WorldWideScience

Sample records for unit general aims

  1. Report from UNSCEAR to the United Nations General Assembly

    International Nuclear Information System (INIS)

    2001-01-01

    Over the past few years, the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) has undertaken a broad review of the sources and effects of ionizing radiation. The result of this work has presented for the general reader in the 2000 Report to the General Assembly. This report with the supporting scientific annexes, which are aimed at the general scientific community, was published as 'Sources and Effects of Ionizing Radiation, United Nations Scientific Committee on the Effects of Atomic Radiation 2000 report to the General Assembly, with scientific annexes'

  2. An analysis of acute admissions to a general hospital psychiatric unit

    African Journals Online (AJOL)

    Rapid turnover of patients in a general hospital psychiatric unit demands stabilization and discharge as soon as possible. It is likely that patients are being prematurely discharged because of this pressure. Aim: The study sought to analyse admissions to an acute psychiatric unit with a view to determining the demographic ...

  3. THE POSITION BUDGETS OF ADMINISTRATIVE AND TERRITORIAL UNITS IN GENERAL CONSOLIDATED BUDGET

    Directory of Open Access Journals (Sweden)

    CHIRCULESCU MARIA FELICIA

    2017-12-01

    Full Text Available The budget is a tool of territorial administrative units of financial and budgetary policy in which the state intervenes in the economy at the local level, having a major impact on general government.Through the decentralization processes that are increasingly debated and applied, the paper aims to highlight the importance of the territorial administrative unit budgets in the consolidated budget in Romania.Thus, the work comprises both theoretical notions concerning the presentation of the consolidated state budget and the budget of the territorial administrative units. The relevance of the work lies in the importance of general government in the regulation of macroeconomic balances by sizing or macroeconomic imbalances, with modern methods that analyze the possibilities and effects of new types of deficits or surpluses in the public sector.

  4. Taxation of United States general aviation

    Science.gov (United States)

    Sobieralski, Joseph Bernard

    General aviation in the United States has been an important part of the economy and American life. General aviation is defined as all flying excluding military and scheduled airline operations, and is utilized in many areas of our society. The majority of aircraft operations and airports in the United States are categorized as general aviation, and general aviation contributes more than one percent to the United States gross domestic product each year. Despite the many benefits of general aviation, the lead emissions from aviation gasoline consumption are of great concern. General aviation emits over half the lead emissions in the United States or over 630 tons in 2005. The other significant negative externality attributed to general aviation usage is aircraft accidents. General aviation accidents have caused over 8000 fatalities over the period 1994-2006. A recent Federal Aviation Administration proposed increase in the aviation gasoline tax from 19.4 to 70.1 cents per gallon has renewed interest in better understanding the implications of such a tax increase as well as the possible optimal rate of taxation. Few studies have examined aviation fuel elasticities and all have failed to study general aviation fuel elasticities. Chapter one fills that gap and examines the elasticity of aviation gasoline consumption in United States general aviation. Utilizing aggregate time series and dynamic panel data, the price and income elasticities of demand are estimated. The price elasticity of demand for aviation gasoline is estimated to range from -0.093 to -0.185 in the short-run and from -0.132 to -0.303 in the long-run. These results prove to be similar in magnitude to automobile gasoline elasticities and therefore tax policies could more closely mirror those of automobile tax policies. The second chapter examines the costs associated with general aviation accidents. Given the large number of general aviation operations as well as the large number of fatalities and

  5. Patient stress in intensive care: comparison between a coronary care unit and a general postoperative unit

    Science.gov (United States)

    Dias, Douglas de Sá; Resende, Mariane Vanessa; Diniz, Gisele do Carmo Leite Machado

    2015-01-01

    Objective To evaluate and compare stressors identified by patients of a coronary intensive care unit with those perceived by patients of a general postoperative intensive care unit. Methods This cross-sectional and descriptive study was conducted in the coronary intensive care and general postoperative intensive care units of a private hospital. In total, 60 patients participated in the study, 30 in each intensive care unit. The stressor scale was used in the intensive care units to identify the stressors. The mean score of each item of the scale was calculated followed by the total stress score. The differences between groups were considered significant when p < 0.05. Results The mean ages of patients were 55.63 ± 13.58 years in the coronary intensive care unit and 53.60 ± 17.47 years in the general postoperative intensive care unit. For patients in the coronary intensive care unit, the main stressors were “being in pain”, “being unable to fulfill family roles” and “being bored”. For patients in the general postoperative intensive care unit, the main stressors were “being in pain”, “being unable to fulfill family roles” and “not being able to communicate”. The mean total stress scores were 104.20 ± 30.95 in the coronary intensive care unit and 116.66 ± 23.72 (p = 0.085) in the general postoperative intensive care unit. When each stressor was compared separately, significant differences were noted only between three items. “Having nurses constantly doing things around your bed” was more stressful to the patients in the general postoperative intensive care unit than to those in the coronary intensive care unit (p = 0.013). Conversely, “hearing unfamiliar sounds and noises” and “hearing people talk about you” were the most stressful items for the patients in the coronary intensive care unit (p = 0.046 and 0.005, respectively). Conclusion The perception of major stressors and the total stress score were similar between patients

  6. Recombinative generalization of subword units using matching to sample.

    LENUS (Irish Health Repository)

    Mahon, Catherine

    2010-01-01

    The purpose of the current study was to develop and test a computerized matching-to-sample (MTS) protocol to facilitate recombinative generalization of subword units (onsets and rimes) and recognition of novel onset-rime and onset-rime-rime words. In addition, we sought to isolate the key training components necessary for recombinative generalization. Twenty-five literate adults participated. Conditional discrimination training emerged as a crucial training component. These findings support the effectiveness of MTS in facilitating recombinative generalization, particularly when conditional discrimination training with subword units is used.

  7. Comparative study of radiation dose between digital panoramic X-ray unit and general panoramic X-ray unit

    International Nuclear Information System (INIS)

    Li Qingshan; Duan Tao; Wang Xiaoyun; Zhao Li; Dong Jian; Wei Lei

    2010-01-01

    Objective: To compare the actual dose of patients who receive the same medical practice by either digital panoramic X-ray unit and general panoramic X-ray unit and give evidence for better selection of oral X-ray examination method. Methods: Round sheet lithium fluoride (LiF) thermoluminescent dosimeters (TLD) were used. The experiment was divided into natural background contrast group, general panoramic X-ray children group, general panoramic X-ray adults group, digital panoramic X-ray children group and digital panoramic X-ray adults group. The dosimeter of natural background radiation was placed at the office of the doctor, the dosimeters of general panoramic X-ray children group and general panoramic X-ray adults group were irradiated by different conditions according to the clinical application of panoramic X-ray to children and adults, the dosimeters of digital panoramic X-ray children group and digital panoramic X-ray adults group were irradiated by different conditions according to the clinical application of digital panoramic X-ray to children and adults. The thermoluminescent dosimeter was used to count and calculate the exposure doses in various groups. Results: The dose of children exposed in general panoramic X-ray unit was 1.28 times of that in digital panoramic X-ray unit, there was significant difference (t=6.904, P<0.01). The dose of adults exposed in general panoramic X-ray unit was 1.55 times of that in the digital panoramic X-ray unit, there also was significant difference (t=-11.514. P< 0.01). Conclusion: The digital panoramic X-ray unit can reduce the dose of patients, so the digital panoramic X-ray unit should be used as far as possible. (authors)

  8. Stress, coping, and general health of nurses who work in units that assist AIDS-carriers and patients with

    OpenAIRE

    Da Silva Britto, Eliane; Pimenta Carvalho, Ana Maria

    2008-01-01

    Based on Lazarus and Folkman’s theory about stress and coping, this research aimed at answering questions related to how nurses, who work in two specialized units of a general hospital, evaluate their working environment, their health and how they manage with stressing situations. In the unit of infectious diseases, the nurses’ evaluation of their working environment did not surpass the limits of what is considered as acceptable. In the unit of hematological alterations, the results showed hi...

  9. Capsule Units for Guitar, Autoharp, Recorder. Elementary General Music.

    Science.gov (United States)

    Sweet, Debbie

    An intermediate-level general music unit provides introductory lessons for the autoharp, guitar, and recorder. In the autoharp unit, chording is approached by first using a one-chord song and proceeding to three-chord songs. The guitar unit introduces chord symbols and tablatures and helps students gain familiarity with the parts of the…

  10. Psychiatric units in Brazilian general hospitals: a growing philanthropic field.

    Science.gov (United States)

    Botega, Neury José

    2002-06-01

    Some countries, mainly in North America and Europe, have adopted psychiatric wards in the general hospital as an alternative to the classic psychiatric hospital. In Brazil there are 6,169 general hospitals, 1.3% of which with a psychiatric unit. This service strategy is scarcely developed in the country and comprises only 4% of all psychiatric admissions. There was no information on the facilities and functioning of the psychiatric units in general hospitals. To determine the main characteristics of psychiatric units in Brazilian general hospitals and to assess the current trends in the services provided. A mailing survey assessed all 94 Brazilian general hospitals which made psychiatric admissions. A two-page questionnaire was designed to determine the main characteristics of each institution and of the psychiatric unit. Seventy-nine (84%) questionnaires were returned. In contrast to the 1970s and 1980s, in the last decade the installation of psychiatric units has spread to smaller philanthropic institutions that are not linked to medical schools. A fifth of hospitals admit psychiatric patients to medical wards because there is no specialist psychiatric ward. They try to meet all the local emergency demands, usually alcohol-dependent patients who need short term admission. This could signal the beginning of a program through which mental health professionals may become an integral part of general health services. The inauguration of psychiatric wards in philanthropic hospitals, as well as the admission of psychiatric patients in their medical wards, is a phenomenon peculiar to this decade. The installation of psychiatric services in these and other general hospitals would overcome two of major difficulties encountered: prejudice and a lack of financial resources.

  11. New Generation General Purpose Computer (GPC) compact IBM unit

    Science.gov (United States)

    1991-01-01

    New Generation General Purpose Computer (GPC) compact IBM unit replaces a two-unit earlier generation computer. The new IBM unit is documented in table top views alone (S91-26867, S91-26868), with the onboard equipment it supports including the flight deck CRT screen and keypad (S91-26866), and next to the two earlier versions it replaces (S91-26869).

  12. Quality of stroke care at an Irish Regional General Hospital and Stroke Rehabilitation Unit.

    LENUS (Irish Health Repository)

    Walsh, T

    2012-01-31

    BACKGROUND: Robust international data support the effectiveness of stroke unit (SU) care. Despite this, most stroke care in Ireland are provided outside of this setting. Limited data currently exist on the quality of care provided. AIM: The aim of this study is to examine the quality of care for patients with stroke in two care settings-Regional General Hospital (RGH) and Stroke Rehabilitation Unit (SRU). METHODS: A retrospective analysis of the stroke records of consecutive patients admitted to the SRU between May-November 2002 and April-November 2004 was performed applying the UK National Sentinel Audit of Stroke (NSAS) tool. RESULTS: The results of the study reveal that while SRU processes of care was 74% compliant with standards; compliance with stroke service organisational standards was only 15 and 43% in the RGH and SRU, respectively. CONCLUSION: The quality of stroke care in our area is deficient. Comprehensive reorganisation of stroke services is imperative.

  13. NCHS - Births and General Fertility Rates: United States

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset includes crude birth rates and general fertility rates in the United States since 1909. The number of states in the reporting area differ historically....

  14. General types of idiomatic verbal units in English and Swahili

    Directory of Open Access Journals (Sweden)

    Людмила Алексеевна Семенкова

    2012-09-01

    Full Text Available The article deals with the comparative analysis of the idiomatic verbal units-word combination of the two typologically different languages - English and Swahili: As a result a number of general syntactic types of their idiomatic verbal units are determined.

  15. An analysis of referrals received by a psychiatric unit in a general ...

    African Journals Online (AJOL)

    An analysis of referrals received by a psychiatric unit in a general hospital part 1: the need for and research design adopted to study referrals received by a psychiatric unit in a general hospital: research. M. Dor, V.J. Ehlers, M.M. Van der Merwe ...

  16. Dysphagia referrals to a district general hospital gastroenterology unit: hard to swallow.

    Science.gov (United States)

    Melleney, Elizabeth Mary-Ann; Subhani, Javaid Mohammed; Willoughby, Charles Peter

    2004-01-01

    The aim of our study was to audit dysphagia referrals received by a specialist gastroenterology unit during an entire year. We used a prospective audit carried out over a 12-month period at the District General Hospital gastroenterology unit. The audit included 396 consecutive patients who were referred with swallowing difficulties. We found that 60 referrals (15.2%) were inaccurate and the patients had no swallowing problem. Of the 336 patients with genuine dysphagia, only 29 (8.6%) were new cancer cases. The large majority of subjects had benign disease mostly related to acid reflux. Weight loss was significantly associated with malignancy but also occurred in one third of patients with reflux alone. The temporal pattern of dysphagia was not significantly predictive of cancer. All the cancer patients were above the age of 50 years. Although patients were in general assessed rapidly after hospital referral, the productivity, in terms of early tumor diagnosis, was extremely low. We conclude that there is a substantial rate of inaccurate referrals of dysphagia patients. Most true cases of swallowing difficulty relate to benign disease. Even the devotion of considerable resources to the early diagnosis of esophago gastric malignancy in an attempt to conform with best practice guidelines results in a very low success rate in terms of the detection of potentially curable tumors.

  17. Unit 1b: A General Approach to the Teaching of Architecture

    DEFF Research Database (Denmark)

    Toft, Anne Elisabeth

    2011-01-01

    The chapter presents the overall academic aims of the teaching at Unit 1b and how these were implemented in the curriculum for 2009/2010. The section includes considerations about learning targets, method, discourse, pedagogy and didactics.......The chapter presents the overall academic aims of the teaching at Unit 1b and how these were implemented in the curriculum for 2009/2010. The section includes considerations about learning targets, method, discourse, pedagogy and didactics....

  18. 38 CFR 1.205 - Notification to the Attorney General or United States Attorney's Office.

    Science.gov (United States)

    2010-07-01

    ... Attorney General or United States Attorney's Office. 1.205 Section 1.205 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS GENERAL PROVISIONS Referrals of Information Regarding Criminal Violations § 1.205 Notification to the Attorney General or United States Attorney's Office. VA police and/or...

  19. Installation of new Generation General Purpose Computer (GPC) compact unit

    Science.gov (United States)

    1991-01-01

    In the Kennedy Space Center's (KSC's) Orbiter Processing Facility (OPF) high bay 2, Spacecraft Electronics technician Ed Carter (right), wearing clean suit, prepares for (26864) and installs (26865) the new Generation General Purpose Computer (GPC) compact IBM unit in Atlantis', Orbiter Vehicle (OV) 104's, middeck avionics bay as Orbiter Systems Quality Control technician Doug Snider looks on. Both men work for NASA contractor Lockheed Space Operations Company. All three orbiters are being outfitted with the compact IBM unit, which replaces a two-unit earlier generation computer.

  20. 48 CFR 1631.203-71 - Business unit General and Administrative (G&A) expenses.

    Science.gov (United States)

    2010-10-01

    ... Business unit General and Administrative (G&A) expenses. G&A expenses shall be allocated to final cost... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Business unit General and Administrative (G&A) expenses. 1631.203-71 Section 1631.203-71 Federal Acquisition Regulations System OFFICE OF...

  1. 10 CFR 9.45 - Annual report to the Attorney General of the United States.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Annual report to the Attorney General of the United States... Regulations § 9.45 Annual report to the Attorney General of the United States. (a) On or before February 1 of each year, the NRC will submit a report covering the preceding fiscal year to the Attorney General of...

  2. [General practice research units in Denmark: multidisciplinary research in support of practical work].

    Science.gov (United States)

    Reventlow, Susanne; Broholm, Katalin Alexa Király; Mäkelä, Marjukka

    2014-01-01

    In Denmark the general practice research units operating in connection with universities provide a home base, training and methodology support for researchers in the field from medical students to general practitioners carrying out practical work. Research issues frequently require a multidisciplinary approach and use of different kinds of materials. Problems arising from the practical work of general practitioners take priority in the wide selection of topics. The units have networked efficiently with organizations of general practitioners and medical education. The combination of research environments has created synergy benefiting everybody and increased the scientific productivity and visibility of the field.

  3. Day surgery: Results after restructuration of a university public general surgery unit.

    Science.gov (United States)

    Gaucher, S; Cappiello, F; Bouam, S; Damardji, I; Aissat, A; Boutron, I; Béthoux, J P

    2013-06-01

    Nowadays, in France, development of the ambulatory surgery has stalled. This is probably related to the fact that ambulatory surgery is restricted by the law to the "day surgery" in 12 hours, and only 17 procedures are referenced for this surgery. Thus, conventional hospitalization remained the rule after surgery. In January 2010, our university general surgery unit was restructured. It evolved from a conventional unit to a predominantly ambulatory unit. Otherwise, our unit adjoins a hotel, even inside our institution, which accommodates patients, patient visitors and tourists. The aim of this retrospective study was to compare the postoperative accommodation modalities between two groups of patients. The first group consisted of patients admitted before January 2010, at the time of conventional activity, whereas the second group consisted of patients admitted after January 2010 in a restructured unit. Inclusion of patients admitted from April 1, 2008 to March 31, 2009 (conventional hospitalization period) and from April 1, 2010 to March 31, 2011 (ambulatory management period), scheduled for one single surgical procedure excluding emergency. A total of 360 patients were retained: 229 for the conventional period and 131 for the ambulatory period, with a median age of 55 (range 15-87). No statistically significant difference was noted between the two groups as concerned median age, gender or ASA status. The number of postoperative nights varied significantly between the two groups with a mean of 3.8 nights (median three nights, range 0-32) for the conventional period versus 0.4 nights (median 0 night, range 0-10) for the ambulatory period (Plegal period of 12 hours to 24 hours in order to expand the list of the referenced procedures. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  4. DRUG MANAGEMENT REVIEWS IN DISTRICT DRUG MANAGEMENT UNIT AND GENERAL HOSPITAL

    Directory of Open Access Journals (Sweden)

    Max Joseph Herman

    2009-12-01

    Full Text Available Drug is one of the essential elements in healthcare that should be effectively and efficiently managed. Following thedecentralization in 2001 in Indonesia, drug management has changed in district drug management units and also in District General Hospitals. Certainly this condition influences the sustainability of drug access in primary health care such as in Community Health Center and District General Hospital, especially in drug financing policy. A cross sectional descriptive study to obtain information on drug management in public healthcare in district had been carried out between July and December 2006 in 10 District Public Drug Management Units from 10 district health offices and 9 district general hospitals as samples. Data were collected by interviewing heads of Drug Section in District Health Offices and heads of Hospital Pharmacies using structured questionnaires and observing drug storage in District Drug Management Units, Community Health Centers, and Hospital Pharmacies. Results of the study show that drug planning in District Health Offices and General Hospitals did not meet the basic real need in some districts nor District Hospitals. The minimum health service standards had no been achieved yet. Furthermore, drug procurement, storage and recording as well as reporting was not good enough either, such as shown by the existence of expired drugs. Lead time for drug delivery to community health centers in some districts was longer than the average of lead time in the past 3 years.

  5. Surveillance Monitoring Management for General Care Units: Strategy, Design, and Implementation.

    Science.gov (United States)

    McGrath, Susan P; Taenzer, Andreas H; Karon, Nancy; Blike, George

    2016-07-01

    The growing number of monitoring devices, combined with suboptimal patient monitoring and alarm management strategies, has increased "alarm fatigue," which have led to serious consequences. Most reported alarm man- agement approaches have focused on the critical care setting. Since 2007 Dartmouth-Hitchcock (Lebanon, New Hamp- shire) has developed a generalizable and effective design, implementation, and performance evaluation approach to alarm systems for continuous monitoring in general care settings (that is, patient surveillance monitoring). In late 2007, a patient surveillance monitoring system was piloted on the basis of a structured design and implementation approach in a 36-bed orthopedics unit. Beginning in early 2009, it was expanded to cover more than 200 inpatient beds in all medicine and surgical units, except for psychiatry and labor and delivery. Improvements in clinical outcomes (reduction of unplanned transfers by 50% and reduction of rescue events by more than 60% in 2008) and approximately two alarms per patient per 12-hour nursing shift in the original pilot unit have been sustained across most D-H general care units in spite of increasing patient acuity and unit occupancy. Sample analysis of pager notifications indicates that more than 85% of all alarm conditions are resolved within 30 seconds and that more than 99% are resolved before escalation is triggered. The D-H surveillance monitoring system employs several important, generalizable features to manage alarms in a general care setting: alarm delays, static thresholds set appropriately for the prevalence of events in this setting, directed alarm annunciation, and policy-driven customization of thresholds to allow clinicians to respond to needs of individual patients. The systematic approach to design, implementation, and performance management has been key to the success of the system.

  6. Disparities in access to emergency general surgery care in the United States.

    Science.gov (United States)

    Khubchandani, Jasmine A; Shen, Connie; Ayturk, Didem; Kiefe, Catarina I; Santry, Heena P

    2018-02-01

    As fewer surgeons take emergency general surgery call and hospitals decrease emergency services, a crisis in access looms in the United States. We examined national emergency general surgery capacity and county-level determinants of access to emergency general surgery care with special attention to disparities. To identify potential emergency general surgery hospitals, we queried the database of the American Hospital Association for "acute care general hospital," with "surgical services," and "emergency department," and ≥1 "operating room." Internet search and direct contact confirmed emergency general surgery services that covered the emergency room 7 days a week, 24 hours a day. Geographic and population-level emergency general surgery access was derived from Geographic Information Systems and US Census. Of the 6,356 hospitals in the 2013 American Hospital Association database, only 2,811 were emergency general surgery hospitals. Counties with greater percentages of black, Hispanic, uninsured, and low-education individuals and rural counties disproportionately lacked access to emergency general surgery care. For example, counties above the 75th percentile of African American population (10.2%) had >80% odds of not having an emergency general surgery hospital compared with counties below the 25th percentile of African American population (0.6%). Gaps in access to emergency general surgery services exist across the United States, disproportionately affecting underserved, rural communities. Policy initiatives need to increase emergency general surgery capacity nationwide. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. The ATLAS Trigger Algorithms for General Purpose Graphics Processor Units

    CERN Document Server

    Tavares Delgado, Ademar; The ATLAS collaboration

    2016-01-01

    The ATLAS Trigger Algorithms for General Purpose Graphics Processor Units Type: Talk Abstract: We present the ATLAS Trigger algorithms developed to exploit General­ Purpose Graphics Processor Units. ATLAS is a particle physics experiment located on the LHC collider at CERN. The ATLAS Trigger system has two levels, hardware-­based Level 1 and the High Level Trigger implemented in software running on a farm of commodity CPU. Performing the trigger event selection within the available farm resources presents a significant challenge that will increase future LHC upgrades. are being evaluated as a potential solution for trigger algorithms acceleration. Key factors determining the potential benefit of this new technology are the relative execution speedup, the number of GPUs required and the relative financial cost of the selected GPU. We have developed a trigger demonstrator which includes algorithms for reconstructing tracks in the Inner Detector and Muon Spectrometer and clusters of energy deposited in the Cal...

  8. A "Neurological Emergency Trolley" reduces turnaround time for high-risk medications in a general intensive care unit.

    Science.gov (United States)

    Ajzenberg, Henry; Newman, Paula; Harris, Gail-Anne; Cranston, Marnie; Boyd, J Gordon

    2018-02-01

    To reduce medication turnaround times during neurological emergencies, a multidisciplinary team developed a neurological emergency crash trolley in our intensive care unit. This trolley includes phenytoin, hypertonic saline and mannitol, as well as other equipment. The aim of this study was to assess whether the cart reduced turnaround times for these medications. In this retrospective cohort study, medication delivery times for two year epochs before and after its implementation were compared. Eligible patients were identified from our intensive care unit screening log. Adults who required emergent use of phenytoin, hypertonic saline or mannitol while in the intensive care unit were included. Groups were compared with nonparametric analyses. 33-bed general medical-surgical intensive care unit in an academic teaching hospital. Time to medication administration. In the pre-intervention group, there were 43 patients with 66 events. In the post-intervention group, there were 45 patients with 80 events. The median medication turnaround time was significantly reduced after implementation of the neurological emergency trolley (25 vs. 10minutes, p=0.003). There was no statistically significant difference in intensive care or 30-day survival between the two cohorts. The implementation of a novel neurological emergency crash trolley in our intensive care unit reduced medication turnaround times. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Application of total care time and payment per unit time model for physician reimbursement for common general surgery operations.

    Science.gov (United States)

    Chatterjee, Abhishek; Holubar, Stefan D; Figy, Sean; Chen, Lilian; Montagne, Shirley A; Rosen, Joseph M; Desimone, Joseph P

    2012-06-01

    The relative value unit system relies on subjective measures of physician input in the care of patients. A payment per unit time model incorporates surgeon reimbursement to the total care time spent in the operating room, postoperative in-house, and clinic time to define payment per unit time. We aimed to compare common general surgery operations by using the total care time and payment per unit time method in order to demonstrate a more objective measurement for physician reimbursement. Average total physician payment per case was obtained for 5 outpatient operations and 4 inpatient operations in general surgery. Total care time was defined as the sum of operative time, 30 minutes per hospital day, and 30 minutes per office visit for each operation. Payment per unit time was calculated by dividing the physician reimbursement per case by the total care time. Total care time, physician payment per case, and payment per unit time for each type of operation demonstrated that an average payment per time spent for inpatient operations was $455.73 and slightly more at $467.51 for outpatient operations. Partial colectomy with primary anastomosis had the longest total care time (8.98 hours) and the least payment per unit time ($188.52). Laparoscopic gastric bypass had the highest payment per time ($707.30). The total care time and payment per unit time method can be used as an adjunct to compare reimbursement among different operations on an institutional level as well as on a national level. Although many operations have similar payment trends based on time spent by the surgeon, payment differences using this methodology are seen and may be in need of further review. Copyright © 2012 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  10. Management and control aimed at reducing potential exposure of cobalt irradiation units

    International Nuclear Information System (INIS)

    Yan Yukui

    2003-01-01

    This paper is intended to address the problems of the management and control of potential exposure of cobalt irradiation units and analyze both the current situation and the resultant accident reasons associated with irradiation units, with the necessary control measures provided to reduce potential exposure. The concepts of defense in depth and excellent engineering practice are introduced in design to provide the units with sufficient redundancy. In the course of scientific management, the qualified applicants or registers devoted, strictly and effectively, their oversight, monitoring and regulation to the irradiation units. The effective management and control are achieved through safety analysis and assessment, reasonable regulatory system and source decommissioning system. (authors)

  11. Use of general purpose graphics processing units with MODFLOW

    Science.gov (United States)

    Hughes, Joseph D.; White, Jeremy T.

    2013-01-01

    To evaluate the use of general-purpose graphics processing units (GPGPUs) to improve the performance of MODFLOW, an unstructured preconditioned conjugate gradient (UPCG) solver has been developed. The UPCG solver uses a compressed sparse row storage scheme and includes Jacobi, zero fill-in incomplete, and modified-incomplete lower-upper (LU) factorization, and generalized least-squares polynomial preconditioners. The UPCG solver also includes options for sequential and parallel solution on the central processing unit (CPU) using OpenMP. For simulations utilizing the GPGPU, all basic linear algebra operations are performed on the GPGPU; memory copies between the central processing unit CPU and GPCPU occur prior to the first iteration of the UPCG solver and after satisfying head and flow criteria or exceeding a maximum number of iterations. The efficiency of the UPCG solver for GPGPU and CPU solutions is benchmarked using simulations of a synthetic, heterogeneous unconfined aquifer with tens of thousands to millions of active grid cells. Testing indicates GPGPU speedups on the order of 2 to 8, relative to the standard MODFLOW preconditioned conjugate gradient (PCG) solver, can be achieved when (1) memory copies between the CPU and GPGPU are optimized, (2) the percentage of time performing memory copies between the CPU and GPGPU is small relative to the calculation time, (3) high-performance GPGPU cards are utilized, and (4) CPU-GPGPU combinations are used to execute sequential operations that are difficult to parallelize. Furthermore, UPCG solver testing indicates GPGPU speedups exceed parallel CPU speedups achieved using OpenMP on multicore CPUs for preconditioners that can be easily parallelized.

  12. New representative of the Director-General of the IAEA to the United Nations

    International Nuclear Information System (INIS)

    2000-01-01

    The document gives information about Mr. Kwaku Aning (Ghana) who was nominated as the Representative of the Director-General of the IAEA to the United Nations and as Director of its Office at the United Nations Headquarters in New York, USA, as of 1 February 2000

  13. Over-imaging in uncomplicated low back pain: a 12-month audit of a general medical unit.

    Science.gov (United States)

    Rego, M H; Nagiah, S

    2016-12-01

    Low back pain is frequently encountered in hospitals and is a leading cause of disability, often involving costly imaging that exposes a patient to radiation. A retrospective 12-month audit at a South Australian tertiary hospital aimed to evaluate the frequency, modality and appropriateness of imaging in patients with low back pain. Results showed that the general medical unit was unnecessarily ordering imaging in 40% of patients who exhibited no indications warranting such a procedure. A standardised protocol is required to preventing clinicians from requesting imaging solely for the purposes of self-reassurance, patient reassurance or fear of litigation. © 2016 Royal Australasian College of Physicians.

  14. General surgical admissions in the intensive care unit in Ibadan ...

    African Journals Online (AJOL)

    Objectives:The Intensive Care Unit (ICU) has improved patient outcome in complex surgeries while the costs of maintaining services are high. ICU services in developing countries are often inadequate due to lack of funds. This study reviews the pattern and outcomes of General Surgical patients admitted to the ICU of our ...

  15. The General Urban Plan of Casimcea territorial administrative unit, map of natural and anthropogenic risks

    Directory of Open Access Journals (Sweden)

    Sorin BĂNICĂ

    2013-08-01

    Full Text Available The General Urban Plan represents the legal ground for any development action proposed. After endorsement and approval as required by law, GUP is act of authority of local government for the area in which it applies. The aim is to establish priorities regulations applied in land use planning and construction of structures. In terms of geographical location, the administrative territory of Casimcea, Tulcea county, falls in the central Northwest Plateau Casimcei. This is the second unit of the Central Dobrogea Plateau. Geographical location in southeastern Romania, climatic and relief conditions and anthropogenic pressure, expose the village administrative territorial unit Casimcea, permanent susceptibility to produce natural and antropogenical risks. In this context, we identified the following categories of natural and anthropogenic risks: i natural risk phenomena (earthquakes, strong winds, heavy rains, floods caused by overflowing or precipitation, erosion of river banks and torrents, gravitational processes, rain droplet erosion and surface soil erosion; and ii anthropogenic risk phenomena (overgrazing, chemicals use in agriculture, road transport infrastructure and electricity, wind turbines for electricity production, waste deposits, agro-zootechnical complexs, and human cemeteries. Extending their surface was materialized by creating a map of natural and anthropogenic risk on Casimcea territorial administrative unit, explaining the share of potentially affected areas as territorial balance

  16. Statement to the 54th session of the United Nations General Assembly. United Nations, New York, 4 November 1999

    International Nuclear Information System (INIS)

    ElBaradei, M.

    1999-01-01

    In his Statement to the 54th Session of the United Nations General Assembly (New York, 4 November 1999), the Director General of the IAEA presented some of the major Agency's achievements in fulfilling its mandate as described in the Annual Report of the IAEA for 1998, and also some of the challenges and opportunities that lie ahead

  17. Improving the smoking patterns in a general hospital psychiatric unit

    Directory of Open Access Journals (Sweden)

    Celso Iglesias García

    2009-01-01

    Full Text Available Objectives: The purpose of the present paper is to evaluate the effects of a smoking ban in a general hospital psychiatric unit. Methods: We study the effects of smoking ban in 40 consecutive psychiatric inpatients. The staff registered socio-demographic and tobacco-related variables. We also registered any kind of behavioral effects of smoking ban.Results: The patients were willing to stop smoking during their hospital stay (with or without nicotine replacement with two mild behavioural incidences registered throughout the study. Conclusions: The benefits of non-smoking policy in a psychiatric unit can be significant. The introduction of smoking bans in psychiatric inpatients settings is possible and safe.

  18. Built environment interventions aimed at improving physical activity levels in rural Ontario health units: a descriptive qualitative study.

    Science.gov (United States)

    Coghill, Cara-Lee; Valaitis, Ruta K; Eyles, John D

    2015-05-03

    Few studies to date have explored the relationship between the built environment and physical activity specifically in rural settings. The Ontario Public Health Standards policies mandate that health units in Ontario address the built environment; however, it is unclear how public health practitioners are integrating the built environment into public health interventions aimed at improving physical activity in chronic disease prevention programs. This descriptive qualitative study explored interventions that have or are being implemented which address the built environment specifically related to physical activity in rural Ontario health units, and the impact of these interventions. Data were collected through twelve in-depth semi-structured interviews with rural public health practitioners and managers representing 12 of 13 health units serving rural communities. Key themes were identified using qualitative content analysis. Themes that emerged regarding the types of interventions that health units are employing included: Engagement with policy work at a municipal level; building and working with community partners, committees and coalitions; gathering and providing evidence; developing and implementing programs; and social marketing and awareness raising. Evaluation of interventions to date has been limited. Public health interventions, and their evaluations, are complex. Health units who serve large rural populations in Ontario are engaging in numerous activities to address physical activity levels. There is a need to further evaluate the impact of these interventions on population health.

  19. 28 CFR 0.109 - Implementation of the Treaty of Friendship and General Relations Between the United States and...

    Science.gov (United States)

    2010-07-01

    ... Friendship and General Relations Between the United States and Spain. 0.109 Section 0.109 Judicial... Service § 0.109 Implementation of the Treaty of Friendship and General Relations Between the United States... States within the meaning of Article XXIV of the Treaty of Friendship and General Relations Between the...

  20. Statement to the fifty-fifth session of the United Nations General Assembly

    International Nuclear Information System (INIS)

    ElBaradei, M.

    2000-01-01

    In his statement to the fifty-fifth session of the United Nations General Assembly, the Director General of the IAEA briefly presented the three fundamental functions of the IAEA, namely: its role as a catalyst for the development and transfer of peaceful nuclear technologies, the efforts to prevent the proliferation of nuclear weapons and move towards nuclear disarmament, and the work to build and maintain a global nuclear safety regime

  1. Antimicrobial Suspectibility of Bacterial Isolated from Burn Unit in Dr. Hasan Sadikin General Hospital Bandung, Indonesia from June to September 2013

    Directory of Open Access Journals (Sweden)

    Yodya Evila

    2015-09-01

    Full Text Available Background: Development of infection in burned patients is a crucial matter because it may increase morbidity and mortality. Factors contributing to high risk for infections are disrupted skin barrier, dysfunction of the immune system and prolonged hospitalization. Crowded hospital condition and transfer of patients from one unit to another can affect development of infection caused by environmental factors. The aim of the study was to identify the antimicrobial suspectibility of bacterial isolated from Burn Unit in Dr. Hasan Sadikin General Hospital, Bandung. Methods: A descriptive study was carried out in Burn Unit Dr. Hasan Sadikin General Hospital Bandung, Indonesia, from June to September 2013. A total of 30 environment samples were collected and cultured to identify the bacterias. Futhermore, the colonies found, underwent antimicrobial susceptibility test. Results: Most common bacteria found from the environmental samples in Burn Unit was Staphylococcus saprophyticus (24%. Other bacterias found were Klebsiella pneumonia (17%, Acinetobacter baumanii (15%, Staphylococcus epidermidis (12%, Bacillus sp.(12%, Pseudomonas sp.(7%, Staphylococcus aureus (5%, Enterobacter aerogenes (5% and Serratia sp. (2%. Some bacteria still had good sensitivity to antibiotics while the Enterobacteriaceae were almost completely resistant to antimicrobial used in the study. Conclusions: The most common bacteria found from the environment samples in Burn Unit is Staphylococcuss aprophyticus. Additionally, Klebsiella pneumoniae as one of the Enterobacteriaceae groups, appears as an emerging hospital associated infection pathogen with their resistant to many antimicrobials.

  2. Group cohesion and social support of the nurses in a special unit and a general unit in Korea.

    Science.gov (United States)

    Ko, Yu Kyung

    2011-07-01

    To identify the degree of group cohesion and social support of nurses in special and general units in hospitals in Korea, and to compare group cohesion and social support between the two groups. The level of commitment nurses have to their organizations has been shown to correlate with work group cohesion and social support. The participants were 1751 nurses who were working in Korean hospitals. Data were collected using a structured questionnaire and were analysed using SAS. The statistical methods included: descriptive statistics, t-test, anova and Pearson's correlation coefficients. Group cohesion of nurses on special wards was significantly higher than for nurses on general wards. No significant difference was found between types of units in terms of social support. The degree of group cohesion was significantly different in terms of the respondents' clinical experience, position, religion, job satisfaction, number of supportive superiors and number of supportive peers. A statistically significant correlation was found between group cohesion scores and degree of social support. Hospital management can accomplish their goals more effectively through knowledge of the level of group cohesion, superior support and peer support for nursing staff in accordance with unit specialty. © 2011 The Author. Journal compilation © 2011 Blackwell Publishing Ltd.

  3. Discrete-Event Execution Alternatives on General Purpose Graphical Processing Units

    International Nuclear Information System (INIS)

    Perumalla, Kalyan S.

    2006-01-01

    Graphics cards, traditionally designed as accelerators for computer graphics, have evolved to support more general-purpose computation. General Purpose Graphical Processing Units (GPGPUs) are now being used as highly efficient, cost-effective platforms for executing certain simulation applications. While most of these applications belong to the category of time-stepped simulations, little is known about the applicability of GPGPUs to discrete event simulation (DES). Here, we identify some of the issues and challenges that the GPGPU stream-based interface raises for DES, and present some possible approaches to moving DES to GPGPUs. Initial performance results on simulation of a diffusion process show that DES-style execution on GPGPU runs faster than DES on CPU and also significantly faster than time-stepped simulations on either CPU or GPGPU.

  4. Stroke Unit: General principles and standards

    Directory of Open Access Journals (Sweden)

    Mehmet Akif Topçuoğlu

    2015-04-01

    Full Text Available Evidence-based medicinal methods have convincingly shown that stroke unit approach reduces mortality and disability rates, improves the quality of life and economic burden resulting from acute ischemic and hemorrhagic stroke. Any contemporary stroke system of care cannot be successful without putting the stroke unit concept in the center of its organization. Stroke units are the main elements of primary and comprehensive stroke centers. As a modernization process, this article focuses on practical issues and suggestions related to integration of the stroke unit approach to a regionally organized stroke system of care for perusal by not only national health authorities and service providers, but also neurologists. Stroke unit quality metrics revisited herein are of critical importance for hospitals establishing or renovating primary and comprehensive stroke centers.

  5. Prediction of chronic critical illness in a general intensive care unit

    Directory of Open Access Journals (Sweden)

    Sérgio H. Loss

    2013-06-01

    Full Text Available OBJECTIVE: To assess the incidence, costs, and mortality associated with chronic critical illness (CCI, and to identify clinical predictors of CCI in a general intensive care unit. METHODS: This was a prospective observational cohort study. All patients receiving supportive treatment for over 20 days were considered chronically critically ill and eligible for the study. After applying the exclusion criteria, 453 patients were analyzed. RESULTS: There was an 11% incidence of CCI. Total length of hospital stay, costs, and mortality were significantly higher among patients with CCI. Mechanical ventilation, sepsis, Glasgow score < 15, inadequate calorie intake, and higher body mass index were independent predictors for cci in the multivariate logistic regression model. CONCLUSIONS: CCI affects a distinctive population in intensive care units with higher mortality, costs, and prolonged hospitalization. Factors identifiable at the time of admission or during the first week in the intensive care unit can be used to predict CCI.

  6. Teaching Emotional Intelligence to Intensive Care Unit Nurses and their General Health: A Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    F Sharif

    2013-07-01

    Full Text Available Background: Emotion and how people manage it is an important part of personality that would immensely affect their health. Investigations showed that emotional intelligence is significantly related to and can predict psychological health. Objective: To determine the effect of teaching emotional intelligence to intensive care unit nurses on their general health. Methods: This randomized clinical trial (registered as IRCT201208022812N9 was conducted on 52 of 200 in intensive care unit nurses affiliated to Shiraz University of Medical Sciences. They were recruited through purposeful convenience sampling and then randomly categorized into two groups. The intervention group members were trained in emotional intelligence. Bar-on emotional intelligence and Goldberg's general health questionnaires were administered to each participant before, immediately after, and one month after the intervention. Results: While the mean score of general health for the intervention group decreased from 25.4 before the intervention, to 18.1 immediately after the intervention and to 14.6 one month later, for the control group, it increased from 22.0, to 24.2 and to 26.5, respectively (p<0.001. Conclusion: Teaching emotional intelligence improved the general health of intensive care unit nurses.

  7. Low-cost general purpose spectral display unit using an IBM PC

    International Nuclear Information System (INIS)

    Robinson, S.L.

    1985-10-01

    Many physics experiments require acquisition and analysis of spectral data. commercial minicomputer-based multichannel analyzers collect detected counts at various energies, create a histogram of the counts in memory, and display the resultant spectra. They acquire data and provide the user-to-display interface. The system discussed separates functions into the three modular components of data acquisition, storage, and display. This decoupling of functions allows the experimenter to use any number of detectors for data collection before forwarding up to 64 spectra to the display unit, thereby increasing data throughput over that available with commercial systems. An IBM PC was chosen for the low-cost, general purpose display unit. Up to four spectra may be displayed simultaneously in different colors. The histogram saves 1024 channels per detector, 640 of which may be distinctly displayed per spectra. The IEEE-488 standard provides the data path between the IBM PC and the data collection unit. Data is sent to the PC under interrupt control, using direct memory access. Display manipulations available via keyboard are also discussed

  8. Generalized information theory: aims, results, and open problems

    International Nuclear Information System (INIS)

    Klir, George J.

    2004-01-01

    The principal purpose of this paper is to present a comprehensive overview of generalized information theory (GIT): a research program whose objective is to develop a broad treatment of uncertainty-based information, not restricted to classical notions of uncertainty. After a brief overview of classical information theories, a broad framework for formalizing uncertainty and the associated uncertainty-based information of a great spectrum of conceivable types is sketched. The various theories of imprecise probabilities that have already been developed within this framework are then surveyed, focusing primarily on some important unifying principles applying to all these theories. This is followed by introducing two higher levels of the theories of imprecise probabilities: (i) the level of measuring the amount of relevant uncertainty (predictive, retrodictive, prescriptive, diagnostic, etc.) in any situation formalizable in each given theory, and (ii) the level of some methodological principles of uncertainty, which are contingent upon the capability to measure uncertainty and the associated uncertainty-based information. Various issues regarding both the measurement of uncertainty and the uncertainty principles are discussed. Again, the focus is on unifying principles applicable to all the theories. Finally, the current status of GIT is assessed and future research in the area is discussed

  9. Real-time radar signal processing using GPGPU (general-purpose graphic processing unit)

    Science.gov (United States)

    Kong, Fanxing; Zhang, Yan Rockee; Cai, Jingxiao; Palmer, Robert D.

    2016-05-01

    This study introduces a practical approach to develop real-time signal processing chain for general phased array radar on NVIDIA GPUs(Graphical Processing Units) using CUDA (Compute Unified Device Architecture) libraries such as cuBlas and cuFFT, which are adopted from open source libraries and optimized for the NVIDIA GPUs. The processed results are rigorously verified against those from the CPUs. Performance benchmarked in computation time with various input data cube sizes are compared across GPUs and CPUs. Through the analysis, it will be demonstrated that GPGPUs (General Purpose GPU) real-time processing of the array radar data is possible with relatively low-cost commercial GPUs.

  10. AIMES Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Katz, Daniel S [Univ. of Illinois, Urbana-Champaign, IL (United States). National Center for Supercomputing Applications (NCSA); Jha, Shantenu [Rutgers Univ., New Brunswick, NJ (United States); Weissman, Jon [Univ. of Minnesota, Minneapolis, MN (United States); Turilli, Matteo [Rutgers Univ., New Brunswick, NJ (United States)

    2017-01-31

    This is the final technical report for the AIMES project. Many important advances in science and engineering are due to large-scale distributed computing. Notwithstanding this reliance, we are still learning how to design and deploy large-scale production Distributed Computing Infrastructures (DCI). This is evidenced by missing design principles for DCI, and an absence of generally acceptable and usable distributed computing abstractions. The AIMES project was conceived against this backdrop, following on the heels of a comprehensive survey of scientific distributed applications. AIMES laid the foundations to address the tripartite challenge of dynamic resource management, integrating information, and portable and interoperable distributed applications. Four abstractions were defined and implemented: skeleton, resource bundle, pilot, and execution strategy. The four abstractions were implemented into software modules and then aggregated into the AIMES middleware. This middleware successfully integrates information across the application layer (skeletons) and resource layer (Bundles), derives a suitable execution strategy for the given skeleton and enacts its execution by means of pilots on one or more resources, depending on the application requirements, and resource availabilities and capabilities.

  11. Modeling Intercity Mode Choice and Airport Choice in the United States

    OpenAIRE

    Ashiabor, Senanu Y.

    2007-01-01

    The aim of this study was to develop a framework to model travel choice behavior in order to estimate intercity travel demand at nation-level in the United States. Nested and mixed logit models were developed to study national-level intercity transportation in the United States. A separate General Aviation airport choice model to estimates General Aviation person-trips and number of aircraft operations though more than 3000 airports was also developed. The combination of the General Aviati...

  12. Statement to the 47th session of the United Nations General Assembly

    International Nuclear Information System (INIS)

    Blix, H.

    1993-01-01

    IAEA Director General, Hans Blix, in his statement to the 47th session of the United Nations General Assembly on 21 October 1992, reminded that 1992 marks the fiftieth anniversary of controlled nuclear fission and the thirty-fifth anniversary of the IAEA. He specially commented on the various measures taken during the past year to strengthen the IAEA's safeguards system as a part of the challenge to reduce the risk of a further spread of nuclear weapons. He also discussed the role of the IAEA in the fields of nuclear safety, nuclear waste, transfer of technology and assistance to developing countries and the financing and management of the Agency within the UN system

  13. Ward nurses' experiences of the discharge process between intensive care unit and general ward.

    Science.gov (United States)

    Kauppi, Wivica; Proos, Matilda; Olausson, Sepideh

    2018-05-01

    Intensive care unit (ICU) discharges are challenging practices that carry risks for patients. Despite the existing body of knowledge, there are still difficulties in clinical practice concerning unplanned ICU discharges, specifically where there is no step-down unit. The aim of this study was to explore general ward nurses' experiences of caring for patients being discharged from an ICU. Data were collected from focus groups and in-depth interviews with a total of 16 nurses from three different hospitals in Sweden. An inductive qualitative design was chosen. The analysis revealed three themes that reflect the challenges in nursing former ICU patients: a vulnerable patient, nurses' powerlessness and organizational structure. The nurses described the challenge of nursing a fragile patient based on several aspects. They expressed feeling unrealistic demands when caring for a fragile former ICU patient. The demands were related to their own profession and knowledge regarding how to care for this group of patients. The organizational structure had an impact on how the nurses' caring practice could be realized. This evoked ethical concerns that the nurses had to cope with as the organization's care guidelines did not always favour the patients. The structure of the organization and its leadership appear to have a significant impact on the nurses' ability to offer patients the care they need. This study sheds light on the need for extended outreach services and intermediate care in order to meet the needs of patients after the intensive care period. © 2018 British Association of Critical Care Nurses.

  14. A low-cost general purpose spectral display unit using an IBM PC

    International Nuclear Information System (INIS)

    Robinson, S.L.

    1986-01-01

    Many physics experiments require acquisition and analysis of spectral data. Commercial minicomputer-based multichannel analyzers collect detected counts at various energies, create a histogram of the counts in memory, and display the resultant spectra. They acquire data and provide the user-to-display interface. The system discussed separates functions into the three modular components of data acquisition, storage, and display. This decoupling of functions allows the experimenter to use any number of detectors for data collection before forwarding up to 64 spectra to the display unit, thereby increasing data throughput over that available with commercial systems. An IBM PC was chosen for the low-cost, general purpose display unit. Up to four spectra may be displayed simultaneously in different colors. The histogram saves 1024 channels per detector, 640 of which may be distinctly displayed per spectra. The IEEE-488 standard provides the data path between the IBM PC and the data collection unit. Data is sent to the PC under interrupt control, using direct memory access. Display manipulations available via keyboard are also discussed

  15. 75 FR 26794 - New United Motor Manufacturing, Inc., Formerly a Joint Venture of General Motors Corporation and...

    Science.gov (United States)

    2010-05-12

    ... Manufacturing, Inc., Formerly a Joint Venture of General Motors Corporation and Toyota Motor Corporation... United Motor Manufacturing, Inc., formerly a joint venture of General Motors Corporation and Toyota Motor... reviewed the certification for workers of the subject firm. The workers assemble the Toyota Corolla and the...

  16. Exposure in emergency general surgery in a time-based residency ...

    African Journals Online (AJOL)

    Objective: This paper aimed to characterize the resident exposure to acute general surgical conditions during a three-months rotation in a general surgical unit. Setting: The Department of Surgery, University of Nairobi and Kenyatta National Referral and Teaching Hospital in Nairobi. MethodS: Four residents (in their first to ...

  17. One voice or different choice?: Vote defection of European Union member states in the United Nations General Assembly

    DEFF Research Database (Denmark)

    Burmester, Nicolas; Jankowski, Michael

    2018-01-01

    Existing research suggests that European Union member states are increasingly able to act in concert in the United Nations General Assembly. Based on several hundred co-ordination meetings per year, the European Union ‘speaks with one voice’ on most of the resolutions voted upon in the United...... Nations General Assembly. However, little is known about instances where the European Union member states do not vote coherently. Three questions remain unanswered. First, which aspects affect deviating voting behaviour of European Union member states? Second, who are the most frequent defectors from...... the European Union’s majority position? Third, which voting blocs within the European Union can be identified? The article answers these questions in a quantitative design by controlling for domestic factors, issues of resolutions and the position of the United States. The results suggest that domestic aspects...

  18. A critique of the US Surgeon General?s conclusions regarding e-cigarette use among youth and young adults in the United States of America

    OpenAIRE

    Polosa, Riccardo; Russell, Christopher; Nitzkin, Joel; Farsalinos, Konstantinos E.

    2017-01-01

    Background In December 2016, the Surgeon General published a report that concluded e-cigarette use among youth and young adults is becoming a major public health concern in the United States of America. Methods Re-analysis of key data sources on nicotine toxicity and prevalence of youth use of e-cigarettes cited in the Surgeon General report as the basis for its conclusions. Results Multiple years of nationally representative surveys indicate the majority of e-cigarette use among US youth is ...

  19. Conformity to the surviving sepsis campaign international guidelines among physicians in a general intensive care unit in Nairobi.

    Science.gov (United States)

    Mung'ayi, V; Karuga, R

    2010-08-01

    There are emerging therapies for managing septic critically-ill patients. There is little data from the developing world on their usage. To determine the conformity rate for resuscitation and management bundles for septic patients amongst physicians in a general intensive care unit. Cross sectional observational study. The general intensive care unit, Aga Khan University Hospital,Nairobi. Admitting physicians from all specialties in the general intensive care unit. The physicians had high conformity rates of 92% and 96% for the fluid resuscitation and use of va so pressors respectively for the initial resuscitation bundle. They had moderate conformity rates for blood cultures prior to administering antibiotics (57%) and administration of antibiotics within first hour of recognition of septic shock (54%). There was high conformity rate to the glucose control policy (81%), use of protective lung strategy in acute lung injury/Acute respiratory distress syndrome, venous thromboembolism prophylaxis (100%) and stress ulcer prophylaxis (100%) in the management bundle. Conformity was moderate for use of sedation, analgesia and muscle relaxant policy (69%), continuous renal replacement therapies (54%) and low for steroid policy (35%), administration ofdrotrecogin alfa (0%) and selective digestive decontamination (15%). There is varying conformity to the international sepsis guidelines among physicians caring for patients in our general ICU. Since increased conformity would improve survival and reduce morbidity, there is need for sustained education and guideline based performance improvement.

  20. Prediktor Stres Keluarga Akibat Anggota Keluarganya Dirawat di General Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Zahara Farhan

    2014-09-01

    Full Text Available Hospitalization of family member in intensive care can be a trigger of stress in the family. Several factors which could create a stressful situation in a family are changes of environment, rules in the ward, changes of family emotional status, changes of family member roles, changes of daily activities, changes in financial situation and health care workers' attitude when giving information on patient’s health status. This study was a cross-sectional study. The number of subjects included in this study were 60 representing families whose member was hospitalized in the General Intensive Care Unit (GICU of Dr. Hasan Sadikin General Hospital (RSHS Bandung during the period of March to May 2012. The sampling technique used was purposive sampling. The instrument used to measure the stress predictors was developed based on theoretical review and modification of family inventory live events standard instrument. Meanwhile, the instrument used for measuring the family stress was the Depression Anxiety Stress Scale 42. Data were analyzed using chi-square test and logistic regression. The results of this study showed environmental changes, rules in the ward, emotional status changes and daily activity changes significantly corelated with stress (p value 0.01, 0.04 and 0.03, respectively. In conclusion, none of the 6 family predictors dominantly predicts stress. Nurses are expected to do early detection on psychological family problems in intensive care unit and optimize supportive-educative treatment in the form of counseling for family members.

  1. General Stroke Management In Stroke Unit: Guidelines Of Turkish Society Of Cerebrovascular Diseases – 2015

    Directory of Open Access Journals (Sweden)

    Mehmet Akif Topçuoğlu

    2015-08-01

    Full Text Available In this section, in the light of evidence-based data concerning essentiality that the stoke patients should be treated in A stroke unit and related centers, a brief and current information about general stroke treatment of patients with stroke during acute phase will be offered.

  2. Annual Report to the General Assembly of the United Nations for the Year 1961-62. Explanatory Note

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1962-10-12

    By Resolution GC(VI)/RES/114 the General Conference decided that the Agency's annual report to the General Assembly of the United Nations for 1961-62 would consist of the annual report of the Board of Governors to the General Conference for 1961-62, together with a supplement. The annual report of the Board has been issued as document GC(VI)/195. The present document contains the supplement which deals with developments in the Agency's work during the period 1 July to 1 October 1962, including action taken by the General Conference at its sixth regular session.

  3. Annual Report to the General Assembly of the United Nations for the Year 1960-61. Explanatory Note

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1961-10-26

    By resolution GC(V)/RES/89 the General Conference decided that the Agency's annual report to the General Assembly of the United Nations for 1960-61 would consist of the annual report of the Board of Governors to the General Conference for 1960-61, together with a supplement. The annual report of the Board has been issued as document GC(V)/154. The present document contains the supplement which deals with developments in the Agency's work during the period 1 July to 6 October 1961, including action taken by the General Conference at its fifth regular session.

  4. Annual Report to the General Assembly of the United Nations for the Year 1959-60. Explanatory Note

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1960-10-21

    By resolution GC(IV)/RES/62 the General Conference decided that the Agency's annual report to the General Assembly of the United Nations for 1959-60 would consist of the annual report of the Board of Governors to the General Conference for 1959-60, together with a supplement. The annual report of the Board has been issued as document GC(IV)/ 114. The present document contains the supplement which deals with developments in the Agency's work during the period 1 July to 30 September 1960, including action taken by the General Conference at its fourth regular session.

  5. Annual Report to the General Assembly of the United Nations for the Year 1960-61. Explanatory Note

    International Nuclear Information System (INIS)

    1961-01-01

    By resolution GC(V)/RES/89 the General Conference decided that the Agency's annual report to the General Assembly of the United Nations for 1960-61 would consist of the annual report of the Board of Governors to the General Conference for 1960-61, together with a supplement. The annual report of the Board has been issued as document GC(V)/154. The present document contains the supplement which deals with developments in the Agency's work during the period 1 July to 6 October 1961, including action taken by the General Conference at its fifth regular session

  6. Annual Report to the General Assembly of the United Nations for the Year 1959-60. Explanatory Note

    International Nuclear Information System (INIS)

    1960-01-01

    By resolution GC(IV)/RES/62 the General Conference decided that the Agency's annual report to the General Assembly of the United Nations for 1959-60 would consist of the annual report of the Board of Governors to the General Conference for 1959-60, together with a supplement. The annual report of the Board has been issued as document GC(IV)/ 114. The present document contains the supplement which deals with developments in the Agency's work during the period 1 July to 30 September 1960, including action taken by the General Conference at its fourth regular session

  7. Annual Report to the General Assembly of the United Nations for the Year 1961-62. Explanatory Note

    International Nuclear Information System (INIS)

    1962-01-01

    By Resolution GC(VI)/RES/114 the General Conference decided that the Agency's annual report to the General Assembly of the United Nations for 1961-62 would consist of the annual report of the Board of Governors to the General Conference for 1961-62, together with a supplement. The annual report of the Board has been issued as document GC(VI)/195. The present document contains the supplement which deals with developments in the Agency's work during the period 1 July to 1 October 1962, including action taken by the General Conference at its sixth regular session

  8. 48 CFR 9904.410 - Allocation of business unit general and administrative expenses to final cost objectives.

    Science.gov (United States)

    2010-10-01

    ... unit general and administrative expenses to final cost objectives. 9904.410 Section 9904.410 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD, OFFICE OF FEDERAL PROCUREMENT POLICY, OFFICE OF MANAGEMENT AND BUDGET PROCUREMENT PRACTICES AND COST ACCOUNTING STANDARDS COST ACCOUNTING...

  9. A survey aimed at general citizens of the US and Japan about their attitudes toward electronic medical data handling.

    Science.gov (United States)

    Kimura, Michio; Nakaya, Jun; Watanabe, Hiroshi; Shimizu, Toshiro; Nakayasu, Kazuyuki

    2014-04-25

    To clarify the views of the general population of two countries (US and Japan), concerning the handling of their medical records electronically. We contacted people nationwide in the United States at random via Random Digit Dialing (RDD) to obtain 200 eligible responders. The questionnaire was for obtaining the information on their attitudes towards handling of their medical records, disclosure of the name of disease, secondary usage of information, compiling their records into a lifelong medical record, and access to their medical records on the Internet. We had also surveyed people of Shizuoka prefecture in Japan using same questionnaires sent by mail, for which we obtained 457 valid answers. Even in an unidentifiable manner, US people feel profit-oriented usage of medical data without specific consent is not acceptable. There is a significant difference between usage of unidentifiable medical data for profit (about 50% feel negatively) and for official/research purposes (about 30% feel negatively). About 60% of the US responders have a negative view on the proposal that unidentifiable medical information be utilized for profit by private companies to attain healthcare cost savings. As regards compiling a lifelong medical record, positive answers and negative answers are almost equally divided in the US (46% vs. 38%) while more positive attitudes are seen in Japan (74% vs. 12%). However, any incentive measures aimed at changing attitudes to such a compiling including the discount of healthcare costs or insurance fees are unwelcomed by people regardless of their age or health condition in both surveys. Regarding the access to their own medical record via the Internet, 38% of the US responders feel this is unacceptable while 50.5% were willing to accept it. Participants from the US think that the extent of the sharing their identifiable medical records should be limited to the doctors-in-charge and specified doctors referred to by their own doctors. On the other

  10. A Survey Aimed at General Citizens of the US and Japan about Their Attitudes toward Electronic Medical Data Handling

    Directory of Open Access Journals (Sweden)

    Michio Kimura

    2014-04-01

    Full Text Available Objectives: To clarify the views of the general population of two countries (US and Japan, concerning the handling of their medical records electronically. Methods: We contacted people nationwide in the United States at random via Random Digit Dialing (RDD to obtain 200 eligible responders. The questionnaire was for obtaining the information on their attitudes towards handling of their medical records, disclosure of the name of disease, secondary usage of information, compiling their records into a lifelong medical record, and access to their medical records on the Internet. We had also surveyed people of Shizuoka prefecture in Japan using same questionnaires sent by mail, for which we obtained 457 valid answers. Results: Even in an unidentifiable manner, US people feel profit-oriented usage of medical data without specific consent is not acceptable. There is a significant difference between usage of unidentifiable medical data for profit (about 50% feel negatively and for official/research purposes (about 30% feel negatively. About 60% of the US responders have a negative view on the proposal that unidentifiable medical information be utilized for profit by private companies to attain healthcare cost savings. As regards compiling a lifelong medical record, positive answers and negative answers are almost equally divided in the US (46% vs. 38% while more positive attitudes are seen in Japan (74% vs. 12%. However, any incentive measures aimed at changing attitudes to such a compiling including the discount of healthcare costs or insurance fees are unwelcomed by people regardless of their age or health condition in both surveys. Regarding the access to their own medical record via the Internet, 38% of the US responders feel this is unacceptable while 50.5% were willing to accept it. Conclusions: Participants from the US think that the extent of the sharing their identifiable medical records should be limited to the doctors-in-charge and specified

  11. Risk factors associated with bus accident severity in the United States: A generalized ordered logit model

    DEFF Research Database (Denmark)

    Kaplan, Sigal; Prato, Carlo Giacomo

    2012-01-01

    of 2011. Method: The current study investigates the underlying risk factors of bus accident severity in the United States by estimating a generalized ordered logit model. Data for the analysis are retrieved from the General Estimates System (GES) database for the years 2005–2009. Results: Results show...... that accident severity increases: (i) for young bus drivers under the age of 25; (ii) for drivers beyond the age of 55, and most prominently for drivers over 65 years old; (iii) for female drivers; (iv) for very high (over 65 mph) and very low (under 20 mph) speed limits; (v) at intersections; (vi) because......Introduction: Recent years have witnessed a growing interest in improving bus safety operations worldwide. While in the United States buses are considered relatively safe, the number of bus accidents is far from being negligible, triggering the introduction of the Motor-coach Enhanced Safety Act...

  12. Student Aims Performance in a Predominately Hispanic District

    Science.gov (United States)

    Chebultz, Lance

    2012-01-01

    School districts in the United States have undergone large changes over the last decade to accommodate No Child Left Behind (NCLB). Arizona accommodated NCLB through Arizona's Instrument to Measure Standards (AIMS). Expectations were established for all students, varying by group of students based on grade, special education status, free/reduced…

  13. Annual Report to the General Assembly of the United Nations for the year 1964-65. Explanatory Note

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1965-10-29

    By Resolution GC(IX)/RES/l87 the General Conference decided that the Agency's Annual Report to the General Assembly of the United Nations for 1964-65 would consist of the annual report of the Board of Governors to the General Conference for 1964-65, together with a supplement. The annual report has been issued as document GC(IX)/299. The present document contains the supplement which deals with developments in the Agency's work during the period 1 July to 1 October 1965, including action taken by the General Conference at its ninth regular session which took place in Tokyo from 21 to 28 September 1965.

  14. Annual Report to the General Assembly of the United Nations for the year 1964-65. Explanatory Note

    International Nuclear Information System (INIS)

    1965-01-01

    By Resolution GC(IX)/RES/l87 the General Conference decided that the Agency's Annual Report to the General Assembly of the United Nations for 1964-65 would consist of the annual report of the Board of Governors to the General Conference for 1964-65, together with a supplement. The annual report has been issued as document GC(IX)/299. The present document contains the supplement which deals with developments in the Agency's work during the period 1 July to 1 October 1965, including action taken by the General Conference at its ninth regular session which took place in Tokyo from 21 to 28 September 1965

  15. Special Inspector General for Iraq Reconstruction Quarterly Report to the United States Congress

    Science.gov (United States)

    2012-04-30

    developed during the intervening period.430 Th e United States, which expects to ship about $120 million–$130 million worth of poultry to Iraq in 2012...special assessment Thomas A. Manok, former USACE employee Conspiracy 9/19/2011 20 months in prison; 3 years supervised release; forfeiture of $73,500...Joseph Sebastian 12/13/2010 N.K. Ismail 12/13/2010 Biju Thomas 12/13/2010 Combat General Trading Company 12/13/2010 Jank Singh 11/24/2010 Blue Marine

  16. [Crisis unit at the general hospital: Determinants of further hospitalization].

    Science.gov (United States)

    Norotte, C; Omnès, C; Crozier, C; Verlyck, C; Romanos, M

    2017-10-01

    The availability of short-stay beds for brief admission (less than 72hours) of crisis patients presenting to the emergency room is a model that has gained a growing interest because it allows time for developing alternatives to psychiatric hospitalization and favors a maintained functioning in the community. Still, the determinants influencing the disposition decision at discharge after crisis intervention remain largely unexplored. The primary objective of this study was to determine the factors predicting aftercare dispositions at crisis unit discharge: transfer for further hospitalization or return to the community. Secondary objectives included the description of clinical and socio-demographic characteristics of patients admitted to the crisis unit upon presentation to the emergency room. All patients (n=255) admitted to the short-stay unit of the emergency department of Rambouillet General Hospital during a one-year period were included in the study. Patient characteristics were collected in a retrospective manner from medical records: patterns of referral, acute stressors, presenting symptoms, initial patient demand, Diagnostic and Statistical Manual, 5th edition (DSM-5) disorders, psychiatric history, and socio-demographic characteristics were inferred. Logistic regression analysis was used to determine the factors associated with hospitalization decision upon crisis intervention at discharge. Following crisis intervention at the short-stay unit, 100 patients (39.2%) required further hospitalization and were transferred. Statistically significant factors associated with a higher probability of hospitalization (P<0.05) included the patient's initial wish to be hospitalized (OR=4.28), the presence of a comorbid disorder (OR=3.43), a referral by family or friends (OR=2.89), a history of psychiatric hospitalization (OR=2.71) and suicidal ideation on arrival in the emergency room (OR=2.26). Conversely, significant factors associated with a lower probability of

  17. ANALYSIS OF THE CONCEPT OF THE PRINCIPLES GENERALLY ACCEPTED ACCOUNTING OF UNITED STATES OF AMERICA (FASB RULES)

    OpenAIRE

    Vílchez Olivares, Percy Antonio

    2014-01-01

    The Framework for the preparation and presentation of financial statements is a statement that directs and informs the accounting principles generally accepted in the United States (U.S. GAAP), which in turn is valid in our country, on the application to determine the accounting principles generally accepted in Peru, in its supplementary nature as established by Resolution No. 013-98 Accounting Standards Council, an organ of the Public Accounts of the Nation. The Framework is the backbone of ...

  18. General purpose graphics-processing-unit implementation of cosmological domain wall network evolution.

    Science.gov (United States)

    Correia, J R C C C; Martins, C J A P

    2017-10-01

    Topological defects unavoidably form at symmetry breaking phase transitions in the early universe. To probe the parameter space of theoretical models and set tighter experimental constraints (exploiting the recent advances in astrophysical observations), one requires more and more demanding simulations, and therefore more hardware resources and computation time. Improving the speed and efficiency of existing codes is essential. Here we present a general purpose graphics-processing-unit implementation of the canonical Press-Ryden-Spergel algorithm for the evolution of cosmological domain wall networks. This is ported to the Open Computing Language standard, and as a consequence significant speedups are achieved both in two-dimensional (2D) and 3D simulations.

  19. General purpose graphics-processing-unit implementation of cosmological domain wall network evolution

    Science.gov (United States)

    Correia, J. R. C. C. C.; Martins, C. J. A. P.

    2017-10-01

    Topological defects unavoidably form at symmetry breaking phase transitions in the early universe. To probe the parameter space of theoretical models and set tighter experimental constraints (exploiting the recent advances in astrophysical observations), one requires more and more demanding simulations, and therefore more hardware resources and computation time. Improving the speed and efficiency of existing codes is essential. Here we present a general purpose graphics-processing-unit implementation of the canonical Press-Ryden-Spergel algorithm for the evolution of cosmological domain wall networks. This is ported to the Open Computing Language standard, and as a consequence significant speedups are achieved both in two-dimensional (2D) and 3D simulations.

  20. Evaluation of proposed casemix criteria as a basis for costing patients in the adult general intensive care unit.

    Science.gov (United States)

    Stevens, V G; Hibbert, C L; Edbrooke, D L

    1998-10-01

    This study analyses the relationship between the actual patient-related costs of care calculated for 145 patients admitted sequentially to an adult general intensive care unit and a number of factors obtained from a previously described consensus of opinion study. The factors identified in the study were suggested as potential descriptors for the casemix in an intensive care unit that could be used to predict the costs of care. Significant correlations between the costs of care and severity of illness, workload and length of stay were found but these failed to predict the costs of care with sufficient accuracy to be used in isolation to define isoresource groups in the intensive care unit. No associations between intensive care unit mortality, reason for admission and intensive and unit treatments and costs of care were found. Based on these results, it seems that casemix descriptors and isoresource groups for the intensive care unit that would allow costs to be predicted cannot be defined in terms of single factors.

  1. The Agency's Annual Report to the General Assembly of the United Nations for the Year 1969-70. Explanatory Note

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1970-11-13

    By Resolution GC(XIV)/RES/268 the General Conference requested the Board of Governors to arrange for the preparation of a supplement to the Board's annual report to the General Conference for 1969-70 which, together with that report, constitutes the Agency's report to the General Assembly of the United Nations for that year. The present document contains the supplement, which deals briefly with some developments in the Agency's work during the period 1 July to 1 October 1970.

  2. The Agency's Annual Report to the General Assembly of the United Nations for the Year 1969-70. Explanatory Note

    International Nuclear Information System (INIS)

    1970-01-01

    By Resolution GC(XIV)/RES/268 the General Conference requested the Board of Governors to arrange for the preparation of a supplement to the Board's annual report to the General Conference for 1969-70 which, together with that report, constitutes the Agency's report to the General Assembly of the United Nations for that year. The present document contains the supplement, which deals briefly with some developments in the Agency's work during the period 1 July to 1 October 1970.

  3. India: General Survey Unit for World Civilization Course Curriculum Project. Fulbright-Hays Summer Seminars Abroad, 1997 (India).

    Science.gov (United States)

    Brinton, Victoria

    This unit is intended to provide high school students with a general knowledge of the history and culture of India. Lessons include: (1) "Early India"; (2) "Indian Civilization 1500 BC - 500 AD: Hinduism"; (3) "Buddhism"; (4) "Indian Empires"; (5) "Indian Empires, Continued"; (6)…

  4. 31 CFR 515.321 - United States; continental United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States; continental United... General Definitions § 515.321 United States; continental United States. The term United States means the United States and all areas under the jurisdiction or authority thereof, including the Trust Territory of...

  5. 31 CFR 500.321 - United States; continental United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States; continental United... General Definitions § 500.321 United States; continental United States. The term United States means the United States and all areas under the jurisdiction or authority thereof, including U.S. trust territories...

  6. 31 CFR 535.321 - United States; continental United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States; continental United... General Definitions § 535.321 United States; continental United States. The term United States means the United States and all areas under the jurisdiction or authority thereof including the Trust Territory of...

  7. The Agency's Annual Report to the General Assembly of the United Nations for the Year 1968-69. Explanatory Note

    International Nuclear Information System (INIS)

    1969-01-01

    By Resolution GC(XIII)/RES/251 the General Conference requested the Board of Governors to arrange for the preparation of a supplement to the Board's annual report to the General Conference for 1968-69 which, together with that report, shall constitute the Agency's report to the General Assembly of the United Nations for that year. The present document contains the supplement, which deals briefly with some developments in the Agency's work during the period 1 July to 1 October 1969.

  8. Digital preservation initiatives in the United States: a summary

    OpenAIRE

    Marcum, Deanna

    2003-01-01

    General presentation on how digital preservation issues are being faced in the United States of America. Special reference to the National Digital Information Infrastructure and Preservation Program, that is found at the Library of Congress, and aims to implement a national strategy for the long-term preservation of digital content.

  9. Statement to the 38th session of the General Conference of the International Atomic Energy Agency 19 September 1994; Statement to the 49th session of the United Nations General Assemblies 17 October 1994

    International Nuclear Information System (INIS)

    Blix, H.

    1994-10-01

    The document reproduces the two statements of the IAEA Director General to the 38th Session of the General conference of the IAEA from 19 September 1994 and to the 49th Session of the United Nations General Assembly from 17 October 1994. A separate abstract was prepared for each statement

  10. Caring for dementia carers: the role of general practitioners in Ireland.

    LENUS (Irish Health Repository)

    O'Connor, C

    2012-02-01

    BACKGROUND: Dementia patients in Ireland live 8 years on average after diagnosis and health policy aims to ensure patients are cared for in the home for as long as possible. AIM: To assess the role of general practitioners in Ireland caring for dementia carers. METHODS: A PubMed search (1980-2010) was performed using MeSH terms "caregivers or carers", "Dementia or Alzheimer\\'s disease", "family physician or general practitioner". An English language restriction was imposed and the search continued to June 24th 2010. RESULTS: Psychosocial multidisciplinary interventions that unite education, skills training, management of psychological problems and family support in the community are effective in managing the problems of carers and should be facilitated by general practitioners. CONCLUSIONS: Dementia carers form an important yet understated patient group who present unique challenges for general practitioners in Ireland.

  11. Caring for dementia carers: the role of general practitioners in Ireland.

    LENUS (Irish Health Repository)

    O'Connor, C

    2011-01-29

    BACKGROUND: Dementia patients in Ireland live 8 years on average after diagnosis and health policy aims to ensure patients are cared for in the home for as long as possible. AIM: To assess the role of general practitioners in Ireland caring for dementia carers. METHODS: A PubMed search (1980-2010) was performed using MeSH terms "caregivers or carers", "Dementia or Alzheimer\\'s disease", "family physician or general practitioner". An English language restriction was imposed and the search continued to June 24th 2010. RESULTS: Psychosocial multidisciplinary interventions that unite education, skills training, management of psychological problems and family support in the community are effective in managing the problems of carers and should be facilitated by general practitioners. CONCLUSIONS: Dementia carers form an important yet understated patient group who present unique challenges for general practitioners in Ireland.

  12. Uncited Research Articles in Popular United States General Radiology Journals.

    Science.gov (United States)

    Rosenkrantz, Andrew B; Chung, Ryan; Duszak, Richard

    2018-05-03

    This study aimed to characterize articles in popular general radiology journals that go uncited for a decade after publication. Using the Web of Science database, we identified annual citation counts for 13,459 articles published in Radiology, American Journal of Roentgenology, and Academic Radiology between 1997 and 2006. From this article cohort, we then identified all original research articles that accrued zero citations within a decade of publication. A concurrent equal-sized cohort of most cited articles was created. Numerous characteristics of the uncited and most cited articles were identified and compared. Only 47 uncited articles went uncited for a decade after publication. When compared to the 47 most cited articles over that same window, the uncited articles were significantly (P articles, uncited articles also had significantly (P articles published in popular general radiology journals, only a very small number of original research investigations remained uncited a decade after publication. Given that citations reflect the impact of radiology research, this observation suggests that journals are appropriately selecting meaningful work. Investigators seeking to avoid futile publication might consider their research initiatives in light of these characteristics. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  13. Review of paediatric cardiology services in district general hospitals in the United Kingdom.

    Science.gov (United States)

    Andrews, Hannah; Singh, Yogen

    2016-03-01

    Following the Safe and Sustainable review of Paediatric Services in 2012/2013, National Health Service England recommended that local paediatric cardiology services should be provided by specially trained paediatricians with expertise in cardiology in all non-specialist hospitals. To understand the variation in local paediatric cardiology services provided across district general hospitals in the United Kingdom. An internet-based questionnaire was sent out via the Paediatrician with Expertise in Cardiology Special Interest Group and the Neonatologists with Interest in Cardiology and Haemodynamics contact databases and the National Health Service directory. Non-responders were followed-up via telephone. The response rate was 80% (141 of 177 hospitals), and paediatricians with expertise in cardiology were available in 68% of those. Local cardiology clinics led by paediatricians with expertise in cardiology were provided in 96 hospitals (68%), whereas specialist outreach clinics were held in 123 centres (87%). A total of 11 hospitals provided neither specialist outreach clinics nor any local cardiology clinics led by paediatricians with expertise in cardiology. Paediatric echocardiography services were provided in 83% of the hospitals, 12-lead electrocardiogram in 96%, Holter electrocardiogram in 91%, and exercise testing in only 47% of the responding hospitals. Telemedicine facilities were established in only 52% of the centres, where sharing echocardiogram images via picture archiving and communication system was used most commonly. There has been a substantial increase in the availability of paediatricians with expertise in cardiology since 2008. Most of the hospitals are well-supported by specialist cardiology centres via outreach clinics; however, there remains significant variation in the local paediatric cardiology services provided across district general hospitals in the United Kingdom.

  14. Deposition and retention of plutonium in the United States general population

    International Nuclear Information System (INIS)

    McInroy, J.F.; Boyd, H.A.; Eutsler, B.C.

    1979-01-01

    Since 1959, a Los Alamos National Laboratory study has analyzed over 5000 tissues from 1100 individuals of the nonoccupationally exposed general population for fallout plutonium. These data have been useful in determining the tissue distributions and the annual baseline levels of environmental plutonium in the United States population. The effects of age, sex, date of death, cause of death and geographic location of resididence on the observed plutonium deposition have been evaluated. Because of the difference in biological turnover times of plutonium in the various organs of the body and the changing concentrations of plutonium in the atmosphere, the plutonium concentration ratios between tissues have changed as a function of time. However, our data indicate that over the past 10 years, the highest concentrations in the general population are found in the tracheobronchial lymph nodes and the liver and the lowest concentrations are in the spleen, gonads and kidney. The median body burdens of plutonium in the US population are estimated to have reached 12 pCi during the 1960's and have declined to about 2 pCi in 1977. Large errors in estimated skeletal burdens of plutonium may exist because of small specimen sample sizes and a lack of knowledge concerning the relative distribution of plutonium among the various bones of the human body

  15. Statement to the 41st session of the General Conference of the International Atomic Energy Agency 29 September 1997; Statement to the 52nd session of the United Nations General Assembly 12 November 1997

    International Nuclear Information System (INIS)

    Blix, H.

    1997-12-01

    The document presents Statement to the 41st Session of the General Conference of the International Atomic Energy Agency and Statement to the 52nd Session of the United Nations General Assembly made at the 40th anniversary of the IAEA

  16. Statement to the 34th session of the general conference of the International Atomic Energy Agency, 17 September 1990. Statement to the 45th session of the United Nations general assembly, 23 October 1990

    International Nuclear Information System (INIS)

    Blix, H.

    1991-01-01

    The document contains the following two statements of Hans Blix, Director General of the IAEA: Statement to the 34th Session of the General Conference of the International Atomic Energy Agency, 17 September 1990; Statement to the 45th Session of the United Nations General Assembly, 23 October 1990. A separate abstract was prepared for each of these statements

  17. Statement to the 35th session of the General Conference of the International Atomic Energy Agency 16 September 1991; Statement to the 46th session of the United Nations General Assembly 21 October 1991

    International Nuclear Information System (INIS)

    Blix, H.

    1991-01-01

    The document contains the following two statements of Hans Blix, Director General of the IAEA: Statement to the 35th session of the General Conference of the International Atomic Energy Agency, 16 September 1991; Statement to the 46th session of the United Nations General Assembly, 21 October 1991. A separate abstract was prepared for each of these statements

  18. Realist review of policy intervention studies aimed at reducing exposures to environmental hazards in the United States

    Directory of Open Access Journals (Sweden)

    Dorie E. Apollonio

    2016-08-01

    Full Text Available Abstract Background Exposure to pollution is a significant risk to human health. However few studies have attempted to identify the types of policy interventions that can reduce the health risks of pollution exposure in the United States. The study objective was to conduct a realist review of policy interventions conducted or aimed at reducing chemical exposures in humans or the environment where exposure was measured. Methods A systematic literature search identified published articles that assessed policy interventions using exposure data. Two coders independently extracted data from the studies, assessing methods, context, details of interventions, outcomes, and risks of bias. Data were analyzed iteratively and manually to identify the most effective and transferrable types of interventions. The reasons for variability in the success of different interventions were explored. Results The review found that regulatory interventions that eliminate point sources of pollution appeared to reduce exposure to environmental hazards. Regular monitoring to provide environmental and human exposure data helped assess compliance with the regulatory standards. Educational and economic interventions were less successful. Conclusions Although some types of regulatory interventions appear to reduce exposures, our findings are limited by the nature of existing interventions, the weaknesses of the study designs used in the literature, and the lack of details on implementation. Information on contextual factors that influence implementation would assist with future reviews and could help identify effective interventions.

  19. Viabilidade de unidades psiquiátricas em hospitais gerais no Brasil Viabilidad de unidades psiquiátricas en hospitales generales en Brasil Feasibility of general hospitals psychiatric units in Brazil

    Directory of Open Access Journals (Sweden)

    Maurício Lucchesi

    2009-02-01

    Taubate (Sureste de Brasil, 2005-2006. Las evidencias fueron obtenidas por medio de entrevistas, observación participante y palestras sobre el proyecto de la unidad psiquiátrica para el cuerpo clínico del hospital. RESULTADOS: La inversión del órgano gestor posibilitó que las concepciones estigmatizantes presentes en la cultura del hospital estudiado (violencia, debilidad moral e intratabilidad fueran resignificadas por medio de discusiones clínicas y sanitarias, viabilizando la implantación de la unidad psiquiátrica. El análisis mostró que esas concepciones eran reactualizadas por el contexto asistencial, en el cual el acceso de los portadores de trastornos mentales era restringido. CONCLUSIONES: La postura asumida por el órgano gestor, que decidió por el financiamiento adecuado de la unidad psiquiátrica y ejerció su ascendencia sobre el hospital prestador, fue decisiva para el desenlace del caso. La principal dificultad para la implantación de las unidades psiquiátricas no es el estigma presente en la cultura de los hospitales generales, pero una limitación de orden estratégica: la falta de una política afirmativa para esas unidades.OBJECTIVE: To comprehend the stigma against people with mental disorders still persists in the culture of general hospitals and acts as a limiting factor in the implementation of psychiatric units in general hospitals in Brazil. METHODOLOGICAL PROCEDURES: A qualitative social survey was outlined based on action research strategy as of the agreement to adopt a psychiatric unit in a general hospital in Taubaté, Southeastern Brazil. Data was obtained through interviews, participant observation and talks on the psychiatric unit project given to the hospital's clinical staff. RESULTS: The investment made by the healthcare authority enabled the stigmatizing conceptions (violence, moral weakness and untreatability present in the hospital culture in question to be resignified by means of clinical and sanitary discussions, which

  20. Testing for seasonal unit roots in monthly panels of time series

    NARCIS (Netherlands)

    R.M. Kunst (Robert); Ph.H.B.F. Franses (Philip Hans)

    2009-01-01

    textabstractWe consider the problem of testing for seasonal unit roots in monthly panel data. To this aim, we generalize the quarterly CHEGY test to the monthly case. This parametric test is contrasted with a new nonparametric test, which is the panel counterpart to the univariate RURS test that

  1. Antimicrobial-resistant bacteria in a general intensive care unit in Saudi Arabia

    International Nuclear Information System (INIS)

    Nermin K. Saeed; Abdulmageed M. Kambal; Noura A. El-Khizzi

    2010-01-01

    To assess the prevalence of multi-drug resistant (MDR) bacteria causing infections in patients at the intensive care units (ICUs) of Riyadh Military Hospital (RMH), as well as their antimicrobial resistance patterns for one year. A retrospective, cohort investigation was performed. Laboratory records from January to December 2009 were studied for the prevalence of MDR Gram-negative and Gram-positive bacteria and their antimicrobial resistance in ICU patients from RMH, Riyadh, Kingdom of Saudi Arabia. A total of 1210 isolates were collected from various specimens such as: respiratory (469), blood (400), wound/tissue (235), urinary (56), nasal swabs (35), and cerebro-spinal fluid (15). Regardless of the specimen, there was a high rate of nosocomial MDR organisms isolated from patients enrolled in the General ICU (GICU) in Riyadh. Acinetobacter baumannii (A. baumannii) comprised 40.9%, Klebsiella pneumonia (K. pneumonia) - 19.4%, while Pseudomonas aeruginosa (P. aeruginosa) formed 16.3% of these isolates. The P. aeruginosa, A. baumannii, K. pneumoniae, Escherichia coli, Staphylococcus aureus (methycillin sensitive and methycillin resistant), and Staphylococccus coagulase negative are the most common isolates recovered from clinical specimens in the GICU of RMH. Respiratory tract specimens represented nearly 39% of all the specimens collected in the ICU. The most common MDR organisms isolated in this unit were A. baumannii, and K. pneumoniae (Author).

  2. General purpose graphic processing unit implementation of adaptive pulse compression algorithms

    Science.gov (United States)

    Cai, Jingxiao; Zhang, Yan

    2017-07-01

    This study introduces a practical approach to implement real-time signal processing algorithms for general surveillance radar based on NVIDIA graphical processing units (GPUs). The pulse compression algorithms are implemented using compute unified device architecture (CUDA) libraries such as CUDA basic linear algebra subroutines and CUDA fast Fourier transform library, which are adopted from open source libraries and optimized for the NVIDIA GPUs. For more advanced, adaptive processing algorithms such as adaptive pulse compression, customized kernel optimization is needed and investigated. A statistical optimization approach is developed for this purpose without needing much knowledge of the physical configurations of the kernels. It was found that the kernel optimization approach can significantly improve the performance. Benchmark performance is compared with the CPU performance in terms of processing accelerations. The proposed implementation framework can be used in various radar systems including ground-based phased array radar, airborne sense and avoid radar, and aerospace surveillance radar.

  3. The quality of operative notes at a general surgery unit.

    Science.gov (United States)

    Rogers, A; Bunting, M; Atherstone, A

    2008-09-01

    With the increasingly litigious nature of medical practice, accurate documentation is critical. This is particularly true for operative procedures, and medical councils have identified this and published guidelines to aid surgeons. However, these remain a frequently cited weakness in their defence in medico-legal cases. This study assessed the accuracy of operative notes in a general surgery unit in order to improve our practice. An audit of 100 consecutive operative notes was performed, and notes were assessed using the Royal College of Surgeons guidelines. The quality of note-taking of trainees was compared with that of consultant surgeons. A series of operation note pro formas was designed in response to the findings. Of the notes, 66% were completed by trainees. The vast majority of notes had no diagram to demonstrate the surgical findings or illustrate the actions. Specialist surgeons were more likely to describe the actions accurately, but less likely to describe wound closure methods or dressings used. They were also less likely to complete adequate postoperative orders. This study identifies key areas of weakness in our operative note-keeping. Pro formas should be introduced and made available for commonly performed procedures, and diagrams should be used wherever possible.

  4. Statement to the fifty-third session of the United Nations General Assembly, New York, 2 November 1998

    International Nuclear Information System (INIS)

    ElBaradei, M.

    1998-01-01

    The document reproduces the statement of the Director General of the IAEA at the fifty-third session of the United Nations General Assembly in New York, USA, on 2 November 1998. The statement focuses on the priority work of the Agency under the following main headings: contribution to peace and security (including the IAEA's strengthened safeguards system, inspections in Iraq, safeguards verifications in the Democratic People's Republic of Korea, future prospects of verification, illicit trafficking in nuclear material), co-operation for development (the Agency's technical co-operation programme), and meeting global challenges in the field of energy, the environment and nuclear safety. The statement concludes with a description of the process of management review and reform initiated by the Director General to ensure that the Agency is responding efficiently and effectively to the needs of its Member States

  5. An Evaluation of the Instruction of Generalization in Elementary School Social Studies Program

    Directory of Open Access Journals (Sweden)

    Mükerrem AKBULUT TAŞ

    2011-11-01

    Full Text Available Generalizations are important content materials that should be instructed in the Social Studies program. The instruction of generalizations and the causal relationships emphasized in generalizations are important for students to have meaningful learning experiences and to gain causal reasoning and critical thinking skills. Social Studies program emphasizes the acquisition of creating scientific generalization skill as a fundamental skill to be instructed directly, and the importance of generalization instruction is highlighted. Therefore, this study is important in that it draws attention to the importance of teaching generalization and creates basis for the future research in the field. In this regard, it aims at evaluating the instruction of the generalizations in the “Our Country and the World” unit in Social Studies program for 6th grades in Primary School. In line with this general purpose, the instruction of the generalizations in the unit was analyzed qualitatively. The study was conducted with three social studies teachers working in three different schools located in Seyhan, Adana. The data were collected through the observation technique with a view to obtaining in depth data about the instruction of generalization in social studies lesson. Semi-structured observation form, prepared in the light of the generalization content elements, was used as the data collection tool. These content elements consisted of four aspects: generalization statement, concepts related to generalization, cause-effect relationships between concepts, and facts about generalization. In addition to observation, document analysis was conducted with a view to supporting results and strengthening the implications. The documentary analysis was performed based on the generalizations and previously identified elements about the generalizations in the scope of the six topics in the “Our Country and the World” unit. The data collected from the observations were

  6. Employers mexican migrants in the United States

    Directory of Open Access Journals (Sweden)

    Eduardo Fernández Guzmán

    2013-09-01

    Full Text Available You might think that by definition the migrant labor plays in less profitable niches and meager social mobility. However, a large group of migrants in different economically developed countries have successfully launched businesses of diverse nature and volume. This is why entrepreneurship of migrants is an issue that has received increasing attention in recent years. Compared to other immigrant groups in the United States, Mexicans show low levels of entrepreneurial activity. The aim of this paper is to, through a general literature review of official statistical data, a preliminary analysis of mexican migrant entrepreneurship in the United States, that is to say in recent years has been growing in importance.

  7. Generalized hypergeometric coherent states

    International Nuclear Information System (INIS)

    Appl, Thomas; Schiller, Diethard H

    2004-01-01

    We introduce a large class of holomorphic quantum states by choosing their normalization functions to be given by generalized hypergeometric functions. We call them generalized hypergeometric states in general, and generalized hypergeometric coherent states in particular, if they allow a resolution of unity. Depending on the domain of convergence of the generalized hypergeometric functions, we distinguish generalized hypergeometric states on the plane, the open unit disc and the unit circle. All states are eigenstates of suitably defined lowering operators. We then study their photon number statistics and phase properties as revealed by the Husimi and Pegg-Barnett phase distributions. On the basis of the generalized hypergeometric coherent states we introduce new analytic representations of arbitrary quantum states in Bargmann and Hardy spaces as well as generalized hypergeometric Husimi distributions and corresponding phase distributions

  8. Acute surgical unit: The consultant experience

    Directory of Open Access Journals (Sweden)

    Patrick J Stokes

    2016-07-01

    Full Text Available Background Establishment of the Acute Surgical Unit (ASU has redefined the approach to emergency surgery in Australia with quantitative data showing improvement in patient outcomes. However, as qualitative data regarding the ASU remains scarce, we sought to determine the impact of the ASU on overall surgeon job satisfaction. Aims The aim of this paper was to specifically address the impact of the ASU on consultant surgeons overall job satisfaction. Methods We designed a 34 – item questionnaire with consultant general surgeons addressing important aspects of the ASU. Themes included on – call rostering and workload, academic pursuits, surgical training, work – life balance and overall job satisfaction. Results We received responses from 88 surgeons currently working on ASU units, responding correctly and in full to the survey. Overall, our surveyed cohort reported better on – call rostering, improved surgical training and higher levels of job satisfaction and overall work – life balance with ASU implementation. Conclusion Preliminary qualitative results indicate that the ASU may improve on – call rostering, work – life balance and overall job satisfaction.

  9. Delphi General Ledger -

    Data.gov (United States)

    Department of Transportation — Delphi general ledger contains the following data elements, but is not limited to the United States Standard General Ledger (USSGL) chart of accounts, stores actual,...

  10. Generalized trust and intelligence in the United States.

    Directory of Open Access Journals (Sweden)

    Noah Carl

    Full Text Available Generalized trust refers to trust in other members of society; it may be distinguished from particularized trust, which corresponds to trust in the family and close friends. An extensive empirical literature has established that generalized trust is an important aspect of civic culture. It has been linked to a variety of positive outcomes at the individual level, such as entrepreneurship, volunteering, self-rated health, and happiness. However, two recent studies have found that it is highly correlated with intelligence, which raises the possibility that the other relationships in which it has been implicated may be spurious. Here we replicate the association between intelligence and generalized trust in a large, nationally representative sample of U.S. adults. We also show that, after adjusting for intelligence, generalized trust continues to be strongly associated with both self-rated health and happiness. In the context of substantial variation across countries, these results bolster the view that generalized trust is a valuable social resource, not only for the individual but for the wider society as well.

  11. Statement to the 39th session of the General Conference of the International Atomic Energy Agency 18 September 1995. Statement to the 50th session of the United Nations General Assembly 1 November 1995

    International Nuclear Information System (INIS)

    Blix, H.

    1995-11-01

    In the Statement to the 39th Session of the General Conference of the IAEA main directions of IAEA activities for 1994 and plans for the future are outlined. In the Statement to the 50th Session of the United Nations General Assembly main achievements and challenges facing the international community in the field of IAEA competence are discussed

  12. Statement to the 39th session of the General Conference of the International Atomic Energy Agency 18 September 1995. Statement to the 50th session of the United Nations General Assembly 1 November 1995

    Energy Technology Data Exchange (ETDEWEB)

    Blix, H

    1995-11-01

    In the Statement to the 39th Session of the General Conference of the IAEA main directions of IAEA activities for 1994 and plans for the future are outlined. In the Statement to the 50th Session of the United Nations General Assembly main achievements and challenges facing the international community in the field of IAEA competence are discussed.

  13. Failed culture change aimed at more service provision: A test of three agentic factors

    NARCIS (Netherlands)

    Jorritsma, P.Y.; Wilderom, Celeste P.M.

    2012-01-01

    Purpose – Headquarters managers of a medium-sized manufacturing company initiated a culture change in five of their dispersed wholesale units. The aim was for more external service quality. This paper aims to report the results of a test of three hypotheses, shedding light on the behavior of the

  14. Allocation of Home Office Expenses to Segments and Business Unit General and Administrative Expenses to Final Cost Objectives

    Science.gov (United States)

    1992-02-16

    3 0 B. Cost Accounting Standard 418 ..................................................... 3 1 1. D efinitio n s ...objective" as an activity for which a separate measurement of cost is desired. C. Horngren , Cost Accounting . A Managerial Emphasis 21 (5th ed. 1982...Segments and Business Unit General and Administrative Expenses to Final Cost Objectives 6. AUTHOR( S ) Stephen Thomas Lynch, Major 7. PERFORMING

  15. Evaluation of activities aimed at preventing microbiological risks in dental practice

    Directory of Open Access Journals (Sweden)

    Jolanta Szymańska

    2013-02-01

    Full Text Available Background: Microbiological contamination of water in dental unit waterlines (DUWL creates a risk of cross-infections, and is a source of biological risk factors in the work environment of a dentist. The aim of the study was to evaluate dentists' knowledge on DUWL microbiological contamination and the scope of activities/procedures they undertake to monitor it. Material and Methods: The questionnaire survey was conducted in 2010 among 107 Polish dentists using dental units in everyday clinical practice. Results: It has been found that in their daily practice, dentists do not follow procedures leading to reduction or elimination of microbiological contamination of dental unit reservoir water. They are not aware of microbiological contamination of DUWL that supply working handpieces with water. They are unaware of the principles of dealing with dental water and water supply systems or the health risk posed by microbiological contamination of unit water for a dental team and patients. Conclusions: It is necessary to provide dentists with information on microbiological contamination of water in dental units, on the correct procedures of handling water and waterlines that supply working handpieces with water. Med Pr 2013;64(1:11–17

  16. Statement to the 40th session of the General Conference of the International Atomic Energy Agency 16 September 1996; Statement to the 51st session of the United Nations General Assembly 28 October 1996

    International Nuclear Information System (INIS)

    Blix, H.

    1996-11-01

    In the Statement to the 40th Session of the General Conference of the International Atomic Energy Agency main directions of the IAEA activities and plans for the future are outlined. In the Statement to the 51th Session of the United Nations General Assembly main achievements and challenge facing the international community in the field of IAEA competence are discussed

  17. Establishment and assessment of cataract surgery in Day-care Unit at northwest of China

    Directory of Open Access Journals (Sweden)

    Xiu-Li Zhang

    2018-04-01

    Full Text Available AIM: To describe the protocol and economic cost of the Day-care Unit cataract surgery procedure in northwest of China.METHODS: Patients who received phacoemulcification and intraocular lens implantation in both Day-care Unit and regular Unit were recruited from January 2016 to December 2016. The baseline data and average cost were recorded and analyzed. Furthermore, satisfaction questionnaire of patients were collected.RESULTS: Patients with Day-care Unit showed shorter registration duration, less cost including housing and nursing charge as well as higher rate of patient satisfaction. Meanwhile, Day-care Unit shorten the time the doctors and nurses spending on filling the medical charts.CONCLUSION:Day-care Unit cataract surgery procedure could benefit both patients and medical staffs and is worthy to generalize.

  18. Generalized monitor unit calculation for the Varian enhanced dynamic wedge field

    International Nuclear Information System (INIS)

    Liu Chihray; Kim, Siyong; Kahler, Darren L.; Palta, Jatinder R.

    2003-01-01

    The generalized monitor unit (MU) calculation equation for the Varian enhanced dynamic wedge (EDW) is derived. The assumption of this MU calculation method is that the wedge factor of the EDW at the center of the field is a function of field size, the position of the center of the field in the wedge direction, and the final position of the moving jaw. The wedge factors at the center of the field in both symmetric and asymmetric fields are examined. The difference between calculated and measured wedge factors is within 1.0%. The method developed here is easy to implement. The only datum required in addition to the standard set of conventional physical wedge implementation data is the off-axis output factor for the open field in the reference condition. The off-center point calculation is also examined. For the off-center point calculation, the dose profile in the wedge direction for the largest EDW field is used to obtain the relative off-center ratio in any smaller wedge field. The accuracy of the off-center point calculation decreases when the point of calculation is too close to the field edge

  19. General Purpose Graphics Processing Unit Based High-Rate Rice Decompression and Reed-Solomon Decoding

    Energy Technology Data Exchange (ETDEWEB)

    Loughry, Thomas A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-02-01

    As the volume of data acquired by space-based sensors increases, mission data compression/decompression and forward error correction code processing performance must likewise scale. This competency development effort was explored using the General Purpose Graphics Processing Unit (GPGPU) to accomplish high-rate Rice Decompression and high-rate Reed-Solomon (RS) decoding at the satellite mission ground station. Each algorithm was implemented and benchmarked on a single GPGPU. Distributed processing across one to four GPGPUs was also investigated. The results show that the GPGPU has considerable potential for performing satellite communication Data Signal Processing, with three times or better performance improvements and up to ten times reduction in cost over custom hardware, at least in the case of Rice Decompression and Reed-Solomon Decoding.

  20. Letter dated 18 October 1999 from the Permanent Representative of China to the United Nations addressed to the Secretary-General. Uphold the ABM Treaty, push forward nuclear disarmament process and promote international peace and security. General Assembly. 54. session. First Committee. Agenda item 76. General and complete disarmament

    International Nuclear Information System (INIS)

    1999-01-01

    The document reproduces the text of the letter dated 18 October 1999 sent to the Secretary-General by the Permanent Representative of China to the United Nations in connection with the agenda item 76 (General and complete disarmament) of the 54th session of the General Assembly, First Committee. The letter expresses the position of the Chinese delegation concerning the proposed amendment of the Anti-Ballistic Missile Treaty (ABM Treaty)

  1. Assessment of inappropriate antibiotic prescribing among a large cohort of general dentists in the United States.

    Science.gov (United States)

    Durkin, Michael J; Feng, Qianxi; Warren, Kyle; Lockhart, Peter B; Thornhill, Martin H; Munshi, Kiraat D; Henderson, Rochelle R; Hsueh, Kevin; Fraser, Victoria J

    2018-05-01

    The purpose of this study was to assess dental antibiotic prescribing trends over time, to quantify the number and types of antibiotics dentists prescribe inappropriately, and to estimate the excess health care costs of inappropriate antibiotic prescribing with the use of a large cohort of general dentists in the United States. We used a quasi-Poisson regression model to analyze antibiotic prescriptions trends by general dentists between January 1, 2013, and December 31, 2015, with the use of data from Express Scripts Holding Company, a large pharmacy benefits manager. We evaluated antibiotic duration and appropriateness for general dentists. Appropriateness was evaluated by reviewing the antibiotic prescribed and the duration of the prescription. Overall, the number and rate of antibiotic prescriptions prescribed by general dentists remained stable in our cohort. During the 3-year study period, approximately 14% of antibiotic prescriptions were deemed inappropriate, based on the antibiotic prescribed, antibiotic treatment duration, or both indicators. The quasi-Poisson regression model, which adjusted for number of beneficiaries covered, revealed a small but statistically significant decrease in the monthly rate of inappropriate antibiotic prescriptions by 0.32% (95% confidence interval, 0.14% to 0.50%; P = .001). Overall antibiotic prescribing practices among general dentists in this cohort remained stable over time. The rate of inappropriate antibiotic prescriptions by general dentists decreased slightly over time. From these authors' definition of appropriate antibiotic prescription choice and duration, inappropriate antibiotic prescriptions are common (14% of all antibiotic prescriptions) among general dentists. Further analyses with the use of chart review, administrative data sets, or other approaches are needed to better evaluate antibiotic prescribing practices among dentists. Copyright © 2018 American Dental Association. Published by Elsevier Inc. All

  2. Forty Years of the United Nations General Assembly Resolution 3379 (XXX) on Zionism and Racism: the Brazilian Vote as an instance of United States - Brazil Relations

    OpenAIRE

    SANTOS, NORMA BREDA DOS; UZIEL, EDUARDO

    2015-01-01

    Abstract In 1975, Brazil voted in favor of the United Nations General Assembly resolution 3379 (XXX), equating Zionism with a form of racism. Focusing on the decision-making process of president Ernesto Geisel's (1974-1979) foreign policy, "responsible pragmatism", this article discusses how the ultimate decision to vote in favor of resolution was taken taking into account mainly US-Brazil relationship. Resumo Em 1975, o Brasil votou a favor da resolução da Assembleia Geral das Nações Unid...

  3. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: Implications for Collaboration, Teamwork, and Patient Safety.

    Science.gov (United States)

    McComb, Sara A; Lemaster, Matthew; Henneman, Elizabeth A; Hinchey, Kevin T

    2017-12-01

    This study examines nurse-physician teamwork and collaboration, a critical component in the delivery of safe patient care, on general medical units. To that end, we assess shared mental models and mutual trust, 2 coordinating mechanisms that help facilitate teamwork, among nurses and physicians working on general medical units. Data were collected from 37 nurses and 42 physicians at an urban teaching medical center in the Northeastern United States. Shared mental model questionnaire items were iteratively developed with experts' input to ensure content validity. Mutual trust items were adapted from an existing scale; items were reliable. Data were analyzed using χ and independent 2-tailed t tests. Physicians and nurses reported significant differences in their perceptions of the professional responsible for a variety of roles (e.g., advocating for the patient [P = 0.0007], identifying a near miss/error [P = 0.003]). Medication reconciliation is only role for which nurses perceive less responsibility than physicians perceive nurses have. Regarding mutual trust, both groups reported significantly more trust within their own professions; both groups reported similar levels of trust in physicians, with physicians reporting significantly less trust in their nursing colleagues than nurses perceive (P work is needed. To that end, we propose increasing knowledge about their respective roles, providing opportunities for nurse and physician collaboration through rounding or committee work and enhancing the preparedness and professionalism of interactions.

  4. Generalized product

    OpenAIRE

    Greco, Salvatore; Mesiar, Radko; Rindone, Fabio

    2014-01-01

    Aggregation functions on [0,1] with annihilator 0 can be seen as a generalized product on [0,1]. We study the generalized product on the bipolar scale [–1,1], stressing the axiomatic point of view. Based on newly introduced bipolar properties, such as the bipolar increasingness, bipolar unit element, bipolar idempotent element, several kinds of generalized bipolar product are introduced and studied. A special stress is put on bipolar semicopulas, bipolar quasi-copulas and bipolar copulas.

  5. Multi­-Threaded Algorithms for General purpose Graphics Processor Units in the ATLAS High Level Trigger

    CERN Document Server

    Conde Mui\\~no, Patricia; The ATLAS collaboration

    2016-01-01

    General purpose Graphics Processor Units (GPGPU) are being evaluated for possible future inclusion in an upgraded ATLAS High Level Trigger farm. We have developed a demonstrator including GPGPU implementations of Inner Detector and Muon tracking and Calorimeter clustering within the ATLAS software framework. ATLAS is a general purpose particle physics experiment located on the LHC collider at CERN. The ATLAS Trigger system consists of two levels, with level 1 implemented in hardware and the High Level Trigger implemented in software running on a farm of commodity CPU. The High Level Trigger reduces the trigger rate from the 100 kHz level 1 acceptance rate to 1 kHz for recording, requiring an average per­-event processing time of ~250 ms for this task. The selection in the high level trigger is based on reconstructing tracks in the Inner Detector and Muon Spectrometer and clusters of energy deposited in the Calorimeter. Performing this reconstruction within the available farm resources presents a significant ...

  6. How Providing Mentoring Relates to Career Success and Organizational Commitment: A Study in the General Managerial Population

    Science.gov (United States)

    Bozionelos, Nikos; Bozionelos, Giorgos; Kostopoulos, Konstantinos; Polychroniou, Panagiotis

    2011-01-01

    Purpose: This study aims to investigate the relationship of mentoring provided with career success and organizational commitment in the general managerial population. Design/methodology/approach: Participants were 194 native British who were employed in a variety of jobs, professions and industries in the United Kingdom. Findings: Mentoring…

  7. Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

    Directory of Open Access Journals (Sweden)

    Amilton dos Santos Jr.

    2013-01-01

    Full Text Available Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02. Thirty-four percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5% reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients.

  8. Random power series in the unit ball of Cn

    International Nuclear Information System (INIS)

    Shi Jihuai.

    1989-07-01

    The random power series in the unit disc has been studied by many authors. In this paper, we studied the random power series in the unit ball of C n and generalized some results in the unit disc to the unit ball, in particular, the result obtained recently by Duren has been generalized to the unit ball. The main tool used here is the generalized Salem-Zygmund's theorem. (author). 12 refs

  9. The truncated Hyper-Poisson queues: Hk/Ma,b/C/N with balking, reneging and general bulk service rule

    Directory of Open Access Journals (Sweden)

    Shawky A.I.

    2008-01-01

    Full Text Available The aim of this paper is to derive the analytical solution of the queue: Hk/Ma,b/C/N with balking and reneging in which (I units arrive according to a hyper-Poisson distribution with k independent branches, (II the queue discipline is FIFO; and (III the units are served in batches according to a general bulk service rule. The steady-state probabilities, recurrence relations connecting various probabilities introduced are found and the expected number of units in the queue is derived in an explicit form. Also, some special cases are obtained. .

  10. The Slavery in Circassia and the United States (1850–1860-ies years: General and Special

    Directory of Open Access Journals (Sweden)

    Mikhal Smigel

    2016-12-01

    Full Text Available The article provides a comparative analysis of slavery in Circassia and in the territory of the slave South in the United States in 1850–1860-ies years in the context of the fight against the slave trade and slavery in the world. The article discusses the Russian-American general trends for the prohibition of slavery and the slave trade. Among the materials are Russian and foreign archival sources, documents of personal origin (memoirs, diaries of travelers as well as scientific research. The methodological basis of historical-comparative study are the principles of objectivity and historicism, suggesting an unbiased approach to the analysis of the studied problems, a critical attitude to the sources, making judgments as a result of the analysis of a set of facts, and displays the slave of phenomena in the development and the context of the historical situation. In conclusion, the authors note that slavery and the slave position in the United States and the Circassia had their differences in 1850–1860-ies. Such differences included the inability of the transition to the United States from the status of a slave in the state of the dependent peasant, which was the norm in Circassia. In the United States the slaves were brought from outside, while in Circassia the slavery occurred in the region, mainly by trapping. At the root of discrimination in the United States was the racial principle, in Circassia this is based on the religious principle. The position of slaves had their similarities. A slave was powerless property of his master, there were certain unwritten rules governing the relationship, slave owners were reluctant to bring slaves to the extreme and etc. The important similarity between the US and Circassia was the presence of their territories with a strong slave system, where slaves constituted more than 30 % of the population. In the US, it was the territory of the slave-holding South, and in Circassia – the slaveholding Ubykhia.

  11. Malaria Treatment (United States)

    Science.gov (United States)

    ... Providers, Emergency Consultations, and General Public. Contact Us Malaria Treatment (United States) Recommend on Facebook Tweet Share Compartir Treatment of Malaria: Guidelines For Clinicians (United States) Download PDF version ...

  12. Risk assessment - a research program aimed at health risks from air pollution in the general environment

    International Nuclear Information System (INIS)

    Lindahl-Kiessling, K.; Ahlborg, U.; Bylin, G.; Ehrenberg, L.; Hemminki, K.; Lindell, B.; Nilsson, Robert; Bostroem, C.E.; Swarn, U.

    1991-01-01

    The paper presents a new research program for assessment of health risks caused by air pollutants. It is important to develop general methods for quantitative risk assessments and to improve the scientific base materials. (KAE)

  13. Political economy and citizen empowerment: Strategies and challenges of Emiratisation in the United Arab Emirates

    OpenAIRE

    Paul Thompson; Henry Wissink

    2016-01-01

    Orientation:  The United Arab Emirates’ labour market by design is inclined to exclude generally the Emirati population from active participation in the private sector, in order to take advantage of cheap labour primarily from South Asia. Research purpose: The aim of this article was to explain, using labour market segmentation theory, how the present epoch of free market capitalism in the ‘minority state’ of the United Arab Emirates (UAE) has socially excluded its’ citizens. Motivation...

  14. Planning Development for a Family Planning Centre in Nursing Unit of the General Hospital of Argolida

    OpenAIRE

    Koukoufilippou J; Koinis A.

    2015-01-01

    Introduction: The family planning centres must be upgraded to a cornerstone of primary health care, and prevent, advise and protect the citizen's health while reducing hospitalization costs for hospitals. Aim: The purpose of this literature review is the family planning centre development in general hospital of Argolida that has a similar clinic. Material and Methods: Literature review was conducted of published English and Greek Articles from bibliographic databases Medline, Goog...

  15. 34 CFR 668.130 - General.

    Science.gov (United States)

    2010-07-01

    ... assistance who must, under § 668.33(a)(2), produce evidence from the United States Immigration and Naturalization Service (INS) that they are permanent residents of the United States or in the United States for..., DEPARTMENT OF EDUCATION STUDENT ASSISTANCE GENERAL PROVISIONS Immigration-Status Confirmation § 668.130...

  16. A Progress Report on the Cooperative Development of a General Histology Program by Several Schools in Brazil and the United States.

    Science.gov (United States)

    Harris, Norman O.; And Others

    A programed course in general histology was completely developed by dental schools in the United States and Brazil. A group of international experts specified the course objectives, wrote and taped scripts for a series of 28 lectures of 50 minutes each, developed slides to accompany the lectures, prepared microphotographs and scripts to explain…

  17. Fabrication and Characterization of Surrogate Glasses Aimed to Validate Nuclear Forensic Techniques

    Science.gov (United States)

    2017-12-01

    the glass formed during a nuclear event, trinitite [14]. The SiO2 composition is generally greater than 50% for trinitite and can vary appreciably...CHARACTERIZATION OF SURROGATE GLASSES AIMED TO VALIDATE NUCLEAR FORENSIC TECHNIQUES by Ken G. Foos December 2017 Thesis Advisor: Claudia...December 2017 3. REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE FABRICATION AND CHARACTERIZATION OF SURROGATE GLASSES AIMED TO

  18. Aiming for Educated Offices: Curriculum Evolution in Early Professional Military Education in the United States, 1880-1914

    National Research Council Canada - National Science Library

    Donovan, William R; Burlbaw, Lynn M

    2007-01-01

    .... Thus, the need for education of military officers beyond their practical, academy or college-based, training provided the impetus for the establishment of schools that would eventually form the nucleus of today's Professional Military Education (PME) system of command and staff colleges and war colleges for military officers in the United States.

  19. Effects of Economic Policies Aimed at Encouraging a Healthier Grain Consumption

    OpenAIRE

    Nordstrom, Jonas; Thunstrom, Linda

    2007-01-01

    In this paper, we evaluate the effects of policy reforms aimed at achieving two policy objectives for grain consumption; (a) to double the intake of bread and breakfast cereals and (b) to ensure that half of the bread and breakfast cereals consumed are whole grain products. The overall aim of these policy objectives are to increase the dietary fibre intake from grain consumption so as to significantly contribute to the general recommended (minimum) increase of the fibre intake. Based on param...

  20. Effect of long-term consumption of milk supplemented with probiotic lactobacilli and fluoride on dental caries and general health in preschool children: a cluster-randomized study

    DEFF Research Database (Denmark)

    Stecksén-Blicks, C; Sjöström, I; Twetman, S

    2009-01-01

    The aim of this study was to evaluate the effect of milk supplemented with probiotic bacteria and fluoride on caries development and general health in preschool children. Children 1-5 years of age (n = 248) attending 14 day care centres with 27 units in northern Sweden entered the study. The cent......The aim of this study was to evaluate the effect of milk supplemented with probiotic bacteria and fluoride on caries development and general health in preschool children. Children 1-5 years of age (n = 248) attending 14 day care centres with 27 units in northern Sweden entered the study...... for 21 months (weekdays) and data were collected through clinical examinations and questionnaires. The primary outcome was caries increment and secondary outcomes were measures of general health. The dropout rate was 25%. The mean baseline caries experience was 0.5 dmfs in the intervention units and 0.......05). In children who had participated during the whole 21-month intervention, fewer days with otitis media were reported (0.4 vs. 1.3 days, p caries in preschool...

  1. The United Nations General Assembly and Disarmament 1987

    International Nuclear Information System (INIS)

    1988-01-01

    The report offers a summary of the proposals made and action taken on disarmament issues by the Assembly at its forty-second regular session. It is published in the framework of the World Disarmament Campaign, which was launched by a unanimous decision of the Assembly in 1982 to inform, to educate and to generate public understanding and support for the objectives of the United Nations in the field of disarmament

  2. 7 CFR 65.255 - United States.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false United States. 65.255 Section 65.255 Agriculture..., PEANUTS, AND GINSENG General Provisions Definitions § 65.255 United States. United States means the 50... United States. ...

  3. The data submitted by the United Kingdom to the United Nations Scientific Committee on the Effects of Atomic Radiation for the 1977 report to the General Assembly

    CERN Document Server

    Taylor, F E; Webb, G A M

    1976-01-01

    The United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) was established by the General Assembly in 1955 to report on the exposure of man to ionising radiation. In the subsequent twenty years the Committee has covered most aspects of the subject with repeated reviews of the levels of exposure from fallout due to weapons testing. The Committee is currently preparing a further report on doses from all sources and an evaluation of their biological effects. This is expected to be published in 1977. To aid it in compiling this report the Committee requested Member States of the UN to submit national data on a wide range of sources of exposure. The Board was asked by the Foreign and Commonwealth Office to collate the information requested from the United Kingdom. Data were available in the scientific literature on some topics, such as medical irradiation and environmental radioactivity. On some other topics, particularly occupational exposure, data have been collected but seldom publishe...

  4. The data submitted by the United Kingdom to the United Nations Scientific Committee on the Effects of Atomic Radiation for the 1977 report to the General Assembly

    International Nuclear Information System (INIS)

    Taylor, F.E.; Webb, G.A.M.; Simmonds, J.R.

    1976-10-01

    The United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) was established by the General Assembly in 1955 to report on the exposure of man to ionising radiation. In the subsequent twenty years the Committee has covered most aspects of the subject with repeated reviews of the levels of exposure from fallout due to weapons testing. The Committee is currently preparing a further report on doses from all sources and an evaluation of their biological effects. This is expected to be published in 1977. To aid it in compiling this report the Committee requested Member States of the UN to submit national data on a wide range of sources of exposure. The Board was asked by the Foreign and Commonwealth Office to collate the information requested from the United Kingdom. Data were available in the scientific literature on some topics, such as medical irradiation and environmental radioactivity. On some other topics, particularly occupational exposure, data have been collected but seldom published systematically

  5. 5 CFR 6201.101 - General.

    Science.gov (United States)

    2010-01-01

    ... Administrative Personnel EXPORT-IMPORT BANK OF THE UNITED STATES SUPPLEMENTAL STANDARDS OF ETHICAL CONDUCT FOR EMPLOYEES OF THE EXPORT-IMPORT BANK OF THE UNITED STATES § 6201.101 General. In accordance with 5 CFR 2635.105, the regulations in this part apply to employees of the Export-Import Bank of the United States...

  6. Universal Authenticated Item Monitoring System (AIMS) second generation equipment

    International Nuclear Information System (INIS)

    Schoeneman, J.L.; Baumann, M.J.; Fox, L.J.; Jenkins, C.D.; Perlinsk, A.W.

    1992-01-01

    Sandia National Laboratories (SNL) is in the final stages of developing a Universal Authenticated Item Monitoring System (AIMS). When completed, AIMS will provide applicable agencies in the US government, and those in the International arena, with a secure and convenient method of monitoring the physical status of selected items. The benefit derived from this development activity will be the commercial availability of an item monitoring system with the capability for ''quick set-up'' monitoring, as well as long-term unattended monitoring. The AIMS includes a variety of sensors, a robust and authenticated radio frequency (RF) communication link, a Receiver Processing Unit (RPU), and an inspector-friendly personal computer (PC) interface for collecting, sorting, viewing and archiving pertinent event histories. The system will provide the capability to monitor selected items in a real-time mode, a remotely interrogated mode, and a stand-alone, unattended data collection mode. The sensor suite under development includes advanced motion sensors, interior volumetric intrusion sensors, Re-usable, In-situ Verifiable Authenticated (RIVA) fiber-optic seal sensors, generic utility sensors (to accommodate contact closure inputs), and radiation and environmental sensors. A new generation authentication algorithm recently has been developed that provides a high degree of system security 121. The AIMS has potential safeguards applications in the areas of arms control and treaty verification military asset control, International Atomic Energy Agency (IAEA) and Euratom safeguards verification activities, as well as domestic nuclear safeguard activities. Commercial applications could include high-value inventory control and security systems. This paper describes the second-generation AIMS along with its recently expanded sensor suite and enhanced data collection capabilities

  7. Temperature rise induced by some light emitting diode and quartz-tungsten-halogen curing units.

    Science.gov (United States)

    Asmussen, Erik; Peutzfeldt, Anne

    2005-02-01

    Because of the risk of thermal damage to the pulp, the temperature rise induced by light-curing units should not be too high. LED (light emitting diode) curing units have the main part of their irradiation in the blue range and have been reported to generate less heat than QTH (quartz-tungsten-halogen) curing units. This study had two aims: first, to measure the temperature rise induced by ten LED and three QTH curing units; and, second, to relate the measured temperature rise to the power density of the curing units. The light-induced temperature rise was measured by means of a thermocouple embedded in a small cylinder of resin composite. The power density was measured by using a dental radiometer. For LED units, the temperature rise increased with increasing power density, in a statistically significant manner. Two of the three QTH curing units investigated resulted in a higher temperature rise than LED curing units of the same power density. Previous findings, that LED curing units induce less temperature rise than QTH units, does not hold true in general.

  8. 27 CFR 26.291 - General.

    Science.gov (United States)

    2010-04-01

    ... United States From the Virgin Islands § 26.291 General. (a) Industrial spirits may be shipped into the... spirits may be shipped into the United States to the holder of a permit under part 20 of this chapter, in...) Completely denatured alcohol may be shipped to anyone in the United States in accordance with §§ 26.295...

  9. Cross Selling Implementation From Outpatient Unit to Radiology Unit in Semen Gresik Hospital

    OpenAIRE

    Rochmah, Thinni Nurul; Faradisa, Mutiara Ayu

    2013-01-01

    Thelow visitingnumberinhospital€™sunitarecloselyrelatedtomarketingactivities,includinginternal marketing which consistsof cross sellingfromother units.Thisstudy aims toanalyze crossselling implementation from Outpatient Unit to Radiology Unit in Semen Gresik Hospital. This study was a cross sectional analytic design. Samplewastakenbysimple random samplingwithsamplesize25respondents.Independentvariableswere marketing policy,employee commitment,perception, motivation,andreadiness ofcross sellin...

  10. Pediatric Oncology Palliative Care: Experiences of General Practitioners and Bereaved Parents.

    OpenAIRE

    Neilson, SJ; Gibson, F; Greenfield, SM

    2015-01-01

    Objective: This qualitative study set in the West Midlands region of the United Kingdom, aimed to examine the\\ud role of the general practitioner (GP) in children's oncology palliative care from the perspective of GPs who had cared for a child with cancer receiving palliative care at home and bereaved parents.\\ud Methods: One-to-one semi-structured interviews were undertaken with 18 GPs and 11 bereaved parents\\ud following the death. A grounded theory data analysis was undertaken; identifying...

  11. Challenges on preparing unitization agreements in Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Ribeiro, Marilda Rosado de Sa [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil). Faculdade de Direito; Appi, Valeria Tiriba [PETROBRAS, Rio de Janeiro, RJ (Brazil)

    2004-07-01

    As a further stage of the new oil and gas industry in Brazil, various challenges are now faced as an outcome from the O and G projects progress, under the legal framework in force in Brazil. Among all are the first unitization processes, which require a set of steps to be performed in order to achieve a unitization agreement. The paper aims at analyzing the legal, technical and drafting issues to be dealt with in such agreements. After a brief introduction to the general issues at stake in the unitization agreements the study shall encompass a follow up of the sequence of events to be complied with. One could mention the settlement of the criteria onto calculations to serve as guidelines for the negotiations will be based on. That, is usually based on concepts as oil in place, possible O and G in the reservoir, or reserve, which must be agreed by all involved parties. Another possible step to be considered is the creation of a common database, in order to permit fast decisions and optimise E and P operations in the unitized area. Other concerns should be addressed, depending on the amount of O and G to be produced from the unitized area, as: the avoidance of multiple redeterminations aiming to decrease unnecessary expenditures, which could jeopardize the arising project profitability; and the recalculations of Government take, royalties and other incumbencies, to be shared by all involved parties. The paper shall also mention the experience of other countries trying to adopt, where applicable and compatible with the best practices of the oil industry, solutions adopted where tradition in oil and gas is more mature. It should be considered that, in each bidding round the Brazilian Concession Agreement has undergone changes, therefore during an unitization process with two different versions of the Concession Agreement differences between corresponding clauses will have to be faced. Comments should also be made about satellite agreements, encompassing O and G buying

  12. GENERAL SURGERY

    African Journals Online (AJOL)

    could cripple the global economy. Greater attention ... Africa and 5.7 general surgeons per 100 000 in the US.12 One of the key ... 100 000 insured population working in the private sector, which is comparable with the United States (US).

  13. Securing General Aviation

    National Research Council Canada - National Science Library

    Elias, Bart

    2005-01-01

    General aviation (GA) -- a catch-all category that includes about 57% of all civilian aviation activity within the United States -- encompasses a wide range of airports, aircraft, and flight operations...

  14. Handling high predictor dimensionality in slope-unit-based landslide susceptibility models through LASSO-penalized Generalized Linear Model

    KAUST Repository

    Camilo, Daniela Castro; Lombardo, Luigi; Mai, Paul Martin; Dou, Jie; Huser, Raphaë l

    2017-01-01

    Grid-based landslide susceptibility models at regional scales are computationally demanding when using a fine grid resolution. Conversely, Slope-Unit (SU) based susceptibility models allows to investigate the same areas offering two main advantages: 1) a smaller computational burden and 2) a more geomorphologically-oriented interpretation. In this contribution, we generate SU-based landslide susceptibility for the Sado Island in Japan. This island is characterized by deep-seated landslides which we assume can only limitedly be explained by the first two statistical moments (mean and variance) of a set of predictors within each slope unit. As a consequence, in a nested experiment, we first analyse the distributions of a set of continuous predictors within each slope unit computing the standard deviation and quantiles from 0.05 to 0.95 with a step of 0.05. These are then used as predictors for landslide susceptibility. In addition, we combine shape indices for polygon features and the normalized extent of each class belonging to the outcropping lithology in a given SU. This procedure significantly enlarges the size of the predictor hyperspace, thus producing a high level of slope-unit characterization. In a second step, we adopt a LASSO-penalized Generalized Linear Model to shrink back the predictor set to a sensible and interpretable number, carrying only the most significant covariates in the models. As a result, we are able to document the geomorphic features (e.g., 95% quantile of Elevation and 5% quantile of Plan Curvature) that primarily control the SU-based susceptibility within the test area while producing high predictive performances. The implementation of the statistical analyses are included in a parallelized R script (LUDARA) which is here made available for the community to replicate analogous experiments.

  15. Handling high predictor dimensionality in slope-unit-based landslide susceptibility models through LASSO-penalized Generalized Linear Model

    KAUST Repository

    Camilo, Daniela Castro

    2017-08-30

    Grid-based landslide susceptibility models at regional scales are computationally demanding when using a fine grid resolution. Conversely, Slope-Unit (SU) based susceptibility models allows to investigate the same areas offering two main advantages: 1) a smaller computational burden and 2) a more geomorphologically-oriented interpretation. In this contribution, we generate SU-based landslide susceptibility for the Sado Island in Japan. This island is characterized by deep-seated landslides which we assume can only limitedly be explained by the first two statistical moments (mean and variance) of a set of predictors within each slope unit. As a consequence, in a nested experiment, we first analyse the distributions of a set of continuous predictors within each slope unit computing the standard deviation and quantiles from 0.05 to 0.95 with a step of 0.05. These are then used as predictors for landslide susceptibility. In addition, we combine shape indices for polygon features and the normalized extent of each class belonging to the outcropping lithology in a given SU. This procedure significantly enlarges the size of the predictor hyperspace, thus producing a high level of slope-unit characterization. In a second step, we adopt a LASSO-penalized Generalized Linear Model to shrink back the predictor set to a sensible and interpretable number, carrying only the most significant covariates in the models. As a result, we are able to document the geomorphic features (e.g., 95% quantile of Elevation and 5% quantile of Plan Curvature) that primarily control the SU-based susceptibility within the test area while producing high predictive performances. The implementation of the statistical analyses are included in a parallelized R script (LUDARA) which is here made available for the community to replicate analogous experiments.

  16. Immediate tasks in realization of 52-53 Sessions of United Nations Organization General Assembly resolution on Semipalatinsk nuclear test site

    International Nuclear Information System (INIS)

    Ibraev, S.

    2000-01-01

    The author points out, that ecological heritage of Semipalatinsk test site is not studied, scattered investigations does not give objective assessment about radiation situation in the region. Only operations of close down of wells on the base of inter-state agreement between Republic of Kazakhstan and the United States of America were carried out. There are following main rehabilitation measures on liquidation of nuclear tests consequences in the region: study, deactivation and re-cultivation of populated territories; study of radioactive contamination level in underground waters and definition radionuclides migration by biological chain for taking preventative measures. It is noted, that citizens of the region with gratitude took solution of 52-53 Sessions of United Nations Organization General Assembly 'On liquidation of nuclear tests consequences on Semipalatinsk nuclear test site

  17. Statement to the 36th session of the General Conference of the International Atomic Energy Agency 21 September 1992; Statement to the 47th session of the United Nations General Assembly 21 October 1992

    International Nuclear Information System (INIS)

    Blix, H.

    1993-01-01

    IAEA Director General, Hans Blix, in his statements to the 47th session of the United Nations General Assembly and to the 36th session of the General Conference of the IAEA, reminded that 1992 marks the fiftieth anniversary of controlled nuclear fission and the thirty-fifth anniversary of the IAEA. He specially commented on the various measures taken during the past year to strengthen the IAEA's safeguards system as a part of the challenge to reduce the risk of a further spread of nuclear weapons. He also discussed the role of the IAEA in the fields of nuclear safety, nuclear waste, transfer of technology and assistance to developing countries and the financing and management of the Agency within the UN system

  18. Statement to the 64. Regular Session of the United Nations General Assembly, 2 November 2009, New York, USA

    International Nuclear Information System (INIS)

    ElBaradei, M.

    2009-01-01

    This is the last speech of Dr. Mohamed ElBaradei to the General Assembly as Director General of the International Atomic Energy Agency. He is reviewing the achievements of the IAEA during the last 12 years of his service to the Agency as Director General. He summarizes the activities of nuclear power, nuclear safety, technical cooperation, the Programme of Action for Cancer Therapy (PACT), the technical cooperation programme, the global non-proliferation landscape (in particular Iraq and the DPRK), uranium enrichment and plutonium reprocessing, as well as nuclear disarmament. Ultimately, a new global system of collective security is needed that entails an overhaul of the United Nations system and, above all, of the Security Council. A new system in which no country feels the need to rely on nuclear weapons for its security. A new system with effective global mechanisms for conflict prevention, peacekeeping and peacemaking. An equitable and inclusive system in which security is not perceived as a zero sum game, or based on domination, or on a balance of power. A system that places human security and human solidarity at its core, that grasps our shared destiny as one human family and that enables all of us to live together free from fear and free from want. In concluding, he takes this opportunity to express his deep gratitude to the Republic of Austria for being a most gracious and supportive host country of the IAEA. He congratulates his successor, Director General-elect Yukiya Amano, and wishes him every success. He thanks the General Assembly for its support during his 12 years as Director General

  19. SmartUnit: Empirical Evaluations for Automated Unit Testing of Embedded Software in Industry

    OpenAIRE

    Zhang, Chengyu; Yan, Yichen; Zhou, Hanru; Yao, Yinbo; Wu, Ke; Su, Ting; Miao, Weikai; Pu, Geguang

    2018-01-01

    In this paper, we aim at the automated unit coverage-based testing for embedded software. To achieve the goal, by analyzing the industrial requirements and our previous work on automated unit testing tool CAUT, we rebuild a new tool, SmartUnit, to solve the engineering requirements that take place in our partner companies. SmartUnit is a dynamic symbolic execution implementation, which supports statement, branch, boundary value and MC/DC coverage. SmartUnit has been used to test more than one...

  20. Current trends in endodontic treatment by general dental practitioners: report of a United States national survey.

    Science.gov (United States)

    Savani, Gina M; Sabbah, Wael; Sedgley, Christine M; Whitten, Brian

    2014-05-01

    In the United States almost 70% of root canal treatment (RCT) is performed by general dentists (GPs), yet little is known about their treatment protocols. A paper survey was mailed to 2000 United States GPs with questions about the types of endodontic cases treated, routine treatment protocols, use of newer technologies, and endodontic continuing education (CE). Completed surveys were returned by 479 respondents (24%). GPs who perform RCT (84%) reported providing anterior (99%), bicuspid (95%), and molar (62%) RCT and retreatment (18%). Rubber dam was used always (60%), usually (16%), sometimes (13%), and never (11%). Newer technologies used by GPs included digital radiography (72%), magnification (80%), electronic apex locator (70%), and nickel-titanium rotary instrumentation (74%). Compared with GPs with >20 years of experience, those in practice for ≤10 years were more likely to use rubber dam (P 20 years were more likely to perform retreatments (P 5 hours of CE were more likely to use rotary instrumentation (P irrigant activation devices (P 20 years. More experienced GPs were more likely to take on complicated cases than those with fewer years of practice. There was no association between hours of CE and compliance with rubber dam usage. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  1. 31 CFR 586.318 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 586.318 Section 586...) KOSOVO SANCTIONS REGULATIONS General Definitions § 586.318 United States. The term United States means the United States, its territories and possessions, and all areas under the jurisdiction or authority...

  2. 31 CFR 597.318 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 597.318 Section 597... General Definitions § 597.318 United States. The term United States means the United States, its territories, states, commonwealths, districts, and possessions, and all areas under the jurisdiction or...

  3. 31 CFR 585.316 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 585.316 Section 585.316 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... General Definitions § 585.316 United States. The term United States means the United States, its...

  4. 31 CFR 539.312 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 539.312 Section 539.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... General Definitions § 539.312 United States. The term United States means the United States, its...

  5. 31 CFR 587.310 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 587.310 Section 587...) MILOSEVIC SANCTIONS REGULATIONS General Definitions § 587.310 United States. The term United States means the United States, its territories and possessions, and all areas under the jurisdiction or authority...

  6. 31 CFR 547.310 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 547.310 Section 547.310 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... General Definitions § 547.310 United States. The term United States means the United States, its...

  7. Radwaste volume reduction and solidification by General Electric

    International Nuclear Information System (INIS)

    Green, T.A.; Weech, M.E.; Miller, G.P.; Eberle, J.W.

    1982-01-01

    Since 1978 General Electric has been actively engaged in developing a volume reduction and solidifcation system or treatment of radwaste generated in commercial nuclear power plants. The studies have been aimed at defining an integrated system that would be directly responsive to the rapid evolving needs of the industry for the volume reduction and solidification of low-level radwaste. The resulting General Electric Volume Reduction System (GEVRS) is an integrated system based on two processes: the first uses azeotropic distillation technology and is called AZTECH, and the second is controlled-air incineration...called INCA. The AZTECH process serves to remove water from concentrated salt solutions, ion exchange resins and filter sludge slurries and then encapsulates the dried solids into a dense plastic product. The INCA unit serves to reduce combustible wastes to ashes suitable for encapsulation into the same plastic product produced by AZTECH

  8. 31 CFR 596.312 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 596.312 Section 596.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... General Definitions § 596.312 United States. The term United States means the United States, including its...

  9. 31 CFR 544.310 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 544.310 Section 544.310 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... REGULATIONS General Definitions § 544.310 United States. The term United States means the United States, its...

  10. 31 CFR 593.311 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 593.311 Section 593.311 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... REGULATIONS General Definitions § 593.311 United States. The term United States means the United States, its...

  11. 31 CFR 540.313 - United States.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States. 540.313 Section 540.313 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... REGULATIONS General Definitions § 540.313 United States. The term United States means the United States, its...

  12. The Auto Industry. Grade Nine. Resource Unit (Unit IV). Project Social Studies.

    Science.gov (United States)

    Minnesota Univ., Minneapolis. Project Social Studies Curriculum Center.

    Unit four of this curriculum plan for ninth grade social studies outlines a study of the automobile industry in the United States. Objectives state the desired generalizations, skills, and attitudes to be developed. A condensed outline of course content precedes expanded guidelines for teaching procedures and suggested resource materials. A…

  13. General and Specific Culture Learning in EFL Textbooks Aimed at Adult Learners in Spain

    Directory of Open Access Journals (Sweden)

    Rodríguez Antonio R. Raigón

    2015-03-01

    Full Text Available Since language teaching in modern-day society is closely linked to cultural instruction, this study employs the model of a cultural learning analysis based on the earlier work of Paige and Lee. Using this model, the authors analysed the cultural content of six B1 and B2-level textbooks for teaching English to adults in Spain, and carried out a comparative study of the results, contrasting the two levels. Findings show that the subjective aspects of culture receive less coverage in textbooks, despite being fundamental to an understanding of the values of a society. Regarding the comparison between B1 and B2 levels, the data indicate that the number of big “C” Culture occurrences is similar for both levels, although there are differences in other cultural aspects. So, for example, culture in general is dealt with more at the B1 level, whereas small “c” culture is dealt with more at the B2 level.

  14. 31 CFR 596.313 - United States person.

    Science.gov (United States)

    2010-07-01

    ... FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY TERRORISM LIST GOVERNMENTS SANCTIONS REGULATIONS General Definitions § 596.313 United States person. The term United States person means any United States...

  15. The Air Quality and Economic Impact of Atmospheric Lead from General Aviation Aircraft in the United States

    Science.gov (United States)

    Wolfe, P. J.; Selin, N. E.; Barrett, S. R. H.

    2015-12-01

    While leaded fuels for automobiles were phased-out of use in the United States by 1996, lead (Pb) continues to be used as an anti-knock additive for piston-driven aircraft. We model the annual concentration of atmospheric lead attributable to piston driven aircraft emissions in the continental United States using the Community Multi-scale Air Quality (CMAQ) model. Using aircraft emissions inventories for 2008, we then calculate annual economic damages from lead as lifetime employment losses for a one-year cohort exposed to elevated atmospheric lead concentrations using a range of concentration response functions from literature. Mean and median estimates of annual damages attributable to lifetime lost earnings are 1.06 and 0.60 billion respectively. Economy-wide impacts of IQ-deficits on productivity and labor increase expected damages by 54%. Damages are sensitive to background lead concentrations; as emissions decrease from other sources, the damages attributable to aviation are expected to increase holding aviation emissions constant. The monetary impact of General Aviation lead emissions on the environment is the same order of magnitude as noise, climate change, and air quality degradation from all commercial operations.

  16. Motor unit recruitment strategies are altered during deep-tissue pain.

    Science.gov (United States)

    Tucker, Kylie; Butler, Jane; Graven-Nielsen, Thomas; Riek, Stephan; Hodges, Paul

    2009-09-02

    Muscle pain is associated with decreased motor unit discharge rate during constant force contractions. As discharge rate is a determinant of force, other adaptations in strategy must explain force maintenance during pain. Our aim was to determine whether motor unit recruitment strategies are altered during pain to maintain force despite reduced discharge rate. Motor unit discharge behavior was recorded in two muscles, one with (quadriceps) and one without [flexor pollicis longus (FPL)] synergists. Motor units were recruited during matched low-force contractions with and without experimentally induced pain, and at higher force without pain. A total of 52 and 34 units were recorded in quadriceps and FPL, respectively, during low-force contractions with and without pain. Of these, 20 quadriceps and 9 FPL units were identified during both trials. The discharge rate of these units reduced during pain in both muscles [quadriceps: 8.7 (1.5) to 7.5 (1.3) Hz, p units discharged only with or without pain, but not in both conditions. Only one-third of the additional units recruited during pain (quadriceps n = 7/19, FPL n = 3/15) were those expected given orderly recruitment of the motor unit pool as determined during higher-force contractions. We conclude that reduced motor unit discharge rate with pain is accompanied by changes in the population of units used to maintain force. The recruitment of new units is partly inconsistent with generalized inhibition of the motoneuron pool predicted by the "pain adaptation" theory, and provides the basis for a new mechanism of motor adaptation with pain.

  17. 7 CFR 51.1260 - General.

    Science.gov (United States)

    2010-01-01

    ... FRESH FRUITS, VEGETABLES AND OTHER PRODUCTS 1,2 (INSPECTION, CERTIFICATION, AND STANDARDS) United States Standards for Summer and Fall Pears 1 General § 51.1260 General. These standards apply to varieties such as Bartlett, Hardy and other similar varieties. Grades ...

  18. Simple approach in understanding interzeolite transformations using ring building units

    Science.gov (United States)

    Suhendar, D.; Buchari; Mukti, R. R.; Ismunandar

    2018-04-01

    Recently, there are two general approaches used in understanding interzeolite transformations, thermodynamically represented by framework density (FD) and kinetically by structural building units. Two types of structural building units are composite building units (CBU’s) and secondary building units (SBU’s). This study aims to examine the approaches by using interzeolite transformation data available in literature and propose a possible alternative approach. From a number of cases of zeolite transformation, the FD and CBU approach are not suitable for use. The FD approach fails in cases involving zeolite parents that have moderate or high FD’s, while CBU approach fails because of CBU’s unavailability in parent zeolites compared with CBU’s in their transformation products. The SBU approach is most likely to fit because SBU’s are units that have basic form of ring structures and closer to the state and shape of oligomeric fragments present in zeolite synthesis or dissolution cases. Thus, a new approach can be considered in understanding the interzeolite transformation, namely the ring building unit (RBU) approach. The advantage of RBU approach is RBU’s can be easily derived from all framework types, but in SBU approach there are several types of frameworks that cannot be expressed in SBU forms.

  19. Automatic movie skimming with general tempo analysis

    Science.gov (United States)

    Lee, Shih-Hung; Yeh, Chia-Hung; Kuo, C. C. J.

    2003-11-01

    Story units are extracted by general tempo analysis including tempos analysis including tempos of audio and visual information in this research. Although many schemes have been proposed to successfully segment video data into shots using basic low-level features, how to group shots into meaningful units called story units is still a challenging problem. By focusing on a certain type of video such as sport or news, we can explore models with the specific application domain knowledge. For movie contents, many heuristic rules based on audiovisual clues have been proposed with limited success. We propose a method to extract story units using general tempo analysis. Experimental results are given to demonstrate the feasibility and efficiency of the proposed technique.

  20. 7 CFR 51.1300 - General.

    Science.gov (United States)

    2010-01-01

    ... FRESH FRUITS, VEGETABLES AND OTHER PRODUCTS 1,2 (INSPECTION, CERTIFICATION, AND STANDARDS) United States Standards for Winter Pears 1 General § 51.1300 General. These standards apply to varieties such as Anjou, Bosc, Winter Nelis, Comice, Flemish Beauty and other similar varieties. Grades ...

  1. The United Nations disarmament yearbook. V. 19: 1994

    International Nuclear Information System (INIS)

    1995-01-01

    The United Nations Disarmament Yearbook contains a review of the main developments and negotiations in the field of disarmament taking place each year, together with a brief history of the major issues. The series began with the 1976 edition. The Yearbook makes no claim to present fully the views of Member States of the Organization. For further information on the official positions of States, readers should consult the Official Records of the General Assembly and other sources. General Assembly resolutions and decisions are quoted in The Yearbook in the form in which they were adopted by the General Assembly. For the edited texts of these documents for 1994, readers should consult the Official Records of the General Assembly, Forty-ninth Session, Supplement No. 49 (A/49/49). For an overview of the work of the United Nations in the field of disarmament, one should consult The United Nations and Disarmament: A short History (UN, 1988). A more detailed account is included in The United Nations and Disarmament: 1945-1970; United Nations and Disarmament: 1970-1975, and previous volumes of The United Nations Disarmament Yearbook

  2. Perceptions of a disability sport unit in general physical education.

    Science.gov (United States)

    Grenier, Michelle; Collins, Karen; Wright, Steven; Kearns, Catherine

    2014-01-01

    The purpose of this qualitative study was to assess the effectiveness of a disability sport unit in shaping perceptions of disability. Data from interviews, observations, and documents were collected on 87 elementary-aged students, one physical education teacher, and one teaching intern. Comparisons were drawn between fifth graders engaged in a five-week disability sport unit to fourth graders participating in their standard physical education curriculum. Findings revealed differences in the way fourth and fifth graders came to view individuals with disabilities. The results support an analysis of curriculum development that underscores the significance of the social model in positively impacting constructions of disability. Recommendations include the use of disability sports in physical education as an effective strategy for educating students in game play, knowledge of the Paralympics, and the inclusion of individuals with disabilities in a variety of sporting venues.

  3. SI units in radiation protection

    International Nuclear Information System (INIS)

    Jain, V.K.; Soman, S.D.

    1978-01-01

    International System of Units abbreviated as SI units has been adopted by most of the countries of the world. Following this development, the implementation of SI units has become mandatory with a transition period of about ten years. Some of the journals have already adopted the SI units and any material sent for publication to them must use only these. International Commission on Radiation Units and Measurement (ICRU) published letters in several journals including Physics in Medicine and Biology, Health Physics, British Journal of Radiology, etc. outlining the latest recommendations on SI units to elicit the reactions of scientists in the general field of radiological sciences. Reactions to the letters were numerous as can be seen in the correspondence columns of these journals for the last few years and ranged from great misgivings and apprehension to support and appreciation. SI units have also been the subject of editorial comments in several journals. On the basis of a survey of this literature, it may be said that there was general agreement on the long term advantage of SI units inspite of some practical difficulties in their use particularly in the initial stages. This report presents a review of SI units in radiological sciences with a view to familiarize the users with the new units in terms of the old. A time table for the gradual changeover to the SI units is also outlined. (auth.)

  4. SI units in biomedical dosimetry

    International Nuclear Information System (INIS)

    Liden, K.

    1975-01-01

    The International commission on radiation units and measurements (ICRU), during the period from 1953 to 1962 presented its definitions of the quantities absorbed dose, exposure, activity, and dose equivalent and the corresponding special units the rad, the roentgen, the curie, and the rem. At the same time an international practical system of units was developed, Le Systeme International d'Unites (SI). It was adopted by the 11th Conference Generale des Poids et Mesures (CGPM) in 1960 and is now officially introduced in almost all countries. The general implementation of the SI means difficulties for the future use of the special radiation units, because the numerical factors involved prevent their adoption as SI units. In view of this, and after having sampled the opinion in the radiological field, the ICRU prepared a Statement on Units in July, 1974 which was forwarded to the Comite International des Poids et Mesures (CIPM) and its Comite Consultatif des Unites (CCU) for consideration. As a result of this statement the CIPM has now proposed, that the 15rh CGPM adopt special names for two SI units, namely the becquerel, symbol Bq, for the unit of activity of radionuclides equal to the reciprocal second, s 1- , and the gray, symbol Gy, for the unit of absorbed dose equal to the joule per kilogram, J/kg. The 15th CGPM will consider this matter in May, 1975. (author)

  5. General minisum circle location

    DEFF Research Database (Denmark)

    Körner, Mark; Brimberg, Jack; Juel, Henrik

    2009-01-01

    In our paper we approximate a set of given points by a general circle. More precisely, we consider the problem of locating and scaling the unit ball of some given norm k1 with respect to xed points on the plane such that the sum of weighted distances between the circle and the xed points is minim......In our paper we approximate a set of given points by a general circle. More precisely, we consider the problem of locating and scaling the unit ball of some given norm k1 with respect to xed points on the plane such that the sum of weighted distances between the circle and the xed points...

  6. Pseudomonas aeruginosa-producing Metallo-β-lactamases (VIM, IMP, SME, and AIM) in the Clinical Isolates of Intensive Care Units, a University Hospital in Isfahan, Iran.

    Science.gov (United States)

    Khorvash, Farzin; Yazdani, Mohammadreza; Shabani, Shiva; Soudi, Aliasghar

    2017-01-01

    Pseudomonas aeruginosa is a severe challenge for antimicrobial therapy, due to the chromosomal mutations or exhibition of intrinsic resistance to various antimicrobial agents such as most β-lactams. We undertook this study to evaluate the existence of SME, IMP, AIM, and VIM metallo-β-lactamases (MBL) encoding genes among P. aeruginosa strains isolated from Intensive Care Unit (ICU) patients in Al-Zahra Hospital in Isfahan, Iran. In a retrospective cross-sectional study that was conducted between March 2012 and April 2013, a total of 48 strains of P. aeruginosa were collected from clinical specimens of bedridden patients in ICU wards. Susceptibility test was performed by disc diffusion method. All of the meropenem-resistant strains were subjected to modified Hodge test for detection of carbapenemases. Multiplex polymerase chain reaction was performed for detection of blaVIM, blaIMP, blaAIM, and blaSME genes. In disk diffusion method, imipenem and meropenem showed the most and colistin the least resistant antimicrobial agents against P. aeruginosa strains. Of the 48 isolates, 36 (75%) were multidrug resistant (MDR). Amplification of β-lactamase genes showed the presence of blaVIM genes in 7 (%14.6) strains and blaIMP genes in 15 (31.3%) strains. All of the isolates were negative for blaSME and blaAIM genes. We could not find any statistically significant difference among the presence of this gene and MDR positive, age, or source of the specimen. As patients with infections caused by MBL-producing bacteria are at an intensified risk of treatment failure, fast determination of these organisms is necessary. Our findings may provide useful insights in replace of the appropriate antibiotics and may also prevent MBLs mediated resistance problem.

  7. Pseudomonas aeruginosa-producing Metallo-β-lactamases (VIM, IMP, SME, and AIM in the Clinical Isolates of Intensive Care Units, a University Hospital in Isfahan, Iran

    Directory of Open Access Journals (Sweden)

    Farzin Khorvash

    2017-01-01

    Full Text Available Background: Pseudomonas aeruginosa is a severe challenge for antimicrobial therapy, due to the chromosomal mutations or exhibition of intrinsic resistance to various antimicrobial agents such as most β-lactams. We undertook this study to evaluate the existence of SME, IMP, AIM, and VIM metallo-β-lactamases (MBL encoding genes among P. aeruginosa strains isolated from Intensive Care Unit (ICU patients in Al-Zahra Hospital in Isfahan, Iran. Materials and Methods: In a retrospective cross-sectional study that was conducted between March 2012 and April 2013, a total of 48 strains of P. aeruginosa were collected from clinical specimens of bedridden patients in ICU wards. Susceptibility test was performed by disc diffusion method. All of the meropenem-resistant strains were subjected to modified Hodge test for detection of carbapenemases. Multiplex polymerase chain reaction was performed for detection of blaVIM, blaIMP, blaAIM, and blaSME genes. Results: In disk diffusion method, imipenem and meropenem showed the most and colistin the least resistant antimicrobial agents against P. aeruginosa strains. Of the 48 isolates, 36 (75% were multidrug resistant (MDR. Amplification of β-lactamase genes showed the presence of blaVIM genes in 7 (%14.6 strains and blaIMP genes in 15 (31.3% strains. All of the isolates were negative for blaSME and blaAIM genes. We could not find any statistically significant difference among the presence of this gene and MDR positive, age, or source of the specimen. Conclusion: As patients with infections caused by MBL-producing bacteria are at an intensified risk of treatment failure, fast determination of these organisms is necessary. Our findings may provide useful insights in replace of the appropriate antibiotics and may also prevent MBLs mediated resistance problem.

  8. Group supervision for general practitioners

    DEFF Research Database (Denmark)

    Galina Nielsen, Helena; Sofie Davidsen, Annette; Dalsted, Rikke

    2013-01-01

    AIM: Group supervision is a sparsely researched method for professional development in general practice. The aim of this study was to explore general practitioners' (GPs') experiences of the benefits of group supervision for improving the treatment of mental disorders. METHODS: One long-establish......AIM: Group supervision is a sparsely researched method for professional development in general practice. The aim of this study was to explore general practitioners' (GPs') experiences of the benefits of group supervision for improving the treatment of mental disorders. METHODS: One long...... considered important prerequisites for disclosing and discussing professional problems. CONCLUSION: The results of this study indicate that participation in a supervision group can be beneficial for maintaining and developing GPs' skills in dealing with patients with mental health problems. Group supervision...... influenced other areas of GPs' professional lives as well. However, more studies are needed to assess the impact of supervision groups....

  9. 4 September 2015 - Signature of the guest book by Ambassador Oh Joon, Seventy-first President, United Nations Economic and Social Council (ECOSOC), Ambassador and Permanent Representative of the Republic of Korea to the United Nations in New York with Director for Administration and General infrastructure S. Lettow.

    CERN Multimedia

    Gadmer, Jean-Claude Robert

    2015-01-01

    4 September 2015 - Signature of the guest book by Ambassador Oh Joon, Seventy-first President, United Nations Economic and Social Council (ECOSOC), Ambassador and Permanent Representative of the Republic of Korea to the United Nations in New York with Director for Administration and General infrastructure S. Lettow. Also present: Head of IT Department F. Hemmer with E. Bjorgo and F. Pisano visiting the UNITAR’s operational satellite applications programme on CERN site in building 597. The delegation is accompanied throughout by Adviser to the Director-General, in charge of Relations with International Organisations M. Bona.

  10. Evaluating the Persuasiveness of an HIV Mass Communication Campaign Using Gain-Framed Messages and Aimed at Creating a Superordinate Identity.

    Science.gov (United States)

    Prati, Gabriele; Mazzoni, Davide; Cicognani, Elvira; Albanesi, Cinzia; Zani, Bruna

    2016-09-01

    This research assesses the coverage and impact of "United Against AIDS," the 2012-2013 Italian National HIV/AIDS prevention campaign to promote safer sex behavior and voluntary HIV counseling and testing. The campaign used gain-framed messages and aimed at creating a superordinate identity. We conducted two studies. The first study employed a quasi-experimental design involving three groups of participants: general population (n = 858), men who have sex with men (MSM; n = 109), and migrants (n = 211). In the second study, we carried out a time-series design to analyze the archival data of the Italian National AIDS Help-Line. Exposure to the campaign was reported by 78.3%, 67.5%, and 57.8% of the general population, MSM, and migrant respondents, respectively. The probability of having unprotected sexual intercourse with multiple partners decreased significantly in the subsample of the general populations that was exposed to the campaign (compared to the nonexposed participants), but the same effect was not found among MSM and migrant participants. The probability of having unprotected sexual intercourse with someone of unknown HIV status decreased after the campaign in the exposed MSM subsample (compared to the nonexposed participants), but the same effect was not found among the general population and migrant participants. In addition, the probability of undertaking HIV testing increased significantly in the exposed participants belonging to the general population but not among MSM and migrant participants. Time-series analysis revealed that the number of calls at the Italian National AIDS Help-Line significantly increased during the campaign. This research provides evidence that the effect of the campaign was complex and varied across participants.

  11. Generalizing optical geometry

    International Nuclear Information System (INIS)

    Jonsson, Rickard; Westman, Hans

    2006-01-01

    We show that by employing the standard projected curvature as a measure of spatial curvature, we can make a certain generalization of optical geometry (Abramowicz M A and Lasota J-P 1997 Class. Quantum Grav. A 14 23-30). This generalization applies to any spacetime that admits a hypersurface orthogonal shearfree congruence of worldlines. This is a somewhat larger class of spacetimes than the conformally static spacetimes assumed in standard optical geometry. In the generalized optical geometry, which in the generic case is time dependent, photons move with unit speed along spatial geodesics and the sideways force experienced by a particle following a spatially straight line is independent of the velocity. Also gyroscopes moving along spatial geodesics do not precess (relative to the forward direction). Gyroscopes that follow a curved spatial trajectory precess according to a very simple law of three-rotation. We also present an inertial force formalism in coordinate representation for this generalization. Furthermore, we show that by employing a new sense of spatial curvature (Jonsson R 2006 Class. Quantum Grav. 23 1)) closely connected to Fermat's principle, we can make a more extensive generalization of optical geometry that applies to arbitrary spacetimes. In general this optical geometry will be time dependent, but still geodesic photons move with unit speed and follow lines that are spatially straight in the new sense. Also, the sideways experienced (comoving) force on a test particle following a line that is straight in the new sense will be independent of the velocity

  12. The practical of precaution/isolation from the medical diagnosis in infectious disease unit

    Directory of Open Access Journals (Sweden)

    Rosely Moralez de Figueiredo

    2006-12-01

    Full Text Available With the aim of analyzing the use of an infectious disease unit in a medium size general hospital, 95 patients records were examined; 72,6% of the patients were male; the average age was 41 and the average permanence in hospital was 15, 7 days. The death rate was 12,6%. The main medical diagnosis were AIDS in 52,4% and tuberculosis in 6,3% of patients. The speciality infectology was responsible for 35,8% of confinements. Regarding precautions for transmission 14,7% needed air precautions, 8,5% contact precautions, 1,1% droplets and the other 75,7% only standard precautions. A variety of criteria for confinement, not only the infectious nature of the disease, stands out in the unit; the generic term “isolation” is maintained in the records. Unification of the practical employed, education programs in service that aim at appropriation and the use of technical knowledge about precautions by the whole health team are advised.

  13. 19 CFR 210.2 - General policy.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false General policy. 210.2 Section 210.2 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Rules of General Applicability § 210.2 General policy. It is the policy of the...

  14. The role of international institutions in the formation of international bioethical law: UNESCO and the United Nations General Assembly attempt to govern human cloning.

    Science.gov (United States)

    Kuppuswamy, Chamundeeswari

    2007-01-01

    This article analyses the international governance of human reproductive cloning. Noting that bioethics is a new field of engagement for international lawyers, it recounts some of the institutional developments in bioethical law making. The role of UNESCO and the United Nations General Assembly is scrutinized and the author discusses the relative merits of the institutions' governance of human reproductive cloning. The author suggests that some international institutions and mechanisms are better suited than others for bioethical law making. The 2005 General Assembly resolution on human cloning is analysed in this context.

  15. International developments in revenues and incomes of general practitioners from 2000 to 2010

    OpenAIRE

    Kroneman, Madelon; Meeus, Pascal; Kringos, Dionne Sofia; Groot, Wim; van der Zee, Jouke

    2013-01-01

    Background: The remuneration system of General Practitioners (GPs) has changed in several countries in the past decade. The aim of our study was: to establish the effect of these changes on the revenues and income of GPs in the first decade of the 21st century. Methods: Annual GP revenue and practice costs were collected from national institutes in the eight countries included in our study (Belgium, Denmark, Finland, France, Germany, The Netherlands, Sweden, The United Kingdom (UK)) from 2000...

  16. 48 CFR 225.7403-1 - General.

    Science.gov (United States)

    2010-10-01

    ..., DEPARTMENT OF DEFENSE SOCIOECONOMIC PROGRAMS FOREIGN ACQUISITION Defense Contractors Outside the United States 225.7403-1 General. Information and guidance pertaining to DoD antiterrorism/force protection policy for contracts that require performance or travel outside the United States can be obtained from...

  17. 39 CFR 4.5 - Assistant Postmasters General, General Counsel, Judicial Officer, Chief Postal Inspector.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Assistant Postmasters General, General Counsel, Judicial Officer, Chief Postal Inspector. 4.5 Section 4.5 Postal Service UNITED STATES POSTAL SERVICE THE... Counsel, a Judicial Officer, a Chief Postal Inspector, and such number of officers, described in 39 U.S.C...

  18. Guidelines for planning and design of mobile radiological units

    Energy Technology Data Exchange (ETDEWEB)

    Schelenz, R [Federal Office for Environmental Radioactivity in Food, Total Diet and Infant Food, Federal Research Centre for Nutrition, Karlsruhe (Germany)

    1995-07-01

    A significant number of mobile radiological units are in operation worldwide aiming to provide reliable radiological data. They mainly have been designed and constructed on a national basis according to the particular needs and commitments of the specific laboratory or country. In most cases, these units are intended to be used in emergency situations for in-situ radiological measurements of accidentally released radioactivity, sometimes for monitoring environmental pollution. As the purpose of these units is very diversified in regard to the kind of vehicle and its in-built measuring equipment the varying outfit of these units cannot be adopted in general for other countries aiming to improve their capability for in-situ radiological measurement. In order to achieve harmonization of equipment and comparability of radiological data being obtained from field measurements it is necessary to have general guidelines available for designing mobile radiological units taking into account different sceneries and tasks to be achieved. In the very early stages of an accident most of the information available on the quantity of radioactive material being released, its radionuclide composition and the likely progression of the accident will come from the operator, and will be based on the conditions in the plant. Few environmental monitoring results from off-side can be expected within the first few hours. In this very early phase, decisions on the application of protective measures will therefore, be based largely on plant status and forecasts of changes in that status as well as on meteorological data. As time progresses, results will increasingly become available from the monitoring of radionuclides in the environment (e.g. dose rates and concentration of radionuclides in air and particular materials such as water, food etc). Monitoring results can be used to estimate potential doses to people and the need for further protective measures can thus be determined from a

  19. Guidelines for planning and design of mobile radiological units

    International Nuclear Information System (INIS)

    Schelenz, R.

    1995-01-01

    A significant number of mobile radiological units are in operation worldwide aiming to provide reliable radiological data. They mainly have been designed and constructed on a national basis according to the particular needs and commitments of the specific laboratory or country. In most cases, these units are intended to be used in emergency situations for in-situ radiological measurements of accidentally released radioactivity, sometimes for monitoring environmental pollution. As the purpose of these units is very diversified in regard to the kind of vehicle and its in-built measuring equipment the varying outfit of these units cannot be adopted in general for other countries aiming to improve their capability for in-situ radiological measurement. In order to achieve harmonization of equipment and comparability of radiological data being obtained from field measurements it is necessary to have general guidelines available for designing mobile radiological units taking into account different sceneries and tasks to be achieved. In the very early stages of an accident most of the information available on the quantity of radioactive material being released, its radionuclide composition and the likely progression of the accident will come from the operator, and will be based on the conditions in the plant. Few environmental monitoring results from off-side can be expected within the first few hours. In this very early phase, decisions on the application of protective measures will therefore, be based largely on plant status and forecasts of changes in that status as well as on meteorological data. As time progresses, results will increasingly become available from the monitoring of radionuclides in the environment (e.g. dose rates and concentration of radionuclides in air and particular materials such as water, food etc). Monitoring results can be used to estimate potential doses to people and the need for further protective measures can thus be determined from a

  20. Stress ulcer prophylaxis in the intensive care unit

    DEFF Research Database (Denmark)

    Krag, Morten Brøgger; Perner, A; Wetterslev, J

    2013-01-01

    Stress ulcer prophylaxis (SUP) is regarded as standard of care in the intensive care unit (ICU). However, recent randomized, clinical trials (RCTs) and meta-analyses have questioned the rationale and level of evidence for this recommendation. The aim of the present systematic review was to evaluate...... incidence of gastrointestinal (GI) bleeding varies considerably. Data on the incidence and severity of GI bleeding in general ICUs in the developed world as of today are lacking. The best intervention for SUP is yet to be settled by balancing efficacy and harm. In essence, it is unresolved if intensive care...... patients benefit overall from SUP. The following clinically research questions are unanswered: (1) What is the incidence of GI bleeding, and which interventions are used for SUP in general ICUs today?; (2) Which criteria are used to prescribe SUP?; (3) What is the best SUP intervention?; (4) Do intensive...

  1. The determinant of equity financing in sharia banking and sharia business units

    OpenAIRE

    Effendi, Jaenal

    2018-01-01

    Equity financing plays an important role in mobilizing financing in the real sector. The core business of sharia banking is based on the real sector, but the financing portion in sharia banking is still dominated by debt financing. This study aims to analyze the factors that affect equity financing in General Sharia Bank (BUS) and Sharia Business Unit (SBU) in Indonesia. This study uses Error Correction Model. The results show that in the long-term model of Third Party Fund (DPK), Finance to ...

  2. Care of "new" long-stay patients in a district general hospital psychiatric unit. The first two years of a hospital-hostel.

    Science.gov (United States)

    Gibbons, J S

    1986-05-01

    The paper describes the need for long-term inpatient care in an English health district whose psychiatric services were based on a unit in a District General Hospital. Patients who became long-stay were placed in a new hospital-hostel in a city centre. Three quarters of those eligible could be managed in the hostel, with those rejected posing more control problems. Patients in the hostel became less withdrawn and increased their activity and use of community facilities.

  3. [Aftercare for durability and profitability of single-unit and multi-unit fixed dental prostheses

    NARCIS (Netherlands)

    Baat, C. de; Loveren, C. van; Maarel-Wierink, C.D. van der; Witter, D.J.; Creugers, N.H.J.

    2013-01-01

    An important aim ofa treatment with single-unit and multi-unit fixed dental prostheses is a durable and profitable treatment outcome. That requires aftercare, too. First, the frequency of routine oral examinations should be assessed, using an individual risk profile. The objectives of the routine

  4. Obesity and Excess Mortality Among the Elderly in the United States and Mexico

    OpenAIRE

    MONTEVERDE, MALENA; NORONHA, KENYA; PALLONI, ALBERTO; NOVAK, BEATRIZ

    2010-01-01

    Increasing levels of obesity could compromise future gains in life expectancy in low- and high-income countries. Although excess mortality associated with obesity and, more generally, higher levels of body mass index (BMI) have been investigated in the United States, there is little research about the impact of obesity on mortality in Latin American countries, where very the rapid rate of growth of prevalence of obesity and overweight occur jointly with poor socioeconomic conditions. The aim ...

  5. 22 CFR 309.1 - General purpose.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true General purpose. 309.1 Section 309.1 Foreign Relations PEACE CORPS DEBT COLLECTION General Provisions § 309.1 General purpose. This part prescribes the procedures to be used by the United States Peace Corps (Peace Corps) in the collection and/or disposal of non...

  6. Spine Surgery Outcomes in Elderly Patients Versus General Adult Patients in the United States: A MarketScan Analysis.

    Science.gov (United States)

    Lagman, Carlito; Ugiliweneza, Beatrice; Boakye, Maxwell; Drazin, Doniel

    2017-07-01

    To compare spine surgery outcomes in elderly patients (80-103 years old) versus general adult patients (18-79 years-old) in the United States. Truven Health Analytics MarketScan Research Databases (2000-2012) were queried. Patients with a diagnosis of degenerative disease of the spine without concurrent spinal stenosis, spinal stenosis without concurrent degenerative disease, or degenerative disease with concurrent spinal stenosis and who had undergone decompression without fusion, fusion without decompression, or decompression with fusion procedures were included. Indirect outcome measures included length of stay, in-hospital mortality, in-hospital and 30-day complications, and discharge disposition. Patients (N = 155,720) were divided into elderly (n = 10,232; 6.57%) and general adult (n = 145,488; 93.4%) populations. Mean length of stay was longer in elderly patients versus general adult patients (3.62 days vs. 3.11 days; P adult patients (0.31% vs. 0.06%; P adult patients (11.3% vs. 7.15% and 17.8% vs. 12.6%; P adult patients (33.7% vs. 16.2%; P < 0.0001). Our results revealed significantly longer hospital stays, more in-hospital mortalities, and more in-hospital and 30-day complications after decompression without fusion, fusion without decompression, or decompression with fusion procedures in elderly patients. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Endogenous Generalized Weights under DEA Control

    DEFF Research Database (Denmark)

    Agrell, Per J.; Bogetoft, Peter

    Non-parametric efficiency analysis, such as Data Envelopment Analysis (DEA) relies so far on endogenous local or exogenous general weights, based on revealed preferences or market prices. However, as DEA is gaining popularity in regulation and normative budgeting, the strategic interest...... of the evaluated industry calls for attention. We offer endogenous general prices based on a reformulation of DEA where the units collectively propose the set of weights that maximize their efficiency. Thus, the sector-wide efficiency is then a result of compromising the scores of more specialized smaller units...

  8. The acceptance of functional foods in Denmark, Finland and the United States: A study of consumers' conjoint evaluations of the qualities of functional foods and perceptions of general health factors and cultural values

    DEFF Research Database (Denmark)

    Bech-Larsen, Tino; Grunert, Klaus G.; Poulsen, Jacob

    2001-01-01

    1. Functional foods is a relatively new concept covering food products enriched with various kinds of (natural) substances (eg vitamins, minerals or probiotic cultures) or modified so as to provide consumers with an additional physiological benefit presumed to prevent disease or promote health......; another explanation may be differences in cultural values, which possibly lead to different associations between wholesomeness and other quality aspects, such as taste, convenience and method of processing. 4. Using conjoint analysis and survey questions (n=1500), the aim of the study presented...... in this paper is to investigate whether there are differences in the acceptance of functional foods in Denmark, Finland and the United States, and to which extent they are related to differences in consumers' nutritional knowledge, health associations and cultural values. The general results of the study...

  9. Organization of Control Units with Operational Addressing

    OpenAIRE

    Alexander A. Barkalov; Roman M. Babakov; Larysa A. Titarenko

    2012-01-01

    The using of operational addressing unit as the block of control unit is proposed. The new structure model of Moore finite-state machine with reduced hardware amount is developed. The generalized structure of operational addressing unit is suggested. An example of synthesis process for Moore finite-state machine with operational addressing unit is given. The analytical researches of proposed structure of control unit are executed.

  10. Mortality Analysis of Trauma Patients in General Intensive Care Unit of a State Hospital

    Directory of Open Access Journals (Sweden)

    İskender Kara

    2015-08-01

    Full Text Available Objective: The aim of this study was to determine the mortality rate and factors affecting the mortality of trauma patients in general intensive care unit (ICU of a state hospital. Material and Method: Data of trauma patients hospitalized between January 2012 and March 2013 in ICU of Konya Numune Hospital were retrospectively analyzed. Demographic characteristics and clinical data of patients were recorded. Patients were divided into two groups as survivors and dead. Mortality rate and factors affectin mortality were examined. Results: A total of 108 trauma patients were included in the study. The mortality rate of overall group was 19.4%. Median age of the patients was 44.5 years and 75.9% of them were males. Median Glasgow Coma Scale of death group was lower (5 (3-8 vs. 15 (13-15, p<0.0001, median APACHE II score was higher (20 (15-26 vs. 10 (8-13, p<0.0001 and median duration of ICU stay was longer (27 (5-62,5 vs. 2 (1-5, p<0.0001 than those in the survival group. The most common etiology of trauma was traffic accidents (47.2% and 52.7% of patients had head trauma. The rate of patients with any fracture was significantly higher in the survival group (66.7% vs. 33.3%, p=0.007. The rate of erythrocyte suspension, fresh frozen plasma, trombocyte suspension and albumin were 38.9%, 27.8%, 0.9% and 8.3%, respectively in all group. The number of patients invasive mechanically ventilated was 27.8% and median length of stay of these patients were 5 (1.75-33.5 days. The rate of operated patients was 42.6%. The rate of tracheostomy, renal replacement therapy, bronchoscopy and percutaneous endoscopic gastrostomy enforcements were higher in the death group. The advanced age (p=0.016, OR: 1.054; 95% CI: 1.010-1100 and low GCS (p<0.0001, OR: 0.583; 95% CI: 0.456-0.745 were found to be independent risk factors the ICU mortality of trauma patients in logistic regression analysis. Conclusion: We believe that the determination of these risk factors affecting

  11. General review of diagnostic systems in EDF PWR units

    International Nuclear Information System (INIS)

    Chevalier, R.; Brasseur, S.; Ricard, B.

    1998-01-01

    Since the beginning of the French nuclear program, Electricite de France (EDF) has looked for ways to improve the availability and safety of its nuclear units. Therefore, monitoring systems on turbogenerators, reactor coolant pumps, primary circuits and core internal structures were designed by the Research and Development Division and implemented with technologies available during the 1970's. However, mainly because of difficulties for data interpretation by plant personnel, EDF subsequently decided to design and develop different tools to help plant operators to process a diagnosis: - a new generation of the Monitoring and Diagnostic System called PSAD, - expert systems for diagnosis on reactor coolant pumps (RCP) 'DIAPO' and turbogenerator units (TG) 'DIVA', - diagnostic guides written for most equipment pending the installation of new monitoring and diagnosis systems. The first version of PSAD, installed in five units, performs on-line monitoring of the turbogenerator shaft line, steam inlet valves, the reactor coolant pumps and the generator stator. The second version not yet implemented, will include Loose Part Detection (LPD) and Core Internal Structure Monitoring (CISM). The level of diagnosis achieved by PSAD depends on the component monitored. The TG and RCP monitoring functions of PSAD compute high level diagnosis descriptors such as natural frequencies and long term trends but do not elaborate a diagnosis automatically. However, a diagnostic assistance window is available on-line, whenever a warning message is displayed, whether for immediate or later action. The window presents a diagnostic approach whose purpose is to find the causes of the symptoms observed. This diagnosis approach is automated in the DIVA and DIAPO expert systems. Numerous potential faults can be identified for both systems thanks to a hierarchy of abnormal situations. The user interactively answers questions when information is needed to progress in the diagnosis. The resulting

  12. General Assembly discusses progress report from IAEA

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1959-01-15

    According to its Statute and the Relationship Agreement with the United Nations, the International Atomic Energy Agency reports annually to the General Assembly of the United Nations on its activities during the past year. The Report is prepared for the approval of the General Conference by the Board of Governors. The second of these reports was presented by the Director General, Mr. Sterling Cole, on behalf of the Agency on October 30th 1958; delegates from thirteen countries took part in the ensuing debate. The Report covers the period 1 November 1957 to the end of June 1958 with some more recent developments mentioned briefly in the Preface. (author)

  13. 48 CFR 750.7106-1 - General.

    Science.gov (United States)

    2010-10-01

    ... the foreign policy interests of the United States is a matter of sound judgment to be made on the... MANAGEMENT EXTRAORDINARY CONTRACTUAL ACTIONS Extraordinary Contractual Actions To Protect Foreign Policy Interests of the United States 750.7106-1 General. The mere fact that losses occur under a Government...

  14. 48 CFR 750.7102 - General policy.

    Science.gov (United States)

    2010-10-01

    ... MANAGEMENT EXTRAORDINARY CONTRACTUAL ACTIONS Extraordinary Contractual Actions To Protect Foreign Policy Interests of the United States 750.7102 General policy. Extra-contractual claims arising from foreign... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false General policy. 750.7102...

  15. [Conservation Units.

    Science.gov (United States)

    Texas Education Agency, Austin.

    Each of the six instructional units deals with one aspect of conservation: forests, water, rangeland, minerals (petroleum), and soil. The area of the elementary school curriculum with which each correlates is indicated. Lists of general and specific objectives are followed by suggested teaching procedures, including ideas for introducing the…

  16. 78 FR 39832 - Price for the 2013 5-Star Generals Profile Collection

    Science.gov (United States)

    2013-07-02

    ... DEPARTMENT OF THE TREASURY United States Mint Price for the 2013 5-Star Generals Profile Collection AGENCY: United States Mint, Department of the Treasury. ACTION: Notice. SUMMARY: The United States Mint is announcing a price of $74.95 for the 2013 5-Star Generals Profile Collection. FOR FURTHER...

  17. Safety R and D Needs in Multi-Unit PSA from a Regulatory Viewpoint

    Energy Technology Data Exchange (ETDEWEB)

    Heo, Gyunyoung; Yoon, Ji Woong [Kyung Hee University, Yongin (Korea, Republic of); Kim, Man Cheol [Chung-Ang University, Seoul (Korea, Republic of)

    2016-10-15

    The Nuclear Safety and Security Commission (NSSC) NSSC’s recent approval of the construction permits and operation licenses of Shin Kori units 3 to 6 has brought attention to the multi-unit probabilistic safety assessment (PSA). The disaster in Fukushima revealed the risks associated with the use of spent fuel pools (SFPs), and the linear (or non-linear) consequences of radiation leaks from multi-units in particular, has raised concerns. The number of nuclear power plants (NPPs) in operation will increase to ten at the Kori and Shin Kori sites when the construction of Units 5 and 6 is complete - the highest concentration of power reactors in one region in world history. Nuclear disasters do not happen frequently, but when one does happen, its cascading effects can inflict massive human and environmental loss. Proper safety measures are needed as more nuclear installations are put in place. Nuclear regulators are forced to promptly produce a sufficient degree of realistic and objective risk assessment results to meet the rapidly-increasing demand for multi-unit PSA, while striving to achieve matching levels of technological development. The issues with the technological aspects of PSA would still be inherent even after a few years of research, and ensuring the safety of multi-units would still prove challenging. Experts are however relieved that the general public is now much more familiar with the concept of PSA than in the past, which indicates a rise in the degree of public understanding of technology. More studies should be done on multi-unit regulation and safety so as to steer the government in the proper direction for enacting policies aimed to ensure the health of local residents. In conclusion, the technical problems associated with multi-unit PSA that were not mentioned in this paper are essentially similar to their single-unit counterparts, therefore, reinforcing the base infrastructure of PSAs in general will work towards resolving such technical

  18. 12 CFR 412.3 - General.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false General. 412.3 Section 412.3 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ACCEPTANCE OF PAYMENT FROM A NON-FEDERAL SOURCE FOR TRAVEL EXPENSES § 412.3 General. (a) Applicability. This part applies to acceptance by the Export-Import Bank of...

  19. 10 CFR 20.1005 - Units of radioactivity.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Units of radioactivity. 20.1005 Section 20.1005 Energy NUCLEAR REGULATORY COMMISSION STANDARDS FOR PROTECTION AGAINST RADIATION General Provisions § 20.1005 Units of radioactivity. For the purposes of this part, activity is expressed in the special unit of...

  20. Revitalization of Tuzla Thermal Power Plant's Unit 3 (100 MW)

    International Nuclear Information System (INIS)

    Sakovic, A.; Praso, N.

    1998-01-01

    Power Plant Revitalization is a highly ranged concept essentially aimed at continued operations of the generating unit at, or near, rated capacities for the rest of the economic life of the plant or even for an extended life. In essence, the need to rehabilitate may arise due to reasons such as low availability factor, low efficiency, increasing operating and maintenance costs, loss of reliability, drop in safety of plant and personnel, poor maintainability or environmental requirements. The term revitalization is therefore normally used in the context to cover the range of activities including repairing components, replacing equipment, modifying systems, adding new system and equipment and perhaps restoration to rated capacities. This exercise on already complex power generation process will naturally require the application of various technologies in order to ensure a safe and efficient installation of electricity supply. In normal conditions of producing and consumption of electricity (load demands) in order to answer the question of what kind of revitalization to undertake it is necessary to state at the very beginning: - whether it is necessary, from the point of equipment wear-out, to revitalize all equipment at once (one-phase revitalization), or - whether it is possible to postpone the revitalization of a part of equipment for the next period (phased revitalization). Both concepts have some specific advantages and disadvantages. In essence the decision-making process between these two approaches, three basic conditions should be considered: technical-technological adequacy, energy-economy adequacy and financial adequacy. This paper covers general considerations, approach and methodology implemented during the revitalization the Tuzla Thermal Power Plant's Unit 3 (100MW) which was imposed by urgent demands of the Power System, the war conditions and financial possibilities including: - General data on TPP Tuzla and Unit 3 - Scope of work and economic effects

  1. 7 CFR 250.1 - General purpose and scope.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false General purpose and scope. 250.1 Section 250.1... AGRICULTURE GENERAL REGULATIONS AND POLICIES-FOOD DISTRIBUTION DONATION OF FOODS FOR USE IN THE UNITED STATES, ITS TERRITORIES AND POSSESSIONS AND AREAS UNDER ITS JURISDICTION General § 250.1 General purpose and...

  2. 12 CFR 411.605 - Inspector General report.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Inspector General report. 411.605 Section 411.605 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES NEW RESTRICTIONS ON LOBBYING Agency Reports § 411.605 Inspector General report. (a) The Inspector General, or other official as specified in...

  3. Status and prospect of R and D aimed at application of nuclear reactors for seawater desalination in Russia

    International Nuclear Information System (INIS)

    Zverev, K.V.; Baranaev, Y.D.; Toshinsky, G.I.; Polunichev, V.I.; Romenkov, A.A.; Shamanin, V.G.; Podberezny, V.L.

    2004-01-01

    '. Participation of Russian organisations based first of all on possibility to evaluate technical and economic feasibility, expediency and efficiency of use of the Russian nuclear desalination complexes on specific sites in cooperation with the potential customers. As an important aspect of activity in nuclear desalination the RF MINATOM considers the Russian-Canadian Project of a floating nuclear desalination complex based on Russian floating power unit and Canadian preheating RO desalination units. Last year, the Project advanced essentially in organisational and technical matters both in Russia and Canada. Russia possesses of a broad experience in development and construction of the conventional distillation desalination plants inside the country and abroad. Last year's progress in desalination technology has been made on horizontal tube MED unites DOU GTPA type. Application of these units designed in wide range of capacity is considered and evaluated in all studies on nuclear desalination. In general, the RF MINATOM is interested in cooperation aimed at a practical implementation of projects in the field of nuclear desalination. Both nuclear reactors and desalination units are available and offered to the partners as a starting point for joint development of a cooperation project. (author)

  4. Generalized calculus with applications to matter and forces

    CERN Document Server

    Campos, L M B C

    2014-01-01

    Combining mathematical theory, physical principles, and engineering problems, Generalized Calculus with Applications to Matter and Forces examines generalized functions, including the Heaviside unit jump and the Dirac unit impulse and its derivatives of all orders, in one and several dimensions. The text introduces the two main approaches to generalized functions: (1) as a nonuniform limit of a family of ordinary functions, and (2) as a functional over a set of test functions from which properties are inherited. The second approach is developed more extensively to encompass multidimensional generalized functions whose arguments are ordinary functions of several variables. As part of a series of books for engineers and scientists exploring advanced mathematics, Generalized Calculus with Applications to Matter and Forces presents generalized functions from an applied point of view, tackling problem classes such as: •Gauss and Stokes’ theorems in the differential geometry, tensor calculus, and theory of ...

  5. Special Needs Dentistry: Interdisciplinary Management of Medically-Complex Patients at Hospital-Based Dental Units in Tasmania, Australia

    Directory of Open Access Journals (Sweden)

    Lim

    2017-06-01

    Full Text Available Background: Increasing awareness of the interactions between oral and general health has led to the establishment of Special Needs Dentistry as a dental specialty in many countries. This specialty assists with the interdisciplinary management of patients between the medical and dental professions particularly those with complex medical problems, intellectual and physical impairments, and psychiatric conditions that may affect their oral health or the manner in which they receive treatment. However, little is known about the utilisation of specialised services provided to facilitate individuals with these needs. Aim: The aim of this study was to understand current utilisation of hospital-based dental services established to provide medically-necessary dental care. Methods: A retrospective review of the demographics and medical status of patients treated at referral hospital-based dental clinics in the state of Tasmania was completed for the month of August 2015. Results: Patients treated at these units had a variety of medical backgrounds. Most (46.4% were referred from medical professionals within the hospital. On average, patients treated at these units had 2.56 medical conditions and were taking 3.59 medications each. Many of these were chronic medical conditions known to have an interaction with oral health. Conclusions: Our results demonstrate the growing recognition of dynamic interactions between oral and general health and the importance of these hospitalbased units and interprofessional relationships in providing timely and holistic health care to these patients.

  6. Communication dated 5 September 2005 received from the Permanent Mission of the United Kingdom of Great Britain and Northern Ireland to the Agency concerning a letter from the Government of the United Kingdom to the Secretary General of the League of Arab States

    International Nuclear Information System (INIS)

    2005-01-01

    The Secretariat has received a Note Verbale dated 5 September 2005 from the Permanent Mission of the United Kingdom, attaching a letter dated 31 August 2005 from the Minister of State at the Foreign and Commonwealth Office to the Secretary General of the League of Arab States. In the light of the request expressed by the Permanent Mission of the United Kingdom in that Note Verbale, the Note Verbale and the attached letter are hereby circulated for the information of all Member States

  7. The Unitality of Quantum B-algebras

    Science.gov (United States)

    Han, Shengwei; Xu, Xiaoting; Qin, Feng

    2018-02-01

    Quantum B-algebras as a generalization of quantales were introduced by Rump and Yang, which cover the majority of implicational algebras and provide a unified semantic for a wide class of substructural logics. Unital quantum B-algebras play an important role in the classification of implicational algebras. The main purpose of this paper is to construct unital quantum B-algebras from non-unital quantum B-algebras.

  8. Cross-cultural comparisons of attitudes toward schizophrenia amongst the general population and physicians: a series of web-based surveys in Japan and the United States.

    Science.gov (United States)

    Richards, Misty; Hori, Hiroaki; Sartorius, Norman; Kunugi, Hiroshi

    2014-02-28

    Cross-cultural differences in attitudes toward schizophrenia are suggested, while no studies have compared such attitudes between the United States and Japan. In our previous study in Japan (Hori et al., 2011), 197 subjects in the general population and 112 physicians (excluding psychiatrists) enrolled in a web-based survey using an Internet-based questionnaire format. Utilizing the identical web-based survey method in the United States, the present study enrolled 172 subjects in the general population and 45 physicians. Participants' attitudes toward schizophrenia were assessed with the English version of the 18-item questionnaire used in our previous Japanese survey. Using exploratory factor analysis, we identified four factors labeled "social distance," "belief of dangerousness," "underestimation of patients' abilities," and "skepticism regarding treatment." The two-way multivariate analysis of covariance on the four factors, with country and occupation as the between-subject factors and with potentially confounding demographic variables as the covariates, revealed that the general population in the US scored significantly lower than the Japanese counterparts on the factors "social distance" and "skepticism regarding treatment" and higher on "underestimation of patients' abilities." Our results suggest that culture may have an important role in shaping attitudes toward mental illness. Anti-stigma campaigns that target culture-specific biases are considered important. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  9. Case Study of Multi-Unit Risk: Multi-Unit Station Black-Out

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Kyemin; Jang, Seung-cheol [KAERI, Daejeon (Korea, Republic of); Heo, Gyunyoung [Kyung Hee University, Yongin (Korea, Republic of)

    2015-05-15

    After Fukushima Daiichi Accident, importance and public concern for Multi-Unit Risk (MUR) or Probabilistic Safety Assessment (PSA) have been increased. Most of nuclear power plant sites in the world have more than two units. These sites have been facing the problems of MUR or accident such as Fukushima. In case of South Korea, there are generally more than four units on the same site and even more than ten units are also expected. In other words, sites in South Korea also have been facing same problems. Considering number of units on the same site, potential of these problems may be larger than other countries. The purpose of this paper is to perform case study based on another paper submitted in the conference. MUR is depended on various site features such as design, shared systems/structures, layout, environmental condition, and so on. Considering various dependencies, we assessed Multi-Unit Station Black-out (MSBO) accident based on Hanul Unit 3 and 4 model. In this paper, case study for multi-unit risk or PSA had been performed. Our result was incomplete to assess total multi-unit risk because of two challenging issues. First, economic impact had not been evaluated to estimate multi-unit risk. Second, large uncertainties were included in our result because of various assumptions. These issues must be resolved in the future.

  10. Case Study of Multi-Unit Risk: Multi-Unit Station Black-Out

    International Nuclear Information System (INIS)

    Oh, Kyemin; Jang, Seung-cheol; Heo, Gyunyoung

    2015-01-01

    After Fukushima Daiichi Accident, importance and public concern for Multi-Unit Risk (MUR) or Probabilistic Safety Assessment (PSA) have been increased. Most of nuclear power plant sites in the world have more than two units. These sites have been facing the problems of MUR or accident such as Fukushima. In case of South Korea, there are generally more than four units on the same site and even more than ten units are also expected. In other words, sites in South Korea also have been facing same problems. Considering number of units on the same site, potential of these problems may be larger than other countries. The purpose of this paper is to perform case study based on another paper submitted in the conference. MUR is depended on various site features such as design, shared systems/structures, layout, environmental condition, and so on. Considering various dependencies, we assessed Multi-Unit Station Black-out (MSBO) accident based on Hanul Unit 3 and 4 model. In this paper, case study for multi-unit risk or PSA had been performed. Our result was incomplete to assess total multi-unit risk because of two challenging issues. First, economic impact had not been evaluated to estimate multi-unit risk. Second, large uncertainties were included in our result because of various assumptions. These issues must be resolved in the future

  11. 40 CFR 461.2 - General definitions.

    Science.gov (United States)

    2010-07-01

    ...) “Battery” means a modular electric power source where part or all of the fuel is contained within the unit... STANDARDS BATTERY MANUFACTURING POINT SOURCE CATEGORY General Provisions § 461.2 General definitions. In... heat cycle engine. In this regulation there is no differentiation between a single cell and a battery...

  12. 46 CFR 109.521 - Cranes: General.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Cranes: General. 109.521 Section 109.521 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS OPERATIONS Cranes § 109.521 Cranes: General. The master or person in charge shall ensure that each crane is operated and...

  13. 39 CFR 268.1 - General principles.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false General principles. 268.1 Section 268.1 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION PRIVACY OF INFORMATION-EMPLOYEE RULES OF CONDUCT § 268.1 General principles. In order to conduct its business, the Postal Service has the...

  14. Categorical database generalization in GIS

    NARCIS (Netherlands)

    Liu, Y.

    2002-01-01

    Key words: Categorical database, categorical database generalization, Formal data structure, constraints, transformation unit, classification hierarchy, aggregation hierarchy, semantic similarity, data model,

  15. The diverse aims of science.

    Science.gov (United States)

    Potochnik, Angela

    2015-10-01

    There is increasing attention to the centrality of idealization in science. One common view is that models and other idealized representations are important to science, but that they fall short in one or more ways. On this view, there must be an intermediary step between idealized representation and the traditional aims of science, including truth, explanation, and prediction. Here I develop an alternative interpretation of the relationship between idealized representation and the aims of science. I suggest that continuing, widespread idealization calls into question the idea that science aims for truth. If instead science aims to produce understanding, this would enable idealizations to directly contribute to science's epistemic success. I also use the fact of widespread idealization to motivate the idea that science's wide variety aims, epistemic and non-epistemic, are best served by different kinds of scientific products. Finally, I show how these diverse aims—most rather distant from truth—result in the expanded influence of social values on science. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Hanford facility dangerous waste permit application, general information portion

    International Nuclear Information System (INIS)

    Hays, C.B.

    1998-01-01

    The Hanford Facility Dangerous Waste Permit Application is considered to be a single application organized into a General Information Portion (document number DOE/RL-91-28) and a Unit-Specific Portion. Both the General Information and Unit-Specific portions of the Hanford Facility Dangerous Waste Permit Application address the content of the Part B permit application guidance prepared by the Washington State Department of Ecology (Ecology 1996) and the U.S. Environmental Protection Agency (40 Code of Federal Regulations 270), with additional information needed by the Hazardous and Solid Waste Amendments and revisions of Washington Administrative Code 173-303. Documentation contained in the General Information Portion is broader in nature and could be used by multiple treatment, storage, and/or disposal units (e.g., the glossary provided in this report)

  17. 14 CFR 415.21 - General.

    Science.gov (United States)

    2010-01-01

    .... national security or foreign policy interests, or international obligations of the United States. A policy... TRANSPORTATION LICENSING LAUNCH LICENSE Policy Review and Approval § 415.21 General. The FAA issues a policy...

  18. Evaluation of a Medical and Mental Health Unit compared with standard care for older people whose emergency admission to an acute general hospital is complicated by concurrent 'confusion': a controlled clinical trial. Acronym: TEAM: Trial of an Elderly Acute care Medical and mental health unit

    Directory of Open Access Journals (Sweden)

    Gladman John RF

    2011-05-01

    Full Text Available Abstract Background Patients with delirium and dementia admitted to general hospitals have poor outcomes, and their carers report poor experiences. We developed an acute geriatric medical ward into a specialist Medical and Mental Health Unit over an eighteen month period. Additional specialist mental health staff were employed, other staff were trained in the 'person-centred' dementia care approach, a programme of meaningful activity was devised, the environment adapted to the needs of people with cognitive impairment, and attention given to communication with family carers. We hypothesise that patients managed on this ward will have better outcomes than those receiving standard care, and that such care will be cost-effective. Methods/design We will perform a controlled clinical trial comparing in-patient management on a specialist Medical and Mental Health Unit with standard care. Study participants are patients over the age of 65, admitted as an emergency to a single general hospital, and identified on the Acute Medical Admissions Unit as being 'confused'. Sample size is 300 per group. The evaluation design has been adapted to accommodate pressures on bed management and patient flows. If beds are available on the specialist Unit, the clinical service allocates patients at random between the Unit and standard care on general or geriatric medical wards. Once admitted, randomised patients and their carers are invited to take part in a follow up study, and baseline data are collected. Quality of care and patient experience are assessed in a non-participant observer study. Outcomes are ascertained at a follow up home visit 90 days after randomisation, by a researcher blind to allocation. The primary outcome is days spent at home (for those admitted from home, or days spent in the same care home (if admitted from a care home. Secondary outcomes include mortality, institutionalisation, resource use, and scaled outcome measures, including quality of

  19. Evaluation of Prescriptions and Use of Intravenous Pantoprazole in General Wards and Intensive Care Unit of Shahid Sadoughi Hospital in Yazd

    Directory of Open Access Journals (Sweden)

    Seyed-Mojtaba Sohrevardi

    2016-05-01

    Full Text Available Background: Proton pump inhibitors (PPIs are currently the most effective agents for acid related disorders. However, studies show that 25-75% of patients receiving intravenous Pantoprazole had no appropriate justification, indicating high rate of inappropriate prescribing in hospitals. The aim of this study is to examine the appropriate use of intravenous Pantoprazole in accordance with guidelines at Shahid Sadoughi hospital.Methods: From January to April 2015, sample of 100 prescriptions who received Intravenous (IV Pantoprazole were collected with observational and sectional model in Intensive care unit (ICU and general wards of “Shahid Sadoughi” Hospital of Yazd, Iran. Clinical data from patient records are obtained and these data were mapped to establish clinical criteria and appropriate use of Intravenous Pantoprazole.Results: The majority (63% of Intravenous Pantoprazole prescriptions were deemed inappropriate in terms of either indication for use, dose or duration of therapy. 51.5% of the patients were above 55 years old. Endoscopy did not performed in most of the Non UGIB (Non upper gastrointestinal bleeding cases. Most Intravenous Pantoprazole prescriptions were ordered by junior doctors (Intern, and again this group were significantly less likely to prescribe the drug for appropriate reasons when compared with more experienced clinicians.Conclusion: This study suggests that the majority of IV PPI prescriptions in our hospital are inappropriate. Awareness of the result of this article through medical staff could result in more judicious use of intravenous pantoprazole and dose optimization. Physicians and pharmacists can work together to create solutions to inappropriate drug use.

  20. Ad valorem versus unit taxes

    DEFF Research Database (Denmark)

    Schröder, Philipp J.H.; Sørensen, Allan

    2010-01-01

    a general equilibrium monopolistic competition model with heterogeneous firms and intra-industry reallocations. We show that the welfare superiority of ad valorem over unit taxes under imperfect competition is not only preserved but amplified. The additional difference between the tools arises because unit...... taxes distort relative prices, which in turn reduces average industry productivity through reallocations (the survival and increased market share of lower productivity firms). Importantly, numerical solutions of the model reveal that the relative welfare loss from using the unit tax increases...

  1. 47 CFR 76.2000 - Exclusive access to multiple dwelling units generally.

    Science.gov (United States)

    2010-10-01

    ... gated community, mobile home park, or garden apartment); provided however, that MDU shall not include... Communities, Designated 76.51 Community, Principal contour 76.5 Community unit 76.5 Consumer education-selector switches 76.66 Cross-ownership 76.501 D Definitions, Part 76 76.5 Designated communities 76.51...

  2. Use of Flumazenil to Provide Adequate Recovery Time Post-Midazolom Infusion in a General Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    MOJTABA MOJTAHEDZADEH

    1999-08-01

    Full Text Available Sedation permits patients to tolerate the various treatment modalities to which they are subjected. However it may sometimes cause prolonged sedation in critically ill patients. Flumazenil, a benzo¬diazepine antagonist, reverses midazolam-induced sedation and amnesia. We prospectively designed a double-blind randomized study to evaluate the effects of flumazenil on thirty (30 Iranian General Intensive Care Unit (ICU patients. They were requiring mechanical ventilation for more than 12 hours and they were sedated by midazolam infusions. Sedation levels were measured hourly during the infusion, at the end of the infusion, and at 5, 15, 30, 60, and 120 min after cessation of the mida¬zolam infusion. Reversal of sedation was observed in all patients who received flumazenil, and re-sedation occurred in seven of these patients. Reversal was not seen in any of the patients who receiv-ed placebo.

  3. 39 CFR 221.1 - The United States Postal Service.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false The United States Postal Service. 221.1 Section 221.1 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION GENERAL ORGANIZATION § 221.1 The United States Postal Service. The United States Postal Service was established as an...

  4. 78 FR 46686 - Privacy Act of 1974; Treasury/United States Mint .013-United States Mint National Electronic...

    Science.gov (United States)

    2013-08-01

    ... available publicly. FOR FURTHER INFORMATION CONTACT: For general questions and privacy issues, please... DEPARTMENT OF THE TREASURY Privacy Act of 1974; Treasury/United States Mint .013--United States... Privacy Act of 1974, as amended, 5 U.S.C. 552a, the Department of the Treasury (``Treasury'') and the...

  5. Physical protection of nuclear operational units

    International Nuclear Information System (INIS)

    1981-07-01

    The general principles of and basic requirements for the physical protection of operational units in the nuclear field are established. They concern the operational units whose activities are related with production, utilization, processing, reprocessing, handling, transport or storage of materials of interest for the Brazilian Nuclear Program. (I.C.R.) [pt

  6. 28 CFR 33.11 - Units of local government.

    Science.gov (United States)

    2010-07-01

    ... Criminal Justice Block Grants Eligible Applicants § 33.11 Units of local government. (a) Units of local... city, county, township, borough, parish, village, or other general purpose political subdivision of a...

  7. United Nations and multilateralism: appraising USA's unilateralism ...

    African Journals Online (AJOL)

    Multilateralism as symbolized by the United Nations Organization, seems to have come under threat today, and nowhere is this more evident than in the United States-United Nations relations particularly in the area of military interventions around the world. The aim of this paper is to appraise the practice of the principle of ...

  8. AUTOMOTIVE DIESEL MAINTENANCE 1. UNIT I, GENERAL INTRODUCTION TO DIESEL ENGINES.

    Science.gov (United States)

    Human Engineering Inst., Cleveland, OH.

    ONE OF A 30-MODULE COURSE DESIGNED TO UPGRADE THE JOB SKILLS AND TECHNICAL KNOWLEDGE OF DIESEL MAINTENANCE MECHANICS, THIS MATERIAL WAS DEVELOPED BY INDUSTRIAL TRAINING AND SUBJECT-MATTER SPECIALISTS AND TESTED IN INDUSTRIAL TRAINING SITUATIONS. THE PURPOSE OF THIS FIRST UNIT IS TO PROVIDE AN INTRODUCTION TO DIESEL ENGINES BY DEVELOPING AN…

  9. General Assembly debate on IAEA

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1960-01-15

    On 3 November 1959, the General Assembly of the United Nations considered the annual report of the International Atomic Energy Agency, the first report to cover a full operational year of the Agency - 1 July 1959 to 30 June 1959, more recent developments having been summarized in a preface. At the end of the debate the Assembly adopted a resolution, submitted jointly by Czechoslovakia, the Union of South Africa and the United Arab Republic, taking note of the report

  10. Generalized hydrogeologic framework and groundwater budget for a groundwater availability study for the glacial aquifer system of the United States

    Science.gov (United States)

    Reeves, Howard W.; Bayless, E. Randall; Dudley, Robert W.; Feinstein, Daniel T.; Fienen, Michael N.; Hoard, Christopher J.; Hodgkins, Glenn A.; Qi, Sharon L.; Roth, Jason L.; Trost, Jared J.

    2017-12-14

    The glacial aquifer system groundwater availability study seeks to quantify (1) the status of groundwater resources in the glacial aquifer system, (2) how these resources have changed over time, and (3) likely system response to future changes in anthropogenic and environmental conditions. The glacial aquifer system extends from Maine to Alaska, although the focus of this report is the part of the system in the conterminous United States east of the Rocky Mountains. The glacial sand and gravel principal aquifer is the largest source of public and self-supplied industrial supply for any principal aquifer and also is an important source for irrigation supply. Despite its importance for water supply, water levels in the glacial aquifer system are generally stable varying with climate and only locally from pumping. The hydrogeologic framework developed for this study includes the information from waterwell records and classification of material types from surficial geologic maps into likely aquifers dominated by sand and gravel deposits. Generalized groundwater budgets across the study area highlight the variation in recharge and discharge primarily driven by climate.

  11. Biogeography of Missouri. Instructional Unit. Conservation Education Series.

    Science.gov (United States)

    Castillon, David A.

    This unit is designed to help social studies or science teachers incorporate ecological concepts into the teaching of science and Missouri geography. The unit includes: (1) a topic outline; (2) general unit objectives; (3) an introduction to basic biogeographical concepts; (4) descriptions of the glaciated prairie, unglaciated prairie, ozark, and…

  12. SPOKEN COCHABAMBA QUECHUA, UNITS 13-24.

    Science.gov (United States)

    LASTRA, YOLANDA; SOLA, DONALD F.

    UNITS 13-24 OF THE SPOKEN COCHABAMBA QUECHUA COURSE FOLLOW THE GENERAL FORMAT OF THE FIRST VOLUME (UNITS 1-12). THIS SECOND VOLUME IS INTENDED FOR USE IN AN INTERMEDIATE OR ADVANCED COURSE AND INCLUDES MORE COMPLEX DIALOGS, CONVERSATIONS, "LISTENING-INS," AND DICTATIONS, AS WELL AS GRAMMAR AND EXERCISE SECTIONS COVERING ADDITIONAL…

  13. A General State-Space Formulation for Online Scheduling

    Directory of Open Access Journals (Sweden)

    Dhruv Gupta

    2017-11-01

    Full Text Available We present a generalized state-space model formulation particularly motivated by an online scheduling perspective, which allows modeling (1 task-delays and unit breakdowns; (2 fractional delays and unit downtimes, when using discrete-time grid; (3 variable batch-sizes; (4 robust scheduling through the use of conservative yield estimates and processing times; (5 feedback on task-yield estimates before the task finishes; (6 task termination during its execution; (7 post-production storage of material in unit; and (8 unit capacity degradation and maintenance. Through these proposed generalizations, we enable a natural way to handle routinely encountered disturbances and a rich set of corresponding counter-decisions. Thereby, greatly simplifying and extending the possible application of mathematical programming based online scheduling solutions to diverse application settings. Finally, we demonstrate the effectiveness of this model on a case study from the field of bio-manufacturing.

  14. 26 CFR 1.851-7 - Certain unit investment trusts.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Certain unit investment trusts. 1.851-7 Section... unit investment trusts. (a) In general. For purposes of the Internal Revenue Code, a unit investment.... Accordingly, a unit investment trust is not a taxpayer subject to taxation under the Internal Revenue Code. No...

  15. DESIGNING FEATURES OF POWER OPTICAL UNITS FOR TECHNOLOGICAL EQUIPMENT

    Directory of Open Access Journals (Sweden)

    M. Y. Afanasiev

    2016-03-01

    Full Text Available This paper considers the question of an optical unit designing for transmitting power laser radiation through an optical fiber. The aim of this work is designing a simple construction unit with minimized reflection losses. The source of radiation in the optical unit described below is an ultraviolet laser with diode pumping. We present the general functioning scheme and designing features for the three main parts: laser beam deflecting system, laser beam dump and optical unit control system. The described laser beam deflection system is composed of a moving flat mirror and a spherical scattering mirror. Comparative analysis of the production technology for such mirrors was carried out, and, as a result, the decision was made to produce both mirrors of 99.99 % pure molybdenum without coating. A moving mirror deflects laser emission from a source through a fiber or deflects it on a spherical mirror and into the laser beam dump, moreover, switching from one position to another occurs almost immediately. It is shown that a scattering mirror is necessary, otherwise, the absorbing surface of the beam dump is being worn out irregularly. The laser beam dump is an open conical cavity, in which the conical element with its spire turned to the emission source is placed. Special microgeometry of the internal surface of the beam dump is suggested for the better absorption effect. An optical unit control system consists of a laser beam deflection system, laser temperature sensor, deflection system solenoid temperature sensor, and deflection mirror position sensor. The signal processing algorithm for signals coming from the sensors to the controller is described. The optical unit will be used in special technological equipment.

  16. Association between long work hours and poor self-reported general health among Latin American immigrant and native workers in the United States and Spain.

    Science.gov (United States)

    Conway, Sadie H; Cayuela, Ana; Delclos, George L; Pompeii, Lisa A; Ronda, Elena

    2016-12-01

    The relationship between hours worked per week and self-reported general health (SRGH) has not been assessed in Latin American immigrant and native workers across host countries. Cross-sectional study of the association between long work hours (LWH) (i.e., >51 hr per week) and poor SRGH using data from 2,626 workers in the United States (immigrants = 10.4%) and 8,306 workers in Spain (immigrants = 4.1%). Both countries' natives working >51 hr per week had increased odds of reporting poor SRGH compared to those working fewer hours (U.S.: OR = 1.59; 95%CI = 1.01-2.49; Spain: OR = 2.17; 95%CI = 1.71-2.75); when stratified by sex, increased odds also were observed among immigrant female workers in Spain (OR = 3.47; 95%CI = 1.15-10.5). LWH were associated with differential health outcomes in populations of native and Latin American immigrant workers in the United States and Spain, which may reflect social or occupational inequalities in general or resulting from the 2008 financial crisis. Am. J. Ind. Med. 59:1105-1111, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  17. On Generalization in Qualitatively Oriented Research

    Directory of Open Access Journals (Sweden)

    Philipp Mayring

    2007-09-01

    Full Text Available In this article, I open a debate about the importance and possibilities of generalization in qualitative oriented research. Generalization traditionally is seen as a central aim of science, as a process of theory formulation for further applications. Others criticize the concept in general, either because of the insufficiency of inductive arguments (POPPER, 1959 or because of context specificity of all scientific findings (LINCOLN & GUBA, 1985. In this paper, I argue that generalization is necessary in qualitative research, but we have to differentiate different aims of generalization: laws, rules, context specific statements, similarities and differences, and procedures. There are different possibilities to arrive at a generalization: analysis of total population, falsification, random or stratified samples, argumentative generalization, theoretical sampling, variation, and triangulation. Depending on the type of research or research design some of those strategies of generalization can be important for qualitative oriented research. This is discussed especially in respect to single case analysis. URN: urn:nbn:de:0114-fqs0703262

  18. Improving rapeseed production practices in the southeastern United States

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, D.L.; Breve, M.A.; Raymer, P.L.; Minton, N.A.; Sumner, D.R. (Georgia Univ., Tifton, GA (USA). Georgia Coastal Plain Experiment Station)

    1990-04-01

    Oilseed rape or rapeseed is a crop which offers a potential for double-cropping in the southeastern United States. This final project report describes the results from a three year study aimed at evaluating the effect of different planting and harvesting practices on establishment and yield of three rape cultivars, and the double cropping potential of rapeseed in the southeastern United States. The project was conducted on two yield sites in Tifton, Georgia during 1986--87, 1987--88 and 1988--89. The general objective of this research is to improve the seed and biomass yield of winter rapeseed in the southeastern United States by developing appropriate agronomic practices for the region. The primary constraint is to grow rapeseed within the allowable period for double cropping with an economically desirable crop, such as peanut or soybean. Planting and harvesting are the most critical steps in this process. Therefore, the specific objectives of this research were: evaluate and improve the emergence of rapeseed by developing planting techniques that enhance the soil, water and seed regimes for winter rapeseed in the southeast, and evaluate and improve the yields of harvested rapeseed by developing techniques for determining the optimum timing of harvest and efficient methods for harvesting winter rapeseed in the southeast. 6 refs., 12 figs., 9 tabs.

  19. The metre-kilogram-second system of electrical units

    CERN Document Server

    Sas, R K

    1947-01-01

    Introduction ; electrostatic units, electromagnetic units, and practical units ; magnetic intensity and flux density ; rationalization ; tribulations of the student ; metres and kilograms in general and in mechanics ; pulse and aperture ; magnetostatics ; steady currents ; electrostatics ; resistance ; electromagnetic induction ; determination of Eo. capacity formulae ; field ; electrons and moving charges ; quantum theory ; memory assisted by the M.K.S. system ; short account of M.K.S. units ; list of formulae

  20. Standards and general criteria for the planning and certification of need of megavoltage radiation oncology units in health care facilities

    International Nuclear Information System (INIS)

    1977-01-01

    Minimum standards and guidelines to be applied by State agencies and New Jersey health systems agencies in the examination of certificate-of-need applications and in the development of planning activities for radiation oncology units in health care facilities are presented. Radiation oncology is a medical discipline devoted to education and research in the use of ionizing radiation for the treatment of neoplastic disease. The proper application of radiation can be directed at either curative or palliative intent. It is an important and effective technique for the management of cancer. Radiotherapy equipment in clinical use is divided into four main categories: superficial, orthovoltage, megavoltage, and treatment planning facilities. Particular attention is given to megavoltage equipment which emits or generates rays over 1,000 kilovolts. These high energy rays effect better penetration of human tissue and are skin-sparing in nature, thus allowing for better tumor-to- skin dose ratios. The regionalization of megavoltage therapy services is discussed. Data on hospital megavoltage facilities in New Jersey for 1974, 1975, and 1976 are provided. The standards and guidelines pertain to utilization, personnel, and general criteria. A form for use by megavoltage radiation therapy units is appended

  1. A General Mathematical Algorithm for Predicting the Course of Unfused Tetanic Contractions of Motor Units in Rat Muscle.

    Directory of Open Access Journals (Sweden)

    Rositsa Raikova

    Full Text Available An unfused tetanus of a motor unit (MU evoked by a train of pulses at variable interpulse intervals is the sum of non-equal twitch-like responses to these stimuli. A tool for a precise prediction of these successive contractions for MUs of different physiological types with different contractile properties is crucial for modeling the whole muscle behavior during various types of activity. The aim of this paper is to develop such a general mathematical algorithm for the MUs of the medial gastrocnemius muscle of rats. For this purpose, tetanic curves recorded for 30 MUs (10 slow, 10 fast fatigue-resistant and 10 fast fatigable were mathematically decomposed into twitch-like contractions. Each contraction was modeled by the previously proposed 6-parameter analytical function, and the analysis of these six parameters allowed us to develop a prediction algorithm based on the following input data: parameters of the initial twitch, the maximum force of a MU and the series of pulses. Linear relationship was found between the normalized amplitudes of the successive contractions and the remainder between the actual force levels at which the contraction started and the maximum tetanic force. The normalization was made according to the amplitude of the first decomposed twitch. However, the respective approximation lines had different specific angles with respect to the ordinate. These angles had different and non-overlapping ranges for slow and fast MUs. A sensitivity analysis concerning this slope was performed and the dependence between the angles and the maximal fused tetanic force normalized to the amplitude of the first contraction was approximated by a power function. The normalized MU contraction and half-relaxation times were approximated by linear functions depending on the normalized actual force levels at which each contraction starts. The normalization was made according to the contraction time of the first contraction. The actual force levels

  2. TRAINING OF THE STATE PRESIDENT'S UNIT

    African Journals Online (AJOL)

    The primary function of the State President's Unit is to protect the head of state - not his person as is generally believed, but his authority over the state. Ironically, the ceremonial performances of the State President's Unit lead people to believe that they are only capable of doing drill exer- cises. However, upon investigating.

  3. Incidence of the acute renal failure in the intensive care unit at the General Hospital of Mexico: Risk factors and associated morbidity and mortality

    OpenAIRE

    Herrera-Méndez, J.; Sánchez-Velázquez, L.D.; González-Chávez, A.; Rodríguez-Terán, G.

    2015-01-01

    Background: The acute renal failure (ARF) contributes to a longer hospital stay, morbidity, mortality and use of resources in critical patients. The estimate of its incidence was difficult, mainly due to the lack of a generally accepted definition. Objective: To determine the incidence, risk factors and effects of the ARF in critical patients. Material and methods: Study of prospective cohort. Patients hospitalised in the Intensive Care Unit (ICU) were included. The population was di...

  4. Creating a Partnering Community Aimed to Foster Climate Literacy in the Southeastern United States

    Science.gov (United States)

    Rutherford, D.; McNeal, K. S.; Smith, R.; Hare, D.; Nair, U. S.

    2011-12-01

    The Climate Literacy Partnership in the Southeast (CLiPSE) is a part of the Climate Change Education Program supported by the National Science Foundation (http://CLiPSE-project.org). The established CLiPSE partnership is dedicated to improving climate literacy in the southeast through crafting a shared vision and strategic plan among stakeholders that promotes scientific formal and informal educational resources, materials and programs; a diverse network of key partnering organizations throughout the Southeastern United States (SE US); and effective public dialogues that address diverse learners and audiences and supports learning of climate, climate change, and its relevance upon human and environmental systems. The CLiPSE project has been successful in creating partnerships with more than fifty key stakeholders that stem from a few key publics such as agriculture, education, leisure, religious organizations, and culturally diverse communities. These key publics in the SE US frequently consist of individuals that place great trust in local, private efforts, and CLiPSE has realized the importance of the role of the partnering organizations in providing information through a trusted source. A second unique characteristic of the SE US is the predominately conservative and Protestant citizenry in the region. Working with and through these communities enhances climate change education outreach to this citizenry. The CLiPSE project rests on solid climate science and learning science research in order to formulate an effective plan with desired learning outcomes of critical thinking and civil conversation through effective communication strategies. This paper will present the CLiPSE model in reaching the key publics that traditionally hold ideologies that are traditionally perceived as incompatible with climate change science. We will present the strategies utilized to bring together experts and researchers in climate science, learning science, and social science with

  5. 37 CFR 1.416 - The United States International Preliminary Examining Authority.

    Science.gov (United States)

    2010-07-01

    ... STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES International Processing Provisions General Information § 1.416 The United States International Preliminary... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false The United States...

  6. AIM Data Services

    Directory of Open Access Journals (Sweden)

    Michael Scholz

    2016-05-01

    Full Text Available AIM Data Services as a virtual facility provides virtual 3D reference tracks for simulation applications in the domain of automotive and railway systems. It offers tools for management and analysis of experiment data and a platform for survey and processing of vehicle data in the public transport domain. Collected spatial data is bundled in a database cluster and published through common web mapping interfaces.

  7. Radiation quantities and units

    International Nuclear Information System (INIS)

    1980-01-01

    This report supersedes ICRU Report 19. Since ICRU Report 19 was published, a number of discussions have taken place between members of the Report Committee on Fundamental Quantities and Units and other workers in the field. Some of these discussions have resulted in the acceptance of certain modifications in the material set out in Report 19 and these modifications are incorporated in the current report. In addition, there has been some expansion and rearrangement of the material in the earlier report. In line, with providing more didactic material and useful source material for other ICRU reports, the general considerations in subsection 1.A of Report 19 have been expanded and placed in a separate subsection. The additional material includes discussions of four terms that are used in this document - quantity, unit, stochastic, and non-stochastic - along with a brief discussion of the mathematical formalism used in ICRU reports. As in ICRU Report 19, the definitions of quantities and units specifically designed for radiation protection (Part B) are separated from those of the general quantities (Part A). The inclusion of the index concept outlined in ICRU Report 25[4] required an extension of Part B

  8. The United Nations: It's More Than You Think.

    Science.gov (United States)

    Lord, Juliana G.; Gardner, Janet

    This guide accompanies a 30-minute color video of the same name. Chapters include: (1) "History of the United States" including information on the League of Nations, the birth of the United Nations, and the home of the United Nations; (2) "Structure of the Organization" which discusses each of the sections--General Assembly,…

  9. Guiding the Design of Lessons by Using the MAPLET Framework: Matching Aims, Processes, Learner Expertise and Technologies

    Science.gov (United States)

    Ifenthaler, Dirk; Gosper, Maree

    2014-01-01

    This paper introduces the MAPLET framework that was developed to map and link teaching aims, learning processes, learner expertise and technologies. An experimental study with 65 participants is reported to test the effectiveness of the framework as a guide to the design of lessons embedded within larger units of study. The findings indicate the…

  10. Paediatric Abdominal Surgical Emergencies in a General Surgical ...

    African Journals Online (AJOL)

    ... organized for general surgeons undertaking paediatric surgical emergencies. More paediatric surgeons should be trained and more paediatric surgical units should established in the country. Key Words: Paediatric Abdominal Surgical Emergencies; Paediatric Surgeons, General Surgeons. Journal of College of Medicine ...

  11. Defining our destiny: trainee working group consensus statement on the future of emergency surgery training in the United Kingdom.

    Science.gov (United States)

    Sharrock, A E; Gokani, V J; Harries, R L; Pearce, L; Smith, S R; Ali, O; Chu, H; Dubois, A; Ferguson, H; Humm, G; Marsden, M; Nepogodiev, D; Venn, M; Singh, S; Swain, C; Kirkby-Bott, J

    2015-01-01

    The United Kingdom National Health Service treats both elective and emergency patients and seeks to provide high quality care, free at the point of delivery. Equal numbers of emergency and elective general surgical procedures are performed, yet surgical training prioritisation and organisation of NHS institutions is predicated upon elective care. The increasing ratio of emergency general surgery consultant posts compared to traditional sub-specialities has yet to be addressed. How should the capability gap be bridged to equip motivated, skilled surgeons of the future to deliver a high standard of emergency surgical care? The aim was to address both training requirements for the acquisition of necessary emergency general surgery skills, and the formation of job plans for trainee and consultant posts to meet the current and future requirements of the NHS. Twenty nine trainees and a consultant emergency general surgeon convened as a Working Group at The Association of Surgeons in Training Conference, 2015, to generate a united consensus statement to the training requirement and delivery of emergency general surgery provision by future general surgeons. Unscheduled general surgical care provision, emergency general surgery, trauma competence, training to meet NHS requirements, consultant job planning and future training challenges arose as key themes. Recommendations have been made from these themes in light of published evidence. Careful workforce planning, education, training and fellowship opportunities will provide well-trained enthusiastic individuals to meet public and societal need.

  12. Understanding the burden of idiopathic generalized epilepsy in the United States, Europe, and Brazil: An analysis from the National Health and Wellness Survey.

    Science.gov (United States)

    Gupta, Shaloo; Kwan, Patrick; Faught, Edward; Tsong, Wan; Forsythe, Anna; Ryvlin, Phillipe

    2016-02-01

    The aim of this study was to understand the current burden of primary generalized tonic-clonic seizures (PGTCS) associated with idiopathic generalized epilepsy (IGE) as a function of seizure frequency. We analyzed data for (IGE) as a proxy measure of PGTCS. Little is known about the quality of life (QoL), health utility, productivity, healthcare resource utilization (HRU), and cost burden of PGTCS or IGE. Patients were identified from the US (2011, 2012, & 2013), 5EU (2011 & 2013), and Brazil (2011 & 2012) National Health and Wellness Survey, a nationally representative, internet-based survey of adults (18+ years). Patients that self-reported a diagnosis of IGE were categorized into seizure frequencies of: ≥1 seizure per week, 1-3 seizures per month, 1-4 seizures per year, or productivity with the Work Productivity and Activity Impairment (WPAI) questionnaire, and HRU as reported in the past six months. Unit costs were estimated from the literature and multiplied against HRU values to calculate direct costs and WPAI values to calculate indirect costs. Generalized linear regression was utilized to examine the relationship between seizure frequency and each measure of burden with adjustment for covariates. Out of the general population surveyed, IGE was self-reported in 782 of 176,093 (US), 172 of 30,000 (UK), 106 of 30,001 (Germany), 87 of 30,000 (France), 31 of 12,011 (Spain), 22 of 17,500 (Italy), and 34 of 24,000 (Brazil). Persistent seizures (≥1 per year) were reported in over 40% of patients with IGE (10-15% with ≥1 seizure per week, 10-15% with 1-3 seizures per month, 20-25% with 1-4 seizures per year). Over 75% were treated with antiepileptic drugs (AEDs). Compared with those having <1 seizure per year (reference group), patients in the two most frequent seizure categories reported worse MCS and PCS scores. Patients in the three highest seizure frequency groups consistently reported worse health utility scores, and greater presenteeism (attending work

  13. ENTERPRISE RESTRUCTURING AIM AND TYPES

    Directory of Open Access Journals (Sweden)

    S. P. Baranenko

    2011-01-01

    Full Text Available Enterprise restructuring is aimed at adapting it to market conditions and improving its competitiveness through selection of most effective model of using material, technical, technological, organizational, commercial, economical, financial, tax-related and other resources with due account of the demand. Restructuring classification signs and types as well as restructuring aims specific for industrial enterprises are provided for.

  14. SAJS 965 - GENERAL SURGERY.indd

    African Journals Online (AJOL)

    . By setting dose units below the thresholds, radiological protection aims to avoid deterministic and stochastic effects.7 The effective dose limit for medical exposure recommended by .... values to present the radiation doses in millisievert (mSv).

  15. Multilayer Neural Networks with Extensively Many Hidden Units

    International Nuclear Information System (INIS)

    Rosen-Zvi, Michal; Engel, Andreas; Kanter, Ido

    2001-01-01

    The information processing abilities of a multilayer neural network with a number of hidden units scaling as the input dimension are studied using statistical mechanics methods. The mapping from the input layer to the hidden units is performed by general symmetric Boolean functions, whereas the hidden layer is connected to the output by either discrete or continuous couplings. Introducing an overlap in the space of Boolean functions as order parameter, the storage capacity is found to scale with the logarithm of the number of implementable Boolean functions. The generalization behavior is smooth for continuous couplings and shows a discontinuous transition to perfect generalization for discrete ones

  16. 15 CFR 2008.15 - General restrictions on access.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false General restrictions on access. 2008.15 Section 2008.15 Commerce and Foreign Trade Regulations Relating to Foreign Trade Agreements OFFICE OF THE UNITED STATES TRADE REPRESENTATIVE REGULATIONS TO IMPLEMENT E.O. 12065; OFFICE OF THE UNITED...

  17. Evaluation of Heliostat Standby Aiming Strategies to Reduce Avian Flux Hazards and Impacts on Operational Performance

    Energy Technology Data Exchange (ETDEWEB)

    Wendelin, Timothy J [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Ho, Clifford K. [Sandia National Laboratories; Horstman, Luke [Sandia National Laboratories

    2017-06-03

    This paper presents a study of alternative heliostat standby aiming strategies and their impact on avian flux hazards and operational performance of a concentrating solar power plant. A mathematical model was developed that predicts the bird-feather temperature as a function of solar irradiance, thermal emittance, convection, and thermal properties of the feather. The irradiance distribution in the airspace above the Ivanpah Unit 2 heliostat field was simulated using a ray-trace model for two different times of the day, four days of the year, and nine different standby aiming strategies. The impact of the alternative aiming strategies on operational performance was assessed by comparing the heliostat slew times from standby position to the receiver for the different aiming strategies. Increased slew times increased a proxy start-up time that reduced the simulated annual energy production. Results showed that spreading the radial aim points around the receiver to a distance of ~150 m or greater reduced the hazardous exposure times that the feather temperature exceeded the hazard metric of 160 degrees C. The hazardous exposure times were reduced by ~23% and 90% at a radial spread of aim points extending to 150 m and 250 m, respectively, but the simulated annual energy production decreased as a result of increased slew times. Single point-focus aiming strategies were also evaluated, but these strategies increased the exposure hazard relative to other aiming strategies.

  18. H-index and academic rank in general surgery and surgical specialties in the United States.

    Science.gov (United States)

    Ashfaq, Awais; Kalagara, Roshini; Wasif, Nabil

    2018-09-01

    H-index serves as an alternative to measure academic achievement. Our objective is to study the h-index as a measure of academic attainment in general surgery and surgical specialties. A database of all surgical programs in the United States was created. Publish or Perish software was used to determine surgeons h-index. A total of 134 hospitals and 3712 surgeons (79% male) were included. Overall, mean h-index was 14.9 ± 14.8. H-index increased linearly with academic rank: 6.8 ± 6.4 for assistant professors (n = 1557, 41.9%), 12.9 ± 9.3 for associate professors (n = 891, 24%), and 27.9 ± 17.4 for professors (n = 1170, 31.5%); P h-indices (18.7 ± 16.7 and 18.4 ± 17.6, respectively). Surgeons with additional postgraduate degrees, university affiliations and male had higher mean h-indices; P h-index and the number of publications (R2 = 0.817) and citations (R2 = 0.768). The h-index of academic surgeons correlates with academic rank and serves a potential tool to measure academic productivity. Copyright © 2018 Elsevier Inc. All rights reserved.

  19. Basic concept and its aims of E-journal of advanced maintenance

    International Nuclear Information System (INIS)

    Miya, Kenzo

    2009-01-01

    This article describes basic concept and aims of EJAM with history of effort to realize the launching of it. It took about three years until launching of the journal through approach to EPRI and negotiation with international publishing companies. It consists of three major articles. They are 1) general articles, 2) academic papers and 3) maintenance technique to be applied to repairing of components of nuclear power plants. All together of these articles may contribute to understanding of clear image of what maintenance is in this journal. Finally future image of this journal is described in light of maintenance evolution. (author)

  20. Cheques and challenges: business performance in New Zealand general practice.

    Science.gov (United States)

    Greatbanks, Richard; Doolan-Noble, Fiona; McKenna, Alex

    2017-09-01

    INTRODUCTION New Zealand general practice mainly functions as small businesses, usually owned by a single or small group of doctors. Consequently, owners often have to balance the provision of patient care with varying funding priorities, changing patient needs and the pressures of running a sustainable business. Such balancing inevitably leads to tensions developing between these factors. AIM To explore and understand these tensions and responses to them, by examining the business performance measurements used by general practice. METHODS For this study, the unit of analysis and focus were individual practices, but qualitative semi-structured interviews with general practitioners (GPs) and practice managers were used to gather the data. RESULTS All participating practices had some form of governance or board review, where high-level aggregated business performance data were presented. More sophisticated business performance measures were evident in the larger, more developed practices and in practices functioning as community trusts. Examples of such measures included doctor utilisation and efficiency, appraisal of risk, patient satisfaction with services and responses to changes in patient demand. DISCUSSION As the number of general practices based on the traditional model decrease, a corresponding increase is likely in the establishment and development of 'super practices' based on a corporatized, multi-service, single-location model. Consequently, service delivery will become increasingly complex and will drive a need for increased sophistication in how general practice measures its business performance, thus ensuring a balance between high-quality, safe patient care and the maintenance of a sustainable business.

  1. 12 CFR 410.130 - General prohibitions against discrimination.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false General prohibitions against discrimination. 410.130 Section 410.130 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ENFORCEMENT OF NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES CONDUCTED BY EXPORT-IMPORT BANK OF THE UNITED...

  2. 19 CFR 201.130 - General prohibitions against discrimination.

    Science.gov (United States)

    2010-04-01

    ....130 Section 201.130 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION GENERAL RULES OF... Conducted by the U.S. International Trade Commission § 201.130 General prohibitions against discrimination... in, be denied the benefits of, or otherwise be subjected to discrimination under any program or...

  3. 19 CFR 210.36 - General provisions for hearings.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false General provisions for hearings. 210.36 Section 210.36 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Prehearing Conferences and Hearings § 210.36 General...

  4. 19 CFR 210.27 - General provisions governing discovery.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false General provisions governing discovery. 210.27 Section 210.27 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Discovery and Compulsory Process § 210.27 General...

  5. 75 FR 14070 - Redelegation of Authority of Assistant Attorney General, Civil Division, to Branch Directors...

    Science.gov (United States)

    2010-03-24

    ... Attorney General, Civil Division, to Branch Directors, Heads of Offices and United States Attorneys in Civil Division Cases AGENCY: Office of the Assistant Attorney General, Civil Division, Department of... General of the Civil Division to branch directors, heads of offices, and United States Attorneys. On May...

  6. Comparison of surgical outcomes among infants in neonatal intensive care units treated by pediatric surgeons versus general surgeons: The need for pediatric surgery specialists.

    Science.gov (United States)

    Boo, Yoon Jung; Lee, Eun Hee; Lee, Ji Sung

    2017-11-01

    This study compared the outcomes of infants who underwent surgery in neonatal intensive care units by pediatric surgeons and by general surgeons. This was a retrospective study of infants who underwent surgery in neonatal intensive care units between 2010 and 2014. A total of 227 patients were included. Of these patients, 116 were operated on by pediatric surgeons (PS) and 111 were operated on by general surgeons (GS). The outcome measures were the overall rate of operative complications, unplanned reoperation, mortality rate, length of stay, operative time, and number of total number of operative procedures. The overall operative complication rate was higher in the GS group compared with the PS group (18.7% vs. 7.0%, p=0.0091). The rate of unplanned reoperations was also higher in the GS group (10.8% vs. 3.5%, p=0.0331). The median operation time (90min vs. 75min, p=0.0474) and median length of stay (24days vs. 18days, p=0.0075) were significantly longer in the GS group. The adjusted odd ratios of postoperative complications for GS were 2.9 times higher than that of PS (OR 2.90, p=0.0352). The operative quality and patient outcomes of the PS group were superior to those of the GS group. III. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. An intersection test for panel unit roots

    NARCIS (Netherlands)

    Hanck, C.

    2013-01-01

    This article proposes a new panel unit root test based on Simes' ( 1986) classical intersection test. The test is robust to general patterns of cross-sectional dependence and yet is straightforward to implement, only requiring p-values of time series unit root tests of the series in the panel, and

  8. Novotel Xinqiao Aims High

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    One of the oldest properties in China's modem hotel industry, Novotel Xinqiao Beijing, has been a success for 50 years. The hotel is now under the leadership of its second French general manager since its cooperation with the French hotel management group Accor in 2001. Thierry Brinte,

  9. 46 CFR 111.105-33 - Mobile offshore drilling units.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Mobile offshore drilling units. 111.105-33 Section 111... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Hazardous Locations § 111.105-33 Mobile offshore drilling units. (a) Applicability. This section applies to each mobile offshore drilling unit. (b) Definitions. As used in this...

  10. After the Conference of United Nations Conference on Environment and Development. The aims of the state environmental policy

    International Nuclear Information System (INIS)

    1996-01-01

    Total 162 aims of the Strategy of the state environmental policy and next followed programs, projects and measures of the environmental policy of the Slovak Republic can be grouped into 4 blocks: (1) the environmental policy in the protection of air, water and before of risk factors, in the nuclear safety and waste economy (environmental safety; (2) the environmental policy in protection of the nature and the country, protection and use of mineral surroundings, soils and forest;; (3) the environmental policy in the economy; (4) the environmental policy in the guidance, education, public information, organization, control and coordination of the ministration on the environment. These aims are grouped into 10 sectors: Sector A - Protection of the air and ozone layer; Sector B - Protection and rationalize waters use; Sector C - Waste economy; Sector D - Risk factors and nuclear safety; Sector E - The ministration on the nature and the country and land development; Sector F - The protection and using of mineral surroundings, soils and forest; Sector G - The economy of the environment; Sector H - Environmental information science and monitoring; Sector I - Environmental guidance, education, and promotion; Sector J - Organization and control of the ministration on the environment

  11. Differences between rural and urban primary care units in Turkey: Implications on residents′ training

    Directory of Open Access Journals (Sweden)

    Hulya Yikilkan

    2013-01-01

    Full Text Available Context: Family practice training takes place at primary care based training centers linked to Education and Research State Hospitals in Turkey. There is a discussion if these units are adequate to train primary care staff and if the patients of these units reflect the applicants of primary care. Aims: The aim of our study is to investigate the demographic characteristics, the effect of distance on primary care utilization, and most common diagnosis of the patients who applied to two different outpatient clinics: One urban and one rural. Settings and Design: Study was conducted from the electronic health records of the patients applied to outpatient clinics of Ankara Diskapi Yildirim Beyazit Training and Research Hospital Department of Family Medicine between 1 January and 31 December 2009. Results: Total number of patients applied to both of the outpatient clinics was 34,632 [urban clinic: 16.506 (47.7%, rural clinic: 18.126 (52.3%]. Leading three diagnoses were upper respiratory tract infection (URTI, general medical examination (GME, and hypertension (HT in the most common 10 diagnosis. Conclusion: In our study, the rural outpatient clinic is regarded as a primary care unit in the neighborhood of living area and the urban clinic as close to working environment. We found statistically meaningful differences in most common diagnosis, gender, age, and consultation time between the rural and urban clinics. According to our results, family practitioners′ field training should take place at different primary care units according to sociodemographic characteristics of each country.

  12. Organizational evaluation of an interprofessional study unit

    DEFF Research Database (Denmark)

    Jensen, Didde Cramer; Nørgaard, Birgitte; Draborg, Eva

    2012-01-01

    This article presents results from an organizational evaluation of an interprofessional clinical study unit (ICS) in Denmark. The aim of this study was to test whether the ICS was based on a durable organizational concept and to identify the prerequisites for the unit to be successful...

  13. 28 CFR 36.503 - Suit by the Attorney General.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Suit by the Attorney General. 36.503... discretion, the Attorney General may commence a civil action in any appropriate United States district court if the Attorney General has reasonable cause to believe that— (a) Any person or group of persons is...

  14. 33 CFR 2.38 - Waters subject to the jurisdiction of the United States; waters over which the United States has...

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Waters subject to the jurisdiction of the United States; waters over which the United States has jurisdiction. 2.38 Section 2.38 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL JURISDICTION...

  15. 32 CFR 150.21 - Appeals by the United States.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Appeals by the United States. 150.21 Section 150... the United States. (a) Restricted filing. Only a representative of the government designated by the Judge Advocate General of the respective service may file an appeal by the United States under Article...

  16. 34 CFR 76.565 - General management costs-restricted rate.

    Science.gov (United States)

    2010-07-01

    ... that are for the direction and control of the grantee's affairs that are organization-wide. An activity...) Components of the grantee are those organizational units supervised directly or indirectly by the chief executive officer. These organizational units generally exist one management level below the executive...

  17. 15 February 2012 - Geneva United Nations Office Director-General K.-J. Tokayev in the LHC tunnel with Adviser for Relations with international organisations M. Bona and Technology Department Head F. Bordry.

    CERN Multimedia

    Jean-claude Gadmer

    2012-01-01

    Kassym-Jomart Tokayev, director-general of the United Nations Office at Geneva, (centre picture 02), visited CERN on 15 February. He toured the LHC tunnel with Maurizio Bona, CERN’s adviser to the director-general, relations with international organizations, left, and Frédérick Bordry, CERN’s technology department head. He also visited the ATLAS underground experimental area, as well as the exhibition at the Globe of Science and Innovation.

  18. Improvement of the safety level of installations with the generalization of procedures

    International Nuclear Information System (INIS)

    Cornille, Y.; Dupraz, B.; Schektman, N.

    1986-06-01

    The generalization of control procedures to the largest possible spectra of accidental situations which is being developed on pressurized water reactor units will allow to increase the safety level of these installations. This improvement has been quantified for some situations pointing out an appreciable mitigation of meltdown risk which could result. A new improvement is aimed with the definition and the utilization of new procedures ''by states'' which will allow an optimized treatment of situations resulting from multiple failures, now treated in the procedures SPI - SPU - U1. The needs related to these procedures and their development led to joint research and development programs between Electricite de France and the Institute of Protection and Nuclear Safety [fr

  19. Preparation for decommissioning of the Kozloduy Nuclear Power Plant units 1 and 2

    International Nuclear Information System (INIS)

    Delcheva, T.; Ribarski, V.; Demireva, E.

    2006-01-01

    The first decommissioning strategy of units 1 and 2 of Kozloduy NPP (KNPP) stipulated 3 phases: a 5 year phase including the post operation activities and preparation of the safe enclosure (SE); a 35 years SE period, followed by deferred dismantling. 'Updated Decommissioning Strategy for Units 1-4 of Kozloduy NPP' was issued in June 2006. The Updated Strategy is based on the so called 'Continuous Dismantling' Concept. The updated Strategy starts preparatory work earlier and then moves into dismantling work without a significant gap. The aim is to achieve a more optimal distribution of the dismantling activities along the time, saving jobs and the existing knowledge of the plant personnel during the decommissioning, and ensuring smooth and more effective use of financial and human resources and of the available infrastructure for waste treatment. This paper gives general information about the updated strategy and activities required for its implementation. (author)

  20. 37 CFR 1.413 - The United States International Searching Authority.

    Science.gov (United States)

    2010-07-01

    ... Processing Provisions General Information § 1.413 The United States International Searching Authority. (a... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false The United States International Searching Authority. 1.413 Section 1.413 Patents, Trademarks, and Copyrights UNITED STATES PATENT...

  1. Complexity Leadership Theory: A United States Marine Corps Historical Overlay

    Science.gov (United States)

    2017-05-25

    DD-MM-YYYY) 23-04-2017 2. REPORT TYPE Master’s Thesis 3. DATES COVERED (From - To) JUN 2016 – MAY 2017 4. TITLE AND SUBTITLE Complexity...Monograph Title : Complexity Leadership Theory : A United States Marine Corps Historical Overlay Approved by...General Ridgway’s Success in Korea.” Master’s thesis , United States Army Command and General Staff College, 2010. Diana, Gabriel. “Vision, Education

  2. Exploring the relationship between general practice characteristics, and attendance at walk-in centres, minor injuries units and EDs in England 2012/2013: a cross-sectional study.

    Science.gov (United States)

    Tammes, Peter; Morris, Richard W; Brangan, Emer; Checkland, Kath; England, Helen; Huntley, Alyson; Lasserson, Daniel; MacKichan, Fiona; Salisbury, Chris; Wye, Lesley; Purdy, Sarah

    2016-10-01

    For several years, EDs in the UK NHS have faced considerable increases in attendance rates. Walk-in centres (WiCs) and minor injuries units (MIUs) have been suggested as solutions. We aimed to investigate the associations between practice and practice population characteristics with ED attendance rates or combined ED/WiC/MIU attendance, and the associations between WiC/MIU and ED attendance. We used general practice-level data including 7462 English practices in 2012/2013 and present adjusted regression coefficients from linear multivariable analysis for relationships between patients' emergency attendance rates and practice characteristics. Every percentage-point increase in patients reporting inability to make an appointment was associated with an increase in emergency attendance by 0.36 (95% CI 0.06 to 0.66) per 1000 population. Percentage-point increases in patients unable to speak to a general practitioner (GP)/nurse within two workdays and patients able to speak often to their preferred GP were associated with increased emergency attendance/1000 population by 0.23 (95% CI 0.05 to 0.42) and 0.10 (95% CI 0.00 to 0.19), respectively. Practices in areas encompassing several towns (conurbations) had higher attendance than rural practices, as did practices with more non-UK-qualified GPs. Practice population characteristics associated with increased emergency attendance included higher unemployment rates, higher percentage of UK whites and lower male life expectancy, which showed stronger associations than practice characteristics. Furthermore, higher MIU or WiC attendance rates were associated with lower ED attendance rates. Improving availability of appointments and opportunities to speak a GP/nurse at short notice might reduce ED attendance. Establishing MIUs and WiCs might also reduce ED attendance. 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/

  3. Obesity and excess mortality among the elderly in the United States and Mexico.

    Science.gov (United States)

    Monteverde, Malena; Noronha, Kenya; Palloni, Alberto; Novak, Beatriz

    2010-02-01

    Increasing levels of obesity could compromise future gains in life expectancy in low- and high-income countries. Although excess mortality associated with obesity and, more generally, higher levels of body mass index (BAI) have been investigated in the United States, there is little research about the impact of obesity on mortality in Latin American countries, where very the rapid rate of growth of prevalence of obesity and overweight occur jointly with poor socioeconomic conditions. The aim of this article is to assess the magnitude of excess mortality due to obesity and overweight in Mexico and the United States. For this purpose, we take advantage of two comparable data sets: the Health and Retirement Study 2000 and 2004 for the United States, and the Mexican Health and Aging Study 2001 and 2003 for Mexico. We find higher excess mortality risks among obese and overweight individuals aged 60 and older in Mexico than in the United States. Yet, when analyzing excess mortality among different socioeconomic strata, we observe greater gaps by education in the United States than in Mexico. We also find that although the probability of experiencing obesity-related chronic diseases among individuals with high BMI is larger for the U.S. elderly, the relative risk of dying conditional on experiencing these diseases is higher in Mexico.

  4. Abduction aiming at empirical progress or even at truth approximation, leading to challenge for computational modelling

    NARCIS (Netherlands)

    Kuipers, Theo A.F.

    1999-01-01

    This paper primarily deals with the conceptual prospects for generalizing the aim of abduction from the standard one of explaining surprising or anomalous observations to that of empirical progress or even truth approximation. It turns out that the main abduction task then becomes the

  5. The missing link? Testing a schema account of unitization.

    Science.gov (United States)

    Tibon, Roni; Greve, Andrea; Henson, Richard

    2018-05-09

    Unitization refers to the creation of a new unit from previously distinct items. The concept of unitization has been used to explain how novel pairings between items can be remembered without requiring recollection, by virtue of new, item-like representations that enable familiarity-based retrieval. We tested an alternative account of unitization - a schema account - which suggests that associations between items can be rapidly assimilated into a schema. We used a common operationalization of "unitization" as the difference between two unrelated words being linked by a definition, relative to two words being linked by a sentence, during an initial study phase. During the following relearning phase, a studied word was re-paired with a new word, either related or unrelated to the original associate from study. In a final test phase, memory for the relearned associations was tested. We hypothesized that, if unitized representations act like schemas, then we would observe some generalization to related words, such that memory would be better in the definition than sentence condition for related words, but not for unrelated words. Contrary to the schema hypothesis, evidence favored the null hypothesis of no difference between definition and sentence conditions for related words (Experiment 1), even when each cue was associated with multiple associates, indicating that the associations can be generalized (Experiment 2), or when the schematic information was explicitly re-activated during Relearning (Experiment 3). These results suggest that unitized associations do not generalize to accommodate new information, and therefore provide evidence against the schema account.

  6. General dental practitioner's views on dental general anaesthesia services.

    Science.gov (United States)

    Threlfall, A G; King, D; Milsom, K M; Blinkhom, A S; Tickle, M

    2007-06-01

    Policy has recently changed on provision of dental general anaesthetic services in England. The aim of this study was to investigate general dental practitioners' views about dental general anaesthetics, the reduction in its availability and the impact on care of children with toothache. Qualitative study using semi-structured interviews and clinical case scenarios. General dental practitioners providing NHS services in the North West of England. 93 general dental practitioners were interviewed and 91 answered a clinical case scenario about the care they would provide for a 7-year-old child with multiple decayed teeth presenting with toothache. Scenario responses showed variation; 8% would immediately refer for general anaesthesia, 25% would initially prescribe antibiotics, but the majority would attempt to either restore or extract the tooth causing pain. Interview responses also demonstrated variation in care, however most dentists agree general anaesthesia has a role for nervous children but only refer as a last resort. The responses indicated an increase in inequalities, and that access to services did not match population needs, leaving some children waiting in pain. Most general dental practitioners support moving dental general anaesthesia into hospitals but some believe that it has widened health inequalities and there is also a problem associated with variation in treatment provision. Additional general anaesthetic services in some areas with high levels of tooth decay are needed and evidence based guidelines about caring for children with toothache are required.

  7. 10 CFR 820.72 - Referral to the Attorney General.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Referral to the Attorney General. 820.72 Section 820.72... Referral to the Attorney General. If there is reason to believe a criminal violation of the Act or the DOE Nuclear Safety Requirements has occurred, DOE may refer the matter to the Attorney General of the United...

  8. A comparison of the provision of the My Choice Weight Management Programme via general practitioner practices and community pharmacies in the United Kingdom.

    Science.gov (United States)

    Bush, J; Langley, C; Mills, S; Hindle, L

    2014-04-01

    This study aimed to assess the effectiveness of a novel, community-based weight management programme delivered through general practitioner (GP) practices and community pharmacies in one city in the United Kingdom. This study used a non-randomized, retrospective, observational comparison of clinical data collected by participating GP practices and community pharmacies. Subjects were 451 overweight or obese men and women resident in areas of high socioeconomic deprivation (82% from black and minority ethnic groups, 86% women, mean age: 41.1 years, mean body mass index [BMI]: 34.5 kg m(-2)). Weight, waist circumference and BMI at baseline, after 12 weeks and after 9 months were measured. Costs of delivery were also analysed. Sixty-four per cent of participants lost weight after the first 12 weeks of the My Choice Weight Management Programme. There was considerable dropout. Mean percentage weight loss (last observation carried forward) was 1.9% at 12 weeks and 1.9% at final follow-up (9 months). There was no significant difference in weight loss between participants attending GP practices and those attending pharmacies at both 12 weeks and at final follow-up. Costs per participant were higher via community pharmacy which was attributable to better attendance at sessions among community pharmacy participants than among GP participants. The My Choice Weight Management Programme produced modest reductions in weight at 12 weeks and 9 months. Such programmes may not be sufficient to tackle the obesity epidemic. © 2014 The Authors. Clinical Obesity © 2014 International Association for the Study of Obesity.

  9. Do general dental practitioners leave teeth on 'open drainage'?

    Science.gov (United States)

    Eliyas, S; Barber, M W; Harris, I

    2013-12-01

    There is a need to ascertain the use of evidence-based dentistry in both primary and secondary care in order to tailor education. This study aims to evaluate the use of 'open drainage' as part of endodontic treatment in primary care in South Yorkshire. A questionnaire was circulated to 141 randomly selected general dental practitioners in the South Yorkshire area between January 2012 and January 2013. The response rate was 79% (112/141). Five of the returned questionnaires were incomplete and therefore not usable. Seventy-nine percent of respondents were general dental practitioners (GDPs) working in mainly NHS or mixed practices. The year of graduation varied between 1970 and 2011. Forty-one percent (44/107) stated that they had never left a tooth on open drainage. Twenty-nine percent (31/107) stated that they sometimes leave teeth on open drainage. Of those respondents who currently leave teeth on open drainage, most (68%) would leave teeth on open drainage for one to two days or less. This survey revealed that the practice of leaving teeth on open drainage is still present in general dental practice. Current guidelines do not comment on the use of this treatment modality. There is a need to ascertain further information about practices throughout the United Kingdom in order to provide clear evidence-based guidelines.

  10. Locating a general minisum 'circle' on a plane

    DEFF Research Database (Denmark)

    Brimberg, Jack; Juel, Henrik; Körner, Mark-Christoph

    2011-01-01

    We approximate a set of given points in the plane by the boundary of a convex and symmetric set which is the unit circle of some norm. This generalizes previous work on the subject which considers Euclidean circles only. More precisely, we examine the problem of locating and scaling the unit circle...... of some given norm k with respect to given points on the plane such that the sum of weighted distances (as measured by the same norm k) between the circumference of the circle and the points is minimized. We present general results and are able to identify a finite dominating set in the case that k...

  11. Special Inspector General for Iraq Reconstruction. Quarterly Report to the United States Congress

    National Research Council Canada - National Science Library

    Bowen, Jr, Stuart W

    2007-01-01

    .... relief and reconstruction program in Iraq. Two notable developments frame this Report. First, total relief and reconstruction investment for Iraq from all sources the United States, Iraq, and other donors passed...

  12. [AIMS65 score validation for upper gastrointestinal bleeding in the National Hospital Cayetano Heredia].

    Science.gov (United States)

    Aguilar Sánchez, Víctor; Bravo Paredes, Eduar Alban; Pinto Valdivia, José Luis; Valenzuela Granados, Vanessa; Espinoza-Rios, Jorge Luis

    2015-01-01

    To validate the score AIMS65 in patients with upper gastrointestinal bleeding, in terms of mortality and rebleeding a 30-day event. Patients included were those with higher age to 18 years attending the Hospital Nacional Cayetano Heredia during the period May 2013 to December 2014, by upper gastrointestinal bleeding. Data were analyzed using ROC curve (Receiver Operating Characteristic) and the area was obtained under the curve (AUC) to properly qualify the score AIMS65. 209 patients were included, 66.03% were male, with an average age of 58.02 years. The mortality rate was 7.65%, the multiorgan failure the most common cause of death. Plus 3.82% of the patients had recurrent bleeding and 11% required a transfusion of more than 2 units of blood. When analyzing the ROC curve with AIMS65 and mortality score a value of 0.9122 is reported; identifying it as cutoff greater than or equal to 3 value in the score AIMS65 to discriminate patients at high risk of death, likewise the ROC curve was analyzed for recurrence of bleeding with a value of 0.6266 and the need to Transfusion of packed red blood cells over two a value of 0.7421. And it was determined the average hospital stay with a value of 4.8 days, however, no correlation was found with the score AIMS65. AIMS65 score is a good predictor of mortality, and is useful for predicting the need for transfusion of more than 2 globular packages. However it is not a good predictor for recurrence of bleeding, or hospital stay.

  13. Reliability analysis of a phaser measurement unit using a generalized fuzzy lambda-tau(GFLT) technique.

    Science.gov (United States)

    Komal

    2018-05-01

    Nowadays power consumption is increasing day-by-day. To fulfill failure free power requirement, planning and implementation of an effective and reliable power management system is essential. Phasor measurement unit(PMU) is one of the key device in wide area measurement and control systems. The reliable performance of PMU assures failure free power supply for any power system. So, the purpose of the present study is to analyse the reliability of a PMU used for controllability and observability of power systems utilizing available uncertain data. In this paper, a generalized fuzzy lambda-tau (GFLT) technique has been proposed for this purpose. In GFLT, system components' uncertain failure and repair rates are fuzzified using fuzzy numbers having different shapes such as triangular, normal, cauchy, sharp gamma and trapezoidal. To select a suitable fuzzy number for quantifying data uncertainty, system experts' opinion have been considered. The GFLT technique applies fault tree, lambda-tau method, fuzzified data using different membership functions, alpha-cut based fuzzy arithmetic operations to compute some important reliability indices. Furthermore, in this study ranking of critical components of the system using RAM-Index and sensitivity analysis have also been performed. The developed technique may be helpful to improve system performance significantly and can be applied to analyse fuzzy reliability of other engineering systems. Copyright © 2018 ISA. Published by Elsevier Ltd. All rights reserved.

  14. Generalized structural theory of freezing

    International Nuclear Information System (INIS)

    Yussouff, M.

    1980-10-01

    The first-principles order parameter theory of freezing, proposed in an earlier work, has been successful in yielding quantitative agreement with known freezing parameters for monoatomic liquids forming solids with one atom per unit cell. A generalization of this theory is presented here to include the effects of a basis set of many atoms per unit cell. The basic equations get modified by the 'density structure factors' fsub(i) which arise from the density variations within the unit cell. Calculations are presented for the important case of monoatomic liquids freezing into hexagonal close packed solids. It is concluded that all freezing transitions can be described by using structural correlations in the liquid instead of the pair potential; and that the three body correlations are important in deciding the type of solid formed after freezing. (author)

  15. 31 CFR 594.315 - United States person; U.S. person.

    Science.gov (United States)

    2010-07-01

    ... (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY GLOBAL TERRORISM SANCTIONS REGULATIONS General Definitions § 594.315 United States person; U.S. person. The term United States person or...

  16. Advanced mechanics and general relativity an introduction to general relativity

    CERN Document Server

    Franklin, Joel

    2010-01-01

    Aimed at advanced undergraduates with background knowledge of classical mechanics and electricity and magnetism, this textbook presents both the particle dynamics relevant to general relativity, and the field dynamics necessary to understand the theory. Focusing on action extremization, the book develops the structure and predictions of general relativity by analogy with familiar physical systems. Topics ranging from classical field theory to minimal surfaces and relativistic strings are covered in a homogeneous manner. Nearly 150 exercises and numerous examples throughout the textbook enable students to test their understanding of the material covered.

  17. Total intravenous general anaesthesia vs. spinal anaesthesia for total hip arthroplasty

    DEFF Research Database (Denmark)

    Harsten, A; Kehlet, H; Ljung, P

    2015-01-01

    , length of stay in the post-operative care unit, dizziness, post-operative nausea, need of urinary catheterisation and patient satisfaction. RESULTS: General anaesthesia resulted in slightly reduced length of hospital stay (26 vs. 30 h, P = 0.004), less nausea (P = 0.043) and dizziness (P ....008). Patients in the spinal anaesthesia group fulfilled the discharge criteria from the post-operative care unit earlier compared with the general anaesthesia patients (P = 0.004). General anaesthesia patients requested a change in the method of anaesthesia for a subsequent operation less often than the spinal...

  18. 12 CFR 407.5 - Certification by General Counsel.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Certification by General Counsel. 407.5 Section 407.5 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES REGULATIONS GOVERNING PUBLIC OBSERVATION OF EX-IM BANK MEETINGS § 407.5 Certification by General Counsel. For every meeting closed pursuant...

  19. 45 CFR 503.2 - General policies-Privacy Act.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false General policies-Privacy Act. 503.2 Section 503.2... THE UNITED STATES, DEPARTMENT OF JUSTICE RULES OF PRACTICE PRIVACY ACT AND GOVERNMENT IN THE SUNSHINE REGULATIONS Privacy Act Regulations § 503.2 General policies—Privacy Act. The Commission will protect the...

  20. Hanford facility dangerous waste permit application, general information portion. Revision 3

    International Nuclear Information System (INIS)

    Sonnichsen, J.C.

    1997-01-01

    For purposes of the Hanford facility dangerous waste permit application, the US Department of Energy's contractors are identified as ''co-operators'' and sign in that capacity (refer to Condition I.A.2. of the Dangerous Waste Portion of the Hanford Facility Resource Conservation and Recovery Act Permit). Any identification of these contractors as an ''operator'' elsewhere in the application is not meant to conflict with the contractors' designation as co-operators but rather is based on the contractors' contractual status with the U.S. Department of Energy, Richland Operations Office. The Dangerous Waste Portion of the initial Hanford Facility Resource Conservation and Recovery Act Permit, which incorporated five treatment, storage, and/or disposal units, was based on information submitted in the Hanford Facility Dangerous Waste Permit Application and in closure plan and closure/postclosure plan documentation. During 1995, the Dangerous Waste Portion was modified twice to incorporate another eight treatment, storage, and/or disposal units; during 1996, the Dangerous Waste Portion was modified once to incorporate another five treatment, storage, and/or disposal units. The permit modification process will be used at least annually to incorporate additional treatment, storage, and/or disposal units as permitting documentation for these units is finalized. The units to be included in annual modifications are specified in a schedule contained in the Dangerous Waste Portion of the Hanford Facility Resource Conservation and Recovery Act Permit. Treatment, storage, and/or disposal units will remain in interim status until incorporated into the Permit. The Hanford Facility Dangerous Waste Permit Application is considered to be a single application organized into a General Information Portion (this document, DOE/RL-91-28) and a Unit-Specific Portion. The scope of the Unit-Specific Portion is limited to individual operating treatment, storage, and/or disposal units for which

  1. Hanford facility dangerous waste permit application, general information portion. Revision 3

    Energy Technology Data Exchange (ETDEWEB)

    Sonnichsen, J.C.

    1997-08-21

    For purposes of the Hanford facility dangerous waste permit application, the US Department of Energy`s contractors are identified as ``co-operators`` and sign in that capacity (refer to Condition I.A.2. of the Dangerous Waste Portion of the Hanford Facility Resource Conservation and Recovery Act Permit). Any identification of these contractors as an ``operator`` elsewhere in the application is not meant to conflict with the contractors` designation as co-operators but rather is based on the contractors` contractual status with the U.S. Department of Energy, Richland Operations Office. The Dangerous Waste Portion of the initial Hanford Facility Resource Conservation and Recovery Act Permit, which incorporated five treatment, storage, and/or disposal units, was based on information submitted in the Hanford Facility Dangerous Waste Permit Application and in closure plan and closure/postclosure plan documentation. During 1995, the Dangerous Waste Portion was modified twice to incorporate another eight treatment, storage, and/or disposal units; during 1996, the Dangerous Waste Portion was modified once to incorporate another five treatment, storage, and/or disposal units. The permit modification process will be used at least annually to incorporate additional treatment, storage, and/or disposal units as permitting documentation for these units is finalized. The units to be included in annual modifications are specified in a schedule contained in the Dangerous Waste Portion of the Hanford Facility Resource Conservation and Recovery Act Permit. Treatment, storage, and/or disposal units will remain in interim status until incorporated into the Permit. The Hanford Facility Dangerous Waste Permit Application is considered to be a single application organized into a General Information Portion (this document, DOE/RL-91-28) and a Unit-Specific Portion. The scope of the Unit-Specific Portion is limited to individual operating treatment, storage, and/or disposal units for which

  2. 22 CFR 1203.735-201 - General.

    Science.gov (United States)

    2010-04-01

    ...) Losing independence or impartiality; (5) Making a Government decision outside official channels; or (6... Foreign Relations UNITED STATES INTERNATIONAL DEVELOPMENT COOPERATION AGENCY EMPLOYEE RESPONSIBILITIES AND CONDUCT Ethical and Other Conduct and Responsibilities of Employees § 1203.735-201 General. (a) Proscribed...

  3. 31 CFR 595.315 - United States person; U.S. person.

    Science.gov (United States)

    2010-07-01

    ... (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY TERRORISM SANCTIONS REGULATIONS General Definitions § 595.315 United States person; U.S. person. The term United States person or U.S...

  4. 32 CFR 644.81 - General.

    Science.gov (United States)

    2010-07-01

    ... munitions, through negotiation and purchase, by condemnation or by gift. Title 10 U.S.C. 2672 provides that... gift, purchase, exchange of United States owned land or otherwise, that he or his designee determines... Acquisition Acquisition by Purchase, Donation, and Transfer § 644.81 General. Sections 644.81 through 644.88...

  5. 29 CFR 570.50 - General.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false General. 570.50 Section 570.50 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR REGULATIONS CHILD LABOR REGULATIONS... by the Bureau of Apprenticeship and Training of the United States Department of Labor as employed in...

  6. A Mechanism Aiming To Build Trust

    Institute of Scientific and Technical Information of China (English)

    BONNIE; GLASER

    2010-01-01

    The Strategic and Economic Dialogue facilitates better understanding between the United States and China After a year of ups and downs in the Sino-American relations hip, the second round of the Strategic and Economic Dialogue (S&ED) was held in Beijing from May 24-25.

  7. Units Based on Constants: The Redefinition of the International System of Units

    Science.gov (United States)

    Stenger, J.; Ullrich, J. H.

    2016-03-01

    Recent decisions of the General Conference on Weights and Measures of the Metre Convention have opened the door to a fundamental change of the International System of Units, the SI, in 2018. The revised SI will be based on fixing the numerical values of seven defining constants corresponding to the seven traditional base units. This will bring about basic modifications in the definition of the kilogram, the ampere, the kelvin, and the mole and will have consequences for units derived from them. In contrast, the second, the meter, and the candela will not be affected. This paper describes the motivation and rationale behind this endeavor, introduces the new definitions, and reviews the requirements for the redefinitions as well as the status of the experiments that are currently being carried out to fulfill them. Benefits and a wide-reaching impact for the realization and dissemination of the units are anticipated because innovative technologies with ever-increasing accuracy will emerge, enabling the direct realization over widespread measurement ranges without the definitions themselves having to be changed.

  8. General edition program

    International Nuclear Information System (INIS)

    Vaturi, Sylvain

    1969-01-01

    Computerized edition is essential for data processing exploitation. When a more or less complex edition program is required for each task, then the need for a general edition program become obvious. The aim of this study is to create a general edition program. Universal programs are capable to execute numerous and varied tasks. For a more precise processing, the execution of which is frequently required, the use of a specialized program is preferable because, contradictory to the universal program, it goes straight to the point [fr

  9. International law and United Nations

    Directory of Open Access Journals (Sweden)

    Savić Matej

    2012-01-01

    Full Text Available Along with centuries-lasting open military pretensions of world superpowers, modern diplomacy has developed, as beginning a war, as well as coming to peace demanded political activity which resulted, first in signing, and then coming into effect of international documents, on the basis of which, a foundation for the modern international order has been cast. Further on, by the formation of international organizations, codification has been allowed, as well as a progressive development of international law. Additionally, in the sense of preserving international peace and security, first the League of Nations was formed, and following the ending of World War II, the UN. Generally, the functioning of the United Nation's organs, has been regulated by legal rules, however political goals, tendencies, and mechanisms which the member states are using determine greatly the activity above all of the Security Council, but furthermore of the General Assembly, as a plenary organ. Nevertheless, the achieved results of the Commission for International Law in the meaning of creation of international conventions, as well as state adhering to the same, present unassailable achievements in the sense of development of international law. On the other hand, tendencies of motion of international relationships are aimed at establishing a multi-polar system in the international community. Today, the political scene is assuming a new appearance, by which the nearly built international system is already awaiting further progressive development.

  10. Pedological characteristics, general fertility and classification of ...

    African Journals Online (AJOL)

    Pedological characteristics, general fertility and classification of some benchmark ... on existing soils information coupled with reconnaissance field soil survey. ... systems i.e. the United States Department of Agriculture Soil Taxonomy and the ...

  11. Precise Dimensions; A history of units from 1791-2018

    Science.gov (United States)

    Cooper, Malcolm; Grozier, Jim

    2017-11-01

    Units are the foundation for all measurement of the natural world, and from which standard, our understanding develops. This book, stemming from a conference on the history of units organised by the editors, provides a detailed and discursive examination of the history of units within physics, in advance of the proposed redefinition of the SI base units at the General Conference on Weights and Measures in 2018. It features contributions from leading researchers in metrology and history.

  12. Do general radiographic examinations resemble a person-centred environment?

    International Nuclear Information System (INIS)

    Hayre, C.M.; Blackman, S.; Eyden, A.

    2016-01-01

    Aim and objective: It is argued whether general radiographic examinations adhere to a person-centred approach within the direct digital radiography (DDR) environment. General radiographic examinations continue to increase and constitute approximately 90% of all examinations undertaken in the clinical environment. This study explored the potential impact patients experience whilst undergoing general imaging examinations. Method: An ethnographic methodology provided insight of two general radiography environments in the United Kingdom (UK) using participant observation and semi-structured interviews. Findings: The findings highlighted an ‘in and out’ culture whereby patients are ‘hurried’ and ‘rushed’ out of X-ray rooms in response to increasing time pressures experienced by diagnostic radiographers. In addition, this study challenged that patients may begin to rank ‘speed’ and ‘waiting times’ above other elements of radiographic care thus presenting new challenges for radiographers within the clinical environment. Conclusion: It is asserted that radiographers should remain holistic healthcare professionals and not begin to resemble operators on the production line. Further, it challenges whether patients are beginning to rank aspects of radiographic care within contemporary practices. Advances in knowledge: Few studies have explored the radiographer–patient relationship within the DDR environment, yet this study provides insight of person-centred practices within contemporary practices. - Highlights: • Challenges whether the use of DDR conforms to a person-centred approach. • Challenges whether radiographers are ‘treating patients as persons’ using DDR. • Patients may begin to rank ‘speed’ and ‘waiting times’ above other aspects of radiographic care.

  13. Safety improvement programme of WWER 440/230 units in Jaslovske Bohunice

    International Nuclear Information System (INIS)

    Tomek, J.

    2000-01-01

    A brief overview is given of the power sources in Slovakia which include 6 operational reactor units (4 at Jaslovske Bohunice and 2 at Mochovce) and 2 units under construction (at Mochovce). The efforts undertaken in the past 10 years and aimed at upgrading the nuclear safety of the two older (V-230 Soviet type) units at Bohunice are highlighted. The relevant regulatory decisions are dealt with and the measures already carried out are listed. Also characterized are several IAEA international safety assessment missions and safety-aimed meetings which took place in 1998 and 1999 and are of concern to the older Bohunice units. (A.K.)

  14. Financial stability, wealth effects and optimal macroeconomic policy combination in the United Kingdom: A new-Keynesian dynamic stochastic general equilibrium framework

    Directory of Open Access Journals (Sweden)

    Muhammad Ali Nasir

    2016-12-01

    Full Text Available This study derives an optimal macroeconomic policy combination for financial sector stability in the United Kingdom by employing a New Keynesian Dynamic Stochastic General Equilibrium (NK-DSGE framework. The empirical results obtained show that disciplined fiscal and accommodative monetary policies stance is optimal for financial sector stability. Furthermore, fiscal indiscipline countered by contractionary monetary stance adversely affects financial sector stability. Financial markets, e.g. stocks and Gilts show a short-term asymmetric response to macroeconomic policy interaction and to each other. The asymmetry is a reflection of portfolio adjustment. However in the long-run, the responses to suggested optimal policy combination had homogenous effects and there was evidence of co-movement in the stock and Gilt markets.

  15. Susceptibility to tigecycline of Acinetobacter baumannii strains isolated from intensive care unit patients.

    Science.gov (United States)

    Talaga, Katarzyna; Krzyściak, Paweł; Bulanda, Małgorzata

    2016-01-01

    Infections caused by Acinetobacter baumannii are difficult to cure due to the acquisition of resistance by these bacteria and lead to an increase in the general costs of hospitalization. The aim of this study was to determine tigecycline susceptibility of Acinetobacter baumannii strains isolated from intensive care unit and non-intensive care unit patients with skin and soft tissue infections. MICs were tested by Etest among 70 Acinetobacter baumannii isolates. The MIC range was from 0.5 to 8.0 mg L⁻¹. For ESBL-producing Acinetobacter baumannii, as well as for strains without carbapenemases, the highest MIC to tigecycline value was 8.0 mg L⁻¹. For AmpC-producing Acinetobacter baumannii, the highest MIC to tigecycline value was 6.0 mg L⁻¹ and, for MBL-producing strains, 2.0 mg L⁻¹. The majority of Acinetobacter baumannii strains isolated from ICU and non-ICU patients demonstrated high values of MIC range, MIC50 and MIC90 to tigecycline.

  16. 39 CFR 447.61 - General.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false General. 447.61 Section 447.61 Postal Service UNITED STATES POSTAL SERVICE PERSONNEL RULES OF CONDUCT FOR POSTAL EMPLOYEES Bribery, Undue Influence, or... employee to act or neglect to act in regard to his official responsibilities; and (2) Any information that...

  17. Crystallization and preliminary X-ray crystallographic investigations on a βγ-crystallin domain of absent in melanoma 1 (AIM1), a protein from Homo sapiens

    International Nuclear Information System (INIS)

    Aravind, Penmatsa; Rajini, Bheemreddy; Sharma, Yogendra; Sankaranarayanan, Rajan

    2006-01-01

    The crystallization and preliminary X-ray diffraction analysis of AIM1g1, a βγ-crystallin domain of absent in melanoma (AIM1) protein from H. sapiens, is reported. AIM1g1 is a single βγ-crystallin domain from the protein absent in melanoma 1 (AIM1), which appears to play a role in the suppression of melanomas. This domain is known to bind calcium and its structure would help in identifying calcium-coordinating sites in vertebrate crystallins, which have hitherto been believed to have lost this ability during evolution. Crystallization of this domain was performed by the hanging-drop vapour-diffusion method. Crystals diffracted to a maximum resolution of 1.86 Å and were found to belong to space group P6 1 or P6 5 , with unit-cell parameters a = b = 54.98, c = 59.73 Å. Solvent-content analysis indicated the presence of one monomer per asymmetric unit

  18. Crystallization and preliminary X-ray crystallographic investigations on a βγ-crystallin domain of absent in melanoma 1 (AIM1), a protein from Homo sapiens

    Energy Technology Data Exchange (ETDEWEB)

    Aravind, Penmatsa; Rajini, Bheemreddy; Sharma, Yogendra; Sankaranarayanan, Rajan, E-mail: sankar@ccmb.res.in [Centre for Cellular and Molecular Biology, Uppal Road, Hyderabad 500 007 (India)

    2006-03-01

    The crystallization and preliminary X-ray diffraction analysis of AIM1g1, a βγ-crystallin domain of absent in melanoma (AIM1) protein from H. sapiens, is reported. AIM1g1 is a single βγ-crystallin domain from the protein absent in melanoma 1 (AIM1), which appears to play a role in the suppression of melanomas. This domain is known to bind calcium and its structure would help in identifying calcium-coordinating sites in vertebrate crystallins, which have hitherto been believed to have lost this ability during evolution. Crystallization of this domain was performed by the hanging-drop vapour-diffusion method. Crystals diffracted to a maximum resolution of 1.86 Å and were found to belong to space group P6{sub 1} or P6{sub 5}, with unit-cell parameters a = b = 54.98, c = 59.73 Å. Solvent-content analysis indicated the presence of one monomer per asymmetric unit.

  19. UN Secretary General visits CERN

    CERN Multimedia

    2008-01-01

    UN Secretary General praises CERN in recent visit. Ban Ki-moon, Robert Aymar, CERN Director-General, and Sergei Ordzhonikidze, Director-General of the United Nations Office in Geneva at the CMS site.On Sunday 31 August, Ban Ki-moon, the UN Secretary General, made an important visit to CERN. Arriving in the late afternoon, he was warmly greeted at Point 5 by Robert Aymar, the Director-General, and the Sous-préfet of Gex, Olivier Laurens-Bernard. Accompanied by a UN delegation, Ban Ki-moon was also introduced to Jos Engelen, the Chief Scientific Officer, and Jim Virdee, the CMS spokesperson. He then took the opportunity to visit CMS and the machine tunnel. At the end of his short trip, Ban Ki-moon signed the Guest Book in the tradition of important dignitaries visiting CERN. Expressing his admiration for CERN’s spirit of collaboration, Ban Ki-moon said, "I am very honored to visit CERN, an invaluable scientific institution a...

  20. Generalized Asymptotically Almost Periodic and Generalized Asymptotically Almost Automorphic Solutions of Abstract Multiterm Fractional Differential Inclusions

    Directory of Open Access Journals (Sweden)

    G. M. N’Guérékata

    2018-01-01

    Full Text Available The main aim of this paper is to investigate generalized asymptotical almost periodicity and generalized asymptotical almost automorphy of solutions to a class of abstract (semilinear multiterm fractional differential inclusions with Caputo derivatives. We illustrate our abstract results with several examples and possible applications.

  1. The orientation, principles, priorities and aims of the state environmental policy

    International Nuclear Information System (INIS)

    1998-01-01

    This chapter contains: (A) The orientation and priorities of state environmental policy of the government of the Slovak Republic which were approved 18 November 1993 by the resolution No 339. On the basis of the Strategy, principles and priorities of state environmental policy 70 short-terminable aims up to 1996, next 59 middle-terminable of aims up to years 2000 - 2010 and 33 general and partial long-terminable aims up to 2030 and longer were formulated. The Strategy is determined by next 5 branches oriented priorities: (1) air protection before pollutants and the global environmental safety; (2) organization of sufficiency of drinking water and decreasing of pollution of other waters under permissible limits; (3) soil protection before degeneration and organization of non-defected food-stuffs and other wares; (4) minimization of formation, use and good waste liquidate; (5) preservation of bio-diversity, preservation and rational use of natural reserves and optimization of place structure and use of the country. (B) The principles and priorities of state environmental policy determinate implementation and observance of then principles of the state environmental policy. (C) Total 162 aims of the Strategy of the state environmental policy and next followed programs, projects and measures of the environmental policy of the Slovak Republic can be grouped into 4 blocks: (1) the environmental policy in the protection of air, water and before of risk factors, in the nuclear safety and waste economy (environmental safety; (2) the environmental policy in protection of the nature and the country, protection and use of mineral surroundings, soils and forest;; (3) the environmental policy in the economy; (4) the environmental policy in the guidance, education, public information, organization, control and coordination of the ministration on the environment. These aims are grouped into 10 sectors. (D) The government of the Slovak republic has first National environmental

  2. Adolescent Onset Psychosis: A 2-year retrospective study of adolescents admitted to a general psychiatric unit

    Directory of Open Access Journals (Sweden)

    S Paruk

    2009-12-01

    Full Text Available Background:KwaZulu-Natal had no dedicated in-patient adolescent psychiatric service during the study period and adolescents were admitted to general psychiatric wards. Aim of Study: This is a descriptive review of adolescents admitted with psychotic symptoms to a psychiatric hospital. It aims to describe their demographic profile, associated risk factors, clinical profile and management strategies utilized. Method: The files of all adolescent patients with psychotic symptoms, aged twelve to eighteen years old, admitted to a psychiatric hospital from July 2005 to June 2007 were reviewed. Results: 70 adolescents with psychosis were admitted to adult psychiatric wards over the 2 year period. The age range was 13 to 18 years old. 80% of the adolescent patients were male, 37% reported a positive family history of mental illness, 50% smoked nicotine and 61.4% reported cannabis use. The most common diagnoses were schizophrenia (30% and schizophreniform disorder (27.1%. 85.5%(60 of adolescent patients had a trial on a first generation antipsychotic and 10 patients were initiated on a second generation antipsychotic de- novo. The average length of stay in hospital was 27.8 days. 40% defaulted follow up post discharge. Conclusion: Schizophrenia was the most common diagnosis. There were high rates of cannabis use. The adolescents were managed in psychiatric wards for significant periods and the majority of patients were initiated on first-generation antipsychotics. There is a need to develop specialized inpatient adolescent psychiatric facilities and services, as well as to address the issues of co-morbid substance use and non-adherence to treatment.

  3. A tailored relocation stress intervention programme for family caregivers of patients transferred from a surgical intensive care unit to a general ward.

    Science.gov (United States)

    Lee, Seul; Oh, HyunSoo; Suh, YeonOk; Seo, WhaSook

    2017-03-01

    To develop and examine a relocation stress intervention programme tailored for the family caregivers of patients scheduled for transfer from a surgical intensive care unit to a general ward. Family relocation stress syndrome has been reported to be similar to that exhibited by patients, and investigators have emphasised that nurses should make special efforts to relieve family relocation stress to maximise positive contributions to the well-being of patients by family caregivers. A nonequivalent control group, nonsynchronised pretest-post-test design was adopted. The study subjects were 60 family caregivers of patients with neurosurgical or general surgical conditions in the surgical intensive care unit of a university hospital located in Incheon, South Korea. Relocation stress and family burden were evaluated at three times, that is before intervention, immediately after transfer and four to five days after transfer. This relocation stress intervention programme was developed for the family caregivers based on disease characteristics and relocation-related needs. In the experimental group, relocation stress levels significantly and continuously decreased after intervention, whereas in the control group, a slight nonsignificant trend was observed. Family burden levels in the control group increased significantly after transfer, whereas burden levels in the experimental group increased only marginally and nonsignificantly. No significant between-group differences in relocation stress or family burden levels were observed after intervention. Relocation stress levels of family caregivers were significantly decreased after intervention in the experimental group, which indicates that the devised family relocation stress intervention programme effectively alleviated family relocation stress. The devised intervention programme, which was tailored to disease characteristics and relocation-related needs, may enhance the practicality and efficacy of relocation stress

  4. Microcontroller Unit

    International Nuclear Information System (INIS)

    Tulaev, A.B.

    1994-01-01

    The general purpose micro controller unit based on 8-bit single-chip microcomputer of the MCS-51 family is described. The controller has the data and program memories, a serial interface and an external bus for functional I/O extensions. The controller consists of a microcomputer chip, up to 4 ROM-RAM chips and 10 SSI and MSI chips, and it measures 160x120 mm. Both hardware and software micro system debugging tools are described. (author). 8 refs., 1 fig., 1 tab

  5. Validity and reliability of the Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale for children aged 11–17 years

    Science.gov (United States)

    Yalın Sapmaz, Şermin; Özek Erkuran, Handan; Ergin, Dilek; Öztürk, Masum; Şen Celasin, Nesrin; Karaarslan, Duygu; Aydemir, Ömer

    2018-02-23

    Background/aim: This study aimed to assess the validity and reliability of the Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form. Materials and methods: The study sample consisted of 32 patients treated in a child psychiatry unit and diagnosed with generalized anxiety disorder and 98 healthy volunteers who were attending middle or high school during the study period. For the assessment, the Screen for Child Anxiety and Related Emotional Disorders (SCARED) was also used along with the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form. Results: Regarding reliability analyses, the Cronbach alpha internal consistency coefficient was calculated as 0.932. The test-retest correlation coefficient was calculated as r = 0.707. As for construct validity, one factor that could explain 62.6% of the variance was obtained and this was consistent with the original construct of the scale. As for concurrent validity, the scale showed a high correlation with SCARED. Conclusion: It was concluded that Turkish version of the DSM-5 Generalized Anxiety Disorder Severity Scale - Child Form could be utilized as a valid and reliable tool both in clinical practice and for research purposes.

  6. Factors affecting improvement of children and adolescents who were treated in the child and adolescent psychiatry inpatient unit.

    Science.gov (United States)

    Serim Demirgoren, Burcu; Ozbek, Aylin; Gencer, Ozlem

    2017-08-01

    Objective This study aimed to assess the correlates and predictors of improvement in general functioning of children and adolescents who are treated in the child and adolescent psychiatry (CAMHS) inpatient unit. Methods Hospital records of 308 children and adolescents who were treated for at least 1 month in the CAMHS inpatient unit from 2005-2016 were included. Associations with individual, familial, and clinical variables and the difference in Children's Global Assessment Scale (ΔCGAS) scores at admission and discharge were evaluated. Results Positive predictors of ΔCGAS were older age and lower CGAS scores at admission, whereas high familial risk scores at admission and diagnosis of early-onset schizophrenia negatively predicted ΔCGAS (B = 0.698, p = 0002; B = -0.620, p < 0.001; B = -0.842, p = 0.002; B =-9.184, p = 0.000, respectively). Familial risk scores were significantly and negatively correlated with ΔCGAS (p = 0.004, Spearman's rho = -0.2). Conclusions This study indicates that improvement in general functioning during inpatient treatment in CAMHS is better at an older age and with lower general functioning at admission. However, high familial risks and diagnosis of early-onset schizophrenia weakens this improvement.

  7. 28 CFR 0.10 - Attorney General's Advisory Committee of U.S. Attorneys.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Attorney General's Advisory Committee of... DEPARTMENT OF JUSTICE Office of the Attorney General § 0.10 Attorney General's Advisory Committee of U.S. Attorneys. (a) The Attorney General's Advisory Committee of United States Attorneys shall consist of an...

  8. On-call emergency workload of a general surgical team.

    Science.gov (United States)

    Jawaid, Masood; Raza, Syed Muhammad; Alam, Shams Nadeem; Manzar, S

    2009-01-01

    To examine the on-call emergency workload of a general surgical team at a tertiary care teaching hospital to guide planning and provision of better surgical services. During six months period from August to January 2007; all emergency calls attended by general surgical team of Surgical Unit II in Accident and Emergency department (A and E) and in other units of Civil, Hospital Karachi, Pakistan were prospectively recorded. Data recorded includes timing of call, diagnosis, operation performed and outcome apart from demography. Total 456 patients (326 males and 130 females) were attended by on-call general surgery team during 30 emergency days. Most of the calls, 191 (41.9%) were received from 8 am to 5 pm. 224 (49.1%) calls were of abdominal pain, with acute appendicitis being the most common specific pathology in 41 (9.0%) patients. Total 73 (16.0%) calls were received for trauma. Total 131 (28.7%) patients were admitted in the surgical unit for urgent operation or observation while 212 (46.5%) patients were discharged from A and E. 92 (20.1%) patients were referred to other units with medical referral accounts for 45 (9.8%) patients. Total 104 (22.8%) emergency surgeries were done and the most common procedure performed was appendicectomy in 34 (32.7%) patients. Major workload of on-call surgical emergency team is dealing with the acute conditions of abdomen. However, significant proportion of patients are suffering from other conditions including trauma that require a holistic approach to care and a wide range of skills and experience. These results have important implications in future healthcare planning and for the better training of general surgical residents.

  9. Effect of preoperative oral midazolam sedation on separation anxiety and emergence delirium among children undergoing dental treatment under general anesthesia

    Science.gov (United States)

    El Batawi, Hisham Yehia

    2015-01-01

    Aim: To investigate the possible effects of preoperative oral Midazolam on parental separation anxiety, emergence delirium, and post-anesthesia care unit time on children undergoing dental rehabilitation under general anesthesia. Methods: Randomized, prospective, double-blind study. Seventy-eight American Society of Anesthesiology (ASA) I children were divided into two groups of 39 each. Children of the first group were premedicated with oral Midazolam 0.5 mg/kg, while children of the control group were premedicated with a placebo. Scores for parental separation, mask acceptance, postoperative emergence delirium, and time spent in the post-anesthesia care unit were compared statistically. Results: The test group showed significantly lower parental separation scores and high acceptance rate for anesthetic mask. There was no significant difference between the two groups regarding emergence delirium and time spent in post-anesthesia care unit. Conclusions: Preoperative oral Midazolam could be a useful adjunct in anxiety management for children suffering dental anxiety. The drug may not reduce the incidence of postoperative emergence delirium. The suggested dose does not seem to affect the post-anesthesia care unit time. PMID:25992332

  10. Deliberating the risks of nanotechnologies for energy and health applications in the United States and United Kingdom

    Science.gov (United States)

    Pidgeon, Nick; Harthorn, Barbara Herr; Bryant, Karl; Rogers-Hayden, Tee

    2009-02-01

    Emerging nanotechnologies pose a new set of challenges for researchers, governments, industries and citizen organizations that aim to develop effective modes of deliberation and risk communication early in the research and development process. These challenges derive from a number of issues including the wide range of materials and devices covered by the term `nanotechnology', the many different industrial sectors involved, the fact that many areas of nanotechnology are still at a relatively early stage of development, and uncertainty about the environmental, health and safety impacts of nanomaterials. Public surveys have found that people in the United States and Europe currently view the benefits of nanotechnologies as outweighing their risks although, overall, knowledge about nanotechnology remains very low. However, surveys cannot easily uncover the ways that people will interpret and understand the complexities of nanotechnologies (or any other topic about which they know very little) when asked to deliberate about it in more depth, so new approaches to engaging the public are needed. Here, we report the results of the first comparative United States-United Kingdom public engagement experiment. Based upon four concurrent half-day workshops debating energy and health nanotechnologies we find commonalities that were unexpected given the different risk regulatory histories in the two countries. Participants focused on benefits rather than risks and, in general, had a high regard for science and technology. Application context was much more salient than nation as a source of difference, with energy applications viewed in a substantially more positive light than applications in health and human enhancement in both countries. More subtle differences were present in views about the equitable distribution of benefits, corporate and governmental trustworthiness, the risks to realizing benefits, and in consumerist attitudes.

  11. 39 CFR 230.3 - Cooperation with the Office of Inspector General.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Cooperation with the Office of Inspector General. 230.3 Section 230.3 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION OFFICE OF INSPECTOR GENERAL General Policy and Authority § 230.3 Cooperation with the Office of Inspector...

  12. 76 FR 45297 - Certification of the Attorney General; Panola County, Mississippi

    Science.gov (United States)

    2011-07-28

    ... DEPARTMENT OF JUSTICE Certification of the Attorney General; Panola County, Mississippi In... within the scope of the determinations of the Attorney General and the Director of the Census made under... 7, 1965. See 30 FR 9897). Dated: July 22, 2011. Eric H. Holder Jr., Attorney General of the United...

  13. 76 FR 12369 - Certification of the Attorney General; Maricopa County, Arizona

    Science.gov (United States)

    2011-03-07

    ... DEPARTMENT OF JUSTICE Certification of the Attorney General; Maricopa County, Arizona In... within the scope of the determinations of the Attorney General and the Director of the Census made under... September 23, 1975 (40 FR 43746). Dated: March 3, 2011. Eric H. Holder Jr., Attorney General of the United...

  14. 28 CFR 0.135 - Functions common to heads of organizational units.

    Science.gov (United States)

    2010-07-01

    ... organizational unit authority and responsibility for the reallotment of such funds and control of obligations and... organizational units. 0.135 Section 0.135 Judicial Administration DEPARTMENT OF JUSTICE ORGANIZATION OF THE... Disqualification to Act § 0.135 Functions common to heads of organizational units. Subject to the general...

  15. Morbidity and mortality of neonates admitted in general paediatric ...

    African Journals Online (AJOL)

    There were only six admissions to the general purpose intensive care unit referred from the wards. The independent predictors of mortality were low birth weight, apnoec attacks, hypothermia and dehydration(p<0.05). Conclusion: The mortality rate for neonates admitted to the general paediatric wards is high with almost ...

  16. Low birth weight in the United States.

    Science.gov (United States)

    Goldenberg, Robert L; Culhane, Jennifer F

    2007-02-01

    Pregnancy outcomes in the United States and other developed countries are considerably better than those in many developing countries. However, adverse pregnancy outcomes are generally more common in the United States than in other developed countries. Low-birth-weight infants, born after a preterm birth or secondary to intrauterine growth restriction, account for much of the increased morbidity, mortality, and cost. Wide disparities exist in both preterm birth and growth restriction among different population groups. Poor and black women, for example, have twice the preterm birth rate and higher rates of growth restriction than do most other women. Low birth weight in general is thought to place the infant at greater risk of later adult chronic medical conditions, such as diabetes, hypertension, and heart disease. Of interest, maternal thinness is a strong predictor of both preterm birth and fetal growth restriction. However, in the United States, several nutritional interventions, including high-protein diets, caloric supplementation, calcium and iron supplementation, and various other vitamin and mineral supplementations, have not generally reduced preterm birth or growth restriction. Bacterial intrauterine infections play an important role in the etiology of the earliest preterm births, but, at least to date, antibiotic treatment either before labor for risk factors such as bacterial vaginosis or during preterm labor have not consistently reduced the preterm birth rate. Most interventions have failed to reduce preterm birth or growth restriction. The substantial improvement in newborn survival in the United States over the past several decades is mostly due to better access to improved neonatal care for low-birth-weight infants.

  17. Palo Verde Generating Station, Units 4 and 5. License application, general information

    International Nuclear Information System (INIS)

    1978-01-01

    A license application for two more Palo Verde reactors, Units 4 and 5, is presented. The two PWR reactors have a nominal net generating power each of 1,270 MW(e). Containments are steel-lined prestressed cylindrical structures with hemispherical domes. The reactors are replicas of Palo Verde 1, 2 and 3 (see DOCKETS 50528, 50529 and 50530) using the standard Combustion Engineering System 80 (see DOCKET-STN-50470)

  18. Methodological practicalities in analytical generalization

    DEFF Research Database (Denmark)

    Halkier, Bente

    2011-01-01

    generalization. Theoretically, the argumentation in the article is based on practice theory. The main part of the article describes three different examples of ways of generalizing on the basis of the same qualitative data material. There is a particular focus on describing the methodological strategies......In this article, I argue that the existing literature on qualitative methodologies tend to discuss analytical generalization at a relatively abstract and general theoretical level. It is, however, not particularly straightforward to “translate” such abstract epistemological principles into more...... operative methodological strategies for producing analytical generalizations in research practices. Thus, the aim of the article is to contribute to the discussions among qualitatively working researchers about generalizing by way of exemplifying some of the methodological practicalities in analytical...

  19. 27 CFR 24.225 - General.

    Science.gov (United States)

    2010-04-01

    ... TREASURY LIQUORS WINE Spirits § 24.225 General. The proprietor of a bonded wine premises may withdraw and... are authorized in this part. Wine spirits produced in the United States may be added to natural wine on bonded wine premises if both the wine and the spirits are produced from the same kind of fruit. In...

  20. 18 CFR 367.9200 - Account 920, Administrative and general salaries.

    Science.gov (United States)

    2010-04-01

    ..., Administrative and general salaries. 367.9200 Section 367.9200 Conservation of Power and Water Resources FEDERAL... and general salaries. (a) This account must include salaries, wages, bonuses and other consideration... detailed records subdividing salaries and wages by departments or other functional organization units. ...

  1. Investigation and management of gastro-oesophageal reflux in United Kingdom neonatal intensive care units.

    Science.gov (United States)

    Rossor, Thomas; Andradi, Gwendolyn; Bhat, Ravindra; Greenough, Anne

    2018-01-01

    In 2004, wide variation in the investigation and management of gastro-oesophageal reflux (GOR) of infants on UK major neonatal units was demonstrated. Our aim was to resurvey neonatal practitioners to determine current practice and whether it was now evidence based. A questionnaire was sent to all 207 UK neonatal units. Responses were obtained from 84% of units. The most frequent 'investigation' was a trial of therapy (83% of units); pH studies were used in 38%, upper GI contrast studies in 19% and multichannel intraluminal impedance (MII)/pH studies in 5%. Only six units suggested a threshold for an abnormal pH study and two units for an abnormal MII study. Infants were commenced on antireflux medication without investigation always in 32% of units, often in 29%, occasionally in 19% and only never in 1%. Gaviscon was used as first line treatment in 60% of units, and other medications included ranitidine in 53%, thickening agents in 27%, proton pump inhibitors in 23%, domperidone in 22% and erythromycin in 6%. There remains a wide variation in diagnostic and treatment strategies for infants with suspected GOR on neonatal intensive care units, emphasising the need for randomised trials to determine appropriate GOR management. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  2. Special Inspector General for Iraq Reconstruction Quarterly Report to the United States Congress

    Science.gov (United States)

    2009-10-30

    United States continues to assist in se- curing courthouses and protecting judges and their families by locating judges in secure complexes...of the initiative.482 Soldiers and police who were legal residents of the Kurdistan Region but who are stationed in Ninewa cast absentee ballots in

  3. 46 CFR 161.002-10 - Automatic fire detecting system control unit.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 6 2010-10-01 2010-10-01 false Automatic fire detecting system control unit. 161.002-10...-10 Automatic fire detecting system control unit. (a) General. The fire detecting system control unit... and the battery to be charged. (h) Automatic fire detecting system, battery charging and control—(1...

  4. The role of the United Nations in the field of verification

    International Nuclear Information System (INIS)

    1991-01-01

    By resolution 43/81 B of 7 December 1988, the General Assembly requested the Secretary General to undertake, with the assistance of a group of qualified governmental experts, an in-depth study of the role of the United Nations in the field of verification. In August 1990, the Secretary-General transmitted to the General Assembly the unanimously approved report of the experts. The report is structured in six chapters and contains a bibliographic appendix on technical aspects of verification. The Introduction provides a brief historical background on the development of the question of verification in the United Nations context, culminating with the adoption by the General Assembly of resolution 43/81 B, which requested the study. Chapters II and III address the definition and functions of verification and the various approaches, methods, procedures and techniques used in the process of verification. Chapters IV and V examine the existing activities of the United Nations in the field of verification, possibilities for improvements in those activities as well as possible additional activities, while addressing the organizational, technical, legal, operational and financial implications of each of the possibilities discussed. Chapter VI presents the conclusions and recommendations of the Group

  5. 31 CFR Appendix D to Subpart A of... - United States Secret Service

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false United States Secret Service D...—United States Secret Service 1. In general. This appendix applies to the United States Secret Service. 2. Public reading room. The United States Secret Service will provide a room on an ad hoc basis when...

  6. Support for Development of Electronics and Materials Technologies by the Governments of the United States, Japan, West Germany, France, and the United Kingdom.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    The governments of the United States, Japan, West Germany, France, and the United Kingdom each have large research and development efforts involving government agencies, universities and industry. This document provides a comparative overview of policies and programs which contribute to the development of technologies in the general area of…

  7. 32 CFR 575.2 - Admission; general.

    Science.gov (United States)

    2010-07-01

    ... MILITARY ACADEMY § 575.2 Admission; general. (a) In one major respect, the requirements for admission to the United States Military Academy differ from the normal requirements for admission to a civilian college or university; each candidate must obtain an official nomination to the Academy. The young person...

  8. 31 CFR 353.5 - General rules.

    Science.gov (United States)

    2010-07-01

    ..., DEPARTMENT OF THE TREASURY BUREAU OF THE PUBLIC DEBT REGULATIONS GOVERNING DEFINITIVE UNITED STATES SAVINGS BONDS, SERIES EE AND HH Registration § 353.5 General rules. (a) Registration is conclusive of ownership. Savings bonds are issued only in registered form. The registration must express the actual ownership of...

  9. 75 FR 31464 - Certification of the Attorney General; Shannon County, SD

    Science.gov (United States)

    2010-06-03

    ... DEPARTMENT OF JUSTICE Certification of the Attorney General; Shannon County, SD In accordance with... within the scope of the determinations of the Attorney General and the Director of the Census made under...., Attorney General of the United States. [FR Doc. 2010-13285 Filed 6-2-10; 8:45 am] BILLING CODE P ...

  10. Thailand's Low-Carbon Scenario 2050: The AIM/CGE analyses of CO2 mitigation measures

    International Nuclear Information System (INIS)

    Thepkhun, Panida; Limmeechokchai, Bundit; Fujimori, Shinichiro; Masui, Toshihiko; Shrestha, Ram M.

    2013-01-01

    Climate change and CO 2 mitigation have become increasingly important environmental issues. Recently Thailand has proposed policies on GHG mitigation such as Thailand’s Nationally Appropriate Mitigation Action (NAMA), which aims at GHG mitigation in the energy sector. This study used the computable general equilibrium (CGE) model, called “AIM/CGE” model, to analyse GHG mitigation measures under emission trading and carbon capture and storage (CCS) technology in Thailand. Results show that the international free emission trading policy can drive more GHG reduction by decreasing energy supply and demand, and increasing prices of emissions. The CCS technologies would balance emission reduction but they would reduce energy efficiency improvement and renewable energy utilization. In the energy security aspect, the policy options in this study would improve energy security, energy import dependency, and co-benefits of GHG mitigation in forms of improving local air quality. Results are also helpful to GHG mitigation policy in developing countries. -- Highlights: •A Computable General Equilibrium (CGE) model was used to analyze GHG mitigation policies in Thailand. •The CCS and emission trading will increase GHG mitigation in Thailand. •The 30% GHG mitigation target with 50% emission trading will give the best result in GDP. •The share of biomass resource and energy efficiency will decrease with CCS. •The emission trading will play an important role in decreasing fossil consumption and increasing renewable energy utilization

  11. Soil Formation and Distribution in Missouri. Instructional Unit. Conservation Education Series.

    Science.gov (United States)

    Castillon, David A.

    This unit is designed to help vocational agriculture teachers incorporate information on soil formation and the soils geography of Missouri into their curriculum. The unit consists of: (1) a topic outline; (2) general unit objectives; (3) discussions of processes and factors of soil formation, the soils geography of Missouri, and some soil…

  12. Partisan strength, political trust and generalized trust in the United States: An analysis of the General Social Survey, 1972-2014.

    Science.gov (United States)

    Hooghe, Marc; Oser, Jennifer

    2017-11-01

    The literature on political parties suggests that strong partisan identities are associated with citizens' effective interaction with the political system, and with higher levels of political trust. Traditionally, party identity therefore is seen as a mechanism that allows for political integration. Simultaneously, however, political parties have gained recent attention for their role in promoting societal polarization by reinforcing competing and even antagonistic group identities. This article uses General Social Survey data from 1972 - 2014 to investigate the relationship between partisan strength and both political and generalized trust. The findings show that increases in partisan strength are positively related to political trust, but negatively related to generalized trust. This suggests that while partisan strength is indeed an important linkage mechanism for the political system, it is also associated with a tendency toward social polarization, and this corrosive effect thus far has not gained sufficient attention in literature on party identity. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Review of the desalinated water market in France for small units; Apercu sur le marche de l'eau dessalee en France pour de petites unites

    Energy Technology Data Exchange (ETDEWEB)

    Dutheil, F; Malissen, M [Commissariat a l' Energie Atomique, Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1969-07-01

    On the initiative of and in close collaboration with the Commissariat a l'Energie Atomique, the Societe pour la Conversion et le Developpement Industriel (SODIC) has carried out a very general study of the coastal regions of France in which the short, medium and long-term prospects of the demand for water, and the cost of the necessary supplies, could possibly make desalination units of 3 000 to 10 000 m3/day competitive. So far this general enquiry, which went into detail on some particular aspects, has not revealed any very clear possibilities in this respect, except in the case of the small islands, and of units of much lower capacity, as well as that of large units on the coast, which would benefit from the size effect. However the probable difference between the cost of desalinated water and the high selling price already applying in a small number of coastal regions is relatively small. It might therefore be worthwhile and relatively inexpensive to install an experimental desalination unit in the near future. (author) [French] A l'initiative du Commissariat a l'Energie Atomique et en etroite liaison avec lui, la Societe pour la Conversion et le Developpement Industriel (SODIC) a effectue une etude tres generale des zones cotieres francaises dans lesquelles les perspectives de la demande d'eau a court, moyen et long terme et le cout des approvisionnements necessaires, pourraient eventuellement faire apparaitre comme competitives des unites de dessalement de 3 a 10 000 m{sup 3}/jour. Jusqu'ici, cette enquete generale, d'ailleurs approfondie sur quelques points particuliers, n'a pas fait apparaitre de possibilites tres nettes a cet egard. Le cas des petites iles, et pour des unites de bien plus faible capacite, demeure reserve ainsi que, sur les zones cotieres, celui de grandes unites qui beneficieraient de l'effet de taille. Toutefois, l'ecart probable entre le cout de l'eau dessalee et le prix de vente eleve deja observe dans un petit nombre de zones cotieres

  14. Hanford Facility dangerous waste permit application, general information

    International Nuclear Information System (INIS)

    1993-05-01

    The current Hanford Facility Dangerous Waste Permit Application is considered to be a single application organized into a General Information Portion (this document, number DOE/RL-91-28) and a treatment, storage, and/or disposal Unit-Specific Portion, which includes documentation for individual TSD units (e.g., document numbers DOE/RL-89-03 and DOE/RL-90-01). Both portions consist of a Part A division and a Part B division. The Part B division consists of 15 chapters that address the content of the Part B checklists prepared by the Washington State Department of Ecology (Ecology 1987) and the US Environmental Protection Agency (40 Code of Federal Regulations 270), with additional information requirements mandated by the Hazardous and Solid Waste Amendments of 1984 and revisions of Washington Administrative Code 173-303. For ease of reference, the Washington State Department of Ecology checklist section numbers, in brackets, follow the chapter headings and subheadings. Documentation contained in the General Information Portion (i.e., this document, number DOE/RL-91-28) is broader in nature and applies to all treatment, storage, and/or disposal units for which final status is sought. Because of its broad nature, the Part A division of the General Information Portion references the Hanford Facility Dangerous Waste Part A Permit Application (document number DOE/RL-88-21), a compilation of all Part A documentation for the Hanford Facility

  15. On-call emergency workload of a general surgical team

    Directory of Open Access Journals (Sweden)

    Jawaid Masood

    2009-01-01

    Full Text Available Background: To examine the on-call emergency workload of a general surgical team at a tertiary care teaching hospital to guide planning and provision of better surgical services. Patients and Methods: During six months period from August to January 2007; all emergency calls attended by general surgical team of Surgical Unit II in Accident and Emergency department (A and E and in other units of Civil, Hospital Karachi, Pakistan were prospectively recorded. Data recorded includes timing of call, diagnosis, operation performed and outcome apart from demography. Results: Total 456 patients (326 males and 130 females were attended by on-call general surgery team during 30 emergency days. Most of the calls, 191 (41.9% were received from 8 am to 5 pm. 224 (49.1% calls were of abdominal pain, with acute appendicitis being the most common specific pathology in 41 (9.0% patients. Total 73 (16.0% calls were received for trauma. Total 131 (28.7% patients were admitted in the surgical unit for urgent operation or observation while 212 (46.5% patients were discharged from A and E. 92 (20.1% patients were referred to other units with medical referral accounts for 45 (9.8% patients. Total 104 (22.8% emergency surgeries were done and the most common procedure performed was appendicectomy in 34 (32.7% patients. Conclusion: Major workload of on-call surgical emergency team is dealing with the acute conditions of abdomen. However, significant proportion of patients are suffering from other conditions including trauma that require a holistic approach to care and a wide range of skills and experience. These results have important implications in future healthcare planning and for the better training of general surgical residents.

  16. The evaluation of effective criteria on site selection for energy production units from cellulosic biomass in Iran

    Directory of Open Access Journals (Sweden)

    Majid Azizi

    2017-12-01

    Full Text Available Both Analytical Hierarchy Process (AHP and benefits, opportunities, costs and risks (BOCR techniques were used successfully to evaluate the effective criteria on site selection for energy production unit development from cellulosic biomass in Iran. The results showed that the benefits criteria was at the first level while the initial cellulosic raw materials and opportunities with the aim of the local economy had the second position as the most important indices on site selection. In addition, third criterion has been introduced for the costs criteria (transportation cost and social barriers by the experts. However, risks criteria which referred to instability of providing cellulosic raw materials is one of the less important effective indices on site selection to make energy production unit. The results illustrated that the economy and politics as two environmental effective factors affected on the site selection process generally.

  17. Across the divide: "Primary care departments working together to redesign care to achieve the Triple Aim".

    Science.gov (United States)

    Koslov, Steven; Trowbridge, Elizabeth; Kamnetz, Sandra; Kraft, Sally; Grossman, Jeffrey; Pandhi, Nancy

    2016-09-01

    Primary care is considered the foundation of an effective health care system. However, primary care departments at academic health centers have numerous challenges to overcome when trying to achieve the Triple Aim. As part of an organizational initiative to redesign primary care at a large academic health center, departments of internal medicine, general pediatrics and adolescent medicine, and family medicine worked together to comprehensively redesign primary care. This article describes the process of aligning these three primary care departments: defining panel size, developing a common primary care job description, redesigning the primary care compensation plan, redesigning the care model, and developing standardized staffing. Prior to the initiative, the rate of patient satisfaction was 85%, anticoagulation measurement 65%, pneumococcal vaccination 85%, breast cancer screening 79%, and colorectal cancer screening 69%. These rates all improved to 87%, 75%, 88%, 80%, and 80% respectively. Themes around key challenges to departmental integration are identified: (1) implementing effective communication strategies; (2) addressing specialty differences in primary care delivery; (3) working within resource limitations; and (4) developing long-term sustainability. Primary care in this large academic health center was transformed through developing a united primary care leadership team that bridged individual departments to create and adopt a common vision and solutions to shared problems. Our collaboration has achieved improvements across patient satisfaction, clinical safety metrics, and publicly-reported preventive care outcomes. The description of this experience may be useful for other academic health centers or other non-integrated delivery systems undertaking primary care practice transformation. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Generalized Gaussian Error Calculus

    CERN Document Server

    Grabe, Michael

    2010-01-01

    For the first time in 200 years Generalized Gaussian Error Calculus addresses a rigorous, complete and self-consistent revision of the Gaussian error calculus. Since experimentalists realized that measurements in general are burdened by unknown systematic errors, the classical, widespread used evaluation procedures scrutinizing the consequences of random errors alone turned out to be obsolete. As a matter of course, the error calculus to-be, treating random and unknown systematic errors side by side, should ensure the consistency and traceability of physical units, physical constants and physical quantities at large. The generalized Gaussian error calculus considers unknown systematic errors to spawn biased estimators. Beyond, random errors are asked to conform to the idea of what the author calls well-defined measuring conditions. The approach features the properties of a building kit: any overall uncertainty turns out to be the sum of a contribution due to random errors, to be taken from a confidence inter...

  19. Strategic bidding of generating units in competitive electricity market with considering their reliability

    International Nuclear Information System (INIS)

    Soleymani, S.; Ranjbar, A.M.; Shirani, A.R.

    2008-01-01

    In the restructured power systems, they are typically scheduled based on the offers and bids to buy and sell energy and ancillary services (AS) subject to operational and security constraints. Generally, no account is taken of unit reliability when scheduling it. Therefore generating units have no incentive to improve their reliability. This paper proposes a new method to obtain the equilibrium points for reliability and price bidding strategy of units when the unit reliability is considered in the scheduling problem. The proposed methodology employs the supply function equilibrium (SFE) for modeling a unit's bidding strategy. Units change their bidding strategies and improve their reliability until Nash equilibrium points are obtained. GAMS (general algebraic modeling system) language has been used to solve the market scheduling problem using DICOPT optimization software with mixed integer non-linear programming. (author)

  20. 19 CFR 10.46 - Articles for the United States.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Articles for the United States. 10.46 Section 10... THE TREASURY ARTICLES CONDITIONALLY FREE, SUBJECT TO A REDUCED RATE, ETC. General Provisions Articles for Institutions § 10.46 Articles for the United States. Pursuant to subheadings 9808.00.10 and 9808...

  1. Emergy sustainability index of a milk producing unit

    Directory of Open Access Journals (Sweden)

    Edmar Eduardo Bassan Mendes

    2013-12-01

    Full Text Available Although small, the impacts caused by agriculture and livestock productive activities change the environment, which in turn reflects the stress conditions it is under. Some authors these environmental changes occur for countless reasons, many so-called natural while others are due to anthropogenic interventions. This study aims to assess milk production sustainability using the emergy analysis of indicators, considering the annual cycles of production to help decision making. A conceptual model of the milk production system using the Emergy flow chart was built at the Livestock and Agricultural Production Unit (UPA of the Alto da Arauna Farm, located in Guzolândia, SP. After data processing, the emergy calculation table was elaborated. Several emergy sustainability indices were calculated and analyzed (indicators Renewability of Emergy Used Total, Index of Environmental Load Ratio of Investment Ratio Emergia beyond the calculations Tranformidades among others including the Emergy Sustainability Index (ESI. The results showed that the UPA has a high impact per unit of energy source used to produce milk for the general public. The agricultural production systems with ESI value less than one (1 can be considered unsustainable in the long term. The studied UPA has good working conditions and soil conservation, but has a highly disproportionate use of economy inputs in relation to natural resources, which results in low ESI value. The analysis of this ratio indicated low system efficiency. Several management practices and interventions were proposed aiming at improving sustainability indicators of the production system.  Furthermore, strategies were formulated for more sustainable management of this UPA, thus reducing the impacts of the production system in use. The adoption of methods similar to organic production, agroecological systems, integration between farming and livestock, and/or adoption of silvopastoral system are recommended to improve

  2. A hyperpower iterative method for computing the generalized Drazin ...

    Indian Academy of Sciences (India)

    Shwetabh Srivastava

    [6, 7]. A number of direct and iterative methods for com- putation of the Drazin inverse were developed in [8–12]. Its extension to Banach algebras is known as the generalized Drazin inverse and was established in [13]. Let J denote the complex. Banach algebra with the unit 1. The generalized Drazin inverse of an element ...

  3. Special Inspector General for Iraq Reconstruction. Quarterly Report to the United States Congress

    Science.gov (United States)

    2011-04-30

    powerful allies they have cultivated . Th e highest levels of the In late January, Deputy Prime Minister (DPM) for Energy Aff airs Hussein al...skills to combat criminal gangs and maintain the peace. General Jassam com- mented favorably on USF-I’s ability to learn from its mistakes and cultivate ...SPECIAL INSPECTOR GENERAL FOR IRAQ RECONSTRUCTION FOCUS ON ANBAR • potato, mushroom , and strawberry fi elds In addition to these programs, Inma

  4. Ultimate Educational Aims, Overridingness, and Personal Well-Being

    Science.gov (United States)

    Haji, Ishtiyaque; Cuypers, Stefaan E.

    2011-01-01

    Discussion regarding education's aims, especially its ultimate aims, is a key topic in the philosophy of education. These aims or values play a pivotal role in regulating and structuring moral and other types of normative education. We outline two plausible strategies to identify and justify education's ultimate aims. The first associates these…

  5. Reconstituted AIM2 inflammasome in cell-free system.

    Science.gov (United States)

    Kaneko, Naoe; Ito, Yuki; Iwasaki, Tomoyuki; Takeda, Hiroyuki; Sawasaki, Tatsuya; Migita, Kiyoshi; Agematsu, Kazunaga; Kawakami, Atsushi; Morikawa, Shinnosuke; Mokuda, Sho; Kurata, Mie; Masumoto, Junya

    2015-11-01

    Absent in melanoma 2 (AIM2) is an intracellular pattern-recognition receptor, which is a member of the PYHIN protein family, consisting of a PYD domain and an IFN-inducible nuclear localization (HIN) domain. AIM2 is reported to oligomerize with adaptor protein ASC upon sensing bacterial and viral cytosolic DNA in order to form the AIM2 inflammasome, which activates caspase-1 leading to IL-1β secretion. Dysregulation of AIM2 inflammasome is supposed to result in autoinflammatory and autoimmune diseases. Thus, the development of new targeted drugs against AIM2 inflammasome would be important for the treatment of these diseases. However, since AIM2 inflammasome is an intracellular receptor, enforced internalization of both ligands and candidate molecules is necessary for the screening of AIM2-inflammasome-targeted molecules. We developed a reconstituted AIM2 inflammasome in a cell-free system with amplified luminescent proximity homogeneous assay (Alpha). Strong Alpha signal was detected upon incubation with poly-deoxyadenylic-deoxythymidylic acid, poly(dA:dT), whereas no Alpha signal was detected upon incubation with muramyl dipeptide, one of the NLR ligands of Nod2 ligand. The interaction between AIM2 and ASC was disrupted by an anti-human ASC monoclonal antibody, CRID3, a class of diarylsulfonylurea-containing compounds, and glycyrrhizin, a substance found in liquorice root. Thus, the reconstituted AIM2 inflammasome in a cell-free system is useful for screening AIM2-inflammasome-targeted therapeutic molecules. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Evaluation and cultural adaptation of a German version of the AIMS2-SF questionnaire (German AIMS2-SF).

    NARCIS (Netherlands)

    Rosemann, T.J.; Korner, T.; Wensing, M.J.P.; Schneider, A.; Szecsenyi, J.

    2005-01-01

    OBJECTIVES: The aim of the study was to examine the validity of a translated and culturally adapted version of the Arthritis Impact Measurement Scales 2, Short Form (AIMS2-SF) in patients suffering from osteoarthritis (OA) in primary care. METHODS: A structured procedure was used for the translation

  7. Utilizing General Purpose Graphics Processing Units to Improve Performance of Computer Modelling and Visualization

    Science.gov (United States)

    Monk, J.; Zhu, Y.; Koons, P. O.; Segee, B. E.

    2009-12-01

    With the introduction of the G8X series of cards by nVidia an architecture called CUDA was released, virtually all subsequent video cards have had CUDA support. With this new architecture nVidia provided extensions for C/C++ that create an Application Programming Interface (API) allowing code to be executed on the GPU. Since then the concept of GPGPU (general purpose graphics processing unit) has been growing, this is the concept that the GPU is very good a algebra and running things in parallel so we should take use of that power for other applications. This is highly appealing in the area of geodynamic modeling, as multiple parallel solutions of the same differential equations at different points in space leads to a large speedup in simulation speed. Another benefit of CUDA is a programmatic method of transferring large amounts of data between the computer's main memory and the dedicated GPU memory located on the video card. In addition to being able to compute and render on the video card, the CUDA framework allows for a large speedup in the situation, such as with a tiled display wall, where the rendered pixels are to be displayed in a different location than where they are rendered. A CUDA extension for VirtualGL was developed allowing for faster read back at high resolutions. This paper examines several aspects of rendering OpenGL graphics on large displays using VirtualGL and VNC. It demonstrates how performance can be significantly improved in rendering on a tiled monitor wall. We present a CUDA enhanced version of VirtualGL as well as the advantages to having multiple VNC servers. It will discuss restrictions caused by read back and blitting rates and how they are affected by different sizes of virtual displays being rendered.

  8. Aim For a Healthy Weight

    Science.gov (United States)

    ... out of your control, you can make positive lifestyle changes to lose weight and to maintain a healthy weight. These include a healthy eating plan and being more physically active. Take the Challenge When it comes to aiming for a healthy ...

  9. Zumbro Hydroelectric Project: installation of third unit. Feasibility assessment report

    Energy Technology Data Exchange (ETDEWEB)

    Williamson, James V.

    1979-03-01

    The feasibility of adding a third generating unit at an existing hydro power plant near Rochester, Minn. was examined considering the economic, technical, and environmental aspects. Installation of the unit, aiming at an Oct. 1983 completion date, is recommended. (LCL)

  10. 27 CFR 19.722 - Conversion between metric and U.S. units.

    Science.gov (United States)

    2010-04-01

    ... General § 19.722 Conversion between metric and U.S. units. When liters are converted to wine gallons, the...: (a) If the conversion from liters to U.S. units is made before multiplying by the number of cases, the quantity in U.S. units shall be rounded to the sixth decimal; or (b) If the conversion is made...

  11. Measurement standards and the general problem of reference points in chemical analysis

    International Nuclear Information System (INIS)

    Richter, W.; Dube, G.

    2002-01-01

    Besides the measurement standards available in general metrology in the form of the realisations of the units of measurement, measurement standards of chemical composition are needed for the vast field of chemical measurement (measurements of the chemical composition), because it is the main aim of such measurements to quantify non-isolated substances, often in complicated matrices, to which the 'classical' measurement standards and their lower- level derivatives are not directly applicable. At present, material artefacts as well as standard measurement devices serve as chemical measurement standards. These are measurement standards in the full metrological sense only, however, if they are firmly linked to the SI unit in which the composition represented by the standard is expressed. This requirement has the consequence that only a very restricted number of really reliable chemical measurement standards exist at present. Since it is very difficult and time consuming to increase this number substantially and, on the other hand, reliable reference points are increasingly needed for all kinds of chemical measurements, primary methods of measurement and high-level reference measurements will play an increasingly important role for the establishment of worldwide comparability and hence mutual acceptance of chemical measurement results. (author)

  12. Pre-School Education--Aims, Methods and Problems. Report of a Symposium (Venice, Italy, October 11-16, 1971).

    Science.gov (United States)

    Council of Europe, Strasbourg (France). Committee for General and Technical Education.

    This report provides a summary of the proceedings and recommendations of the Council of Europe symposium on preschool education held in Venice, Italy in 1971. The report is divided into three major areas: (1) historical background information; (2) summaries of general lectures, especially dealing with the functions, aims, methods, and problems of…

  13. Discrimination and the aim of proportional representation

    DEFF Research Database (Denmark)

    Lippert-Rasmussen, Kasper

    2008-01-01

    Many organizations, companies, and so on are committed to certain representational aims as regards the composition of their workforce. One motivation for such aims is the assumption that numerical underrepresentation of groups manifests discrimination against them. In this article, I articulate...... representational aims in a way that best captures this rationale. My main claim is that the achievement of such representational aims is reducible to the elimination of the effects of wrongful discrimination on individuals and that this very important concern is, in principle, compatible with the representation...... of discrimination against numerically overrepresented groups, or overlook the innocently different ambitions of some numerically underrepresented groups. In relation to the latter point, I appeal to the fact that many luck egalitarians think justice should be ambition sensitive (but endowment insensitive). Also...

  14. Unconventional wisdom [Entergy's economic management of five disparate nuclear units

    International Nuclear Information System (INIS)

    Wood, J.

    1996-01-01

    The conventional wisdom is that a competitive nuclear power programme requires standard plants, multi-unit sites and economies of scale. Entergy Operations, Inc (EOI) in the USA has five nuclear units of two reactor types, acquired from five vendors and located on four sites separated by hundreds of miles. EOI set two bench marks in its aim to deliver electricity at the market price from each of its nuclear units while meeting the costs of O and M, fuel, capital investment and overheads. The first was to become the best operator of each type of its differently designed units. The second was to combine the sense of ownership and expertise of single unit operators with the flexibility and efficiency of multi-unit sites. In order to achieve this, EOI aims to operate the five units as though they were on one site. Central to this plan is a set of peer groups, each of which deals with an aspect of plant operation, sharing good practice across all the units. Building on this, increasingly during outages, employees are brought in from other units rather than employing outside contractors. Although EOI employees are more expensive on an hourly basis they are two to three times more efficient than outside contractors. The peer group concept is also leading to rationalisation of expertise as groups become identified with particular specialisations which back-up teams working on other units. (U.K.)

  15. 32 CFR 644.400 - Authorities-general.

    Science.gov (United States)

    2010-07-01

    ... other structures, and leaseholds and other rights to use or occupy real estate. The DE will be governed...—general. (a) Statutory authorities. Power to dispose of real estate belonging to the United States is... Administration (GSA) to administer the provisions of that Act. All excess and surplus Federal real estate and...

  16. Disparities in perceived patient-provider communication quality in the United States: Trends and correlates.

    Science.gov (United States)

    Spooner, Kiara K; Salemi, Jason L; Salihu, Hamisu M; Zoorob, Roger J

    2016-05-01

    This study aimed to describe disparities and temporal trends in the level of perceived patient-provider communication quality (PPPCQ) in the United States, and to identify sociodemographic and health-related factors associated with elements of PPPCQ. A cross-sectional analysis was conducted using nationally-representative data from the 2011-2013 iterations of the Health Information National Trends Survey (HINTS). Descriptive statistics, multivariable linear and logistic regression analyses were conducted to examine associations. PPPCQ scores, the composite measure of patients' ratings of communication quality, were positive overall (82.8; 95% CI: 82.1-83.5). However, less than half (42-46%) of respondents perceived that providers always addressed their feelings, spent enough time with them, or helped with feelings of uncertainty about their health. Older adults and those with a regular provider consistently had higher PPPCQ scores, while those with poorer perceived general health were consistently less likely to have positive perceptions of their providers' communication behaviors. Disparities in PPPCQ can be attributed to patients' age, race/ethnicity, educational attainment, employment status, income, healthcare access and general health. These findings may inform educational and policy efforts which aim to improve patient-provider communication, enhance the quality of care, and reduce health disparities. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  17. Data mining for assessing the credit risk of local government units in Croatia

    Directory of Open Access Journals (Sweden)

    Silvija Vlah Jerić

    2017-01-01

    Full Text Available Over the past few decades, data mining techniques, especially artificial neural networks, have been used for modelling many real-world problems. This paper aims to test the performance of three methods: (1 an artificial neural network (ANN, (2 a hybrid artificial neural network and genetic algorithm approach (ANN-GA, and (2 the Tobit regression approach in determining the credit risk of local government units in Croatia. The evaluation of credit risk and prediction of debtor bankruptcy have long been regarded as an important topic in accounting and finance literature. In this research, credit risk is modelled under a regression approach unlike typical credit risk analysis, which is generally viewed as a classification problem. Namely, a standard evaluation of credit risk is not possible due to a lack of bankruptcy data. Thus, the credit risk of a local unit is approximated using the ratio of outstanding liabilities maturing in a given year to total expenditure of the local unit in the same period. The results indicate that the ANN-GA hybrid approach performs significantly better than the Tobit model by providing a significantly smaller average mean squared error. This work is beneficial to researchers and the government in evaluating a local government unit’s credit score.

  18. Aims, assessments and workplace needs

    Science.gov (United States)

    Black, Paul

    1997-03-01

    This paper attempts to consider the aims that undergraduate physics degree courses actually reflect and serve in the light of the employment patterns of graduates and of the expressed needs of employers. Calling on evidence mainly from the UK, it reviews analyses of what degree examinations actually test, and goes on to quote criticisms of their courses and radical proposals to change them adopted by the senior physics professors in the UK. The discussion is then broadened by discussion of evidence, about the employment of graduates and about the priorities that some industrialists now give in the qualities that they look for when recruiting new graduates. The evidence leads to a view that radical changes are needed, both in courses and examinations, and that there is a need for university departments to work more closely with employers in re-formulating the aims and priorities in their teaching.

  19. Substantiation of Structure of Adaptive Control Systems for Motor Units

    Science.gov (United States)

    Ovsyannikov, S. I.

    2018-05-01

    The article describes the development of new electronic control systems, in particular motor units, for small-sized agricultural equipment. Based on the analysis of traffic control systems, the main course of development of the conceptual designs of motor units has been defined. The systems aimed to control the course motion of the motor unit in automatic mode using the adaptive systems have been developed. The article presents structural models of the conceptual motor units based on electrically controlled systems by the operation of drive motors and adaptive systems that make the motor units completely automated.

  20. Firing patterns of spontaneously active motor units in spinal cord-injured subjects

    NARCIS (Netherlands)

    Zijdewind, Inge; Thomas, Christine K.

    Involuntary motor unit activity at low rates is common in hand muscles paralysed by spinal cord injury. Our aim was to describe these patterns of motor unit behaviour in relation to motoneurone and motor unit properties. Intramuscular electromyographic activity (EMG), surface EMG and force were

  1. Improving Catheter Associated Urinary Tract Infection Rates in the Medical Units

    Science.gov (United States)

    Taha, Haytham; Raji, Salama J.; Khallaf, Abeer; Abu Hija, Seham; Mathew, Raji; Rashed, Hanan; Du Plessis, Christelle; Allie, Zaytoen; Ellahham, Samer

    2017-01-01

    Sheikh Khalifa Medical City (SKMC) in Abu Dhabi is the main tertiary care referral hospital in the United Arab Emirates (UAE) with 560 bed capacity with a high occupancy rate. SKMC senior management has made a commitment to make quality and patient safety a top priority. Preventing health care associated infections, including Catheter Associated Urinary Tract Infection (CAUTI), is a high priority for our hospital. In order to improve CAUTI rates a multidisciplinary task force team was formed and led this performance improvement project. The purpose of this publication is to indicate the quality improvement interventions implemented to reduce CAUTI rates and the outcome of those interventions. We chose to conduct the pilot study in General Medicine as it is the busiest department in the hospital, with an average of 390 patients admitted per month during the study period. The study period was from March 2015 till April 2016. Our aim was to reduce CAUTI rates per 1000 device days in the medical units. Implemented interventions resulted in a reduction of CAUTI from 6.8 per 1000 device days in March 2015 to zero CAUTI in February through April 2016. PMID:28469893

  2. Prescribing behavior of general practitioners : Competition matters!

    NARCIS (Netherlands)

    Schaumans, C.B.C.

    Background General Practitioners (GP) have limited means to compete. As quality is hard to observe by patients, GPs have incentives to signal quality by using instruments patients perceive as quality. Objectives I investigate whether GPs prescribe more units when confronted with more competition. As

  3. 31 CFR Appendix C to Subpart C of... - United States Customs Service

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false United States Customs Service C... Customs Service 1. In general. This appendix applies to the United States Customs Service. It sets forth... records and accounting of disclosures. (a) For records which are maintained at the United States Customs...

  4. An Analysis of Unit Costs at a Consolidated Supply Depot

    Science.gov (United States)

    1990-12-01

    Not-For-Profit Setting,"The Accounting Review,July 1990. Horngren , C. T., Cost Accountinq:A Managerial Emphasis,3rd ed, Prentice-Hall Inc.,1972...sector has used concepts of unit costs for 4 decades. Any managerial or cost accounting text discusses in some length unit costs . For Defense contractors...the Cost Accounting Standards Board (CASB) provides guidance for contract costs . Unit costs include direct, indirect, and general and administrative

  5. Nearly Efficient Likelihood Ratio Tests for Seasonal Unit Roots

    DEFF Research Database (Denmark)

    Jansson, Michael; Nielsen, Morten Ørregaard

    In an important generalization of zero frequency autore- gressive unit root tests, Hylleberg, Engle, Granger, and Yoo (1990) developed regression-based tests for unit roots at the seasonal frequencies in quarterly time series. We develop likelihood ratio tests for seasonal unit roots and show...... that these tests are "nearly efficient" in the sense of Elliott, Rothenberg, and Stock (1996), i.e. that their local asymptotic power functions are indistinguishable from the Gaussian power envelope. Currently available nearly efficient testing procedures for seasonal unit roots are regression-based and require...... the choice of a GLS detrending parameter, which our likelihood ratio tests do not....

  6. Generally representative is generally representative: comment on Shuttleworth-Edwards.

    Science.gov (United States)

    Taylor, Nicola

    2016-10-01

    The aim of this paper is to provide comment on Shuttleworth-Edwards' criticism of the general population norms created for the South African adaptation of the WAIS-IV. In her criticism, she states that the norms are not applicable for any groups in South Africa, based on the fact that the norms were not stratified according to quality of education. A discussion of some of the key issues that impact on the creation of general population norms in the South African context is provided. Demographic characteristics such as education level, quality of education, urban and rural demarcations, and home language are all considered. While the utility of within-group norms is not denied, the adoption of these without reference to the general population is not advised. To recommend that practitioners simply dispense with the general population norm without evidence that it creates misclassification or does not function effectively for the intended population lacks scientific merit at the current time. The need for clinical studies and further predictive validity research using the South African adaptation of the WAIS-IV is crucial to demonstrate the continued utility of the test in the South African context. Additional reference groups will improve the amount of comparative information available for clinicians to be able to make better informed decisions for diagnosis, but the general population norms will be an important starting point in this process.

  7. Channel unit use by Smallmouth Bass: Do land-use constraints or quantity of habitat matter?

    Science.gov (United States)

    Brewer, Shannon K.

    2013-01-01

    I examined how land use influenced the distribution of Smallmouth Bass Micropterus dolomieu in channel units (discrete morphological features—e.g., pools) of streams in the Midwestern USA. Stream segments (n = 36), from four clusters of different soil and runoff conditions, were identified that had the highest percent of forest (n = 12), pasture (n = 12), and urban land use (n = 12) within each cluster. Channel units within each stream were delineated and independently sampled once using multiple gears in summer 2006. Data were analyzed using a generalized linear mixed model procedure with a binomial distribution and odds ratio statistics. Land use and channel unit were strong predictors of age-0, age-1, and age->1 Smallmouth Bass presence. Each age-class was more likely to be present in streams within watersheds dominated by forest land use than in those with pasture or urban land uses. The interaction between land use and channel unit was not significant in any of the models, indicating channel unit use by Smallmouth Bass did not depend on watershed land use. Each of the three age-classes was more likely to use pools than other channel units. However, streams with high densities of Smallmouth Bass age >1 had lower proportions of pools suggesting a variety of channel units is important even though habitat needs exist at the channel-unit scale. Management may benefit from future research addressing the significance of channel-unit quality as a possible mechanism for how land use impacts Smallmouth Bass populations. Further, management efforts aimed at improving stream habitat would likely be more beneficial if focused at the stream segment or landscape scale, where a variety of quality habitats might be supported.

  8. Sleep in the Intensive Care Unit measured by polysomnography

    DEFF Research Database (Denmark)

    Andersen, J H; Boesen, Hans Christian Toft; Olsen, Karsten Skovgaard

    2013-01-01

    Sleep deprivation has deleterious effects on most organ systems. Patients in the Intensive care unit (ICU) report sleep deprivation as the second worst experience during their stay only superseded by pain. The aim of the review is to provide the clinician with knowledge of the optimal sleep-frien......-friendly care and environment.......Sleep deprivation has deleterious effects on most organ systems. Patients in the Intensive care unit (ICU) report sleep deprivation as the second worst experience during their stay only superseded by pain. The aim of the review is to provide the clinician with knowledge of the optimal sleep...

  9. The epidemiological profile of pediatric patients admitted to the general intensive care unit in an Ethiopian university hospital

    Directory of Open Access Journals (Sweden)

    Abebe T

    2015-01-01

    Full Text Available Teshome Abebe, Mullu Girmay, Girma G/Michael, Million Tesfaye Department of Anesthesia, Jimma University, Jimma, Ethiopia Background: In least developing countries, there are few data on children's critical care. This makes the provision of aid and improvement of outcome difficult. Objectives: To describe admission and outcome patterns of children managed in a general intensive care unit at Jimma University Specialized Hospital (JUSH, Ethiopia, over a 5-year period. Methods: A retrospective cross-sectional study design was used. All children from birth to 14 years of age who were admitted to the general ICU of the hospital from 2009–2013 were included. Patient charts and ICU documentation log were reviewed. Results: A total of 170 children were admitted to the ICU of JUSH over the study period. The greater share was taken by males (54.7%, with a male-to-female ratio of 1.2:1. The overall mortality rate was 40%. The majority of the children were in the age range of 10–14 years (38.8%. Of the total number of patients admitted, 34.7% were trauma cases, 45.8% of whom died. The highest percentage, 69.5%, of trauma patients were admitted for head injuries. Among the trauma cases, burn and polytrauma were the second and third leading causes (15.3% of admission. Postoperative patients and medical patients accounted for the rest of the admitted cases (28.2% and 27.6% of the cases respectively. Conclusion: The leading cause of admission and death was trauma. Postoperative and medical causes of admission were also significant. The mortality rate in the ICU was very high, and this could be due to various factors. Further research benchmarking and interventions are highly recommended. Keywords: trauma, critical care, pediatric, ICU, ventilation, oxygenation

  10. [The use of scores in general medicine].

    Science.gov (United States)

    Huber, Ursula; Rösli, Andreas; Ballmer, Peter E; Rippin, Sarah Jane

    2013-10-01

    Scores are tools to combine complex information into a numerical value. In General Medicine, there are scores to assist in making diagnoses and prognoses, scores to assist therapeutic decision making and to evaluate therapeutic results and scores to help physicians when informing and advising patients. We review six of the scoring systems that have the greatest utility for the General Physician in hospital-based care and in General Practice. The Nutritional Risk Screening (NRS 2002) tool is designed to identify hospital patients in danger of malnutrition. The aim is to improve the nutritional status of these patients. The CURB-65 score predicts 30-day mortality in patients with community acquired pneumonia. Patients with a low score can be considered for home treatment, patients with an elevated score require hospitalisation and those with a high score should be treated as having severe pneumonia; treatment in the intensive care unit should be considered. The IAS-AGLA score of the Working Group on Lipids and Atherosclerosis of the Swiss Society of Cardiology calculates the 10-year risk of a myocardial infarction for people living in Switzerland. The working group makes recommendations for preventative treatment according to the calculated risk status. The Body Mass Index, which is calculated by dividing the body weight in kilograms by the height in meters squared and then divided into weight categories, is used to classify people as underweight, of normal weight, overweight or obese. The prognostic value of this classification is discussed. The Mini-Mental State Examination allows the physician to assess important cognitive functions in a simple and standardised form. The Glasgow Coma Scale is used to classify the level of consciousness in patients with head injury. It can be used for triage and correlates with prognosis.

  11. Discrimination and the aim of proportional representation

    DEFF Research Database (Denmark)

    Lippert-Rasmussen, Kasper

    2008-01-01

    Many organizations, companies, and so on are committed to certain representational aims as regards the composition of their workforce. One motivation for such aims is the assumption that numerical underrepresentation of groups manifests discrimination against them. In this article, I articulate r...

  12. 78 FR 62313 - General Pulaski Memorial Day, 2013

    Science.gov (United States)

    2013-10-16

    ... the laws of the United States, do hereby proclaim October 11, 2013, as General Pulaski Memorial Day. I...- eighth. (Presidential Sig.) [FR Doc. 2013-24502 Filed 10-15-13; 8:45 am] Billing code 3295-F4 ...

  13. Workplace violence directed at nursing staff at a general hospital in southern Thailand.

    Science.gov (United States)

    Kamchuchat, Chalermrat; Chongsuvivatwong, Virasakdi; Oncheunjit, Suparnee; Yip, Teem Wing; Sangthong, Rassamee

    2008-01-01

    This study aimed to document the characteristics of workplace violence directed at nursing staff, an issue which has rarely been studied in a developing country. Two study methods, a survey and a key informant interview, were conducted at a general hospital in southern Thailand. A total of 545 out of 594 questionnaires sent were returned for statistical analysis (response rate=91.7%). The 12-month prevalence of violence experience was 38.9% for verbal abuse, 3.1% for physical abuse, and 0.7% for sexual harassment. Psychological consequences including poor relationships with colleagues and family members were the major concerns. Patients and their relatives were the main perpetrators in verbal and physical abuse while co-workers were the main perpetrators in cases of sexual harassment. Common factors to incidents of violence were psychological setting, illness of the perpetrators, miscommunication, and alcohol use. Logistic regression analysis showed younger age to be a personal risk factor. Working in the out-patient unit, trauma and emergency unit, operating room, or medical or surgical unit increased the odds of violence by 80%. Training related to violence prevention and control was found to be effective and decreased the risk of being a victim of violence by 40%. We recommend providing training to high risk groups as a means of controlling workplace violence directed at nursing staff.

  14. Learning Crisis Unit through Post-Crisis: Characteristics and Mechanisms

    Science.gov (United States)

    Chebbi, Hela; Pündrich, Aline Pereira

    2015-01-01

    Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper…

  15. Unified electronic unit for miniature radioactivity logging equipment

    International Nuclear Information System (INIS)

    Bragin, A.A.; Goldshtejn, L.M.; Fedorov, R.F.; Shikhman, A.S.

    1981-01-01

    Appropriateness and urgency of the unification of components of radioactivity logging equipment used for the investigation of wells at solid mineral deposits is substantiated. A two-channel electronic unit for miniature equipment for radioactivity logging is described and its basic specifications and performance are given. All functional assemblies of the unit are structurally made in the form of printed circuit boards placed in a pan-shaped chassis 28 mm in diameter. The unit's general design provides for the possibility to attach two probes with detection devices to the unit. The unit is used in the two-channel radioactivity logging instrument ''Kura-2'' and in the two-channel radiometer ''RUR-2''. The outer diameter of these instruments is 48 mm and they ensure the investigation of ore and coal wells with a combination radioactivity methods [ru

  16. A Preliminary Study on the Use of Mind Mapping as a Visual-Learning Strategy in General Education Science Classes for Arabic Speakers in the United Arab Emirates

    Science.gov (United States)

    Wilson, Kenesha; Copeland-Solas, Eddia; Guthrie-Dixon, Natalie

    2016-01-01

    Mind mapping was introduced as a culturally relevant pedagogy aimed at enhancing the teaching and learning experience in a general education, Environmental Science class for mostly Emirati English Language Learners (ELL). Anecdotal evidence suggests that the students are very artistic and visual and enjoy group-based activities. It was decided to…

  17. Analysis of impact of general-purpose graphics processor units in supersonic flow modeling

    Science.gov (United States)

    Emelyanov, V. N.; Karpenko, A. G.; Kozelkov, A. S.; Teterina, I. V.; Volkov, K. N.; Yalozo, A. V.

    2017-06-01

    Computational methods are widely used in prediction of complex flowfields associated with off-normal situations in aerospace engineering. Modern graphics processing units (GPU) provide architectures and new programming models that enable to harness their large processing power and to design computational fluid dynamics (CFD) simulations at both high performance and low cost. Possibilities of the use of GPUs for the simulation of external and internal flows on unstructured meshes are discussed. The finite volume method is applied to solve three-dimensional unsteady compressible Euler and Navier-Stokes equations on unstructured meshes with high resolution numerical schemes. CUDA technology is used for programming implementation of parallel computational algorithms. Solutions of some benchmark test cases on GPUs are reported, and the results computed are compared with experimental and computational data. Approaches to optimization of the CFD code related to the use of different types of memory are considered. Speedup of solution on GPUs with respect to the solution on central processor unit (CPU) is compared. Performance measurements show that numerical schemes developed achieve 20-50 speedup on GPU hardware compared to CPU reference implementation. The results obtained provide promising perspective for designing a GPU-based software framework for applications in CFD.

  18. 48 CFR 9903.202-1 - General requirements.

    Science.gov (United States)

    2010-10-01

    ... ACCOUNTING STANDARDS CONTRACT COVERAGE CAS Program Requirements 9903.202-1 General requirements. (a) A... subcontract is of the type or value exempted by 9903.201-1 or (ii) In the most recently completed cost... of Germany. (3) United Kingdom. (f) Educational institutions—disclosure requirements. (1) Educational...

  19. Constructing general partial differential equations using polynomial and neural networks.

    Science.gov (United States)

    Zjavka, Ladislav; Pedrycz, Witold

    2016-01-01

    Sum fraction terms can approximate multi-variable functions on the basis of discrete observations, replacing a partial differential equation definition with polynomial elementary data relation descriptions. Artificial neural networks commonly transform the weighted sum of inputs to describe overall similarity relationships of trained and new testing input patterns. Differential polynomial neural networks form a new class of neural networks, which construct and solve an unknown general partial differential equation of a function of interest with selected substitution relative terms using non-linear multi-variable composite polynomials. The layers of the network generate simple and composite relative substitution terms whose convergent series combinations can describe partial dependent derivative changes of the input variables. This regression is based on trained generalized partial derivative data relations, decomposed into a multi-layer polynomial network structure. The sigmoidal function, commonly used as a nonlinear activation of artificial neurons, may transform some polynomial items together with the parameters with the aim to improve the polynomial derivative term series ability to approximate complicated periodic functions, as simple low order polynomials are not able to fully make up for the complete cycles. The similarity analysis facilitates substitutions for differential equations or can form dimensional units from data samples to describe real-world problems. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Calibration is action specific but perturbation of perceptual units is not.

    Science.gov (United States)

    Pan, Jing S; Coats, Rachel O; Bingham, Geoffrey P

    2014-02-01

    G. P. Bingham and C. C. Pagano (1998, The necessity of a perception/action approach to definite distance perception: Monocular distance perception to guide reaching. Journal of Experimental Psychology: Human Perception and Performance, 24, 145-168) argued that metric space perception should be investigated using relevant action measures because calibration is an intrinsic component of perception/action that yields accurate targeted actions. They described calibration as a mapping from embodied units of perception to embodied units of action. This mapping theory yields a number of predictions. We tested two of them. The first prediction is that calibration should be action specific because what is calibrated is a mapping from perceptual units to a unit of action. Thus, calibration does not generalize to other actions. This prediction is consistent with the "action-specific approach" to calibration (D. R. Proffitt, 2008, An action specific approach to spatial perception. In R. L. Klatzky, B. MacWhinney, & M. Behrmann (Eds.), Embodiment, ego-space and action (pp. 179-202). New York, NY: Psychology Press.). The second prediction is that a change in perceptual units should generalize to all relevant actions that are guided using that perceptual information. The same perceptual units can be mapped to different actions. Change in the unit affects all relevant actions. This prediction is consistent with the "general purpose perception approach" (J. M. Loomis & J. W. Philbeck, 2008, Measuring spatial perception with spatial updating and action. In R. L. Klatzky, B. MacWhinney, & M. Behrmann (Eds.), Embodiment, ego-space and action (pp. 1-43). New York, NY: Psychology Press). In Experiment 1, two targeted actions, throwing and extended reaching were tested to determine if they were comparable in precision and in response to distorted calibration. They were. Comparing these actions, the first prediction was tested in Experiment 2 and confirmed. The second prediction was

  1. Algebraic K-theory of generalized schemes

    DEFF Research Database (Denmark)

    Anevski, Stella Victoria Desiree

    and geometry over the field with one element. It also permits the construction of important Arakelov theoretical objects, such as the completion \\Spec Z of Spec Z. In this thesis, we prove a projective bundle theorem for the eld with one element and compute the Chow rings of the generalized schemes Sp\\ec ZN......Nikolai Durov has developed a generalization of conventional scheme theory in which commutative algebraic monads replace commutative unital rings as the basic algebraic objects. The resulting geometry is expressive enough to encompass conventional scheme theory, tropical algebraic geometry......, appearing in the construction of \\Spec Z....

  2. Generalized rough sets

    International Nuclear Information System (INIS)

    Rady, E.A.; Kozae, A.M.; Abd El-Monsef, M.M.E.

    2004-01-01

    The process of analyzing data under uncertainty is a main goal for many real life problems. Statistical analysis for such data is an interested area for research. The aim of this paper is to introduce a new method concerning the generalization and modification of the rough set theory introduced early by Pawlak [Int. J. Comput. Inform. Sci. 11 (1982) 314

  3. The Tangible Economic benefits of the 20th Session of the United Nations World Tourism Organisation General Assembly to Victoria Falls, Zimbabwe

    Directory of Open Access Journals (Sweden)

    Cleopas Njerekai

    2014-01-01

    Full Text Available This paper is a documentation of the tangible economic benefits that accrued to the town of Victoria Falls, Zimbabwe, by co-hosting with Zambia, the 20th session of the United Nations World Tourism Organisation (UNWTO General Assembly (GA in 2013. The paper intends to offset speculations, half-truths and exaggerations on the tangible economic benefits of the event to the town and to contribute significantly to the scanty existing literature on the impact of these events to developing countries. A single case study research design focusing on the town was adopted for this study. The study participants to the research included tourism and hospitality organizations, the Victoria Falls municipality authorities, service providers and Victoria Falls town residents. Researcher administered questionnaires, semi-structured interviews and observation check lists were used to collect the data. In general, although the GA brought some significant transformative effects to the town of Victoria Falls in terms of employment creation, infrastructural development, revenue generation and the country's image, future host cities and countries to this event should mobilize adequate funds for the event, time it appropriately, ensure a fair spread of the benefits to various sectors and put up structures that do not turn into white elephants soon after the event.

  4. A general multiscale framework for the emergent effective elastodynamics of metamaterials

    Science.gov (United States)

    Sridhar, A.; Kouznetsova, V. G.; Geers, M. G. D.

    2018-02-01

    This paper presents a general multiscale framework towards the computation of the emergent effective elastodynamics of heterogeneous materials, to be applied for the analysis of acoustic metamaterials and phononic crystals. The generality of the framework is exemplified by two key characteristics. First, the underlying formalism relies on the Floquet-Bloch theorem to derive a robust definition of scales and scale separation. Second, unlike most homogenization approaches that rely on a classical volume average, a generalized homogenization operator is defined with respect to a family of particular projection functions. This yields a generalized macro-scale continuum, instead of the classical Cauchy continuum. This enables (in a micromorphic sense) to homogenize the rich dispersive behavior resulting from both Bragg scattering and local resonance. For an arbitrary unit cell, the homogenization projection functions are constructed using the Floquet-Bloch eigenvectors obtained in the desired frequency regime at select high symmetry points, which effectively resolves the emergent phenomena dominating that regime. Furthermore, a generalized Hill-Mandel condition is proposed that ensures power consistency between the homogenized and full-scale model. A high-order spatio-temporal gradient expansion is used to localize the multiscale problem leading to a series of recursive unit cell problems giving the appropriate micro-mechanical corrections. The developed multiscale method is validated against standard numerical Bloch analysis of the dispersion spectra of example unit cells encompassing multiple high-order branches generated by local resonance and/or Bragg scattering.

  5. Modeling and simulation of a New Design of the SMCEC Desalination Unit Using Solar Energy

    International Nuclear Information System (INIS)

    Zhani, K.; Ben Bacha, H.

    2009-01-01

    The aim of this research is to parametrically study a new process working design with Humidification/Dehumidification (HD) technique using solar energy which is developed to ameliorate the production of the SMCEC unit (Solar Multiple Condensation Evaporation Cycle). The SMCEC unit is currently operating at Sfax's national engineering school in Tunisia. The improvement of the production consists in increasing the capacity of air to load water vapor with heating and subsequent humidification of air at the exit of the condensation tower instead of rejecting or recycling it. So, to attend our objective, we need to integrate into the SMCEC unit a flat plate solar air collector for heating air and a humidifier for its humidification. Then, the newly designed system is basically composed of a flat plate solar air collector, a flat plate solar water collector, a humidifier, an evaporation tower and a condensation tower. A general model based on heat and mass transfers in each component of the unit is developed in a steady state regime. The obtained set of ordinary differential equations is converted to a set of algebraic system of equations by the functional approximation method of orthogonal collocation. The developed model is used to investigate both the effect of different operating modes on the water condensation rate and the steady state behavior of each component of the unit and the entire system exposed to a variation of the entrance parameters and meteorological conditions.

  6. 46 CFR 153.12 - IMO Certificates for United States Ships.

    Science.gov (United States)

    2010-10-01

    ... 8, or the Officer in Charge, Marine Inspection, issues a United States ship an IMO Certificate... 46 Shipping 5 2010-10-01 2010-10-01 false IMO Certificates for United States Ships. 153.12 Section... CARGOES SHIPS CARRYING BULK LIQUID, LIQUEFIED GAS, OR COMPRESSED GAS HAZARDOUS MATERIALS General § 153.12...

  7. 28 CFR 505.4 - Calculation of assessment by unit staff.

    Science.gov (United States)

    2010-07-01

    .... 505.4 Section 505.4 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE GENERAL... to or less than the poverty level, as established by the United States Department of Health and Human... above the poverty level, Unit Team staff are to impose a fee equal to the inmate's assets above the...

  8. The actual role of general practice in the Dutch health-care system: results of the Second Dutch National Survey of General Practice.

    NARCIS (Netherlands)

    Schellevis, F.G.; Westert, G.P.; Bakker, D.H. de

    2005-01-01

    A second Dutch National Survey of General Practice was carried out in 2001 with the aim of providing actual information about the role of general practice in the Dutch health-care system for researchers and policy makers. Data were collected on different levels (patients, general practitioners,

  9. Special Inspector General for Afghanistan Reconstruction Quarterly Report to the United States Congress

    Science.gov (United States)

    2014-07-30

    Trainee A landfill containing furniture and other materials from the facilities at Camp Leatherneck, Helmand Province, that are not being returned to... rehabilitation of roads, road maintenance, contracting for road construction with private sector/road companies, monitoring and planning of railways...structures” in order to partner with the 135 GOVERNANCE REPORT TO THE UNITED STATES CONGRESS I JULY 30, 2014 Afghan Ministry of Rural Rehabilitation

  10. PEDAGOGICAL TECHNOLOGY AIMED AT STUDENTS’ ADAPTATION TO DISCIPLINE-BASED EDUCATION IN SECONDARY SCHOOLS

    Directory of Open Access Journals (Sweden)

    Ekaterina M. Cheprakova

    2015-01-01

    Full Text Available The aim of the study is to describe the educational technology aimed at students adaptation to discipline-based education in basic school; results discussion of the application practice to the educational process of the 5th grade.Methods. The methods involve learning experience, school documentation analysis, pedagogical experiment, study of students’ creativity and pedagogical experience on its organizational work. Systematic approach is used while structuring of the 5th grade students’ representations on the disciplines’ content of primary and basic general education on the methodological levelResults. The pedagogical technology of breaking the students’ educational disadaptation in the basic school is presented. The program of the course «All the subjects are good» is worked out. This program may allow students to adapt to the discipline content of the general education, to understand the essence of curriculum disciplines content and links between them, and the motivation development towards disciplinebased education evidence students’ adaptation. These objectives can be achieved through generation of skills based on the algorithmic of the concepts’ definitions mastering. The pilot implementation of the proposed technology in secondary school № 65 and in the Center «Giftedness and technology» of Yekaterinburg is presented.Scientific novelty. The effective way of neutralization and elimination of students’ discipline-educational disadaptation based on purposeful development of their conceptual thinking is proposed.Practical significance. The technology developed by authors allows teachers to form and develop the universal educational actions representing itself as a result of school training in the requirements of the educational standard. Timely use of this technology at transition age of children from primary school to secondary one provides the further success of their education.

  11. Annual Report of the United Nations Joint Staff Pension Board. The Report Made In 1974

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1974-11-06

    Pursuant to the requirement in Article 14(a) of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1974 as Supplement No. 9 to the Official Records of the General Assembly: Twenty-Ninth Session (A/9609). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them.

  12. Annual Report of the United Nations Joint Staff Pension Board. The Report made in 1975

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1975-11-27

    Pursuant to the requirement in Article 14(a) of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1975 as Supplement No. 9 to the Official Records of the General Assembly: Thirtieth Session (A/10009). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them.

  13. Annual Report of the United Nations Joint Staff Pension Board. The Report made in 1972

    International Nuclear Information System (INIS)

    1972-01-01

    Pursuant to the requirement in Article 14 of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1972 as Supplement No. 9 to the Official Records of the General Assembly: Twenty-Seventh Session (A/8709). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them

  14. Annual Report of the United Nations Joint Staff Pension Board. The Report Made In 1974

    International Nuclear Information System (INIS)

    1974-01-01

    Pursuant to the requirement in Article 14(a) of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1974 as Supplement No. 9 to the Official Records of the General Assembly: Twenty-Ninth Session (A/9609). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them

  15. Annual Report of the United Nations Joint Staff Pension Board. The Report made in 1975

    International Nuclear Information System (INIS)

    1975-01-01

    Pursuant to the requirement in Article 14(a) of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1975 as Supplement No. 9 to the Official Records of the General Assembly: Thirtieth Session (A/10009). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them

  16. Annual Report of the United Nations Joint Staff Pension Board. The Report made in 1972

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1972-11-28

    Pursuant to the requirement in Article 14 of the Regulations of the United Nations Joint Staff Pension Fund that the United Nations Joint Staff Pension Board present an annual report to the General Assembly of the United Nations and to the member organizations of the Fund, the United Nations has published the report presented by the Board in 1972 as Supplement No. 9 to the Official Records of the General Assembly: Twenty-Seventh Session (A/8709). The report has thus already been communicated to Governments. However, if any Member should require additional copies, the Secretariat is ready to obtain them.

  17. Unplanned intensive care unit admission after general anaesthesia in children: A single centre retrospective analysis.

    Science.gov (United States)

    Mitchell, John; Clément de Clety, Stephan; Collard, Edith; De Kock, Marc; Detaille, Thierry; Houtekie, Laurent; Jadin, Laurence; Bairy, Laurent; Veyckemans, Francis

    2016-06-01

    To determine the main causes for unplanned admission of children to the paediatric intensive care unit (PICU) following anaesthesia in our centre. To compare the results with previous publications and propose a data sheet for the prospective collection of such information. Inclusion criteria were any patient under 16 years who had an unplanned post-anaesthetic admission to the PICU from 1999 to 2010 in our university hospital. Age, ASA score, type of procedure, origin and causes of the incident(s) that prompted admission and time of the admission decision were recorded. Out of a total of 44,559 paediatric interventions performed under anaesthesia during the study period, 85 were followed with an unplanned admission to the PICU: 67% of patients were younger than 5 years old. Their ASA status distribution from I to IV was 13, 47, 39 and 1%, respectively. The cause of admission was anaesthetic, surgical or mixed in 50, 37 and 13% of cases, respectively. The main causes of anaesthesia-related admission were respiratory or airway management problems (44%) and cardiac catheterisation complications (29%). In 62%, the admission decision was taken in the operating room. Unplanned admission to the PICU after general anaesthesia is a rare event. In our series, most cases were less than 5 years old and were associated with at least one comorbidity. The main cause of admission was respiratory distress and the main type of procedure associated with admission was cardiac catheterisation. Copyright © 2016 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

  18. Specifying general activity clusters for ERP projects aimed at effort prediction

    NARCIS (Netherlands)

    Janssens, G.; Kusters, R.J.; Heemstra, F.J.; Gunasekaran, A.; Shea, T.

    2010-01-01

    ERP implementation projects affect large parts of an implementing organization and lead to changes in the way an organization performs its tasks. The costs needed for the effort to implement these systems are hard to estimate. Research indicates that the size of an ERP project can be a useful

  19. Inching toward incrementalism: federalism, devolution, and health policy in the United States and the United Kingdom.

    Science.gov (United States)

    Sparer, Michael S; France, George; Clinton, Chelsea

    2011-02-01

    In the United States, the recently enacted Patient Protection and Affordable Care Act of 2010 envisions a significant increase in federal oversight over the nation's health care system. At the same time, however, the legislation requires the states to play key roles in every aspect of the reform agenda (such as expanding Medicaid programs, creating insurance exchanges, and working with providers on delivery system reforms). The complicated intergovernmental partnerships that govern the nation's fragmented and decentralized system are likely to continue, albeit with greater federal oversight and control. But what about intergovernmental relations in the United Kingdom? What impact did the formal devolution of power in 1999 to Scotland, Wales, and Northern Ireland have on health policy in those nations, and in the United Kingdom more generally? Has devolution begun a political process in which health policy in the United Kingdom will, over time, become increasingly decentralized and fragmented, or will this "state of unions" retain its long-standing reputation as perhaps the most centralized of the European nations? In this article, we explore the federalist and intergovernmental implications of recent reforms in the United States and the United Kingdom, and we put forward the argument that political fragmentation (long-standing in the United States and just emerging in the United Kingdom) produces new intergovernmental partnerships that, in turn, produce incremental growth in overall government involvement in the health care arena. This is the impact of what can be called catalytic federalism.

  20. Take AIM and Keep Your Students Engaged

    Science.gov (United States)

    Nash, Catherine

    2014-01-01

    This paper outlines the benefits to distance education teachers of formatting a weekly online newsletter in accordance with motivational learning theory. It reflects on the delivery of weekly AIM newsletters to undergraduate economics students at the Open Polytechnic of New Zealand via Moodle. The acronym, AIM, stands for Academic content,…

  1. Optimal design of a general warm standby system

    International Nuclear Information System (INIS)

    Yun, Won Young; Cha, Ji Hwan

    2010-01-01

    Redundancy or standby is a technique that has been widely applied to improving system reliability and availability in the stage of system design. In this paper, we consider a standby system with two units in which the first unit (unit 1) starts its operation under active state and the other unit (unit 2) is under cold standby state at the starting point. After a specified time s (switching time), the state of unit 2 is changed to warm standby state and, as soon as the operating unit 1 fails, the state of unit 2 is changed to active state. If unit 1 fails before time s, the system fails. Units can fail at both active and warm standby states. A general method for modeling the standby system is adopted and system performance measures (system reliability and mean life) based on the proposed model are derived. Three models - a perfect switching model and two imperfect switching models - are considered in this paper. Two imperfect switching models include an imperfect switching probability and a preliminary warm-up period which is required for the change from cold standby state to warm standby state. We consider the problem of determining the optimal switching time which maximizes the expected system life and related allocation problem is also discussed. Some numerical examples are studied.

  2. 30 CFR 71.201 - Sampling; general requirements.

    Science.gov (United States)

    2010-07-01

    ... MINES Sampling Procedures § 71.201 Sampling; general requirements. (a) Each operator shall take... required by this part with a sampling device approved by the Secretary and the Secretary of Health and Human Services under part 74 (Coal Mine Dust Personal Sampler Units) of this title. (b) Sampling devices...

  3. Internationalization path to the United Arab Emirates

    OpenAIRE

    Räsänen, Paula

    2010-01-01

    The purpose of the thesis was to introduce internationalization of an SME including motives and risks of new market entry, as well as describing the steps of a target market selection and presenting different operational modes. Since the executive company, DesignShopOutlet, was interested in exploring their market possibilities in the United Arab Emirates, the aim of the thesis was also to conduct a market research report of the United Arab Emirates. The study applied a qualitative resea...

  4. Léopold Senghor e Aimé Césaire letti e interpretati da Giulio Stocchi - Leopold Senghor and Aimé Césaire read and interpreted by Giulio Stocchi

    Directory of Open Access Journals (Sweden)

    Giulio Stocchi

    2011-09-01

    Full Text Available This article makes an analysis of fantasy travelling. The poet moves fast between situations and emotions which arise within a continuous and intense familiarity with alterity. Stocchi tells us poetically about two young poets, Aimé Césaire (future sensitive politician and mayor of Fort-de France, capital city of Martinique who goes back to Martinique on a steamer and Léopold Senghor (future president of Senegal and member of the Academie Française who travels back to the fabulous Africa of his childhood on the wings of fantasy. Poetry and more generally art becomes thus the model that men have built for themselves in order to have access to their imagination: The travel of poetry takes place without passport and checkpoints, without borders and States, beyond countries and continents in an universe of changing and heart-rending emotions.

  5. Diffusion of laparoscopic cholecystectomy among general surgeons in the United States.

    Science.gov (United States)

    Escarce, J J; Bloom, B S; Hillman, A L; Shea, J A; Schwartz, J S

    1995-03-01

    Introduced in 1989, laparoscopic cholecystectomy has rapidly become the treatment of choice for symptomatic gallstones. This study describes the diffusion of laparoscopic cholecystectomy among general surgeons; assesses the importance of various reasons for surgeons adopting the procedure; and examine the influence of surgeon, practice, and health care market characteristics on the timing of adoption. The data were obtained from a survey of a national sample of surgeons. Most surgeons (81%) adopted laparoscopic cholecystectomy by early 1992. More than three fourths of adopters identified the desire to keep up with the state-of-the-art and improved patient outcomes as very or extremely important reasons for adoption. Results of proportional hazards regression analysis indicate that individual surgeons' adoption behavior generally was consistent with expected utility maximization in an uncertain new technological environment. Of particular interest, fee-for-service payment and more competitive practice settings and markets were associated with earlier adoption. These findings suggest that the "technological imperative" and surgeons' perception of the relative clinical and financial advantages of laparoscopic cholecystectomy were important reasons for the rapid diffusion of laparoscopic cholecystectomy. Policies that accelerate current trends toward payment of physicians based on salary or capitation and promote the growth of multispecialty group practice could slow the diffusion of new physician-based product innovations in health care.

  6. 14 CFR 47.7 - United States citizens and resident aliens.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false United States citizens and resident aliens... AIRCRAFT AIRCRAFT REGISTRATION General § 47.7 United States citizens and resident aliens. (a) U.S. citizens... the application. (b) Resident aliens. An applicant for aircraft registration under 49 U.S.C. 44102 who...

  7. On Univalence Criteria for a General Integral Operator

    Directory of Open Access Journals (Sweden)

    Vasile Marius Macarie

    2012-01-01

    Full Text Available We consider a new general integral operator, and we give sufficient conditions for the univalence of this integral operator in the open unit disk of the complex plane. Several consequences of the main results are also shown.

  8. Real Estate Across the United States (REXUS) (Lease)

    Data.gov (United States)

    General Services Administration — Real Estate Across the United States (REXUS) is the primary tool used by PBS to track and manage the government's real property assets and to store inventory data,...

  9. Microcontroller based interface unit for Indus-2 beam scraper

    International Nuclear Information System (INIS)

    Puntambekar, T.A.; Holikatti, A.C.; Banerji, Anil; Kotaiah, S.

    2005-01-01

    In this paper we present the design and development of a microcontroller based interface unit for Indus-2 beam scraper, which is a destructive type of diagnostic device. The design of the interface unit has been aimed at a complete remote operation of the beam scraper from the control room. Safety interlock issues have also been presented. (author)

  10. Hilar cholangiocarcinoma: controversies on the extent of surgical resection aiming at cure.

    Science.gov (United States)

    Xiang, Shuai; Lau, Wan Yee; Chen, Xiao-ping

    2015-02-01

    Hilar cholangiocarcinoma is the most common malignant tumor affecting the extrahepatic bile duct. Surgical treatment offers the only possibility of cure, and it requires removal of all tumoral tissues with adequate resection margins. The aims of this review are to summarize the findings and to discuss the controversies on the extent of surgical resection aiming at cure for hilar cholangiocarcinoma. The English medical literatures on hilar cholangiocarcinoma were studied to review on the relevance of adequate resection margins, routine caudate lobe resection, extent of liver resection, and combined vascular resection on perioperative and long-term survival outcomes of patients with resectable hilar cholangiocarcinoma. Complete resection of tumor represents the most important prognostic factor of long-term survival for hilar cholangiocarcinoma. The primary aim of surgery is to achieve R0 resection. When R1 resection is shown intraoperatively, further resection is recommended. Combined hepatic resection is now generally accepted as a standard procedure even for Bismuth type I/II tumors. Routine caudate lobe resection is also advocated for cure. The extent of hepatic resection remains controversial. Most surgeons recommend major hepatic resection. However, minor hepatic resection has also been advocated in most patients. The decision to carry out right- or left-sided hepatectomy is made according to the predominant site of the lesion. Portal vein resection should be considered when its involvement by tumor is suspected. The curative treatment of hilar cholangiocarcinoma remains challenging. Advances in hepatobiliary techniques have improved the perioperative and long-term survival outcomes of this tumor.

  11. Vulnerability of dynamic genetic conservation units of forest trees in Europe to climate change.

    Science.gov (United States)

    Schueler, Silvio; Falk, Wolfgang; Koskela, Jarkko; Lefèvre, François; Bozzano, Michele; Hubert, Jason; Kraigher, Hojka; Longauer, Roman; Olrik, Ditte C

    2014-05-01

    A transnational network of genetic conservation units for forest trees was recently documented in Europe aiming at the conservation of evolutionary processes and the adaptive potential of natural or man-made tree populations. In this study, we quantified the vulnerability of individual conservation units and the whole network to climate change using climate favourability models and the estimated velocity of climate change. Compared to the overall climate niche of the analysed target species populations at the warm and dry end of the species niche are underrepresented in the network. However, by 2100, target species in 33-65 % of conservation units, mostly located in southern Europe, will be at the limit or outside the species' current climatic niche as demonstrated by favourabilities below required model sensitivities of 95%. The highest average decrease in favourabilities throughout the network can be expected for coniferous trees although they are mainly occurring within units in mountainous landscapes for which we estimated lower velocities of change. Generally, the species-specific estimates of favourabilities showed only low correlations to the velocity of climate change in individual units, indicating that both vulnerability measures should be considered for climate risk analysis. The variation in favourabilities among target species within the same conservation units is expected to increase with climate change and will likely require a prioritization among co-occurring species. The present results suggest that there is a strong need to intensify monitoring efforts and to develop additional conservation measures for populations in the most vulnerable units. Also, our results call for continued transnational actions for genetic conservation of European forest trees, including the establishment of dynamic conservation populations outside the current species distribution ranges within European assisted migration schemes. © 2013 John Wiley & Sons Ltd.

  12. Data Sorting Using Graphics Processing Units

    Directory of Open Access Journals (Sweden)

    M. J. Mišić

    2012-06-01

    Full Text Available Graphics processing units (GPUs have been increasingly used for general-purpose computation in recent years. The GPU accelerated applications are found in both scientific and commercial domains. Sorting is considered as one of the very important operations in many applications, so its efficient implementation is essential for the overall application performance. This paper represents an effort to analyze and evaluate the implementations of the representative sorting algorithms on the graphics processing units. Three sorting algorithms (Quicksort, Merge sort, and Radix sort were evaluated on the Compute Unified Device Architecture (CUDA platform that is used to execute applications on NVIDIA graphics processing units. Algorithms were tested and evaluated using an automated test environment with input datasets of different characteristics. Finally, the results of this analysis are briefly discussed.

  13. Implementation of an Anesthesia Information Management System (AIMS).

    Science.gov (United States)

    Douglas, James R; Ritter, Melody J

    2011-01-01

    During the administration of anesthesia, the anesthesia provider has historically created a paper record, charted manually, that included extensive patient care-related data (vital signs, other parameters, etc) and commentaries. DocuSys, a proprietary anesthesia information management system (AIMS), creates an electronic version of the anesthesia record and provides additional information. It electronically captures data from clinical monitors and other sources, including scheduling applications and laboratory computers. The AIMS facilitates chart entries such as drug doses and case narratives. Benefits of an AIMS include improved legibility of the anesthesia record and greater efficiency in documentation efforts. Use of the AIMS assists the practitioner with decision support logic, such as the timing of antibiotic administration and the inclusion of legally required documentation. Upon case completion, the AIMS data are immediately available to other information systems, such as billing and medical records. Data can be made available from a single case or, more important, from thousands of cases to analyze variables such as efficiency of services, adherence to best practices, patient outcomes, and clinical research. The AIMS was deployed at the main campus of the Ochsner Health System on March 26, 2009. In this article, we discuss the issues involved in the AIMS implementation process: the successes, surprises, and continued challenges.

  14. Evaluation of the online-presence (homepage) of burn units/burn centers in Germany, Austria and Switzerland.

    Science.gov (United States)

    Selig, H F; Lumenta, D B; König, C; Andel, H; Kamolz, L P

    2012-05-01

    A successful online presence is an important key factor in the competition among hospitals today. However, little is known about the internet presence and the quality of websites of burn units on the World Wide Web. The aim was to assess the online presence of hospitals provided by specialized burn units in German speaking countries with a focus on the rate and the performance of actively run websites. A multicenter, observational, cross-sectional study was performed over a period of 1.5 month (October-December 2010). Forty-four burn units were assessed by using a previously generated criteria list. The list included 36 criteria with following topics: "research and teaching"; "patient care"; "clinical emphases", "general information"; "information brokerage". Overall, the websites examined offered a good overview about their different online services with many multimedia-based elements included. All websites consisted of hyperlinks, general multimedia-based elements and information on means of communication with the hospital, respectively. In contrast, the quality of specific information for burn patients was relatively poor. With regard to the need of elderly people, the usability and the layout, the different websites offer a lot of options for future improvements. Burn centers in Germany, Austria and Switzerland already consider the World Wide Web as an important tool for self-promotion and communication. The potential of burn center websites to function as a knowledge base for first aid as well as preventive measurements should be considered and realized in future web site designs. Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved.

  15. Comparison of Patient Costs in Internal Medicine and Anaesthesiology Intensive Care Units in a Tertiary University Hospital.

    Science.gov (United States)

    Kara, İskender; Yıldırım, Fatma; Başak, Dilek Yumuş; Küçük, Hamit; Türkoğlu, Melda; Aygencel, Gülbin; Katı, İsmail; Karabıyık, Lale

    2015-06-01

    The allocation of the Gross Domestic Product (GDP) to health is limited, therefore it has made a need for professional management of health business. Hospital managers as well as employees are required to have sufficient knowledge about the hospital costs. Hospital facilities like intensive care units that require specialization and advanced technology have an important part in costs. For this purpose, cost analysis studies should be done in the general health business and special units separately. In this study we aimed to compare the costs of anaesthesiology and internal medicine intensive care units (ICU) roughly. After approval of this study by Gazi University Faculty of Medicine Ethics Committee, the costs of 855 patients that were hospitalized, examined and treated for at least 24 hours in internal medicine and anaesthesiology ICUs between January 2012-August 2013 (20 months period) were taken and analyzed from chief staff of the Department of Information Technology, Gazi University Hospital. At the end of the study, we observed clear differences between internal medicine and anaesthesiology ICUs arising from transactions and patient characteristics of units. We stated that these differences should be considered by Social Security Institution (SSI) for the reimbursement of the services. Further, we revealed that SSI payments do not meet the intensive care expenditure.

  16. Conversion factors: SI metric and U.S. customary units

    Science.gov (United States)

    ,

    1977-01-01

    The policy of the U.S. Geological Survey is to foster use of the International System of Units (SI) which was defined by the 11th General Conference of Weights and Measures in 1960. This modernized metric system constitutes an international "language" by means of which communications throughout the world's scientific and economic communities may be improved. This publication is designed to familiarize the reader with the SI units of measurement that correspond to the common units frequently used in programs of the Geological Survey. In the near future, SI units will be used exclusively in most publications of the Survey; the conversion factors provided herein will help readers to obtain a "feel" for each unit and to "think metric."

  17. Principles for determining the economic competence of production units

    Energy Technology Data Exchange (ETDEWEB)

    Gubanova, O D; Makhlina, M I

    1980-01-01

    In the general plan for controlling the sector ''Geology and Exploration of the Depths'', a reduction is stipulated in the number of independent organizations and their inclusion as production units in the production geological associations. Distribution of rights and duties between the association and the production units is very important. Presentation to rights of the leaders to the lowest level to independently solve operational questions allows the leadership of the association to focus attention on solving major problems. The production units are given qualitative fulfillment of geological and production assignments, guarantee of improved efficiency of work, labor productivity and decrease in cost of the work; introduction of the latest achievements of science and technology; observation of the regime for conservation and efficient use of monetary resources, material and labor resources. There are natural interrelationships between specialization of production, centralization of the control functions and a change in the volume of authority of the production units. The legal status of the production unit is presented in two documents: statutes on the production geological association and statutes on the given production unit approved by the general director of the association. Principles are revealed for centralizing the rights needed to fulfill the functions following from national economic responsibility of the production geological association. This is long-term planning and forecasting, control of scientific-technical progress, scientific research, etc., control of the property, establishment of unified conditions for organization of labor and wages, construction, etc.

  18. Space shuttle general purpose computers (GPCs) (current and future versions)

    Science.gov (United States)

    1988-01-01

    Current and future versions of general purpose computers (GPCs) for space shuttle orbiters are represented in this frame. The two boxes on the left (AP101B) represent the current GPC configuration, with the input-output processor at far left and the central processing unit (CPU) at its side. The upgraded version combines both elements in a single unit (far right, AP101S).

  19. AIMES Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Jha, Shantenu [Rutgers Univ., New Brunswick, NJ (United States)

    2017-01-31

    Many important advances in science and engineering are due to large-scale distributed computing. Notwithstanding this reliance, we are still learning how to design and deploy large-scale production Distributed Computing Infrastructures (DCI). The AIMES project was conceived against this backdrop, following on the heels of a comprehensive survey of scienti c distributed applications [1]. The survey established, arguably for the rst time, the relationship between infrastructure and scienti c distributed applications. It examined well known contributors to the complexity associated with infrastructure, such as inconsistent internal and external interfaces, and demonstrated the correlation with application brittleness. It discussed how infrastructure complexity reinforces the challenges inherent in developing distributed applications.

  20. 30 CFR 70.201 - Sampling; general requirements.

    Science.gov (United States)

    2010-07-01

    ...; general requirements. (a) Each operator shall take respirable dust samples of the concentration of respirable dust in the active workings of the mine as required by this part with a sampling device approved... Personal Sampler Units) of this title. (b) Sampling devices shall be worn or carried directly to and from...

  1. Ultra-low-energy wide electron exposure unit

    International Nuclear Information System (INIS)

    Yonago, Akinobu; Oono, Yukihiko; Tokunaga, Kazutoshi; Kishimoto, Junichi; Wakamoto, Ikuo

    2001-01-01

    Heat and ultraviolet ray processes are used in surface dryness of paint, surface treatment of construction materials and surface sterilization of food containers. A process using a low-energy wide-area electron beam (EB) has been developed that features high speed and low drive cost. EB processing is not widespread in general industry, however, due to high equipment cost and difficult maintenance. We developed an ultra-low-energy wide-area electron beam exposure unit, the Mitsubishi Wide Electron Exposure Unit (MIWEL) to solve these problems. (author)

  2. Evidence for a General ADHD Factor from a Longitudinal General School Population Study

    Science.gov (United States)

    Normand, Sebastien; Flora, David B.; Toplak, Maggie E.; Tannock, Rosemary

    2012-01-01

    Recent factor analytic studies in Attention-Deficit/Hyperactivity Disorder (ADHD) have shown that hierarchical models provide a better fit of ADHD symptoms than correlated models. A hierarchical model includes a general ADHD factor and specific factors for inattention, and hyperactivity/impulsivity. The aim of this 12-month longitudinal study was…

  3. Fundamental Dimensions and Essential Elements of Exemplary Local Extension Units

    Science.gov (United States)

    Terry, Bryan D.; Osborne, Edward

    2015-01-01

    Collaborative efforts between federal, state, and local government agencies enable local Extension units to deliver a high level of educational opportunities to local citizens. These units represent land-grant institutions by delivering non-formal education that aim to address local, regional, and state concerns. The purpose of this study was to…

  4. 40 CFR 60.4120 - General Hg budget trading program permit requirements.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 6 2010-07-01 2010-07-01 false General Hg budget trading program... and Compliance Times for Coal-Fired Electric Steam Generating Units Permits § 60.4120 General Hg budget trading program permit requirements. (a) For each Hg Budget source required to have a title V...

  5. Hand held control unit for controlling a display screen-oriented computer game, and a display screen-oriented computer game having one or more such control units

    NARCIS (Netherlands)

    2001-01-01

    A hand-held control unit is used to control a display screen-oriented computer game. The unit comprises a housing with a front side, a set of control members lying generally flush with the front side for through actuating thereof controlling actions of in-game display items, and an output for

  6. [Aftercare for durability and profitability of single-unit and multi-unit fixed dental prostheses].

    Science.gov (United States)

    de Baat, C; van Loveren, C; van der Maarel-Wierink, C D; Witter, D J; Creugers, N H J

    2013-01-01

    An important aim ofa treatment with single-unit and multi-unit fixed dental prostheses is a durable and profitable treatment outcome. That requires aftercare, too. First, the frequency of routine oral examinations should be assessed, using an individual risk profile. The objectives of the routine oral examinations are the prevention and, when necessary, the treatment of pathological conditions and complications. With regard to prevention, attention should be paid to information and instruction, oral biofilm and calculus, non-functional activities, hard tooth tissues, periodontal and peri-implant tissues, and saliva. Subsequently, it can be determined whether the intended durability and profitability have been achieved or can still be achieved, whether or not through indicated adjustments. Special attention should be paid to endodontically treated teeth. Restorative, repair or replacement treatments may be indicated in case ofcomplications, such as loose single- or multi-unitfixed dental prosthesis, fracture of a fixed dental prosthesis unit, lost tooth pulp vitality, tooth root fracture, and implant or implant abutment problems.

  7. [Pressure sores unit--a one year study].

    Science.gov (United States)

    Jaul, E

    2001-10-01

    The phenomenon of pressure sores in the elderly patient often requires an alternative management policy to that of the standard treatment. In general, the therapeutic approach to pressure sores in the elderly should be different to that in younger patients. This modification is due to the accompanying comorbidity so often associated with aging. Due to accompanying illnesses, the aging population is at high risk and more predisposed to the development of pressure sores. The importance of the establishment of a unit for pressure sores arises from the specific geriatric team approach to the patient and the need to focus carefully on the pressure sores. The management of this special Pressure Sores Unit with a permanent capable staff requires skilled treatment, both localized and systemic, since pressure sores are very often a result of systemic failure or an indication of a terminal condition in the elderly patient. Over six months we followed-up on the number and location of the pressure sores in 47 patients in addition to other functional and nutritional parameters, in order to investigate any connection between the pressure sores and nutritional parameters. The results of the study indicate that the nutritional state of the patients admitted for pressure sores was very poor. Two thirds of the patients suffered from either dementia or stroke, and 90 percent were bedridden, incontinent and enterally fed. Despite the poor general condition of the patient, the study shows improvement in the pressure sores with a reduction from an average of 2.8 to 1.8 pressure sores per patient. The improvement in the pressure sore located on the legs was three times greater than those located in the pelvic area. By the end of the study, 50% of the patients had died, 33% of the original patients who were still in the unit showed improvement in the pressure sores and 15% were discharged showing complete recovery from the sores. No significant correlation was found between changes in the

  8. 2 October 2013 - Israel Ambassador to the United Nations Office and other International Organizations at Geneva E. Manor on the occasion of the inauguration of the "Israel at CERN" Industrial Exhibition with CERN Director-General R. Heuer.

    CERN Multimedia

    Anna Pantelia

    2013-01-01

    2 October 2013 - Israel Ambassador to the United Nations Office and other International Organizations at Geneva E. Manor on the occasion of the inauguration of the "Israel at CERN" Industrial Exhibition with CERN Director-General R. Heuer.

  9. The elderly and general anesthesia

    DEFF Research Database (Denmark)

    Steinmetz, J; Rasmussen, L S

    2010-01-01

    Due to the aging population, the number of elderly patients taking advantage of healthcare services is increasing. A general physical decline of all organ systems and a high frequency of chronic disease accompanying aging.Comorbidity and polypharmacy are therefore common in the elderly. Hence, th......, the administration of general anesthesia to the elderly can be a very challenging task. This paper aims to highlight some of the important issues presented to the elderly undergoing surgery and to suggest some strategies for management....

  10. Aims and harvest of moral case deliberation.

    Science.gov (United States)

    Weidema, Froukje C; Molewijk, Bert A C; Kamsteeg, Frans; Widdershoven, Guy A M

    2013-09-01

    Deliberative ways of dealing with ethical issues in health care are expanding. Moral case deliberation is an example, providing group-wise, structured reflection on dilemmas from practice. Although moral case deliberation is well described in literature, aims and results of moral case deliberation sessions are unknown. This research shows (a) why managers introduce moral case deliberation and (b) what moral case deliberation participants experience as moral case deliberation results. A responsive evaluation was conducted, explicating moral case deliberation experiences by analysing aims (N = 78) and harvest (N = 255). A naturalistic data collection included interviews with managers and evaluation questionnaires of moral case deliberation participants (nurses). From the analysis, moral case deliberation appeals for cooperation, team bonding, critical attitude towards routines and nurses' empowerment. Differences are that managers aim to foster identity of the nursing profession, whereas nurses emphasize learning processes and understanding perspectives. We conclude that moral case deliberation influences team cooperation that cannot be controlled with traditional management tools, but requires time and dialogue. Exchanging aims and harvest between manager and team could result in co-creating (moral) practice in which improvements for daily cooperation result from bringing together perspectives of managers and team members.

  11. Low cost balancing unit design

    Science.gov (United States)

    Golembiovsky, Matej; Dedek, Jan; Slanina, Zdenek

    2017-06-01

    This article deals with the design of a low-cost balancing system which consist of battery balancing units, accumulator pack units and coordinator unit with interface for higher level of battery management system. This solution allows decentralized mode of operation and the aim of this work is implementation of controlling and diagnostic mechanism into an electric scooter project realized at Technical university of Ostrava. In todays world which now fully enjoys the prime of electromobility, off-grid battery systems and other, it is important to seek the optimal balance between functionality and the economy side of BMS that being electronics which deals with secondary cells of batery packs. There were numerous sophisticated, but not too practical BMS models in the past, such as centralized system or standalone balance modules of individual cells. This article aims at development of standalone balance modules which are able to communicate with the coordinator, adjust their parameters and ensure their cells safety in case of a communication failure. With the current worldwide cutting cost trend in mind, the emphasis was put on the lowest price possible for individual component. The article is divided into two major categories, the first one being desing of power electronics with emphasis on quality, safety (cooling) and also cost. The second part describes development of a communication interface with reliability and cost in mind. The article contains numerous graphs from practical measurements. The outcome of the work and its possible future is defined in the conclusion.

  12. National legislative and regulatory activities: Armenia, Brazil, Canada, France, Georgia, Greece, India, Ireland, Japan, Lithuania, Switzerland, Ukraine, United Arab Emirates, United States

    International Nuclear Information System (INIS)

    Anon.

    2012-01-01

    Armenia: Nuclear safety and radiological protection (Initiation of process relating to the life extension of nuclear power plant unit 2). Brazil: General legislation (Authorisation for the construction of nuclear submarines). Canada: Environmental protection (Changes to the federal environmental assessment law). France: Radioactive waste management (Changes to the National Plan for Management of Radioactive Materials and Waste). Georgia: Nuclear safety and radiological protection (New law on nuclear and radiation safety). Greece: Nuclear safety (Presidential decree on nuclear safety transposing European Council directive into national legislation); Emergency preparedness and response (Establishment of national plan for nuclear, radiological, biological and chemical threats). India: Licensing and regulatory infrastructure (Pending invitation for the IAEA's Integrated Regulatory Review Services to conduct a peer review); Liability and compensation (Committee on Subordinate Legislation Report on the Civil Liability for Nuclear Damage Rules, 2011). Ireland: Nuclear safety and radiological protection (Adoption of revised regulations regarding radiological protection). Japan: Nuclear Regulation Authority Act (Structure, Functions, New Nuclear Emergency Preparedness System). Lithuania: General legislation (New laws affecting Visaginas nuclear power plant project implementation); Licensing and regulatory infrastructure (Revised rules for issuing licenses and permits); Nuclear security (Revised physical protection requirements, New rules for the preparation of security plans); Radioactive waste management (Revised Rules of Procedure of Submission of Data on Activities Involving Radioactive Waste Disposal to the European Commission). Switzerland: General legislation (Draft energy strategy open for public comment until January 2013). Ukraine: Radioactive waste management (New law on development of a central repository); General legislation (Law providing for the location

  13. The United States Air Force Aims to be Fueled by Innovation, but is it Developing Leaders Who Can Hit That Target?

    Science.gov (United States)

    2014-06-13

    Followership requires Airmen to align priorities and actions toward chain of command guidance and to exercise flexibility and adapt quickly to alternating role... actions (Schein 2010, 367). Conversely, leaders having a more optimistic view of human nature, one that believes that people are generally self-motivated... Actions taken by leaders to increase employee confidence in their abilities (self-efficacy) may in fact motivate creativity (Mumford, Robledo, and

  14. A common platform: guidelines for European Union preparation for the United Nations General Assembly Special Session to be held in New York in June 1997 to review Agenda 21 and related outcomes of the United Nations Conference on Environment and Development held in Rio de Janeiro in June 1992

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-11-12

    The UN General Assembly will hold a Special Session (`UNGASS`) in June 1997, at the highest possible level, to review the implementation of Agenda 21 and the related outcomes of the UN Conference on Environment and Development held in June 1992. This document sets out recommendations for EU aims on the nature of UNGASS and on UN coordination and for EU aims for the political declaration. Environmental priorities of the EU include: the importance of adopting a legal instrument to limit emissions of greenhouse gases, the need for greater attention to renewable energy conservation and self-sustaining energy conservation; the importance of forests; and the need for UNGASS to consider the future role of UNEP and institutional aspects of environment policy more generally.

  15. Norms on unitizations of Banach algebras revisited

    Czech Academy of Sciences Publication Activity Database

    Arhippainen, J.; Müller, Vladimír

    2007-01-01

    Roč. 114, č. 2 (2007), s. 201-204 ISSN 0236-5294 R&D Projects: GA ČR GA201/03/0041 Institutional research plan: CEZ:AV0Z10190503 Keywords : regular norm * unitization Subject RIV: BA - General Mathematics Impact factor: 0.366, year: 2007

  16. Nuclear development in the United States

    International Nuclear Information System (INIS)

    Brewer, S.

    1983-01-01

    The history of the nuclear development in the United States has been one of international cooperation relations so far. The United States is to offer the technical information on atomic energy utilization to foreign countries in exchange for the guarantee that they never attempt to have or develop nuclear weapons. Actually, the United States has supplied the technologies on nuclear fuel cycle and other related fields to enable other countries to achieve economical and social progress. The Department of Energy clarified the public promise of the United States regarding the idea of international energy community. The ratio of nuclear power generation to total electric power supply in the United States exceeded 12%, and will exceed 20% by 1990. Since 1978, new nuclear power station has not been ordered, and some of the contracted power stations were canceled. The atomic energy industry in the United States prospered at the beginning of 1970s, but lost the spirit now, mainly due to the institutional problems rather than the technical ones. As the policy of the government to eliminate the obstacles, the improvement of the procedure for the permission and approval, the establishment of waste disposal capability, the verification of fast breeder reactor technology and the promotion of commercial fuel reprocessing were proposed. The re-establishment of the United States as the reliable supplier of atomic energy service is the final aim. (Kako, I.)

  17. The actual role of general practice in the Dutch health-care system: results of the Second Dutch National Survey of General Practice.

    OpenAIRE

    Schellevis, F.G.; Westert, G.P.; Bakker, D.H. de

    2005-01-01

    A second Dutch National Survey of General Practice was carried out in 2001 with the aim of providing actual information about the role of general practice in the Dutch health-care system for researchers and policy makers. Data were collected on different levels (patients, general practitioners, practices) and included morbidity (self-report and presented to general practitioners), diagnostic and therapeutic interventions, doctor-patient communication, and background characteristics. Compared ...

  18. Need for screening for alcohol and drugs in Emergency Trauma Units

    African Journals Online (AJOL)

    Objectives: To examine the prevalence of alcohol and drug use and abuse, to identify socio-demographic characteristics that correlated with injury and to identify risk factors for injury in a Nigerian Trauma unit. Design: Descriptive cross sectional study. Setting: The study was carried out a general hospital trauma unit in ...

  19. [A unit for the care of acute headache attacks. A new experience in our milieu].

    Science.gov (United States)

    Zukerman, E; Lima, J G; Hannuch, S N; Nothen, M R; Carvalho, D de S

    1989-01-01

    This paper presents the aims of the first unit for treatment of headache crisis in a Brazilian Medical School. The differences between this unit and a neurological emergency unit and the therapeutic schedules are discussed.

  20. Almost No Generalizations: Reflections on Catholic Studies

    Science.gov (United States)

    Heft, James L.

    2009-01-01

    There are good reasons to be very careful about generalizations about Catholic higher education in the United States. Recall that the 220 or so Catholic colleges and universities are of very different kinds, very different sizes, with different student bodies, and are located in different parts of a country that sometimes have quite different…

  1. 9 CFR 91.3 - General export requirements.

    Science.gov (United States)

    2010-01-01

    ... finds such tests are not necessary to prevent the exportation of diseased animals from the United States. (c) Testing. All samples for tests required by §§ 91.5 through 91.13 for exportation of animals under... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false General export requirements. 91.3...

  2. Generalization of a summation formula due to Fox

    Directory of Open Access Journals (Sweden)

    Medhat A. Rakha

    2013-10-01

    The aim of this research paper is to provide the generalization of Fox’s summation formula and to obtain 19 results of this type. The results are derived with the help of generalized Gauss’s second summation theorem recently obtained by Rakha, et al. and a general formula due to Fox. The results derived in this paper are simple, interesting, easily established and may be potentially useful.

  3. Note to the Director General from the Ministry of Foreign Affairs of The Russian Federation

    International Nuclear Information System (INIS)

    1992-01-01

    On 26 December 1991 the Director General received a Note from the Ministry of Foreign Affairs of The Russian Federation informing him that The Russian Federation continues the membership of the Union of Soviet Socialist Republics in the IAEA. The full text of this Note is reproduced in Attachment 1. On 24 December 1991 the Director General received a Note from the Secretary General of the United Nations transmitting a letter from the President of the Russian Federation concerning membership of The Russian Federation in the United Nations. The full text of this letter is reproduced in Attachment 2

  4. Postanesthetic Emergence Agitation in Pediatric Patients under General Anesthesia

    OpenAIRE

    Mohkamkar, Masoumeh; Farhoudi, Fatemeh; Alam-Sahebpour, Alireza; Mousavi, Seyed-Abdullah; Khani, Soghra; Shahmohammadi, Soheila

    2014-01-01

    Abstract Objective Postanesthetic emergence agitation is a common problem in pediatric postanesthetic care unit with an incidence ranging from 10 to 80%. This study was done to determine the prevalence of emergence agitation and associated risk factors in pediatric patients who underwent general anesthesia. Methods This cross-sectional descriptive and analytic study was performed on 747 pediatric patients aged 3- 7 years that underwent general anesthesia for various elective surgeries at Bou-...

  5. Identification of unmeasured variables in the set of model constraints of the data reconciliation in a power unit

    Science.gov (United States)

    Szega, Marcin; Nowak, Grzegorz Tadeusz

    2013-12-01

    In generalized method of data reconciliation as equations of conditions beside substance and energy balances can be used equations which don't have precisely the status of conservation lows. Empirical coefficients in these equations are traded as unknowns' values. To this kind of equations, in application of the generalized method of data reconciliation in supercritical power unit, can be classified: steam flow capacity of a turbine for a group of stages, adiabatic internal efficiency of group of stages, equations for pressure drop in pipelines and equations for heat transfer in regeneration heat exchangers. Mathematical model of a power unit was developed in the code Thermoflex. Using this model the off-design calculation has been made in several points of loads for the power unit. Using these calculations identification of unknown values and empirical coefficients for generalized method of data reconciliation used in power unit has been made. Additional equations of conditions will be used in the generalized method of data reconciliation which will be used in optimization of measurement placement in redundant measurement system in power unit for new control systems

  6. A new characterization of Bloch function in the unit ball of Cn

    International Nuclear Information System (INIS)

    Shi Jihuai.

    1989-07-01

    Bloch function in the unit disc v has many different but equivalent characterizations. Recently, a new characterization has been obtained by the study of Hankel operators. The purpose of this note is to generalize this characterization to the unit ball of C n . 7 refs

  7. 22 CFR 123.16 - Exemptions of general applicability.

    Science.gov (United States)

    2010-04-01

    ... United States, by accredited U.S. institutions of higher learning of articles fabricated only for... FOR THE EXPORT OF DEFENSE ARTICLES § 123.16 Exemptions of general applicability. (a) The following exemptions apply to exports of unclassified defense articles for which no approval is needed from the...

  8. 12 CFR 403.1 - General policies and definitions.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false General policies and definitions. 403.1 Section 403.1 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES CLASSIFICATION, DECLASSIFICATION, AND... the Export-Import Bank (the Bank) implements executive orders which govern the classification...

  9. AIM: An Integrated Approach to Organizational Improvement

    Directory of Open Access Journals (Sweden)

    Ronald A. Styron, Jr.

    2016-02-01

    Full Text Available This concept paper is based on the new problem-solving model of Blended Leadership called Alloy Improvement Model (AIM. This model consists of an integration of change theory, leadership theory, and democratic principles and practices to form a comprehensive problem-solving strategy for organizational leaders. The utilization of AIM will assist leaders in moving from problems to solutions while engaging stakeholders in a comprehensive, efficient, inclusive, informative, integrated and transparent process.

  10. Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients

    Directory of Open Access Journals (Sweden)

    Maria Sheila G. Rocha

    2013-10-01

    Full Text Available We ascertained whether a public health stroke unit reduces the length of hospitalization, the rate of inpatient fatality, and the mortality rate 30 days after the stroke. Methods We compared a cohort of stroke patients managed on a general neurology/medical ward with a similar cohort of stroke patients managed in a str oke unit. The in-patient fatality rates and 30-day mortality rates were analyzed. Results 729 patients were managed in the general ward and 344 were treated at a comprehensive stroke unit. The in-patient fatality rates were 14.7% for the general ward group and 6.9% for the stroke unit group (p<0.001. The overall mortality rate 30 days after stroke was 20.9% for general ward patients and 14.2% for stroke unit patients (p=0.005. Conclusions We observed reduced in-patient fatalities and 30-day mortality rates in patients managed in the stroke unit. There was no impact on the length of hospitalization.

  11. 75 FR 48737 - Generalized System of Preferences (GSP): Notice Regarding the Announcement of Petitions Accepted...

    Science.gov (United States)

    2010-08-11

    .../preference-programs/generalized-system-preference-gsp/current-review-1 . Submissions must be in English, with... OFFICE OF THE UNITED STATES TRADE REPRESENTATIVE Generalized System of Preferences (GSP): Notice...-development/preference-programs/generalized-system-preference-gsp/current-review-1 in ``List of Country...

  12. Progressive technologies, modernization of hydro power projects aimed at rationalization in a use of hydroenergetic potential and environment protection

    Energy Technology Data Exchange (ETDEWEB)

    Sabela, P

    1997-12-01

    A process of modernization of nodes of equipment of hydroelectric power plants (HPPs) and pumped storage plants (PSPs) has been extended lately to cover all pieces of equipment of HPP aimed at an increase in effectiveness of HPP as a unit. Turbine wheels of selected HPPs were replaced in the past , replacement of impellers of pumps of machines in PSP Cierny Vah started started at present and a complex modernization of our oldest HPP Ladce (1936) is planned aimed at an increase in absorption capacity of water turbines with an increase in their efficiency. The process of increasing the efficiency of the existing units without substantial construction changes in blocks of turbines gives also economic acceptability to the mentioned approaches from the point of view of both the gained installed capacity and electrical energy production compared to an option of building a modern HPP and it is also more acceptable from the point of view of environment protection than newly built HPPs. All of the technical changes, a process of increases of increasing the use of a hydroenergetic potential and also environment protection are being realized and will be realized only by high quality workers. Thus a program of transition to a more effective provision of activities with simultaneous increase in qualification and multipurpose use of labor force is a part of the equipment development program.

  13. Progressive technologies, modernization of hydro power projects aimed at rationalization in a use of hydroenergetic potential and environment protection

    International Nuclear Information System (INIS)

    Sabela, P. et al.

    1997-01-01

    A process of modernization of nodes of equipment of hydroelectric power plants (HPPs) and pumped storage plants (PSPs) has been extended lately to cover all pieces of equipment of HPP aimed at an increase in effectiveness of HPP as a unit. Turbine wheels of selected HPPs were replaced in the past , replacement of impellers of pumps of machines in PSP Cierny Vah started started at present and a complex modernization of our oldest HPP Ladce (1936) is planned aimed at an increase in absorption capacity of water turbines with an increase in their efficiency. The process of increasing the efficiency of the existing units without substantial construction changes in blocks of turbines gives also economic acceptability to the mentioned approaches from the point of view of both the gained installed capacity and electrical energy production compared to an option of building a modern HPP and it is also more acceptable from the point of view of environment protection than newly built HPPs. All of the technical changes, a process of increases of increasing the use of a hydroenergetic potential and also environment protection are being realized and will be realized only by high quality workers. Thus a program of transition to a more effective provision of activities with simultaneous increase in qualification and multipurpose use of labor force is a part of the equipment development program

  14. Is Postoperative Intensive Care Unit Care Necessary following Cranial Vault Remodeling for Sagittal Synostosis?

    Science.gov (United States)

    Wolfswinkel, Erik M; Howell, Lori K; Fahradyan, Artur; Azadgoli, Beina; McComb, J Gordon; Urata, Mark M

    2017-12-01

    Of U.S. craniofacial and neurosurgeons, 94 percent routinely admit patients to the intensive care unit following cranial vault remodeling for correction of sagittal synostosis. This study aims to examine the outcomes and cost of direct ward admission following primary cranial vault remodeling for sagittal synostosis. An institutional review board-approved retrospective review was undertaken of the records of all patients who underwent primary cranial vault remodeling for isolated sagittal craniosynostosis from 2009 to 2015 at a single pediatric hospital. Patient demographics, perioperative course, and outcomes were recorded. One hundred ten patients met inclusion criteria with absence of other major medical problems. Average age at operation was 6.7 months, with a mean follow-up of 19.8 months. Ninety-eight patients (89 percent) were admitted to a general ward for postoperative care, whereas the remaining 12 (11 percent) were admitted to the intensive care unit for preoperative or perioperative concerns. Among ward-admitted patients, there were four (3.6 percent) minor complications; however, there were no major adverse events, with none necessitating intensive care unit transfers from the ward and no mortalities. Average hospital stay was 3.7 days. The institution's financial difference in cost of intensive care unit stay versus ward bed was $5520 on average per bed per day. Omitting just one intensive care unit postoperative day stay for this patient cohort would reduce projected health care costs by a total of $540,960 for the study period. Despite the common practice of postoperative admission to the intensive care unit following cranial vault remodeling for sagittal craniosynostosis, the authors suggest that postoperative care be considered on an individual basis, with only a small percentage requiring a higher level of care. Therapeutic, III.

  15. 'Shrouded in a dark fog': comparison of the diagnosis of pellagra in Venice and general paralysis of the insane in the United Kingdom, 1840-1900.

    Science.gov (United States)

    Priani, Egidio

    2017-06-01

    The debate on the causes and the nature of pellagra in Italy during the nineteenth century resembles and evokes the similar debate on General Paralysis of the Insane (GPI) that was growing at the same time in the United Kingdom. Pellagra and GPI had a massive and virulent impact on the populations of Italy and the UK, respectively, and contributed to a great extent to the increase and overcrowding of the asylum populations in these countries. This article compares the two illnesses by examining the features of their nosographic positioning, aetiology and pathogenesis. It also documents how doctors arrived at the diagnoses of the two diseases and how this affected their treatment.

  16. Antibiotic Prescription in Danish General Practice

    DEFF Research Database (Denmark)

    Sydenham, Rikke Vognbjerg; Plejdrup Hansen, Malene; Pedersen, Line Bjørnskov

    2016-01-01

    1. Background & Aim The overall aim of the project is to describe antibiotic consumption in Danish general practice with emphasis on specific types of antibiotics. The project will shed light on the impact of microbiological diagnostic methods (MDM) on the choice of antibiotic and the project...... will explore how the GPs prescription behaviour is influenced by selected factors. Antibiotics are essential when treating potentially lethal infections. An increasing development of resistant bacteria is considered one of the primary threats to public health. The majority of antibiotics (90%) are prescribed...... from general practice. The prescription of broad-spectrum antibiotics can cause unnecessary side effects for the individual and increases the risk of development of bacteria resistant to antibiotic treatment. Both the prescription of broad-spectrum antibiotics and the level of resistant bacteria...

  17. Development of GT-MGR plant power conversion unit design

    International Nuclear Information System (INIS)

    Kostin, V.I.; Kodochigov, N.G.; Belov, S.E.; Vasyaev, A.V.; Golovko, V.F.; Shenoj, A.

    2007-01-01

    The General Atomic Company (USA) and the Pilot Design Bureau for Machine-Building (Russia) are involved in the efforts to design the GT-MGR modular helium cooled reactor and the energy conversion unit with the direct gas turbine cycle. The reactor capacity is equal to 600 MW, it is cooled by helium under 7 MPa pressure. The energy conversion unit consists of a gas turbine, a recuperator, preliminary and intermediate coolers, a generator. The turbine shaft rotation frequency is equal to 4400 rotation/minute. One analyzed the alternate designs of the energy conversion unit to choose its configuration [ru

  18. [Content analysis of food adverts aimed at children].

    Science.gov (United States)

    Ponce-Blandón, José Antonio; Pabón-Carrasco, Manuel; Lomas-Campos, María de Las Mercedes

    To determine the contents and persuasive techniques used in processed food adverts aimed at children in Andalusia, comparing them with those aimed at adults. Study based on advert content analysis with two phases: a descriptive design phase and an analytical observational design phase. A sample of adverts from 60hours of broadcasting from the two most watched television channels in Andalusia. A total of 416 food and non-alcoholic beverage adverts were obtained, for 91 different products. Approximately 42.9% (n=39) was aimed at children and 53.8% (n=49) were products classified as "unhealthy". Unhealthy foods were more common in adverts for children (p <0.001). Significant differences were found between the ads aimed at adults and those aimed at children. Emotional and irrational persuasive resources such as fantasy (p <0.001), cartoons (p <0.001) or offering gifts with the purchase of the product (p=0.003) were observed more frequently in adverts for children. Food advertising aimed at children in Andalusia is mainly based on offering products with a low nutritional value and using persuasive resources based on fantasy or gifts. The message is focused on the incentive and not the food. More effective measures than the current self-regulatory systems must be put in place to counter these distorted adverts. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  19. On the role of phraseological units in nowadays English periodicals

    Directory of Open Access Journals (Sweden)

    Osipova I. A.

    2016-09-01

    Full Text Available the current study is aimed at functional analysis of phraseological units in today’s English periodicals. An everlasting interest of contemporary researches to the above mentioned object of studies stems from the thesis that phraseological units are a potent linguistic means to convey emotional potential and vivid images of texts belonging to the publicistic genre.

  20. Is Fitts' law continuous in discrete aiming?

    Directory of Open Access Journals (Sweden)

    Rita Sleimen-Malkoun

    Full Text Available The lawful continuous linear relation between movement time and task difficulty (i.e., index of difficulty; ID in a goal-directed rapid aiming task (Fitts' law has been recently challenged in reciprocal performance. Specifically, a discontinuity was observed at critical ID and was attributed to a transition between two distinct dynamic regimes that occurs with increasing difficulty. In the present paper, we show that such a discontinuity is also present in discrete aiming when ID is manipulated via target width (experiment 1 but not via target distance (experiment 2. Fitts' law's discontinuity appears, therefore, to be a suitable indicator of the underlying functional adaptations of the neuro-muscular-skeletal system to task properties/requirements, independently of reciprocal or discrete nature of the task. These findings open new perspectives to the study of dynamic regimes involved in discrete aiming and sensori-motor mechanisms underlying the speed-accuracy trade-off.