Grid Support

    DEFF Research Database (Denmark)

    2011-01-01

    A variable speed wind turbine is arranged to provide additional electrical power to counteract non-periodic disturbances in an electrical grid. A controller monitors events indicating a need to increase the electrical output power from the wind turbine to the electrical grid. The controller...... is arranged to control the wind turbine as follows: after an indicating event has been detected, the wind turbine enters an overproduction period in which the electrical output power is increased, wherein the additional electrical output power is taken from kinetic energy stored in the rotor and without...... changing the operation of the wind turbine to a more efficient working point.; When the rotational speed of the rotor reaches a minimum value, the wind turbine enters a recovery period to re-accelerate the rotor to the nominal rotational speed while further contributing to the stability of the electrical...

  18. Using of Automatic Metadata Providing

    Directory of Open Access Journals (Sweden)

    P. Šimek

    2013-12-01

    Full Text Available The paper deals with the necessity of systemic solution for metadata providing by local archives into central repositories and its subsequent implementatiton by the Department of Information Technologies, Faculty of Economics and Management, Czech University of Life Sciences in Prague, for the needs of the agrarian WWW AGRIS portal. The system supports the OAI-PMH (Open Archive Initiative – Protocol for Metadata Harvesting protocol, several metadata formats and thesauri and meets the quality requirements: functionality, high level of reliability, applicability, sustainability and transferability. The SW application for the OAI-PMH requests’ servicing is run in the setting of the WWW Apache server using an efficient PHP framework Nette and database dibi layer.

  19. Bacteriological conversion in twenty urinary tuberculosis patients treated with ofloxacin, rifampin and isoniazid: a 10-year follow-up study.

    Science.gov (United States)

    Castiñeiras, A Alberte; Pérez-Pascual, P; Zarranz, J Estébanez; Della-Latta, P; Herreras, A

    2002-09-01

    Twenty patients with urinary tuberculosis were treated with ofloxacin (200 mg/day, 6 months), rifampin (600 mg/day, 3 months) and isoniazid (300 mg/day, 3 months) between 1989 and 1990. All patients were new cases, diagnosed by observation and/or isolation of Mycobacterium tuberculosis in one of the three morning urine samples. Bacteriological culture conversion (negativization) was assessed as a clinical guide of efficacy, comparing it, as the only parameter, against a control group (150 patients) with urinary tuberculosis who received conventional therapy. Bacteriological follow-up studies were performed in both groups monthly for 6 months, then again 6 months later and then every year for 10 years after completion of treatment. In the 20 patients, the initial culture was positive with over 100 colonies per culture (>50%); the smear was positive in 45% of the patients (most were 2+). All strains were susceptible to rifampin, isoniazid and ofloxacin. Two patients discontinued treatment. Beginning with the first month of treatment, the bacteriological conversion was 100%, 89.5% and 100% in the remaining controls. In the control group, which received conventional treatment, the conversion was: 90%, 87%, 93% and 100% in the remaining controls. Treatment with ofloxacin resulted in a bacteriological conversion similar to that following conventional treatment ( p>0.05, Fisher's exact test). After 10 years of patient follow-up, we conclude that ofloxacin, in combination with rifampin and isoniazid (both for 3 months only is effective against M. tuberculosis, providing satisfactory bacteriological and clinical efficacy.

  20. A twenty-year follow-up survey of medical emergency education in U.S. dental schools.

    Science.gov (United States)

    Clark, Morris S; Wall, Benjamin E; Tholström, Tad C; Christensen, Edward H; Payne, Brandon C

    2006-12-01

    This article reports the results of a 2003 survey of medical emergency education taught in U.S. dental schools and compares the results to findings from surveys conducted in 1983 and 1992. A questionnaire was sent to the deans of all U.S. dental schools, requesting completion of the survey by the faculty member responsible for medical emergency education. Forty-three of fifty-four U.S. dental schools responded, and the data were compared to similar surveys conducted in 1983 and 1992. Special attention was given to changes in technology (pulse oximetry and automated external defibrillators), teaching methods (audiovisual, role-playing, and simulation), and subject matter (CPR, venipuncture, and endotracheal intubation) that affect medical emergency education. The study found a large disparity in number of hours dedicated to medical emergency training among dental schools. Surprisingly, CPR certification/recertification for both students and faculty was not provided at three of the reporting U.S. dental schools. Most schools included venipuncture and endotracheal intubation in their curriculum. Routine monitoring of vital signs remained fairly consistent over the past twenty years with a slight dip in the 1992 survey. A standardization of medical emergency education needs to take place to ensure an appropriate level of training for all dental students.

  1. B. F. Skinner’s legacy twenty years after (1990-2010: Behavior analysis in Ibero-America

    Directory of Open Access Journals (Sweden)

    Wilson M. López López

    2010-01-01

    Full Text Available Twenty years after his death (August 18th 1990,B. F. Skinner leaves five major living legacies: 1radical behaviorism; 2 the experimental analysis ofbehavior; 3 applied behavior analysis; 4 the Skinnerbox; 5 the Horcones community (Mexico.Behavior analysis is recognized for its internationalactive presence. Its growth provides a set of opportunitiesfor knowledge and technology transferenceand reminds us the importance of working for thedevelopment of educational and research programsand the arrangement of contingencies which enableits advance. In Ibero-America, behavior analysis, asa Skinnerian legacy, has been an important traditionwithin psychology. In this article we will presenta current synthesis of the central Ibero-Americancontributions to Behavior analysis. The panoramaof Behavior analysis in Ibero-America will beanalyzed according to the following dimensions:1 the most relevant figures; 2 the academic communityrelated to the Behavior Analytic tradition;and 3 the most important research lines. Finally,some of the most general characteristics of Ibero-American Behavior analysis are included.

  2. Scheduling a C-Section

    Science.gov (United States)

    ... Pregnancy > Labor & birth > Scheduling a c-section Scheduling a c-section E-mail to a friend Please fill in all fields. Please enter ... and develop before she’s born. Why can scheduling a c-section for non-medical reasons be a ...

  3. 14 CFR Section 5 - [Reserved

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Section 5 Section 5 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC REGULATIONS UNIFORM SYSTEM OF ACCOUNTS AND REPORTS FOR LARGE CERTIFICATED AIR CARRIERS Balance Sheet Classifications Section...

  4. 46 CFR Section 1 - Purpose.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Purpose. Section 1 Section 1 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS FEDERAL PORT CONTROLLERS Section 1 Purpose. This part prescribes the standard form of the service agreement to be entered into by the...

  5. 46 CFR Section 1 - Definitions.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Definitions. Section 1 Section 1 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS RESTRICTIONS UPON THE TRANSFER OR CHANGE IN USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Section 1 Definitions. As used in this...

  6. 14 CFR Section 02 - [Reserved

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Section 02 Section 02 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC REGULATIONS UNIFORM SYSTEM OF ACCOUNTS AND REPORTS FOR LARGE CERTIFICATED AIR CARRIERS Section 02 ...

  7. Having a C-Section

    Science.gov (United States)

    ... Pregnancy > Labor & birth > Having a c-section Having a c-section E-mail to a friend Please fill in all fields. Please enter ... at least 39 weeks of pregnancy. What is a c-section? Most babies are born through vaginal ...

  8. An estimate of the effects of climate change on the rainfall of Mediterranean Spain by the late twenty first century

    Energy Technology Data Exchange (ETDEWEB)

    Sumner, G.N. [Centre for Geography, University of Wales, Lampeter, Ceredigion, Wales (United Kingdom); Romero, R.; Homar, V.; Ramis, C.; Alonso, S. [Departament de Fisica, Universitat de les Illes Balears, Palma de Mallorca (Spain); Zorita, E. [Institut fuer Gewaesserphysik GKSS, Geesthacht (Germany)

    2003-05-01

    Heading Abstract. The study uses a GCM (ECHAM-OPYC3) and the association between the atmospheric circulation at 925 and 500 hPa and the distribution of daily precipitation for Mediterranean Spain (from earlier analyses) to give estimates of the probable annual precipitation for the late twenty first century. A down-scaling technique is used which involves the matching of daily circulation output from the model for a sequence of years in the late twentieth century (1971-90) and for a corresponding period in the late twenty first century (2080-99) to derive probable regional atmospheric pattern (AP) frequencies for this latter period, and thence to estimate likely changes in annual precipitation. Model days are classified by searching for the closest analogue amongst 19 previously identified APs from an earlier study. Future annual precipitation distribution is derived using previously established relationships between circulation type and daily precipitation distribution. Predicted AP frequencies and precipitation amounts and distribution are compensated by comparing model output with ECMWF data for a decade (1984-93) within the 1971-90 sequence, so that the analysis also provides a verification of the performance of the model. In general the agreement between model output and actual AP frequencies is very good for the present day, though for this southerly region the model appears slightly to under-estimate the frequency of easterly type circulations, many of which yield some of the most significant autumn severe storm rainfalls along the Mediterranean coast. The model tends to over-estimate the frequency of westerly type situations. The study utilises a 'moving window' technique in an attempt to derive measures of inter-decadal variability within the two 20 year periods. This avoids use of data from outside the periods, which would incorporate changing AP frequencies during a period of sustained climate change. Quite pronounced changes in frequency are

  9. 77 FR 321 - Section 4(f) Policy Paper

    Science.gov (United States)

    2012-01-04

    ... Federal Highway Administration Section 4(f) Policy Paper AGENCY: Federal Highway Administration (FHWA... draft Section 4(f) Policy Paper that will provide guidance on the procedures the FHWA will follow when... practicable. Background A copy of the proposed Section 4(f) Policy Paper is available for download and public...

  10. 5 CFR 9701.407 - Monitoring performance and providing feedback.

    Science.gov (United States)

    2010-01-01

    ... feedback. 9701.407 Section 9701.407 Administrative Personnel DEPARTMENT OF HOMELAND SECURITY HUMAN... performance and providing feedback. In applying the requirements of the performance management system and its... organization; and (b) Provide timely periodic feedback to employees on their actual performance with respect...

  11. 8 CFR 204.302 - Role of service providers.

    Science.gov (United States)

    2010-01-01

    ... facilitator that is not authorized under 8 CFR part 292 to engage in representation before USCIS. (c... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Role of service providers. 204.302 Section... PETITIONS Intercountry Adoption of a Convention Adoptee § 204.302 Role of service providers. (a) Who...

  12. The role of AGG interruptions in fragile X repeat expansions: A twenty year perspective

    Directory of Open Access Journals (Sweden)

    Gary J. Latham

    2014-07-01

    Full Text Available In 1994 it was suggested that AGG interruptions affect the stability of the fragile X triplet repeat. Until recently, however, this hypothesis was not explored on a large scale due primarily to the technical difficulty of determining AGG interruption patterns of the two alleles in females. The recent development of a PCR technology that overcomes this difficulty and accurately identifies the number and position of AGGs has led to several studies that examine their influence on repeat stability. Here we present a historical perspective of relevant studies published during the last twenty years on AGG interruptions and examine those recent publications that have refined risk estimates for repeat instability and full mutation expansions.

  13. Classification of Groups with Strong Symmetric Genus up to Twenty-Five

    CERN Document Server

    Fieldsteel, Nathan; London, Tyler; Tran, Holden; Xu, Haokun

    2011-01-01

    The strong symmetric genus of a finite group is the minimum genus of a compact Riemann surface on which the group acts as a group of automorphisms preserving orientation. A characterization of the infinite number of groups with strong symmetric genus zero and one is well-known and the problem is finite for each strong symmetric genus greater than or equal to two. May and Zimmerman have published papers detailing the classification of all groups with strong symmetric genus two through four. Using the computer algebra system GAP, we extend these classifications to all groups of strong symmetric genus up to twenty-five. This paper outlines the approach used for the extension.

  14. Toward a Social Psychology of Race and Race Relations for the Twenty-First Century.

    Science.gov (United States)

    Richeson, Jennifer A; Sommers, Samuel R

    2016-01-01

    The United States, like many nations, continues to experience rapid growth in its racial minority population and is projected to attain so-called majority-minority status by 2050. Along with these demographic changes, staggering racial disparities persist in health, wealth, and overall well-being. In this article, we review the social psychological literature on race and race relations, beginning with the seemingly simple question: What is race? Drawing on research from different fields, we forward a model of race as dynamic, malleable, and socially constructed, shifting across time, place, perceiver, and target. We then use classic theoretical perspectives on intergroup relations to frame and then consider new questions regarding contemporary racial dynamics. We next consider research on racial diversity, focusing on its effects during interpersonal encounters and for groups. We close by highlighting emerging topics that should top the research agenda for the social psychology of race and race relations in the twenty-first century.

  15. Globalisation and Social Imaginaries: The Changing Ideological Landscape of the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    Manfred B. Steger

    2009-01-01

    Full Text Available The proliferation of prefixes like ‘neo’ and ‘post’ that adorn conventional ‘isms’ has cast a long shadow on the contemporary relevance of traditional political belief systems like liberalism, conservatism, and Marxism. This article explores how the thickening of global consciousness finds its expression in the growing capability of today’s political ideologies to translate the rising global imaginary into concrete political programs and agendas. But these subjective dynamics of denationalization at the heart of globalisation have not yet dispensed with the declining national imaginary. The twenty-first century promises to be an ideational interregnum in which both the global and national stimulate people’s deep-seated understandings of community. The essay also offers a rough outline and basic features of a new classification scheme that divides contemporary political ideologies into ‘market globalism’, ‘justice globalism’, and ‘religious globalism’.

  16. Children's inquiry strategies in referential communication and in the game of twenty questions.

    Science.gov (United States)

    Courage, M L

    1989-08-01

    Young listeners perform poorly on referential communication tasks because they respond to ambiguous messages by guessing rather than by seeking clarification. 2 experiments addressed the ability of 4-, 5-, and 7-year-old listeners to perform competently following training in the skill of asking categorical questions. Training was presented either in the context of a Listener task or a Twenty Questions task. As these tasks require common strategies of information seeking, it was predicted that training in one task context would lead to improved performance on that task and to generalization of skill to the untrained task. The hypothesis was supported, although there were age differences in the effectiveness of training and efficiency of strategy use. The implications of the results for children's developing communication abilities were discussed.

  17. Twenty Years of Co-operation between Spain and France: Friends, Partners or Allies?

    Directory of Open Access Journals (Sweden)

    Laia Mestres i Camps

    2006-11-01

    Full Text Available The progress made in the relations between France and Spain at the 18th Spanish- French Summit, held in Paris on 10 November 2005, demonstrate that relations between France and Spain are passing through a good moment, and at the same time it allows us to go deeper into the analysis of the co-operation between these two neighbours over the past twenty years. This article aims to examine the evolution of relations between Spain and France, which must administer a dense bilateral agenda as neighbours and anothermultilateral agenda as European partners. In other words, it will analyse the extent to which French-Spanish relations can become a balanced, stable alliance.

  18. Twenty-Year Optical Variability of The Blazar PKS 1749+096: Exponential Outbursts?

    Science.gov (United States)

    Balonek, Thomas J.; Lam, M. T.; Patrick, P. A.; Scott, E. L.; Kaercher, A. J.; Rupert, J.; Taber, T.; Hegel, P.; Tam, Y. H. N.; Morin, A.; Levandowski, K.; Graber, E. L.; Quirk, T. S.

    2011-01-01

    We present the twenty-year R-band optical variability light curve for the BL Lac type quasar PKS 1749+096. We investigate the characteristic timescales and intensity of outbursts and flares by fitting exponential profiles to the variations. PKS 1749+096 underwent strong optical outbursts during the summers of 2007 and 2008, reaching its brightest optical level in two decades, and exhibited an inactive period during summer 2009. We compare these two outbursts with lower amplitude well-sampled variations in 2000 through 2003. Observations were obtained as part of the intensive blazar variability monitoring program at the Colgate University Foggy Bottom Observatory (FBO). We gratefully acknowledge support for student research through an REU grant to the Keck Northeast Astronomy Consortium from the National Science Foundation, the NASA / New York Space Grant, and the Justus and Jayne Schlichting Student Research Fund at Colgate University.

  19. Space Science in the Twenty-First Century: Imperatives for the Decades 1995 to 2015. Overview

    Science.gov (United States)

    1988-01-01

    The opportunities for space science in the period from 1995 to 2015 are discussed. A perspective on progress in the six disciplines (the planet Earth; planetary and lunar exploration; solar system space physics; astronomy and astrophysics; fundamental physics and chemistry; and life sciences) of space science are reviewed. The prospectives for major achievements by 1995 from missions already underway or awaiting new starts are included. A set of long range goals for these disciplines are presented for the first two decades of the twenty-first century. Broad themes for future scientific pursuits are presented and some examples of high-priority missions for the turn of the century are highlighted. A few recommendations are cited for each discipline to suggest how these themes might be developed.

  20. Proceedings of the twenty-third annual British Columbia mine reclamation symposium: mine decommissioning

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-09-01

    The symposium covered a spectrum of reclamation issues relevant to mining in British Columbia. The proceedings contain the twenty-one technical papers presented and a report by the awards subcommittee concerning citations awarded. Papers are included on native species in reclamation, bat conservation, biological removal of selenium, wetland cells for removing heavy metals leachates, end land use plan for a copper mine, environmental projects at Fording Coal, reclamation at a nickel plate tailings facility, forestry for end use, contaminated site legislation, compliance, environmental management considerations, acid rock drainage prediction, granular cover system for tailings management, long-term management of tailings and tailings dams at decommissioned mining properties, mine subsidence risk management, reclaiming subsidence in abandoned mining areas, and reclamation of mine openings. Two papers are abstracted separately.

  1. [Development of health promotion in Brazil in the last twenty years (1988-2008)].

    Science.gov (United States)

    Buss, Paulo Marchiori; Carvalho, Antonio Ivo de

    2009-01-01

    This paper examines the institutionalization of health promotion (HP) in Brazil in the twenty years following the proclamation of the 1988 Brazilian Constitution. The legal and institutional foundations of HP are delineated, as well as its recent reassertion as a national policy. Moreover, the praxis of HP within the health system and other instances are analyzed, and the institutional capacity building - by means of research and training of human resources - is examined. Around 100 papers were revised, including institutional policy documents, decrees, laws, and annals of congresses and other events. The authors' personal experience in the ideational conception of the area and in the institutionalization of health promotion as a public policy in the country was also drawn upon. Finally, major restrictions to the theoretical and practical development of health promotion are criticized and a few ideas that might benefit such development are presented.

  2. Screening of twenty five plant extracts for larvicidal activity against Culex quinquefasciatus Say (Diptera:Culicidae)

    Institute of Scientific and Technical Information of China (English)

    Samuel Tennyson; K John Ravindran; S Arivoli

    2012-01-01

    Objective: To determine the larvicidal activity of twenty five plant extracts against Culex quinquefasciatus (Cx. quinquefasciatus). Methods: The larvicidal activity was determined against the third instar larvae of Cx. quinquefasciatus at 1 000 ppm concentration. Larval mortality was assessed after 24 and 48 h. Results: The hexane extracts of Cleistanthus collinus (C. collinus) and Murraya koeingii (M. koeingii) plants showed 100 percent mortality at 24 h bioassay followed by diethyl ether, dichloromethane and ethyl acetate extracts of C. collinus, Leucas aspera (L. aspera), Hydrocotyle javanica (H. javanica), M. koeingii, Sphaeranthus indicus (S. indicus) and Zanthoxylum limonella (Z. limonella) after 48 h exposure. Conclusions: The results indicate larvicidal activity against Cx. quinquefasciatus and further investigations are needed to elucidate this activity against a wide range of all stages of mosquito species and also the active ingredients of the extract responsible for larvicidal activity should be identified.

  3. Little Dorrit’s Fourth Volume. Twenty-first Century Remediation of a Victorian Classic

    Directory of Open Access Journals (Sweden)

    Simonetta Falchi

    2014-11-01

    Full Text Available The current interest in the Victorian period is particularly evident in the multitude of successful period dramas and cinema productions deriving their inspiration from Victorian history and culture. Dickens’s Little Dorrit, generated by the difficulties of understanding a ‘new’ world dominated by more and more complicated machines, and markets, is possibly the ideal paradigm to explore this ‘Victorianomania’ because this novel strikes us “no less forcefully today in its indictment of society's ability to destroy through greed and crushing self-interest” (Kirschner 2009.This study carries out a threefold analysis of Little Dorrit's remediation in the twenty-first century: visual remediation – Xue’s 2012 Little Dorrit; audio-visual remediation – the BBC series; and web remediation – fan fiction – in order to investigate Dickens’s appeal and longevity in contemporary media.

  4. Topical melagenine for repigmentation in twenty-two child patients with vitiligo on the scalp

    Institute of Scientific and Technical Information of China (English)

    许爱娥; 尉晓冬

    2004-01-01

    Background The purpose of this study was to evaluate the efficacy of topical melagenine for repigmentation in child patients with vitiligo on the scalp. Methods Twenty-two child patients with vitiligo on the scalp were treated with 1.2 mg/ml aqueous melagenine in combination with 20 minutes of infrared exposure twice daily. Results In 4 patients (18.2%), melagenine treatment in combination with infrared exposure led to complete recovery; in 6 patients (27.3%), treatment was shown to be effective; in 8 patients(36.3%), treatment led to improvements in patient condition; and only 4 patients (18.2%) showed no response after 1 -2 treatment sessions. The general effective rate of melagenine-infrared combination treatment was 45. 5% for the children with vitiligo on the scalp, and treatment was accompanied by minimal side effects.Conclusion Melagenine may be efficacious and a safe treatment option for childhood vitiligo affecting the scalp.

  5. Life on hold: Staying in identity diffusion in the late twenties.

    Science.gov (United States)

    Carlsson, Johanna; Wängqvist, Maria; Frisén, Ann

    2016-02-01

    This study adds to the understanding of the dark side of identity development by investigating what it means to experience long-term identity diffusion during the late twenties. In a study of change and stability in identity status between ages 25 and 29 (N = 124; 63 women), seven participants were assigned to identity diffusion at both ages. Longitudinal analysis of interviews with these participants showed that long-term experiences of identity diffusion may be described through individuals' approach to changing life conditions, the extent to which they engage in meaning making, and how they develop their personal life direction. In questionnaires, participants reported few signs of psychological distress. Even so, qualitative analyses showed a general trend among participants to keep life on hold through decreased activity or increased haphazard activity in relation to changing life conditions, to make little new meaning, and in some cases to dissolve their personal life direction.

  6. Microbial adhesion to hydrocarbons: twenty-five years of doing MATH.

    Science.gov (United States)

    Rosenberg, Mel

    2006-09-01

    Twenty-five years ago this past autumn, we published a short article entitled 'Adherence of bacteria to hydrocarbons: a simple method for measuring cell-surface hydrophobicity' in Volume 9 of FEMS Microbiology Letters. Together with my Ph.D. supervisors, Eugene Rosenberg and David Gutnick, we proposed a method of measuring bacterial cell surface hydrophobicity based on bacterial adherence to hydrocarbon ('BATH', later known as 'MATH', for microbial adhesion to hydrocarbon). The method became popular soon after it was published, and the paper was, for at least the following decade, the Journal's most cited article. It became an ISI 'citation classic' in 1991. This minireview is a rather personal look at the development of the method and its various modifications and other scientific offspring, with the perspective of a quarter-century.

  7. TWENTIES Project. Wind power for wide-area control of the grid

    Energy Technology Data Exchange (ETDEWEB)

    Perez, Juan Carlos; Combarros, Clara; Veguillas, Roberto; Hermosa, Mikel Joseba [Iberdrola Renovables, Madrid (Spain); Rubio, David [Iberdrola Ingenieria y Construccion (Spain); Egido, Ignacio [Comillas Univ. (ES). Inst. de Investigacion Tecnologica (IIT)

    2011-07-01

    Europe faces a great challenge with the 2020 scenario in which the renewable energy installed capacity in Europe should increase from its present value of approximately 80 GW to 230 GW in 2020. The future high penetration levels of wind and other renewable energies in the power system require decision makers and stakeholders of the electrical sector to work together to develop new ancillary services and to make the necessary changes to the grid infrastructure in Europe. This background is in line with the SYSERWIND demonstration lead by Iberdrola Renovables and included in the TWENTIES project, with three more partners taking part in this package: Red Electrica de Espana (REE), IIT and Gamesa Eolica. This paper introduces a first phase of preliminary work to define, install and test a Secondary Frequency Control and a Voltage Management System in a wide area, along a transport line. (orig.)

  8. The Worldwide Significance of Chinese Aesthetics in the Twenty-First Century

    Institute of Scientific and Technical Information of China (English)

    Liu Qingping

    2006-01-01

    Through comparisons between traditional Chinese and Western aesthetics,this article tries to explain the worldwide significance of Chinese aesthetic tradition in the twentyfirst century.In contrast to cognitive-rational spirit and the tendency to distinguish the subjectives and objectives of traditional Western aesthetics,traditional Chinese aesthetics shows a distinctive practical-emotional spirit and a tendency to harmoniously unite human beings with nature,and believes that beauty is,first and foremost,a free state or way (Dao) of human life;the most important thing for human beings is how to make their own lives and existence beautiful.Therefore,it puts forward some persuasive and valuable insights into beauty and art,thus playing an independent and constructive role in intercultural aesthetic dialogues of the twenty-first century.

  9. Clean Water Act (excluding Section 404)

    Energy Technology Data Exchange (ETDEWEB)

    1993-01-15

    This Reference Book contains a current copy of the Clean Water Act (excluding Section 404) and those regulations that implement the statutes and appear to be most relevant to US Department of Energy (DOE) activities. The document is provided to DOE and contractor staff for informational purposes only and should not be interpreted as legal guidance. Updates that include important new requirements will be provided periodically. Questions concerning this Reference Book may be directed to Mark Petts, EH-231 (202/586-2609).

  10. Modeling golden section in plants

    Institute of Scientific and Technical Information of China (English)

    Lanling Zeng; Guozhao Wang

    2009-01-01

    Plants are complex structures, changing their shapes in response to environmental factors such as sunlight, water and neighboring plants. However, some mathematical rules can be found in their growth patterns, one of which is the golden section. The golden section can be observed in branching systems, phyllotaxis, flowers and seeds, and often the spiral arrangement of plant organs. In this study, tree, flower and fruit models have been generated by using the corresponding golden section characteristics, resulting in more natural patterns. Furthermore, the golden section can be found in the bifurcate angles of trees and lobed leaves, extending the golden section theory.

  11. SLJ Special Section: Computer Technology and Libraries.

    Science.gov (United States)

    School Library Journal, 1984

    1984-01-01

    This 5-article section provides an annotated bibliography of 39 books about computer technology; describes peripheral equipment essential for building computer systems; suggests an approach to software evaluation and selection; describes the implementation of a computer program for elementary/secondary students and teachers; and reviews 34…

  12. Parieto-occipital encephalomalacia in children; clinical and electrophysiological features of twenty-seven cases

    Directory of Open Access Journals (Sweden)

    Pakize Karaoglu

    2015-01-01

    Full Text Available Context: Brain injuries occurring at a particular time may cause damages in well-defined regions of brain. Perinatal hypoxic ischemic encephalopathy and hypoglycemia are some of the most common types of brain injuries. Neonatal hypoglycemia can cause abnormal myelination in parietal and occipital lobes resulting in parieto-occipital encephalomalacia. There is a small number of studies about clinical and electroencephalographic (EEG features of children with parieto-occipital encephalomalacia. They might have important neurologic sequelae such as cortical visual loss, seizures, and psychomotor retardation. Aims: We aimed to evaluate the causes of parieto-occipital encephalomalacia and evaluate the clinical and electrophysiological features of children with parieto-occipital encephalomalacia. Settings and Design: We evaluated clinical features and EEGs of 27 children with parieto-occipital encephalomalacia. Statistical Analysis Used: Descriptive statistics were used. Results: Hospitalization during the neonatal period was the most common cause (88.9% of parieto-occipital brain injury. Eleven patients (40.7% had a history of neonatal hypoglycemia. Twenty-three patients (85.2% had epilepsy and nine of the epileptic patients (39% had refractory seizures. Most of the patients had bilateral (50% epileptic discharges originating from temporal, parietal, and occipital lobes (56.2%. However, some patients had frontal sharp waves and some had continuous spike and wave discharges during sleep. Visual abnormalities were evident in 15 (55.6% patients. Twenty-two (81.5% had psychomotor retardation. Fine motor skills, social contact and language development were impaired more than gross motor skills. Conclusions: In our study, most of the patients with parieto-occipital encephalomalacia had an eventful perinatal history. Epilepsy, psychomotor retardation, and visual problems were common neurologic complications.

  13. Is telomere length socially patterned? Evidence from the West of Scotland Twenty-07 Study.

    Directory of Open Access Journals (Sweden)

    Tony Robertson

    Full Text Available Lower socioeconomic status (SES is strongly associated with an increased risk of morbidity and premature mortality, but it is not known if the same is true for telomere length, a marker often used to assess biological ageing. The West of Scotland Twenty-07 Study was used to investigate this and consists of three cohorts aged approximately 35 (N = 775, 55 (N = 866 and 75 years (N = 544 at the time of telomere length measurement. Four sets of measurements of SES were investigated: those collected contemporaneously with telomere length assessment, educational markers, SES in childhood and SES over the preceding twenty years. We found mixed evidence for an association between SES and telomere length. In 35-year-olds, many of the education and childhood SES measures were associated with telomere length, i.e. those in poorer circumstances had shorter telomeres, as was intergenerational social mobility, but not accumulated disadvantage. A crude estimate showed that, at the same chronological age, social renters, for example, were nine years (biologically older than home owners. No consistent associations were apparent in those aged 55 or 75. There is evidence of an association between SES and telomere length, but only in younger adults and most strongly using education and childhood SES measures. These results may reflect that childhood is a sensitive period for telomere attrition. The cohort differences are possibly the result of survival bias suppressing the SES-telomere association; cohort effects with regard different experiences of SES; or telomere possibly being a less effective marker of biological ageing at older ages.

  14. [Comparison of 51 element contents in normal human lung tissue over twenty years].

    Science.gov (United States)

    Zeng, Jing; Ouyang, Li; Wang, Xiao-Yan; Liu, Ya-Qiong; Xie, Qing; Chu, Hong-Da; Wu, Quan; Fan, Ti-Qiang; Wang, Jing-Yu

    2008-05-01

    Changes in content and distribution of elements in human tissues may reflect changes in environmental backgrounds, and are closely related to human health. To investigate the change in element background in normal lung tissue in different stage, we used ICP-MS, ICP-AES and GFAAS to determine 51 element contents in normal human lung samples of 1982-83 year (n = 7) and compare with those of 2004-05 year (n = 16). Samples were from healthy male adults who died suddenly, and were treated with microwave digestion and wet digestion method. The results show that the contents of 23 elements (Na, Mg, P, K, As, Mo, Ag, Ba, Bi, Y, La, Ce, Pr, Nd, Sm, Gd, Tb, Dy, Ho, Er, Tm, Yb and Lu) are significantly higher, and 6 elements (Zn, Ga, Ge, Se, Au and Zr) are significantly lower in the 2004-05 samples than those in the 1982-83 samples. This difference would be related to the changes in environmental backgrounds and people's living habit during twenty years. The distinctive decrease in contents of the 2004-05 samples for most measured rare earth elements (REEs) may be due to more rational usage of REEs in present, while were the soil and corps were largely abused in 1980s in China. The significant increase in contents of some useful micro-elements (Zn and Se ) in the present samples maybe because of the increased intake of these elements as people own more health consciousness. Besides, the increased contents of heavy metal Pb, Cd, Cr and Ni in the present samples may be related to the deterioration of air quality as industrialization course. More than half of measured elements have been significantly changed over twenty years, indicating that some normal value ranges of element contents should be adjusted according to the difference.

  15. Vaccine hesitancy and healthcare providers.

    Science.gov (United States)

    Paterson, Pauline; Meurice, François; Stanberry, Lawrence R; Glismann, Steffen; Rosenthal, Susan L; Larson, Heidi J

    2016-12-20

    While most people vaccinate according to the recommended schedule, this success is challenged by individuals and groups who delay or refuse vaccines. The aim of this article is to review studies on vaccine hesitancy among healthcare providers (HCPs), and the influences of their own vaccine confidence and vaccination behaviour on their vaccination recommendations to others. The search strategy was developed in Medline and then adapted across several multidisciplinary mainstream databases including Embase Classic & Embase, and PschInfo. All foreign language articles were included if the abstract was available in English. A total of 185 articles were included in the literature review. 66% studied the vaccine hesitancy among HCPs, 17% analysed concerns, attitudes and/or behaviour of HCPs towards vaccinating others, and 9% were about evaluating intervention(s). Overall, knowledge about particular vaccines, their efficacy and safety, helped to build HCPs own confidence in vaccines and their willingness to recommend vaccines to others. The importance of societal endorsement and support from colleagues was also reported. In the face of emerging vaccine hesitancy, HCPs still remain the most trusted advisor and influencer of vaccination decisions. The capacity and confidence of HCPs, though, are stretched as they are faced with time constraints, increased workload and limited resources, and often have inadequate information or training support to address parents' questions. Overall, HCPs need more support to manage the quickly evolving vaccine environment as well as changing public, especially those who are reluctant or refuse vaccination. Some recommended strategies included strengthening trust between HCPs, health authorities and policymakers, through more shared involvement in the establishment of vaccine recommendations. Copyright © 2016. Published by Elsevier Ltd.

  16. Twenty-five years of collecting and taxonomy of wild potatoes

    Science.gov (United States)

    Wild and cultivated potatoes (Solanum section Petota) are a difficult group taxonomically, complicated by interspecific hybridization, introgression, allopolyploidy, a mixture of sexual and asexual reproduction, and possible recent species divergence. Various workers have interpreted the variation t...

  17. Amino acids analysis by total neutron cross-sections determinations: part V

    Energy Technology Data Exchange (ETDEWEB)

    Voi, Dante L.; Ferreira, Francisco de O., E-mail: dante@ien.gov.br, E-mail: fferreira@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Rocha, Helio F. da, E-mail: helionutro@hotmail.com [Universidade Federal do Rio de Janeiro (IPPMG/UFRJ), Rio de Janeiro, RJ (Brazil). Instituto de Pediatria

    2013-07-01

    Total neutron cross-sections of twenty essential and non-essential amino acids to human were determined using crystal spectrometer installed on the Argonauta reactor of IEN (Instituto de Engenharia Nuclear (CNEN-RJ) and compared with data generated by parceling and grouping methodologies developed at this institution. For each amino acid was calculated the respective neutron cross-section by molecular structure, conformation and chemistry analysis. The results obtained for eighteen of twenty amino acids confirm the specifications and product formulations indicated by manufactures. These initial results allow to build a neutron cross-sections database as part of quality control of the amino supplied to hospitals for production of nutriments for parenteral or enteral formulations used in critical patients dependent on artificial feed, and for application in future studies of structure and dynamics for more complex molecules, including proteins, enzymes, fatty acids, membranes, organelles and other cell components. (author)

  18. Electron Elastic-Scattering Cross-Section Database

    Science.gov (United States)

    SRD 64 NIST Electron Elastic-Scattering Cross-Section Database (PC database, no charge)   This database provides values of differential elastic-scattering cross sections, corresponding total elastic-scattering cross sections, phase shifts, and transport cross sections for elements with atomic numbers from 1 to 96 and for electron energies between 50 eV and 20,000 eV (in steps of 1 eV).

  19. 7 CFR 6.5 - Hearings under section 22.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Hearings under section 22. 6.5 Section 6.5 Agriculture... section 22. The Administrator is authorized to provide for such public hearings as he deems necessary to discharge the responsibility for action under section 22 vested in him by §§ 6.2 and 6.4(a). In view of the...

  20. Pharmacist provider status legislation: Projections and prospects.

    Science.gov (United States)

    Harper, Patrick C

    2015-01-01

    To compare legislation at the federal level that would recognize pharmacists as health care providers under Medicare Part B with similar state-level efforts in an attempt to identify the strengths and weaknesses of these options and forecast outcomes. The current primary care provider shortage poses a significant threat to public health in the United States. The effort to achieve federal provider status for pharmacists, currently in the form of identical bills introduced in January 2015 into the U.S. House of Representatives and the U.S. Senate as the Pharmacy and Medically Underserved Areas Enhancement Act (H.R. 592 and S. 314), would amend the Social Security Act to recognize pharmacists as health care providers in sections of Medicare Part B that specify coverage and reimbursement. This action has budgetary implications owing to the compensation that would accrue to pharmacists caring for Medicare beneficiaries. Passage of these bills into law could improve public health by sustainably increasing access to pharmacists' patient care services in medically underserved areas. In this article, the legislation's strengths and weaknesses are analyzed. The resulting information may be used to forecast the bills' fate as well as plan strategies to help support their success. Comparison of the bills with existing, state-level efforts is used as a framework for such policy analysis. While the current political climate benefits the bills in the U.S. Congress, established legislative precedents suggest that parts of H.R. 592/S. 314, specifically those regarding compensation mechanisms, may require negotiated amendment to improve their chances of success.

  1. Development and evaluation of a clinical note section header terminology.

    Science.gov (United States)

    Denny, Joshua C; Miller, Randolph A; Johnson, Kevin B; Spickard, Anderson

    2008-11-06

    Clinical documentation is often expressed in natural language text, yet providers often use common organizations that segment these notes in sections, such as history of present illness or physical examination. We developed a hierarchical section header terminology, supporting mappings to LOINC and other vocabularies; it contained 1109 concepts and 4332 synonyms. Physicians evaluated it compared to LOINC and the Evaluation and Management billing schema using a randomly selected corpus of history and physical notes. Evaluated documents contained a median of 54 sections and 27 major sections. There were 16,196 total sections in the evaluation note corpus. The terminology contained 99.9% of the clinical sections; LOINC matched 77% of section header concepts and 20% of section header strings in those documents. The section terminology may enable better clinical note understanding and interoperability. Future development and integration into natural language processing systems is needed.

  2. Neutron-capture cross sections from indirect measurements

    Directory of Open Access Journals (Sweden)

    Scielzo N.D.

    2012-02-01

    Full Text Available Cross sections for compound-nuclear reactions reactions play an important role in models of astrophysical environments and simulations of the nuclear fuel cycle. Providing reliable cross section data remains a formidable task, and direct measurements have to be complemented by theoretical predictions and indirect methods. The surrogate nuclear reactions method provides an indirect approach for determining cross sections for reactions on unstable isotopes, which are difficult or impossible to measure otherwise. Current implementations of the method provide useful cross sections for (n,f reactions, but need to be improved upon for applications to capture reactions.

  3. Neutron-capture Cross Sections from Indirect Measurements

    Energy Technology Data Exchange (ETDEWEB)

    Escher, J E; Burke, J T; Dietrich, F S; Ressler, J J; Scielzo, N D; Thompson, I J

    2011-10-18

    Cross sections for compound-nuclear reactions play an important role in models of astrophysical environments and simulations of the nuclear fuel cycle. Providing reliable cross section data remains a formidable task, and direct measurements have to be complemented by theoretical predictions and indirect methods. The surrogate nuclear reactions method provides an indirect approach for determining cross sections for reactions on unstable isotopes, which are difficult or impossible to measure otherwise. Current implementations of the method provide useful cross sections for (n,f) reactions, but need to be improved upon for applications to capture reactions.

  4. Parents? perceptions of provider communication regarding adolescent vaccines

    OpenAIRE

    Dempsey, Amanda F; Pyrzanowski, Jennifer; Lockhart, Steven; Campagna, Elizabeth; Barnard, Juliana; O'Leary, Sean T.

    2016-01-01

    Strong provider recommendations for adolescent vaccines are critical for achieving high vaccination levels.? However, little is known about parents? preferred provider communication strategies for adolescent vaccines in general, and for human papillomavirus (HPV) vaccines specifically. We performed a cross-sectional survey of 800 parents of 9-14 year olds in April 2014 to assess current adolescent vaccine communication practices by providers, parents? preferred HPV vaccine-specific communicat...

  5. Social capital and trust in providers.

    Science.gov (United States)

    Ahern, Melissa M; Hendryx, Michael S

    2003-10-01

    Trust in providers has been in decline in recent decades. This study attempts to identify sources of trust in characteristics of health care systems and the wider community. The design is cross-sectional. Data are from (1) the 1996 Household Survey of the Community Tracking Study, drawn from 24 Metropolitan Statistical Areas; (2) a 1996 multi-city broadcast media marketing database including key social capital indicators; (3) Interstudy; (4) the American Hospital Association; and (5) the American Medical Association. Independent variables include individual socio-demographic variables, HMO enrollment, community-level health sector variables, and social capital. The dependent variable is self-reported trust in physicians. Data are merged from the various sources and analyzed using SUDAAN. Subjects include adults in the Household Survey who responded to the items on trust in physicians (N=17,653). Trust in physicians is independently predicted by community social capital (p<0.001). Trust is also negatively related to HMO enrollment and to many individual characteristics. The effect of HMOs is not uniform across all communities. Social capital plays a role in how health care is perceived by citizens, and how health care is delivered by providers. Efforts to build trust and collaboration in a community may improve trust in physicians, health care quality, access, and preserve local health care control.

  6. An Alternative Efficient Technique For Thin Tooth Sectioning

    Directory of Open Access Journals (Sweden)

    Muneer Gohar Babar

    2011-06-01

    Full Text Available Background: The importance of tooth sectioningis realized in disasters such as earthquake, airplanecrash investigation, terror, micro leakage studies, ageestimation etc. The objective of this study was to developa simple method to make thin sections (approximately100 mm from freshly extracted teeth.Methods: One hundred and twenty human premolarsrecently extracted for orthodontic purpose were used forthis study. The teeth were stored in 0.5% chorlaraminefor 2 weeks and were not allowed to dry at any stageof the experiment. The teeth were thoroughly washedin distilled water teeth and then were sectionedbuccolingually from crown to the root portion.Results: A detailed embedding-cutting-mountingprocedure is described. The prepared thin groundsections were then examined under a Polarised lightmicroscope for the enamel and the dentine, as well asthe caries lesions can clearly be distinguished.Conclusion: This is an effective and efficient methodfor preparation of ground sections in which the hardtissue details are preserved.

  7. Timing cervicovesical fistula repair with repeat cesarean section.

    Science.gov (United States)

    Geoffrion, Roxana; Hyakutake, Momoe T

    2014-08-01

    We present a case in which there was optimal management of recurrent cervicovesical fistula. The patient sustained a fistula shortly after a cesarean for cephalopelvic disproportion in the second stage. She underwent an unsuccessful attempt at vaginal repair 3 months postpartum and continued experiencing intermittent urinary leakage through the vagina. She expressed a wish for further childbearing and was counseled to undergo fistula repair at the time of repeat cesarean section. Twenty-seven months after her first delivery, she had a second healthy pregnancy and the repair of her cervicovesical fistula was performed with collagen graft interposition at the time of her elective cesarean section. This case report highlights the importance of surgical timing and comments on various factors that possibly enhance the success of the fistula repair.

  8. 42 CFR 431.115 - Disclosure of survey information and provider or contractor evaluation.

    Science.gov (United States)

    2010-10-01

    ... information and provider or contractor evaluation. (a) Basis and purpose. This section implements— (1) Section... 42 Public Health 4 2010-10-01 2010-10-01 false Disclosure of survey information and provider or contractor evaluation. 431.115 Section 431.115 Public Health CENTERS FOR MEDICARE & MEDICAID...

  9. TSCA Section 21 Petition for Section 8(a) Partial Exemption

    Science.gov (United States)

    This petition requests EPA to amend the TSCA Section 8 Chemical Data Reporting (CDR) partially exempted chemical list set forth in the U.S. Environmental Protection Agency’s (EPA) regulations at 40 C.F.R. Section 711.6(b)(1).

  10. Carbonaceous Chondrite Thin Section Preparation

    Science.gov (United States)

    Harrington, R.; Righter, K.

    2017-01-01

    Carbonaceous chondrite meteorites have long posed a challenge for thin section makers. The variability in sample hardness among the different types, and sometimes within individual sections, creates the need for an adaptable approach at each step of the thin section making process. This poster will share some of the procedural adjustments that have proven to be successful at the NASA JSC Meteorite Thin Section Laboratory. These adjustments are modifications of preparation methods that have been in use for decades and therefore do not require investment in new technology or materials.

  11. Mediterranean Sea response to climate change in an ensemble of twenty first century scenarios

    Science.gov (United States)

    Adloff, Fanny; Somot, Samuel; Sevault, Florence; Jordà, Gabriel; Aznar, Roland; Déqué, Michel; Herrmann, Marine; Marcos, Marta; Dubois, Clotilde; Padorno, Elena; Alvarez-Fanjul, Enrique; Gomis, Damià

    2015-11-01

    The Mediterranean climate is expected to become warmer and drier during the twenty-first century. Mediterranean Sea response to climate change could be modulated by the choice of the socio-economic scenario as well as the choice of the boundary conditions mainly the Atlantic hydrography, the river runoff and the atmospheric fluxes. To assess and quantify the sensitivity of the Mediterranean Sea to the twenty-first century climate change, a set of numerical experiments was carried out with the regional ocean model NEMOMED8 set up for the Mediterranean Sea. The model is forced by air-sea fluxes derived from the regional climate model ARPEGE-Climate at a 50-km horizontal resolution. Historical simulations representing the climate of the period 1961-2000 were run to obtain a reference state. From this baseline, various sensitivity experiments were performed for the period 2001-2099, following different socio-economic scenarios based on the Special Report on Emissions Scenarios. For the A2 scenario, the main three boundary forcings (river runoff, near-Atlantic water hydrography and air-sea fluxes) were changed one by one to better identify the role of each forcing in the way the ocean responds to climate change. In two additional simulations (A1B, B1), the scenario is changed, allowing to quantify the socio-economic uncertainty. Our 6-member scenario simulations display a warming and saltening of the Mediterranean. For the 2070-2099 period compared to 1961-1990, the sea surface temperature anomalies range from +1.73 to +2.97 °C and the SSS anomalies spread from +0.48 to +0.89. In most of the cases, we found that the future Mediterranean thermohaline circulation (MTHC) tends to reach a situation similar to the eastern Mediterranean Transient. However, this response is varying depending on the chosen boundary conditions and socio-economic scenarios. Our numerical experiments suggest that the choice of the near-Atlantic surface water evolution, which is very uncertain in

  12. Twenty-six years of HIV science: an overview of anti-HIV drugs metabolism

    Directory of Open Access Journals (Sweden)

    Carolina Horta Andrade

    2011-06-01

    Full Text Available From the identification of HIV as the agent causing AIDS, to the development of effective antiretroviral drugs, the scientific achievements in HIV research over the past twenty-six years have been formidable. Currently, there are twenty-five anti-HIV compounds which have been formally approved for clinical use in the treatment of AIDS. These compounds fall into six categories: nucleoside reverse transcriptase inhibitors (NRTIs, nucleotide reverse transcriptase inhibitors (NtRTIs, non-nucleoside reverse transcriptase inhibitors (NNRTIs, protease inhibitors (PIs, cell entry inhibitors or fusion inhibitors (FIs, co-receptor inhibitors (CRIs, and integrase inhibitors (INIs. Metabolism by the host organism is one of the most important determinants of the pharmacokinetic profile of a drug. Formation of active or toxic metabolites will also have an impact on the pharmacological and toxicological outcomes. Therefore, it is widely recognized that metabolism studies of a new chemical entity need to be addressed early in the drug discovery process. This paper describes an overview of the metabolism of currently available anti-HIV drugs.Da identificação do HIV como o agente causador da AIDS, ao desenvolvimento de fármacos antirretrovirais eficazes, os avanços científicos na pesquisa sobre o HIV nos últimos vinte e seis anos foram marcantes. Atualmente, existem vinte e cinco fármacos anti-HIV formalmente aprovados pelo FDA para utilização clínica no tratamento da AIDS. Estes compostos são divididos em seis classes: inibidores nucleosídeos de transcriptase reversa (INTR, inibidores nucleotídeos de transcriptase reversa (INtTR, inibidores não-nucleosídeos de transcriptase reversa (INNTR, inibidores de protease (IP, inibidores da entrada celular ou inibidores de fusão (IF, inibidores de co-receptores (ICR e inibidores de integrase (INI. O metabolismo consiste em um dos maiores determinantes do perfil farmacocinético de um fármaco. A forma

  13. A taxonomic revision of the type section of Pelargonium L’Hérit. (Geraniaceae

    Directory of Open Access Journals (Sweden)

    J. J. A. van der Walt

    1984-12-01

    Full Text Available Twenty four species are recognized in this taxonomic treatment of the section Pelargonium which was last revised by Knuth in 1912, Most species occur in the south-western, southern and eastern Cape where they usually grow in rather moist, semi-shaded habitats, A key to the identification o f the species has been compiled, and at least one illustration as well as a distribution map is presented for each species. The section is considered to be the most primitive section of the genus with a basic chromosome number of x = 11.

  14. Multi-section CT angiography compared with digital subtraction angiography in diagnosing major arterial hemorrhage in inflammatory pancreatic disease

    Energy Technology Data Exchange (ETDEWEB)

    Hyare, Harpreet [Department of Imaging, University College London Hospitals NHS Foundation Trust, University College Hospital, 235 Euston Road, London NW1 2BU (United Kingdom)]. E-mail: hhyare@doctors.org.uk; Desigan, Sharmini [Department of Imaging, University College London Hospitals NHS Foundation Trust, University College Hospital, 235 Euston Road, London NW1 2BU (United Kingdom); Nicholl, Helen [Department of Imaging, University College London Hospitals NHS Foundation Trust, University College Hospital, 235 Euston Road, London NW1 2BU (United Kingdom); Guiney, Michael J. [Department of Imaging, University College London Hospitals NHS Foundation Trust, University College Hospital, 235 Euston Road, London NW1 2BU (United Kingdom); Brookes, Jocelyn A. [Department of Imaging, University College London Hospitals NHS Foundation Trust, University College Hospital, 235 Euston Road, London NW1 2BU (United Kingdom); Lees, William R. [Department of Imaging, University College London Hospitals NHS Foundation Trust, University College Hospital, 235 Euston Road, London NW1 2BU (United Kingdom)

    2006-08-15

    Purpose: Major arterial hemorrhage is an uncommon but serious complication of pancreatitis with high morbidity and mortality. Digital subtraction angiography (DSA) has long been the gold standard for the detection of a visceral artery pseudoaneurysm or for the site of active bleeding in patients with pancreatitis. Multi-section CT angiography is a minimally invasive technique which can provide high-resolution and high-contrast images of the arterial lumen and wall, with a much lower risk of complication and morbidity compared to DSA. The aim of this study was to determine the accuracy of multi-section CT angiography for the diagnosis of arterial complications of inflammatory pancreatitic disease. Materials and methods: A retrospective analysis of all patients undergoing visceral angiography for major bleeding as a complication of pancreatitis between 1998 and 2004 was performed. Twenty-nine studies in 25 patients (20 males, 5 females) with a mean age of 50.9 years (range 11-67 years) were identified where multi-section CT angiography was performed in the 24 h preceding the digital subtraction angiogram. Results: Digital subtraction angiography detected a pseudoaneurysm or contrast extravasation in 19 studies and no bleeding was demonstrated in 9 studies. CT angiography correctly identified the site and type of bleeding in 18 of the 19 positive studies. CT angiography detected extravasation of contrast in one study that was not demonstrated on digital subtraction angiography. The sensitivity and specificity for multi-section CT angiography for the detection of major arterial bleeding on a background of pancreatitis were 0.947 and 0.900, respectively. Conclusion: Multi-section CT angiography is a sensitive and accurate technique for the detection of major arterial hemorrhage in inflammatory pancreatic disease and should be considered as the first investigation in the management of these patients.

  15. Improved method for sectioning pectoral spines of catfish for age determination

    Science.gov (United States)

    Blouin, Marc A.; Hall, Glenda R.

    1990-01-01

    A modified low-speed saw provided fast and precise sectioning of catfish pectoral spines for use in aging studies. In one hour, 10–15 spines can be sectioned, the sections mounted, and the annuli counted.

  16. TWENTY-FIVE YEARS OF SCHOLARSHIP ON SECOND LANGUAGE COMPOSING PROCESSES: 1976-2000

    Directory of Open Access Journals (Sweden)

    Melinda Reichelt

    2001-12-01

    Full Text Available This work is divided into two sections: (1 an annotated bibliography of full-length, published, (mostly basic research on second language writing and overviews thereof, and (2 an unannotated bibliography of both basic and applied research (mostly unpublished and commentary on second language composing. Both sections have been arranged in chronological order to allow readers to follow the development of scholarship in this area. Entries are listed alphabetically within a given year. While this bibliography is extensive, it is not meant to be exhaustive, and while the focus here is on research, many of the studies included address pedagogical matters in a substantive manner.

  17. Calculating Cross Sections of Composite Interstellar Grains

    CERN Document Server

    Voshchinnikov, N V; Voshchinnikov, Nikolai V.; Mathis, John S.

    1999-01-01

    Interstellar grains may be composite collections of particles of distinct materials, including voids, agglomerated together. We determine the various optical cross sections of such composite grains, given the optical properties of each constituent, using an approximate model of the composite grain. We assume it consists of many concentric spherical layers of the various materials, each with a specified volume fraction. In such a case the usual Mie theory can be generalized and the extinction, scattering, and other cross sections determined exactly. We find that the ordering of the materials in the layering makes some difference to the derived cross sections, but averaging over the various permutations of the order of the materials provides rapid convergence as the number of shells (each of which is filled by all of the materials proportionately to their volume fractions) is increased. Three shells, each with one layer of a particular constituent material, give a very satisfactory estimate of the average cross...

  18. New and newer[The New Physics for the Twenty-First Century

    Energy Technology Data Exchange (ETDEWEB)

    Clark, C. [Electron and Optical Physics Division, National Institute of Standards and Technology, MD (United States)]. E-mail: clark@mail.nist.gov

    2006-09-15

    Stephen Hawking's inaugural lecture as Lucasian Professor of Mathematics at Cambridge University in 1980 caused quite a stir. Its title - 'Is the end in sight for theoretical physics?' - raised the prospect of a unified 'theory of everything'. Hawking suggested that there was a good chance of resolving the remaining inconsistencies between the two big 'theories of something' - quantum mechanics and general relativity - before the turn of the century. My first impression on reading The New Physics for the Twenty-First Century, a collection of essays edited by science journalist Gordon Fraser, is that a theory of everything may still be attainable by the turn of the century. However, there is now 20 times more of everything in the universe than there was in the past century, 95% of which no-one has ever actually seen, or had even heard of until a few years ago - as summarized in articles by Wendy Freedman, Edward Kolb and Ronald Adler. Despite this, Michael Green describes amazing developments in string theory that could tie everything together, if one could just figure out which, if any, of the apparently infinite varieties of string theory applies to our world, and why. (U.K.)

  19. Health of Europeans twenty years after the fall of Berlin wall.

    Science.gov (United States)

    Ginter, E; Simko, V

    2010-01-01

    The failure of central planning in the totalitarian systems of the USSR and its satellites adversely affected not only the economy and social relations but also the population health. While in the countries with established democracy (DEM) the general health and the life expectancy (LE) steadily improved, in countries declaring socialism (SOC) the LE was stagnant and in the USSR even decreased. Dramatic changes in Russia after the demise of Soviet Union resulted in an extraordinary destabilization of LE that reached a minimum in 1994. Remarkably, even twenty years after the breakdown of the Iron Curtain there persists a gap in the general health between the DEM and the SOC regions of Europe. Within the territory of the former Soviet influence there are additional differences in LE: Central Europe is much better off than Russia and its neighbours. Main cause of relatively high mortality in the post totalitarian Europe is the cardiovascular disease (CVD). Among females about 80% difference in LE between DEM and SOC countries is related to premature CVD mortality. In SOC males compared to DEM, about 50% of the higher mortality is caused by CVD, 20% is related to external factors (trauma, suicide) and 10% is oncologic disorders. The main suggested cause of such excess mortality, besides a low socioeconomic level and limited funding for health care, is an improper life style: alcoholism, smoking and inadequate intake of protective nutrients. Alcoholism, especially binge drinking is a prominent factor in Russia, Belarus, Ukraine and in the Baltic Republics (Fig. 6, Tab. 4, Ref. 20).

  20. Divergent trajectories of Antarctic surface melt under two twenty-first-century climate scenarios

    Science.gov (United States)

    Trusel, Luke D.; Frey, Karen E.; Das, Sarah B.; Karnauskas, Kristopher B.; Kuipers Munneke, Peter; van Meijgaard, Erik; van den Broeke, Michiel R.

    2015-12-01

    Ice shelves modulate Antarctic contributions to sea-level rise and thereby represent a critical, climate-sensitive interface between the Antarctic ice sheet and the global ocean. Following rapid atmospheric warming over the past decades, Antarctic Peninsula ice shelves have progressively retreated, at times catastrophically. This decay supports hypotheses of thermal limits of viability for ice shelves via surface melt forcing. Here we use a polar-adapted regional climate model and satellite observations to quantify the nonlinear relationship between surface melting and summer air temperature. Combining observations and multimodel simulations, we examine melt evolution and intensification before observed ice shelf collapse on the Antarctic Peninsula. We then assess the twenty-first-century evolution of surface melt across Antarctica under intermediate and high emissions climate scenarios. Our projections reveal a scenario-independent doubling of Antarctic-wide melt by 2050. Between 2050 and 2100, however, significant divergence in melt occurs between the two climate scenarios. Under the high emissions pathway by 2100, melt on several ice shelves approaches or surpasses intensities that have historically been associated with ice shelf collapse, at least on the northeast Antarctic Peninsula.

  1. Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report

    Directory of Open Access Journals (Sweden)

    Alfredo Maria Bove

    2012-01-01

    Full Text Available Introduction. Advances in endourology have greatly reduced indications to open surgery in the treatment of staghorn kidney stones. Nevertheless in our experience, open surgery still represents the treatment of choice in rare cases. Case Report. A 71-year-old morbidly obese female patient complaining about occasional left flank pain, and recurrent cystitis for many years, presented bilateral staghorn kidney stones. Comorbidities were obesity (BMI 36.2, hypertension, type II diabetes, and chronic obstructive pulmunary disease (COPD hyperlipidemia. Due to these comorbidities, endoscopic and laparoscopic approaches were not indicated. We offered the patient staged open anatrophic nephrolithotomy. Results. Operative time was 180 minutes. Blood loss was 500 cc. requiring one unit of packed red blood cells. Hospital stay was 7 days. The renal function was unaffected based on preoperative and postoperative serum creatinine levels. Stone-free status of the left kidney was confirmed after surgery with CT scan. Conclusions. Open surgery can represent a valid alterative in the treatment of staghorn kidney stones of very selected cases. A discussion of the current indications in the twenty-first century is presented.

  2. In Vitro Conservation of Twenty-Three Overexploited Medicinal Plants Belonging to the Indian Sub Continent

    Directory of Open Access Journals (Sweden)

    Priyanka Verma

    2012-01-01

    Full Text Available Twenty-three pharmaceutically important plants, namely, Elaeocarpus spharicus, Rheum emodi, Indigofera tinctoria, Picrorrhiza kurroa, Bergenia ciliata, Lavandula officinalis, Valeriana wallichii, Coleus forskohlii, Gentiana kurroo, Saussurea lappa, Stevia rebaudiana, Acorus calamus, Pyrethrum cinerariaefolium, Aloe vera, Bacopa monnieri, Salvia sclarea, Glycyrrhiza glabra, Swertia cordata, Psoralea corylifolia, Jurinea mollis, Ocimum sanctum, Paris polyphylla, and Papaver somniferum, which are at the verge of being endangered due to their overexploitation and collection from the wild, were successfully established in vitro. Collections were made from the different biodiversity zones of India including Western Himalaya, Northeast Himalaya, Gangetic plain, Western Ghats, Semiarid Zone, and Central Highlands. Aseptic cultures were raised at the morphogenic level of callus, suspension, axillary shoot, multiple shoot, and rooted plants. Synseeds were also produced from highly proliferating shoot cultures of Bacopa monnieri, Glycyrrhiza glabra, Stevia rebaudiana, Valeriana wallichii, Gentiana kurroo, Lavandula officinalis, and Papaver somniferum. In vitro flowering was observed in Papaver somniferum, Psoralea corylifolia, and Ocimum sanctum shoots cultures. Out of 23 plants, 18 plants were successfully hardened under glasshouse conditions.

  3. Ukrainian Issues in Geopolitical thought of the Twentieth and Twenty-First Centuries

    Directory of Open Access Journals (Sweden)

    Reginia-Zacharski Jacek

    2016-12-01

    Full Text Available Ukrainian lands in the twentieth and twenty-first centuries have been in proximity of great geopolitical changes several times. During that time the Ukrainian nation – due to various factors – encountered a number of “windows of opportunity” for achieving the realization of dreams about independence and national sovereignty. The author identified in the period considered four “general moments,” of which two have been completed successfully. The first of these occurred in 1990–1991, when for the first time in modern history, Ukrainians managed to achieve a lasting and relatively stable independence. The second of the “moments” – still unresolved – are events that began in the late autumn of 2013. The process, called “Revolution of Dignity”, represents a new quality in the history of the Ukrainian nation, therefore, that the Ukrainians have to defend the status quo (independence, territorial integrity, sovereignty, etc. but not to seek to achieve an independent being. The analysis leads to the conclusion that the ability of Ukrainians to achieve and maintain independence is largely a function of the relative power of the Russian state as measured with respect to the shape and quality of international relations.

  4. DEVELOPMENT OF THE INFORMATION COMPETENCE OF THE ACADEMIC COMMUNITY: TWENTY YEARS AFTER

    Directory of Open Access Journals (Sweden)

    Glosiene, Audrone

    2006-12-01

    Full Text Available Twenty years ago, reading culture, library skills’ development used to be one of the core directions in research and teaching policy of the Department of Library Science at Vilnius University. Lateron, the topic was marginalized and today we return to the field that meanwhile has developed huge knowledge and experience base worldwide. A stimulus for the return was participation in BIBLIONOVA project. The aim of the article is to present a holistic approach towards information competency development in a modern academic institution. Prescriptive approach based on information literacy standards proved to be limited and not always effective in the academic environment.Information competency development is problem-specific, domain-specific, and disciplinespecific. It is interrelated with critical thinking, analytical skills as well as creativity and computerliteracy skills. Holistically, information competency development is an integral part of university’s life-long learning strategy. Critical success factors for information competency development areopen and problem-based learning and cooperative, inclusive strategies of the whole university. Academic libraries continue to play a major role in the process but the connections with faculty and administration in the process are of major importance.

  5. Twenty-degree-tilt radiography for evaluation of lateral humeral condylar fracture in children

    Energy Technology Data Exchange (ETDEWEB)

    Imada, Hideaki; Tanaka, Ryuji; Itoh, Yohei; Kishi, Kazuhiko [National Hospital Organization, Higashi-Hiroshima Medical Center, Department of Orthopedic Surgery, Higashi Hiroshima, Hiroshima (Japan)

    2010-03-15

    To investigate the efficacy of '20 -tilt anteroposterior (A-P) radiography' in the assessment of lateral condylar fractures of the distal humerus. Eighteen children with lateral humeral condylar fractures were studied. Every child underwent conventional A-P and lateral radiography, and six children underwent multi-detector computed tomography (MDCT). For the investigation of 20 -tilt radiography, ten children with lateral humeral condylar fractures had conventional and 20 -tilt A-P and lateral radiography both preoperatively and postoperatively. Fragment dislocation was measured at the lateral and medial margins of the fracture on both the conventional A-P and 20 -tilt A-P radiographs. The lateral condylar fragment was triangular and was most prominent posteriorly. The fracture line was typically tilted approximately 20 to a reference line perpendicular to the long axis of the humerus in the lateral view. The extent of dislocation at the lateral and medial margins of the fracture site by 20 -tilt A-P radiography (9.3 {+-} 3.6 mm and 5.6 {+-} 2.5 mm) was significantly wider than that measured by the conventional method (6.8 {+-} 4.1 mm and 2.0 {+-} 1.5 mm), which may influence treatment. Twenty-degree-tilt A-P radiography may more precisely demonstrate fragment dislocation than standard radiographs and may influence patient treatment. (orig.)

  6. Twenty-five Years of PTHrP Progress from Cancer Hormone to Multifunctional Cytokine

    Science.gov (United States)

    McCauley, Laurie K.; Martin, T. John

    2016-01-01

    Twenty-five years ago a ‘new’ protein was identified from cancers that caused hypercalcemia. It was credited for its ability to mimic parathyroid hormone, and hence was termed parathyroid hormone-related protein (PTHrP). Today it is recognized for its widespread distribution, its endocrine, paracrine, and intracrine modes of action driving numerous physiologic and pathologic conditions with a central role in organogenesis. The multiple biological activities within a complex molecule with paracrine modulation of adjacent target cells present boundless possibilities. The protein structure of PTHrP has been traced, dissected and deleted comprehensively and conditionally, yet numerous questions lurk in its past that will carry into the future. Issues of the variable segments of the protein including the enigmatic nuclear localization sequence are only recently being clarified. Aspects of PTHrP production and action in the menacing condition of cancer are emerging as dichotomies that may represent intended temporal actions of PTHrP. Relative to PTH, the hormone regulating calcium homeostasis, PTHrP ‘controls the show’ locally at the PTH/PTHrP receptor throughout the body. Great strides have been made in our understanding of PTHrP actions, yet years of exciting investigation and discovery are imminent. PMID:22549910

  7. Twenty-one years of child advocacy: an editorial retrospective of the Teuscher years.

    Science.gov (United States)

    Kohn, D W

    1990-01-01

    On the eleventh anniversary of his Editorship of JDC, Dr. George Teuscher took stock of the state of the Journal, noting progress made and challenges ahead, writing that, "A good journal cannot ride on its reputation... Constant effort to improve, resourcefulness, and prolific reading and study are required of the editor of a prestigious journal." He has written extensively on the importance of writing and effective communication in the face of an information explosion, stating that, "The journal is still the best means of presenting new information to the professions." Writing a note of encouragement to the editor of a new dental journal, he observed, "Of course the dental and medical literature can boast of some great editors, who earned their reputations because they were able to apply intelligence, writing ability, knowledge of the scientific method, and imagination to a new undertaking." After twenty-one years, it is safe to say that Dr. Teuscher is such an Editor; he has filled our minds with knowledge and our hearts with wisdom; he has reminded us of the best that is in us; he has helped us to feel the anguish of the afflicted and oppressed; he has brought knowledge and skill to help the infirm: and he has taught us to stand in awe before the mystery of being.

  8. Twenty years of experience with the rabbit model, a versatile model for tracheal transplantation research

    Institute of Scientific and Technical Information of China (English)

    Margot Den Hondt; Bart M Vanaudenaerde; Pierre Delaere; Jan J Vranckx

    2016-01-01

    Pathologies comprising more than half the length of the trachea are a challenge to the reconstructive surgeon. Innovative tracheal transplantation techniques aim to offer the patient a curative solution with a sustained improvement in quality of life. This review summarizes the authors’ experience with the rabbit as a versatile model for research regarding tracheal transplantation. Because of the segmental blood supply of the trachea, it is not feasible to transplant the organ together with a well-defined vascular pedicle. As such, the key element of successful tracheal transplantation is the creation of a new blood supply. This vascularized construct is created by prelaminating the rabbit trachea heterotopically, within the lateral thoracic fascia. After prelamination, the construct and its vascular pedicle are transferred to the orthotopic position in the neck. This model has become gold standard because of the advantages of working with rabbits, the anatomy of the rabbit trachea, and the reliability of the lateral thoracic artery flap. In this paper, the key elements of surgery in the rabbit are discussed, as well as the tracheal anastomosis and the harvest of the lateral thoracic artery flap. Practical tips and tricks are presented. The data described in this review represent the fundaments of ongoing translational research in the center over the past twenty years.

  9. Twenty-five astronomical observations that changed the world and how to make them yourself

    CERN Document Server

    Marett-Crosby, Michael

    2013-01-01

    Human history is also the record of our fascination with the sky, and to look upwards is to follow in the steps of such greats as Galileo and Newton. What they and others once saw in the heavens for the first time, amateur astronomers can discover anew using this guide to twenty-five of the greatest journeys through space.   Starting with our most visible companion the Moon, each chapter offers a step-by-step walk-through of famous astronomical observations from the history of science. Beginning with the easiest targets, sometimes even accessible with the naked eye, the challenges become progressively more difficult. Beginner astronomers and more experienced hobbyists alike can reacquaint themselves with the wonders of our fellow planets and even reach far beyond our own solar system to touch on such incredible phenomena as the birth of new stars in nebula systems and the deceptive nothingness of black holes. The would-be astronaut can spy the International Space Station in orbit with binoculars or the dooms...

  10. Projected deglaciation of western Canada in the twenty-first century

    Science.gov (United States)

    Clarke, Garry K. C.; Jarosch, Alexander H.; Anslow, Faron S.; Radić, Valentina; Menounos, Brian

    2015-05-01

    Retreat of mountain glaciers is a significant contributor to sea-level rise and a potential threat to human populations through impacts on water availability and regional hydrology. Like most of Earth’s mountain glaciers, those in western North America are experiencing rapid mass loss. Projections of future large-scale mass change are based on surface mass balance models that are open to criticism, because they ignore or greatly simplify glacier physics. Here we use a high-resolution regional glaciation model, developed by coupling physics-based ice dynamics with a surface mass balance model, to project the fate of glaciers in western Canada. We use twenty-first-century climate scenarios from an ensemble of global climate models in our simulations; the results indicate that by 2100, the volume of glacier ice in western Canada will shrink by 70 +/- 10% relative to 2005. According to our simulations, few glaciers will remain in the Interior and Rockies regions, but maritime glaciers, in particular those in northwestern British Columbia, will survive in a diminished state. We project the maximum rate of ice volume loss, corresponding to peak input of deglacial meltwater to streams and rivers, to occur around 2020-2040. Potential implications include impacts on aquatic ecosystems, agriculture, forestry, alpine tourism and water quality.

  11. Emerging Tick-Borne Viruses in the Twenty-First Century

    Directory of Open Access Journals (Sweden)

    Karen L. Mansfield

    2017-07-01

    Full Text Available Ticks, as a group, are second only to mosquitoes as vectors of pathogens to humans and are the primary vector for pathogens of livestock, companion animals, and wildlife. The role of ticks in the transmission of viruses has been known for over 100 years and yet new pathogenic viruses are still being detected and known viruses are continually spreading to new geographic locations. Partly as a result of their novelty, tick-virus interactions are at an early stage in understanding. For some viruses, even the principal tick-vector is not known. It is likely that tick-borne viruses will continue to emerge and challenge public and veterinary health long into the twenty-first century. However, studies focusing on tick saliva, a critical component of tick feeding, virus transmission, and a target for control of ticks and tick-borne diseases, point toward solutions to emerging viruses. The aim of this review is to describe some currently emerging tick-borne diseases, their causative viruses, and to discuss research on virus-tick interactions. Through focus on this area, future protein targets for intervention and vaccine development may be identified.

  12. The Twenty-five Maiden Ladies’ Tomb and Predicaments of the Feminist Movement in Taiwan

    Directory of Open Access Journals (Sweden)

    Anru Lee

    2010-01-01

    Full Text Available “The Twenty-five Maiden Ladies’ Tomb” is the collective burial site of the female workers who died in a ferry accident on their way to work in 1973. The fact that of the more than 70 passengers on board all 25 who died were unmarried young women, and the taboo in Taiwanese culture that shuns unmarried female ghosts, made the Tomb a fearsome place. Feminists in Gaoxiong (高雄 had for some years wanted the city government to change the tomb’s public image. Their calls were not answered until the Gaoxiong mayor’s office finally allocated money to clean up the gravesite and, as part of the city’s plans to develop urban tourism, to remake it into the tourist-friendly “Memorial Park for Women Labourers”. Consequently, even though the tomb renovation seemed to indicate a triumph of the feminist endeavour, it was more a result of the Gaoxiong city government’s efforts towards culture-led urban revitalization.

  13. Effects of long-term variability on projections of twenty-first century dynamic sea level

    Science.gov (United States)

    Bordbar, Mohammad H.; Martin, Thomas; Latif, Mojib; Park, Wonsun

    2015-04-01

    Sea-level rise is one of the most pressing aspects of anthropogenic global warming with far-reaching consequences for coastal societies. However, sea-level rise did and will strongly vary from coast to coast. Here we investigate the long-term internal variability effects on centennial projections of dynamic sea level (DSL), the local departure from the globally averaged sea level. A large ensemble of global warming integrations has been conducted with a climate model, where each realization was forced by identical CO2 increase but started from different atmospheric and oceanic initial conditions. In large parts of the mid- and high latitudes, the ensemble spread of the projected centennial DSL trends is of the same order of magnitude as the globally averaged steric sea-level rise, suggesting that internal variability cannot be ignored when assessing twenty-first-century DSL trends. The ensemble spread is considerably reduced in the mid- to high latitudes when only the atmospheric initial conditions differ while keeping the oceanic initial state identical; indicating that centennial DSL projections are strongly dependent on ocean initial conditions.

  14. Seasonal frost effects on the dynamic behavior of a twenty-story office building

    Science.gov (United States)

    Yang, Z.; Dutta, U.; Xiong, F.; Biswas, N.; Benz, H.

    2008-01-01

    Studies have shown that seasonal frost can significantly affect the seismic behavior of a bridge foundation system in cold regions. However, little information could be found regarding seasonal frost effects on the dynamic behavior of buildings. Based on the analysis of building vibration data recorded by a permanent strong-motion instrumentation system, the objective of this paper is to show that seasonal frost can impact the building dynamic behavior and the magnitude of impact may be different for different structures. Ambient noise and seismic data recorded on a twenty-story steel-frame building have been analyzed to examine the building dynamic characteristics in relationship to the seasonal frost and other variables including ground shaking intensity. Subsequently, Finite Element modeling of the foundation-soil system and the building superstructure was conducted to verify the seasonal frost effects. The Finite Element modeling was later extended to a reinforced-concrete (RC) type building assumed to exist at a similar site as the steel-frame building. Results show that the seasonal frost has great impact on the foundation stiffness in the horizontal direction and a clear influence on the building dynamic behavior. If other conditions remain the same, the effects of seasonal frost on structural dynamic behavior may be much more prominent for RC-type buildings than for steel-frame buildings. ?? 2007 Elsevier B.V. All rights reserved.

  15. In vitro conservation of twenty-three overexploited medicinal plants belonging to the Indian sub continent.

    Science.gov (United States)

    Verma, Priyanka; Mathur, Ajay Kumar; Jain, Sheetal Prasad; Mathur, Archana

    2012-01-01

    Twenty-three pharmaceutically important plants, namely, Elaeocarpus spharicus, Rheum emodi, Indigofera tinctoria, Picrorrhiza kurroa, Bergenia ciliata, Lavandula officinalis, Valeriana wallichii, Coleus forskohlii, Gentiana kurroo, Saussurea lappa, Stevia rebaudiana, Acorus calamus, Pyrethrum cinerariaefolium, Aloe vera, Bacopa monnieri, Salvia sclarea, Glycyrrhiza glabra, Swertia cordata, Psoralea corylifolia, Jurinea mollis, Ocimum sanctum, Paris polyphylla, and Papaver somniferum, which are at the verge of being endangered due to their overexploitation and collection from the wild, were successfully established in vitro. Collections were made from the different biodiversity zones of India including Western Himalaya, Northeast Himalaya, Gangetic plain, Western Ghats, Semiarid Zone, and Central Highlands. Aseptic cultures were raised at the morphogenic level of callus, suspension, axillary shoot, multiple shoot, and rooted plants. Synseeds were also produced from highly proliferating shoot cultures of Bacopa monnieri, Glycyrrhiza glabra, Stevia rebaudiana, Valeriana wallichii, Gentiana kurroo, Lavandula officinalis, and Papaver somniferum. In vitro flowering was observed in Papaver somniferum, Psoralea corylifolia, and Ocimum sanctum shoots cultures. Out of 23 plants, 18 plants were successfully hardened under glasshouse conditions.

  16. Molecular characterization of twenty polymorphic microsatellite markers in the polyploid fruit tree species Syzygium samarangense (Myrtaceae).

    Science.gov (United States)

    Lai, J M; Tsai, C C; Yen, C R; Ko, Y Z; Chen, S R; Weng, I S; Lin, Y S; Chiang, Y C

    2015-10-21

    Syzygium samarangense (Blume) Merr. & Perry (wax apple) is an important commercial fruit tree in Southeast Asia. Here, microsatellite markers were developed to evaluate genetic diversity and distinguish cultivars in this species. In total, 161 microsatellite loci with sufficient flanking sequences to design primer sets were isolated from wax apple using a magnetic bead-enrichment method. Fifty-eight primer sets were designed based on the flanking sequences of each single sequence repeat (SSR) locus and were tested using 14 wax apple cultivars/lines. Twenty SSR loci were found to be polymorphic and transferable across the 14 wax apple cultivars/lines. The number of alleles and effective number of alleles detected per locus ranged from 4 to 12 and from 1.697 to 9.800, respectively. The expected heterozygosity ranged from 0.150 to 0.595 (mean = 0.414). Polymorphism information content values ranged from 0.502 to 0.866 (mean = 0.763). These new microsatellite loci will be of value for characterization of genetic diversity in wax apples and for the identification of cultivars.

  17. Twenty-five winters of unexpected Eurasian cooling unlikely due to Arctic sea-ice loss

    Science.gov (United States)

    McCusker, Kelly E.; Fyfe, John C.; Sigmond, Michael

    2016-11-01

    Surface air temperature over central Eurasia decreased over the past twenty-five winters at a time of strongly increasing anthropogenic forcing and Arctic amplification. It has been suggested that this cooling was related to an increase in cold winters due to sea-ice loss in the Barents-Kara Sea. Here we use over 600 years of atmosphere-only global climate model simulations to isolate the effect of Arctic sea-ice loss, complemented with a 50-member ensemble of atmosphere-ocean global climate model simulations allowing for external forcing changes (anthropogenic and natural) and internal variability. In our atmosphere-only simulations, we find no evidence of Arctic sea-ice loss having impacted Eurasian surface temperature. In our atmosphere-ocean simulations, we find just one simulation with Eurasian cooling of the observed magnitude but Arctic sea-ice loss was not involved, either directly or indirectly. Rather, in this simulation the cooling is due to a persistent circulation pattern combining high pressure over the Barents-Kara Sea and a downstream trough. We conclude that the observed cooling over central Eurasia was probably due to a sea-ice-independent internally generated circulation pattern ensconced over, and nearby, the Barents-Kara Sea since the 1980s. These results improve our knowledge of high-latitude climate variability and change, with implications for our understanding of impacts in high-northern-latitude systems.

  18. The Third Revolution: Philosophy into Practice in Twenty-first Century Psychiatry

    Directory of Open Access Journals (Sweden)

    KWM (Bill Fulford

    2008-12-01

    Full Text Available Three revolutions in psychiatry characterised the closing decade of the twentieth century: 1 in the neurosciences, 2 in patient-centred models of service delivery, and 3 in the emergence of a rapidly expanding new cross-disciplinary field of philosophy and psychiatry. Starting with a case history, the paper illustrates the impact of this third revolution - the new philosophy of psychiatry - on day-to-day clinical practice through training programmes and policy developments in what has become known as values-based practice. Derived from philosophical value theory and phenomenology, values-based practice is a partner to evidence-based practice in supporting clinical decision-making in the highly complex environment of mental health care. The paper concludes by setting values-based practice in context with other potentially practical important areas of the new philosophy of psychiatry arguing that all three revolutions need to be brought together if psychiatry is to meet the challenges of the twenty-first century.

  19. Waving or Drowning? Perceptions of Second Wave Feminism Through a Twenty-First Century Lens

    OpenAIRE

    Bralesford, Helen Margaret

    2006-01-01

    This dissertation sets out to explore some twenty-first century perceptions of second wave feminism with as little mediation from the academy as possible by employing the lens of popular culture to tease out and examine some of the assumptions about the second wave that have become culturally embedded at a grass roots level. The first chapter takes Betty Friedan���������������¢��������������������������������s seminal text The Feminine Mysti...

  20. Civil engineering at the crossroads in the twenty-first century.

    Science.gov (United States)

    Ramírez, Francisco; Seco, Andres

    2012-12-01

    The twenty-first century presents a major challenge for civil engineering. The magnitude and future importance of some of the problems perceived by society are directly related to the field of the civil engineer, implying an inescapable burden of responsibility for a group whose technical soundness, rational approach and efficiency is highly valued and respected by the citizen. However, the substantial changes in society and in the way it perceives the problems that it considers important call for a thorough review of our structures, both professional and educational; so that our profession, with its undeniable historical prestige, may modernize certain approaches and attitudes in order to continue to be a reliable instrument in the service of society, giving priority from an ethical standpoint to its actions in pursuit of "the public good". It possesses important tools to facilitate this work (new technologies, the development of communications, the transmission of scientific thought.···); but there is nevertheless a need for deep reflection on the very essence of civil engineering: what we want it to be in the future, and the ability and willingness to take the lead at a time when society needs disinterested messages, technically supported, reasonably presented and dispassionately transmitted.