WorldWideScience

Sample records for unit general aims

  1. Expert Systems Aimed at General Design of Projectiles

    Institute of Scientific and Technical Information of China (English)

    YUAN Zhi-hua; HOU Ni-na; HU Yu-hui

    2007-01-01

    Expert systems aimed at the general design of projectiles can implement a series of intelligent designs, such as the design of HE shell, the scheme expounded and proved, the emulation analysis and calculation, etc. Aiming at the product design feature, the expert system adopts the object-oriented knowledge representation and all kinds of inference control engines to describe and reason the relevant knowledge regarding the product through the microcomputer. It embodies the foundation of emulation analysis and simulated manufacturing of the shell. It makes use of the method that knowledge expression is combined with condition of inference to carry out the overall design and emulation and reference.The paper gives the ways through which the functions can be achieved, gives the modularization of reference and the design methods of systematization, puts forward the method of knowledge expression and working interface, and supplies a platform for similar products of the shell category that can be quickly designed.

  2. Aims and methods of IRD expert group reviews in general

    OpenAIRE

    Beauvais, Marie-Laure

    2013-01-01

    This work, the sixth to be published in the IRD’s “Expert Group Review” series, has the same general aims as the earlier ones and has been conducted by the same method, briefly summarised below. The IRD (Institut de recherche pour le développement, a State-funded research agency) conducts expert group reviews “to order”, to inform policy decisions and public debate on issues of importance to society. Putting its scientists’ research and knowledge at the disposal of the community is one of the...

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

    Energy Technology Data Exchange (ETDEWEB)

    Klir, George J

    2004-09-01

    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.

  4. COPD Multidisciplinary Team Meetings in the United Kingdom: Health Care Professionals' Perceptions of Aims and Structure.

    Science.gov (United States)

    Kruis, Annemarije L; Soljak, Michael; Chavannes, Niels H; Elkin, Sarah L

    2016-10-01

    Over the last 10 years, community and hospital-based multidisciplinary teams (MDTs) have been set up for the management of patients with chronic obstructive pulmonary disease (COPD) in the UK. Meetings of the MDTs have become a regular occurrence, mostly on healthcare professionals' own initiatives. There are no standardized methods to conduct an MDT meeting, and although cancer MDT meetings are widely implemented, the value and purpose of COPD MDT meetings are less clear. Therefore, the aim of this study was to conduct a cross-sectional descriptive online survey to explore COPD MDT members' perceptions of the purpose and usefulness of MDT meetings, and to identify suggestions or requirements to improve the meetings. In total, we received 68 responses from 10 MDTs; six teams (n = 36 members) were located in London and four (n = 32 members) outside. Analysis of the replies by two independent researchers found that MDT meetings aim to optimise management and improve pathways for respiratory patients by improving communication between providers across settings and disciplines. Education of the MDT members also occurs with the aim of safer practice. Discussed patients are characterised by (multiple) co-morbidities, frequent exacerbations and admissions, social and mental health problems, unclear diagnosis and suboptimal responses to interventions. Members reported participating in a COPD MDT as very useful (74%) or useful (20%). Meetings could be improved by ensuring attendance through requirement in job plans, by clear documentation and sharing of derived plans with a wider audience including general practitioners and patients.

  5. On possible a-priori "imprinting" of General Relativity itself on some tests aimed to test it

    CERN Document Server

    Iorio, Lorenzo

    2009-01-01

    We investigate the effect of possible a-priori "imprinting" effects of general relativity itself on satellite/spaceraft-based tests of it. We deal with some performed or proposed time-delay ranging experiments in the Sun's gravitational field, and with the attempts to measure the Lense-Thirring effect with the LAGEOS satellites orbiting the Earth. It turns out that the "imprint" of general relativity on the Astronomical Unit and the solar gravitational constant GM_\\odot, not solved for in the so far performed spacecraft-based time-delay tests, induces an a-priori bias of the order of 10^-6 in typical solar system ranging experiments aimed to measuring the space curvature PPN parameter \\gamma. It is too small by one order of magnitude to be of concern for the performed Cassini experiment, but it would affect future planned or proposed tests aiming to reach a 10^-7-10^-9 accuracy in determining \\gamma. General relativity, neither modelled nor solved for in the GRACE-based models of the Earth's geopotential, "im...

  6. 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

  7. 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.

  8. 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

  9. [Generalized anxiety disorders (GAD)--a neglected illness? Background und aims of the GAD-P study].

    Science.gov (United States)

    Wittchen, H U; Linden, M; Schwarzer, W; Riemann, D; Boerner, R J; Bandelow, B

    2001-01-01

    In the past Generalized anxiety disorder (GAD)--previously classified as anxiety neurosis--was regarded as not being a separate diagnostic entity. On the basis of new explicit criteria for GAD in the 90ies, GAD-specific pharmacological (i.e. SNRI) and psychological treatments with improved efficacy have become available. The Generalized Anxiety and Depression in Primary care study (GAD-P) investigates the prevalence of GAD in primary care settings and evaluates the patterns of care provided. Aims, methods and findings of the GAD-P study are described in this supplement.

  10. 12 CFR 561.53 - United States Treasury General Account.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false United States Treasury General Account. 561.53 Section 561.53 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY DEFINITIONS FOR REGULATIONS AFFECTING ALL SAVINGS ASSOCIATIONS § 561.53 United States Treasury General Account. The...

  11. 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....

  12. 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.

  13. Aims & Scope

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges

  14. The National United States Center Data Repository: Core essential interprofessional practice & education data enabling triple aim analytics

    Science.gov (United States)

    Pechacek, Judith; Shanedling, Janet; Lutfiyya, May Nawal; Brandt, Barbara F.; Cerra, Frank B.; Delaney, Connie White

    2015-01-01

    Abstract Understanding the impact that interprofessional education and collaborative practice (IPECP) might have on triple aim patient outcomes is of high interest to health care providers, educators, administrators, and policy makers. Before the work undertaken by the National Center for Interprofessional Practice and Education at the University of Minnesota, no standard mechanism to acquire and report outcome data related to interprofessional education and collaborative practice and its effect on triple aim outcomes existed. This article describes the development and adoption of the National Center Data Repository (NCDR) designed to capture data related to IPECP processes and outcomes to support analyses of the relationship of IPECP on the Triple Aim. The data collection methods, web-based survey design and implementation process are discussed. The implications of this informatics work to the field of IPECP and health care quality and safety include creating standardized capacity to describe interprofessional practice and measure outcomes connecting interprofessional education and collaborative practice to the triple aim within and across sites/settings, leveraging an accessible data collection process using user friendly web-based survey design to support large data scholarship and instrument testing, and establishing standardized data elements and variables that can potentially lead to enhancements to national/international information system and academic accreditation standards to further team-based, interprofessional, collaborative research in the field. PMID:26652631

  15. Aims & Scope

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    <正>Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges of understanding,preventing and controlling the dramatic global emergence and reemergence of infectious diseases in the Asian Pacific region.

  16. Aims & Scope

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    <正>Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges of understanding,preventing and controlling the dramatic global emergence and reemergence of infectious diseases in the Asian Pacific region.

  17. 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...

  18. Automatic movie skimming with story units via general tempo analysis

    Science.gov (United States)

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

    2003-12-01

    A skimming system for movie content exploration is proposed using story units extracted via general tempo analysis of audio and visual data. Quite a few schemes have been proposed to segment video data into shots with low-level features, yet the grouping of shots into meaningful units, called story units here, is important and challenging. In this work, we detect similar shots using key frames and include these similar shots as a node in the scene transition graph. Then, an importance measure is calculated based on the total length of each node. Finally, we select sinks and shots according to this measure. Based on these semantic shots, a meaningful skims can be successfully generated. Simulation results will be presented to show that the proposed video skimming scheme can preserve the essential and significant content of the original video data.

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

    OpenAIRE

    Celso Iglesias García; María José Alonso Villa; Juan Carlos Bernaldo de Quirós; Elena Bocanegra Suárez; Julia Cueta Gonzalo; Rosario García del Valle; José Manuel González González; Álvaro Miranda García; Ana Belén Palacio Bande

    2009-01-01

    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 inc...

  20. 41 CFR 105-50.001-3 - Unit of general local government.

    Science.gov (United States)

    2010-07-01

    ... TECHNICAL SERVICES TO STATE AND LOCAL UNITS OF GOVERNMENT § 105-50.001-3 Unit of general local government. Unit of general local government means any city, county, town, parish, village, or other general... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Unit of general...

  1. 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.

  2. General care plan in a Paediatric Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Mª Teresa Martín Alonso

    2011-07-01

    Full Text Available The care plan we expose is a general one applicable to all the children who are admitted in the unit, no matter what pathology they present/display, their physiopathological situation or their age. We present the common nursing actions which are applied to all the patients at the time of their admittance. The factor related to the studied problems is the hospitalization and what it has associate, from separation of the parents and rupture familiar ties, up to immobilization, the use of bloody devices and the generally hostile and stranger background.The protocol is based on the NANDA, the nursing outcomes classification NOC and the nursing intervention classification NIC. It is part of the nursing process and promotes systematized, humanistic and effective care, focuses on the child and his parents.We have selected the most relevant problems, ordered according to the deficits in the different selfcare requirements of Dorotea E. Orem. Each problem has its definition, the outcomes we pretend to reach with our care and the interventions to get the outcomes (these two last topics have the corresponding codification. In them all the most important factor is hospitalization in a unit of intensive care and the separation of the child from his habitual environment.

  3. 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. Published 2013. This article is a U.S. Government work and is in the public domain in the USA.

  4. GENETIC ALGORITHM ON GENERAL PURPOSE GRAPHICS PROCESSING UNIT: PARALLELISM REVIEW

    Directory of Open Access Journals (Sweden)

    A.J. Umbarkar

    2013-01-01

    Full Text Available Genetic Algorithm (GA is effective and robust method for solving many optimization problems. However, it may take more runs (iterations and time to get optimal solution. The execution time to find the optimal solution also depends upon the niching-technique applied to evolving population. This paper provides the information about how various authors, researchers, scientists have implemented GA on GPGPU (General purpose Graphics Processing Units with and without parallelism. Many problems have been solved on GPGPU using GA. GA is easy to parallelize because of its SIMD nature and therefore can be implemented well on GPGPU. Thus, speedup can definitely be achieved if bottleneck in GAs are identified and implemented effectively on GPGPU. Paper gives review of various applications solved using GAs on GPGPU with the future scope in the area of optimization.

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

    OpenAIRE

    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...

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

    Science.gov (United States)

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

    2016-10-10

    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

  7. 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.

  8. A cluster randomized controlled trial aimed at implementation of local quality improvement collaboratives to improve prescribing and test ordering performance of general practitioners: Study Protocol

    Directory of Open Access Journals (Sweden)

    Winkens Ron

    2009-02-01

    Full Text Available Abstract Background The use of guidelines in general practice is not optimal. Although evidence-based methods to improve guideline adherence are available, variation in physician adherence to general practice guidelines remains relatively high. The objective for this study is to transfer a quality improvement strategy based on audit, feedback, educational materials, and peer group discussion moderated by local opinion leaders to the field. The research questions are: is the multifaceted strategy implemented on a large scale as planned?; what is the effect on general practitioners' (GPs test ordering and prescribing behaviour?; and what are the costs of implementing the strategy? Methods In order to evaluate the effects, costs and feasibility of this new strategy we plan a multi-centre cluster randomized controlled trial (RCT with a balanced incomplete block design. Local GP groups in the south of the Netherlands already taking part in pharmacotherapeutic audit meeting groups, will be recruited by regional health officers. Approximately 50 groups of GPs will be randomly allocated to two arms. These GPs will be offered two different balanced sets of clinical topics. Each GP within a group will receive comparative feedback on test ordering and prescribing performance. The feedback will be discussed in the group and working agreements will be created after discussion of the guidelines and barriers to change. The data for the feedback will be collected from existing and newly formed databases, both at baseline and after one year. Discussion We are not aware of published studies on successes and failures of attempts to transfer to the stakeholders in the field a multifaceted strategy aimed at GPs' test ordering and prescribing behaviour. This pragmatic study will focus on compatibility with existing infrastructure, while permitting a certain degree of adaptation to local needs and routines. Trial registration Nederlands Trial Register ISRCTN40008171

  9. Care of severe head injury patients in the Sarawak General Hospital: intensive care unit versus general ward.

    Science.gov (United States)

    Sim, S K; Lim, S L; Lee, H K; Liew, D; Wong, A

    2011-06-01

    Intensive care for severe head injury patients is very important in the prevention and treatment of secondary brain injury. However, in a resources constraint environment and limited availability of Intensive Care Unit (ICU) beds in the hospitals, not all severe head injury patients will receive ICU care. This prospective study is aimed to evaluate the outcome of severe head injured patients who received ICU and general ward care in Sarawak General Hospital (SGH) over a 6-month period. A total of thirty five severe head injury patients were admitted. Twenty three patients (65.7%) were ventilated in general ward whereas twelve patients (34.3%) were ventilated in ICU. Overall one month mortality in this study was 25.7%. Patients who received ICU care had a lower one month mortality than those who received general ward care (16.7% vs 30.4%), although it was not statistically different. Multivariate analysis revealed only GCS on admission (OR 0.731; 95% CI 0.460 to 0.877; P=0.042) as the independent predictive factor for one month mortality in this study.

  10. [Stress, coping, and general health of nurses working at a care unit for patients with AIDS and hematologic diseases].

    Science.gov (United States)

    Britto, Eliane da Silva; Carvalho, Ana Maria Pimenta

    2003-12-01

    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 higher stress levels. In both units, the evaluation of their health was considered as satisfactory and the coping strategies were similar.

  11. Setting up a Paediatric Rapid Access Outpatient Unit: Views of general practice teams

    Directory of Open Access Journals (Sweden)

    Pink Jim

    2008-09-01

    Full Text Available Abstract Background Rapid Access Outpatient Units (RAOUs have been suggested as an alternative to hospital inpatient units for the management of some acutely unwell children. These units can provide ambulatory care, delivered close to home, and may prevent unnecessary hospital admission. There are no qualitative data on the views of primary care practitioners regarding these types of facilities. The aim of the study was to explore the opinions of primary care practitioners regarding a newly established RAOU. Methods The RAOU was established locally at a district general hospital when inpatient beds were closed and moved to an inpatient centre, based six miles away at the tertiary teaching hospital. Qualitative, practice based group interviews with primary care practitioners (general practitioners (GPs, nurse practitioners and practice nurses on their experiences of the RAOU. The data collection consisted of three practice based interviews with 14 participants. The interviews were recorded and transcribed verbatim. Thematic content analysis was used to evaluate the data. Results There was positive feedback regarding ease of telephone access for referral, location, and the value of a service staffed by senior doctors where children could be observed, investigated and discharged quickly. There was confusion regarding the referral criteria for the assessment unit and where to send certain children. A majority of the practitioners felt the utility of the RAOU was restricted by its opening hours. Most participants felt they lacked sufficient information regarding the remit and facilities of the unit and this led to some uneasiness regarding safety and long term sustainability. Conclusion Practitioners considered that the RAOU offered a rapid senior opinion, flexible short term observation, quick access to investigations and was more convenient for patients. There were concerns regarding opening hours, safety of patients and lack of information about

  12. Contribution of the outpatient surgery unit ITO the general surgery department of a district hospital.

    Science.gov (United States)

    Carrasco; Flores; Aguayo; de Andres B; Moreno Egea A; Cartagena; De Vicente JP; Martin

    2000-07-01

    Introduction: The creation of Outpatient Surgery (OPS) units to combine the quality of medical attention and rationalize costs allows for greater efficiency in the use of resources. Aim: To report our series of patients undergoing surgery at the OPS units integrated into our Hospital (Type II): Patients and method: Between May 1994 and March 1998, 832 outpatients, of a total of 5230, underwent surgery at our General Surgery Unit. The criteria for exclusion from the programme depended on the patient and the enviroment or resulted from the operation itself. Results: Mean patient age was 47.5 years; there were 420 males and 412 females. Surgery was performed for 229 inguinofemoral hernias, 47 umbilical-epigastric hernias, nine incisional hernias, 193 pilonidal sinuses, 156 mammary nodules, 65 varicose veins, 64 arteriovenous fistulae and 69 proctology operations. The most common anesthesia techniques performed were rachianesthesia and local anesthesia. Eight point seven percent of the patients required admission (OPS failure), the most frequent causes being excessive pain, orthostatic-syncopal hypotension, nausea and vomiting and urine retention. There was no morbidity or mortality. Conclusion: OPS is a highly efficient procedure for resolving the most common pathologies in General Surgery. The anesthesia technique was an important factor in the rate of failure.

  13. BENIGN PAROTID TUMORS : AN EXPERIENCE IN A GENERAL SURGICAL UNIT

    Directory of Open Access Journals (Sweden)

    Vijaya

    2015-04-01

    Full Text Available Parotid tumors are mostly benign, but their evaluation and treatment require a thorough knowledge of the relevant anatomy and pathology. Surgical treatment of benign tumors is aimed at complete removal of the mass with facial nerve preservation. The aim of this study was to evaluate the post - operative complications of superficial parotidectomy in benign parotid tumors.

  14. The impact of a surgical assessment unit on numbers of general surgery outliers.

    Science.gov (United States)

    Jacobson, Alexandra; Poole, Garth; Hill, Andrew G; Biggar, Magdalena

    2016-12-02

    Patient care and efficiency outcomes are improved if acute patients admitted to non-specialty (outlier) wards are minimised.1 Assessment units may help to reduce numbers of outlier patients.2 A surgical assessment unit (SAU) was recently established at Middlemore Hospital. We aimed to determine the impact of its introduction on numbers of general surgery outliers on post-acute ward rounds. A 10-bed SAU was introduced in July 2015, coinciding with the closure of 20 beds on the general surgical wards. The numbers and locations of patients on post-acute ward rounds before and after the establishment of the SAU were compared. A student two-tailed t-test was used for statistical comparisons, with poutlier wards after the introduction of the SAU (mean 1.7 before vs 0.8 after, p=0.04). Despite a net reduction in general surgery beds and no change in the overall number of post-acute patients, the establishment of a SAU was associated with a reduction in outliers.

  15. 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.

  16. Generalized trust and intelligence in the United States.

    Science.gov (United States)

    Carl, Noah; Billari, Francesco C

    2014-01-01

    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.

  17. 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.

  18. United Nations Secretary General’s Peacekeeping Proposals

    Science.gov (United States)

    1993-04-06

    have undertaken to make available to the Security Council, on its call, " armed forces, assistance and facilities, and rights of passage , necessary...readiness and general locations and the nature of facilities and assistance, including rights of passage , to be made available to the Security

  19. 24 CFR 291.505 - Definition of “unit of general local government.”

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Definition of âunit of general local government.â 291.505 Section 291.505 Housing and Urban Development Regulations Relating to Housing... local government.” For purposes of this subpart, the term unit of general local government means...

  20. 43 CFR 44.56 - How does a unit of general local government file a protest?

    Science.gov (United States)

    2010-10-01

    ... FINANCIAL ASSISTANCE, LOCAL GOVERNMENTS State and Local Governments' Responsibilities After the Department Distributes Payments § 44.56 How does a unit of general local government file a protest? The protesting local... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false How does a unit of general...

  1. Should the United States Army Have a Professional General Staff?

    Science.gov (United States)

    1987-03-23

    Individual Study Project S. PERFORMING ORG. REPORT NUMBER 7. AUTHOR(.) S. CONTRACT OR GRANT NUMBER(&) COL Bradley H. Petersen Jr. , AR 9. PERFORMING...diagrams" seldom tell us mucL about how business is really accomplished. All potential threat and free world forces are privy to or in posession of the...the Germans lost despite this operationri 17 brilliance because of strategic incompetence. 7here is mucl to, indicate that the German General Staff

  2. 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

  3. 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.

  4. An embedded longitudinal multi-faceted qualitative evaluation of a complex cluster randomized controlled trial aiming to reduce clinically important errors in medicines management in general practice

    Directory of Open Access Journals (Sweden)

    Cresswell Kathrin M

    2012-06-01

    Full Text Available Abstract Background There is a need to shed light on the pathways through which complex interventions mediate their effects in order to enable critical reflection on their transferability. We sought to explore and understand key stakeholder accounts of the acceptability, likely impact and strategies for optimizing and rolling-out a successful pharmacist-led information technology-enabled (PINCER intervention, which substantially reduced the risk of clinically important errors in medicines management in primary care. Methods Data were collected at two geographical locations in central England through a combination of one-to-one longitudinal semi-structured telephone interviews (one at the beginning of the trial and another when the trial was well underway, relevant documents, and focus group discussions following delivery of the PINCER intervention. Participants included PINCER pharmacists, general practice staff, researchers involved in the running of the trial, and primary care trust staff. PINCER pharmacists were interviewed at three different time-points during the delivery of the PINCER intervention. Analysis was thematic with diffusion of innovation theory providing a theoretical framework. Results We conducted 52 semi-structured telephone interviews and six focus group discussions with 30 additional participants. In addition, documentary data were collected from six pharmacist diaries, along with notes from four meetings of the PINCER pharmacists and feedback meetings from 34 practices. Key findings that helped to explain the success of the PINCER intervention included the perceived importance of focusing on prescribing errors to all stakeholders, and the credibility and appropriateness of a pharmacist-led intervention to address these shortcomings. Central to this was the face-to-face contact and relationship building between pharmacists and a range of practice staff, and pharmacists’ explicitly designated role as a change agent

  5. An embedded longitudinal multi-faceted qualitative evaluation of a complex cluster randomized controlled trial aiming to reduce clinically important errors in medicines management in general practice.

    Science.gov (United States)

    Cresswell, Kathrin M; Sadler, Stacey; Rodgers, Sarah; Avery, Anthony; Cantrill, Judith; Murray, Scott A; Sheikh, Aziz

    2012-06-08

    There is a need to shed light on the pathways through which complex interventions mediate their effects in order to enable critical reflection on their transferability. We sought to explore and understand key stakeholder accounts of the acceptability, likely impact and strategies for optimizing and rolling-out a successful pharmacist-led information technology-enabled (PINCER) intervention, which substantially reduced the risk of clinically important errors in medicines management in primary care. Data were collected at two geographical locations in central England through a combination of one-to-one longitudinal semi-structured telephone interviews (one at the beginning of the trial and another when the trial was well underway), relevant documents, and focus group discussions following delivery of the PINCER intervention. Participants included PINCER pharmacists, general practice staff, researchers involved in the running of the trial, and primary care trust staff. PINCER pharmacists were interviewed at three different time-points during the delivery of the PINCER intervention. Analysis was thematic with diffusion of innovation theory providing a theoretical framework. We conducted 52 semi-structured telephone interviews and six focus group discussions with 30 additional participants. In addition, documentary data were collected from six pharmacist diaries, along with notes from four meetings of the PINCER pharmacists and feedback meetings from 34 practices. Key findings that helped to explain the success of the PINCER intervention included the perceived importance of focusing on prescribing errors to all stakeholders, and the credibility and appropriateness of a pharmacist-led intervention to address these shortcomings. Central to this was the face-to-face contact and relationship building between pharmacists and a range of practice staff, and pharmacists' explicitly designated role as a change agent. However, important concerns were identified about the likely

  6. Introduction of a Microsoft Excel-based unified electronic weekend handover document in Acute and General Medicine in a DGH: aims, outcomes and challenges.

    Science.gov (United States)

    Kostelec, Pablo; Emanuele Garbelli, Pietro; Emanuele Garbelli, Pietro

    2017-01-01

    On-call weekends in medicine can be a busy and stressful time for junior doctors, as they are responsible for a larger pool of patients, most of whom they would have never met. Clinical handover to the weekend team is extremely important and any communication errors may have a profound impact on patient care, potentially even resulting in avoidable harm or death. Several senior clinical bodies have issued guidelines on best practice in written and verbal handover. These include: standardisation, use of pro forma documents prompting doctors to document vital information (such as ceiling of care/resuscitation status) and prioritisation according to clinical urgency. These guidelines were not consistently followed in our hospital site at the onset of 2014 and junior doctors were becoming increasingly dissatisfied with the handover processes. An initial audit of handover documents used across the medical division on two separate weekends in January 2014, revealed high variability in compliance with documentation of key information. For example, ceiling of care was documented for only 14-42% of patients and resuscitation status in 26-72% of patients respectively. Additionally, each ward used their own self-designed pro forma and patients were not prioritised by clinical urgency. Within six months from the introduction of a standardised, hospital-wide weekend handover pro forma across the medical division and following initial improvements to its layout, ceiling of therapy and resuscitation status were documented in approximately 80% of patients (with some minor variability). Moreover, 100% of patients in acute medicine and 75% of those in general medicine were prioritised by clinical urgency and all wards used the same handover pro forma.

  7. 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....

  8. Aiming to be a breastfeeding mother in a neonatal intensive care unit and at home: a thematic analysis of peer-support group discussion in social media.

    Science.gov (United States)

    Niela-Vilén, Hannakaisa; Axelin, Anna; Melender, Hanna-Leena; Salanterä, Sanna

    2015-10-01

    Preterm infants are usually breastfed less than full-term infants, and successful breastfeeding requires a supportive environment and special efforts from their mothers. A breastfeeding peer-support group, utilising social media, was developed for these mothers in order to support them in this challenge. Mothers were able to discuss breastfeeding and share experiences. The purpose of this study was to describe the perceptions of breastfeeding mothers of preterm infants based on the postings in peer-support group discussions in social media. The actively participating mothers (n = 22) had given birth <35 gestational weeks. They were recruited from one university hospital in Finland. The social media postings (n = 305) were analysed using thematic analysis. A description of the process of breastfeeding a preterm infant from the point of view of a mother was created. The process consisted of three main themes: the breastfeeding paradox in hospital, the 'reality check' of breastfeeding at home and the breastfeeding experience as part of being a mother. The mothers encountered paradoxical elements in the support received in hospital; discharge was promoted at the expense of breastfeeding and pumping breast milk was emphasised over breastfeeding. After the infant's discharge, the over-optimistic expectations of mothers often met with reality - mothers did not have the knowledge or skills to manage breastfeeding at home. Successful breastfeeding was an empowering experience for the mothers, whereas unsuccessful breastfeeding induced feelings of disappointment. Therefore, the mothers of preterm infants need evidence-based breastfeeding counselling and systematic support in a neonatal intensive care unit (NICU) and at home. © 2014 John Wiley & Sons Ltd.

  9. Precision disablement aiming system

    Energy Technology Data Exchange (ETDEWEB)

    Monda, Mark J.; Hobart, Clinton G.; Gladwell, Thomas Scott

    2016-02-16

    A disrupter to a target may be precisely aimed by positioning a radiation source to direct radiation towards the target, and a detector is positioned to detect radiation that passes through the target. An aiming device is positioned between the radiation source and the target, wherein a mechanical feature of the aiming device is superimposed on the target in a captured radiographic image. The location of the aiming device in the radiographic image is used to aim a disrupter towards the target.

  10. Precision laser aiming system

    Science.gov (United States)

    Ahrens, Brandon R.; Todd, Steven N.

    2009-04-28

    A precision laser aiming system comprises a disrupter tool, a reflector, and a laser fixture. The disrupter tool, the reflector and the laser fixture are configurable for iterative alignment and aiming toward an explosive device threat. The invention enables a disrupter to be quickly and accurately set up, aligned, and aimed in order to render safe or to disrupt a target from a standoff position.

  11. Graduate education in general surgery and its related specialties and subspecialties in the United States.

    Science.gov (United States)

    Bell, Richard H

    2008-10-01

    Each year, approximately 1,000 graduating medical students enter training in general surgery and its related specialties and subspecialties in the United States. Traditionally, residents who want to practice vascular surgery, plastic surgery, thoracic surgery, and other specialties and subspecialties derived from general surgery have been required to complete five years of training in general surgery before embarking on further training. However, three phenomena have recently emerged that are changing the picture of surgical training: (1) proliferation of fellowships in subspecialties of general surgery, (2) increasing desire of subspecialties of general surgery for recognition as specialties in their own right, and (3) pressure to reduce or eliminate the traditional general surgery training required before specialization or subspecialization. In the meantime, and perhaps as a consequence of these changes, traditional general surgery has become less attractive as a specialty and there has been significant concern about the quality of training in general surgery. As a result of fewer trainees electing general surgery as a career, there is now increasing evidence of a shortage of surgeons who are able to handle a reasonably broad caseload of emergency care in general surgery and trauma.Many of these issues are currently being addressed by the profession. Among the initiatives underway are developing a standardized curriculum in general surgery, appropriately apportioning operative experience between residency and fellowship, considering alternative pathways for training in subspecialties, and developing a system for oversight of advanced surgical training fellowships. The system for governance of graduate surgical education in the United States is less centralized than in other countries. One initiative that has been undertaken to improve coordination of efforts between educational and regulatory bodies is the formation of the Surgical Council on Resident Education

  12. Developing an Industry-Education Community: The United Auto Workers/General Motors Quality Educator Program

    Science.gov (United States)

    Jacobson, Stephen; Walline, James

    2010-01-01

    In this paper we review the evolution of the Quality Educator Program (QEP), a program sponsored by the United Auto Workers (UAW)/General Motors (GM) that employs school teachers, administrators, and college and university faculty each summer in GM assembly plants. The QEP provides educators and those in industry the unique opportunity to interact…

  13. [Aiming for zero blindness].

    Science.gov (United States)

    Nakazawa, Toru

    2015-03-01

    comprehensive expression analyses or imaging data. This is an important area of research, since it promises to enable the exploration of targets for drug discovery and the identification of new biomarkers to efficiently detect glaucoma progression by applying new analysis strategies to the complex mass data. The project not only depends on the collaborative efforts of various types of clinical settings including private practices, medical centers and university hospitals, but also contributions of the pharmaceutical and the medical device industries. Thus, uniting a wide range of Japanese interests and resources is the key for success. In summary, in order to aim for ZERO BLINDNESS, a drastic improvement in the quality of our patient care, drug development research for unmet medical demands, and a strategic collaboration of various professionals in the ophthalmic industry are essential. With the deep appreciation we fell towards the selfless support extended during the earthquake disaster, we wish to translate our "gratitude" into "power" from Tohoku. In doing so, we as academicians are determined to keep on contributing to the society by making progress in the medicine.

  14. 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,

  15. 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.

  16. Teaching emotional intelligence to intensive care unit nurses and their general health: a randomized clinical trial.

    Science.gov (United States)

    Sharif, F; Rezaie, S; Keshavarzi, S; Mansoori, P; Ghadakpoor, S

    2013-07-01

    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. To determine the effect of teaching emotional intelligence to intensive care unit nurses on their general health. 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. 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 (pTeaching emotional intelligence improved the general health of intensive care unit nurses.

  17. 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.

  18. Partnered medication review and charting between the pharmacist and medical officer in the Emergency Short Stay and General Medicine Unit.

    Science.gov (United States)

    Tong, Erica Y; Roman, Cristina P; Smit, De Villiers; Newnham, Harvey; Galbraith, Kirsten; Dooley, Michael J

    2015-08-01

    A partnered medication review and charting model involving a pharmacist and medical officer was implemented in the Emergency Short Stay Unit and General Medicine Unit of a major tertiary hospital. The aim of the study was to describe the safety and effectiveness of partnered medication charting in this setting. A partnered medication review and charting model was developed. Credentialed pharmacists charted pre-admission medications and venous thromboembolism prophylaxis in collaboration with the admitting medical officer. The pharmacist subsequently had a clinical discussion with the treating nurse regarding the medication management plan for the patient. A prospective audit was undertaken of all patients from the initiation of the service. A total of 549 patients had medications charted by a pharmacist from the 14th of November 2012 to the 30th of April 2013. A total of 4765 medications were charted by pharmacists with 7 identified errors, corresponding to an error rate of 1.47 per 1000 medications charted. Partnered medication review and charting by a pharmacist in the Emergency Short Stay and General Medicine unit is achievable, safe and effective. Benefits from the model extend beyond the pharmacist charting the medications, with clinical value added to the admission process through early collaboration with the medical officer. Further research is required to provide evidence to further support this collaborative model. Copyright © 2015. Published by Elsevier Ltd.

  19. 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.

  20. Aims of the Workshop

    CERN Document Server

    Dornan, P J

    2010-01-01

    There are challenges and opportunities for the European particle physics community to engage with innovative and exciting developments which could lead to precision measurements in the neutrino sector. These have the potential to yield significant advances in the understanding of CP violation, the flavour riddle and theories beyond the Standard Model. This workshop aims to start the process of a dialogue in Europe so that informed decisions on the appropriate directions to pursue can be made in a few years time.

  1. Aims and Scope

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Chinese Nursing Research(CNR)is the official peer-reviewed research journal and an international platform of nursing academic exchange.This journal aims to promote excellence in nursing and health care through the dissemination of the latest,evidence-based,peer-reviewed research report,academic papers,review articles and clinical research,to reflect nursing academic trends,scientific research and

  2. 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.

  3. 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.

  4. 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.

  5. Aiming for the ordinary

    DEFF Research Database (Denmark)

    Offersen, Sara Marie Hebsgaard

    and articulation of bodily sensations, and how decisions about healthcare seeking are established in this context. This dissertation aims to explore these matters from the perspective of the Danish middle class, mainly focusing on how sensations are ascribed meaning as symptoms and how they are evoked...... months of ethnographic fieldwork in a Danish middle class suburban neighbourhood, using participant observation, semi-structured interviews and health diaries. 18 key informants were followed with regular field visits, interviews and participation in everyday life activities as well as health...

  6. 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.

  7. Briefing on meetings at & reports by the 65th & 66th United Nations General Assembly

    OpenAIRE

    Rojas Gregorio, José Ignacio

    2011-01-01

    Briefing on meetings at & reports by the 65th & 66th United Nations General Assembly No relevant differences are observed or identified after perusal of the space-related resolutions and documents issued by the UN System between 2010 and 2011. The most remarkable statements remain virtually unchanged in this time period. For instance, the UN GA recognizes the common interest of all mankind in the exploration and use of outer space for peaceful purposes, and reaffirms that these shall be ca...

  8. Analysis of referrals received by a psychiatric unit in a general hospital Part 2

    Directory of Open Access Journals (Sweden)

    VJ Ehlers

    2002-01-01

    Full Text Available The study sought to analyse the referrals received by a psychiatric unit in a general hospital in the Western Cape by studying the referral letters and the referral responses.

    Opsomming
    Hierdie navorsing het gepoog om verwysings te ontleed wat deur 'n psigiatriese eenheid in 'n algemene hospitaal in die Wes Kaap ontvang is. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  9. 43 CFR 44.57 - Can a unit of general local government appeal a rejection of a protest?

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Can a unit of general local government... the Interior FINANCIAL ASSISTANCE, LOCAL GOVERNMENTS State and Local Governments' Responsibilities After the Department Distributes Payments § 44.57 Can a unit of general local government appeal...

  10. 43 CFR 44.55 - Can a unit of general local government protest the results of payment computations?

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Can a unit of general local government... Secretary of the Interior FINANCIAL ASSISTANCE, LOCAL GOVERNMENTS State and Local Governments' Responsibilities After the Department Distributes Payments § 44.55 Can a unit of general local government...

  11. 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

  12. Generalized boundaries of the National Water-Quality Assessment (NAWQA) Study-Unit Investigations in the conterminous United States 2001-2012

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This is a GENERALIZED version of the boundaries and codes used for the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program Study-Unit...

  13. Generalized boundaries of the National Water-Quality Assessment (NAWQA) Study-Unit Investigations in the conterminous United States 1991-2001

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This is a GENERALIZED version of the boundaries and codes used for the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program Study-Unit...

  14. Comparison of maternal anxiety scores in pediatric intensive care unit and general ward parents

    Directory of Open Access Journals (Sweden)

    Lie Affendi Kartikahadi

    2012-02-01

    Full Text Available Background Hospitalization of a child is known to be a dreadful and stressful situation for parents. One study reported that admitting a child to a general ward caused mild anxiety to mothers, while admitting a child to the pediatric intensive care unit (PICU caused moderate anxiety to mothers. Objective To compare Hamilton anxiety scores of mothers whose children were admitted to the PICU to those of mothers whose children were admitted to the general ward. Methods A cross-sectional study was done on mothers of children aged 1 month-12 years. Children were admitted to either the intensive care unit or the general ward from October 2010-January 2011. All subjects were assessed by Hamilton anxiety scores and questioned for risk factors and other causes of maternal anxiety. Consecutive sampling was used to allocate the subjects. Differences were considered statistically significant for P < 0.05. Results Of the 72 subjects, the median Hamilton anxiety score in mothers of children admitted to the PICU was 20.5 (interquartile range 14-29.75, higher than that of mothers of children admitted to the general ward (14, interquartile range 9-16.75. Mann-Whitney U test revealed a statistically significant difference in scores between the two groups (P = 0.001. Ancova multivariate analysis showed the admission location to be the only significant relationship to Hamilton anxiety score (P = 0.0001. Conclusion Hamilton anxiety scores were higher for mothers of children admitted to the PICU than that of mothers with children admitted to the general ward. [Paediatr Indones.2012;52:95-8].

  15. Are Regional Organizations the 'Parties' in the United Nations General Assembly? Comments on a Misconception

    DEFF Research Database (Denmark)

    Burmester, Nicolas; Jankowski, Michael

    In the field of international relations, regional organizations (ROs) are not only assumed to play an important role in the regional context, but also on the international level. A growing number of studies analyze ROs’ voting behavior in the United Nations General Assembly (UNGA) in a similar way...... to the analyses of parties in national parliaments. In this paper, we reflect on the question whether ROs can be treated as ‘political party’-like entities. First, based on literature on political parties and legislative voting, we develop two criteria to evaluate ROs in the UNGA. Second, we analyze UNGA voting...

  16. 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.

  17. The United Kingdom 2009 Swine Flu Outbreak As Recorded in Real Time by General Practitioners

    Directory of Open Access Journals (Sweden)

    Hershel Jick

    2011-01-01

    Full Text Available Background. Initially the course of the 2009 swine flu pandemic was uncertain and impossible to predict with any confidence. An effective prospective data resource exists in the United Kingdom (UK that could have been utilized to describe the scope and extent of the swine flu outbreak as it unfolded. We describe the 2009 swine flu outbreak in the UK as recorded daily by general practitioners and the potential use of this database for real-time tracking of flu outbreaks. Methods. Using the General Practice Research Database, a real-time general practice, electronic database, we estimated influenza incidence from July 1998 to September 2009 according to age, region, and calendar time. Results. From 1998 to2008, influenza outbreaks regularly occurred yearly from October to March, but did not typically occur from April to September until the swine flu outbreak began in April 2009. The weekly incidence rose gradually, peaking at the end of July, and the outbreak had largely dissipated by early September. Conclusions. The UK swine flu outbreak, recorded in real time by a large group of general practitioners, was mild and limited in time. Simultaneous online access seemed feasible and could have provided additional clinical-based evidence at an early planning stage of the outbreak.

  18. 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.

  19. Taking Aim at Asthma Around the World: Global Results of the Asthma Insight and Management Survey in the Asia-Pacific Region, Latin America, Europe, Canada, and the United States.

    Science.gov (United States)

    Nathan, Robert A; Thompson, Philip J; Price, David; Fabbri, Leonardo M; Salvi, Sundeep; González-Díaz, Sandra; Maspero, Jorge F; Moreno-Cantu, Jorge J; Fish, James E; Murphy, Kevin

    2015-01-01

    Asthma, a worldwide health problem, can be controlled if properly diagnosed and managed. Multinational surveys conducted in patients with asthma from 1998 to 2003 indicated that asthma was inadequately controlled. The Asthma Insight and Management (AIM) study represents the largest survey conducted on patients with asthma since 2003. The objective of this study was to assess findings from the United States (US), Europe and Canada (EUCAN), Latin America (LA), and the Asia-Pacific (AP) region surveys to identify differences and similarities with earlier surveys on patients with asthma. The US, EUCAN, LA, and AP AIM surveys conducted from 2009 to 2011 all used a common set of questions. Responses to these are reported as proportions of patients with asthma for each country individually, and as totals for all regions. Results are presented as mean/median proportions for US, EUCAN, LA, and AP survey populations individually. Global medians and the range of regional response values are also described. A total of 10,302 patients or parents of adolescents with asthma were interviewed. Approximately one-quarter reported daytime symptoms daily or on most days over the previous 4 weeks. Globally, a median of 67% (range, 27%-88%) of patients perceived their asthma as completely and/or well controlled, but a median of only 9% (range, 0%-29%) of patients had well-controlled asthma using criteria from asthma guidelines. A majority (≥60%) of patients felt that quick-relief medication could be used daily if needed, contrary to guideline recommendations. Patients exhibited a lack of knowledge and conviction for treatment recommendations and guidelines that was relatively uniform across the regions, similar to earlier survey findings. These results reveal an ongoing need for improvement in asthma care and education in most populations. Copyright © 2015 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

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

    Energy Technology Data Exchange (ETDEWEB)

    Loughry, Thomas A.

    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.

  1. 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.

  2. 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.

  3. 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.

  4. 75 FR 62424 - New United Motor Manufacturing, Inc. Formerly a Joint Venture of General Motors Corporation and...

    Science.gov (United States)

    2010-10-08

    ... United Motor Manufacturing, Inc. Formerly a Joint Venture of General Motors Corporation and Toyota Motor Corporation Including On- Site Leased Workers From Corestaff, ABM Janitorial, Toyota Engineering and... Motor Manufacturing, Inc., formerly a joint venture of General Motors Corporation and Toyota...

  5. Assessment of the early effectiveness of a stroke unit in comparison to the general ward

    Institute of Scientific and Technical Information of China (English)

    马锐华; 王拥军; 曲辉; 杨中华

    2004-01-01

    Background Stroke unit is the most effective treatment method to benefit stroke patients. Our study is to evaluate the early effectiveness of a hospital stroke unit (SU). Methods Three hundred and ninety-two patients who had suffered from acute strokes and who were admitted to our hospital between December 2001 and January 2003 were recruited for this controlled study. All patients were sent at random to either the SU or the general ward (GW) for treatment. The following indices were measured by: Barthel Index (BI), National Institute of Health Stroke Scale (NIHSS), Oxford Handicap Scale (OHS). Results The mean change in BI score between the day of admission and the day of discharge was 20.00±24.36 for the SU group and 10.63±23.59 for the GW group. A difference that is statistically significant (P=0.000). The mean change in NIHSS score was -2.01±6.61 for the SU group and 0.55±7.44 for the GW group. A difference that is also statistically significant (P=0.000). Finally, the mean change in OHS score was -0.74±1.04 for the SU group and -0.28±0.98 for the GW group, also a statistically significant difference (P=0.000). Among SU patients, patient satisfaction was higher (P=0.000), the rehabilitation success rate was higher (P=0.000), and there were fewer complications (P=0.000).Conclusion Compared to GW patients, stroke patients treated in a special SU were able to return to normal daily activities earlier, with better social abilities, and have reduced neurological defects, without increasing the overall economic burden.

  6. 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.

  7. Incidence of cytomegalovirus infection among the general population and pregnant women in the United States

    Directory of Open Access Journals (Sweden)

    Dollard Sheila C

    2007-07-01

    Full Text Available Abstract Background Cytomegalovirus (CMV is a common opportunistic infection among HIV-infected individuals, a major source of serious complications among organ-transplant recipients, and a leading cause of hearing loss, vision loss, and mental retardation among congenitally infected children. Women infected for the first time during pregnancy are especially likely to transmit CMV to their fetuses. More children suffer serious disabilities caused by congenital CMV than by several better-known childhood maladies such as Down syndrome or fetal alcohol syndrome Methods Using CMV seroprevalence data from the nationally representative Third National Health and Nutrition Examination Survey, we estimated CMV incidence among the general United States population and among pregnant women. We employed catalytic models that used age-specific CMV seroprevalences as cumulative markers of past infections in order to derive estimates of three basic parameters: the force of infection, the basic reproductive rate, and the average age of infection. Our main focus was the force of infection, an instantaneous per capita rate of acquisition of infection that approximates the incidence of infection in the seronegative population. Results Among the United States population ages 12–49 the force of infection was 1.6 infections per 100 susceptible persons per year (95% confidence interval: 1.2, 2.4. The associated basic reproductive rate of 1.7 indicates that, on average, an infected person transmits CMV to nearly two susceptible people. The average age of CMV infection was 28.6 years. Force of infection was significantly higher among non-Hispanic Blacks (5.7 and Mexican Americans (5.1 than among non-Hispanic Whites (1.4. Force of infection was significantly higher in the low household income group (3.5 than in the middle (2.1 and upper (1.5 household income groups. Based on these CMV incidence estimates, approximately 27,000 new CMV infections occur among seronegative

  8. Envy-Free Pricing with General Supply Constraints for Unit Demand Consumers

    Institute of Scientific and Technical Information of China (English)

    Sungjin Im; Pin-Yan Lu; Ya-Jun Wang

    2012-01-01

    The envy-free pricing problem can be stated as finding a pricing and allocation scheme in which each consumer is allocated a set of items that maximize his/her utility under the pricing.The goal is to maximize seller revenue.We study the problem with general supply constraints which are given as an independence system defined over the items.The constraints,for example,can be a number of linear constraints or matroids.This captures the situation where items do not pre-exist,but are produced in reflection of consumer valuation of the items under the limit of resources.This paper focuses on the case of unit-demand consumers.In the setting,there are n consumers and m items; each item may be produced in multiple copies.Each consumer i ∈ [n] has a valuation vij on item j in the set Si in which he/she is interested.He/she must be allocated (if any) an item which gives the maximum (non-negative) utility.Suppose we are given an α-approximation oracle for finding the maximum weight independent set for the given independence system (or a slightly stronger oracle); for a large number of natural and interesting supply constraints,constant approximation algorithms are available.We obtain the following results.1) O(α log n)-approximation for the general case.2) O(αk)-approximation when each consumer is interested in at most k distinct types of items.3) O(αf)-approximation when each type of item is interesting to at most f consumers.Note that the final two results were previously unknown even without the independence system constraint.

  9. Antibiotic prescription and cost patterns in a general intensive care unit

    Directory of Open Access Journals (Sweden)

    Krivoy N

    2007-06-01

    Full Text Available Antibiotic prescription habits, cost pattern, and the prospective intervention in an Intensive Care Unit were analyzed. Methods: Data on antibiotic utilization and costs were collected prospectively from individual electronic charts from August 2003 to January 2004, and retrospectively from August to December 2002. Results: A total of 180 and 107 patients were surveyed in 2002 and 2003. In 2002, Piperacillin-Tazobactam (13.8% and Imipenem/Cilastin (11.2% were the most prescribed medications; while, in 2003, Vancomycin (12.6% and Imipenem/Cilastin (11.3% were prescribed, respectively. Total defined daily dose (DDD and Drug Utilization 90% (DU90% index for 2002 and 2003 were 2031.15 and 2325.90 DDDs (p>0.1 and 1777.57 and 2079.61 DU90%, respectively (p>0.1. The Median Total Cost /100 admission days (CI 95% were NIS13,310 (11,110;18,420 and NIS13,860 (6,710;18,020 (p=0.66, respectively. Conclusions: Interventional programs should focus on promoting infectious control with rational antibiotic prescription aimed at minimizing the future emergence of bacterial resistance and futile expenses.

  10. Diagnostic accuracy on the management of acute paediatric urinary tract infection in a general paediatric unit

    Institute of Scientific and Technical Information of China (English)

    Fahisham Taib; Bakht Jamal

    2015-01-01

    Objective: To ascertain diagnostic accuracy of paediatric urinary tract infection (UTI) in a general paediatric unit of a district hospital. Methods: Retrospective case note review and comparing to the final computerised database of Human in-Patient Enquiry (HIPE) at Portiuncula Hospital, Galway, Ireland. All children from 0-16 years of age with the diagnosis of UTI were enrolled within the 3 year study period. The information was first retrieved from HIPE system to capture list of patients. Case notes revision was followed to extract data under standardized pro-forma for demography, accuracy of diagnosis, treatment instituted and investigation ordered. Patients’ data was reviewed according to updated definition. Results: There were 85 cases treated for UTI during the 3 year period, and only 45 cases were considered as genuine UTI according to diagnostic criteria. Out of 45 cases, 16 cases were considered as suspected UTI cases. Escherichia coli was noted to be the commonest organism. Cephradine has been used as the first line treatment as per local guideline;however, different antibiotic regimes were based on physician’s preferences. The sensitivity of the current method of UTI diagnosis remained at 64%when comparing final diagnosis in the HIPE system. Conclusions: UTI can be difficult to accurately diagnosis in certain clinical cases. Decisions made should be individualized and tailored according to clinical suspicion and presentation of the patients. Improvement to ensure accurate diagnosis is vital to ensure correct data capture in the HIPE system thus giving valuable information and resource for future care.

  11. Practical Implementation of Prestack Kirchhoff Time Migration on a General Purpose Graphics Processing Unit

    Directory of Open Access Journals (Sweden)

    Liu Guofeng

    2016-08-01

    Full Text Available In this study, we present a practical implementation of prestack Kirchhoff time migration (PSTM on a general purpose graphic processing unit. First, we consider the three main optimizations of the PSTM GPU code, i.e., designing a configuration based on a reasonable execution, using the texture memory for velocity interpolation, and the application of an intrinsic function in device code. This approach can achieve a speedup of nearly 45 times on a NVIDIA GTX 680 GPU compared with CPU code when a larger imaging space is used, where the PSTM output is a common reflection point that is gathered as I[nx][ny][nh][nt] in matrix format. However, this method requires more memory space so the limited imaging space cannot fully exploit the GPU sources. To overcome this problem, we designed a PSTM scheme with multi-GPUs for imaging different seismic data on different GPUs using an offset value. This process can achieve the peak speedup of GPU PSTM code and it greatly increases the efficiency of the calculations, but without changing the imaging result.

  12. Practical Implementation of Prestack Kirchhoff Time Migration on a General Purpose Graphics Processing Unit

    Science.gov (United States)

    Liu, Guofeng; Li, Chun

    2016-08-01

    In this study, we present a practical implementation of prestack Kirchhoff time migration (PSTM) on a general purpose graphic processing unit. First, we consider the three main optimizations of the PSTM GPU code, i.e., designing a configuration based on a reasonable execution, using the texture memory for velocity interpolation, and the application of an intrinsic function in device code. This approach can achieve a speedup of nearly 45 times on a NVIDIA GTX 680 GPU compared with CPU code when a larger imaging space is used, where the PSTM output is a common reflection point that is gathered as I[ nx][ ny][ nh][ nt] in matrix format. However, this method requires more memory space so the limited imaging space cannot fully exploit the GPU sources. To overcome this problem, we designed a PSTM scheme with multi-GPUs for imaging different seismic data on different GPUs using an offset value. This process can achieve the peak speedup of GPU PSTM code and it greatly increases the efficiency of the calculations, but without changing the imaging result.

  13. Setting up a Paediatric Rapid Access Outpatient Unit: views of general practice teams.

    NARCIS (Netherlands)

    Williams, L.; Fryer, J.; Andrew, R.; Powell, C.; Pink, J.; Elwyn, G.

    2008-01-01

    BACKGROUND: Rapid Access Outpatient Units (RAOUs) have been suggested as an alternative to hospital inpatient units for the management of some acutely unwell children. These units can provide ambulatory care, delivered close to home, and may prevent unnecessary hospital admission. There are no quali

  14. Aeromycological study at the intensive care unit of the "Dr. Manuel Gea Gonzalez" General Hospital

    Directory of Open Access Journals (Sweden)

    José Manuel Ríos-Yuil

    2012-10-01

    Full Text Available INTRODUCTION: An aeromycological study verifies the presence and quantifies the concentration of fungal propagules in the air. It is very important in the hospital setting because of the increasing numbers of immunosuppressed and severely ill patients. The objective of this study was to determine the concentration of fungi in the air of the intensive care unit (ICU of "Dr. Manuel Gea González" General Hospital. METHODS: This is a descriptive, observational cross-sectional study. Air samples were obtained with a single stage Thermo-Andersen Viable Particle Sampler (Thermo Electron Corporation -Massachusetts, U.S.A. in a Petri dish with potato dextrose agar for 15 minutes at two different times (morning and afternoon and heights (1 and 1.5 meters. The Petri dishes were incubated for five to seven days at 27ºC, the number of colonies was counted, and the total CFU/m³ was determined. The isolated fungal genera were identified by morphological features. Epi Info v. 3.4.3 © was used for statistical analysis. RESULTS: The mean concentration of fungi in the air of the ICU was 85.08 ± 29.19 CFU/m³; while in the outside air it was 84.3 ± 17.23 CFU/m³ (p = 0.96. The fungi isolated were: Cladosporium spp., Penicillium spp., Aspergillus spp. (non-fumigatus, Fusarium spp., Exophiala spp., Syncephalastrum spp., and Acremonium spp. DISCUSSION: Fungal spores were found in the air of the ICU and Cladosporium spp. was the most frequently isolated fungi. There was no difference according to sampling time or height.

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

    Directory of Open Access Journals (Sweden)

    Koukoufilippou J

    2015-01-01

    Full Text Available 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, Google Scholar and Scopus for the period 2001-2014, using keywords like: "Family Planning», «SWOT analysis", "functional design" "prevention", "health promotion", "economic cost". The option of creating inpatient center was made after analysis SWOT, by defining objectives, performance indicators and existing alternatives. Also the timing of implementation and functional design, provide the springboard effort for effective operation. Conclusions: The development of family planning centres in the country and abroad is designed to address very important problems in the bud, in order to improve the quality of citizens' health, then reduce the financial burden on the health system as a result of prevention, and contribute indirectly to the mental balance of citizens.

  16. 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

    Directory of Open Access Journals (Sweden)

    NORMA BREDA DOS SANTOS

    2015-12-01

    Full Text Available 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.

  17. 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)…

  18. Special Inspector General for Iraq Reconstruction. Quaterly and Semiannual Report to the United States Congress

    Science.gov (United States)

    2007-07-30

    Electricity Sector engineers, who provided day-to-day technical supervision and implementation management of GRD’s plan to bring Units 5 and 6 online ...telephone, mail, fax, and online contacts from people in Iraq, the United States, and throughout the world. Second quarter Reporting As of June 30, 2007...Investigative Task Force for Iraq Reconstruction SPOC Sector Project and Contracting Office Contractor TAMU Texas A&M University TBI Trade Bank of Iraq

  19. Special Inspector General for Iraq Reconstruction: Quarterly Report and Semiannual Report to the United States Congress

    Science.gov (United States)

    2007-07-30

    Sector engineers, who provided day-to-day technical supervision and implementation management of GRD’s plan to bring Units 5 and 6 online . GRD...fax, and online contacts from people in Iraq, the United States, and throughout the world. Second quarter Reporting As of June 30, 2007, SIGIR...Task Force for Iraq Reconstruction SPOC Sector Project and Contracting Office Contractor TAMU Texas A&M University TBI Trade Bank of Iraq TF-BSO

  20. Expectations and needs of persons with family members in an intensive care unit as opposed to a general ward.

    Science.gov (United States)

    Foss, K R; Tenholder, M F

    1993-04-01

    The positive effect of family support on the outcome from serious illness that requires intensive care has been recognized by clinicians for decades. We have all seen that family visitation and an intensive care environment more similar to that of a general ward (sunlight, radio, television) can benefit patients with psychosis related to intensive care. The severity of illness of the individual patient exerts a powerful stress on the family unit, but it has been difficult to measure this effect. We used a 40-question family needs survey with a degree of importance scale to compare the intensive care unit (ICU) with the general ward in terms of impact on the family. Five needs were found to discriminate these two environments. The family members of patients in an ICU considered it very important (1) for staff to give directions on what to do at the bedside, (2) to receive more support from their own family unit, (3) to have a place to be alone as a family unit in the hospital, (4) to be informed in advance of any transfer plan, and (5) to have flexibility in the time allowed for visitation. Family members are willing to accept decreased visitation time if the physicians and nurses can equate this decrease with the complexity of care in the ICU. The results of this survey have helped us modify and individualize our approach based on family expectations especially when patients are transferred from the general ward to the ICU or from the ICU to the ward.

  1. Practice patterns and outcomes of pediatric partial nephrectomy in the United States: Comparison between pediatric urology and general pediatric surgery.

    Science.gov (United States)

    Suson, Kristina D; Wolfe-Christensen, Cortney; Elder, Jack S; Lakshmanan, Yegappan

    2015-08-01

    In the United States, both pediatric urologists (PUROs) and general pediatric surgeons (GPSs) perform nephrectomies in children, with PUROs performing more nephrectomies overall, most commonly for benign causes. GPSs perform more nephrectomies for malignant causes. We questioned whether the same trends persisted for partial nephrectomy. We hypothesized that PUROs performed more partial nephrectomies for all causes, including malignancy. Our primary aim was to characterize the number of partial nephrectomies performed by PUROs and GPSs. We also compared short-term outcomes between subspecialties. We analyzed the Pediatric Health Information System (PHIS), a database encompassing data from 44 children's hospitals. Patients were ≤18 years old and had a partial nephrectomy (ICD-9 procedure code 554) carried out by PUROs or GPSs between 1 January, 2004 and June 30, 2013. Queried data points included surgeon subspecialty, age, gender, 3M™ All Patient Refined Diagnosis Related Groups (3M™ APR DRG) code, severity level, mortality risk, length of stay (LOS), and medical/surgical complication flags. Data points were compared in patients on whom PUROs and GPSs had operated. Statistical analysis included the Student t test, chi-square test, analysis of covariance, and logistic regression. Results are presented in the table. While PUROs performed the majority of partial nephrectomies, GPSs operated more commonly for malignancy. For surgeries performed for non-malignant indications, PURO patients had a shorter LOS and lower complication rate after controlling for statistically identified covariates. There was no difference in LOS or complication rate for patients with malignancy. A Pediatric Health Information System study of pediatric nephrectomy demonstrated PUROs performed more nephrectomies overall, but GPSs performed more surgeries for malignancy. The difference was less dramatic for partial nephrectomies (63% GPS, 37% PURO) than for radical nephrectomies (90% GPS, 10

  2. 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.

  3. The experience of registered nurses nursing in the general audit intensive care unit

    Directory of Open Access Journals (Sweden)

    E. Pope

    1998-09-01

    Full Text Available In this article a phenomenological qualitative research study is discussed. More attention will be given to the methodology of the research. The objectives of the study are two-fold: firstly to explore and describe the experience of registered nurses nursing in the adult intensive care unit (this is the first phase of the research and to describe guidelines based on the information obtained in the first phase to support the nurses in the form of a support programme in the second phase. The units of research are the registered nurses in the intensive care unit. The characteristics of the unit of research led to the emergence of a qualitative phenomenological research design of an explorative, descriptive and contextual nature. In the discussion of research methodology attention will be given to phase one: data gathering (ethical considerations and informed consent; purposive selection, phenomenological interviews and field notes; data analysis (Tesch’s method of data analysis, methods to ensure trustworthiness, organisation of raw data and integration of findings supported by literature. Five themes were identified through the data analysis: impaired communication with management; discrimination: white on black racism; lack of fair, competitive remuneration and disregard for professional worth; non-conducive physical environment, and stressful working environment. Phase two: Guidelines were described to support the registered nurses in the intensive care unit based on the information obtained in phase one of the research.

  4. Signature of the Collaboration Agreement between THE UNITED NATIONS INSTITUTE FOR TRAINING AND RESEARCH (UNITAR), by Mr Carlos Lopes (UN Assistant Secretary-General and Executive Director of UNITAR) and by the Director General of CERN, Mr Robert Aymar

    CERN Multimedia

    Claudia Marcelloni

    2008-01-01

    Signature of the Collaboration Agreement between THE UNITED NATIONS INSTITUTE FOR TRAINING AND RESEARCH (UNITAR), by Mr Carlos Lopes (UN Assistant Secretary-General and Executive Director of UNITAR) and by the Director General of CERN, Mr Robert Aymar

  5. 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...

  6. 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..., Exemption from 76.70 Channel access enforcement 76.10 Communities, Designated 76.51 Community, Principal contour 76.5 Community unit 76.5 Consumer education-selector switches 76.66 Cross-ownership 76.501...

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

    African Journals Online (AJOL)

    QuickSilver

    Statistics for 1999 showed that Helen Joseph Hospital admits on the average 53 new .... Lund C & Flisher AJ. South African Mental Health Process Indicators. .... paper) will fall well on the ears of general hospital management. Moosa and ...

  8. 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.

  9. Does the Accountable Care Act Aim to Promote Quality, Health, and Control Costs or Has It Missed the Mark? ;Comment on “Health System Reform in the United States”

    Directory of Open Access Journals (Sweden)

    Carol Molinari

    2014-02-01

    Full Text Available McDonough’s perspective on healthcare reform in the US provides a clear, coherent analysis of the mix of access and delivery reforms in the Affordable Care Act (ACA aka Obamacare. As noted by McDonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured Americans. Additionally, this legislation includes several financial strategies (e.g. incentives and penalties to improve care coordination and quality in the hospital and outpatient settings while also reducing healthcare spending and costs. This commentary is intended to discuss this mix of access and delivery reform in terms of its potential to achieve the Triple Aim: population health, quality, and costs. Final remarks will include the role of the US federal government to reform the American private health industry together with that of an informed consumer.

  10. Preparing General Purpose Forces in the United States and British Armies for Counterinsurgent Operations

    Science.gov (United States)

    2010-12-10

    commander whose book Learning to Eat Soup with a Knife, was widely read by military leaders serving in Afghanistan and Iraq. Dr. Nagl also...sustainment training for units while deployed to Malaya.23 Arthur Campbell , a company commander in the Suffolk Regiment who served in Malaya in the early 1950s...Learning to Eat Soup with a Knife: Counterinsurgency Lessons from Malaya and Vietnam, comparing the Malayan Emergency and Vietnam War is akin to

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

    Science.gov (United States)

    2014-10-30

    terminated the contract for convenience . State also funded three capital-improvement projects—a potable-water tower, a commercial power upgrade, and...Million 37 SIGAR OVERSIGHT ACTIVITIES REPORT TO THE UNITED STATES CONGRESS I OCTOBER 30, 2014 convenience . INL paid AWCC $18.5 million of the $20.2...Abduzaziz, the owner of Aziz Restaurant and a bazaar, who was allegedly engaging in various criminal schemes on BAF, including vehicle thefts. The TCN

  12. AIM: Attracting Women into Sciences.

    Science.gov (United States)

    Hartman, Icial S.

    1995-01-01

    Addresses how to attract more college women into the sciences. Attracting Women into Sciences (AIM) is a comprehensive approach that begins with advising, advertising, and ambiguity. The advising process includes dispelling stereotypes and reviewing the options open to a female basic science major. Interaction, involvement and instruction, finding…

  13. Adapting generalization tools to physiographic diversity for the united states national hydrography dataset

    Science.gov (United States)

    Buttenfield, B.P.; Stanislawski, L.V.; Brewer, C.A.

    2011-01-01

    This paper reports on generalization and data modeling to create reduced scale versions of the National Hydrographic Dataset (NHD) for dissemination through The National Map, the primary data delivery portal for USGS. Our approach distinguishes local differences in physiographic factors, to demonstrate that knowledge about varying terrain (mountainous, hilly or flat) and varying climate (dry or humid) can support decisions about algorithms, parameters, and processing sequences to create generalized, smaller scale data versions which preserve distinct hydrographic patterns in these regions. We work with multiple subbasins of the NHD that provide a range of terrain and climate characteristics. Specifically tailored generalization sequences are used to create simplified versions of the high resolution data, which was compiled for 1:24,000 scale mapping. Results are evaluated cartographically and metrically against a medium resolution benchmark version compiled for 1:100,000, developing coefficients of linear and areal correspondence.

  14. 从图形处理器到基于GPU的通用计算%From Graphic Processing Unit to General Purpose Graphic Processing Unit

    Institute of Scientific and Technical Information of China (English)

    刘金硕; 刘天晓; 吴慧; 曾秋梅; 任梦菲; 顾宜淳

    2013-01-01

    对GPU(graphic process unit)、基于GPU的通用计算(general purpose GPU,GPGPU)、基于GPU的编程模型与环境进行了界定;将GPU的发展分为4个阶段,阐述了GPU的架构由非统一的渲染架构到统一的渲染架构,再到新一代的费米架构的变化;通过对基于GPU的通用计算的架构与多核CPU架构、分布式集群架构进行了软硬件的对比.分析表明:当进行中粒度的线程级数据密集型并行运算时,采用多核多线程并行;当进行粗粒度的网络密集型并行运算时,采用集群并行;当进行细粒度的计算密集型并行运算时,采用GPU通用计算并行.最后本文展示了未来的GPGPU的研究热点和发展方向--GPGPU自动并行化、CUDA对多种语言的支持、CUDA的性能优化,并介绍了GPGPU的一些典型应用.%This paper defines the outline of GPU(graphic processing unit) , the general purpose computation, the programming model and the environment for GPU. Besides, it introduces the evolution process from GPU to GPGPU (general purpose graphic processing unit) , and the change from non-uniform render architecture to the unified render architecture and the next Fermi architecture in details. Then it compares GPGPU architecture with multi-core GPU architecture and distributed cluster architecture from the perspective of software and hardware. When doing the middle grain level thread data intensive parallel computing, the multi-core and multi-thread should be utilized. When doing the coarse grain network computing, the cluster computing should be utilized. When doing the fine grained compute intensive parallel computing, the general purpose computation should be adopted. Meanwhile, some classical applications of GPGPU have been mentioned. At last, this paper demonstrates the further developments and research hotspots of GPGPU, which are automatic parallelization of GPGPU, multi-language support and performance optimization of CUDA, and introduces the classic

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

    Science.gov (United States)

    2009-10-30

    and to introduce salt-tolerant Bermuda grass into Iraq674 Th e PRT also met with German investors in- terested in establishing car dealerships in... Triangle Institute International SET Security Escort Team SIGAR Special Inspector General for Afghanistan Reconstruction SIGIR Special Inspector

  16. General and Partial Equilibrium Modeling of Sectoral Policies to Address Climate Change in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Pizer, William; Burtraw, Dallas; Harrington, Winston; Newell, Richard; Sanchirico, James; Toman, Michael

    2003-03-31

    This document provides technical documentation for work using detailed sectoral models to calibrate a general equilibrium analysis of market and non-market sectoral policies to address climate change. Results of this work can be found in the companion paper, "Modeling Costs of Economy-wide versus Sectoral Climate Policies Using Combined Aggregate-Sectoral Model".

  17. Inclusive Education in the United States: Middle School General Education Teachers' Approaches to Inclusion

    Science.gov (United States)

    Mackey, Megan

    2014-01-01

    Research examined how three middle school teachers included students with disabilities in their general education classrooms. Purposive sampling was used to select a sixth grade science teacher, seventh grade social studies teacher, and eighth grade math teacher whose classrooms were identified as exemplifying the characteristics of inclusive…

  18. 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

    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...... 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...

  19. 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.

  20. 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

    2015-02-24

    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 collaboration, more 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.

  1. Special Inspector General for Iraq Reconstruction. Quarterly Report and Semiannual report to the United States Congress

    Science.gov (United States)

    2009-07-30

    livestock can be raised more economically in confi nement imported 12,400 Hungarian fi ngerlings to • cross-breed with heat -resistant Iraqi carp to...local population, who are primarily engaged in trading, farming, and raising sheep and calves . Th e Deputy Inspector General for Iraq July2009.indb...the challenges Basrah faced in unemployment, corruption, and fi scal stress .716 Security Security improved slightly, with four bombs exploding this

  2. China Aims to Promote Import

    Institute of Scientific and Technical Information of China (English)

    Wang Ting

    2010-01-01

    @@ With the theme of"An Opening Market and Global Trade",aim at promoting communications and exchanges among governments,industries and business to achieve mutual benefit and a win-win situation,nearly 300 representatives from the relevant departments of the Chinese government,foreign embassies in China,industrial associations and major enterprises,as well as well-known Chinese and foreign experts and scholars were invited to take part in the forum and share their iews on Chinese market and foreign trade policies.

  3. A multi-resistant Acinetobacter baumannii outbreak in a general intensive care unit.

    Science.gov (United States)

    Levidiotou, Stamatina; Galanakis, Emmanouil; Vrioni, Georgia; Papamichael, Dimitrios; Nakos, Georgios; Stefanou, Dimitrios

    2002-01-01

    In an Intensive Care Unit, three patients were found infected and two colonized with multiresistant Acinetobacter baumannii within a period of one week. To identify the outbreak source, two surveillance studies were performed concerning patients and the environment. Genotyping of isolates was performed by random amplification of polymorphic DNA analysis (RAPD). Environmental sampling failed to yield A. baumannii, with the exception of a single sample from a trunking. RAPD-fingerprinting yielded identical patterns for all patient isolates including the trunking isolate, thus confirming the suspected cluster. Since the strain from the trunking had a susceptibility pattern and a RAPD pattern identical to that of the strains isolated from the patients, we believe that this was the likely source of the outbreak. In conclusion, A. baumannii outbreaks may be quickly controlled by appropriate action of the hospital infection staff. RAPD-fingerprinting may provide a useful and rapid identification technique for the epidemiological investigation of a hospital outbreak.

  4. Multi-parameter vital sign database to assist in alarm optimization for general care units.

    Science.gov (United States)

    Welch, James; Kanter, Benjamin; Skora, Brooke; McCombie, Scott; Henry, Isaac; McCombie, Devin; Kennedy, Rosemary; Soller, Babs

    2016-12-01

    Continual vital sign assessment on the general care, medical-surgical floor is expected to provide early indication of patient deterioration and increase the effectiveness of rapid response teams. However, there is concern that continual, multi-parameter vital sign monitoring will produce alarm fatigue. The objective of this study was the development of a methodology to help care teams optimize alarm settings. An on-body wireless monitoring system was used to continually assess heart rate, respiratory rate, SpO2 and noninvasive blood pressure in the general ward of ten hospitals between April 1, 2014 and January 19, 2015. These data, 94,575 h for 3430 patients are contained in a large database, accessible with cloud computing tools. Simulation scenarios assessed the total alarm rate as a function of threshold and annunciation delay (s). The total alarm rate of ten alarms/patient/day predicted from the cloud-hosted database was the same as the total alarm rate for a 10 day evaluation (1550 h for 36 patients) in an independent hospital. Plots of vital sign distributions in the cloud-hosted database were similar to other large databases published by different authors. The cloud-hosted database can be used to run simulations for various alarm thresholds and annunciation delays to predict the total alarm burden experienced by nursing staff. This methodology might, in the future, be used to help reduce alarm fatigue without sacrificing the ability to continually monitor all vital signs.

  5. A United Nations General Assembly Special Session for mental, neurological, and substance use disorders: the time has come.

    Science.gov (United States)

    Bass, Judith K; Bornemann, Thomas H; Burkey, Matthew; Chehil, Sonia; Chen, Lenis; Copeland, John R M; Eaton, William W; Ganju, Vijay; Hayward, Erin; Hock, Rebecca S; Kidwai, Rubeena; Kolappa, Kavitha; Lee, Patrick T; Minas, Harry; Or, Flora; Raviola, Giuseppe J; Saraceno, Benedetto; Patel, Vikram

    2012-01-01

    Mental, neurological, and substance use (MNS) disorders are leading causes of the global burden of disease and profoundly impact the social and economic well-being of individuals and communities. The majority of people affected by MNS disorders globally do not have access to evidence-based interventions and many experience discrimination and abuses of their human rights. A United Nations General Assembly Special Session (UNGASS) is needed to focus global attention on MNS disorders as a core development issue requiring commitments to improve access to care, promote human rights, and strengthen the evidence on effective prevention and treatment.

  6. Patient profile and outcome of pilomatrixoma in district general hospital in United Kingdom

    Directory of Open Access Journals (Sweden)

    Mahmoud AbdelDayem

    2013-01-01

    Full Text Available Introduction: A pilomatrixoma is a benign appendage tumour related to hair cells matrix. Most of the literature review about pilomatrixoma is in the form of case reports with fewer cohort studies. The objective of this cohort is to study the variable demographic characteristics, presentation and histopathology of this condition among a larger group of patients. Materials and Methods: We conducted a retrospective study of patients who had excision of pilomatrixoma between February 1998 and August 2011 in a District General Hospital in UK. Results: The study included 67 patients with histopathologically diagnosed pilomatrixoma. The mean age was 32 years. Male to Female ratio was 35:32. The average diameter of the lesion at presentation was 13 mm (range: 2-30 mm. 66 of 67 (98.5% patients presented with solitary lesion, while 1 patient (1.5% had two lesions. Conclusion: Pilomatrixoma is not an uncommon benign lesion. It is more common in the maxillofacial area.

  7. [An analysis of cost and profit of a nursing unit using performance-based costing: case of a general surgical ward in a general hospital].

    Science.gov (United States)

    Lim, Ji Young

    2008-02-01

    The aim of this study was to analyze net income of a surgical nursing ward in a general hospital. Data collection and analysis was conducted using a performance-based costing and activity-based costing method. Direct nursing activities in the surgical ward were 68, indirect nursing activities were 10. The total cost volume of the surgical ward was calculated at won 119,913,334.5. The cost volume of the allocated medical department was won 91,588,200.3, and the ward consumed cost was won 28,325,134.2. The revenue of the surgical nursing ward was won 33,269,925.0. The expense of a surgical nursing ward was 28,325,134.2. Therefore, the net income of a surgical nursing ward was won 4,944,790.8. We suggest that to develop a more refined nursing cost calculation model, a standard nursing cost calculation system needs to be developed.

  8. Surgical management of pneumothorax: significance of effective admission or communication strategies between the district general hospitals and specialized unit.

    Science.gov (United States)

    Aslam, Muhammad I; Martin-Ucar, Antonio E; Nakas, Apostolos; Waller, David A

    2011-11-01

    A preoperative delay in emergency surgery for spontaneous pneumothorax is associated with a poor outcome after surgery and a prolonged hospital stay. To reduce preoperative delays, all tertiary referrals from district general hospitals to our thoracic surgery unit were processed through a 'clinical decisions unit' (CDU). Prior to the establishment of the CDU, these patients were added to a waiting list for a surgical bed. This study has reviewed the effect of this change in admission policy on the efficiency of treatment for non-elective spontaneous pneumothorax. An intergroup comparison (pre-CDU group vs. post-CDU group) was made of the following parameters: referral to transfer time, transfer to surgery time and length of inpatient stay in the referring and tertiary hospitals. There were no significant differences in gender, diagnosis, treatment in the referring hospitals, postoperative clinical outcome, or indications for or type of surgery. The total length of inpatient stay in the referring and tertiary hospitals was significantly reduced for the post-CDU group (12 vs. 15 days; P<0.001), which was attributed to the earlier transfer of patients (18 vs. 78 hours; P<0.001) hours. Allowing surgical access to a traditional medical admission unit is therefore, cost-effective and significantly improves the efficiency of non-elective pneumothorax surgery.

  9. Knowledge of carbohydrate counting and insulin dose calculations among hospital staff in a regional general paediatrics unit.

    Science.gov (United States)

    O'Gorman, Jennifer R; O'Leary, Orla; Finner, Natalie; Quinn, Anne; O'Gorman, Clodagh S

    2015-01-01

    The aim of this study was to assess the carbohydrate and insulin knowledge of the staff at Children's Ark at the University Hospital, Limerick. Carbohydrate counting and insulin dose calculations based on carbohydrates and blood sugars are integral to intensive insulin management of type 1 diabetes mellitus (T1DM). The PedCarbQuiz, a validated questionnaire, was modified, and applied to the staff on our general paediatrics ward. 48/70 eligible staff responded (rate 68 %). Overall knowledge was good: 75.5 % was the average score for correctly identifying foods containing carbohydrate. However, poor scores were obtained for calculating multiple items and meal values (average score 29 %), and exact values of insulin required (average score 38 %). These results highlight the need for re-education among staff on a general paediatrics ward, to empower ward staff to contribute effectively to the education and management of patients with T1DM.

  10. 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.

  11. Risk factors associated with calcium oxalate urolithiasis in dogs evaluated at general care veterinary hospitals in the United States.

    Science.gov (United States)

    Okafor, Chika C; Lefebvre, Sandra L; Pearl, David L; Yang, Mingyin; Wang, Mansen; Blois, Shauna L; Lund, Elizabeth M; Dewey, Cate E

    2014-08-01

    Calcium oxalate urolithiasis results from the formation of aggregates of calcium salts in the urinary tract. Difficulties associated with effectively treating calcium oxalate urolithiasis and the proportional increase in the prevalence of calcium oxalate uroliths relative to other urolith types over the last 2 decades has increased the concern of clinicians about this disease. To determine factors associated with the development of calcium oxalate urolithiasis in dogs evaluated at general care veterinary hospitals in the United States, a retrospective case-control study was performed. A national electronic database of medical records of all dogs evaluated between October 1, 2007 and December 31, 2010 at 787 general care veterinary hospitals in the United States was reviewed. Dogs were selected as cases at the first-time diagnosis of a laboratory-confirmed urolith comprised of at least 70% calcium oxalate (n=452). Two sets of control dogs with no history of urolithiasis diagnosis were randomly selected after the medical records of all remaining dogs were reviewed: urinalysis examination was a requirement in the selection of one set (n=1808) but was not required in the other set (n=1808). Historical information extracted included urolith composition, dog's diet, age, sex, neuter status, breed size category, hospital location, date of diagnosis, and urinalysis results. Multivariable analysis showed that the odds of first-time diagnosis of calcium oxalate urolithiasis were significantly (P30 mg/dL (OR: 1.55, 1.04-2.30). Patient demographics and urinalysis results are important factors that can support risk assessment and early identification of canine oxalate urolithiasis. Therefore, periodic urolith screening and monitoring of urine parameters should be encouraged for dogs at risk of developing these uroliths.

  12. Functional recovery of elderly patients hospitalized in geriatric and general medicine units. The PROgetto DImissioni in GEriatria Study.

    Science.gov (United States)

    Palleschi, Lorenzo; De Alfieri, Walter; Salani, Bernardo; Fimognari, Filippo Luca; Marsilii, Alberto; Pierantozzi, Andrea; Di Cioccio, Luigi; Zuccaro, Stefano Maria

    2011-02-01

    To investigate the characteristics of patients who regain function during hospitalization and the differences in terms of functional outcomes between patients admitted to geriatric and general medicine units. Multicenter, prospective cohort study. Acute care geriatric and medical wards of five Italian hospitals. One thousand forty-eight elderly patients hospitalized for acute medical diseases. Functional status 2 weeks before hospital admission (baseline), at admission, and at discharge, as measured using the Barthel Index (BI). Geriatric patients were older (P<.001) and had lower preadmission functional levels (P<.001) than medical patients. Between baseline and discharge, 43.2% of geriatric and 18.9% of medical patients declined in physical function. In the subpopulation of 464 patients who had declined before hospitalization (between baseline and admission), 59% improved during hospitalization (45% of geriatric and 75% of medical patients), whereas only approximately 1% declined further. High baseline function (odds ratio (OR)=1.03, 95% confidence interval (CI)=1.02-1.04, per point of BI) and greater functional decline before hospitalization (OR 0.95, 95% CI 0.94-0.97, per % point of BI decline) were significant predictors of in-hospital functional improvement; type of hospital ward and age were not. Although geriatric patients have overall worse functional outcomes, in-hospital functional recovery may be frequent even in geriatric units, particularly in patients with greater preadmission functional loss and high baseline level of function. © 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.

  13. 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 ...

  14. Economic Evaluation of a General Hospital Unit for Older People with Delirium and Dementia (TEAM Randomised Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Lukasz Tanajewski

    Full Text Available One in three hospital acute medical admissions is of an older person with cognitive impairment. Their outcomes are poor and the quality of their care in hospital has been criticised. A specialist unit to care for older people with delirium and dementia (the Medical and Mental Health Unit, MMHU was developed and then tested in a randomised controlled trial where it delivered significantly higher quality of, and satisfaction with, care, but no significant benefits in terms of health status outcomes at three months.To examine the cost-effectiveness of the MMHU for older people with delirium and dementia in general hospitals, compared with standard care.Six hundred participants aged over 65 admitted for acute medical care, identified on admission as cognitively impaired, were randomised to the MMHU or to standard care on acute geriatric or general medical wards. Cost per quality adjusted life year (QALY gained, at 3-month follow-up, was assessed in trial-based economic evaluation (599/600 participants, intervention: 309. Multiple imputation and complete-case sample analyses were employed to deal with missing QALY data (55%.The total adjusted health and social care costs, including direct costs of the intervention, at 3 months was £7714 and £7862 for MMHU and standard care groups, respectively (difference -£149 (95% confidence interval [CI]: -298, 4. The difference in QALYs gained was 0.001 (95% CI: -0.006, 0.008. The probability that the intervention was dominant was 58%, and the probability that it was cost-saving with QALY loss was 39%. At £20,000/QALY threshold, the probability of cost-effectiveness was 94%, falling to 59% when cost-saving QALY loss cases were excluded.The MMHU was strongly cost-effective using usual criteria, although considerably less so when the less acceptable situation with QALY loss and cost savings were excluded. Nevertheless, this model of care is worthy of further evaluation.ClinicalTrials.gov NCT01136148.

  15. On hydrologic similarity: A dimensionless flood frequency model using a generalized geomorphologic unit hydrograph and partial area runoff generation

    Science.gov (United States)

    Sivapalan, Murugesu; Wood, Eric F.; Beven, Keith J.

    1993-01-01

    One of the shortcomings of the original theory of the geomorphologic unit hydrograph (GUH) is that it assumes that runoff is generated uniformly from the entire catchment area. It is now recognized that in many catchments much of the runoff during storm events is produced on partial areas which usually form on narrow bands along the stream network. A storm response model that includes runoff generation on partial areas by both Hortonian and Dunne mechanisms was recently developed by the authors. In this paper a methodology for integrating this partial area runoff generation model with the GUH-based runoff routing model is presented; this leads to a generalized GUH. The generalized GUH and the storm response model are then used to estimate physically based flood frequency distributions. In most previous work the initial moisture state of the catchment had been assumed to be constant for all the storms. In this paper we relax this assumption and allow the initial moisture conditions to vary between storms. The resulting flood frequency distributions are cast in a scaled dimensionless framework where issues such as catchment scale and similarity can be conveniently addressed. A number of experiments are performed to study the sensitivity of the flood frequency response to some of the 'similarity' parameters identified in this formulation. The results indicate that one of the most important components of the derived flood frequency model relates to the specification of processes within the runoff generation model; specifically the inclusion of both saturation excess and Horton infiltration excess runoff production mechanisms. The dominance of these mechanisms over different return periods of the flood frequency distribution can significantly affect the distributional shape and confidence limits about the distribution. Comparisons with observed flood distributions seem to indicate that such mixed runoff production mechanisms influence flood distribution shape. The

  16. 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

  17. Ten years after the United Nations General Assembly Special Session (UNGASS): assessing drug problems, policies and reform proposals.

    Science.gov (United States)

    Reuter, Peter

    2009-04-01

    In 1998 the United Nations General Assembly Special Session resolved that governments would reduce drug production and consumption greatly within 10 years. With that period now elapsed, there is an interest in reviewing how successful this was and considering how drug policy could be improved. The demand for drugs in the world has stabilized mainly as a result of the interaction of epidemic forces, culture and economic development. Supply has become more concentrated and the menu of drugs has changed surprisingly slowly. Drug policy is shifting to a more explicitly tolerant configuration in Europe and a few other countries, but retains its ferocity in most of the world. The most prominent innovations under discussion have limited potential effects (heroin maintenance), have as yet been unproductive of policy interventions ('addiction is a brain disease') or have no political appeal (legalization). The option with the most scope is increased effort at diverting arrested drug users out of criminal justice systems. No prevention, treatment or enforcement strategies have demonstrated an ability to substantially affect the extent of drug use and addiction. The best that government interventions can do is to reduce the damaging consequences of drug use and drug control. More attention should be given to reductions in the intensity of drug enforcement, which has many unintended adverse consequences and yields few of the claimed gains.

  18. Physiotherapists' perceptions of and experiences with the discharge planning process in acute-care general internal medicine units in ontario.

    Science.gov (United States)

    Matmari, Lakshmi; Uyeno, Jennifer; Heck, Carol S

    2014-01-01

    To examine discharge planning of patients in general internal medicine units in Ontario acute-care hospitals from the perspective of physiotherapists. A cross-sectional study using an online questionnaire was sent to participants in November 2011. Respondents' demographic characteristics and ranking of factors were analyzed using descriptive statistics; t-tests were performed to determine between-group differences (based on demographic characteristics). Responses to open-ended questions were coded to identify themes. Mobility status was identified as the key factor in determining discharge readiness; other factors included the availability of social support and community resources. While inter-professional communication was identified as important, processes were often informal. Discharge policies, timely availability of other discharge options, and pressure for early discharge were identified as affecting discharge planning. Respondents also noted a lack of training in discharge planning; accounts of ethical dilemmas experienced by respondents supported these themes. Physiotherapists consider many factors beyond the patient's physical function during the discharge planning process. The improvement of team communication and resource allocation should be considered to deal with the realities of discharge planning.

  19. The clinical pathway for hypertensive patient of local health unit, hospitals and general practitioners, the Milan experience.

    Science.gov (United States)

    Donzelli, Alberto; Sghedoni, Donatella; Carelli, Francesco A; Chirchiglia, Saverio; Manunta, Paolo

    2011-01-01

    The Clinical Pathway (in its complete definition Diagnostic, Clinical and Therapeutic Pathway - Percorso Diagnostico Terapeutico Assistenziale - PDTA), originally started to deal with the newly diagnosed hypertensive patient, developed also recommendations for the first-line drugs in case of specific indications/contraindications and organ damages. It has been developed by a working group of specialists in cardiology, nephrology, internal medicine (faculty included) designated by their hospitals (both public and private accredited), including all the main city hospitals, by general practitioners designated by the Medical Unions SNAMI, FIMMG, SMI and SiMI and by public health doctors belonging to the Local Health Unit of Milan, who have coordinated the proceedings and have guaranteed that possible conflicts of interest of single participants could not interfere with the PDTA, anyway approved by all in July 2009. The PDTA deals with the measuring and self- home-monitoring of blood pressure (BP) and the diagnosis of hypertension; it revises, sometimes "dries up" and rationalizes the recommendations for diagnostic tests and specialist evaluations; it develops prevention and non-pharmacological treatments, proposing also tools for patients and for prescribing correct nutrition and physical activity and a structured program for BP monitoring; but the main feature is the innovations brought in the proposed drug treatment in comparison with the current clinical practice.

  20. Economic Impacts of Potential Foot and Mouth Disease Agro-terrorism in the United States: A Computable General Equilibrium Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Oladosu, Gbadebo A [ORNL; Rose, Adam [University of Southern California, Los Angeles; Bumsoo, Lee [University of Illinois

    2013-01-01

    The foot and mouth disease (FMD) virus has high agro-terrorism potential because it is contagious, can be easily transmitted via inanimate objects and can be spread by wind. An outbreak of FMD in developed countries results in massive slaughtering of animals (for disease control) and disruptions in meat supply chains and trade, with potentially large economic losses. Although the United States has been FMD-free since 1929, the potential of FMD as a deliberate terrorist weapon calls for estimates of the physical and economic damage that could result from an outbreak. This paper estimates the economic impacts of three alternative scenarios of potential FMD attacks using a computable general equilibrium (CGE) model of the US economy. The three scenarios range from a small outbreak successfully contained within a state to a large multi-state attack resulting in slaughtering of 30 percent of the national livestock. Overall, the value of total output losses in our simulations range between $37 billion (0.15% of 2006 baseline economic output) and $228 billion (0.92%). Major impacts stem from the supply constraint on livestock due to massive animal slaughtering. As expected, the economic losses are heavily concentrated in agriculture and food manufacturing sectors, with losses ranging from $23 billion to $61 billion in the two industries.

  1. 40 CFR 63.7886 - What are the general standards I must meet for my affected remediation material management units?

    Science.gov (United States)

    2010-07-01

    ... meet for my affected remediation material management units? 63.7886 Section 63.7886 Protection of... meet for my affected remediation material management units? (a) For each remediation material... material management units exempted under paragraph (c) or (d) of this section. (b) For each affected...

  2. Barriers and challenges in seeking psychiatric intervention in a General Hospital, by the collaborative child response unit, (A multidisciplinary team approach to handling child abuse A qualitative analysis

    Directory of Open Access Journals (Sweden)

    Vyjayanthi Kanugodu Srinivasa Subramaniyan

    2017-01-01

    Full Text Available Child abuse is a serious criminal act against children in our country and punishable according to protection of children from sexual offenses act 2012. No one agency has the ability to respond completely to the abuse. Hence a multidisciplinary team approach was developed in India. Aim is to narrate the collaborative effort among the multiple disciplines in a general hospital to deliver child protection services and explore the barriers to integrate psychiatric services. Methodology: Members of the team were recruited from different disciplines and trained by experts. A mission statement, protocol to assess the victims and provide treatment was formulated as an algorithm. The barriers to psychiatric treatment among the stakeholders were analyzed using framework method of qualitative analysis. Results (After 20 months the unit received 27 referrals in 20 months, 24 females, and 3 males. Age of the victims was between 8 months and 17 years. Two cases found to be physically abused. Penetrative sexual abuse was found in 23 cases, pregnant victims were 4. Most referrals were by police, trafficking found in 6 cases. Discussion: It was possible to provide multidisciplinary care to the victims and families. Recurrent themes of barriers to psychiatric treatment were stigma, victim blaming; focus on termination of pregnancy, minimization of abuse in males by stakeholders. Conclusion is collaboration needs more effort to integrate psychiatric services but can minimize the reduplication of services.

  3. Barriers and Challenges in Seeking Psychiatric Intervention in a General Hospital, by the Collaborative Child Response Unit, (A Multidisciplinary Team Approach to Handling Child Abuse) A Qualitative Analysis

    Science.gov (United States)

    Subramaniyan, Vyjayanthi Kanugodu Srinivasa; Mital, Anukant; Rao, Chandrika; Chandra, Girish

    2017-01-01

    Child abuse is a serious criminal act against children in our country and punishable according to protection of children from sexual offenses act 2012. No one agency has the ability to respond completely to the abuse. Hence a multidisciplinary team approach was developed in India. Aim is to narrate the collaborative effort among the multiple disciplines in a general hospital to deliver child protection services and explore the barriers to integrate psychiatric services. Methodology: Members of the team were recruited from different disciplines and trained by experts. A mission statement, protocol to assess the victims and provide treatment was formulated as an algorithm. The barriers to psychiatric treatment among the stakeholders were analyzed using framework method of qualitative analysis. Results (After 20 months) the unit received 27 referrals in 20 months, 24 females, and 3 males. Age of the victims was between 8 months and 17 years. Two cases found to be physically abused. Penetrative sexual abuse was found in 23 cases, pregnant victims were 4. Most referrals were by police, trafficking found in 6 cases. Discussion: It was possible to provide multidisciplinary care to the victims and families. Recurrent themes of barriers to psychiatric treatment were stigma, victim blaming; focus on termination of pregnancy, minimization of abuse in males by stakeholders. Conclusion is collaboration needs more effort to integrate psychiatric services but can minimize the reduplication of services.

  4. Epidemiologic profile of otorhinolaryngological, head and neck disorders in a tertiary hospital unit in Greece: a challenge for general practitioners?

    Directory of Open Access Journals (Sweden)

    Rachiotis Georgios

    2006-06-01

    Full Text Available Abstract Background In Greece, primary care is still developing. The aim of this study was to define the epidemiologic profile of common otorhinolaryngological, head and neck disorders in order to help general practitioners to deal with them in a primary care future. Methods A total of 6771 patients attended the Otorhinolaryngology emergency department of the University General Hospital of Heraklion (Crete, between January and December 2004. All cases were included in this retrospective study. The registry of the Otorhinolaryngology emergency department was analysed and age, sex, seasonality and clinical diagnosis were tabulated. All patients were evaluated by Otorhinolaryngologists. The classification of the cases was based on the main symptom or clinical sign that conditioned the reason for seeking care. Diagnoses were also coded according to the International Classification of Diseases (ICD-10. Results The male to female ratio was 1:1. The mean age for females was 36.3 years standard deviation (SD: 21.1 and for males was 36.8 years (SD = 22.0. Eight hundred eighty six patients (13.1% formed the paediatric sub-group. Over 60% of the cases were classified in ten major groups of diagnosis. Acute tonsillitis (12.3% and acute pharyngitis (9.0% were the most common causes of all medical visits, followed by otitis media (7.6% and external ear canal obstruction by ear wax (6.2%. Oedema of the larynx was detected in 0.4%. A negative diagnosis of otorhinolaryngological, head and neck disorder was formulated in 553 patients (8.2%. Hospitalization rate was 5.2%. The highest rate of visits was registered in March. Conclusion Most patients used the facility as a primary care service. Real emergencies were a minority. Recovering data about which areas of Otorhinolaryngology deserve more emphasis might help primary health care providers to diagnose and manage the common otorhinolaryngological, head and neck disorders properly.

  5. Rate of first recorded diagnosis of autism and other pervasive developmental disorders in United Kingdom general practice, 1988 to 2001

    Directory of Open Access Journals (Sweden)

    Smith Peter G

    2004-11-01

    Full Text Available Abstract Background There has been concern that the incidence of autism and other pervasive developmental disorders (PDDs is increasing. Previous studies have been smaller, restricted to autism (excluding other pervasive developmental disorders such as Asperger's syndrome, included boys only, or have not been based on a national sample. We investigated time trends in the rates of diagnosis of pervasive developmental disorders. Methods We analysed the rates of first diagnosis of pervasive developmental disorders among people registered with a practice contributing to the United Kingdom General Practice Research Database during the period 1988 to 2001. We included 1410 cases from over 14 million person-years of observation. The main outcome measures were rates of diagnosis of pervasive developmental disorders by year of diagnosis, year of birth, gender and geographical region. Results The rate increased progressively from 0.40/10,000 person-years (95% CI 0.30 to 0.54 in 1991 to 2.98/10,000 (95% CI 2.56 to 3.47 in 2001. A similar change occurred in the age standardised incidence ratios, from 35 (95% CI: 26–47 in 1991 to 365 (95% CI: 314–425 in 2001. The temporal increase was not limited to children born during specific years nor to children diagnosed in a specific time period. The rate of diagnosis of PDDs other than autism rose from zero for the period 1988–1992 to 1.06/10,000 person-years in 2001. The rate of diagnosis of autism also increased but to a lesser extent. There was marked geographical variation in rates, with standardised incidence ratios varying from 66 for Wales to 141 for the South East of England. Conclusions Better ascertainment of diagnosis is likely to have contributed to the observed temporal increase in rates of diagnosis of PDD, but we cannot exclude a real increase.

  6. 联大一般性辩论中标记性主位的英汉同传%On English-Chinese Simultaneous Interpretation of Marked Themes in the United Nations General Debate (UNGD)

    Institute of Scientific and Technical Information of China (English)

    葛丽

    2014-01-01

    In regular session of United Nations General Assembly,general debate is usually fol-lowed by discussion and consideration of items included in the agenda.This paper aims at discus-sing English-Chinese simultaneous interpretation coping strategies of marked Themes in the Unit-ed Nations General Debate (UNGD)and their applicability and features in simultaneous interpre-tation training.Analysis has been made and applicability and features are concluded.%联合国大会常会分为两个阶段:前段主要为一般性辩论,后段为对其他各项议程项目的讨论和审议。本文旨在讨论联大一般性辩论发言的英汉同声传译对标记性主位的处理策略,包括这些策略在同声传译训练中的适用性及其特点。

  7. Getting a Better Understanding of the Metric System--Implications if Adopted by the United States: Executive Summary. Report to the Congress of the United States by the Comptroller General.

    Science.gov (United States)

    Comptroller General of the U.S., Washington, DC.

    This General Accounting Office (GAO) document is a summary of a GAO report that discusses: (1) the implications if the United States converts to the metric system of weights and measures; and (2) the conversion experiences of other countries. Topics covered include national policy, impact on industry and the public, benefits, advantages,…

  8. 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…

  9. Continuity of care : is the personal doctor still important? : A survey of general practitioners and family physicians in England and Wales, the United States, and The Netherlands

    NARCIS (Netherlands)

    Stokes, T.; Tarrant, C.; Mainous, A.G.; Schers, H.J.; Freeman, G.; Baker, R.

    2005-01-01

    PURPOSE: We determined the reported value general practitioners/family physicians in 3 different health care systems place on the various types of continuity of care. METHODS: We conducted a postal questionnaire survey in England and Wales, the United States, and The Netherlands. The participants we

  10. 75 FR 47632 - New United Motor Manufacturing, Inc., Formerly a Joint Venture of General Motors Corporation and...

    Science.gov (United States)

    2010-08-06

    ... General Motors Corporation and Toyota Motor Corporation, Including On- Site Leased Workers From Corestaff, ABM Janitorial, Toyota Engineering and Manufacturing North America, NPA Coatings, Inc., and Premier... Motor Manufacturing, Inc., formerly a joint venture of General Motors Corporation and Toyota...

  11. 76 FR 10396 - New United Motor Manufacturing, Inc., Formerly a Joint Venture of General Motors Corporation and...

    Science.gov (United States)

    2011-02-24

    ... General Motors Corporation and Toyota Motor Corporation, Including On- Site Leased Workers From Corestaff, ABM Janitorial, Toyota Engineering and Manufacturing North America, NPA Coatings, Inc., Premier... of General Motors Corporation and Toyota Motor Corporation, including on-site leased workers...

  12. 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.

  13. 75 FR 39045 - New United Motor Manufacturing, Inc., Formerly a Joint Venture of General Motors Corporation and...

    Science.gov (United States)

    2010-07-07

    ... General Motors Corporation and Toyota Motor Corporation, Including On- Site Leased Workers From Corestaff, ABM Janitorial, Toyota Engineering and Manufacturing North America, and NPA Coatings, Inc., and On... Manufacturing, Inc., formerly a joint ] venture of General Motors Corporation and Toyota Motor...

  14. CONFIGURING THE ROLE OF THE UNITED NATIONS SECRETARYGENERAL IN THE PEACEFUL SETTLEMENT OF INTERNATIONAL DISPUTES. RELATIONS WITH THE SECURITY COUNCIL AND THE GENERAL ASSEMBLY

    Directory of Open Access Journals (Sweden)

    OANA-ADRIANA IACOB

    2012-05-01

    Full Text Available In an international context embracing the idealist concepts of harmony, cooperation, structural peace, illegality of war, the United Nations Organization has created a system of peaceful settlement of disputes, based on principles of justice and international law. In this framework, the organs bearing the responsibility of peaceful resolution of conflicts are the International Court of Justice, the Security Council, the General Assembly and the Secretary-General. The latter has a unique position, triggering a spectacular evolution of its role in the maintenance of international peace and security. The challenges of the international environment and the outstanding ways in which they were addressed by the distinctive personalities that filled the function of the Secretary General, creating precedents and influencing its future development, have led to a continuous enlargement of its role. The purpose of the present paper is that of defining the role of the Secretary-General in the system of peaceful settlement of international disputes created by the United Nations, by analysing the relevant provisions consecrated in the Charter and by revealing and explaining the outstanding evolution of this institution, with an emphasis on the relations of mutual influence between the High Official, on one side, the Security Council and the General Assembly, on the other.

  15. 75 FR 28656 - New United Motor Manufacturing, Inc., Formerly a Joint Venture of General Motors Corporation, and...

    Science.gov (United States)

    2010-05-21

    ... General Motors Corporation, and Toyota Motor Corporation, Including On- Site Leased Workers From Corestaff, ABM Janitorial, and Toyota Engineering and Manufacturing North America, Fremont, CA; Amended... and Toyota Motor Corporation, including on-site leased workers from Corestaff and ABM...

  16. Effect of Cellular Phone and Radar Forensics on Search and Rescue Duration for General Aviation Aircraft Accidents in the Contiguous United States

    OpenAIRE

    Wallace, Ryan J

    2014-01-01

    Emergency Locator Transmitters (ELT) are generally the primary tool for locating distressed aircrews following an aircraft accident. In 2009, the International COSPAS-SARSAT organization ordered the cessation of 121.5 MHz ELT satellite monitoring to alleviate systemic false alarms and encourage pilots to upgrade ELTs to modern 406 MHz models. While most nations acquiesced to the mandate, the United States encountered severe resistance from pilot groups. As a result, 121.5 MHz ELTs are still i...

  17. 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…

  18. 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,…

  19. Is "Freedom" an Aim of Education?

    Science.gov (United States)

    Abinum, Joseph

    1979-01-01

    The purpose of this paper is to show that "freedom" properly understood cannot be an aim or an ideal of education, and that when educators talk of "freedom" as an aim or ideal of education, they usually have in mind the development of autonomy. (Author)

  20. Aims of education in South Africa

    Science.gov (United States)

    Morrow, Walter Eugene

    1990-06-01

    The first part of this paper gives a historical account of the aims of education under Apartheid, and discusses the ideological success of Apartheid education. The second part argues that a significant discussion — that is one which could have some purchase on schooling policy and educational practice — of aims of education in South Africa is not possible at present because the historical preconditions for such a discussion are not satisfied. It is argued that Apartheid has generated a political perspective which is unsympathetic to a discussion of aims of education; that the dominance of a social engineering model of schooling distorts a discussion of aims of education; and that a shared moral discourse, which is a necessary condition for a significant discussion of aims of education, does not yet exist in South Africa.

  1. Participating in politics resembles physical activity: general action patterns in international archives, United States archives, and experiments.

    Science.gov (United States)

    Noguchi, Kenji; Handley, Ian M; Albarracín, Dolores

    2011-02-01

    A series of studies examined whether political participation can emerge from general patterns of indiscriminate activity. In the first two studies, general action tendencies were measured by combining national and state-level indicators of high activity (e.g., impulsiveness, pace of life, and physical activity) from international and U.S. data. This action-tendency index positively correlated with a measure of political participation that consisted of voting behaviors and participation in political demonstrations. The following two experimental studies indicated that participants exposed to action words (e.g., go, move) had stronger intentions to vote in an upcoming election and volunteered more time to make phone calls on behalf of a university policy than participants exposed to inaction words did (e.g., relax, stop). These studies suggest that political participation can be predicted from general tendencies toward activity present at the national and state levels, as well as from verbal prompts suggestive of activity.

  2. Experience with the pectoralis major myocutaneous flap for head and neck reconstruction in a general surgical unit.

    Directory of Open Access Journals (Sweden)

    Nagral S

    1992-07-01

    Full Text Available The pectoralis major myocutaneous (PMMC flap or its modification was used in 19 cases after resectional surgery for malignancy of the oral cavity with minimal morbidity and no mortality. The resection as well as reconstruction was done by the same team consisting only of general surgeons. The final functional and cosmetic results were satisfactory. The pectoralis major myocutaneous flap is a hardy flap and can be performed with relative ease even by those not specialised in plastic surgery. This makes it an important tool for a general surgeon practicing in a country like India with its high incidence of head and neck malignancy.

  3. Gifted and General High School Students' Perceptions of Learning and Motivational Constructs in Korea and the United States

    Science.gov (United States)

    Chae, Yoojung; Gentry, Marcia

    2011-01-01

    This study examined differences between Korean and US gifted and general students' perceptions constructs related to motivation and learning, using the Student Perceptions of Classroom Quality (SPOCQ) instrument. SPOCQ assesses students' perceptions of appeal, challenge, choice, meaningfulness, and academic self-efficacy. Measurement equality…

  4. Effect of Advanced Location Methods on Search and Rescue Duration for General Aviation Aircraft Accidents in the Contiguous United States

    Science.gov (United States)

    Wallace, Ryan J.

    2013-01-01

    The purpose of this study was to determine the impact of advanced search and rescue devices and techniques on search duration for general aviation aircraft crashes. The study assessed three categories of emergency locator transmitters, including 121.5 MHz, 406 MHz, and GPS-Assisted 406 MHz devices. The impact of the COSPAS-SARSAT organization…

  5. 75 FR 26794 - New United Motor Manufacturing, Inc., Formerly a Joint Venture of General Motors Corporation and...

    Science.gov (United States)

    2010-05-12

    ... Motor Manufacturing, Inc., Formerly a Joint Venture of General Motors Corporation and Toyota Motor... and Toyota Motor Corporation, including on-site leased workers from Corestaff, Fremont, California... assemble the Toyota Corolla and the Toyota Tacoma and used to assemble the Pontiac Vibe. The...

  6. 主要农作物转基因飘流频率和距离的数据调研与分析Ⅰ.背景、调研目的及所考虑的问题%Data Survey and Analysis of the Tansgene Flow Frequencies and Distances in Major Crops Ⅰ .The Background, Aim and General Consideration

    Institute of Scientific and Technical Information of China (English)

    王志兴; 王旭静; 贾士荣

    2011-01-01

    Transgene flow's potential risk on environment and food is one of the hot spots that major public concerned.The data and information on tansgene flow in major corps published internationally until 2010 have been surveyed and analyzed.The distances of transgene flow at certain threshold level for different major crops are particularly defined.In this article, the background, aim and general consideration for this survey were discussed.On the scientific basis,the principle of classification management and threshold management are proposed to control the risk of transgene flow.%转基因飘流及其可能引起的环境和食品潜在风险是公众关注的热点之一.对2010年前主要农作物转基因飘流的数据和信息进行了调研与分析,特别是对一定允许阈值下的基因飘流距离进行了归纳.在分别报道各种作物的基因飘流数据前,对调研的背景、目的及所考虑的问题进行了讨论,基于科学分析,建议采用分类管理和阈值管理的原则来控制转基因飘流的风险.

  7. Northeastern Mathematical Journal Aims and Scope

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Northeastern Mathematical Journal (NMJ) is a comprehensive mathematical journal carrying original papers on pure and applied mathematics. It started publication in September, 1985, and appears quarterly. The primary purpose is to present latest achievements in mathematical research and to promote national and international academic exchange, The Editorial Committee of NMJ consists of 49 members from different parts and units of China.

  8. A Comparison between the American Institute of Architects’ and the United States Navy’s Construction Contract General Provisions

    Science.gov (United States)

    1992-01-01

    SCOTT A. HAYWARD CT MARO0 119935 A REPORT PRESENTED TO THE GRADUATE COMMITTEE OF THE DEPARTMENT OF CIVIL ENGINEERING IN PARTIAL FULFILLMENT OF THE...an officer of the Civil Engineer Corps, United States Navy or another officer or representative of the Government, as Resident Officer in Charge of...Awlo 9 ay dfll it C nt bcor mahflP" U _ L3.7.. 7A.3.3. nooposa Arhiec Owe Arhiec Contrato ACbntratioor relo..nc cnt Oed~e prepared NOrnobl4 Becme

  9. 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...

  10. On the Aims and Responsibilities of Science

    Directory of Open Access Journals (Sweden)

    Hugh Lacey

    2007-06-01

    Full Text Available I offer a view of the aims and responsibilities of science, and use it to analyze critically van Fraassen’s view that ‘objectifying inquiry’ is fundamental to the nature of science.

  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...... 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...

  12. Acute kidney injury in an intensive care unit of a general hospital with emergency room specializing in trauma: an observational prospective study.

    Science.gov (United States)

    Santos, Paulo Roberto; Monteiro, Diego Levi Silveira

    2015-03-19

    Acute kidney injury (AKI) is common among intensive care unit (ICU) patients and is associated with high mortality. Type of ICU, category of admission diagnosis, and socioeconomic characteristics of the region can impact AKI outcomes. We aimed to determine incidence, associated factors and mortality of AKI among trauma and non-trauma patients in a general ICU from a low-income area. We studied 279 consecutive patients in an ICU during a follow-up of one year. Patients with less than 24-hour stay in the ICU and with chronic kidney disease were excluded. AKI was classified according to the Kidney Disease Improving Global Outcomes (KDIGO) criteria in three stages. Comparisons were performed by the Student-t and Mann-Whitney tests for continuous variables, respectively with and without normal distribution. Comparisons of frequencies were carried out by the Fisher test. Multivariate logistic regression was used to test variables as predictors for AKI and death. Admission categories were proportionally divided into 51.6% of non-trauma diagnosis and 48.4% of trauma cases. Most trauma cases involved brain injury (79.5%). The overall incidence of AKI was 32.9%, distributed among the three stages: 33.7% stage 1, 29.4% stage 2 and 36.9% stage-3. Patients who developed AKI were older, had more diabetes, stayed longer in the ICU, presented higher APACHE II and more often needed mechanical ventilation and use of vasopressors. In comparison with non-trauma cases, trauma patients had a greater prevalence of males, higher APACHE II score, higher urine output, and younger age. There was no difference concerning development of AKI and crude mortality between trauma and non-trauma patients. Age, presence of diabetes, APACHE score and use of vasopressors were independent predictors for AKI, and AKI increased the risk of death ten-fold (OR = 14.51; CI 95% = 7.94-26.61; p trauma and non-trauma patients. Trauma cases, especially brain injury due to traffic accidents involving

  13. Presentation of Database on Aims and Visions

    DEFF Research Database (Denmark)

    Lundgaard, Jacob

    2005-01-01

    This presentation presents a database on aims and visions regarding regional development and transport and infrastructure in the corridor from Oslo-Göteborg-Copenhagen-Berlin. The process, the developed methodology as well as the result of the database is presented.......This presentation presents a database on aims and visions regarding regional development and transport and infrastructure in the corridor from Oslo-Göteborg-Copenhagen-Berlin. The process, the developed methodology as well as the result of the database is presented....

  14. USAWC (United States Army War College) Military Studies Program Paper. The Development of the American General Staff: 1880 to 1920

    Science.gov (United States)

    2007-11-02

    of a general staff, reasons for such an organization, and the actual develorinent of the staff compared to the design. After the Amnerican Civil War...organization, and the actual development of the staff compared to the design. After the American Civil War a group of reformers assessed the performance of...and prohib- ited it from interfering with the bureaus and their administration. The bureau chiefs regarded the Act as their "Magna Carta " essentially

  15. China Aims to Reform,Not Destroy

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ The current system of international relations, which was devised by Western countries, must be reformed. There is mounting evidence showing the system has severedefects and is not fair or just. The global financial crisis, for instance, has exposed flaws in the international financial system formulated by the United States and other Western nations. Climate change is also a telling reminder of the downside of the Western lifestyle.

  16. 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.

  17. 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.

  18. Herc SAR Task 106: AIMS Feature Development

    Science.gov (United States)

    2007-03-01

    prédécesseurs grâce à l’intégration de quatre capteurs dans un seul cardan. Pour offrir un rendement optimal, le système AIMS exige une interface et...qui simule l’utilisation et la commande de l’interface de capteur aéroporté a été élaborée par Recherche et Développement pour la défense Canada...système AIMS et de systèmes d’imagerie électro- optique semblables. Résulats Plusieurs importantes caractéristiques du système de simulation AIMS

  19. Compiling a register of patients with moderate or severe learning disabilities: experience at one United Kingdom general practice

    Science.gov (United States)

    2011-01-01

    Background Identifying patients with learning disabilities within primary care is central to initiatives for improving the health of this population. UK general practitioners (GPs) receive additional income for maintaining registers of patients with learning disabilities as part of the Quality and Outcomes Framework (QOF), and may opt to provide Directed Enhanced Services (DES), which requires practices to maintain registers of patients with moderate or severe learning disabilities and offer them annual health checks. Objectives This paper describes the development of a register of patients with moderate or severe learning disabilities at one UK general practice. Methods A Read code search of one UK general practice's electronic medical records was conducted in order to identify patients with learning disabilities. Confirmation of diagnoses was sought by scrutinising records and GP verification. Cross-referencing with the practice QOF register of patients with learning disabilities of any severity, and the local authority's list of clients with learning disabilities, was performed. Results Of 15 001 patients, 229 (1.5%) were identified by the Read code search as possibly having learning disabilities. Scrutiny of records and GP verification confirmed 64 had learning disabilities and 24 did not, but the presence or absence of learning disability remained unclear in 141 cases. Cross-referencing with the QOF register (n=81) and local authority list (n=49) revealed little overlap. Conclusion Identifying learning disability and assessing its severity are tasks GPs may be unfamiliar with, and relying on Read code searches may result in under-detection. Further research is needed to define optimum strategies for identifying, cross-referencing and validating practice-based registers of patients with learning disabilities. PMID:22479290

  20. Compiling a register of patients with moderate or severe learning disabilities: experience at one United Kingdom general practice.

    Science.gov (United States)

    Lodge, Keri-Michèle; Milnes, David; Gilbody, Simon M

    2011-03-01

    Background Identifying patients with learning disabilities within primary care is central to initiatives for improving the health of this population. UK general practitioners (GPs) receive additional income for maintaining registers of patients with learning disabilities as part of the Quality and Outcomes Framework (QOF), and may opt to provide Directed Enhanced Services (DES), which requires practices to maintain registers of patients with moderate or severe learning disabilities and offer them annual health checks.Objectives This paper describes the development of a register of patients with moderate or severe learning disabilities at one UK general practice.Methods A Read code search of one UK general practice's electronic medical records was conducted in order to identify patients with learning disabilities. Confirmation of diagnoses was sought by scrutinising records and GP verification. Cross-referencing with the practice QOF register of patients with learning disabilities of any severity, and the local authority's list of clients with learning disabilities, was performed.Results Of 15 001 patients, 229 (1.5%) were identified by the Read code search as possibly having learning disabilities. Scrutiny of records and GP verification confirmed 64 had learning disabilities and 24 did not, but the presence or absence of learning disability remained unclear in 141 cases. Cross-referencing with the QOF register (n=81) and local authority list (n=49) revealed little overlap.Conclusion Identifying learning disability and assessing its severity are tasks GPs may be unfamiliar with, and relying on Read code searches may result in under-detection. Further research is needed to define optimum strategies for identifying, cross-referencing and validating practice-based registers of patients with learning disabilities.

  1. Lower respiratory tract infection hospitalizations among American Indian/Alaska Native children and the general United States child population

    Directory of Open Access Journals (Sweden)

    Eric M. Foote

    2015-11-01

    Full Text Available Background: The lower respiratory tract infection (LRTI-associated hospitalization rate in American Indian and Alaska Native (AI/AN children aged <5 years declined during 1998–2008, yet remained 1.6 times higher than the general US child population in 2006–2008. Purpose: Describe the change in LRTI-associated hospitalization rates for AI/AN children and for the general US child population aged <5 years. Methods: A retrospective analysis of hospitalizations with discharge ICD-9-CM codes for LRTI for AI/AN children and for the general US child population <5 years during 2009–2011 was conducted using Indian Health Service direct and contract care inpatient data and the Nationwide Inpatient Sample, respectively. We calculated hospitalization rates and made comparisons to previously published 1998–1999 rates prior to pneumococcal conjugate vaccine introduction. Results: The average annual LRTI-associated hospitalization rate declined from 1998–1999 to 2009–2011 in AI/AN (35%, p<0.01 and the general US child population (19%, SE: 4.5%, p<0.01. The 2009–2011 AI/AN child average annual LRTI-associated hospitalization rate was 20.7 per 1,000, 1.5 times higher than the US child rate (13.7 95% CI: 12.6–14.8. The Alaska (38.9 and Southwest regions (27.3 had the highest rates. The disparity was greatest for infant (<1 year pneumonia-associated and 2009–2010 H1N1 influenza-associated hospitalizations. Conclusions: Although the LRTI-associated hospitalization rate declined, the 2009–2011 AI/AN child rate remained higher than the US child rate, especially in the Alaska and Southwest regions. The residual disparity is likely multi-factorial and partly related to household crowding, indoor smoke exposure, lack of piped water and poverty. Implementation of interventions proven to reduce LRTI is needed among AI/AN children.

  2. Barriers and Challenges in Seeking Psychiatric Intervention in a General Hospital, by the Collaborative Child Response Unit, (A Multidisciplinary Team Approach to Handling Child Abuse) A Qualitative Analysis.

    Science.gov (United States)

    Subramaniyan, Vyjayanthi Kanugodu Srinivasa; Mital, Anukant; Rao, Chandrika; Chandra, Girish

    2017-01-01

    Child abuse is a serious criminal act against children in our country and punishable according to protection of children from sexual offenses act 2012. No one agency has the ability to respond completely to the abuse. Hence a multidisciplinary team approach was developed in India. Aim is to narrate the collaborative effort among the multiple disciplines in a general hospital to deliver child protection services and explore the barriers to integrate psychiatric services.

  3. Utility Values for Advanced Soft Tissue Sarcoma Health States from the General Public in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Julian F. Guest

    2013-01-01

    Full Text Available Soft tissue sarcomas are a rare type of cancer generally treated with palliative chemotherapy when in the advanced stage. There is a lack of published health utility data for locally advanced “inoperable”/metastatic disease (ASTS, essential for calculating the cost-effectiveness of current and future treatments. This study estimated time trade-off (TTO and standard gamble (SG preference values associated with four ASTS health states (progressive disease, stable disease, partial response, complete response among members of the general public in the UK (n=207. The four health states were associated with decreases in preference values from full health. Complete response was the most preferred health state (mean utility of 0.60 using TTO. The second most preferred health state was partial response followed by stable disease (mean utilities were 0.51 and 0.43, respectively, using TTO. The least preferred health state was progressive disease (mean utility of 0.30 using TTO. The utility value for each state was significantly different from one another (P<0.001. This study demonstrated and quantified the impact that different treatment responses may have on the health-related quality of life of patients with ASTS.

  4. 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.

  5. PRAGUE SEMINAR ON LANGUAGE TEACHING AIMS, 1967.

    Science.gov (United States)

    FRIED, VILEM

    AN INTERNATIONAL SEMINAR, WHOSE PURPOSE IT WAS TO DISCUSS THE STRUCTURAL DIFFERENCES IN LANGUAGE TEACHING AIMS, IS REPORTED ON IN THIS ARTICLE. THE THREE PAPERS PRESENTED BY IVAN POLDAUF, VALENTINA ZETLINA, AND JOHN B. CARROLL ARE REVIEWED FOR THEIR DISCUSSIONS ON LINGUISTICS, DIDACTICS, AND PSYCHOLOGY. THE DISCUSSION FOLLOWING THE PRESENTATION OF…

  6. Character as the Aim of Education

    Science.gov (United States)

    Shields, David Light

    2011-01-01

    The aim of education should be developing intellectual character, moral character, civic character, and performance character. That does not mean that schools should ignore teaching content, but that the dispositions and habits of mind that come from developing these four forms of character will remain with students throughout their lives.…

  7. Teacher Research and the Aims of Education

    Science.gov (United States)

    Leeman, Yvonne; Wardekker, Willem

    2014-01-01

    We report on the development of a course for experienced teachers in the Netherlands, intended to enhance their professionalism by engaging them in doing research based on reflection on the aims of their educational efforts. The course was accompanied by design-based research. The research question was whether and how the course stimulated…

  8. AIM: Ames Imaging Module Spacecraft Camera

    Science.gov (United States)

    Thompson, Sarah

    2015-01-01

    The AIM camera is a small, lightweight, low power, low cost imaging system developed at NASA Ames. Though it has imaging capabilities similar to those of $1M plus spacecraft cameras, it does so on a fraction of the mass, power and cost budget.

  9. Position Paper of the People's Republic of China at the 66th Session of the United Nations General Assembly

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    1.The Role of the United Nations (UN) The word is undergoing major development,major changes and major adjustments.The trend of peace,development and cooperation is gaining momentum.Multi-polarity and economic globalization are deepening.New changes are taking place in global economic governance,and emerging economies are engaged in dynamic cooperation.All these have brought valuable opportunities to the development of all countries.On the other hand,the world still suffers from the underlying impact of the financial crisis.Global recovery is confronted with the uncertainties created by acute debt crisis,rising commodity prices and inflationary pressure around the world.In this context,major economies should continue to strengthen macroeconomic policy coordination so as to ensure strong,sustainable and balanced growth of the world economy.The international security situation has become more complex.Regional hotspot issues keep flaring up,and turbulence continues in West Asia and North Africa,Non-traditional security issues such as climate change,energy security,food security,terrorism and nuclear safety are becoming more pronounced.In sum,there are a growing array of destabilizing factors and uncertainties in the world and a long way to go before lasting peace and common development can be achieved.

  10. The Development of a General Purpose ARM-based Processing Unit for the TileCal sROD

    CERN Multimedia

    Cox, Mitchell A

    2014-01-01

    The Large Hadron Collider at CERN generates enormous amounts of raw data which present a serious computing challenge. After planned upgrades in 2022, the data output from the ATLAS Tile Calorimeter will increase by 200 times to 41 Tb/s! ARM processors are common in mobile devices due to their low cost, low energy consumption and high performance. It is proposed that a cost-effective, high data throughput Processing Unit (PU) can be developed by using several consumer ARM processors in a cluster configuration to allow aggregated processing performance and data throughput while maintaining minimal software design difficulty for the end-user. This PU could be used for a variety of high-level functions on the high-throughput raw data such as spectral analysis and histograms to detect possible issues in the detector at a low level. High-throughput I/O interfaces are not typical in consumer ARM System on Chips but high data throughput capabilities are feasible via the novel use of PCI-Express as the I/O interface t...

  11. The Development of a General Purpose ARM-based Processing Unit for the ATLAS TileCal sROD

    CERN Document Server

    Cox, Mitchell Arij; The ATLAS collaboration; Mellado Garcia, Bruce Rafael

    2015-01-01

    The Large Hadron Collider at CERN generates enormous amounts of raw data which present a serious computing challenge. After Phase-II upgrades in 2022, the data output from the ATLAS Tile Calorimeter will increase by 200 times to 41 Tb/s! ARM processors are common in mobile devices due to their low cost, low energy consumption and high performance. It is proposed that a cost-effective, high data throughput Processing Unit (PU) can be developed by using several consumer ARM processors in a cluster configuration to allow aggregated processing performance and data throughput while maintaining minimal software design difficulty for the end-user. This PU could be used for a variety of high-level functions on the high-throughput raw data such as spectral analysis and histograms to detect possible issues in the detector at a low level. High-throughput I/O interfaces are not typical in consumer ARM System on Chips but high data throughput capabilities are feasible via the novel use of PCI-Express as the I/O interface ...

  12. The use of office-based sedation and general anesthesia by board certified pediatric dentists practicing in the United States.

    Science.gov (United States)

    Olabi, Nassim F; Jones, James E; Saxen, Mark A; Sanders, Brian J; Walker, Laquia A; Weddell, James A; Schrader, Stuart M; Tomlin, Angela M

    2012-01-01

    The purpose of this study is to explore the use of office-based sedation by board-certified pediatric dentists practicing in the United States. Pediatric dentists have traditionally relied upon self-administered sedation techniques to provide office-based sedation. The use of dentist anesthesiologists to provide office-based sedation is an emerging trend. This study examines and compares these two models of office-based sedations. A survey evaluating office-based sedation of diplomates of the American Board of Pediatric Dentistry (ABPD) based on gender, age, years in practice, practice types, regions, and years as a diplomate of the ABPD was completed by 494 active members. The results were summarized using frequencies and percentages. Relationships of dentist age, gender, and number of years in practice with the use of intravenous (IV) sedation was completed using two-way contingency tables and Mantel-Haenszel tests for ordered categorical data. Relationships of office-based sedation use and the type of one's practice were examined using Pearson chi-square tests. Of the 1917 surveys e-mailed, 494 completed the survey for a response rate of 26%. Over 70% of board-certified US pediatric dentists use some form of sedation in their offices. Less than 20% administer IV sedation, 20 to 40% use a dentist anesthesiologist, and 60 to 70% would use dentist anesthesiologists if one were available.

  13. Maintaining connections: some thoughts on the value of intensive care unit rounding for general medicine ward teams.

    Science.gov (United States)

    Howell, Joel D

    2011-09-06

    When established ward patients are unexpectedly transferred to an intensive care unit (ICU), the ward team should continue to follow them. Although there may be reasons not to do so, the advantages outweigh the obstacles. Great pedagogic value can be gained from following patients after acute decompensation, but a more important reason is that by following patients into the ICU, the ward team can enact for both patients and their families the twin virtues of caring and continuity. Doing so also demonstrates the highest ideals of medicine-that we are focused not on defined areas of turf, but on our patient's well-being. It shows that we are not merely doing narrowly defined "shift work," but that we truly care about our patients. Rounding on established patients who have been transferred into the ICU is the sort of behavior that undergirds the fundamental bases of professionalism. It takes a few minutes from a busy day, but it can be incredibly beneficial for families, patients, and the ideals of medicine.

  14. What’s Wrong with Aim-Oriented Empiricism?

    Directory of Open Access Journals (Sweden)

    Nicholas Maxwell

    2015-10-01

    Full Text Available For four decades it has been argued that we need to adopt a new conception of science called aim-oriented empiricism. This has far-reaching implications and repercussions for science, the philosophy of science, academic inquiry in general, the conception of rationality, and how we go about attempting to make progress towards as good a world as possible. Despite these far-reaching repercussions, aim-oriented empiricism has so far received scant attention from philosophers of science. Here, sixteen objections to the validity of the argument for aim-oriented empiricism are subjected to critical scrutiny.

  15. What is Wrong With Aim-Oriented Empiricism?

    CERN Document Server

    Maxwell, Nicholas

    2015-01-01

    For four decades it has been argued that we need to adopt a new conception of science called aim-oriented empiricism. This has far-reaching implications and repercussions for science, the philosophy of science, academic inquiry in general, the conception of rationality, and how we go about attempting to make progress towards as good a world as possible. Despite these far-reaching repercussions, aim-oriented empiricism has so far received scant attention from philosophers of science. Here, sixteen objections to the validity of the argument for aim-oriented empiricism are subjected to critical scrutiny.

  16. Recognition of depression in children in general hospital-based paediatric units in Kenya: practice and policy implications

    Directory of Open Access Journals (Sweden)

    Mutiso Victoria N

    2009-10-01

    Full Text Available Abstract Background Physical disorders are commonly comorbid with depression in children attending general medical facilities. However, the depression component is rarely recognised. Methods A questionnaire on sociodemographics and history of presenting medical conditions was administered together with the Children's Depression Inventory (CDI to all 11-year-old to 17-year-old children attending at nine medical facilities. Results In all, 408 children were recruited from 9 health facilities. Whereas the clinicians diagnosed a mental disorder in only 2.5% of the sample studied, 41.3% had CDI scores that suggested mild to moderate depression. The highest proportion of children with depressive symptomatology was found at the Kenyatta National and Teaching Referral Hospital. Conclusion Although prevalence rate for depression among children is high, detection rates remain low. This finding has clinical practice and policy implications within and outside Kenya.

  17. Advanced Industrial Materials (AIM) fellowship program

    Energy Technology Data Exchange (ETDEWEB)

    McCleary, D.D. [Oak Ridge Institute for Science and Education, TN (United States)

    1997-04-01

    The Advanced Industrial Materials (AIM) Program administers a Graduate Fellowship Program focused toward helping students who are currently under represented in the nation`s pool of scientists and engineers, enter and complete advanced degree programs. The objectives of the program are to: (1) establish and maintain cooperative linkages between DOE and professors at universities with graduate programs leading toward degrees or with degree options in Materials Science, Materials Engineering, Metallurgical Engineering, and Ceramic Engineering, the disciplines most closely related to the AIM Program at Oak Ridge National Laboratory (ORNL); (2) strengthen the capabilities and increase the level of participation of currently under represented groups in master`s degree programs, and (3) offer graduate students an opportunity for practical research experience related to their thesis topic through the three-month research assignment or practicum at ORNL. The program is administered by the Oak Ridge Institute for Science and Education (ORISE).

  18. Egypt Aiming at Attracting Investment from China

    Institute of Scientific and Technical Information of China (English)

    Audrey GUO

    2009-01-01

    @@ Jointly with China Economic & Trade Counselor Office in Egypt,the General Authority for Investment (GAFI) and the General Authority for Special Economic Zone North-West Gulf of Suez (SEZone) held China-Africa Development Fund Conference in Cairo,Egypt on March 16,2009.The Minister of Investment Egypt Dr.Mahmoud Mohieldin,Chinese Ambassador to Egypt Mr.Wu Chunhua,Chairman of GAFI and SEZone Mr.Assem Ragab,Vice President of China-Africa Development Fund Mr.Lu Qingchen,Economic and Trade Minister Counselor of the Chinese Embassy in Egypt Mr.Cao Jiachang,as well as over 100 Chinese/Egyptian businessmen attended the conference.

  19. Tapping, grasping and aiming in ideomotor apraxia.

    Science.gov (United States)

    Ietswaart, Magdalena; Carey, David P; Della Sala, Sergio

    2006-01-01

    Very few studies have investigated sensorimotor control in apraxia using tasks that differ in movement complexity. Nevertheless, there is some evidence to suggest that spontaneous behaviour, although relatively preserved, can be rather clumsy or awkward, and that patients with ideomotor apraxia may have subtle kinematic abnormalities in movements made in the laboratory. It remains unclear whether patients with ideomotor apraxia perform normally on movements such as visually guided aiming, that may not depend on higher-order, more cognitive, processes and that are relatively unguided by overlearned contexts. In this study, three different sensorimotor tasks were given to the same sample of patients with quantified apraxic disturbance. Finger tapping, goal-directed grasping and aiming with and without visual feedback were examined in these patients. A clear dissociation was found between grossly impaired gesture imitation and intact motor programming of goal-directed movements with visual feedback. Apraxic patients were, however, impaired on aiming movements without visual feedback, suggesting that apraxia is associated with an increased reliance on integration of online visual information with feedforward/feedback somatosensory and motor signals. Furthermore, patients were impaired on single finger tapping which was a surprisingly good predictor of apraxia severity.

  20. Aeronomy of Ice in the Mesosphere (AIM)

    Science.gov (United States)

    2003-01-01

    The overall goal of the Aeronomy of Ice in the Mesosphere (AIM) experiment is to resolve why Polar Mesospheric Clouds form and why they vary. By measuring PMCs and the thermal, chemical and dynamical environment in which they form, we will quanti@ the connection between these clouds and the meteorology of the polar mesosphere. In the end, this will provide the basis for study of long-term variability in the mesospheric climate and its relationship to global change. The results of AIM will be a rigorous validation of predictive models that can reliably use past PMC changes and present trends as indicators of global change. The AIM goal will be achieved by measuring PMC extinction, brightness, spatial distribution, particle size distributions, gravity wave activity, dust influx to the atmosphere and precise, vertical profile measurements of temperature, H20, C&, 0 3 , C02, NO. and aerosols. These data can only be obtained by a complement of instruments on an orbiting spacecraft (S/C).

  1. Individuality and adaptation across levels of selection: How shall we name and generalize the unit of Darwinism?

    Science.gov (United States)

    Gould, Stephen Jay; Lloyd, Elisabeth A.

    1999-01-01

    Two major clarifications have greatly abetted the understanding and fruitful expansion of the theory of natural selection in recent years: the acknowledgment that interactors, not replicators, constitute the causal unit of selection; and the recognition that interactors are Darwinian individuals, and that such individuals exist with potency at several levels of organization (genes, organisms, demes, and species in particular), thus engendering a rich hierarchical theory of selection in contrast with Darwin’s own emphasis on the organismic level. But a piece of the argument has been missing, and individuals at levels distinct from organisms have been denied potency (although granted existence within the undeniable logic of the theory), because they do not achieve individuality with the same devices used by organisms and therefore seem weak by comparison. We show here that different features define Darwinian individuality across scales of size and time. In particular, species-individuals may develop few emergent features as direct adaptations. The interactor approach works with emergent fitnesses, not with emergent features; and species, as a consequence of their different mechanism for achieving individuality (reproductive exclusivity among subparts, that is, among organisms), express many effects from other levels. Organisms, by contrast, suppress upwardly cascading effects, because the organismic style of individuality (by functional integration of subparts) does not permit much competition or differential reproduction of parts from within. Species do not suppress the operation of lower levels; such effects therefore become available as exaptations conferring emergent fitness—a primary source of the different strength that species achieve as effective Darwinian individuals in evolution. PMID:10518549

  2. Brigadier General James Stevens Simmons (1890-1954), Medical Corps, United States Army: a career in preventive medicine.

    Science.gov (United States)

    Marble, Sanders

    2012-02-01

    James Simmons began his career in the US Army as a laboratory officer and his assignments progressed into tropical medicine research. His interests and work evolved into preventive medicine (PM, as the Army termed public health), and he took both a PhD and a Doctorate in Public Health. As the Army's leading PM officer he was appointed head of PM in 1940 and guided the Army's PM effort through World War II. His responsibility ran from gas masks through healthy nutrition and occupational health to an enormous variety of diseases; by the war's end, the breadth and importance of PM was reflected in the Preventive Medicine Division, having fully one-sixth of all military personnel at the Surgeon General's Office. Simmons used his strong professional credentials to tap into civilian medicine for expertise the Army lacked and he established organizations that survive to this day. After retirement, he sought to expand the field of public health and raise another generation of public health physicians.

  3. 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

    2017-01-31

    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.

  4. 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.

  5. AIM cryocooler developments for HOT detectors

    Science.gov (United States)

    Rühlich, I.; Mai, M.; Withopf, A.; Rosenhagen, C.

    2014-06-01

    Significantly increased FPA temperatures for both Mid Wave and Long Wave IR detectors, i.e. HOT detectors, which have been developed in recent years are now leaving the development phase and are entering real application. HOT detectors allowing to push size weight and power (SWaP) of Integrated Detectors Cooler Assemblies (IDCA's) to a new level. Key component mainly driving achievable weight, volume and power consumption is the cryocooler. AIM cryocooler developments are focused on compact, lightweight linear cryocoolers driven by compact and high efficient digital cooler drive electronics (DCE) to also achieve highest MTTF targets. This technology is using moving magnet driving mechanisms and dual or single piston compressors. Whereas SX030 which was presented at SPIE in 2012 consuming less 3 WDC to operate a typical IDCA at 140K, next smaller cooler SX020 is designed to provide sufficient cooling power at detector temperature above 160K. The cooler weight of less than 200g and a total compressor length of 60mm makes it an ideal solution for all applications with limited weight and power budget, like in handheld applications. For operating a typical 640x512, 15μm MW IR detector the power consumption will be less than 1.5WDC. MTTF for the cooler will be in excess of 30,000h and thus achieving low maintenance cost also in 24/7 applications. The SX020 compressor is based on a single piston design with integrated passive balancer in a new design achieves very low exported vibration in the order of 100mN in the compressor axis. AIM is using a modular approach, allowing the chose between 5 different compressor types for one common Stirling expander. The 6mm expander with a total length of 74mm is now available in a new design that fits into standard dewar bores originally designed for rotary coolers. Also available is a 9mm coldfinger in both versions. In development is an ultra-short expander with around 35mm total length to achieve highest compactness. Technical

  6. Insect food aiming at Mars emigration

    Science.gov (United States)

    Katayama, Naomi; Yamashita, Masamichi; Hashimoto, Hirofumi; Nagasaka, Sanako; Kuwayama, Akemi; Sofue, Megumi

    2012-07-01

    We study insect food aiming at Mars emigration.In space agriculture, insect is the important creature which we cannot miss.It is necessary for the pollination of the plant, and it is rich to protein and lipid as food.I reported that silkworm is an insect necessary for astroponics in particular last time.We make clothes using silk thread, and the pupa becomes the food.In addition, the clothes can make food as protein when we need not to use it. The bee is a very important insect in the space agriculture,too.We examined nutrition of silkworm, bee, grasshopper, snail and the white ant which are necessary for Mars emigration.We will introduce of good balance space foods.We will report many meal menu for Mars emigration.

  7. The aims and accomplishments of comparative psychology.

    Science.gov (United States)

    Lickliter, Robert

    2004-01-01

    Greenberg, Partridge, Weiss, and Pisula propose a new perspective of comparative psychology, based in large part on an anagenetic and dynamic systems approach to the development and evolution of behavior. Their view appreciates the probabilistic nature of behavioral development and promotes the value of an integrative levels concept for generating testable hypothesis regarding the complex relationship between biology, context, and developmental history underlying behavioral and psychological functioning. However, the authors fail to represent the full scope of contemporary comparative psychology by overlooking several core aims of the field, including (a) the use of animal models to shed light on human behavior and development and (b) understanding the role of behavior as a leading edge in the evolutionary process.

  8. Adquisición de la competencia traductológica: propuesta de una unidad didáctica de traducción general/Acquisition de la compétence traductologique: Proposition d'une unité didactique de la traduction générale/Acquisition of Translatological Competence: Teaching Unit Proposal for General Translation

    National Research Council Canada - National Science Library

    Ahmed Kamal Zaghloul

    2010-01-01

    ...: Didáctica, traducción general, competencia traductológica, enfoque por tareas, traducción de viñetas. Acquisition de la compétence traductologique: Proposition d'une unité didactique de la traduction générale RÉSUMÉ Dans cette étude, nous proposons une unicité didactique à propos de la traduction directe de l'espagnol vers l'arabe...

  9. 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.

  10. The Cosmic Dust Experiment of AIM

    Science.gov (United States)

    Poppe, A.; James, D.; Horanyi, M.

    2008-12-01

    The Cosmic Dust Experiment (CDE) onboard the Aeronomy of Ice in the Mesosphere (AIM) mission is a dust impact experiment designed to monitor the variability of the cosmic dust in ux. The instrument consists of fourteen permanently polarized thin plastic film sensors that generate an electrical signal when an impacting dust particle penetrates them. The total surface area is about 0.1 square meters and the detection threshold is about a micron in particle radius. The variability of these small grains is assumed to follow the variability of the dominant 100 micron radius particles, hence the measured flux can be used in correlation studies with various Noctilucent Cloud (NLC) activity indexes. CDE has been observing the cosmic dust influx since June 2007. In this talk, we present the first nine months of reduced data, focusing on the observed temporal and spatial variability of the dust influx. Data collected after February 2008 show increased levels of background noise and preliminary work on reducing this data will also be presented.

  11. Taking aim at novel vaccines market.

    Science.gov (United States)

    Awasthi, Sita

    2009-10-01

    The World Vaccine Congress Washington 2009 was held in Chantilly, VA USA April 2O -23rd. The Vaccine congress attracted over 400 participants from across the world, including leading vaccine manufacturers, biotechs, governmental agencies, NGOs, research and academic institutes, venture capital and legal firms, contract service and equipment manufacturers. The speakers covered a wide range of topics, including the role of government and regulatory agencies, funding availability, research and development, manufacturing, packaging and post vaccine evaluations. Past vaccine development efforts have historically focused on infectious diseases. With advancements in the field of immunology, molecular biology and vaccinology, the vaccine field has begun moving in new directions. "Taking aim at novel vaccines market" session chaired by Dr. Una Ryan, Chief Executive Officer of Waltham Technologies, was focused on traditional approaches to novel targets (nosocomial infections), novel approaches to traditional targets (flu and rabies), novel approaches to novel targets (Type 1 diabetes, multiple sclerosis and smoking) and vaccines for developing markets (TB, malaria, rabies). The importance of collaborations among academic institutions, industries, and philanthropic foundations for developing markets was also emphasized.

  12. Software & Hardware Architecture of General-Purpose Graphics Processing Unit%GPU通用计算软硬件处理架构研究

    Institute of Scientific and Technical Information of China (English)

    谢建春

    2013-01-01

    现代GPU不仅是功能强劲的图形处理引擎,也是具有强大计算性能和存储带宽的高度并行可编程器件,能够与CPU构建完整的异构处理系统.而将GPU用于图形处理以外的计算,一般称之为GPU通用计算(General-Purpose computing on Graphics Processing Unit,GPGPU).对GPU通用计算的概念及分类、硬件架构及工作机制、软件环境及处理模型进行详细的研究,期望为GPU通用计算在航空嵌入式计算领域的进一步应用提供参考.

  13. 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

  14. 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.

  15. 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.

  16. AIM-9X Block II Sidewinder (AIM-9X Blk II)

    Science.gov (United States)

    2015-12-01

    Executive Summary The AIM-9X Block II missile completed Initial Operational Test and Evaluation ( IOT &E) in March 2015 and was found to be...carried. The AIM -9X Block II missile shall be compatible with representative threshold hose aircraft weapon and sensor load-outs with regard to

  17. TRIM11 Suppresses AIM2 Inflammasome by Degrading AIM2 via p62-Dependent Selective Autophagy

    Directory of Open Access Journals (Sweden)

    Tao Liu

    2016-08-01

    Full Text Available The AIM2 inflammasome is a key cytosolic signaling complex that is activated by double-stranded DNA, leading to the maturation of proinflammatory cytokines such as interleukin-1β (IL-1β and IL-18. Dysregulated AIM2 inflammasome activity is associated with human inflammatory diseases and cancers, suggesting that its activity must be tightly regulated. However, the precise molecular mechanisms that control AIM2 levels and activity are still poorly understood. Here, we report tripartite motif 11 (TRIM11 as a key negative regulator of the AIM2 inflammasome. Upon DNA virus infection, TRIM11 binds to AIM2 via its PS domain and undergoes auto-polyubiquitination at K458 to promote an association between TRIM11 and the autophagic cargo receptor p62 to mediate AIM2 degradation via selective autophagy. These findings identify a role for TRIMs in AIM2 inflammasome activation where TRIM11 acts as a secondary receptor to deliver AIM2 to the autophagosomes for degradation in a p62-dependent manner.

  18. 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

  19. State of the art and future research on general purpose computation of Graphics Processing Unit%图形处理器通用计算的研究综述

    Institute of Scientific and Technical Information of China (English)

    陈庆奎; 王海峰; 那丽春; 霍欢; 郝聚涛; 刘伯成

    2012-01-01

    从2004年开始,图形处理器GPU的通用计算成为一个新研究热点,此后GPGPU( General-Purpose Graphics Processing Unit)在最近几年中取得长足发展.从介绍GPGPU硬件体系结构的改变和软件技术的发展开始,阐述GPGPU主要应用领域中的研究成果及最新发展.针对各种应用领域中计算数据大规模增加的趋势,出现单个GPU计算节点无法克服的硬件限制问题,为解决该问题出现多GPU计算和GPU集群的解决方案.详细地讨论通用计算GPU集群的研究进展和应用技术,包括GPU集群硬件异构性的问题和软件框架的三个研究趋势,对几种典型的软件框架Glift、Zippy、CUDASA的特性和缺点进行较详细的分析.最后,总结GPU通用计算研究发展中存在的问题和未来的挑战.%The general purpose computation of graphic processing unit became a new research field since 2004. GPGPU has been developing rapidly in recent years at a high speed. Starting from an introduction to the development of the architecture of GPU for general-purpose computation and software technology, the study and development of GPU for general-purpose computation are introduced. Aiming at the large scale data of various application fields, GPU cluster is proposed to overcome the limitation of single GPU. So the development and application technologies of GPGPU cluster are discussed and include the issue of heterogeneous cluster and the trend of software for GPU cluster. Several frameworks for GPU cluster are analyzed in detailed, such as Glift, Zippy, and CUDASA. Finally, the unsolved problems and the new challenge in this subject are proposed.

  20. A Class of Quasi-Linear Riemann-Hilbert Problems for General Holomorphic Functions in the Unit Disk%一类圆域上广义解析函数拟线性Riemann-Hilbert问题

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    In this paper, a class of quasi-linear Rie mann-Hilbert problems for general holomorphic functions in the unit disk was studied. Under suitable hypotheses, the existence of solutions of the Hardy class H2 to this problem was proved by means of Tikhonov' s fixed point theorem and corresponding theories for general holomorphic functions

  1. [Is the observation of patients with sleep-apnea-syndrome after surgery of the upper airway in an intensive care unit generally necessary?].

    Science.gov (United States)

    Kehrl, W; Schottke-Hennings, H; Offergeld, Ch; Grundmann, T

    2005-04-01

    Although it is known that after surgery of the nose and/or the paranasal sinuses serious complications can arise for patients suffering from Sleep-Apnea-Syndrome (SAS), there exists no general recommendation for postoperative care of these patients. This retrospective analysis is dealing with the question whether it is generally necessary to observe SAS-patients after nasal surgery including intubation in an Intensive Care Unit (ICU). 24 Patients of the ORL-Dept., Marienkrankenhaus Hamburg, suffering from SAS underwent surgery of the nose, the paranasal sinuses and/or the pharynx including total intravenous anesthesia (TIVA) during the period of 1. 10. 2000 until 1. 5. 2004. SAS was diagnosed in 6 cases due to defined clinical criteria and in 18 cases due to the polysomnographic findings in the sleeping laboratory's examination. All patients were observed postoperatively for one night in an ICU. The anesthesia protocol and the intensive care curve of each patient were systematically evaluated with special regard of the following parameters: Risk factors (Body Mass Index; other diseases, ASA-classification), premedication drugs, duration of the surgery, drugs for pain relief, lowest O2-saturation of blood, lowest heartrate, highest systolic blood pressure, adverse effects, intensive care interventions. Intensive care interventions were never needed. 2 patients received a low dosage of oxygeninsufflation via a face mask, in 5 cases calcium-antagonist drugs were administered due to high blood pressure and in 1 case Metamizole administration was necessary due to high temperatures. An accompanying bradycardia of the same patient was treated by administration of Atropine. The lower average O2-saturation was 93.6 +/- 1.7 % (Minimum value: 89 %). The maximum systolic blood pressure was 165.8 +/- 21.2 mm Hg and the lowest average heart rate was 65.4 +/- 13.2 bpm. Patients suffering from a mild to moderate SAS do not need a general postoperative surveillance in an ICU if the

  2. UNIT, TIBET.

    Science.gov (United States)

    Louisiana Arts and Science Center, Baton Rouge.

    THE UNIT OF STUDY DESCRIBED IN THIS BOOKLET DEALS WITH THE GEOGRAPHY AND HISTORY OF TIBET. THE UNIT COVERS SOME OF THE GENERAL FEATURES OF THE COUNTRY AND THEIR EFFECT UPON THE LIVES OF THE TIBETAN PEOPLE. DISCUSSION QUESTIONS ARE INSERTED TO STIMULATE THOUGHT. THE RELIGION OF TIBET IS DISCUSSED IN RELATION TO ITS INFLUENCE ON THE ART AND CULTURE…

  3. Popular apps on the medical category targeting patients and the general public in the United Kingdom: Do they conform to the Health On the Net Foundation principles?

    Science.gov (United States)

    Ben-Mussa, Ali; Paget, Anthony M

    2016-08-26

    Smartphones with their rising popularity and versatile software 'apps' have great potential for revolutionising healthcare services. However, this was soon overshadowed by concerns highlighted by many studies over quality. These were subject and/or discipline specific and mostly evaluated compliance with a limited number of information portrayal standards originally devised for health websites. Hence, this study aimed to take a broader approach by evaluating the most popular apps categorised as medical in the United Kingdom for compliance with all of those standards systematically using the Health On the Net (HON) Foundation principles.The study evaluated top 50 free and paid apps of the 'medical' category on both iTunes and Google stores for evidence of compliance with an app-adapted version of the HON Foundation code of conduct. The sample included 64 apps, 34/64 (53%) were on Google Play and 36/64 (56%) were free. None of the apps managed to comply with the entire eight principles. Compliance with seven principles was achieved by only one app (1.6%), and the rest were compliant with three, two, and one (14.7%, 27%, and 38%, respectively).In conclusion, this study demonstrated that most popular apps on the medical category that are available in the United Kingdom do not meet the standards for presenting health information to the public, and this is consistent with earlier studies. Improving the situation would require raising the public awareness, providing tools that would assist in quality evaluation, encouraging developers to use robust development process, and facilitating collaboration and engagement among the stakeholders. © The Author(s) 2016.

  4. General Education Earth, Astronomy and Space Science College Courses Serve as a Vehicle for Improving Science Literacy in the United States.

    Science.gov (United States)

    Prather, E.

    2011-10-01

    Every year approximately 500,000 undergraduate college students take a general education Earth, Astronomy and Space Science (EASS) course in the Unites States. For the majority of these students this will be their last physical science course in life. This population of students is incredibly important to the science literacy of the United States citizenry and to the success of the STEM career pipeline. These students represent future scientists, technologists, business leaders, politicians, journalists, historians, artists, and most importantly, policy makers, parents, voters, and teachers. A significant portion of these students are taught at minority serving institutions and community colleges and often are from underserved and underrepresented groups, such as women and minorities. Members of the Center for Astronomy Education (CAE) at the University of Arizona have been developing and conducting research on the effectiveness of instructional strategies and materials that are explicitly designed to challenge students' naïve ideas and intellectually engage their thinking at a deep level in the traditional lecture classroom. The results of this work show that dramatic improvement in student understanding can be made from increased use of interactive learning strategies. These improvements are shown to be independent of institution type or class size, but appear to be strongly influenced by the quality of the instructor's implementation. In addition, we find that the positive effects of interactive learning strategies apply equally to men and women, across ethnicities, for students with all levels of prior mathematical preparation and physical science course experience, independent of GPA, and regardless of primary language. These results powerfully illustrate that all students can benefit from the effective implementation of interactive learning strategies.

  5. The contribution of quality to health services. Application of the quality management system ISO 9001:2008 in Intensive Care Unit of the General Hospital of Larissa

    Directory of Open Access Journals (Sweden)

    Dimitrios Patsios

    2014-10-01

    Full Text Available In our country there have been many efforts in recent years to introduce laws that lead to the introduction of the concept of quality in the field of public hospitals. The implementation of health quality systems contributes to health care improvement, while the assessment of quality services is a basic tool in quality management. Purpose: The purpose of the study was to describe the benefits that can be gained by a public institute of health when a quality model is applied. Material and methods: This paper focus on the application of the ISO 9001:2008 standard in the Intensive Care Unit of the General Hospital of Larissa during the years 2010-2012. The results and benefits of its implementation, recorded by measuring satisfaction of the relatives of the patients. The questionnaire Family Satisfaction with Care in the Intensive Care Unit (FS-ICU 24 and quality indicators were applied. The study sample was all the relatives of the patients hospitalized in ICU during 2010-2012. Descriptive statistics was performed. Results: Quality indicators were considerably improved after ISO implementation with SMR falling to 35% in 2012 (from 58% in 2007, thus being one of the lowest in Greece and below European ICU’s SMR mean value. Over 80% of patients’ relatives answered that Nursing and Medical care was “excellent” and over 10% characterized it as “very good”. Family members’ total satisfaction surpassed 90%. Medical and Nursing care were highly appreciated by family members (very positive attitude expressed by over 90% of participants and satisfaction from nursing services approaches 100%. Conclusion: The implementation of quality systems in healthcare organizations is not easy and has many dimensions. However, it offers competitive advantage, improves the efficiency and effectiveness of the health care service providers and substantially contributes to the improvement of the delivered heath care.

  6. Synthesis, Crystal Structure, Thermal Decomposition and Sensitivity Properties of (AIM)(HTNR) and (AIM)(PA)

    Institute of Scientific and Technical Information of China (English)

    TANG Zhan; YANG Li; QIAO Xiao-jing; WU Bi-dong; ZHANG Tong-lai; ZHOU Zun-ning; YU Kai-bei

    2012-01-01

    Two new energetic compounds (AIM)(HTNR) and (AIM)(PA)(AIM=2-azidoimidazole,TNR=2,4,6-trinitroresorcinol,PA=picric acid) have been prepared by AIM(2-azidoimidazolium) and TNR(2,4,6-trinitroresorcinol) or PA(picric acid) and characterized by elemental analysis and FTIR spectrum.Their crystal structures were determined by X-ray single-crystal diffraction analysis.The obtained results show that (AIM)(HTNR) crystal belongs to monoclinic,P2(1)/c space group,a=1.1306(2) nm,b=0.70305(14) nm,c=1.7398(4) nm,β=106.91°,V=1.3231(5) nm3,Dc=1.778 g/cm3,Z=4,R1=0.0524,wR2[I>2σ(I)]=0.1067 and S=1.092 and (AIM)(PA) crystal belongs to monoclinic P21/c space group,a=0.80303(16) nm,b=0.81395(16) nm,c=2.0471(4) nm,β=93.93(3)°,V=1.3349(5) nm3,Dc=1.683g/cm3,Z=4,R1=0.0784,wR2[I>2σ(I)]=0.1814 and S=1.098.Both the compounds have electrostatic attraction and hydrogen bonds,which contribute to making the constructions more stable.The decomposition of the two compounds was studied via differential scanning calorimetry(DSC) and thermogravimetry-derivative thermogravimetry(TG-DTG)techniques at a heating rate of 10 ℃/min,and the results show that both the compounds underwent one intensive exothermic decomposition stage.Sensitivity tests reveal that the title compounds were insensitive to friction and impact and sensitive to flame and could be applied in potential pyrotechnics.

  7. Factors related to positive and negative outcomes in psychiatric inpatients in a General Hospital Psychiatric Unit: a proposal for an outcomes index

    Directory of Open Access Journals (Sweden)

    HUGO KARLING MORESCHI

    2015-02-01

    Full Text Available Background General Hospital Psychiatric Units have a fundamental importance in the mental health care systems. However, there is a lack of studies regarding the level of improvement of patients in this type of facility. Objective To assess factors related to good and poor outcomes in psychiatric inpatients using an index composed by clinical parameters easily measured. Methods Length of stay (LOS, Global Assessment of Functioning (variation and at discharge and Clinical Global Impression (severity and improvement were used to build a ten-point improvement index (I-Index. Records of psychiatric inpatients of a general hospital during an 18-month period were analyzed. Three groups (poor, intermediate and good outcomes were compared by univariate and multivariate models according to clinical and sociodemographic variables. Results Two hundred and fifty patients were included, with a percentage in the groups with poor, regular and good outcomes of 16.4%, 59,6% and 24.0% respectively. Poor outcome at the discharge was associated mainly with lower education, transient disability, antipsychotics use, chief complaint “behavioral change/aggressiveness” and psychotic features. Multivariate analysis found a higher OR for diagnoses of “psychotic disorders” and “personality disorders” and others variables in relation to protective categories in the poor outcome group compared to the good outcome group. Discussion Our I-Index proved to be an indicator of that allows an easy and more comprehensive evaluation to assess outcomes of inpatients than just LOS. Different interventions addressed to conditions such as psychotic disorders and disruptive chief complaints are necessary.

  8. Aims and methods of IRD expert group reviews

    OpenAIRE

    Beauvais, Marie-Laure

    2013-01-01

    This work, the seventh published in the IRD’s “Expert Group Review“ series, has the same general aims as the earlier ones and has been conducted by the same method, briefly summarized below. The IRD (Institut de recherche pour le développement, a State-funded research agency) conducts expert group reviews “to order“, to inform policy decisions and public debate on issues of importance to society. Putting its scientists’ research and knowledge at the disposal of the community is one of the IRD...

  9. Changes in health risks among the participants in the United Auto Workers--General Motors LifeSteps Health Promotion Program.

    Science.gov (United States)

    Yen, L; Edington, M P; McDonald, T; Hirschland, D; Edington, D W

    2001-01-01

    To examine health risk changes among participants of a multicomponent worksite health promotion program. A study using health risk changes among health risk appraisal (HRA) participants linked to program participation records. Baseline risk and participation in multiple programs were examined in relation to risk change in multivariate models. Worksite health promotion programming sponsored by the United Auto Workers (UAW) and General Motors (GM). Active employees (12,984) who voluntarily participated in an HRA in each of two program years. The nationwide program was a mailed HRA and a 1-800 nurse line. A pilot program (implemented in two cities) added screening, wellness programs, a materials resource, and, for high risk participants, health coaching and vouchers for medical office visits. Using 13 selected health risk factors from the HRA, changes in overall health risks were measured as program outcomes in three ways: one-directional, net, and risk status change. A greater decrease in the number of health risks was observed with increased program participation. The decrease was significantly related to the number of baseline risk factors and eligibility for high risk programs. Associated with program participation, the number of people at low risk status increased from 70.1% to 71.3% at year 2 among nationwide participants and from 52.4% to 58.9% among pilot participants. Participation was associated with a significant impact on health risk. Baseline risk of participants and eligibility for high risk programs were necessary factors to control when measuring program effects on health risk changes.

  10. A study of the kinetics and the effect of trace elements on mixed anaerobic fermentative biogas production by ternary quadratic general rotary unitized design

    Directory of Open Access Journals (Sweden)

    Chenxiao Zhang

    2016-01-01

    Full Text Available In this study the effect of trace elements on methanogenesis was investigated during mixed anaerobic fermentation using a single-factor experiment in the present study. The most effective concentrations of Fe0, Fe2+, Co2+ and Ni2+ that were added were 1500, 250, 0.3 and 0.6 mg/L, respectively. The optimal trace element combination was 0.58 mg/L Ni2+, 1200 mg/L Fe0 and 0.34 mg/L Co2+ by the ternary quadratic general rotary unitized design method. The degree of influence exerted by trace elements on the cumulative methane yields decreased in the order of Ni2+, Fe0 and Co2+, and the maximum CH4 yield was 241.6 mL/g volatile solids (VS, according to a regression equation. The non-dissolved organic carbon hydrolytic process showed a good fit with the first-order kinetic model. The maximum value of CH4 was 312.87 mL/g VS. Compared to the control, the bioconversion efficiencies of CH4 and CO2 production increased by 36.76% and 74.50%, respectively, at the optimal trace element combination. The obtained results provide new knowledge for improvements in the efficiency of anaerobic fermentation biogas production.

  11. 基于广义Benders分解的启发式机组组合优化%A Generalized Benders Decomposition Based Heuristic Algorithm for Unit Commitment

    Institute of Scientific and Technical Information of China (English)

    李颖浩; 郭瑞鹏

    2012-01-01

    电力系统机组组合问题是一个高维、离散、非线性的工程优化问题。提出了一种基于Benders分解的启发式算法。该算法一方面充分利用研究时段负荷曲线的特征,将问题进行解耦,减小被研究问题的规模。另一方面,利用Benders分解算法在混合整数规划中的有效性,提高了解决问题的效率。算例表明该方法效率高、结果稳定,有较好的实用价值。%Unit commitment (UC) of power system is a high dimensional, nonlinear and mixed-integer engineering optimization problem. To solve this problem a generalized Benders decomposition based heuristic algorithm is proposed. On the one hand the characteristics of load curve in the time-interval being researched are fully utilized to decouple the problem and to decrease the scale of the problem, on the other hand using the effectiveness of Benders algorithm is solving mixed-integer programming problem the efficiency of solving the problem is improved. Results of calculation example show that the proposed algorithm is efficient and practicable.

  12. Breast Cancer Profile in a Group of Patients Followed up at the Radiation Therapy Unit of the Yaounde General Hospital, Cameroon

    Directory of Open Access Journals (Sweden)

    J. D. Kemfang Ngowa

    2011-01-01

    Full Text Available Objective. To describe the profile of breast cancer in the patients attending the radiation therapy unit of Yaounde General Hospital. Method. From 1989 to 2009, we conducted a descriptive retrospective study based on the register and medical records of patients. Results. During the study period, 531 breast cancer patients were recorded of which 0.75% were male. Age range was 18 to 82 years, with a mean of 45.17 years. Out of these, 66.1% were less than 50 years old and 31.9% less than 40. Self detection was the discovery method in most cases (95.34% of patients. Mean delay before presentation at hospital was 10.35 months, and 54.94% had used traditional medicine before medical evaluation. Metastasis and locally advanced breast cancer at diagnosis were present in 08.13% and 62.78%, respectively. Mastectomy was used in 88.08% of patients. Conclusion. The study reinforces the position occupied by late presentation and advanced stage at diagnosis of breast cancer profile in developing countries.

  13. 图形处理器在通用计算中的应用%Application of graphics processing unit in general purpose computation

    Institute of Scientific and Technical Information of China (English)

    张健; 陈瑞

    2009-01-01

    基于图形处理器(GPU)的计算统一设备体系结构(compute unified device architecture,CUDA)构架,阐述了GPU用于通用计算的原理和方法.在Geforce8800GT下,完成了矩阵乘法运算实验.实验结果表明,随着矩阵阶数的递增,无论是GPU还是CPU处理,速度都在减慢.数据增加100倍后,GPU上的运算时间仅增加了3.95倍,而CPU的运算时间增加了216.66倍.%Based on the CUDA (compute unified device architecture) of GPU (graphics processing unit), the technical fundamentals and methods for general purpose computation on GPU are introduced. The algorithm of matrix multiplication is simulated on Geforce8800 GT. With the increasing of matrix order, algorithm speed is slowed either on CPU or on GPU. After the data quantity increases to 100 times, the operation time only increased in 3.95 times on GPU, and 216.66 times on CPU.

  14. Sensitivity of future continental United States water deficit projections to general circulation models, the evapotranspiration estimation method, and the greenhouse gas emission scenario

    Science.gov (United States)

    Chang, Seungwoo; Graham, Wendy D.; Hwang, Syewoon; Muñoz-Carpena, Rafael

    2016-08-01

    Projecting water deficit under various possible future climate scenarios depends on the choice of general circulation model (GCM), reference evapotranspiration (ET0) estimation method, and Representative Concentration Pathway (RCP) trajectory. The relative contribution of each of these factors must be evaluated in order to choose an appropriate ensemble of future scenarios for water resources planning. In this study variance-based global sensitivity analysis and Monte Carlo filtering were used to evaluate the relative sensitivity of projected changes in precipitation (P), ET0, and water deficit (defined here as P-ET0) to choice of GCM, ET0 estimation method, and RCP trajectory over the continental United States (US) for two distinct future periods: 2030-2060 (future period 1) and 2070-2100 (future period 2). A total of 9 GCMs, 10 ET0 methods, and 3 RCP trajectories were used to quantify the range of future projections and estimate the relative sensitivity of future projections to each of these factors. In general, for all regions of the continental US, changes in future precipitation are most sensitive to the choice of GCM, while changes in future ET0 are most sensitive to the choice of ET0 estimation method. For changes in future water deficit, the choice of GCM is the most influential factor in the cool season (December-March), and the choice of ET0 estimation method is most important in the warm season (May-October) for all regions except the Southeast US, where GCMs and ET0 have approximately equal influence throughout most of the year. Although the choice of RCP trajectory is generally less important than the choice of GCM or ET0 method, the impact of RCP trajectory increases in future period 2 over future period 1 for all factors. Monte Carlo filtering results indicate that particular GCMs and ET0 methods drive the projection of wetter or drier future conditions much more than RCP trajectory; however, the set of GCMs and ET0 methods that produce wetter or

  15. A comparative analysis of chiropractic and general practitioner patients in North America: Findings from the joint Canada/United States survey of health, 2002–03

    Directory of Open Access Journals (Sweden)

    Chiang Lu-May

    2006-04-01

    Full Text Available Abstract Background Scientifically rigorous general population-based studies comparing chiropractic with primary-care medical patients within and between countries have not been published. The objective of this study is to compare care seekers of doctors of chiropractic (DCs and general practitioners (GPs in the United States and Canada on a comprehensive set of sociodemographic, quality of life, and health-related variables. Methods Data are from the Joint Canada/U.S. Survey of Health (JCUSH, 2002–03, a random sample of adults in Canada (N = 3505 and the U.S. (N = 5183. Respondents were categorized according to their pattern of health-care use in the past year. Distributions, percentages, and estimates (adjusted odds ratios weighted to reflect the complex survey design were produced. Results Nearly 80% of respondents sought care from GPs; 12% sought DC care. Compared with GP only patients, DC patients in both countries tend to be under 65 and white, with arthritis and disabling back or neck pain. U.S. DC patients are more likely than GP only patients to be obese and to lack a regular doctor; Canadian DC patients are more likely than GP only patients to be college educated, to have higher incomes, and dissatisfied with MD care. Compared with seekers of both GP and DC care, DC only patients in both countries have fewer chronic conditions, take fewer drugs, and have no regular doctor. U.S. DC only patients are more likely than GP+DC patients to be uninsured and dissatisfied with health care; Canadian DC only patients are more likely than GP+DC patients to be under 45, male, less educated, smokers, and not obese, without disabling back or neck pain, on fewer drugs, and lacking a regular doctor. Conclusion Chiropractic and GP patients are dissimilar in both Canada and the U.S., with key differences between countries and between DC patients who do and do not seek care from GPs. Such variation has broad and potentially far-reaching health policy and

  16. Visions of Knowledge a Nurse about the Triage System in Health Services at Emergency Care Unit at General Hospital Dr Wahidin Sudirohusodo Makassar

    Directory of Open Access Journals (Sweden)

    Ismail

    2016-01-01

    Full Text Available Triage is a special process to select the patients based on the severity of injury or illness to determine what type of emergency care would be done immediately. This study is aimed to describe the nurse's knowledge about the health care system of triage in the emergency department at General Hospital (dr Wahidin Sudirohosodo Makassar. This research is a quantitative research using descriptive design where the design of this study, researcher will describe the nurse's knowledge about the system triage in health care in the emergency department. Sampling of this research is study using incidental sampling technique that is done by taking a case or respondents existing or available at the time of the study. Results show Obtained 16 respondents. Excel data collection and statistical program (SPSS. Data analysis using frequency distribution and percentage. The results of data analysis showed that out of 16 respondents nurses meticulous 14 respondents (87.5% both knowledgeable and just 2 respondents (12.5% were less knowledgeable about the triage system in the ministry of health of the patients. Conclusions of this study are that nurses in the emergency department Hospital. DR. Wahidin Sudirohusodo Makassar mostly gains good knowledge about triage system in emergence patient care.

  17. Aims or purposes of school mediation in Spain

    Directory of Open Access Journals (Sweden)

    María-Isabel Viana-Orta

    2013-01-01

    Full Text Available Mediation continues to expand, both geographically and in terms of scope. Depending on its purpose, there are three main consolidated mediation models or schools worldwide: the Traditional-Linear Harvard model, which seeks to find an agreement between the parties; the Circular-Narrative model, which apart from the agreement also emphasizes communicational aspects; and the Transformational model, more focused on relational aspects between the parties than in the adoption of agreements. The aim of this study is to determine which is the goal or purpose of mediation, confining it to the school environment and to the Spanish context. A brief comparative study is presented to this end, in which the comparative units are all the Comunidades Autónomas [Autonomous Regions] that make up the Spanish territory (n = 17 and the variable compared is the aim or purpose of mediation in schools as established by all the regional rules on school life (n = 17 with the force of a decree.

  18. 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.

  19. 31 August 2008 - Secretary General of the United Nations Ban Ki-moon visiting CMS experimental underground area and LHC tunnel with CERN Director-General R. Aymar and Collaboration Spokesperson T. Virdee. Director-General of the United Nations Office at Geneva S. Ordzhonikidze also present.

    CERN Document Server

    Maximilien Brice

    2008-01-01

    Also present on the photographs: Guests: Representative of the French Republic O. Laurens-Bernard, Sous Préfet de Gex Deputy Permanent representative C. Guilhou, Permanent Mission of France to the UN CERN: CMS Collaboration Technical Coordinator A. Ball Chief Scientific Officer, Deputy Director-General J. Engelen Group Leader in matter of Safety C. Schaefer LHC engineer in charge L. Ponce

  20. General Beliefs and Environmental Concern: Transatlantic Comparisons

    Science.gov (United States)

    Olofsson, Anna; Ohman, Susanna

    2006-01-01

    The aim of the study was to empirically test whether grouping people according to their general beliefs, combined with positional factors, can explain environmental concern, and whether there are country differences in this respect. The study is based on the United States, Canadian, Norwegian, and Swedish parts of The International Social Survey…

  1. 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.

  2. [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…

  3. [Conservation Units.

    Science.gov (United States)

    Texas Education Agency, Austin.

    Instructional units deal with each aspect of conservation: forests, wildlife, rangelands, water, minerals, and soil. The area of the secondary school curriculum with which each is correlated is indicated. Lists of general and specific objectives are followed by suggested teaching procedures, including ideas for introducing the topic, questions to…

  4. 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

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

    NARCIS (Netherlands)

    Jorritsma, P.Y.; Wilderom, C.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 inv

  6. Non-market valuation of the coastal environment--uniting political aims, ecological and economic knowledge.

    Science.gov (United States)

    Östberg, Katarina; Hasselström, Linus; Håkansson, Cecilia

    2012-11-15

    In this paper, we examine the feasibility of using an approach for estimating Willingness-To-Pay for marine environmental improvements, based on a holistic, policy-determined scenario. Conducting valuation studies based on a policy-determined scenario is beneficial for decision-makers in terms of practical applicability but also for research in terms of e.g. data availability. Using a case study in two Swedish coastal areas, we examine whether respondents are able to understand and attach a monetary value to these types of scenarios. The tested scenarios are based on improving water quality according to the EU Water Framework Directive and reducing noise and littering according to standard-type measures in a Swedish archipelago setting. The results are promising, paving the ground for future valuation studies using this approach. However, there might be tradeoffs, since the use of scenarios like this require much preparation by researchers and much efforts by respondents. We recommend environmental managers to adopt this approach when possible, but to have these potential tradeoffs in mind. Mean monthly WTP per household for the water quality improvement scenario is estimated to 71 and 102 SEK(1) in the two study areas, respectively. The corresponding numbers for the less noise and littering scenario are 38 and 46 SEK. Valuation of noise and littering in archipelago areas has previously not been very common, making these estimates especially important for marine policy. Copyright © 2012 Elsevier Ltd. All rights reserved.

  7. Independent Auditors Report on the Air Force General Fund FY 2015 and FY 2014 Basic Financial Statements for United States Air Force Agency Financial Report 2015

    Science.gov (United States)

    2015-11-09

    reporting were operating effectively, with the exception of 11 General Fund and 8 Working Capital Fund material weaknesses and 2 significant...Position The General Fund continued to report a positive net position on its Consolidated Balance Sheet. Net position is the difference between total...Financial Report Management Discussion and Analysis 18 General Fund Total Liabilities, FY 2015 ($ in Billions) $8.4 $8.7 $5.5 $1.1 Environmental

  8. 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,...

  9. Cross-cultural generality and specificity in self-regulation: avoidance personal goals and multiple aspects of well-being in the United States and Japan.

    Science.gov (United States)

    Elliot, Andrew J; Sedikides, Constantine; Murayama, Kou; Tanaka, Ayumi; Thrash, Todd M; Mapes, Rachel R

    2012-10-01

    The authors examined avoidance personal goals as concurrent (Study 1) and longitudinal (Study 2) predictors of multiple aspects of well-being in the United States and Japan. In both studies, participants adopted more avoidance personal goals in Japan relative to the United States. Both studies also demonstrated that avoidance personal goals were significant negative predictors of the most relevant aspects of well-being in each culture. Specifically, avoidance personal goals were negative predictors of intrapersonal and eudaimonic well-being in the United States and were negative predictors of interpersonal and eudaimonic well-being in Japan. The findings clarify and extend puzzling findings from prior empirical work in this area, and raise provocative possibilities about the nature of avoidance goal pursuit.

  10. Recovery of sit-to-stand function in patients with intensive-care-unit-acquired muscle weakness: Results from the General Weakness Syndrome Therapy cohort study.

    Science.gov (United States)

    Thomas, Simone; Burridge, Jane H; Pohl, Marcus; Oehmichen, Frank; Mehrholz, Jan

    2016-10-12

    To describe the time course of recovery of sit-to-stand function in patients with intensive-care-unit-acquired muscle weakness and the impact of recovery. A cohort study in post-acute intensive care unit and rehabilitation units. Patients with chronic critical illness and intensive-care-unit-acquired muscle weakness were included. Sit-to-stand function was measured daily, using a standardized chair height, defined as 120% of the individual's knee height. A total of 150 patients were recruited according to the selection criteria. The primary outcome of independent sit-to-stand function was achieved by a median of 56 days (interquartile range Q1-Q3 = 32-90 days) after rehabilitation onset and a median of 113 days (Q1-Q3=70-148 days) after onset of illness. The final multivariate model for recovery of sit-to-stand function included 3 variables: age (adjusted hazard ratio (HR) = 0.96 (95% CI 0.94-0.99), duration of ventilation (HR=0.99 (95% CI 0.98-1.00) and Functional Status Score for the Intensive Care Unit (FSS-ICU) (adjusted HR=1.12 (95% CI 1.08-1.16)). Rapid recovery of sit-to-stand function for most patients with intensive-care-unit-acquired muscle weakness were seen. The variables older age and longer duration of ventilation decreased, and higher FSS-ICU increased the chance of regaining independent sit-to-stand function.

  11. 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...

  12. 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...

  13. 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...

  14. 美国高校通识教育的质量评估及其启示%General Education Quality Assessment and Its Implications in the Higher Education of United States

    Institute of Scientific and Technical Information of China (English)

    王昊川; 宋广文

    2014-01-01

    The United States is the first country that proposed and implemented general education . With the status of general education in American is becoming more and more important , general education quality assessment system has also been increasingly improved .which is worth drawing and learning .The United States general education assessment agencies include the regional higher education evaluation committee , the social organization of professional evaluation and self assessment .When assess the general education in higher education , America adopted many kinds of direct or indirect general education assessment models in order to ensure the accuracy and validity of the evaluation . Study for general education quality assessment for higher education in America , which provide implications for us to better assess general education and enhance its quality .%美国是世界上最早提出并实施通识教育的国家,随着通识教育在美国高校的地位日益重要,其质量评估体系也日趋完善,值得借鉴和学习。美国的通识教育评估机构主要包括区域性高等教育评估委员会、社会专业评估机构(协会)和院校本身三种形式。在对高校进行通识教育评估时,美国采用了多种直接或间接的通识教育评估模式,以保证评价的准确性和有效性。对美国高校通识教育质量评估体系的考察,可以为我们更好地评估通识教育,提升通识教育质量提供启示。

  15. 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…

  16. A General Discussion of Problems Related to the Determination of Concrete Armour Unit Stresses Including Specific Results related to Static and Dynamic Stresses in Dolosse

    DEFF Research Database (Denmark)

    Burcharth, H. F.; Liu, Zhou

    1989-01-01

    Recent breakwater failures revealed the shortcomings of the traditional design procedures for concrete armour units. This paper deals with one of them, which can be expressed as the "lack of balance between the hydraulic stability of the armour layer and the mechanical strength or integrity...

  17. Resource Conservation and Recovery Act (RCRA) General Contingency Plan for Hazardous Waste Treatment, Storage, and Disposal Units at the Oak Ridge Y-12 Plant

    Energy Technology Data Exchange (ETDEWEB)

    None

    1999-04-01

    This contingency plan provides a description of the Y-12 plant and its waste units and prescribes control procedures and emergency response procedures. It lists emergency and spill response equipment, provides information on coordination agreements with local agencies, and describes the evacuation plan and reporting requirements.

  18. Resource Conservation and Recovery Act (RCRA) General Contingency Plan for Hazardous Waste Treatment, Storage, and Disposal Units at the Oak Ridge Y-12 Plant

    Energy Technology Data Exchange (ETDEWEB)

    None

    1999-04-01

    This contingency plan provides a description of the Y-12 plant and its waste units and prescribes control procedures and emergency response procedures. It lists emergency and spill response equipment, provides information on coordination agreements with local agencies, and describes the evacuation plan and reporting requirements.

  19. Making Higher Education Work: A Comparison of Discourses in the United Kingdom's Conservative and Labour Parties' General Election Manifestos between 1979 and 2010

    Science.gov (United States)

    Souto-Otero, Manuel

    2011-01-01

    This article elaborates a model of social democratic and conservative discourses in relation to access, financing, management, and results of higher education. The model is contrasted with the position of the Conservative Party and the Labour Party in the United Kingdom from the late 1970s to 2010 as expressed in their electoral manifestos. The…

  20. Elsa Baxter, head of the Swiss Post Office's Stamps and Philately Unit, presents to Robert Aymar, CERN's Director-General, the Swiss commemorative stamp dedicated to CERN

    CERN Multimedia

    Patrice Loiez

    2004-01-01

    'I am delighted to offer you a special stamp which commemorates your Laboratory's fifty-year history and pays tribute to its achievements, its pioneering spirit and its perseverance' said Mrs Baxter to Robert Aymar, CERN's Director-General.

  1. Matching Investigation between Instrument Precision and Aiming Method

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    In the course of using precise visual instrument, aiming precision is an important parameter to analyze the measurement error. Usually, instrument calibrated error is set down as measurement error. In the paper, the precision theory of TC2003 theodolite is analyzed and some aiming experiments is done for different width line. Then, the relations between the width of line and aiming precision are shown by different aiming methods of two superposition solid lines and one line clipped by double lines. Finally, an effective method to improve aiming precision is proposed which adopts the aiming method of one line clipped by double lines.

  2. A unified sparse matrix data format for efficient general sparse matrix-vector multiply on modern processors with wide SIMD units

    OpenAIRE

    Kreutzer, Moritz; Hager, Georg; Wellein, Gerhard; Fehske, Holger; Bishop, Alan R.

    2013-01-01

    Sparse matrix-vector multiplication (spMVM) is the most time-consuming kernel in many numerical algorithms and has been studied extensively on all modern processor and accelerator architectures. However, the optimal sparse matrix data storage format is highly hardware-specific, which could become an obstacle when using heterogeneous systems. Also, it is as yet unclear how the wide single instruction multiple data (SIMD) units in current multi- and many-core processors should be used most effi...

  3. What Aims, what Motives? Determining Research Priorities in the International Indian Ocean Expedition, 1960-1965

    Science.gov (United States)

    Doel, R.

    2016-12-01

    Fundamental tensions affected planning for United States involvement in the International Indian Ocean Expedition (IIOE). At the highest levels of the US state, science advisors and State Department officials praised the proposed Indian Ocean research plan—loosely modeled on the recently completed International Geophysical Year of 1957-58—as a way of promoting scientific internationalism, seeing this undertaking as a way to help bring India more firmly within the Western sphere amid Cold War East-West conflicts. Dwight D. Eisenhower's presidential science advisor, George Kistiakowsky, had the IIOE in mind when he advised the National Security Council that a key role science could play in American foreign relations lay "in relation with the neutral and less-developed countries." At the same time, American scientists invited to take part in the Indian Ocean Expedition—while generally sympathetic with U.S. foreign policy aims—prioritized research programs in the physical branches of the environmental sciences. While policy-makers hoped to encourage biological research, with the aim of encouraging fisheries and protein production to aid Indian citizens, earth scientists—better-funded, better-organized, supported by military agencies because their studies were crucial to national security—came to dominate the IIOE. While the IIOE was later judged a success, for it extended long-running research programs in physical and chemical oceanography into a less-explored ocean, hopes to advance biological programs on an equal footing proved premature.

  4. SaudiVeg ecoinformatics: Aims, current status and perspectives

    Directory of Open Access Journals (Sweden)

    Mohamed A. El-Sheikh

    2017-02-01

    Full Text Available During the last decade many electronic databases of vegetation plots were established in many countries around the world. These databases contain valuable phytosociological information assisting both governmental and NGO (Non-governmental organizations agencies to formulate strategies and on-ground plans to manage and protect nature resources. This paper provides an account on aims, current status and perspectives of building of a vegetation database for the Central Region (Najd of Saudi Arabia – the founding element of the Saudi Vegetation Database (SVD. The data stored by the database are sample plots (vegetation relevés collected according to the field techniques of the Braun-Blanquet approach (lists of taxa accompanied by semi-quantitative cover assessment, and are accompanied by general vegetation characteristics such as vegetation layering and cover, information on life-form of the recorded species, geographical coordinates, altitude, soil typology, topography and many more. More than 2900 vegetation-plot records (relevés have so far been collected in the Najd region; of these more than 2000 have already been stored using the Turboveg database platform. These field records cover many habitats such as depressions, wadis (dry river beds, agricultural lands, sand dunes, sabkhas, and ruderal habitats. The ecological information collected in the database is currently the largest set of vegetation data collated into a database in the Middle East. These data are of great importance for biodiversity studies in Saudi Arabia, since the region is recording a loss of biodiversity at a fast rate due to environmental problems such as global warming and land-use changes. We envisage that this database would catalyze further data collection on vegetation of the entire Arabian Peninsula, and shall serve as one of the most important datasets for classification and mapping of the vegetation of the Kingdom of Saudi Arabia.

  5. Nisin Production Utilizing Skimmed Milk Aiming to Reduce Process Cost

    Science.gov (United States)

    Jozala, Angela Faustino; de Andrade, Maura Sayuri; de Arauz, Luciana Juncioni; Pessoa, Adalberto; Penna, Thereza Christina Vessoni

    Nisin is a natural additive for conservation of food, pharmaceutical, and dental products and can be used as a therapeutic agent. Nisin inhibits the outgrowth of spores, the growth of a variety of Gram-positive and Gram-negative bacteria. This study was performed to optimize large-scale nisin production in skimmed milk and subproducts aiming at low-costs process and stimulating its utilization. Lactococcus lactis American Type Culture Collection (ATCC) 11454 was developed in a rotary shaker (30°C/36 h/100 rpm) in diluted skimmed milk and nisin activity, growth parameters, and media components were also studied. Nisin activity in growth media was expressed in arbitrary units (AU/mL) and converted to standard nisin concentration (Nisaplin®, 25 mg of pure nisin is 1.0×106 AU/mL). Nisin activity in skimmed milk 2.27 gtotal solids was up to threefold higher than transfers in skimmed milk 4.54 gtotal solids and was up to 85-fold higher than transfers in skimmed milk 1.14 gtotal solids. L. lactis was assayed in a New Brunswick fermentor with 1.5 L of diluted skimmed milk (2.27 gtotal solids) and airflow of 1.5 mL/min (30°C/36/200 rpm), without pH control. In this condition nisin activity was observed after 4 h (45.07 AU/mL) and in the end of 36 h process (3312.07 AU/mL). This work shows the utilization of a low-cost growth medium (diluted skimmed milk) to nisin production with wide applications. Furthermore, milk subproducts (milk whey) can be exploited in nisin production, because in Brazil 50% of milk whey is disposed with no treatment in rivers and because of high organic matter concentrations it is considered an important pollutant. In this particular case an optimized production of an antimicrobial would be lined up with industrial disposal recycling.

  6. Difficulties in Determining If Nuclear Training of Foreigners Contributes to Weapons Proliferation. Report by the Comptroller General of the United States.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. House Committee on Appropriations.

    The General Accounting Office (GAO) conclusion that it is impossible to determine the contribution of U.S. nuclear training of foreigners to the spread of nuclear weapons is presented. The GAO position is that there is no way to ascertain the true intentions of foreign nationals being trained or the motivations of their countries. Issues…

  7. 1st March 2013 - The Secretary-General of the United Nations Ban Ki-moon welcomed at LHC Point 1 by CERN Director-General R. Heuer (see captions below).

    CERN Multimedia

    Maximilien Brice

    2013-01-01

    The SG is introduced to Director for Research and Computing S. Bertolucci, Director for Administration and General Infrastructure S. Lettow, Head of International Relations F. Pauss, Technology Department Head F. Bordry, Information Technology Department Head F. Hemmer, Relations with International Organisations M. Bona. ATLAS experimental cavern visit with Spokesperson D. Charlton; UNOSAT at CERN building visit with IT Department Head F. Hemmer and UNOSAT E. Bjorgo and F. Pisano. (H. E. Mr Ban visited underground areas at the LHC and UNOSAT, the UN technology-intensive programme hosted by CERN to deliver imagery analysis and satellite solutions to relief and development organizations)

  8. International Conference on Harmonisation; guidance on Q4B Evaluation and Recommendation of Pharmacopoeial Texts for Use in the International Conference on Harmonisation Regions; Annex 6 on Uniformity of Dosage Units General Chapter; availability. Notice.

    Science.gov (United States)

    2014-06-16

    The Food and Drug Administration (FDA) is announcing the availability of a guidance entitled "Q4B Evaluation and Recommendation of Pharmacopoeial Texts for Use in the International Conference on Harmonisation Regions; Annex 6: Uniformity of Dosage Units General Chapter.'' The guidance was prepared under the auspices of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). The guidance provides the results of the ICH Q4B evaluation of the Uniformity of Dosage Units General Chapter harmonized text from each of the three pharmacopoeias (United States, European, and Japanese) represented by the Pharmacopoeial Discussion Group (PDG). The guidance conveys recognition of the three pharmacopoeial methods by the three ICH regulatory regions and provides specific information regarding the recognition. The guidance is intended to recognize the interchangeability between the local regional pharmacopoeias, thus avoiding redundant testing in favor of a common testing strategy in each regulatory region. The guidance is in the form of an annex to the core guidance on the Q4B process entitled ``Q4B Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions'' (core ICH Q4B guidance).

  9. 火电机组热力系统成本分布通用矩阵方程%General Matrix Equation of Exergy Cost Distribution in Thermal System of Coal-fired Power Units

    Institute of Scientific and Technical Information of China (English)

    李永华; 刘伟庭

    2012-01-01

    Based on exergy cost theory,a general model for exergy cost analysis of local thermal system was established,while a general matrix equation determined for exergy cost distribution in thermal system of power units.On above basis,example calculation and analysis were performed for thermal system of a 600 MW power unit,during which the unit exergy cost of independent exergy flow was obtained.Results show that the equation with normative structure is suitable for study of different thermal systems and analysis of regularities commonly existing in thermal systems;for a specific thermal system,the unit exergy cost of independent exergy flow and the distribution regularity of unit exergy cost can be acquired simply by substituting necessary matrix elements into the equation,thus providing guidance for energy saving and consumption reduction of relevant power units;if the equation is furthermore analyzed by differential calculation,the sensitivity of alteration of some factors on unit exergy cost can also be obtained.%基于成本理论建立了热力系统局部成本分析通用模型及火电机组热力系统成本分布的通用矩阵方程,并对某600MW机组的热力系统进行实例计算与分析,得到了额定工况下独立流的单位成本.结果表明:该方程构造规范,适用于各种不同的热力系统,可以用于分析热力系统中存在的共性规律;对于具体的热力系统,通过将一些必要的矩阵元素代入方程中,可得到独立流的单位成本和单位成本的分布规律,为机组的节能降耗提供指导;如果对方程进行进一步的微分运算分析,还可求出一些因素变化对单位成本影响的敏感度.

  10. First results about recovery of walking function in patients with intensive care unit-acquired muscle weakness from the General Weakness Syndrome Therapy (GymNAST) cohort study.

    Science.gov (United States)

    Mehrholz, Jan; Mückel, Simone; Oehmichen, Frank; Pohl, Marcus

    2015-12-23

    To describe the time course of recovery of walking function and other activities of daily living in patients with intensive care unit (ICU)-acquired muscle weakness. This is a cohort study. We included critically ill patients with ICU-acquired muscle weakness. Post-acute ICU and rehabilitation units in Germany. We measured walking function, muscle strength, activities in daily living, motor and cognitive function. We recruited 150 patients (30% female) who fulfilled our inclusion and exclusion criteria. The primary outcome recovery of walking function was achieved after a median of 28.5 days (IQR=45) after rehabilitation onset and after a median of 81.5 days (IQR=64) after onset of illness. Our final multivariate model for recovery of walking function included two clinical variables from baseline: the Functional Status Score ICU (adjusted HR=1.07 (95% CI 1.03 to 1.12) and the ability to reach forward in cm (adjusted HR=1.02 (95% CI 1.00 to 1.04). All secondary outcomes but not pain improved significantly in the first 8 weeks after study onset. We found good recovery of walking function for most patients and described the recovery of walking function of people with ICU-acquired muscle weakness. Sächsische Landesärztekammer EK-BR-32/13-1; DRKS00007181, German Register of Clinical Trials. 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/

  11. Aiming at Targets: The Autobiography of Robert C. Seamans, Jr.

    Science.gov (United States)

    Seamans, Robert C., Jr.

    1996-01-01

    Bob Seamans originally was inspired to write this book for his family and friends. That is a large audience. By his own count his immediate family numbers twenty-four, not counting brothers and cousins and their families. His friends are uncounted but surely run to hundreds. As one of them and as a colleague at NASA, I am pleased and honored that he asked me to write this foreword. While written in Bob's unique and informal style, this autobiography has significance for many readers beyond his large circles of family and friends. Leaders and students of large, complex technological endeavors should be able to learn much from reading how Bob faced the daunting technical and management challenges in his career. As the title of this book implies, Bob has always set high goals for himself and then kept his eyes focused on both the necessary details and the broader picture. His ability to shift smoothly among jobs that required seemingly disparate abilities and skills speaks volumes about his insight, dedication, and enthusiasm for achievement. The book spans a truly remarkable life story. Bob first takes us through his growing up, education, and early professional and family life. Next he focuses on the crucial years when he was the general manager of NASA. Then he moves on to his career in the top jobs at the Air Force, the National Academy of Engineering, and the Energy Research and Development Administration. Finally, he touches on his later leadership activities in the academic and business worlds. Aiming at Targets is a series of fascinating topical vignettes covering his professional life. Taken together, like broad brushstrokes in an impressionist painting, they give a better picture of Bob Seamans and his work than a detailed recitation of facts and dates could hope to do. This is a cheerful account of an interesting and successful career. The book is full of good stories, with many memorable characters. Like the proverbial sundial, it counts the sunny hours

  12. Use of complementary and alternative medicine for physical performance, energy, immune function, and general health among older women and men in the United States.

    Science.gov (United States)

    Tait, Elizabeth M; Laditka, Sarah B; Laditka, James N; Nies, Mary A; Racine, Elizabeth F

    2012-01-01

    We examined use of complementary and alternative medicine (CAM) for health and well-being by older women and men. Data were from the 2007 National Health Interview Survey, representing 89.5 million Americans ages 50+. Multivariate logistic regression accounted for the survey design. For general health, 52 million people used CAM. The numbers for immune function, physical performance, and energy were 21.6, 15.9, and 10.1 million respectively. In adjusted results, women were much more likely than men to use CAM for all four reasons, especially energy. Older adults, particularly women, could benefit from research on CAM benefits and risks.

  13. Intelligence Failure in Korea: Major General Charles A. Willoughby’s Role in the United Nations Command’s Defeat in November 1950

    Science.gov (United States)

    2009-06-12

    will make it possible for CIA to play some role in the intelligence field in General MacArthur‘s theatre .‖ 31 In his accusations against the CIA...fought on the German side during World War I.‖ 4 Nitze also recalled how he felt about Willoughby: ―He was a peculiar kind of Prussian, romantic ...of the most gifted thespians ever to play romantic leads in the dramatic club.‖ 16 This sense of drama would suit Willoughby well as he worked his

  14. Selection patterns, gender and friendship aim in classroom networks.

    NARCIS (Netherlands)

    Baerveldt, Chris; Van de Bunt, Gerhard G.; Vermande, Marjolijn M.

    2014-01-01

    The social networks of students, and the underlying processes of selection, can have strong effects on their psychological and academic adjustment. The effects of gender, friendship aim (intimacy or social activities) and the combination of gender and friendship aim on selection patterns (student’s

  15. Patriotism, history and the legitimate aims of American education

    NARCIS (Netherlands)

    Merry, M.S.

    2009-01-01

    This article argues that while an attachment to one's country is both natural and even partially justifiable, cultivating loyal patriotism in schools is untenable insofar as it conflicts with the legitimate aims of education. These aims include the epistemological competence necessary for ascertaini

  16. Patriotism, History and the Legitimate Aims of American Education

    Science.gov (United States)

    Merry, Michael S.

    2009-01-01

    This article argues that while an attachment to one's country is both natural and even partially justifiable, cultivating loyal patriotism in schools is untenable insofar as it conflicts with the legitimate aims of education. These aims include the epistemological competence necessary for ascertaining important truths germane to the various…

  17. The Aims of Education and the Leap of Freedom

    Science.gov (United States)

    Yun, SunInn

    2014-01-01

    This paper considers the place of freedom in discussions of the aims of education. Bearing in mind remarks of R.S. Peters to the affect that the singling out of aims can "fall into the hands of rationalistically minded curriculum planners", it begins by considering the views of Roland Reichenbach regarding Bildung and his account of this…

  18. Selection patterns, gender and friendship aim in classroom networks.

    NARCIS (Netherlands)

    Baerveldt, Chris; Van de Bunt, Gerhard G.; Vermande, Marjolijn M.

    2014-01-01

    The social networks of students, and the underlying processes of selection, can have strong effects on their psychological and academic adjustment. The effects of gender, friendship aim (intimacy or social activities) and the combination of gender and friendship aim on selection patterns (student’s

  19. Patriotism, history and the legitimate aims of American education

    NARCIS (Netherlands)

    Merry, M.S.

    2009-01-01

    This article argues that while an attachment to one's country is both natural and even partially justifiable, cultivating loyal patriotism in schools is untenable insofar as it conflicts with the legitimate aims of education. These aims include the epistemological competence necessary for

  20. The Aims of Education and the Leap of Freedom

    Science.gov (United States)

    Yun, SunInn

    2014-01-01

    This paper considers the place of freedom in discussions of the aims of education. Bearing in mind remarks of R.S. Peters to the affect that the singling out of aims can "fall into the hands of rationalistically minded curriculum planners", it begins by considering the views of Roland Reichenbach regarding Bildung and his account of this…

  1. An Analysis of Aims and the Educational "Event"

    Science.gov (United States)

    den Heyer, Kent

    2015-01-01

    In this article, the author explores key distinctions relevant to aims talk in education. He argues that present formulations of aims fail to adequately capture or speak to several overlapping domains involved in schooling: qualification, socialization, and the educational in the form of subjectification (Biesta, 2010). Drawing off Egan and Biesta…

  2. Movement planning of video and of manual aiming movements.

    Science.gov (United States)

    Bédard, Patrick; Proteau, Luc

    2005-01-01

    We studied aiming performance of adults for video- and manual aiming tasks when they had visual information about the location of the starting base or when they had not. In video-aiming, foveating the starting base and then the target prior to movement initiation (Foveation) resulted in less aiming bias and variability than when the starting base was not visible (PNV), or visible without the participants foveating it prior to movement initiation (PSV). In manual aiming, Foveation and PSV procedures resulted in identical results but reduced aiming bias and variability in comparison to the PNV procedures. The results indicate that participants had difficulty in transforming the locations of the starting base and of the target when seen on a vertical screen into an appropriate movement trajectory. Successive foveation of the starting base and of the target facilitated this transformation, resulting in direction variability being reduced by more than half in comparison to the PNV and PSV conditions. This suggests that in video-aiming the efference copy of the saccade can be used by the CNS to approximate the hand trajectory in the workspace and/or in joint coordinates (Jouffrais and Boussaoud, 1999). Hand trajectory could be readily available in manual aiming if the target location can be recoded directly in hand-coordinates as recently suggested by Buneo et al. (2002).

  3. The prevalence of perioperative visual loss in the United States: a 10-year study from 1996 to 2005 of spinal, orthopedic, cardiac, and general surgery.

    Science.gov (United States)

    Shen, Yang; Drum, Melinda; Roth, Steven

    2009-11-01

    Perioperative visual loss (POVL) accompanying nonocular surgery is a rare and potentially devastating complication but its frequency in commonly performed inpatient surgery is not well defined. We used the Nationwide Inpatient Sample to estimate the rate of POVL in the United States among the eight most common nonocular surgeries. More than 5.6 million patients in the Nationwide Inpatient Sample who underwent principal procedures of knee arthroplasty, cholecystectomy, hip/femur surgical treatment, spinal fusion, appendectomy, colorectal resection, laminectomy without fusion, coronary artery bypass grafting, and cardiac valve procedures from 1996 to 2005 were included. Rates of POVL, defined as any discharge with an International Classification of Diseases, Ninth Revision, Clinical Modification code of ischemic optic neuropathy (ION), cortical blindness (CB), or retinal vascular occlusion (RVO), were estimated. Potential risk factors were assessed by univariate and multivariable analyses. Cardiac and spinal fusion surgery had the highest rates of POVL. The national estimate in cardiac surgery was 8.64/10,000 and 3.09/10,000 in spinal fusion. By contrast, POVL after appendectomy was 0.12/10,000. Those undergoing cardiac surgery, spinal fusion, and orthopedic surgery had a significantly increased risk of developing ION, RVO, or CB. Patients younger than 18 yr had the highest risk for POVL, because of higher risk for CB, whereas those older than 50 yr were at greater risk of developing ION and RVO. Other significant positive predictors for some diagnoses of POVL were male gender, Charlson comorbidity index, anemia, and blood transfusion. There was no increased risk associated with hospital surgical volume. During the 10 yr from 1996 to 2005, there was an overall decrease in POVL in the procedures we studied. The results confirm the clinical suspicion that the risk of POVL is higher in cardiac and spine fusion surgery and show for the first time a higher risk of this

  4. Signature for a partership between CERN and Israel - His Excellency Mr Itzhak Levanon, Ambassador, Permanent Representative of Israel to the Unite Nations Office and specialized institutions in Geneva and Mr Robert Aymar, CERN Director General

    CERN Multimedia

    Maximilien Brice

    2004-01-01

    On 29 November 2004, the Israeli ambassador to the United Nations Office at Geneva, Itzhak Levanon, and CERN's director-general, Robert Aymar, signed a new protocol to the Co-operation Agreement between the government of Israel and CERN. This protocol covers a substantial increase in the Israeli contribution to CERN's Large Hadron Collider (LHC) Project. Israeli scientists have been participating in CERN's scientific activities since 1960, and in 1992 Israel became the first non-member state to make regular financial contributions to CERN's budget.

  5. Legal content of the International Convention on the Protection of the Rights of All Migrant Workers and Members of Their Families, adopted by the united nations general assembly by resolution 45/158 of 18 December 1990.

    Directory of Open Access Journals (Sweden)

    Aurelia Álvarez Rodríguez

    2016-10-01

    Full Text Available The author makes a detailed analysis of the legal contents of the International Convention on the Protection of the Rights of all Migrant workers and their Families, adopted by the General Assembly of the United Nations in the Resolution 45/158 of December 1990. The objectives of the Convention, the personal spehere of application, the Human Rights of all migrant workers and their families wether they be regular of iregular are presented throughout the article. Finally, the practical effectiveness of the Convention is analyzed concluding with the importance of its ratification by the largest number of States possible.

  6. Patients Hospitalized in General Wards via the Emergency Department: Early Identification of Predisposing Factors for Death or Unexpected Intensive Care Unit Admission—A Historical Prospective

    Directory of Open Access Journals (Sweden)

    Thierry Boulain

    2014-01-01

    Full Text Available Background. To identify, upon emergency department (ED admission, predictors of unexpected death or unplanned intensive care/high dependency units (ICU/HDU admission during the first 15 days of hospitalization on regular wards. Methods. Prospective cohort study in a medical-surgical adult ED in a teaching hospital, including consecutive patients hospitalized on regular wards after ED visit, and identification of predictors by logistic regression and Cox proportional hazards model. Results. Among 4,619 included patients, 77 (1.67% target events were observed: 32 unexpected deaths and 45 unplanned transfers to an ICU/HDU. We identified 9 predictors of the target event including the oxygen administration on the ED, unknown current medications, and use of psychoactive drug(s. All predictors put the patients at risk during the first 15 days of hospitalization. A logistic model for hospital mortality prediction (death of all causes still comprised oxygen administration on the ED, unknown current medications, and the use of psychoactive drug(s as risk factors. Conclusion. The “use of oxygen therapy on the ED,” the “current use of psychoactive drug(s”, and the “lack of knowledge of current medications taken by the patients” were important predisposing factors to severe adverse events during the 15 days of hospitalization on regular wards following the ED visit.

  7. Enhancing the calculation accuracy of performance characteristics of power-generating units by correcting general measurands based on matching energy balances

    Science.gov (United States)

    Shchinnikov, P. A.; Safronov, A. V.

    2014-12-01

    General principles of a procedure for matching energy balances of thermal power plants (TPPs), whose use enhances the accuracy of information-measuring systems (IMSs) during calculations of performance characteristics (PCs), are stated. To do this, there is the possibility for changing values of measured and calculated variables within intervals determined by measurement errors and regulations. An example of matching energy balances of the thermal power plants with a T-180 turbine is made. The proposed procedure allows one to reduce the divergence of balance equations by 3-4 times. It is shown also that the equipment operation mode affects the profit deficiency. Dependences for the divergence of energy balances on the deviation of input parameters and calculated data for the fuel economy before and after matching energy balances are represented.

  8. Investigating Patients with Recent Onset of Chest Pain Against NICE Guidelines in a District General Hospital Setting in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Azeem S Sheikh

    2012-09-01

    Full Text Available Background: Chest pain is a very common symptom leading to a significant number of patients visiting the primary care trusts, emergency departments and a huge number of emergency hospital admissions.Objective: The objective of our audit was to investigate whether patients with recent onset of chest pain referred to the Rapid Access Chest Pain Clinic were being investigated in accordance with the recommendations by the National Institute for Health and Clinical Excellence (NICE, in a busy District General Hospital setting.Design: Retrospective collection of dataSetting: Southend University Hospital NHS Foundation TrustPatients: We collected data over a period of three months for all the patients who underwent invasive coronary angiogram after being referred via Rapid Access Chest Pain Clinic (RACPC or General Cardiology Clinic presenting with recent onset of chest pain. A total of 157 patients were enrolled in the study. The patients were then categorised into four groups based upon their description of symptoms, age and risk factors, as defined by NICE.Results: We found that 86% (135/157 patients had estimated likelihood of CAD >60% and 51% of these had unnecessary non-invasive investigations contrary to what NICE recommends. This shows that adhering to the NICE guidelines would have saved a substantial amount of hospital resources and time of the healthcare team and the patients.Conclusions: The development of strategies for cost-conscious quality care must begin with the history, risk factors for coronary artery disease and patients’ investigations should be based on their risk stratification.

  9. 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. PMID:21734847

  10. Circulating AIM Prevents Hepatocellular Carcinoma through Complement Activation

    Directory of Open Access Journals (Sweden)

    Natsumi Maehara

    2014-10-01

    Full Text Available Hepatocellular carcinoma (HCC is a widespread fatal disease and the third most common cause of cancer deaths. Here, we show the potent anti-HCC effect of the circulating protein AIM. As in adipocytes, AIM is incorporated into normal hepatocytes, where it interferes with lipid storage. In contrast, AIM accumulates on the HCC cell surface and activates the complement cascade via inactivating multiple regulators of complement activation. This response provokes necrotic cell death specifically in AIM-bound HCC cells. Accordingly, AIM−/− mice were highly susceptible to steatosis-associated HCC development, whereas no AIM+/+ mouse developed the disease despite comparable liver inflammation and fibrosis in response to a long-term high-fat diet. Administration of AIM prevented tumor development in AIM−/− mice, and HCC induction by diethylnitrosamine was more prominent in AIM−/− than wild-type mice. These findings could be the basis for novel AIM-based therapeutic strategies for HCC.

  11. 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.

  12. Ready, Fire, Aim: The College Campus Gun Fight

    Science.gov (United States)

    Birnbaum, Robert

    2013-01-01

    The question of whether guns should be permitted on college and university campuses in the United States reflects the tension between two competing perspectives. America has both a robust gun culture and an equally robust (if less well known) gun-control culture. The gun culture is as American as apple pie: There may be as many as 300 million…

  13. Ready, Fire, Aim: The College Campus Gun Fight

    Science.gov (United States)

    Birnbaum, Robert

    2013-01-01

    The question of whether guns should be permitted on college and university campuses in the United States reflects the tension between two competing perspectives. America has both a robust gun culture and an equally robust (if less well known) gun-control culture. The gun culture is as American as apple pie: There may be as many as 300 million…

  14. A 13-year follow-up of patients with breast cancer presenting to a District General Hospital breast unit in southeast England.

    Science.gov (United States)

    Robinson, David; Bell, Janine; Møller, Henrik; Salman, Asad

    2006-04-01

    The purpose of this clinical cohort study was to examine long-term survival in groups of screen-detected and symptomatic breast cancer patients attending a specialist breast unit, and to determine the factors affecting this survival. A total of 3239 breast cancer cases (1252 screen-detected and 1987 symptomatic) diagnosed between 1989 and 2002 were followed up until the end of 2002, and breast cancer-specific survival was examined in the screened and symptomatic groups, in relation to patient age, tumour size, nodal status and histological grade. Long-term survival in this clinical cohort was high. Relative survival values in the symptomatic group were similar to population-based estimates for southeast England derived from data held at the Thames Cancer Registry, whilst survival values in the screening group were 11-12 percentage points higher at 4 years after diagnosis and onwards. Ten-year relative survival estimates were 88% in the screening group and 77% in symptomatic cases. In groups of comparable age, the difference in breast cancer-specific survival at 10 years was 19 percentage points. Survival was significantly related to tumour characteristics (size, nodal status and grade), but not to morphological tumour type or deprivation score of the subject. After adjustment for other factors, the difference in survival between the two groups was much attenuated and became statistically non-significant. The higher survival seen in the screening group can be almost entirely accounted for in terms of the detection of early stage and lower grade tumours which screening provides.

  15. 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

  16. Gender Advertisements in Magazines Aimed at African Americans: A Comparison to Their Occurrence in Magazines Aimed at Caucasians.

    Science.gov (United States)

    McLaughlin, Tara L.; Goulet, Nicole

    1999-01-01

    Analyzed more than 200 magazines to compare advertisements in magazines aimed at African Americans with advertisements in magazines aimed at Caucasians. Discusses results in terms of the demand characteristics implicit in gender advertisements and in terms of cultural differences in gender role expectations. (Author/SLD)

  17. 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

  18. Americans aim to overhaul science teaching by 2061

    CERN Multimedia

    1990-01-01

    Project 2061 is a long-term initiative by the AAAS to reform classroom science. Deputy director Walter Gillespie claims that the aim is for schools to teach less content but teach it better (1/2 page).

  19. Mitochondrial ROS potentiates indirect activation of the AIM2 inflammasome

    Directory of Open Access Journals (Sweden)

    Deborah D Crane

    2014-08-01

    Full Text Available Activation of the inflammasome is important for the detection and clearance of cytosolic pathogens. In contrast to avirulent F. novicida (Fn, infection with virulent F. tularensis ssp tularensis does not trigger activation of the host AIM2 inflammasome. Here we show that differential activation of AIM2 following Francisella infection is due to sensitivity of each isolate to reactive oxygen species (ROS. ROS present at the outset of Fn infection contributes to activation of the AIM2 inflammasome, independent of NLRP3 and NADPH oxidase. Rather, mitochondrial ROS (mROS is critical for Fn stimulation of the inflammasome. This study represents the first demonstration of the importance of mROS in the activation of the AIM2 inflammasome by bacteria. Our results also demonstrate that bacterial resistance to mROS is a mechanism of virulence for early evasion of detection by the host.

  20. Refractive aim and visual outcome after phacoemulsification: A 2 ...

    African Journals Online (AJOL)

    2016-03-24

    Mar 24, 2016 ... Aim: To review the short‑term visual outcome of phacoemulsification in adults with uncomplicated ... social consequences.[2] In a ... visual impairment, respectively. ... skills and experience, who form the group practice, did the.

  1. Psychoneuroendocrine interventions aimed at attenuating immunosenescence: a review

    NARCIS (Netherlands)

    Bauer, M.E.; Muller, G.C.; Correa, B.L.; Vianna, P.; Turner, J.E.; Bosch, J.A.

    2013-01-01

    There is evidence suggesting that immunosenescence can be accelerated by external factors such as chronic stress. Here we review potential psychoneuroendocrine determinants of premature aging of the immune system and discuss available interventions aimed at attenuating immunosenescence. Chronic

  2. Psychoneuroendocrine interventions aimed at attenuating immunosenescence: a review

    NARCIS (Netherlands)

    Bauer, M.E.; Muller, G.C.; Correa, B.L.; Vianna, P.; Turner, J.E.; Bosch, J.A.

    2013-01-01

    There is evidence suggesting that immunosenescence can be accelerated by external factors such as chronic stress. Here we review potential psychoneuroendocrine determinants of premature aging of the immune system and discuss available interventions aimed at attenuating immunosenescence. Chronic stre

  3. Toolkit for local decision makers aims to strengthen environmental sustainability

    CSIR Research Space (South Africa)

    Murambadoro, M

    2011-11-01

    Full Text Available Members of the South African Risk and Vulnerability Atlas were involved in a meeting aimed at the development of a toolkit towards improved integration of climate change into local government's integrated development planning (IDP) process....

  4. [General psychotherapy].

    Science.gov (United States)

    Vymetal, J

    2003-01-01

    Nowadays a theoretical psychotherapeutical thinking develops from the eclectic practice and uses particularly the research of the effective factors of the therapy. Best they can be characterized as differentiate, synthetic, integrative and exceeding other approaches. The development in question goes on with attempts of creating a general model of the psychotherapy that could be a basis for models of special psychotherapies. The aim of such a model is to describe all that is present as important factor for inducing a desirable change of a human in all psychotherapeutical approaches. Among general models we can mention the generic model of D. E. Orlinski and K. I. Howard, Grawe's cube (the author is K. Grawe) and the equation of the psychotherapy.

  5. Ethics and aims in psychotherapy: a contribution from Kant.

    Science.gov (United States)

    Callender, J S

    1998-08-01

    Psychotherapy is an activity which takes many forms and which has many aims. The present paper argues that it can be viewed as a form of moral suasion. Kant's concepts of free will and ethics are described and these are then applied to the processes and outcome of psychotherapy. It is argued that his ideas, by linking rationality, free will and ethics into a single philosophical system, offer a valuable theoretical framework for thinking about aims and ethical issues in psychotherapy.

  6. Modelling constructed wetlands: scopes and aims - a comparative review

    OpenAIRE

    Meyer, D; Chazarenc, Florent; Claveau Mallet, D.; Dittmer, D; Forquet, N.; Molle, P.; Morvannou, A.; Palfy, T.; Petitjean, A; Rizzo, A.; Samso Campa, R.; Scholz, M.; Soric, Audrey; Langergraber, G.

    2015-01-01

    International audience; During the last two decades a couple of models were developed for constructed wetlands with differing purposes. Meanwhile the usage of this kind of tool is generally accepted, but the misuse of the models still confirms the skepticism. Generally three some groups of models can be distinguished: On one hand mechanistic models try to display the complex and diffuse interaction of occurring processes, on the other hand the same kind of models is are used to investigate si...

  7. [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.

  8. Estudo de adaptação cultural e validação da Functional Assessment of Cancer Therapy-General em cuidados paliativos Estudio de adaptación cultural y validación de Functional Assessment of Cancer Thera-General en cuidados paliativos Study of cultural adaptation and validation of the Functional Assessment of Cancer Therapy -General in palliative care units

    Directory of Open Access Journals (Sweden)

    Filomena Moreira Pinto Pereira

    2011-12-01

    ón Funcional Assesment of Chronic Illnes Therapy (FACIT, fue aplicado a una muestra de 346 enfermos. Los resultados demostraron que el instrumento presenta una buena consistencia interna global, con alpha de Cronbach de 0,91, así como una buena fidelidad de test-retest con r de 0,99 y un split-half de 0,57. El Análisis de Componentes Principales, seguido del estudio de la validad convergente-discriminante de los ítems, indica que la FACT-G bajo análisis es concordante con su constructo inicial. Fue además analizada la sensibilidad de la escala que se mostró discriminativa para el género y religión. Se concluyó que este instrumento es fiable, válido y sensible para el estudio de la calidad de vida de pacientes con enfermedad oncológica, en la fase final de la vida, acompañados en los cuidados paliativos.This study aims to validate the Functional Assessment of Cancer Therapy-General (FACT-G version 4 by Cella et al. (1993 for the Portuguese culture as far as end-of-life oncology patients, treated in palliative care units, are concerned. This scale was developed to measure the general quality of life of oncology patients in 4 domains: Physical Well-Being (PWB; Functional Well-Being (FWB; Social/Family Well-Being (SWB and Emotional Well-Being (EWB. The questionnaire survey, already translated into Portuguese by the Functional Assessment of Chronic Illness Therapy (FACIT Organization, was applied to a group of 346 patients. Results revealed that this instrument shows good overall internal consistency (Cronbach’s alpha 0.91, good test-retest reliability (r of 0.99 and a split-half of r of 0.57. Principal Components Analysis, followed by convergent and discriminant validity tests of the items, demonstrated that the FACT-G under analysis is consistent with its initial construct. Furthermore, the sensitivity of the scale was analyzed, and this showed that it was discriminative about gender and religion. Therefore this instrument is reliable, valid and sensitive for the

  9. 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.

    Science.gov (United States)

    Harwood, Rowan H; Goldberg, Sarah E; Whittamore, Kathy H; Russell, Catherine; Gladman, John Rf; Jones, Rob G; Porock, Davina; Lewis, Sarah A; Bradshaw, Lucy E; Elliot, Rachel A

    2011-05-13

    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. 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 life, cognitive function, disability, behavioural and

  10. 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

  11. Uncertainty in aiming movements and its association to hand function

    Directory of Open Access Journals (Sweden)

    Flávia Priscila de Paiva Silva

    2015-09-01

    Full Text Available AbstractThe purpose of this study was to analyze the influence of the uncertainty of target location on the planning and execution of aiming movements performed towards the ipsilateral and contralateral directions by the right and left upper limbs. In addition, the association between the performance of aiming movements and the performance of functional manual tasks was investigated. Two tasks were proposed: with prior knowledge of the movement direction (simple reaction time or not (choice reaction time. The grip strength and manual dexterity were measured. The choice option in response (i.e. uncertainty influenced planning of the aiming movements, but not its execution, while movements performed towards the contralateral direction were worse in execution as compared to the ipsilateral direction. Manual dexterity was significantly correlated with reaction times, while the performance during movement execution was significantly correlated with handgrip/pinch strength.

  12. How Outpatient Substance Abuse Treatment Unit Director Activities May Affect Provision of Community Outreach Services

    Science.gov (United States)

    Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey; Green, Sherri

    2013-01-01

    Aims: Community outreach services play an important role in infectious disease prevention and engaging drug users not currently in treatment. However, fewer than half of US substance abuse treatment units provide these services and many have little financial incentive to do so. Unit directors generally have latitude about scope of services,…

  13. How Outpatient Substance Abuse Treatment Unit Director Activities May Affect Provision of Community Outreach Services

    Science.gov (United States)

    Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey; Green, Sherri

    2013-01-01

    Aims: Community outreach services play an important role in infectious disease prevention and engaging drug users not currently in treatment. However, fewer than half of US substance abuse treatment units provide these services and many have little financial incentive to do so. Unit directors generally have latitude about scope of services,…

  14. Aiming for a College Education: A Strategy for Scotland.

    Science.gov (United States)

    McPherson, Andrew; And Others

    The report reviews British Petroleum's "Aiming for College Education" program in Scotland, a 5-year program to raise the aspirations of young people for post-compulsory education and for higher education in particular. The program invites local higher education institutions to consider initiatives in four areas (promotion and marketing,…

  15. Aims and Formats of performance measurement at Danish Universities

    DEFF Research Database (Denmark)

    Raffnsøe-Møller, Morten

    2011-01-01

    Abstract This article traces the aims and formats of performance measurement of Danish Universities as they originate from the Ministry of Finance’s plan for governance of the public sector. The article further show that the fierce conflicts between central administration and the universities over...

  16. Philosophical Analysis, Research on Teaching, and Aim-Oriented Empiricism.

    Science.gov (United States)

    Popp, Jerome A.

    1980-01-01

    An attempt is made at providing cohesion and structure for a range of disparate activities and examining their interrelationships. Among concepts considered are: (1) the relationship of philosophic analysis in education; (2) the nature of pedagogical research; (3) the process-product paradigm; (4) aim-oriented empiricism; (5) the reduction thesis;…

  17. Advanced Industrial Materials (AIM) Program: Annual progress report FY 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-04-01

    In many ways, the Advanced Industrial Materials (AIM) Program underwent a major transformation in Fiscal Year 1995 and these changes have continued to the present. When the Program was established in 1990 as the Advanced Industrial Concepts (AIC) Materials Program, the mission was to conduct applied research and development to bring materials and processing technologies from the knowledge derived from basic research to the maturity required for the end use sectors for commercialization. In 1995, the Office of Industrial Technologies (OIT) made radical changes in structure and procedures. All technology development was directed toward the seven ``Vision Industries`` that use about 80% of industrial energy and generated about 90% of industrial wastes. The mission of AIM has, therefore, changed to ``Support development and commercialization of new or improved materials to improve productivity, product quality, and energy efficiency in the major process industries.`` Though AIM remains essentially a National Laboratory Program, it is essential that each project have industrial partners, including suppliers to, and customers of, the seven industries. Now, well into FY 1996, the transition is nearly complete and the AIM Program remains reasonably healthy and productive, thanks to the superb investigators and Laboratory Program Managers. This Annual Report for FY 1995 contains the technical details of some very remarkable work by the best materials scientists and engineers in the world. Areas covered here are: advanced metals and composites; advanced ceramics and composites; polymers and biobased materials; and new materials and processes.

  18. [Patient's aggression aimed at physicians. Legal interpretation of defense possibilities].

    Science.gov (United States)

    Patryn, Rafał

    2013-01-01

    The aim of the following study is to acquaint medical practitioners with legal possibilities of defense against patients'aggression. The occurrence of the described and discussed issue, namely the appearance of different forms of aggression aimed at physicians and other medical staff is a more and more frequently appearing phenomenon, which is very problematic, and difficult to interpret. The scope of the analysis has been limited to aggression of patients towards physicians only, as they are most often the aim of this aggression, and what should be emphasized, they lack practical and universal solutions and frequently also necessary knowledge to protect themselves against it. The idea behind this study is to present a rational solution to the afore mentioned situation, within legal limits. First, an outline of a conflict situation with a short specification of sources of aggression will be presented, than an appropriate legal taxonomy (including civil and criminal law) allowing for aid in such a situation will be offered and discussed.The authors will also present practical and legally permissible solutions aiming at defense, abandonment, and not allowing for the appearance of this reprehensible phenomenon.

  19. Advanced Industrial Materials (AIM) Program annual progress report, FY 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-05-01

    The Advanced Industrial Materials (AIM) Program is a part of the Office of Industrial Technologies (OIT), Energy Efficiency and Renewable Energy, US Department of Energy (DOE). The mission of AIM is to support development and commercialization of new or improved materials to improve energy efficiency, productivity, product quality, and reduced waste in the major process industries. OIT has embarked on a fundamentally new way of working with industries--the Industries of the Future (IOF) strategy--concentrating on the major process industries that consume about 90% of the energy and generate about 90% of the waste in the industrial sector. These are the aluminum, chemical, forest products, glass, metalcasting, and steel industries. OIT has encouraged and assisted these industries in developing visions of what they will be like 20 or 30 years into the future, defining the drivers, technology needs, and barriers to realization of their visions. These visions provide a framework for development of technology roadmaps and implementation plans, some of which have been completed. The AIM Program supports IOF by conducting research and development on materials to solve problems identified in the roadmaps. This is done by National Laboratory/industry/university teams with the facilities and expertise needed to develop new and improved materials. Each project in the AIM Program has active industrial participation and support.

  20. Anxiety and ironic effects in aiming at a far target

    NARCIS (Netherlands)

    Bakker, F.C.; Binsch, O.

    2011-01-01

    In far aiming the negative intention not to miss may ironically increase the tendency to do precisely that. Although cognitive constraints enhance the occurrence of ironic effects in the perceptual-motor domain the role of anxiety in inducing such effects has rarely been investigated while anxiety i

  1. Autonomy as the Guiding Aim of Entrepreneurship Education

    Science.gov (United States)

    van Gelderen, Marco

    2010-01-01

    Purpose: This paper has three purposes: first, to present a vision of entrepreneurship education that has the student's capacity for autonomous action as its ultimate aim; second, to convince the reader of the timeliness and relevance of such an approach; third, to outline how this can be implemented. Design/methodology/approach: The paper…

  2. Why the Aims of Education Cannot Be Settled

    Science.gov (United States)

    Hardarson, Atli

    2012-01-01

    The dominant model of curriculum design in the last century assumed that school education could be organized around aims, defined primarily in terms of students' behaviour. The credentials of this model were questioned by, among others, Lawrence Stenhouse, who pointed out that education serves purposes that cannot be stated in terms of behavioural…

  3. MayDay Colloquium 24: The Aims of Music Education

    Science.gov (United States)

    Elliott, David J.

    2013-01-01

    On June 20, 2012, Professor John Kratus welcomed the MayDay Group to Michigan State University for "Colloquium 24: The Aims of Music Education". On behalf of all members of the Mayday Group, the author wishes to extend his deepest gratitude to Professor Kratus and his colleagues at Michigan State for their extremely gracious and…

  4. Goal-Directed Aiming: Two Components but Multiple Processes

    Science.gov (United States)

    Elliott, Digby; Hansen, Steve; Grierson, Lawrence E. M.; Lyons, James; Bennett, Simon J.; Hayes, Spencer J.

    2010-01-01

    This article reviews the behavioral literature on the control of goal-directed aiming and presents a multiple-process model of limb control. The model builds on recent variants of Woodworth's (1899) two-component model of speed-accuracy relations in voluntary movement and incorporates ideas about dynamic online limb control based on prior…

  5. Do Normative Judgements Aim to Represent the World?

    NARCIS (Netherlands)

    Streumer, Bart

    2013-01-01

    Many philosophers think that normative judgements do not aim to represent the world. In this paper, I argue that this view is incompatible with the thought that when two people make conflicting normative judgements, at most one of these judgements is correct. I argue that this shows that normative j

  6. The Aims of Sex Education: Demoting Autonomy and Promoting Mutuality

    Science.gov (United States)

    McAvoy, Paula

    2013-01-01

    In this essay, Paula McAvoy critiques a commonly held view that teaching young people to be good choice makers should be a central aim of sex education. Specifically, she argues against David Archard's recommendation that sex educators ought to focus on the development of autonomy and teaching young people that "choice should be accorded…

  7. Do Normative Judgements Aim to Represent the World?

    NARCIS (Netherlands)

    Streumer, Bart

    2013-01-01

    Many philosophers think that normative judgements do not aim to represent the world. In this paper, I argue that this view is incompatible with the thought that when two people make conflicting normative judgements, at most one of these judgements is correct. I argue that this shows that normative j

  8. The principles of European family law: its aims and prospects

    NARCIS (Netherlands)

    Boele-Woelki, K.

    2005-01-01

    The Commission on European Family Law (CEFL) initiated a research project based on transnational collaboration that was generally believed to be impossible to realize in Europe. Never before in legal history, has such a large group of scholars investigated the possibilities for and contributed to th

  9. Optimize Sedimentation Tank and Lab Flocculation Unit by CFD

    OpenAIRE

    Zhang, Duo

    2014-01-01

    This work aim at introduce basic knowledge of CFD and it’s application in optimization of sedimentation tank and lab flocculation units. A series of specialized strategies are developed for the simulation of the sedimentation tanks and lab flocculation units. Chapter 1 is general introduction of particle removal in water and wastewater treatment, includes particle separation, as well as particle removal during chemical treatment and biological treatment. In chapter 2, background and appli...

  10. [Aiming at the chest, but hitting the back].

    Science.gov (United States)

    Zech, Wolf-Dieter; Axmann, Stefan; Siegenthaler, Lea; Kneubühl, Beat; Thali, Michael

    2011-01-01

    Gunshot injuries in the back may suggest the unjustified use of firearms. A wound in the back inflicted by a firearm should not automatically imply that the shooter aimed at the back. A previous study demonstrated that it is possible for men to turn their trunk faster than it takes for a shooter to fire or throw a hand-operated weapon. With a high speed motion camera the authors were able to demonstrate that it is also possible for women to turn their trunk fast enough, so that a shot in the back could have been aimed at the front of the body. This conclusion is also likely to apply to hand-operated or thrown weapons, since the velocity of their projectiles is considerably lower than that of firearms.

  11. Determination of aims military-technical policy of Ukraine

    Directory of Open Access Journals (Sweden)

    O. F. Salnikova

    2014-06-01

    Full Text Available In the article the aims of military-technical policy are considered. Determination of aims (tasks of military-technical policy, its maintenance, requirements to it and directions of its further development it must come true by the analysis of different factors of external and internal environment. Among such factors: geopolitical and military-political position of Ukraine and its military doctrine; realized and operating programs of development (reformation of the soldiery forming and them technical rigging; terms of future military operations and progress of their maintenance, forms, methods and characteristic signs of battle actions trend; substantive provisions of art of war; conceptions, theories and doctrines of battle application of the soldiery forming of the different states; resources dedicated by the state on development of military-technical sphere and others like that. The fundamental chart of sequence of forming of public military-technical policy is presented in the article.

  12. Use of Probiotic Microorganisms for Bio-Protective Aims

    Directory of Open Access Journals (Sweden)

    Filiz YANGILAR

    2015-03-01

    Full Text Available It was known that some diseases can be treated as the result of the use of antibiotics in certain periods and at certain dosages while inactivating and deteriorating normal microorganisms performing useful activities in human metabolism (in especially intestinal flora. It was occured that after the use of antibiotics, some defects can be seen resulting from antibiotics (such as allergy, diarrhea, gas formation etc. With this aim, nutraceutics and functional food have gained importance over the last years and consumers began to be interested in probiotics, natural antioxidants, dietary fibres, products with low calorie and cholesterol contents, especially the products containing probioticbacteria. Bacteriocins produced by probiotic bacteria can play important roles as food protective and safeguarding since they can compete with unwanted or pathogen microorganisms survive in the media and colonize in intestines. In this review, is aimed to emphasis bioprotective compounds, advantages and disadvantages of biopreservation method and the importance of the mechanisms of probiotic microorganisms.

  13. Research methodology the aims, practices and ethics of science

    CERN Document Server

    Pruzan, Peter

    2016-01-01

    This book is an in-depth guide to effective scientific research. Ranging from the philosophical to the practical, it explains at the outset what science can – and can’t – achieve, and discusses its relationship to mathematics and laws. The author then pays extensive attention to the scientific method, including experimental design, verification, uncertainty and statistics. A major aim of the book is to help young scientists reflect upon the deeper aims of their work and make the best use of their talents in contributing to progress. To this end, it also includes sections on planning research, on presenting one’s findings in writing, as well as on ethics and the responsibilities of scientists. .

  14. Learning object for teacher training aimed to develop communication skills

    Directory of Open Access Journals (Sweden)

    Norma Esmeralda RODRÍGUEZ RAMÍREZ

    2014-06-01

    Full Text Available This article presents the results and reflections obtained across a research aimed to analyze the quality criteria of an opened learning object oriented to develop communication skills in order to be able to report and validate it according to its content, pedagogic structure, technological structure, graphical and textual language and usability to teacher training, in order to base it theoretically, pedagogically and technologically. The research question was: Which are the quality criteria that a learning object aimed to develop communication skills must cover? Under a quantitative approach, there were electronic questionnaires applied to: 34 Technological University teachers, eight experts about of communicative competence, teaching, technology and graphic design. The results indicated that some of the quality criteria of learning object are: the effective managing of the learning content, the balanced composition of his pedagogic structure, the technological structure efficiency and the proper managing of graphical and textual language.

  15. 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.

  16. Action Information Management System (AIMS): a User's View

    Science.gov (United States)

    Wiskerchen, M.

    1984-01-01

    The initial approach used in establishing a user-defined information system to fulfill the needs of users at NASA Headquarters was unsuccessful in bringing this pilot endeaveor to full project status. The persistence of several users and the full involvement of the Ames Research Center were the ingredients needed to make the AIMS project a success. The lesson learned from this effort is that NASA should always work from its organizational strengths as a Headquarters-Center partnership.

  17. Implementation of an Anesthesia Information Management System (AIMS)

    OpenAIRE

    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 applicati...

  18. Simulation of AIMS measurements using rigorous mask 3D modeling

    Science.gov (United States)

    Chou, Chih-Shiang; Huang, Hsu-Ting; Chu, Fu-Sheng; Chu, Yuan-Chih; Huang, Wen-Chun; Liu, Ru-Gun; Gau, Tsai-Sheng

    2015-03-01

    Aerial image measurement system (AIMSTM) has been widely used for wafer level inspection of mask defects. Reported inspection flows include die-to-die (D2D) and die-to-database (D2DB) methods. For patterns that do not repeat in another die, only the D2DB approach is applicable. The D2DB method requires accurate simulation of AIMS measurements for a mask pattern. An optical vectorial model is needed to depict the mask diffraction effect in this simulation. To accurately simulate the imaging results, a rigorous electro-magnetic field (EMF) model is essential to correctly take account of the EMF scattering induced by the mask topography, which is usually called the mask 3D effect. In this study, the mask 3D model we use is rigorous coupled-wave analysis (RCWA), which calculates the diffraction fields from a single plane wave incidence. A hybrid Hopkins-Abbe method with RCWA is used to calculate the EMF diffraction at a desired accuracy level while keeping the computation time practical. We will compare the speed of the hybrid Hopkins-Abbe method to the rigorous Abbe method. The matching between simulation and experiment is more challenging for AIMS than CD-SEM because its measurements provide full intensity information. Parameters in the mask 3D model such as film stack thickness or film optical properties, is optimized during the fitting process. We will report the fitting results of AIMS images for twodimensional structures with various pitches. By accurately simulating the AIMS measurements, it provides a necessary tool to perform the mask inspection using the D2DB approach and to accurately predict the mask defects.

  19. Triple AIM evaluation and application in advanced node

    Science.gov (United States)

    Wang, Gary C.; Lio, En Chuan; Hung, Yuting; Chen, Charlie; Wang, Sybil; Weng, Tang Chun; Lin, Bill; Yu, Chun Chi

    2016-03-01

    A novel method on advanced node for IBO (Image Based Overlay) data extraction accuracy is demonstrated in this work, and here some special design in triple-AIM (Advanced Imaging Metrology) is able to realize the approach. Since triple AIM design has 3 locations left for patterning layers insertion, a new design with 2 layers locations, location-A (inner) and location-B (middle), are generated by 1st pattering, i.e. once lithography exposure, and the 2 marks grouping are formed on dielectric through lithography and etching process with a predetermined overlay "zero offset" through original mask layout design, as illustrated in Fig. (1). And then, as following top photo resist layer, assumed location-C (outer), lithography patterning process, PR coating, exposure and development complete, full triple-AIM patterns is generated, and 3 sets of overlay data could be obtained, A to B, C to B, C to A. Through re-calculating the overlay raw data of current (2nd patterning layer) to previous (1st patterning layer) layer by averaging [C to B] and [C to A], then theoretically the data extraction of sites would be more accuracy, since the variation of local marks signal, induced by inline process instability, could be minimized through the raw data averaging procedure. Moreover, from raw data [A to B], an extra monitor function for detections of the inline process variation, marks selection and recipe setting optimization could be obtained, since marks in [A] and [BB] locations are both generated in 1st patterning, and with the target "zero". So if the raw data [A to BB] is bigger or smaller than "zero" in some degree, there should be some process issue or marks condition setting error in triple-AIM design.

  20. Initiation Style Optimization of Aimed Warhead by Numerical Simulation

    Institute of Scientific and Technical Information of China (English)

    WEI Ji-feng; LI Na; WEN Yu-quan; WANG Wen-jie

    2008-01-01

    The kill characteristics of aimed warhead were studied.Emphasis on the improvement of initiation system,experiments and three dimensional numerical investigations were carried out.Simulation results of side three initiation points fit experiments well.Optimal initiation style is obtained through further simulation.It shows that the effective fragments and the effective kill energy of the optimal scheme increase 12.8%and 10.1%respectively.

  1. Implementation of an Anesthesia Information Management System (AIMS)

    OpenAIRE

    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 applicati...

  2. Doctoral Supervisor Education in Denmark: Aiming to foster reflective practitioners

    DEFF Research Database (Denmark)

    Godskesen, Mirjam Irene; Wichmann-Hansen, Gitte; Kobayashi, Sofie

    Quality in doctoral supervision is an increasing organisational focus area for universities and the need for supervisor development and training is widely recognised. However, there is no systematic overview of competence development activities for doctoral supervisors in Europe in general and th......, the content and the quality criteria for good supervisor education. We hope that these insights can inspire the development in other European countries....

  3. Electrostatic steering and beamlet aiming in large neutral beam injectors

    Science.gov (United States)

    Veltri, P.; Cavenago, M.; Chitarin, G.; Marcuzzi, D.; Sartori, E.; Serianni, G.; Sonato, P.

    2015-04-01

    Neutral beam injection is the main method for plasma heating in magnetic confinement fusion devices. In high energy injector (E>100 keV/amu), neutrals are obtained with reasonable efficiency by conversion of negative ions (H- or D-) via electron detachment reactions. In the case of ITER injectors, which shall operate at 1 MeV, a total ion current of ˜ 40 A is required to satisfy the heating power demand. Gridded electrodes are therefore used in the accelerator, so that 1280 negative ion beamlets are accelerated together. A carefully designed aiming system is required to control the beamlet trajectories, and to deliver their power on a focal point located several meters away from the beam source. In nowadays injectors, the aiming is typically obtained by aperture offset technique or by grid shaping. This paper discuss an alternative concept of beamlets aiming, based on an electrostatic "steerer" to be placed at the end of the accelerator. A feasibility study of this component is also presented, and its main advantages and drawbacks with respect to other methods are discussed.

  4. Electrostatic steering and beamlet aiming in large neutral beam injectors

    Energy Technology Data Exchange (ETDEWEB)

    Veltri, P., E-mail: pierluigi.veltri@igi.cnr.it; Chitarin, G.; Marcuzzi, D.; Sartori, E.; Serianni, G.; Sonato, P. [Consorzio RFX (CNR, ENEA, INFN, Università di Padova, Acciaierie Venete SpA), Corso Stati Uniti 4 - 35127 Padova (Italy); Cavenago, M. [INFN-LNL, viale dell' Università n. 2, 35020 Legnaro (Italy)

    2015-04-08

    Neutral beam injection is the main method for plasma heating in magnetic confinement fusion devices. In high energy injector (E>100 keV/amu), neutrals are obtained with reasonable efficiency by conversion of negative ions (H- or D-) via electron detachment reactions. In the case of ITER injectors, which shall operate at 1 MeV, a total ion current of ∼ 40 A is required to satisfy the heating power demand. Gridded electrodes are therefore used in the accelerator, so that 1280 negative ion beamlets are accelerated together. A carefully designed aiming system is required to control the beamlet trajectories, and to deliver their power on a focal point located several meters away from the beam source. In nowadays injectors, the aiming is typically obtained by aperture offset technique or by grid shaping. This paper discuss an alternative concept of beamlets aiming, based on an electrostatic ”steerer” to be placed at the end of the accelerator. A feasibility study of this component is also presented, and its main advantages and drawbacks with respect to other methods are discussed.

  5. Refractive aiming corrections for satellite observation of stars

    Energy Technology Data Exchange (ETDEWEB)

    Vittitoe, C.N.; Schmidt, R.L.

    1997-03-01

    Standard references describe how apparent zenith angles differ from true zenith angles for observers on the Earth. In fact, correction formulae are available for aiming Earth-based sensors at stars; some corrections give variations as a function of observer altitude. Such corrections have not been available for observers in space. This report develops formulae appropriate for proper aiming from space-based sensors toward the relatively few stars that are near the Earth`s limb at any given time. These formulae correct for refractive effects and may be critical for steerable space-borne sensors with fields of view less than one degree, tasked to observe starlight passing near the Earth`s surface. Ray tracing in the U.S. Standard Atmosphere, 1976 including H{sub 2}O effects, is used to determine relations between the refracted tangent height, the apparent tangent height resulting from observation at the sensor, and the angle through which the detected rays have deviated. Analytic fits of the ray deviation as a function of apparent tangent height allows quick determination of corrections needed for a space-borne sensor. Using those results that apply in the plane of incidence and using the necessary coordinate rotations, alterations in the star`s apparent right ascension and declination are evaluated to improve the aim. Examples illustrate that alterations can be larger than one degree, with effects lasting up to a few minutes.

  6. Surface decontamination in the old storage shed number 99 of the General Plan of IPEN/CNEN-SP, containing production equipment of natural uranium hexafluoride (UF{sub 6}), aiming at its decommissioning; Descontaminacao de superficies no antigo galpao de estocagem numero 99 da planta geral do IPEN/CNEN-SP, contendo equipamentos da producao de hexafluoreto de uranio natural, (UF{sub 6}), visando seu descomissionamento

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, Claudio C. de; Cambises, Paulo B.S.; Paiva, Julio E. de; Paiva, Julio E. de; Silva, Teresina M.; Rodrigues, Demerval L., E-mail: calmeida@ipen.br, E-mail: cambises@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN), Sao Paulo, SP (Brazil)

    2013-11-01

    This paper presents the steps adopted in the operation planned for the decontamination of surfaces in the old storage shed number 99 the general layout of the Energy Research and Nuclear IPEN-CNEN/SP, Brazil, and contained various types of equipment originating from production hexafluoride natural uranium (UF6). This operation involved the planning, training of operators of the facility, analysis of workplaces and radiometric surveys for monitoring of external radiation and surface contamination. The training involved the procedures for decontamination of surfaces, segregation of materials and practical procedures for individual monitoring of contamination outside of the body. Were also established rules for the transport of radioactive materials in the internal and external facility and release of material and sites already decontaminated.

  7. Clinical Application of AIMS65 Scores to Predict Outcomes in Patients with Upper Gastrointestinal Hemorrhage

    Science.gov (United States)

    Sharma, Manik; John, Anil K; Al-Ejji, Khalid Mohsin; Wani, Hamidulla; Sultan, Khaleel; Al-Mohannadi, Muneera; Yakoob, Rafie; Derbala, Moutaz; Al-Dweik, Nazeeh; Butt, Muhammed Tariq; Al-Kaabi, Saad Rashid

    2015-01-01

    Background/Aims To evaluate the ability of the recently proposed albumin, international normalized ratio (INR), mental status, systolic blood pressure, age >65 years (AIMS65) score to predict mortality in patients with acute upper gastrointestinal bleeding (UGIB). Methods AIMS65 scores were calculated in 251 consecutive patients presenting with acute UGIB by allotting 1 point each for albumin level 1.5, alteration in mental status, systolic blood pressure ≤90 mm Hg, and age ≥65 years. Risk stratification was done during the initial 12 hours of hospital admission. Results Intensive care unit (ICU) admission, endoscopic therapy, or surgery were required in 51 patients (20.3%), 64 (25.5%), and 12 (4.8%), respectively. The predictive accuracy of AIMS65 scores ≥2 was high for blood transfusion (area under the receiver operator characteristic curve [AUROC], 0.59), ICU admission (AUROC, 0.61), and mortality (AUROC, 0.74). The overall mortality was 10.3% (n=26), and was 3%, 7.8%, 20%, 36%, and 40% for AIMS65 scores of 0, 1, 2, 3, and 4, respectively; these values were significantly higher in those with scores ≥2 (30.9%) than in those with scores <2 (4.5%, p<0.001). Conclusions AIMS65 is a simple, accurate, non-endoscopic risk score that can be applied early (within 12 hours of hospital admission) in patients with acute UGIB. AIMS65 scores ≥2 predict high in-hospital mortality. PMID:26473120

  8. Aiming accuracy in preferred and non-preferred limbs: implications for programing models of motor control.

    Science.gov (United States)

    Sherwood, David E

    2014-01-01

    Most models of motor programing contend that one can perform learned actions with different muscle groups or limbs demonstrating the concept of motor equivalence. The goal of this review is to determine the generality of this concept within the context of aiming movements performed by both preferred and non-preferred limbs. Theoretical approaches to motor programing are described, followed by a comparison of a variety of kinematic measures taken from preferred and non-preferred limbs from simple and more complex aiming tasks. In general, the support for motor equivalency is strong for one- and two-dimensional aiming tasks and for simultaneous bimanual movements, but mixed for unconstrained throwing tasks and tasks that require feedback-based corrections.

  9. Balloon-Borne System Would Aim Instrument Toward Sun

    Science.gov (United States)

    Polites, M. E.

    1992-01-01

    Proposed system including digital control computer, control sensors, and control actuators aims telescope or other balloon-borne instrument toward Sun. Pointing system and instrument flown on gondola, suspended from balloon. System includes reaction wheel, which applies azimuthal control torques to gondola, and torque motor to apply low-frequency azimuthal torques between gondola and cable. Three single-axis rate gyroscopes measure yaw, pitch, and roll. Inclinometer measures roll angle. Two-axis Sun sensor measures deviation, in yaw and pitch, of attitude of instrument from line to apparent center of Sun. System provides initial coarse pointing, then maintains fine pointing.

  10. NASA tells physicists to aim for the stars

    CERN Multimedia

    MacIlwain, C

    1999-01-01

    Dan Goldin, administrator at NASA, suggested that the next generation of instruments for high-energy physics research should be built in space. This did not go down well at Fermilab where a case is being made for a new ground-based accelerator. Goldin's aim though was simply to tell the scientific community that NASA is prepared to spend big money on physics in space. NASA also wants to work more closely with the DOE and the NSF to support space-based experiments (1 page).

  11. 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

  12. IR technology for enhanced force protection by AIM

    Science.gov (United States)

    Breiter, R.; Ihle, T.; Rode, W.; Wendler, J.; Rühlich, I.; Haiml, M.; Ziegler, J.

    2008-04-01

    In all recent missions our forces are faced with various types of asymmetric threads like snipers, IEDs, RPGs or MANPADS. 2 nd and 3 rd Gen IR technology is a backbone of modern force protection by providing situational awareness and accurate target engagement at day/night. 3 rd Gen sensors are developed for thread warning capabilities by use of spectral or spatial information. The progress on a dual-color IR module is discussed in a separate paper [1]. A 1024x256 SWIR array with flexure bearing compressor and pulse tube cold finger provides > 50,000h lifetime for space or airborne hyperspectral imaging in pushbroom geometry with 256 spectral channels for improved change detection and remote sensing of IEDs or chemical agents. Similar concepts are pursued in the LWIR with either spectroscopic imaging or a system of LWIR FPA combined with a cooled tunable Laser to do spectroscopy with stimulated absorption of specific wavelengths. AIM introduced the RangIR sight to match the requirements of sniper teams, AGLs and weapon stations, extending the outstanding optronic performance of the fielded HuntIR with position data of a target by a laser range finder (LRF), a 3 axis digital magnetic compass (DMC) and a ballistic computer for accurate engagement of remote targets. A version with flexure bearing cooler with >30,000h life time is being developed for continuous operation in e.g. gunfire detection systems. This paper gives an overview of AIM's technologies for enhanced force protection.

  13. The AI&M procedure for learning from incomplete data

    DEFF Research Database (Denmark)

    Jaeger, Manfred

    2006-01-01

    We investigate methods for parameter learning from incomplete data that is not missing at random. Likelihood-based methods then require the optimization of a profile likelihood that takes all possible missingness mechanisms into account. Optimizing this profile likelihood poses two main difficult......We investigate methods for parameter learning from incomplete data that is not missing at random. Likelihood-based methods then require the optimization of a profile likelihood that takes all possible missingness mechanisms into account. Optimizing this profile likelihood poses two main...... difficulties: multiple (local) maxima, and its very high-dimensional parameter space. In this paper a new method is presented for optimizing the profile likelihood that addresses the second difficulty: in the proposed AI\\&M (adjusting imputation and maximization) procedure the optimization is performed...... by operations in the space of data completions, rather than directly in the parameter space of the profile likelihood. We apply the AI\\&M method to learning parameters for Bayesian networks. The method is compared against conservative inference, which takes into account each possible data completion...

  14. Halogen Bonding: An AIM Analysis of the Weak Interactions

    Institute of Scientific and Technical Information of China (English)

    ZOU, Jian-Wei; LU, Yun-Xiang; YU, Qing-Sen; ZHANG, Hua-Xin; JIANG, Yong-Jun

    2006-01-01

    A series of complexes formed between halogen-containing molecules and ammonia have been investigated by means of the atoms in molecules (AIM) approach to gain a deeper insight into halogen bonding. The existence of the halogen bond critical points (XBCP) and the values of the electron density (ρb) and Laplacian of electron density (▽2pb) at the XBCP reveal the closed-shell interactions in these complexes. Integrated atomic properties such as charge, energy, polarization moment, volume of the halogen bond donor atoms, and the corresponding changes (△) upon complexation have been calculated. The present calculations have demonstrated that the halogen bond represents different AIM properties as compared to the well-documented hydrogen bond. Both the electron density and the Laplacian of electron density at the XBCP have been shown to correlate well with the interaction energy, which indicates that the topological parameters at the XBCP can be treated as a good measure of the halogen bond strength.In addition, an excellent linear relationship between the interatomic distance d(X…N) and the logarithm of ρb has been established.

  15. Student Teachers’ Attitude towards Twitter for Educational Aims

    Directory of Open Access Journals (Sweden)

    Victoria I. Marín

    2014-07-01

    Full Text Available This paper presents an educational experience with 100 student teachers from different courses of the University of the Balearic Islands (Spain in which Twitter is used for various different activities. The aim of this experiment was to explore student teachers’ perceptions in order to value their attitude towards Twitter for educational aims. Afterwards, students were asked to write down their reflections on an eportfolio. Data was collected from their eportfolio evidence, which was analysed to review their attitude towards the use of Twitter for educational purposes and for their future teaching and professional development. The conclusions indicate the need to conduct different educational activities in which Twitter is used in various ways. In addition, conclusions reflect on the real impact of Twitter on students’ learning enhancement, in order to improve student teachers’ attitudes towards social media in education. Therefore, this article contributes to the body of existing research on the use of technology in education, specifically to the possibilities of the use of social media and microblogging in Teacher Education.

  16. Linking aims, paradigm and method in nursing research.

    Science.gov (United States)

    Houghton, Catherine; Hunter, Andrew; Meskell, Pauline

    2012-01-01

    To explore the use of paradigms as ontological and philosophical guides for conducting PhD research. A paradigm can help to bridge the aims of a study and the methods to achieve them. However, choosing a paradigm can be challenging for doctoral researchers: there can be ambiguity about which paradigm is suitable for a particular research question and there is a lack of guidance on how to shape the research process for a chosen paradigm. The authors discuss three paradigms used in PhD nursing research: post-positivism, interpretivism and pragmatism. They compare each paradigm in relation to its ontology, epistemology and methodology, and present three examples of PhD nursing research studies to illustrate how research can be conducted using these paradigms in the context of the research aims and methods. The commonalities and differences between the paradigms and their uses are highlighted. Creativity and flexibility are important when deciding on a paradigm. However, consistency and transparency are also needed to ensure the quality and rigour necessary for conducting nursing research. When choosing a suitable paradigm, the researcher should ensure that the ontology, epistemology and methodology of the paradigm are manifest in the methods and research strategies employed.

  17. AIMS D2DB simulation for DUV and EUV mask inspection

    Science.gov (United States)

    Peng, Danping; Li, Ying; Satake, Masaki; Hu, Peter; Chen, Jerry; Hsu, S. C.; Lai, Rick; Lin, C. S.; Tuo, Laurent C. C.

    2012-02-01

    AIMS™ Die-to-Die (D2D) is widely used in checking the wafer printability of mask defects for DUV lithography. Two AIMS images, a reference and a defect image, are captured and compared with differences larger than certain tolerances identified as real defects. Since two AIMS images are needed, and since AIMS system time is precious, it is desirable to save image search and capture time by simulating reference images from the OPC mask pattern and AIMS optics. This approach is called Die-to-Database (D2DB). Another reason that D2DB is desirable is in single die mask, where the reference image from another die does not exist. This paper presents our approach to simulate AIMS optics and mask 3D effects. Unlike OPC model, whose major concern is predicting printed CD, AIMS D2DB model must produce simulated images that match measured images across the image field. This requires a careful modeling of all effects that impact the final image quality. We present a vector-diffraction theory that is based on solid theoretical foundations and a general formulation of mask model that are applicable to both rigorous Maxwell solver and empirical model that can capture the mask 3D-effects. We demonstrated the validity of our approach by comparing our simulated image with AIMS machine measured images. We also briefly discuss the necessary changes needed to model EUV optics. Simulation is particularly useful while the industry waits for an actinic EUV-AIMS tool.

  18. An intervention aimed at reducing plagiarism in undergraduate nursing students.

    Science.gov (United States)

    Smedley, Alison; Crawford, Tonia; Cloete, Linda

    2015-05-01

    Plagiarism is a current and developing problem in the tertiary education sector where students access information and reproduce it as their own. It is identified as occurring in many tertiary level degrees including nursing and allied health profession degrees. Nursing specifically, is a profession where standards and ethics are required and honesty is paramount. The aim of this study was to evaluate the change in nursing student's knowledge and understanding of plagiarism before and after an educational intervention in their first semester of the Bachelor of nursing degree at a private college of higher education in Sydney, Australia. This study concluded that an educational intervention can increase knowledge and awareness of plagiarism among nursing students.

  19. Space Insect-Food Aiming at Mars Emigration

    Science.gov (United States)

    Katayama, Naomi; Hashimoto, Hirofumi; Yamashita, Masamichi; Takase, Yoshimi; Kawai, Mika; Space Agriculture Task Force

    We study space insect-food during 10 years. We are aiming at Mars emigration. In space agriculture, insect is the important creature which we cannot miss. It is necessary for the pollination of the plant, and it is rich to protein and lipid as food. We reported that silkworm, bee, grasshopper, snail, fly and termite (white ant) are insects necessary for astroponics in particular last time. We make clothes using silk thread, and the pupa becomes the food. In addition, the clothes can make food as protein when we need not to use it. The bee is a very important insect in the space agriculture, too. We calculated the nourishment ingredient of those insects and thought about ideal space foods which ara necessary for Mars emigration. We will introduce good balance space foods.

  20. Tourist animation aimed at developing rural tourism in Serbia

    Directory of Open Access Journals (Sweden)

    Đorđević Saša

    2016-01-01

    Full Text Available As a tourist destination, Serbia has some real opportunities to put priority on the rural tourism in relation to other forms of tourism. Subsequently, there is a need to make the rural tourism offer more attractive to tourists. Among other things, that offer includes a tourist animation, which is currently gaining in significance, emerging directly in and aimed at tourism development of rural areas. Therefore this paper deals first with the role and importance of tourism related knowledge about developing rural areas, and particularly the knowledge on animation; then follows the tourist animation as an attractive quality of rural areas' tourist offer; as well as the importance and the role of the government and tourist animation in the development of rural tourism, with particular emphasis on the necessity to educate and train tourist animators, as experts and professionals at the academic level.

  1. Microwave dielectric absorption spectroscopy aiming at novel dosimetry using DNAs

    Energy Technology Data Exchange (ETDEWEB)

    Izumi, Yoshinobu; Hirayama, Makoto; Matuo, Youichirou [Research Institute of Nuclear Engineering, University of Fukui, Fukui (Japan); Sunagawa, Takeyoshi [Fukui University of Technology, Fukui (Japan)

    2017-03-15

    We are developing L-band and S-band microwave dielectric absorption systems aiming novel dosimetry using DNAs, such as plasmid DNA and genomic DNA, and microwave technology. Each system is composed of a cavity resonator, analog signal generator, circulator, power meter, and oscilloscope. Since the cavity resonator is sensitive to temperature change, we have made great efforts to prevent the fluctuation of temperature. We have developed software for controlling and measurement. By using this system, we can measure the resonance frequency, f, and ΔQ (Q is a dimensionless parameter that describes how under-damped an oscillator or resonator is, and characterizes a resonator’s bandwidth relative to its center frequency) within about 3 minutes with high accuracy. This system will be expected to be applicable to DNAs evaluations and to novel dosimetric system.

  2. Visual Distraction: An Altered Aiming Spatial Response in Dementia

    Directory of Open Access Journals (Sweden)

    Elizabeth E. Galletta

    2012-06-01

    Full Text Available Background/Aims: Healthy individuals demonstrate leftward bias on visuospatial tasks such as line bisection, which has been attributed to right brain dominance. We investigated whether this asymmetry occurred in patients with probable dementia of the Alzheimer type (pAD which is associated with neurodegenerative changes affecting temporoparietal regions. Methods: Subjects with pAD and matched controls performed a line bisection task in near and far space under conditions of no distraction, left-sided visual distraction and right-sided visual distraction. Results: Participants with pAD manifested different motor-preparatory ‘aiming’ spatial bias than matched controls. There were significantly greater rightward ‘aiming’ motor-intentional errors both without distraction and with right-sided distraction. Conclusion: ‘Aiming’ motor-preparatory brain activity may be induced by distraction in pAD subjects as compared to typical visual-motor function in controls.

  3. Popper, Kuhn, Lakatos and Aim-Oriented Empiricism

    CERN Document Server

    Maxwell, Nicholas

    2012-01-01

    In this paper I argue that aim-oriented empiricism (AOE), a conception of natural science that I have defended at some length elsewhere, is a kind of synthesis of the views of Popper, Kuhn and Lakatos, but is also an improvement over the views of all three. Whereas Popper's falsificationism protects metaphysical assumptions implicitly made by science from criticism, AOE exposes all such assumptions to sustained criticism, and furthermore focuses criticism on those assumptions most likely to need revision if science is to make progress. Even though AOE is, in this way, more Popperian than Popper, it is also, in some respects, more like the views of Kuhn and Lakatos than falsificationism is. AOE is able, however, to solve problems which Kuhn's and Lakatos's views cannot solve.

  4. Promoting postconventional morality: the adequacy of Kohlberg's aim.

    Science.gov (United States)

    Wonderly, D M; Kupfersmid, J H

    1980-01-01

    Lawrence Kohlberg has advocated the implementation of programs in the public schools designed to raise the general level of moral reasoning. His contention is that the attainment of Postconventional moral reasoning is associated with optimal personal and social adjustment. Growing concern about the violence and disintegration of American society has led to public and private support for such programs. Because intervention into the moral education of children in a democratic society raises serious social/political questions, it seems appropriate to consider the relevance of the Kohlberg hypothesis. In this paper, the twin issues of philosophic adequacy and empirical evidence are examined. In neither respect does the cognitive-developmentalist position find the support essential to a recommendation for its use.

  5. Adalimumab improves health-related quality of life in patients with moderate to severe plaque psoriasis compared with the United States general population norms: Results from a randomized, controlled Phase III study

    Directory of Open Access Journals (Sweden)

    Harnam Neesha

    2008-10-01

    Full Text Available Abstract Objective To evaluate the impact of adalimumab on health-related quality of life (HRQOL for patients with moderate to severe plaque psoriasis. Background Psoriasis is a chronic, inflammatory, immune-mediated disease that has a significant impact on patients' HRQOL. Adalimumab is a fully human monoclonal antibody that blocks tumor necrosis factor, a pro-inflammatory cytokine, and is effective and well-tolerated for patients with moderate to severe psoriasis. Methods Data were obtained for a secondary analysis of patients in a randomized, controlled Phase III trial evaluating the effect of adalimumab in patients with psoriasis (N = 1,205. Patients with moderate to severe psoriasis were randomized in a 2:1 ratio to adalimumab 80 mg (two 40 mg injections administered subcutaneously at baseline followed by one 40 mg injection every other week from Week 1 to Week 15 or placebo. Short Form-36 (SF-36 Health Survey scores of psoriasis patients were used to assess HRQOL and were compared with United States (US population norms at baseline and Week 16. Results Baseline Physical Component Summary (PCS scores for the placebo and adalimumab groups were similar to the general US population. Baseline mean Mental Component Summary (MCS scores were significantly lower for the adalimumab and placebo groups compared with the general population (47.4, 47.7, and 50.8 points, respectively; p Conclusion Psoriasis has a broad impact on patient functioning and well-being. Improvement in skin lesions and joint symptoms associated with adalimumab treatment was accompanied by improvements in HRQOL to levels that were similar to or greater than those of the general US population. Trial registration Clinicaltrials.gov NCT00237887

  6. Clinical Application of AIMS65 Scores to Predict Outcomes in Patients with Upper Gastrointestinal Hemorrhage.

    Science.gov (United States)

    Thandassery, Ragesh Babu; Sharma, Manik; John, Anil K; Al-Ejji, Khalid Mohsin; Wani, Hamidulla; Sultan, Khaleel; Al-Mohannadi, Muneera; Yakoob, Rafie; Derbala, Moutaz; Al-Dweik, Nazeeh; Butt, Muhammed Tariq; Al-Kaabi, Saad Rashid

    2015-09-01

    To evaluate the ability of the recently proposed albumin, international normalized ratio (INR), mental status, systolic blood pressure, age >65 years (AIMS65) score to predict mortality in patients with acute upper gastrointestinal bleeding (UGIB). AIMS65 scores were calculated in 251 consecutive patients presenting with acute UGIB by allotting 1 point each for albumin level 1.5, alteration in mental status, systolic blood pressure ≤90 mm Hg, and age ≥65 years. Risk stratification was done during the initial 12 hours of hospital admission. Intensive care unit (ICU) admission, endoscopic therapy, or surgery were required in 51 patients (20.3%), 64 (25.5%), and 12 (4.8%), respectively. The predictive accuracy of AIMS65 scores ≥2 was high for blood transfusion (area under the receiver operator characteristic curve [AUROC], 0.59), ICU admission (AUROC, 0.61), and mortality (AUROC, 0.74). The overall mortality was 10.3% (n=26), and was 3%, 7.8%, 20%, 36%, and 40% for AIMS65 scores of 0, 1, 2, 3, and 4, respectively; these values were significantly higher in those with scores ≥2 (30.9%) than in those with scores <2 (4.5%, p<0.001). AIMS65 is a simple, accurate, non-endoscopic risk score that can be applied early (within 12 hours of hospital admission) in patients with acute UGIB. AIMS65 scores ≥2 predict high in-hospital mortality.

  7. [Social marketing--seduction with the aim of healthy behavior?].

    Science.gov (United States)

    Loss, J; Nagel, E

    2010-01-01

    SOCIAL MARKETING - SEDUCTION WITH THE AIM OF HEALTHY BEHAVIOR? Social marketing is the use of marketing principles to design and implement programs that promote socially beneficial behaviour change. Contrary to the marketing of consumption goods, social marketing does not deal with material products, but with behaviour, e. g. not smoking. This 'product' has a basic benefit (i. e. reduction of health risks in the long run), which is, however, difficult to convey. Therefore, the intended change in behaviour has to be related to a further reward which consists of symbolic goods, e. g. social appreciation or a better body feeling. The communication policy is essential for information on and motivation for the preventive issue. Social marketing campaigns whose development and management follow the principles of classical marketing can render preventive efforts more effective. In addition, social marketing can lead to a better quality management as compared to conventional preventive activities. These advantages can be explained by a) tailoring the campaign more specifically to the target group's needs and motives, b) presenting health risks more convincingly, and c) continuously analysing and evaluating the campaign and its effects. On the other hand, the marketing of preventive aims through mass media can bear several risks, as exemplified by different national and international public health campaigns. The necessity to communicate briefly and succinctly can lead to misleading simplifications and, in case of cancer screening, to the trivialization of a behaviour's consequences and adverse effects. Also, many campaigns do not intend to educate and inform, but try to persuade target persons of a certain behaviour, using emotions such as fear. This has led to social marketing being criticized as manipulation. Sometimes, social marketing campaigns cause stigma and discrimination of certain population subgroups, e. g. obese or HIV-positive people. Health promoters who plan

  8. Fluency: an aim in teaching and a criterion in assessment

    Directory of Open Access Journals (Sweden)

    Aud Marit Simensen

    2010-05-01

    Full Text Available This article investigates the concept ‘fluency’ from different perspectives. When fluency is an aim in teaching, a thorough comprehension of the concept among teachers is a prerequisite for appropriate planning of instruction, including the choice of appropriate classroom activities. When fluency is an assessment criterion, it is even more important that examiners have a shared perception of the concept. The present article starts by presenting common perceptions of the concept and goes on to explore some of the current research. Next, it provides a historical overview of the place of fluency in teaching theory and explains some of the preconditions for the inclusion of this concept among teaching objectives and assessment criteria. It will also, as an illustration, give an outline of the position of the concept over time in the Norwegian school system on the basis of an analysis of the relevant syllabuses. Finally, the article explicates the notion of language use as a complex cognitive skill and explores current method¬ological ideas about teaching towards fluency.

  9. A proper methodology aimed at surface wave tomography

    Directory of Open Access Journals (Sweden)

    J. Badal

    1997-06-01

    Full Text Available When applying a methodology for obtaining the 3D shear-wave velocity structure of a medium from surface wave dispersion data, the problem must be considered with caution since one inverts path-averaged velocities and the use of any inversion method entails some drawbacks such as lack of uniqueness, unwarranted stability and constraints affecting the data. In order to avoid the application of consecutive inversions and to overcome these drawbacks, we propose alternative mapping methods, for example spatial prediction methods, or else the use of an algorithm that, from a mathematical viewpoint, can be understood through the application of the orthogonal projection theorem onto convex sets (POCS. Among the first ones, we try inverse weighted distance interpolation. The POCS algorithm we have used discretises a second order differential equation for the velocity field with boundary conditions. All these imaging techniques aimed at volumetric modelling and the visualisation of data are discussed, and finally we show some results based on ray path velocities obtained previously by inversion of phase and group velocities of Rayleigh waves propagating across the Iberian peninsula.

  10. Alginate Immobilization of Metabolic Enzymes (AIME) for High ...

    Science.gov (United States)

    Alginate Immobilization of Metabolic Enzymes (AIME) for High-Throughput Screening Assays DE DeGroot, RS Thomas, and SO SimmonsNational Center for Computational Toxicology, US EPA, Research Triangle Park, NC USAThe EPA’s ToxCast program utilizes a wide variety of high-throughput screening (HTS) assays to assess chemical perturbations of molecular and cellular endpoints. A key criticism of using HTS assays for toxicity assessment is the lack of xenobiotic metabolism (XM) which precludes both metabolic detoxification as well as bioactivation of chemicals tested in vitro thereby mischaracterizing the potential risk posed by these chemicals. To address this deficiency, we have developed an extracellular platform to retrofit existing HTS assays with XM activity. This platform utilizes the S9 fraction of liver homogenate encapsulated in an alginate gel network which reduces the cytotoxicity caused by direct addition of S9 to cells in culture. Alginate microspheres containing encapsulated human liver S9 were cross-linked to solid supports extending from a 96-well plate lid and were assayed using a pro-luciferin substrate specific for CYP3A4 (IPA). We demonstrate that S9 was successfully encapsulated and remained enzymatically active post-encapsulation with 5-10X the CYP3A4 activity as compared to 1 µg solubilized human liver S9. Ketoconazole, a known inhibitor of human CYP3A4, inhibited CYP3A4 activity in a concentration-dependent manner (IC50: 0.27 µM) and inhibiti

  11. United States

    Directory of Open Access Journals (Sweden)

    Stephen Bernow

    1998-12-01

    Full Text Available This paper presents and discusses an integrated set of policies designed to reduce U.S. carbon emissions over the next four decades. This innovation path also aims to promote environmental quality, particularly by reducing emissions of criteria air pollutants, to reduce U.S. dependence on imported oil, and to induce technological innovation and diffusion in energy production and consumption. The innovation path would reduce economy-wide carbon emissions by 26% below baseline projections for 2010 and by 62% below baseline projections for 2030; this translates into 10% below 1990 levels in 2010 and 45% below 1990 levels in 2030. Emissions of criteria pollutants also would be significantly reduced, as would petroleum imports by the United States. Moreover, the innovation path would yield cumulative net savings for the United States of $218 billion (1993 dollars through 2010, or $19 billion on a leveled annual basis, and would result in 800,000 additional jobs nationwide by 2010. Although the overall findings from the innovation path analysis are robust, the results should be taken as indicative, rather than precisely predictive, owing to uncertainties in future costs, prices, technology performance, and consumer behavior.

  12. Psychological well-being, personality traits, and aims of life in university students

    OpenAIRE

    Páramo, Maria de los Angeles; Facultad de Psicologia. Universidad del Aconcagua. Mendoza. Argentina.; Straniero, Cristina Mariana; Facultad de Psicología, Universidad del Aconcagua, Mendoza, Argentina. Instituto de Investigaciones Psicológicas, Universidad del Aconcagua, Mendoza, Argentina.; García, Claudia Silvina; Facultad de Psicología, Universidad del Aconcagua, Mendoza, Argentina. Instituto de Investigaciones Psicológicas, Universidad del Aconcagua, Mendoza, Argentina.; Torrecilla, Norma Mariana; Facultad de Psicología, Universidad del Aconcagua, Mendoza, Argentina. Instituto de Investigaciones Psicológicas, Universidad del Aconcagua, Mendoza, Argentina.; Escalante Gómez, Eduardo; Instituto de Investigaciones Psicológicas, Universidad del Aconcagua, Mendoza, Argentina.

    2012-01-01

    Objective. This study measures the degree of psychological well-being (PW), its relation with personality traits and the aims of life (AL) of Psychology students. One of the main factors that contributes to the PW is personality. Investigations show that people’s AL are closely connected with the self perception of the PW. This study will be approached from T. Millon’s theory and its general aim is to establish the existing relation between subjective well-being and personality styles in univ...

  13. [Peptide synthesis aiming at elucidation and creation of protein functions].

    Science.gov (United States)

    Futaki, S

    1998-11-01

    The recent development of molecular biology has been elucidating outlines of the cross-talk of biomolecules. The understanding of the function of these biomolecules from the viewpoint of chemistry is now demanded not only for the understanding of biological systems but also for the creation of novel functional molecules. Here two topics are described about peptide synthesis aiming at the elucidation and the creation of protein functions. The first topic is the development of approaches for the synthesis of Tyr (SO3H)-containing peptides. Tyrosine sulfation is one of the most popular protein post-translational modifications. Synthetic peptides are of great help for the elucidation of the biological significance of tyrosine sulfation. We have developed two approaches for the efficient synthesis of tyrosine sulfate [Tyr (SO3H)]-containing peptides. The first approach employs a dimethylformamide-sulfur trioxide (DMF-SO3) complex as a sulfating agent and safety-catch protecting groups for the selective sulfation of tyrosine in the presence of serine. The second approach employs the direct introduction of Tyr(SO3H) into the peptide chain in the form of Fmoc-Tyr(SO3Na) followed by deprotection at 4 degrees C in trifluoroacetic acid. These approaches were successfully applied for the synthesis of cholecystokinin (CCK)-related peptides. The second topic deals with new approaches for the creation of artificial proteins through assembling alpha-helical peptides via selective disulfide or thioether formation. Approaches to assemble individual peptide segments on a peptide template were also developed. Four peptides corresponding to the transmembrane segments of the sodium channel (S4 in repeat I-IV) were assembled on a peptide template to give a protein having ion channel activity with rectification.

  14. A review of intervention studies aimed at household energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    Abrahamse, W.; Steg, L.; Vlek, C.; Rothengatter, T. [Groningen Univ. (Netherlands). Dept. of Psychology

    2005-09-15

    This article reviews and evaluates the effectiveness of interventions aiming to encourage households to reduce energy consumption. Thirty-eight studies performed within the field of (applied) social and environmental psychology are reviewed, and categorized as involving either antecedent strategies (i.e. commitment, goal setting, information, modeling) or consequence strategies (i.e. feedback, rewards). Particular attention is given to the following evaluation criteria: (1) to what extent did the intervention result in behavioral changes and/or reductions in energy use, (2) were underlying behavioral determinants examined (e.g. knowledge, attitudes), (3) to what extent could effects be attributed to the interventions and, (4) were effects maintained over longer periods of time? Interestingly, most studies focus on voluntary behavior change, by changing individual knowledge and/or perceptions rather than changing contextual factors (i.e. pay-off structure) which may determine households' behavioral decisions. Interventions have been employed with varying degrees of success. Information tends to result in higher knowledge levels, but not necessarily in behavioral changes or energy savings. Rewards have effectively encouraged energy conservation, but with rather short-lived effects. Feedback has also proven its merits, in particular when given frequently. Some important issues cloud these conclusions, such as methodological problems. Also, little attention is given to actual environmental impact of energy savings. Often, an intervention's effectiveness is studied without examining underlying psychological determinants of energy use and energy savings. Also, it is not always clear whether effects were maintained over a longer period of time. Recommendations are given to further improve intervention planning and to enhance the effectiveness of interventions. (author)

  15. Construction of a narrative network aimed at implementing inclusive processes

    Directory of Open Access Journals (Sweden)

    Francesca Salis

    2017-01-01

    Full Text Available The concept of inclusion in its complex aspects aimed at overcoming barriers to learning and involvement has led this research in university, in the light of special pedagogy and didactics, on the basis of inclusion index parameters, detecting the levels of integrated planning with the territory. The purpose of this study is not limited to disability and to special education needs but goes further than that encompassing isolation and/or exclusions. As far as the university system is concerned, it becomes significant to enquire about the inclusion process, in this case by means of a narrative approach, bearing in mind that organizational and learning models, together with access modes may give rise to social exclusion.Università e territorio: costruzione di una rete narrativa per l’implementazione dei processi inclusiviIl costrutto di inclusione nelle sue complesse sfaccettature mirate al superamento delle barriere all’apprendimento e alla partecipazione, ha guidato il presente lavoro di ricerca in ambito universitario alla luce della pedagogia e didattica speciale, sulla base dei parametri dell’Index for Inclusion, rilevando i livelli di progettazione integrata con il territorio. Il suo raggio di azione non si limita alla disabilità ma abbraccia tutti i bisogni educativi speciali, e l’isolamento, la marginalizzazione e/o le esclusioni che ne derivano. Rispetto al sistema universitario è rilevante interrogarsi sul processo di inclusione, in questo caso sulla base dell’approccio narrativo, preso atto che il modello organizzativo e le modalità di accesso e formative possono essere causa di esclusione formativa e sociale.

  16. [Strategies aiming to control hyperphosphatemia in chronic kidney disease].

    Science.gov (United States)

    Ureña Torres, Pablo Antonio

    2017-04-01

    Chronic kidney disease is known to be associated with phosphate retention. The mechanisms are complex and the early increase in serum phosphate levels in chronic kidney disease is not strictly related to the dietary phosphate load or to the degree of phosphate retention. It also implicates the activity of intestinal sodium-phosphate cotransporters, the degree of bone turnover and the retention and/or phosphate release from the skeleton, and the feedback mechanisms regulating the phosphaturia. Indeed, the increase in serum phosphate levels is only a reflection of underlying complex mechanisms, and many important factors play a role including parathyroid hormone, vitamin D, fibroblast growth factor 23 (FGF23), and others. Hyperphosphatemia increases the risk of cardiovascular morbidity and mortality in chronic kidney disease as well as in subjects with normal renal function. Oral phosphate binders are prescribed in patients with chronic kidney disease and in those treated by dialysis, to prevent intestinal absorption of dietary phosphate and reduce serum phosphate. In prospective observational studies, they have been shown to decrease all-cause and cardiovascular mortality risk. However, different problems have been associated with currently available phosphate binders including the induction of a positive calcium balance and impaired outcomes with calcium-based phosphate binders or increased costs with non-calcium-based phosphate binders. Iron-based phosphate binders represent a new class of phosphate binders. The aim of this article is to provide an update review of the pathophysiological mechanisms leading and maintaining elevated serum phosphate levels in patients with chronic kidney disease and patients in dialysis, and the educational, nutritional, and therapeutic strategies that can be undertaken to control the hyperphosphatemia. Copyright © 2017 Association Société de néphrologie. Published by Elsevier Masson SAS. All rights reserved.

  17. Ready! Aim! Fire! targeting the right medical science journal.

    Science.gov (United States)

    Hardman, Timothy C; Serginson, James M

    2017-09-01

    Inadvertently submitting a paper to a journal that is unlikely to publish it is a waste of resources and ultimately delays dissemination of one's research. A high proportion of manuscripts are rejected by their author's first-choice journal. The aim of the present work was to review guidance provided within the literature for journal selection that might minimize the chance of manuscript rejection. We also consider papers that encompass more than one main medical science and describe the selection process that we used with a paper that was published in Cardiovascular Endocrinology. A database search (Embase, PubMed and Medworm) was performed for all articles published in the scientific literature providing guidance on journal selection. Articles were identified that either had journal selection as their principal topic or included journal selection as part of a broader discussion of publishing. The relative performance of four free-to-use, web-based applications that claim to provide guidance on journal selection was compared. The searches identified 286 hits, of which 249 were in English. Of these papers, 16 discussed journal selection and a further 10 articles were identified from citations within the original 16 articles. Only one article described a comprehensive model for submission decision-making. Identification of appropriate candidate journals by various web-based applications was erratic, with the Jane database providing the most robust suggestions. Our work suggests that little attention has been focused in the scientific literature on the mechanisms that authors use to select a journal for their work. Nevertheless, scientists for the most part seem to have a good sense of where their papers are most likely to be accepted. Beyond ensuring that a manuscript fulfils all the target journal's requirements, the literature suggests that it is important to have an objective view of the scientific contribution or 'value' of your work.

  18. Qualificação e quantificação da exposição sonora ambiental em uma unidade de terapia intensiva geral Qualification and quantification of ambient noise exposure in a general intensive care unit

    Directory of Open Access Journals (Sweden)

    Raquel Paganini Pereira

    2003-12-01

    environment, because of the numerous alarms and equipment, in addition to the conversation of the hospital staff itself. For this reason, this environment, which should be quiet and calm, has become noisy, thus converting into a major stress factor, likely to cause physiological and psychological disorders in both inpatients and the unit personnel. AIM: The purpose of this study was to assess the equivalent noise pressure level in a general ICU, in an attempt to establish the period of greatest exposure and to compare the results to both domestic and international recommendations. STUDY DESIGN: Observational study. MATERIAL AND METHOD: Measure the ambient noise in the ICU of Hospital São Paulo using a noise analyzer model 2260 (Brüel & Kjaer for a total period of 6.000 minutes, at a rate of one reading every 27 seconds, was carried out with the following configuration: fast response time, measuring the noise pressure level in decibels with A-frequency weighting, from September 2001 to June 2002, without knowledge by the sector personnel. RESULTS: The average equivalent noise pressure level (Leq was of 65.36 dB(A ranging from 62.9 to 69.3 dB(A. During the day, the average Leq was of 65.23 dB(A, and at night 63.89 dB(A. L FMax was found to be 108.4 dB(A and L FMin of 40 dB(A. CONCLUSIONS: The noise level found in this ICU is above the recommended by the literature during all the periods examined. Thus, excessive noise sources need to be better identified so that proper steps may be taken to reduce this noise and make this environment more silent, thus improving the professionals' work and the patients' recovery.

  19. General Dentist

    Science.gov (United States)

    ... Some general dentists work in government health services, research programs, higher education, corporations and even the military. ?xml:namespace> What kind of procedures do general dentists provide? ?xml:namespace> Many general dentists are ...

  20. Influenza vaccination: key facts for general practitioners in Europe—a synthesis by European experts based on national guidelines and best practices in the United Kingdom and the Netherlands

    Science.gov (United States)

    Kassianos, George; Blank, Patricia; Falup-Pecurariu, Oana; Kuchar, Ernest; Kyncl, Jan; De Lejarazu, Raul Ortiz; Nitsch-Osuch, Aneta; van Essen, Gerrit A

    2016-01-01

    Currently there is no influenza vaccination guidance for European general practitioners. Furthermore, although the European Council recommends a target seasonal influenza vaccination rate of 75% in the elderly (65 years and above) and in anyone aged >6 months with a chronic medical condition, there remain wide discrepancies throughout Europe. A harmonised guideline regarding not only vaccination strategy but also for the consistent diagnosis of influenza across Europe is essential to support a common approach for the implementation of seasonal influenza vaccination across Europe. This document is based on pre-existing guidelines available in the UK and Netherlands and has been approved by a group of European experts for use throughout Europe. As well as providing a standardised influenza diagnosis, it also reviews the current recommendations for influenza vaccination, the types of vaccine available, the contraindications, vaccine use in special populations (in pregnancy, children, and in those with egg allergy), and concomitant administration with other vaccines. The effectiveness, safety, and timing of the seasonal influenza vaccine are also reviewed. A second section provides practical guidance for general practitioners for the implementation of a seasonal influenza vaccination program, including the selection and notification of those eligible for vaccination, as well as suggestions for the organisation of a vaccination programme. Finally, suggested responses to common patient misconceptions and frequently asked questions are included. The aim of this article is to harmonise the diagnosis of seasonal influenza and the approach of European general practitioners to seasonal influenza vaccination in order to better identify influenza outbreaks and to move towards reaching the target vaccination rate of 75% throughout Europe. PMID:27540408

  1. Detailed Analysis of Motor Unit Activity

    DEFF Research Database (Denmark)

    Nikolic, Mile; Sørensen, John Aasted; Dahl, Kristian

    1997-01-01

    System for decomposition of EMG signals intotheir constituent motor unit potentials and their firing patterns.The aim of the system is detailed analysis ofmotor unit variability.......System for decomposition of EMG signals intotheir constituent motor unit potentials and their firing patterns.The aim of the system is detailed analysis ofmotor unit variability....

  2. Detailed Analysis of Motor Unit Activity

    DEFF Research Database (Denmark)

    Nikolic, Mile; Sørensen, John Aasted; Dahl, Kristian

    1997-01-01

    System for decomposition of EMG signals intotheir constituent motor unit potentials and their firing patterns.The aim of the system is detailed analysis ofmotor unit variability.......System for decomposition of EMG signals intotheir constituent motor unit potentials and their firing patterns.The aim of the system is detailed analysis ofmotor unit variability....

  3. Quadratic general rotary unitized design for doping concentrations and up-conversion luminescence properties of Er{sup 3+}/Yb{sup 3+} co-doped NaLa(MoO{sub 4}){sub 2} phosphors

    Energy Technology Data Exchange (ETDEWEB)

    Sun, Jiashi, E-mail: sunjs@dlmu.edu.cn; Shi, Linlin; Li, Shuwei; Li, Jingjing; Li, Xiangping, E-mail: lixp@dlmu.edu.cn; Zhang, Jinsu; Cheng, Lihong; Chen, Baojiu

    2016-08-15

    Highlights: • NaLa(MoO4)2: Er3+/Yb3+ phosphor is synthesized by solid state method. • QGRUD is first applied to the codoping concentration option. • Optimized phosphor presents more stable UC emissions than the commercial phosphor. - Abstract: It is still a great challenge that designing proper codoping concentrations of rare earth ions for achieving intensest expected emission from the studied phosphor. In this work, the quadratic general rotary unitized design (QGRUD) was introduced into the codoping concentration option of NaLa(MoO{sub 4}){sub 2}: Er{sup 3+}/Yb{sup 3+} phosphor for upconversion (UC) applications, and the optimum doping concentrations of Er{sup 3+} and Yb{sup 3+} for achieving maximum UC luminescence intensity, which is close to commercial NaYF{sub 4}:Er{sup 3+}/Yb{sup 3+} phosphor, were obtained. The two-photon process was assigned to the green UC emissions in the optimized NaLa(MoO{sub 4}){sub 2}: Er{sup 3+}/Yb{sup 3+} phosphor. It was also demonstrated that the optimized phosphor presented more stable upconversion emissions than the commercial NaYF{sub 4}:Er{sup 3+}/Yb{sup 3+} phosphor.

  4. 16 February 2016 - British Ambassador to the United Nations and Other International Organisations at Geneva signing the guest book with CERN Director-General F. Gianotti and Beams Department Head P. Collier.

    CERN Multimedia

    Brice, Maximilien

    2016-01-01

    His Excellency Mr Julian Braithwaite Ambassador and Permanent Representative of the United Kingdom of Great Britain and Northern Ireland to the United Nations and Other International Organisations at Geneva

  5. Efficient Analysis of Surface-Wire Configurations Using AIM and Best Uniform Rational Approximation

    Institute of Scientific and Technical Information of China (English)

    DONG Hailin; GONG Shuxi; WANG Xing; ZHANG Penfei; ZHAO Bo

    2015-01-01

    The Adaptive integral method (AIM) in conjunction with the best uniform approximation tech-nique is applied to analyze the electromagnetic problems of surface-wire junction geometries over a wide frequency band. To improve the computation efficiency, the best uniform approximation method is utilized. The AIM can reduce memory requirements and accelerate the matrix-vector multiplications in iterative process. Some numeri-cal examples are shown to demonstrate the efficiency and accuracy of the proposed method. Compared with the di-rect solution method and Asymptotic waveform evaluation (AWE) technique, the proposed technique is found to be efficient in a broadband with the lower Central processing unit (CPU) time required and without loss of accuracy.

  6. [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.

  7. General dentist orthodontic practice in foreign legal systems

    Directory of Open Access Journals (Sweden)

    Ivan Toshio Maruo

    2012-04-01

    Full Text Available OBJECTIVE: General dentist orthodontic practice is a controversial issue and this paper aims to analyze it comparing foreign laws to Brazilian Legal System. METHODS: Regulations and scientific texts concerning orthodontic practice by general dentists, in Portuguese or English language, were sought. RESULTS AND CONCLUSION: Portugal clearly forbids general dentist orthodontic practice; United States of America do not clearly forbid general dentist orthodontic practice, but do regulate and promote campaigns to encourage public to seek specialist service; in Australia and England, corrective orthodontics are offered both by orthodontists and general dentists; it was not possible to evaluate how orthodontic services are provided in Eastern Europe; and the fact that general dentists are forbidden to practice corrective orthodontics in Brazilian Legal System is compatible to other countries policy.

  8. EICU与非EICU院内感染病原菌差异的分析%Analysis of pathogenic difference of nosocomial infection between Emer-gency Intensive Care Unit and general ward

    Institute of Scientific and Technical Information of China (English)

    岳萌; 寿松涛

    2015-01-01

    Objective To investigate the pathogen distribution and drug resistance of nosocomial infection between Emergency Intensive Care Unit (EICU)and general ward in recent 18 months. Methods Patients with nosocomial infec-tion in EICU and general ward of our hospital were retrospectively analyzed. Results A total of 96 patients developed nosocomial infection in 402 patients came from EICU with the rate of infection was 23.88%.A total of 198 patients de-veloped nosocomial infection in 1925 patients came from the general ward with the rate of infection was 5.30%.A total of 193 strains in general ward and 259 strains in EICU were separated,the proportion of Gram negative bacteria,Gram positive bacteria and fungi was 73.36%,15.06% and 11.58% in EICU respectively.In general ward,the proportion of Gram negative bacteria,Gram positive bacteria and fungi was 65.28%,21.76% and 12.95% respectively.Among 259 strains of pathogenic bacteria in EICU,the top 3 was Acinetobacter baumannii,Klebsiella pneumonia and Pseudomonas aeruginosa respectively,and in general ward,the top 3 was Klebsiella pneumonia,Acinetobacter baumannii,Enterococcus faecom respectively.Drug sensitivity result showed,Klebsiella pneumoniae had a higher sensitivity rate of carbapenems and to quinolone sensitive rate more than 70%.Acinetobacter baumannii had higher sensitive rate of igecyline,cefopera-zone/sulbactum and amikacin,the sensitive rates more than 70%. Conclusion EICU have a higher nosocomial infection rate than general ward.The Gram positive bacteria are the preddominant pathogens causing nosocomial infection both in the EICU and the emergency general ward.Acinetobacter baumannii,Klebsiella pneumoniae are resistant to most of the commonly used antibiotics.%目的:了解本院近18个月急诊重症监护病房(EICU)和非EICU患者院内感染病原体的分布差异及药敏差异。方法对急诊住院病房院内感染患者进行回顾性统计分析。结果 EICU调查例数为402例

  9. Aiming Control.

    Science.gov (United States)

    1987-10-01

    positive definite solution of A1Qy+QyAo+I--QyBBTQY=O (5.2) The logarithmic residence time of system (3.1) with the stabilizing control (5.1) in a I...a bounded is E bou,,,,dby, ii I)-2=(6 2 This completes the prooof the necesity. Suffidency: The proof is by conatnction. Select a stabilizing control u...a - . Q.LD. Proof of Theorem 3.3: It follows from the results of [151, [21] that for each y > 0, K? defined by (3.4) is a stabilizing control and

  10. Treatment persistence and cost-effectiveness of latanoprost/latanoprost–timolol, bimatoprost/bimatoprost–timolol, and travoprost/travoprost–timolol in glaucoma: an analysis based on the United Kingdom general practitioner research database

    Directory of Open Access Journals (Sweden)

    Antoine Lafuma

    2011-03-01

    Full Text Available Antoine Lafuma1, John F Salmon2, Julien Robert1, Gilles Berdeaux31Cemka, Bourg-la-Reine, France; 2Oxford Eye Hospital, Oxford, UK; 3Conservatoire National des Arts et Métiers, Chaire Economie et Gestion des Services de Santé, Paris, FranceObjective: To compare treatment persistence and costs with 3 glaucoma treatment sequences (first-line/second-line: latanoprost/latanoprost–timolol (LLT, bimatoprost/bimatoprost–timolol (BBT, and travoprost/travoprost–timolol (TTT, derived from the UK General Practitioner Research Database (UK-GPRD.Methods: Patient records referring to ocular hypertension, topical glaucoma treatment, surgery, or laser therapy were extracted. Patients prescribed LLT, BBT, or TTT sequences were selected. Treatment failure was inferred from glaucoma prescription change (adding or removing a topical treatment, surgery, or laser therapy. Treatment durations preceding failure were compared by applying Wilcoxon’s test to survival curves. Adjustment on confounding variables was performed with a Cox model and a propensity score method. Unit costs were estimated from a UK National Health Service perspective.Results: A total of 1592 patients received LLT, 110 BBT, and 114 TTT. Their mean age was 68 years and the sex ratio almost 1 male:1 female. No significant demographic or comorbidity differences were observed between treatment sequences. Treatment persistence at 36 months was achieved in 60.0% of LLT, 55.5% of BBT, and 70.3% of TTT patients (P = 0.005. Resources consumed and associated monthly costs were significantly less for the TTT group (£17.74 compared with BBT (£21.30 and LLT (£22.37 groups.Conclusion: Analysis of data obtained from the UK-GPRD suggests that the TTT treatment sequence achieved longer treatment persistence at lower cost than LLT and BBT.Keywords: glaucoma, travoprost, timolol, latanoprost, bimatoprost, persistency, costs

  11. Performance of Two Cloud-Radiation Parameterization Schemes in the Finite Volume General Circulation Model for Anomalously Wet May and June 2003 Over the Continental United States and Amazonia

    Science.gov (United States)

    Sud, Y. C.; Mocko, David M.; Lin, S. J.

    2006-01-01

    An objective assessment of the impact of a new cloud scheme, called Microphysics of Clouds with Relaxed Arakawa-Schubert Scheme (McRAS) (together with its radiation modules), on the finite volume general circulation model (fvGCM) was made with a set of ensemble forecasts that invoke performance evaluation over both weather and climate timescales. The performance of McRAS (and its radiation modules) was compared with that of the National Center for Atmospheric Research Community Climate Model (NCAR CCM3) cloud scheme (with its NCAR physics radiation). We specifically chose the boreal summer months of May and June 2003, which were characterized by an anomalously wet eastern half of the continental United States as well as northern regions of Amazonia. The evaluation employed an ensemble of 70 daily 10-day forecasts covering the 61 days of the study period. Each forecast was started from the analyzed initial state of the atmosphere and spun-up soil moisture from the first-day forecasts with the model. Monthly statistics of these forecasts with up to 10-day lead time provided a robust estimate of the behavior of the simulated monthly rainfall anomalies. Patterns of simulated versus observed rainfall, 500-hPa heights, and top-of-the-atmosphere net radiation were recast into regional anomaly correlations. The correlations were compared among the simulations with each of the schemes. The results show that fvGCM with McRAS and its radiation package performed discernibly better than the original fvGCM with CCM3 cloud physics plus its radiation package. The McRAS cloud scheme also showed a reasonably positive response to the observed sea surface temperature on mean monthly rainfall fields at different time leads. This analysis represents a method for helpful systematic evaluation prior to selection of a new scheme in a global model.

  12. Estratégia de capacitação de enfermeiros recém-admitidos em unidades de internação geral Estrategia de capacitación de enfermeros recién admitidos en unidades de internamiento general Strategy for the qualification of newly hired nurses in internment units for general purposes

    Directory of Open Access Journals (Sweden)

    Ivana Lucia Correa Pimentel de Siqueira

    2005-09-01

    Full Text Available O objetivo deste artigo é apresentar um programa de capacitação de enfermeiros recém-admitidos, implementado em unidades de internação de um hospital privado de São Paulo. O programa foi estruturado de forma a diminuir o tempo de treinamento e possibilitar a participação dos enfermeiros das unidades de internação. O programa está divido em três fases. A primeira destina-se à revisão técnica. Na segunda, com um monitor de treinamento, os ingressantes assumem a coordenação assistencial da unidade. Na terceira são revisados rotinas e temas administrativos. Este programa vem apresentando bons resultados em relação à individualização do treinamento e participação dos enfermeiros da instituição.El objetivo de este artículo es presentar un programa de capacitación de enfermeros recién-admitidos, implementado en unidades de internamiento de un hospital privado de São Paulo. El programa fue estructurado de forma a disminuir el tiempo de entrenamiento y posibilitar la participación de los enfermeros de las unidades de internamiento. El programa está divido en tres fases. La primera se destina a la revisión técnica. En la segunda, con un monitor de entrenamiento, los ingresantes asumen la coordinación asistencial de la unidad. En la tercera se revisan las rutinas y temas administrativos. Este programa viene dando buenos resultados en relación a la individualización del entrena-miento y participación de los enfermeros de la institución.The aim of this article is to describe a qualification program for newly hired nurses that has been implemented in internment units in a private hospital in São Paulo. The program was designed in such a way as to reduce training time and make possible the participation of the units' nursing staff. It is divided in three phases. Phase 1 is a technical revision. In Phase 2, with the assistance of a training monitor, the trainees take over the assistance coordination of the unit. In

  13. Management of adult attention deficit hyperactivity disorder in UK primary care: a survey of general practitioners

    OpenAIRE

    McCarthy, Suzanne; Wilton, Lynda; Murray, Macey; Hodgkins, Paul; Asherson, Philip; Wong, Ian CK

    2013-01-01

    Background: Compared to existing literature on childhood attention deficit hyperactivity disorder (ADHD), little published adult data are available, particularly outside of the United States. Using General Practitioner (GP) questionnaires from the United Kingdom, this study aimed to examine a number of issues related to ADHD in adults, across three cohorts of patients, adults who received ADHD drug treatment in childhood/adolescence but stopped prior to adulthood; adults who received ADHD dru...

  14. Ian Taylor MBE MP Chairman Parliamentary and Scientific Committee, United Kingdom (second from left) with (from left to right) CMS Technical Coordinator A. Ball, CMS Spokesperson Tejinder (Jim) Virdee and Adviser to the Director-General J. Ellis on 2 November 2009.

    CERN Multimedia

    Maximilien Brice; CMS

    2009-01-01

    Ian Taylor MBE MP Chairman Parliamentary and Scientific Committee, United Kingdom (second from left) with (from left to right) CMS Technical Coordinator A. Ball, CMS Spokesperson Tejinder (Jim) Virdee and Adviser to the Director-General J. Ellis on 2 November 2009.

  15. 3 July 2007 - Ambassador A. Navarro Llanos, Permanent Representative of the Republic of Bolivia to the United Nations Office and other international organisations in Geneva signing a Co-operation Agreement concerning Scientific and Technical Co-operation in High-Energy Physics with CERN Director General R. Aymar.

    CERN Multimedia

    Maximilien Brice

    2007-01-01

    3 July 2007 - Ambassador A. Navarro Llanos, Permanent Representative of the Republic of Bolivia to the United Nations Office and other international organisations in Geneva signing a Co-operation Agreement concerning Scientific and Technical Co-operation in High-Energy Physics with CERN Director General R. Aymar.

  16. 17th September 2010 - Signature of a joint declaration by CERN represented by Director-General R. Heuer and the Brazilian Centre for Physics Research (CBPF) represented by R. Shellard, witnessed by the Ambassador to the United Nations Office M. N. Farani Azevêdo, signing the guest book.

    CERN Multimedia

    Maximilien Brice

    2010-01-01

    17th September 2010 - Signature of a joint declaration by CERN represented by Director-General R. Heuer and the Brazilian Centre for Physics Research (CBPF) represented by R. Shellard, witnessed by the Ambassador to the United Nations Office M. N. Farani Azevêdo, signing the guest book.

  17. The Director-General receives the "150 Years of Romanian Diplomacy" Honorary Award from H.E. Mrs. Maria Ciobanu, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of Romania to the United Nations Office and other international organizations in Geneva.

    CERN Multimedia

    Samuel Morier-Genoud

    2012-01-01

    The Director-General receives the "150 Years of Romanian Diplomacy" Honorary Award from H.E. Mrs. Maria Ciobanu, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of Romania to the United Nations Office and other international organizations in Geneva.

  18. 16 February 2012 - Permanent Representative of the Russian Federation to the United Nations Office and other international organisations at Geneva Ambassador A.Borodavkin signing the the guest book with CERN Director-General R. Heuer; visiting ATLAS underground experimental area with Collaboration Members O. Fedin, S. Malyukov and A. Romaniouk; throughout accompanied by Adviser T. Kurtyka.

    CERN Multimedia

    Maximilien Brice

    2012-01-01

    16 February 2012 - Permanent Representative of the Russian Federation to the United Nations Office and other international organisations at Geneva Ambassador A.Borodavkin signing the the guest book with CERN Director-General R. Heuer; visiting ATLAS underground experimental area with Collaboration Members O. Fedin, S. Malyukov and A. Romaniouk; throughout accompanied by Adviser T. Kurtyka.

  19. 20 December 2013 - R. M. Cordeiro Dunlop Ambassador Permanent Representative of Brazil to the United Nations Office and other international organisations in Geneva visiting the LHC tunnel at Point 5 with CMS Collaboration, CERN Team Leader A. Petrilli and signing the Guest Book with CERN Director-General. Accompanied by J. Salicio and R. Voss throughout.

    CERN Document Server

    Jean-Claude Gadmer

    2013-01-01

    20 December 2013 - R. M. Cordeiro Dunlop Ambassador Permanent Representative of Brazil to the United Nations Office and other international organisations in Geneva visiting the LHC tunnel at Point 5 with CMS Collaboration, CERN Team Leader A. Petrilli and signing the Guest Book with CERN Director-General. Accompanied by J. Salicio and R. Voss throughout.

  20. 15 January 2010 - Vice-Chancellor & Chief Executive C. Snowden, University of Surrey, United Kingdom and Mrs Snowden visiting ALICE exhibition and experimental undeground area with Collabortion Spokesperson J. Schukraft and Beams Department Head P. Collier; Signature of the guest book with CERN Director-General R. Heuer.

    CERN Multimedia

    Maximilien Brice

    2010-01-01

    15 January 2010 - Vice-Chancellor & Chief Executive C. Snowden, University of Surrey, United Kingdom and Mrs Snowden visiting ALICE exhibition and experimental undeground area with Collabortion Spokesperson J. Schukraft and Beams Department Head P. Collier; Signature of the guest book with CERN Director-General R. Heuer.

  1. 22. August 2013 - Permanent Representative of the Republic of Korea to the United Nations Office and other international organizations in Geneva, Ambassador Extraordinary and Plenipotentiary S. Choi signing the guest book with Director-General R. Heuer; visiting the LHC tunnel with P. Fessia and the CMS experimental cavern with Former Collaboration Spokesperson J. Virdee.

    CERN Multimedia

    Jean-Claude Gadmer

    2013-01-01

    22. August 2013 - Permanent Representative of the Republic of Korea to the United Nations Office and other international organizations in Geneva, Ambassador Extraordinary and Plenipotentiary S. Choi signing the guest book with Director-General R. Heuer; visiting the LHC tunnel with P. Fessia and the CMS experimental cavern with Former Collaboration Spokesperson J. Virdee.

  2. [Family and psychiatric hospitalization in a general hospital].

    Science.gov (United States)

    de Mello, Rita Mello; Schneider, Jacó Fernando

    2011-06-01

    This study aims to identify the reasons that lead relatives to hospitalize patients in a psychiatric unit of a general hospital. It is a qualitative study based on Alfred Schutz' phenomenological sociology. Fourteen relatives, each with one family member hospitalized, were interviewed from August to October 2009. The guiding question of the phenomenological interview was "What do you expect from psychiatric hospitalization in a general hospital?". Phenomenological sociology was used to understand and interpret the interviews. Statements showed three concrete categories, that lead to the reasons for: treatment guidelines and continuity; prospects for improvement; ideas about normality. This research shows the experiences of relatives, contributing with mental health professionals' reflection about their actions and about the involvement of families in a general hospital's psychiatric unit.

  3. 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, Delaunay triangulation

  4. Nozzle Fuzzy Controller of Agricultural Spraying Robot Aiming Toward Crop Rows

    Science.gov (United States)

    Ren, Jianqiang

    A novel nozzle controller of spraying robot aiming toward crop-rows based on fuzzy control theory was studied in this paper to solve the shortcomings of existing nozzle control system, such as the long regulation time, the higher overshoot and so on. The new fuzzy controller mainly consists of fuzzification interface, defuzzification interface, rule-base and inference mechanism. Considering the actual application, the fuzzy controller was designed as a 2-inputs&1-output closed-loop system. The inputs are the distance from nozzle to crop row and its change rate, the output is the control signal to the execution unit. Based on the design project, we selected the FMC chip NLX230, the EMCU chip AT89S52 and the EEPROM chip AT93C57 to make the fuzzy controller. Experimental results show that the project is workable and efficient, it can solve the shortcomings of existing controller perfectly and the control efficiency can be improved greatly.

  5. Grid-based precision aim system and method for disrupting suspect objects

    Science.gov (United States)

    Gladwell, Thomas Scott; Garretson, Justin; Hobart, Clinton G.; Monda, Mark J.

    2014-06-10

    A system and method for disrupting at least one component of a suspect object is provided. The system has a source for passing radiation through the suspect object, a grid board positionable adjacent the suspect object (the grid board having a plurality of grid areas, the radiation from the source passing through the grid board), a screen for receiving the radiation passing through the suspect object and generating at least one image, a weapon for deploying a discharge, and a targeting unit for displaying the image of the suspect object and aiming the weapon according to a disruption point on the displayed image and deploying the discharge into the suspect object to disable the suspect object.

  6. Quantifying warfighter performance in a target acquisition and aiming task using wireless inertial sensors.

    Science.gov (United States)

    Davidson, Steven P; Cain, Stephen M; McGinnis, Ryan S; Vitali, Rachel R; Perkins, Noel C; McLean, Scott G

    2016-09-01

    An array of inertial measurement units (IMUS) was experimentally employed to analyze warfighter performance on a target acquisition task pre/post fatigue. Eleven participants (5M/6F) repeated an exercise circuit carrying 20 kg of equipment until fatigued. IMUs secured to the sacrum, sternum, and a rifle quantified peak angular velocity magnitude (PAVM) and turn time (TT) on a target acquisition task (three aiming events with two 180° turns) within the exercise circuit. Turning performance of two turns was evaluated pre/post fatigue. Turning performance decreased with fatigue. PAVMs decreased during both turns for the sternum (p performance after fatigue. Similar methodologies can be applied to many movement tasks, including quantifying movement performance for load, fatigue, and equipment conditions.

  7. High-resolution focal plane array IR detection modules and digital signal processing technologies at AIM

    Science.gov (United States)

    Cabanski, Wolfgang A.; Breiter, Rainer; Koch, R.; Mauk, Karl-Heinz; Rode, Werner; Ziegler, Johann; Eberhardt, Kurt; Oelmaier, Reinhard; Schneider, Harald; Walther, Martin

    2000-07-01

    Full video format focal plane array (FPA) modules with up to 640 X 512 pixels have been developed for high resolution imaging applications in either mercury cadmium telluride (MCT) mid wave (MWIR) infrared (IR) or platinum silicide (PtSi) and quantum well infrared photodetector (QWIP) technology as low cost alternatives to MCT for high performance IR imaging in the MWIR or long wave spectral band (LWIR). For the QWIP's, a new photovoltaic technology was introduced for improved NETD performance and higher dynamic range. MCT units provide fast frame rates > 100 Hz together with state of the art thermal resolution NETD rates of 30 - 60 Hz and provide thermal resolutions of NETD exchangeability of the units. New modular image processing hardware platforms and software for image visualization and nonuniformity correction including scene based self learning algorithms had to be developed to accomplish for the high data rates of up to 18 M pixels/s with 14-bit deep data, allowing to take into account nonlinear effects to access the full NETD by accurate reduction of residual fixed pattern noise. The main features of these modules are summarized together with measured performance data for long range detection systems with moderately fast to slow F-numbers like F/2.0 - F/3.5. An outlook shows most recent activities at AIM, heading for multicolor and faster frame rate detector modules based on MCT devices.

  8. 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.

  9. Generating Units

    Data.gov (United States)

    Department of Homeland Security — Generating Units are any combination of physically connected generators, reactors, boilers, combustion turbines, and other prime movers operated together to produce...

  10. 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

  11. ASPECT spectral imaging satellite proposal to AIDA/AIM CubeSat payload

    Science.gov (United States)

    Kohout, Tomas; Näsilä, Antti; Tikka, Tuomas; Penttilä, Antti; Muinonen, Karri; Kestilä, Antti; Granvik, Mikael; Kallio, Esa

    2016-04-01

    ASPECT (Asteroid Spectral Imaging Mission) is a part of AIDA/AIM project and aims to study the composition of the Didymos binary asteroid and the effects of space weathering and shock metamorphism in order to gain understanding of the formation and evolution of the Solar System. The joint ESA/NASA AIDA (Asteroid Impact & Deflection Assessment) mission to binary asteroid Didymos consists of AIM (Asteroid Impact Mission, ESA) and DART (Double Asteroid Redirection Test, NASA). DART is targeted to impact Didymos secondary component (Didymoon) and serve as a kinetic impactor to demonstrate deflection of potentially hazardous asteroids. AIM will serve as an observational spacecraft to evaluate the effects of the impact and resulting changes in the Didymos dynamic parameters. The AIM mission will also carry two CubeSat miniaturized satellites, released in Didymoon proximity. This arrangement opens up a possibility for secondary scientific experiments. ASPECT is one of the proposed CubeSat payloads. Whereas Didymos is a space-weathered binary asteroid, the DART impactor is expected to produce a crater and excavate fresh material from the secondary component (Didymoon). Spectral comparison of the mature surface to the freshly exposed material will allow to directly deter-mine space weathering effects. It will be also possible to study spectral shock effects within the impact crater. ASPECT will also demonstrate for the first time the joint spacecraft - CubeSat operations in asteroid proximity and miniature spectral imager operation in deep-space environment. Science objectives: 1. Study of the surface composition of the Didymos system. 2. Photometric observations (and modeling) under varying phase angle and distance. 3. Study of space weathering effects on asteroids (comparison of mature / freshly exposed material). 4. Study of shock effects (spectral properties of crater interior). 5. Observations during the DART impact. Engineering objectives: 1. Demonstration of Cube

  12. General Conformity

    Science.gov (United States)

    The General Conformity requirements ensure that the actions taken by federal agencies in nonattainment and maintenance areas do not interfere with a state’s plans to meet national standards for air quality.

  13. General Anesthesia

    Science.gov (United States)

    ... unconscious and unable to feel pain during medical procedures. General anesthesia usually uses a combination of intravenous drugs ... 1998-2017 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved.

  14. GENERAL INFORMATION

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    World Jour nal of Cardiolog y(World J Cardiol,WJC,online ISSN1949-8462,DOI:10.4330)is a peer-reviewed open access(OA)academic journal that aims to guide clinical practice and improve diagnostic and therapeutic skills of clinicians.Aim and scope WJC covers topics concerning arrhythmia,heart failure,vascular disease,stroke,hypertension,prevention and epidemiology,dyslipidemia and metabolic disorders,cardiac imaging,pediatrics,nursing,

  15. GENERAL INFORMATION

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    World Journal of Radiology(World J Radiol,WJR,online ISSN 1949-8470,DOI:10.4329)is a peer-reviewed open access(OA)academic journal that aims to guide clinical practice and improve diagnostic and therapeutic skills of clinicians.Aim and scope WJR covers topics concerning diagnostic radiology,radiation oncology,radiologic physics,neuroradiology,nuclear radiology,pedi-

  16. 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,...

  17. 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...

  18. 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,...

  19. 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...

  20. 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...

  1. 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,...

  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 597.318 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... General Definitions § 597.318 United States. The term United States means the United States,...

  3. 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,...

  4. 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,...

  5. 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....

  6. Bi-Cell Unit for Fuel Cell.

    Science.gov (United States)

    The patent concerns a bi-cell unit for a fuel cell . The bi-cell unit is comprised of two electrode packs. Each of the electrode packs includes an...invention relates in general to a bi-cell unit for a fuel cell and in particular, to a bi-cell unit for a hydrazine-air fuel cell .

  7. Anisotropic generalized Procrustes analysis

    NARCIS (Netherlands)

    Bennani Dosse, Mohammed; Kiers, Henk A.L.; Ten Berge, Jos M.F.

    2011-01-01

    Generalized Procrustes analysis is a popular method for matching several configurations by translations, rotations/reflections and scaling constants. It aims at producing a group average from these Euclidean similarity transformations followed by bi-linear approximation of this group average for gra

  8. 综合 ICU 医院获得性肺炎感染菌株及耐药性分析%Analysis of infected strains and bacterial resistance of hospital acquired pneumonia in general intensive care unit

    Institute of Scientific and Technical Information of China (English)

    成云兰; 朱滨

    2015-01-01

    目的:分析医院综合重症监护病房(GICU )医院获得性肺炎(HAP)感染菌株特点及耐药情况。方法回顾性分析GICU收治61例 HAP患者的感染菌株及其对抗菌药物耐药性。结果61例H A P患者中,共检出213株菌。革兰阴性杆菌99株(46.5%),以鲍曼不动杆菌、肺炎克雷伯菌、铜绿假单胞菌和大肠埃希菌为主;革兰阳性球菌81株(38.0%),以肠球菌、金黄色葡萄球菌、表皮葡萄球菌和溶血葡萄球菌为主;真菌33株(15.5%),以白色念珠菌和非白色念珠菌为主。鲍曼不动杆菌株较多对抗生素多重耐药,未发现耐万古霉素的肠球菌株和葡萄球菌株。结论应根据细菌病原学及抗菌药物耐药性,合理选择抗菌药物,控制GICU内 HAP感染的发生,减少耐药菌的出现。%Objective To analyze the infected strains and bacterial resistance of hospital acquired pneumonia(HAP) in general intensive care unit (GICU ) .Methods Data of isolated infected strains and their resistance to anti‐biotics in 61 patients with HAP in GICU were retrospectively analyzed .Result A total of 213 bacteria strains was isolated in 61 HAP patients ,of which 99 (46.5% ) strains were gram‐negative bacteria ,81(38.0% ) strains were gram‐positive bacteria and 33 (15.5% ) strains were fungus .Gram‐negative bacteria included mainly acinetobacter baumannii , klebsiella pneumoniae ,pseudomonas aeruginosa and escherichia coli .Gram‐positive bacteria included mainly enterococcus ,staphylococcus aureus ,epidermis staphylococcus and hemolytic staphylococci . Fungus included mainly candida albicans and non‐candida albicans .Acinetobacter baumannii strains tended to have multiple drug resistance .No strain of staphylococcus and enterococcus resistant to vancomycin was found . Conclusion According to bacterial etiology characteristics and bacterial resistance ,antibiotics should be reasonably selected to control HAP in

  9. GENERAL GEOLOGY

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    <正>20132163 Chen Jianping(School of Earth Sciences and Resources,China University of Geosciences,Beijing 100083,China);Wang Xiang Compilation of the Lunar Geotectonic Outline Map Based on Multisource Data:A Case Study of LQ-4 Area(Earth Science Frontiers,ISSN1005-2321,CN11-3370/P,19(6),2012,p.1-14,6illus.,5tables,25refs.)Key words:Moon,tectonic units,digital cartography

  10. Generalized polygons

    CERN Document Server

    Van Maldeghem, Hendrik

    1998-01-01

    Generalized Polygons is the first book to cover, in a coherent manner, the theory of polygons from scratch. In particular, it fills elementary gaps in the literature and gives an up-to-date account of current research in this area, including most proofs, which are often unified and streamlined in comparison to the versions generally known. Generalized Polygons will be welcomed both by the student seeking an introduction to the subject as well as the researcher who will value the work as a reference. In particular, it will be of great value for specialists working in the field of generalized polygons (which are, incidentally, the rank 2 Tits-buildings) or in fields directly related to Tits-buildings, incidence geometry and finite geometry. The approach taken in the book is of geometric nature, but algebraic results are included and proven (in a geometric way!). A noteworthy feature is that the book unifies and generalizes notions, definitions and results that exist for quadrangles, hexagons, octagons - in the ...

  11. Generalized derivations and general relativity

    CERN Document Server

    Heller, M; Pysiak, L; Sasin, W

    2013-01-01

    We construct differential geometry (connection, curvature, etc.) based on generalized derivations of an algebra A. Such a derivation, introduced by Bresar in 1991, is given by a linear mapping u: A -> A such that there exists a usual derivation d of A satisfying the generalized Leibniz rule u(a b) = u(a) b + a d(b) for all a,b in A. The generalized geometry "is tested" in the case of the algebra of smooth functions on a manifold. We then apply this machinery to study the generalized general relativity. We define the Einstein-Hilbert action and deduce from it Einstein's field equations. We show that for a special class of metrics containing, besides the usual metric components, only one non-zero term, the action reduces to O'Hanlon action that is a Brans-Dicke action with potential and with the parameter \\omega equal to zero. We also show that the generalized Einstein equations (with zero energy-stress tensor) are equivalent to those of the Kaluza-Klein theory satisfying a "modified cylinder condition" and hav...

  12. 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.

  13. GENERAL EQUILIBRIUM

    Directory of Open Access Journals (Sweden)

    Monique Florenzano

    2008-09-01

    Full Text Available General equilibrium is a central concept of economic theory. Unlike partial equilibrium analysis which study the equilibrium of a particular market under the clause “ceteris paribus” that revenues and prices on the other markets stay approximately unaffected, the ambition of a general equilibrium model is to analyze the simultaneous equilibrium in all markets of a competitive economy. Definition of the abstract model, some of its basic results and insights are presented. The important issues of uniqueness and local uniqueness of equilibrium are sketched; they are the condition for a predictive power of the theory and its ability to allow for statics comparisons. Finally, we review the main extensions of the general equilibrium model. Besides the natural extensions to infinitely many commodities and to a continuum of agents, some examples show how economic theory can accommodate the main ideas in order to study some contexts which were not thought of by the initial model

  14. Time to RE-AIM: Why Community Weight Loss Programs Should Be Included in Academic Obesity Research.

    Science.gov (United States)

    Mitchell, Nia S; Prochazka, Allan V; Glasgow, Russell E

    2016-03-17

    Despite decades of efficacy-based research on weight loss interventions, the obesity epidemic in the United States persists, especially in underserved populations. We used the RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) framework to describe the limitations of the current paradigm of efficacy-based research for weight loss interventions. We also used RE-AIM to propose that existing weight loss interventions (community-based programs) such as Jenny Craig, Take Off Pounds Sensibly (TOPS), and Weight Watchers be studied to supplement the efficacy-based research approaches to achieve population-level impact on obesity.

  15. Investigation of anxiety status and stress coping style in intensive care unit and general ward nurses%ICU护士与普通病房护士应付方式与焦虑状况调查

    Institute of Scientific and Technical Information of China (English)

    郭玉霞; 姚景鹏

    2012-01-01

    Objective To explore the stress coping style and anxiety status of intensive care unit (ICU) and general ward( referred to as ward) nurses and the relation between stress coping style and anxiety status.Methods Totals of 84 ICU nurses and 77 ward nurses were investigated with general information questionnaire,coping style questionnaire(CSQ) and self rating anxiety scale ( SAS),and compared coping factors score,influencing factors,anxiety incidence and degree between ICU group and ward group,and analysed the relation between stress coping style and anxiety status.Results The “seeking help” (mature coping style)score of ICU nurses group was ( 0.694 ± 0.175 ) higher than ( 0.631 ± 0.212 ) in ward group,and the score of immature style “self-accusation” in ICU group was ( 0.262 ± 0.237 ) lower than ( 0.349 ± 0.262 ) in ward group,difference was statistically significant ( t =2.043,- 2.220,respectively; P < 0.05 ).There was no significant difference in anxiety incidence was found,but anxiety score of ICU group was(39.37 ± 8.905 ) lower than ward group(42.53 ± 8.573 ),and the difference was statistically significant ( t =- 2.292,P < 0.05 ).Coping style was no relation with age,professional title in ICU group( r =-0.060,-0.054,respectively;P > 0.05),while coping style was negatively correlated with age,professional title in ward group( r =-0.237,-0.251,respectively; P < 0.05 ).“solving problem”,“seeking help” were negatively correlated with anxiety (r=-0.267,-0.177,respectively; P < 0.05 or P < 0.01 ).“Shirk”,“self-accusation” and “illusion”( immature coping styles) and “rationalization” ( combined coping style) were positively correlated with anxiety (r =0.329,0.304,0.330,0.287,respectively;P < 0.01 ).Conclusions Improving coping style of nurses can help to reduce nurses' psychological stress and anxiety.%目的 探讨重症监护室(ICU)护士与普通病房护士的应付方式与焦虑状况及相关性.方法

  16. Chest physiotherapy techniques in neurological intensive care units of India: A survey

    OpenAIRE

    2014-01-01

    Context: Neurological intensive care units (ICUs) are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs. Aim: The aim of this study is to obtain data on current chest physiotherapy practi...

  17. General Relativity

    CERN Document Server

    Canuto, V

    2015-01-01

    This is an English translation of the Italian version of an encyclopedia chapter that appeared in the Italian Encyclopedia of the Physical Sciences, edited by Bruno Bertotti (1994). Following requests from colleagues we have decided to make it available to a more general readership. We present the motivation for constructing General Relativity, provide a short discussion of tensor algebra, and follow the set up of Einstein equations. We discuss briefly the initial value problem, the linear approximation and how should non gravitational physics be described in curved spacetime.

  18. Turnley Unit

    Data.gov (United States)

    Federal Laboratory Consortium — Facilities at this unit include cattle working pens, hydraulic squeeze chute and electronic scale, a maintenance building, and four hay storage sheds. There is one...

  19. Operable Units

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset consists of operable unit data from multiple Superfund sites in U.S. EPA Region 8. These data were acquired from multiple sources at different times and...

  20. Detector Unit

    CERN Multimedia

    1960-01-01

    Original detector unit of the Instituut voor Kernfysisch Onderzoek (IKO) BOL project. This detector unit shows that silicon detectors for nuclear physics particle detection were already developed and in use in the 1960's in Amsterdam. Also the idea of putting 'strips' onto the silicon for high spatial resolution of a particle's impact on the detector were implemented in the BOL project which used 64 of these detector units. The IKO BOL project with its silicon particle detectors was designed, built and operated from 1965 to roughly 1977. Detector Unit of the BOL project: These detectors, notably the ‘checkerboard detector’, were developed during the years 1964-1968 in Amsterdam, The Netherlands, by the Natuurkundig Laboratorium of the N.V. Philips Gloeilampen Fabrieken. This was done in close collaboration with the Instituut voor Kernfysisch Onderzoek (IKO) where the read-out electronics for their use in the BOL Project was developed and produced.

  1. 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...

  2. ACTIVITY OF HEALTH EDUCATION AIMED AT PREVENTING WORK ACCIDENTS WITH NEEDLESTICK MATERIALS: EXPERIENCE REPORT

    Directory of Open Access Journals (Sweden)

    Prince Vangeris Silva Fernandes de Lima

    2014-02-01

    Full Text Available Introduction: Health services are composed of complex work environments. For this reason, they present several risks to the health of workers and also of people being treated at these places. Among these risks, one that is peculiar to health services is the risk of occupational accidents with biological material involving sharps. Objective: This study aimed to describe a health education activity conducted in a Health Center of the Federal District, Brazil. Methods: This is an experience report that discusses the final paper of the discipline “Administration Applied to Nursing and Internship”, offered by the Department of Nursing, Faculty of Health Sciences, University of Brasilia. A lecture was prepared, aimed at health workers and support staff, on general aspects of occupational accidents involving sharps, as well as preventive aspects. Results: In each clinical room of the Health Center were fixed two posters: the first discussing the proper disposal of sharps and the second, in turn, was a message of reflection. 31 professionals attended the lecture as listeners. Conclusion: We understand the validity of the lecture delivered, based on scientific studies that highlight the need and shortage of health education activities that address the prevention of occupational accidents involving sharps among Health Professionals. Additionally, it is important mentioning that such activity demand was estimated by the workers of the Health Center in study.

  3. EFFECT OF AGE AND CLONE ON THE QUALITY OF Eucalyptus spp WOOD AIMING BIOENERGY PRODUCTION

    Directory of Open Access Journals (Sweden)

    Thiago de Paula Protásio

    2014-06-01

    Full Text Available http://dx.doi.org/10.5902/1980509814587The aim of this work was to evaluate the effect of age and clone on the quality of Eucalyptus spp wood aiming the production of charcoal and bioenergy. Four Eucalyptus spp clones at the ages of 57 and 69 months were evaluated. Four trees per clone in each age were evaluated. The average basic density, the basic density at the DBH, higher heating value and contents of lignin, total extractives, ashes, holocellulose an elemental chemica analylsis (C, H, N, S and O were evaluated. In the evaluation of the assay, and entirely randomized design in the factorial scheme 4 x 2 was used. Besides, a multivariate analysis of main components was made. In general, it was observed effect of age on wood quality. Ash, hydrogen and nitrogen contents tended to diminish with increases in age for all the clones evaluated. However, oxygen content presented an increase with the increase in age of the clones. Lignin content presented significant increase with age increase, being the contrary observed for holocellulose content. The clones at the age of 69 months presented the highest contents of lignin, but the same did not happen for basic density of wood. The clones I144 and I220 had the highest average values for this characteristic, what may be advantageous for charcoal production. 

  4. Public Law 94-553-Oct. 19, 1976. An Act For the General Revision of the Copyright Law, Title 17 of the United States Code, and for Other Purposes. Title 17-Copyrights. Ninety-Fourth Congress.

    Science.gov (United States)

    Congress of the U.S., Washington, DC.

    The copyright law of the United States is amended in its entirety by this act that takes effect in 1978. Literary works; musical works; dramatic works; pantomimes and choreographic works; pictorial, graphic, and sculptural works; motion pictures and other audiovisual works; and sound recordings are included in the subject matter of copyright.…

  5. 6 JUne 2016 - Permanent Representative of Greece to the United Nations Office at Geneva and other international organisations in Switzerland Ambassador A. Korka signing the guest book with CERN Director-General F. Gianotti.

    CERN Multimedia

    Bennett, Sophia Elizabeth

    2016-01-01

    Her Excellency Ms Anna Korka Ambassador Permanent Representative of Greece to the United Nations Office at Geneva and other international organisations in Switzerland; Also present: Deputy Permanent Representative I. Tsaousis, Member State Liaison Officer E. Tsesmelis, Director for International Relations C. Warakaulle and Head of Member State Relations P. Wells.

  6. General introduction

    NARCIS (Netherlands)

    Emmelkamp, P.; Ehring, T.; Emmelkamp, P.; Ehring, T.

    2014-01-01

    This introductory chapter of this two-volume handbook commences with an overview of the book, which is aimed to provide a comprehensive overview of the current knowledge on the phenomenology, classification, epidemiology, etiology, and clinical management of anxiety disorders. Whereas Volume 1

  7. General Assembly

    CERN Multimedia

    Staff Association

    2016-01-01

    5th April, 2016 – Ordinary General Assembly of the Staff Association! In the first semester of each year, the Staff Association (SA) invites its members to attend and participate in the Ordinary General Assembly (OGA). This year the OGA will be held on Tuesday, April 5th 2016 from 11:00 to 12:00 in BE Auditorium, Meyrin (6-2-024). During the Ordinary General Assembly, the activity and financial reports of the SA are presented and submitted for approval to the members. This is the occasion to get a global view on the activities of the SA, its financial management, and an opportunity to express one’s opinion, including taking part in the votes. Other points are listed on the agenda, as proposed by the Staff Council. Who can vote? Only “ordinary” members (MPE) of the SA can vote. Associated members (MPA) of the SA and/or affiliated pensioners have a right to vote on those topics that are of direct interest to them. Who can give his/her opinion? The Ordinary General Asse...

  8. Generalized Parabolas

    Science.gov (United States)

    Joseph, Dan; Hartman, Gregory; Gibson, Caleb

    2011-01-01

    In this article we explore the consequences of modifying the common definition of a parabola by considering the locus of all points equidistant from a focus and (not necessarily linear) directrix. The resulting derived curves, which we call "generalized parabolas," are often quite beautiful and possess many interesting properties. We show that…

  9. General discussion

    NARCIS (Netherlands)

    Jagers op Akkerhuis, Gerard A.J.M.

    2016-01-01

    The general discussion focuses on some aspects that are of overarching relevance for all the preceding chapters. The fi rst subject that is discussed is the relationship between systems theory and the philosophy of science. After a short summary of the principles of system science and the

  10. Generale preventie

    NARCIS (Netherlands)

    1949-01-01

    In part I of this study a survey has veen given of what Dutch authors have written since 1870, when capital punishment was abolished, on subjects concerning the general preventive effect of punishment. This historical survey ends where, during the years 1940-1945, under the stress of the occupation

  11. Cost-effectiveness of policies aimed at increasing organ donation: the case of Chile.

    Science.gov (United States)

    Domínguez, J; Harrison, R; Atal, R; Larraín, L

    2013-01-01

    In this article we present an economic evaluation of policies aimed at increasing deceased organ donation in Chile, a developing country that has low donation rates; it had 5.4 donors per million people (pmp) in 2010. Expert opinions of leading participants in donation and transplantation were analyzed, resulting in a set of local policies aimed at increasing donation rates. Using previous results of reported cost savings of increasing kidney transplantation in Chile, we estimated the net benefits of these policies, as a function of additional donors. The main problem of the Chilean system seems to be the low capability to identify potential donors and a deficit in intensive care unit (ICU) beds. Among considered policies central to increase donation are the following: increasing human and capital resources dedicated to identifying potential donors, providing ICU beds from private centers, and developing an online information system that facilitates procurement coordination and the evaluation of performance at each hospital. Our results show that there is a linear relationship between cost savings and incremental donors pmp. For example, if these policies are capable of elevating donation rates in Chile by 6 donors pmp net estimated cost savings are approximately US $1.9 million. Likewise, considering the effect on patients' quality of life, savings would amount to around $15.0 million dollars per year. Our estimates suggest that these policies have a large cost-saving potential. In fact, considering implementation costs, cost reduction is positive after 4 additional donors pmp, and increasing afterward. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. 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...

  13. Death patterns of patients in Department of Respiratory Care Unit of General Hospi-tal of PLA%解放军总医院呼吸科监护室住院患者死亡规律分析

    Institute of Scientific and Technical Information of China (English)

    任飞霏; 侯春梅; 刘仲学; 习毓芝; 韩根成; 解立新

    2015-01-01

    Objective To analyze retrospectively the death pattern, risk factors, and death time of 253 patients at the Respiratory Care Unit of General Hospital of PLA in order to improve care quality and reduce mortality.Methods The information of patients was extracted from the hospital information system ( HIS) , and then classified and calculated accord-ing to different time points.Results Between November and next March,the mortality rate was higher than in other months (P<0.05), accounting for 19.5%.Mortality of those admitted between 8∶01 and 9∶00 or between 23∶01 and 24∶00 was higher than at other times(P<0.05), accounting for 41.7%and 50.0%, respectively.There was statistically significant difference(P<0.01) in mortality between days of the week,with the highest on Saturday, accounting for 43.1%.Mortality on non-work days was higher than on workday(P<0.01), accounting for 38.3% and 13.2%, respectively.Mortality at off-hour was higher than at office time(8∶00-11∶30 and 14∶30-18∶00 on workday) (P<0.01), accounting for 31.3%and 5.2%, respectively.Logistic regression analysis showed that age, month of admission, and the hour of discharge were associated with the outcome.Conclusion The high mortality between November and next March may be related to the higher incidence of respiratory diseases in winter, air pollution and cold weather.High mortality is also significantly associ-ated with the care quality of the medical staff.%目的:通过回顾性分析解放军总医院呼吸科监护室1495例住院患者中253例死亡特点、不同影响因素死亡风险及死亡时间规律,寻找工作弱点,以期提高工作质量,降低死亡率。方法从医院信息系统( HIS)中提取住院患者资料,按照不同时间划分方法进行分类统计。结果每年11月至次年3月死亡率高于其他月份,为19.5%(P<0.05)。8∶01~9∶00及23∶01~24∶00入院死亡率高(P<0.05),分别为41.7%和50.0

  14. Generalized polygons

    CERN Document Server

    Maldeghem, Hendrik

    1998-01-01

    This book is intended to be an introduction to the fascinating theory ofgeneralized polygons for both the graduate student and the specialized researcher in the field. It gathers together a lot of basic properties (some of which are usually referred to in research papers as belonging to folklore) and very recent and sometimes deep results. I have chosen a fairly strict geometrical approach, which requires some knowledge of basic projective geometry. Yet, it enables one to prove some typically group-theoretical results such as the determination of the automorphism groups of certain Moufang polygons. As such, some basic group-theoretical knowledge is required of the reader. The notion of a generalized polygon is a relatively recent one. But it is one of the most important concepts in incidence geometry. Generalized polygons are the building bricks of Tits buildings. They are the prototypes and precursors of more general geometries such as partial geometries, partial quadrangles, semi-partial ge­ ometries, near...

  15. Interventions aimed at increasing research use in nursing: a systematic review

    Directory of Open Access Journals (Sweden)

    Moore Katherine

    2007-05-01

    Full Text Available Abstract Background There has been considerable interest recently in developing and evaluating interventions to increase research use by clinicians. However, most work has focused on medical practices; and nursing is not well represented in existing systematic reviews. The purpose of this article is to report findings from a systematic review of interventions aimed at increasing research use in nursing. Objective To assess the evidence on interventions aimed at increasing research use in nursing. Methods A systematic review of research use in nursing was conducted using databases (Medline, CINAHL, Healthstar, ERIC, Cochrane Central Register of Controlled Trials, and Psychinfo, grey literature, ancestry searching (Cochrane Database of Systematic Reviews, key informants, and manual searching of journals. Randomized controlled trials and controlled before- and after-studies were included if they included nurses, if the intervention was explicitly aimed at increasing research use or evidence-based practice, and if there was an explicit outcome to research use. Methodological quality was assessed using pre-existing tools. Data on interventions and outcomes were extracted and categorized using a pre-established taxonomy. Results Over 8,000 titles were screened. Three randomized controlled trials and one controlled before- and after-study met the inclusion criteria. The methodological quality of included studies was generally low. Three investigators evaluated single interventions. The most common intervention was education. Investigators measured research use using a combination of surveys (three studies and compliance with guidelines (one study. Researcher-led educational meetings were ineffective in two studies. Educational meetings led by a local opinion leader (one study and the formation of multidisciplinary committees (one study were both effective at increasing research use. Conclusion Little is known about how to increase research use in

  16. 28 CFR 0.111 - General functions.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false General functions. 0.111 Section 0.111 Judicial Administration DEPARTMENT OF JUSTICE ORGANIZATION OF THE DEPARTMENT OF JUSTICE United States Marshals Service § 0.111 General functions. The Director of the United States Marshals Service shall...

  17. 7 CFR 1773.1 - General.

    Science.gov (United States)

    2010-01-01

    ... those standard provisions of the security instrument utilized by the Rural Utilities Service (RUS) for... the Comptroller General of the United States, United States General Accounting Office, including... internal control over financial reporting, and management letter are required to meet the reporting...

  18. The Role of Coping in Moderating the Relationship between Racism-Related Stress and Self-Reported General Health among Asians and Latinas/os in the United States

    OpenAIRE

    Castro, Denise Carina

    2017-01-01

    Previous research has shown an association between racism-related stress and negative health outcomes among African Americans and the moderating effect of coping strategies on this relationship. Yet, scant attention has been paid to this relationship for two of the largest minority groups in the United States: Asians and Latinos/as. Using the 2009 California Health Interview Survey (CHIS) and a framework derived from stress process and biopsychosocial models, this study examines the relation...

  19. 45 CFR 1309.30 - General.

    Science.gov (United States)

    2010-10-01

    ... FACILITIES PURCHASE, MAJOR RENOVATION AND CONSTRUCTION Modular Units § 1309.30 General. In addition to the... continuing purchase of a modular unit is subject to all of the requirements of this part with the following...) Section 1309.21(d) of this part does not apply to the proposed purchase of modular units if the land...

  20. 阴极铜板自动包装机组的总体设计%General Design of Auto Packaging Unit of Cathode Copper DFIG Wind-power Generation

    Institute of Scientific and Technical Information of China (English)

    沙青林

    2014-01-01

    according to the requirements of process of cathode copper packaging,researched and designed big scale auto cathode copper packaging unit that united machine,hydraumatic,pneumatic,electronic and computer control system,at the same time,discussed the structure,working principle,and operating effects of this packaging unit.The design has some reference value of the production line design of the same process requirements.%根据阴极铜板包装工艺流程的要求,研发设计了集机械、液压、气动、电气和计算机控制系统于一体的大型自动化阴极铜板自动包装机组,并阐述了其结构、工作原理及运用效果。本设计思路对类似生产工艺要求的生产线设计,具有一定的参考意义。

  1. General ideas on English reading

    Institute of Scientific and Technical Information of China (English)

    祝文瑛

    2015-01-01

    This paper is talking about some general ideas on English reading in order to help teachers and learners foster some reading skills by seeing through its natures aiming at effective and productive English teaching and learning.

  2. Work Ethics and General Morality

    Institute of Scientific and Technical Information of China (English)

    赵玲玲

    2016-01-01

    "The Starving Sudan" is a photographic work awarded with South Africa Pulitzer Prize, which also arouses the warm discussion about work ethics and general morality. This paper aims to give comments from an objective perspective.

  3. General Diagnosis

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    2009401 The value of dual-time point 18F-FDG PET imaging for the differentiation between pulmonary malignant and benign lesions.WANG Yuetao,et al.PET/CT Center,Xuzhou Centr Hosp,Xuzhou 221009.Chin J Nucl Med 2009;29(5):293-296. Objective The aim of this study was to evaluate the value of dual-time point 18F-fluoro-deoxyglucose (FDG) PET imaging for the differentiation between pulmonary malignant and benign lesions.Methods Seventy-eight

  4. 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...... is minimized, where the distance is measured by a norm k2. We present results for the general case. In the case that k1 and k2 are both block norms, we are able to identify a nite dominating set in R3 for the problem, which can be obtained as the intersection of cones....

  5. 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…

  6. Comparison of Federal and Private Sector Pay and Benefits. Report to the Chairman, Subcommittee on Civil Service, Post Office, and General Services Committee on Government Affairs, United States Senate.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    A study compared the compensation packages offered to private sector and Federal white-collar employees. The conclusions drawn in the study were based on data from previous and ongoing research conducted by the General Accounting Office (GAO). Analysis of these data revealed that whereas the Employment Cost Index has shown a cumulative increase of…

  7. 24 April 2012 - Chinese Extraordinary and Plenipotentiary Ambassador, Permanent Representative of the People's Republic of China to the United Nations Office at Geneva L. Zhenmin signing the guest book with CERN Director-General R. Heuer

    CERN Multimedia

    Maximilien Brice

    2012-01-01

    CERN-HI-1204089 tirage 15: AMS Collaboration Spokesperson S. Ting, CERN Director-General R. Heuer and Ambassador L. Zhenmin; CERN-HI-1204089 16to the end: in the LHC tunnel at POint 5 with Adviser T. Kurtyka and CMS experimental cavern with Collaboration Spokesperson J. Incandela.

  8. General medications utilization and cost patterns in hospitalized children

    Directory of Open Access Journals (Sweden)

    Kassis I

    2009-03-01

    Full Text Available Drug utilization in the in-patient setting can provide mechanisms to assess drug prescribing trends, efficiency and cost-effectiveness of hospital formularies and examine sub-populations such as children for which prescribing habits are different from adults. Objectives: The aim of this descriptive study was to analyze general medication utilization patterns and costs excluding antimicrobials prescriptions and to compare two pediatric admission units in a tertiary care university hospital. Methods: The total number of admitted children was 1,521 and 1,467 for the A and B admission units, respectively. The electronic data from 252 and 253 hospitalized children in the A and B admission unit were prospectively screened for general medication prescriptions, children on antimicrobials were excluded from the analysis. Their electronic charts were viewed once weekly from October 15, 2007 up to April 7, 2008 using the prescription-point prevalence method. One medication was considered to be one prescription. Results: The general medications prescription number was 790 for 94 children (8.4 prescription/patient in A and 959 for 88 children (10.9 prescription/patient in B (p=0.02. The general medications defined daily dose (DDD and drug utilization 90% (DU90% index were 2,509.63, 2,259 for A; and 6,110.35, 5,499 for B, respectively. The DU90% index placed salbutamol inhalation with 835 DDD and sodium heparin with 2,102 DDD in the first place for the A and B admission units, respectively. A net increment in medication cost was registered according to the calculated cost from the depicted DU90% when the A (20,263 NIS and B (6,269 NIS admission units were compared (p=0.04. Conclusions: A significant difference in the prescription utilization of general medications was shown between the A and B admission units. The A admission unit had lower prescriptions measured by the DU90% index with higher medication cost. Potential drug-drug interactions were depicted in

  9. Caracterização das internações de dependentes químicos em Unidade de Internação Psiquiátrica do Hospital Geral Characterization of admission of chemical-dependents in a Psychiatric Admission Unit of the General Hospital

    Directory of Open Access Journals (Sweden)

    Fernando Sérgio Pereira de Sousa

    2010-05-01

    Full Text Available A Unidade de Internação Psiquiátrica do Hospital Geral (UIPHG é uma proposta articulada ao movimento da reforma psiquiátrica. O objetivo deste estudo foi avaliar os determinantes das internações de dependentes químicos na UIPHG Dr. Estevam, em Sobral (CE. Este estudo foi do tipo documental com abordagem quantitativa, envolvendo 203 clientes que foram internados na UIPHG no período de outubro de 2005 a abril de 2006. Os dados foram coletados por meio de um roteiro adaptado a partir do documento usado no momento da internação. Observou-se predomínio de pacientes do sexo masculino (95,1%, com idade entre 30 e 40 anos (62,5% e solteiros (59,1%. Em 76,3% dos casos, o diagnóstico da internação foi síndrome de abstinência do álcool. Após alta hospitalar, 70% desses clientes foram encaminhados ao CAPS-AD. Esses resultados demonstram quão imprescindíveis são os serviços de saúde mental que enfoquem a problemática do alcoolismo.The Psychiatric Admission Unit of the General Hospital (UIPHG is integrated to the psychiatric reform movement. The aim of this study was to evaluate chemical-dependent's admission causes at the UIPHG Dr. Estevam in the city of Sobral, Ceará State. It was a documental study with a quantitative approach involving 203 patients who were admitted at the UIPGH Dr. Estevam from October 2005 to April 2006. Data were collected from a document filled during admission process in the hospital. 95.1% of the sample was represented by men, age range of 30-40 years (62.5% and single (59.1%. The alcohol withdrawal syndrome was the main admission cause (76.3%. After leaving the hospital, 70% of the sample was conducted to aftercare at CAPS-AD. These results provide preliminary evidence for the need of mental health services emphasizing alcohol dependence problem.

  10. [Approach to the patient in the ambulatory surgery unit].

    Science.gov (United States)

    Cordero-Ponce, Montserrat; Romero-Sánchez, Isabel María; López-Barea, José; Martínez-Ramos, Pablo

    2008-01-01

    Ambulatory surgery aims to improve the quality of care, provide services in an environment closer to users' normal surroundings, reduce the risk of nosocomial infection and release hospital beds for other uses demanded by the population, thus reducing health costs. Nursing activity in these units should aim to restore health and aid the rapid recovery of patients in their homes. To achieve this, an effective health education program is required. Such programs should be simple and, at the same time, cover the care that these patients will require during the recovery period at home. The unit covers patients in the Virgen de Rocío University Hospital, The Fleming Peripheral Center for Specialties and the Virgen de los Reyes Peripheral Center for Specialties in Seville, Spain and the the specialties included are plastic surgery, otorhinolaryngology, orthopedic surgery, urology, and general surgery. The duration of the education program will be at most 14-17 h.

  11. Methodological practicalities in analytical generalization

    DEFF Research Database (Denmark)

    Halkier, Bente

    2011-01-01

    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...... and processes in producing the three different ways of generalizing: ideal typologizing, category zooming, and positioning....

  12. General Relativity

    CERN Document Server

    Khriplovich, I. B

    2005-01-01

    This book offers an alternative to other textbooks on the subject, providing a more specific discussion of numerous general relativistic effects for readers who have knowledge of classical mechanics and electrodynamics, including special relativity. Coverage includes gravitational lensing, signal retardation in the gravitational field of the Sun, the Reissner-Nordström solution, selected spin effects, the resonance transformation of an electromagnetic wave into a gravitational one, and the entropy and temperature of black holes. The book includes numerous problems at various levels of difficulty, making it ideal also for independent study by a broad readership of advanced students and researchers. I.B. Khriplovich is Chief Researcher, Budker Institute of Nuclear Physics, Novosibirsk, and Chair of Theoretical Physics at Novosibirsk University. Dr. Khriplovich is a Corresponding Member of the Russian Academy of Sciences. He has been awarded the Dirac Medal ``For the advancement of theoretical physics'' by Univ...

  13. [General anesthesia].

    Science.gov (United States)

    Feiss, P

    2001-04-30

    General anaesthesia is a reversible loss of consciousness induced and maintained with a hypnotic drug given either by venous injection and infusion, or by inhalation. A potent opioid is usually associated to inhibit the transmission of pain and thus to lessen sympathetic and endocrine reactions to nociceptive stimuli. Myorelaxation is used to facilitate tracheal intubation and surgery. Whatever the anaesthetic protocol use, the patient and anaesthesia machine require close monitoring. In addition to vital signs, the depth of anaesthesia may be monitored using automated electroencephalographic analysis and myorelaxation should always be monitored using a nerve stimulator, but pain or analgesia evaluation is only based on clinical signs of sympathetic stimulation. Because anaesthesia-related death and morbidity have decreased considerably, future improvements in outcome should concern perioperative comfort, i.e. prevention of cognitive disturbances, nausea, vomiting and pain.

  14. Geriatrics and the triple aim: defining preventable hospitalizations in the long-term care population.

    Science.gov (United States)

    Ouslander, Joseph G; Maslow, Katie

    2012-12-01

    Reducing preventable hospitalizations is fundamental to the "triple aim" of improving care, improving health, and reducing costs. New federal government initiatives that create strong pressure to reduce such hospitalizations are being or will soon be implemented. These initiatives use quality measures to define which hospitalizations are preventable. Reducing hospitalizations could greatly benefit frail and chronically ill adults and older people who receive long-term care (LTC) because they often experience negative effects of hospitalization, including hospital-acquired conditions, morbidity, and loss of functional abilities. Conversely, reducing hospitalizations could mean that some people will not receive hospital care they need, especially if the selected measures do not adequately define hospitalizations that can be prevented without jeopardizing the person's health and safety. An extensive literature search identified 250 measures of preventable hospitalizations, but the measures have not been validated in the LTC population and generally do not account for comorbidity or the capacity of various LTC settings to provide the required care without hospitalization. Additional efforts are needed to develop measures that accurately differentiate preventable from necessary hospitalizations for the LTC population, are transparent and fair to providers, and minimize the potential for gaming and unintended consequences. As the new initiatives take effect, it is critical to monitor their effect and to develop and disseminate training and resources to support the many community- and institution-based healthcare professionals and emergency department staff involved in decisions about hospitalization for this population. © 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.

  15. Screening of thermotolerant and thermophilic fungi aiming β-xylosidase and arabinanase production

    Directory of Open Access Journals (Sweden)

    Vivian Machado Benassi

    2014-12-01

    Full Text Available Plant cell wall is mainly composed by cellulose, hemicellulose and lignin. The heterogeneous structure and composition of the hemicellulose are key impediments to its depolymerization and subsequent use in fermentation processes. Thus, this study aimed to perform a screening of thermophilic and thermotolerant filamentous fungi collected from different regions of the São Paulo state, and analyze the production of β-xylosidase and arabinanase at different temperatures. These enzymes are important to cell wall degradation and synthesis of end products as xylose and arabinose, respectively, which are significant sugars to fermentation and ethanol production. A total of 12 fungal species were analyzed and 9 of them grew at 45 ºC, suggesting a thermophilic or thermotolerant character. Additionally Aspergillus thermomutatus anamorph of Neosartorya and A. parasiticus grew at 50 ºC. Aspergillus niger and Aspergillus thermomutatus were the filamentous fungi with the most expressive production of β-xylosidase and arabinanase, respectively. In general for most of the tested microorganisms, β-xylosidase and arabinanase activities from mycelial extract (intracellular form were higher in cultures grown at high temperatures (35-40 ºC, while the correspondent extracellular activities were favorably secreted from cultures at 30 ºC. This study contributes to catalogue isolated fungi of the state of São Paulo, and these findings could be promising sources for thermophilic and thermotolerant microorganisms, which are industrially important due to their enzymes.

  16. Multilayer stacks obtained by ion assisted EB PVD aimed at thermal barrier coating

    Energy Technology Data Exchange (ETDEWEB)

    Roos, E.; Maile, K.; Lyutovich, A. [Stuttgart Univ. (DE). Materialpruefungsanstalt (MPA)

    2010-07-01

    Thermal Barrier Coating (TBC) using Electron Beam Physical Vapour Deposition (EB PVD) is widely implemented, especially for aero-engine turbine blades. Generally, multilayer stacks are used for these aims. For the additional improvement of intermediate layers with graded transitions to the initial Ni-based alloy, the use of accelerated ions in the EBPVD-process is advantageous. The effect of the substrate bias potential, ion current density and deposition temperature on the structure and properties of Ti and Zr intermediate layers are investigated. The morphology of the films is studied using optical microscopy, scanning electron microscopy (SEM) and atomic force microscopy (AFM). It is found that the surface morphology becomes smoother with rising bias potential and decreasing ion current density. Measurements of Vicker's micro-hardness performed on these coatings have shown its increase with higher values of the bias and its reduction with the growing temperature. This effect is caused by the observed decrease in grain size and higher porosity of the films. A multilayer coating system Ni (based substrate)-Si-Si{sub x}Al{sub y}-Al with graded transitions between the layers is obtained using ion assisted EBPVD. Architecture of a multilayer stack for TBC with graded transitions is proposed. (orig.)

  17. Screening of thermotolerant and thermophilic fungi aiming β-xylosidase and arabinanase production

    Science.gov (United States)

    Benassi, Vivian Machado; de Lucas, Rosymar Coutinho; Jorge, João Atílio; Polizeli, Maria de Lourdes Teixeira de Moraes

    2014-01-01

    Plant cell wall is mainly composed by cellulose, hemicellulose and lignin. The heterogeneous structure and composition of the hemicellulose are key impediments to its depolymerization and subsequent use in fermentation processes. Thus, this study aimed to perform a screening of thermophilic and thermotolerant filamentous fungi collected from different regions of the São Paulo state, and analyze the production of β-xylosidase and arabinanase at different temperatures. These enzymes are important to cell wall degradation and synthesis of end products as xylose and arabinose, respectively, which are significant sugars to fermentation and ethanol production. A total of 12 fungal species were analyzed and 9 of them grew at 45 °C, suggesting a thermophilic or thermotolerant character. Additionally Aspergillus thermomutatus anamorph of Neosartorya and A. parasiticus grew at 50 °C. Aspergillus niger and Aspergillus thermomutatus were the filamentous fungi with the most expressive production of β-xylosidase and arabinanase, respectively. In general for most of the tested microorganisms, β-xylosidase and arabinanase activities from mycelial extract (intracellular form) were higher in cultures grown at high temperatures (35–40 °C), while the correspondent extracellular activities were favorably secreted from cultures at 30 °C. This study contributes to catalogue isolated fungi of the state of São Paulo, and these findings could be promising sources for thermophilic and thermotolerant microorganisms, which are industrially important due to their enzymes. PMID:25763055

  18. Research of general purpose computing technology based on graphic processing unit%基于图形处理器的通用计算技术的研究

    Institute of Scientific and Technical Information of China (English)

    戴长江; 张尤赛

    2013-01-01

    In order to research the general purpose computing technology of GPU based on PC, the classic GPU general pur-pose computing method base on texture mapping technology was adopted, and the experiments of discrete convolution of 2D images and volume rendering based on 3D texture mapping were carried out. The experiment result indicates that, on the basis of a suitable algorithm design, the classic GPU general purpose computing technology can significantly enhance the program run-ning performance. In this article, it is concluded that the CPU+GPU heterogeneous computing mode will become a choice for high-performance computation, and the further development of the general purpose computing technology based on GPU is prospected.%为了研究基于PC的图形处理器(GPU)的通用计算技术,采用了基于纹理映射的经典GPU通用计算方法,进行了二维图像离散卷积和三维纹理映射体绘制的实验.实验证明了经典GPU通用计算技术在合适的算法设计基础上能够显著提升程序的运算速度,得出了基于CPU+GPU的异构计算模式可以成为高性能计算的一种选择的结论,展望了基于图形处理器的通用计算技术在未来的发展.

  19. Waiting times before dental care under general anesthesia in children with special needs in the Children's Hospital of Casablanca

    OpenAIRE

    Badre, Bouchra; Serhier, Zineb; El Arabi, Samira

    2014-01-01

    Introduction Oral diseases may have an impact on quality of children's life. The presence of severe disability requires the use of care under general anesthesia (GA). However, because of the limited number of qualified health personnel, waiting time before intervention can be long. Aim: To evaluate the waiting time before dental care under general anesthesia for children with special needs in Morocco. Methods A retrospective cohort study was carried out in pediatric dentistry unit of the Univ...

  20. Analytical performance of 17 general chemistry analytes across countries and across manufacturers in the INPUtS project of EQA organizers in Italy, the Netherlands, Portugal, United Kingdom and Spain.

    Science.gov (United States)

    Weykamp, Cas; Secchiero, Sandra; Plebani, Mario; Thelen, Marc; Cobbaert, Christa; Thomas, Annette; Jassam, Nuthar; Barth, Julian H; Perich, Carmen; Ricós, Carmen; Faria, Ana Paula

    2017-02-01

    Optimum patient care in relation to laboratory medicine is achieved when results of laboratory tests are equivalent, irrespective of the analytical platform used or the country where the laboratory is located. Standardization and harmonization minimize differences and the success of efforts to achieve this can be monitored with international category 1 external quality assessment (EQA) programs. An EQA project with commutable samples, targeted with reference measurement procedures (RMPs) was organized by EQA institutes in Italy, the Netherlands, Portugal, UK, and Spain. Results of 17 general chemistry analytes were evaluated across countries and across manufacturers according to performance specifications derived from biological variation (BV). For K, uric acid, glucose, cholesterol and high-density density (HDL) cholesterol, the minimum performance specification was met in all countries and by all manufacturers. For Na, Cl, and Ca, the minimum performance specifications were met by none of the countries and manufacturers. For enzymes, the situation was complicated, as standardization of results of enzymes toward RMPs was still not achieved in 20% of the laboratories and questionable in the remaining 80%. The overall performance of the measurement of 17 general chemistry analytes in European medical laboratories met the minimum performance specifications. In this general picture, there were no significant differences per country and no significant differences per manufacturer. There were major differences between the analytes. There were six analytes for which the minimum quality specifications were not met and manufacturers should improve their performance for these analytes. Standardization of results of enzymes requires ongoing efforts.

  1. FLYING UNITED

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Apart from selling hundreds of airplanes to China, Boeing buys locally made aircraft parts and transfers technology, in the true spirit of partnership Whenever Boeing's senior manager hear of a visit by one of China's state leaders, it's no doubt cause for celebration. Since China and the United States established diplomatic ties in 1978, every official trip by China's top statesmen has included a meeting with Boeing that

  2. Topics on nonlinear generalized functions

    CERN Document Server

    Colombeau, J F

    2011-01-01

    The aim of this paper is to give the text of a recent introduction to nonlinear generalized functions exposed in my talk in the congress gf2011, which was asked by several participants. Three representative topics were presented: two recalls "Nonlinear generalized functions and their connections with distribution theory", "Examples of applications", and a recent development: "Locally convex topologies and compactness: a functional analysis of nonlinear generalized functions".

  3. The AIMS65 Score Is a Useful Predictor of Mortality in Patients with Nonvariceal Upper Gastrointestinal Bleeding: Urgent Endoscopy in Patients with High AIMS65 Scores.

    Science.gov (United States)

    Park, Sun Wook; Song, Young Wook; Tak, Dae Hyun; Ahn, Byung Moo; Kang, Sun Hyung; Moon, Hee Seok; Sung, Jae Kyu; Jeong, Hyun Yong

    2015-11-01

    To validate the AIMS65 score for predicting mortality of patients with nonvariceal upper gastrointestinal bleeding and to evaluate the effectiveness of urgent (Nonvariceal, upper gastrointestinal bleeding was assessed by using the AIM65 and Rockall scores. Scores for mortality were assessed by calculating the area under the receiver-operating characteristic curve (AUROC). Patients with high AIMS65 scores (≥2) were allocated to either the urgent or non-urgent endoscopic procedure group. In-hospital mortality, success of endoscopic procedure, recurrence of bleeding, admission period, and dose of transfusion were compared between groups. A total of 634 patients were analyzed. The AIMS65 score successfully predicted mortality (AUROC=0.943; 95% confidence interval [CI], 0.876 to 0.99) and was superior to the Rockall score (AUROC=0.856; 95% CI, 0.743 to 0.969) in predicting mortality. The group with high AIMS65 score included 200 patients. The urgent endoscopic procedure group had reduced hospitalization periods (pnonvariceal upper gastrointestinal bleeding. Urgent endoscopic procedures in patients with high scores may be related to reduced hospitalization periods.

  4. General Motors sidestream separator

    Energy Technology Data Exchange (ETDEWEB)

    Tessier, R.J.

    1981-01-01

    On February 15, 1980, the United States Environmental Protection Agency, acting pursuant to Paragraph 113(D) (4) of the Clean Air Act, issued to General Motors an innovative technology order covering fifteen coal-fired spreader-stoker boilers located at six General Motors plants in Ohio. The purpose and effect of this order was to permit General Motors time to develop a new, innovative technique for controlling particulate emissions from the specified boilers before compliance with the federally approved Ohio particulate control regulation was required. This new technology was christened, The Sidestream Separator, by General Motors. It provides a highly cost effective means of reducing particulate emissions below levels currently obtainable with conventionally used high efficiency mechanical collectors. These improvements could prove to be of substantial benefit to many industrial facilities with spreader-stoker coal-fired boilers that cannot be brought into compliance with applicble air pollution regulations except by application of far more expensive and unwieldly electrostatic precipitators (ESP's) or fabric filters (baghouses).

  5. Task difficulty and inertial properties of hand-held tools: An assessment of their concurrent effects on precision aiming.

    Science.gov (United States)

    Silva, Paula L; Bootsma, Reinoud J; Figueiredo, Priscilla Rezende Pereira; Avelar, Bruna Silva; de Andrade, André Gustavo Pereira; Fonseca, Sérgio T; Mancini, Marisa Cotta

    2016-08-01

    Aiming hand-held tools at targets in space entails adjustments in the dynamical organization of aiming patterns according to the required precision. We asked whether and how these adjustments are modified by the tool's mass distribution. Twelve participants performed reciprocal aiming movements with a 50-cm long wooden probe. Kinematic patterns of probe movements were used as a window into the behavioral dynamic underlying performance of a reciprocal aiming task. We crossed three levels of task difficulty (IDs 2.8, 4.5 and 6.1) with two types of probe varying in their mass distribution (proximal vs distal loading). Movement duration was affected by task difficulty and probe loading (shorter for larger targets and proximal probe loading). Progressive deviations from a sinusoidal movement pattern were observed as task difficulty increased. Such deviations were more pronounced with proximal probe loading. Results point to a higher degree of non-linearity in aiming dynamics when the probe was loaded proximally, which might reflect employment of additional perceptual-motor processes to control the position of its less stable tip at the vicinity of the targets. More generally, the effects of probe loading on aiming pattern and dynamics suggest that perceptual-motor processes responding to task level constraints are sensitive to, and not independent from, biomechanical, end-effector constraints.

  6. 31 CFR 596.313 - United States person.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person. 596.313 Section... General Definitions § 596.313 United States person. The term United States person means any United States... States, or any person in the United States....

  7. Analysis of risk factors and strategies for prevention of catheter- related infection in general intensive care unit%综合ICU导管相关性感染危险因素分析及预防对策

    Institute of Scientific and Technical Information of China (English)

    李素玲; 蒋仕银

    2012-01-01

    Objective: To study the risk factors of central venous catheter - related infection in general ICU and its strategies for prevention. Methods; To retrospectively analyze the results of bacterial culture of samples of 218 cases with central venous catheter indwelling admitted to the general ICU from 2009 to 2010. Result: Of the 21S samples cultured, 46 were positive and the general correlated infection rate wag 21.1 %, Out of the total bacteria, positive cocci accounted for 63.04% , fungus 28.3% and negative bacilli S. 7%. There were several significant factors concerning the infection related to central venous catheter; ages, the position of indwelling and the indwelling time of the catheter, application of parenteral nutrition and tracheotomy. Conclusion; The primary pathogen of central venous catheter - related infection in general ICU is staphylococcus, and the second one is fungus. Asepsis technique during the operation should be strictly handled. Special attention should be paid to the strict nursing care, the indwelling time of the central venous catheter should be shortened. In addition, rational use of antibiotics were significant in the prevention of the infection related to central venous catheter in general ICU.%[目的]:探讨并分析综合ICU患者中心静脉导管感染的危险因素及预防对策.[方法]:选择综合ICU 2009年7月~2010年6月中心静脉置管患者218例,对所有送检的中心静脉导管的培养结果进行回顾性分析.[结果]:218例样本中细菌培养阳性46例,感染率为21.10%,其中G+球菌占63.04%,真菌占28.26%,G一杆菌占8.70%.与中心静脉导管相关性感染有显著关系的因素有年龄、置管部位、导管留置时间、应用静脉高营养、气管切开应用呼吸机等(P<0.05).[结论]:引起综合ICU中心静脉导管感染的病原菌以葡萄球菌为首位,其次为真菌.严格的无菌操作、缩短置管时间和合理使用抗菌药物,对防止综合ICU患者中

  8. services in nigeria: perception of general practitioners

    African Journals Online (AJOL)

    Departments of *Radiology and **General Medical Practice. ... Aim: To determine General Practitioners' perceptions of factors influencing patient's access to ... Health insurance and subsidized services as well as training of personnel are ...

  9. Oral Health Care Reform in Finland – aiming to reduce inequity in care provision

    Directory of Open Access Journals (Sweden)

    Widström Eeva

    2008-01-01

    Full Text Available Abstract Background In Finland, dental services are provided by a public (PDS and a private sector. In the past, children, young adults and special needs groups were entitled to care and treatment from the public dental services (PDS. A major reform in 2001 – 2002 opened the PDS and extended subsidies for private dental services to all adults. It aimed to increase equity by improving adults' access to oral health care and reducing cost barriers. The aim of this study was to assess the impacts of the reform on the utilization of publicly funded and private dental services, numbers and distribution of personnel and costs in 2000 and in 2004, before and after the oral health care reform. An evaluation was made of how the health political goals of the reform: integrating oral health care into general health care, improving adults' access to care and lowering cost barriers had been fulfilled during the study period. Methods National registers were used as data sources for the study. Use of dental services, personnel resources and costs in 2000 (before the reform and in 2004 (after the reform were compared. Results In 2000, when access to publicly subsidised dental services was restricted to those born in 1956 or later, every third adult used the PDS or subsidised private services. By 2004, when subsidies had been extended to the whole adult population, this increased to almost every second adult. The PDS reported having seen 118 076 more adult patients in 2004 than in 2000. The private sector had the same number of patients but 542 656 of them had not previously been entitled to partial reimbursement of fees. The use of both public and subsidised private services increased most in big cities and urban municipalities where access to the PDS had been poor and the number of private practitioners was high. The PDS employed more dentists (6.5% and the number of private practitioners fell by 6.9%. The total dental care expenditure (PDS plus private

  10. What is interaction science? Revisiting the aims and scope of JoIS

    Directory of Open Access Journals (Sweden)

    Gisela Susanne Bahr

    2016-12-01

    Full Text Available Abstract Interaction Science has undergone rapid development since JoIS’ (the Journal of Interaction Science founding in 2013. The advent of novel techniques and tools required reviewing the understanding of Interaction Science and the scope and aims of JoIS. More particularly, the set of methods and frameworks needed to be revisited and checked against the characteristics of today’s ecological system and the resulting requirements for developing socio-technical systems. In this editorial, we tackle the interdisciplinary nature of Human-Computer-Interaction, the different thematic areas in Interaction Science, and diverse scientific research methods (and methodologies. We also examine the JoIS articles published so far, in order to provide a sound baseline for re-defining Interaction Science and update the mission of JoIS accordingly. The newly proposed definition of Interaction Science explicitly takes into account diversity and transdisciplinarity of interactional phenomena. We recognize the action space of Interaction Science being complex and ever-changing, and thus opt for wide generalization. Such way, the interaction is considered as the exchange of material or immaterial goods between acting parties (biological or technical entities embodied in a certain context. Regarding scientific methodology, one of the important proposals relevant to JoIS is to relax emphasize on the use of empirical investigation based on traditional laboratory experiment. Traditional laboratory empiricism (usually empowered by statistics and hypothesis testing is too restrictive to exclusively represent JoIS’ aims and scope, so we make way to complementary methods such as modeling, simulation, case studies, and design as science. By acknowledging studies of new methodologies, metrics and measurements, as well as work grounded in theories and applications, we ask for future contributors to stay committed to the TEAM (Theory advancement, Empirical advancement

  11. 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.

  12. [Aims and methodology of the Polish National programme for Standardisation of Clinical Practices in Neonatology and Paediatric Intensive Care. Edition 2007/2008].

    Science.gov (United States)

    Swietliński, Janusz; Zejda, Jan E; Piróg, Maciej; Dobrzańska, Anna; Helwich, Ewa; Ksiazyk, Janusz; Migdał, Marek; Szczapa, Jerzy; Brozek, Grzegorz; Musialik-Swietlińska, Ewa

    2008-01-01

    In this paper we outline the aims and methods of the Polish National Programme for Standardisation of Clinical Practice in Neonatology and Paediatric Intensive Care, with special reference to infants with low and extremely low birth weight. The aim of this Programme is to adjust the diagnostic and therapeutic procedures to the latest guide lines and recommendations. The first stage consisted of a national level survey in order to identify the diversity of procedures implemented in Medical University Clinical Departments, Neonatology Units and Paediatric Intensive Care Units. The survey also served to confront the legitimacy of the used procedures with the current clinical knowledge and research. It is planned to repeat the survey 24 months after the implementation of the latest recommendations with the aim to assess the impact of the Programme on clinical practice. Partial stages of the Programme were started since 2006. The survey is coordinated by an independent statistics unit. The recommendations are developed on published standards.

  13. 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.

  14. 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.

  15. 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. .

  16. Appeals in television advertising: A content analysis of commercials aimed at children and teenagers

    OpenAIRE

    Buijzen, M.A.; Valkenburg, P.M.

    2002-01-01

    A content analysis of 601 commercials was conducted in order to identify the appeals that characterize commercials aimed at children and teenagers. Our findings demonstrated that the use of appeals (a) showed strong age differences and (b) was highly gender-role stereotyped, particularly in commercials aimed at children. The most typical appeals in commercials aimed at male children were action-adventure, sports, and play, whereas commercials aimed at female children emphasized nurturing, phy...

  17. Persistent longitudinal variations in 8 years of CIPS/AIM polar mesospheric clouds

    Science.gov (United States)

    Liu, Xiao; Yue, Jia; Xu, Jiyao; Yuan, Wei; Russell, James M.; Hervig, M. E.; Nakamura, Takuji

    2016-07-01

    The Cloud Imaging and Particle Size (CIPS) instrument on the Aeronomy of Ice in the Mesosphere (AIM) satellite provides an opportunity to study the longitudinal variation in polar mesospheric cloud (PMC). We examined the longitudinal variation in PMC albedo using 8 years (2007-2014) of observations from the CIPS instrument. The results show that the PMC albedo in the Southern Hemisphere (SH), especially in the latitude band of 80°S-85°S, is persistently low ( 65% relative to the rest of the hemisphere) within 60°W to 150°W longitude. In the Northern Hemisphere (NH), however, PMC albedo is found to be relatively zonally asymmetry. Harmonic analyses show that the persistent longitudinal variation in the SH PMC albedo is due to zonal wave numbers 1 through 4 (WN1-WN4) processes with minima in the longitude range of 60°W-150°W. The influence of temperature and H2O on the longitudinal variation of the PMC albedo is discussed based on results obtained using a simple 0-D PMC model and temperature from the Microwave Limb Sounder (MLS) and the Sounding of the Atmosphere with Broadband Emission Radiometry (SABER) and H2O from MLS. The modeled region of low ice mass in the SH is generally consistent with that of low PMC albedo seen in CIPS. Tidal analyses using the SABER temperatures indicate that the nonmigrating semidiurnal tides with modes of S0, W1, and E1 might be the main drivers of the persistent longitudinal variations of PMC albedo in the SH. Nonmigrating tides are much weaker in the NH and consistent with the observed lack of longitudinal variability in PMC albedo.

  18. A Generalization of Generalized Fibonacci and Generalized Pell Numbers

    Science.gov (United States)

    Abd-Elhameed, W. M.; Zeyada, N. A.

    2017-01-01

    This paper is concerned with developing a new class of generalized numbers. The main advantage of this class is that it generalizes the two classes of generalized Fibonacci numbers and generalized Pell numbers. Some new identities involving these generalized numbers are obtained. In addition, the two well-known identities of Sury and Marques which…

  19. 78 FR 69885 - AIM Growth Series (Invesco Growth Series), et al.; Notice of Application

    Science.gov (United States)

    2013-11-21

    ... COMMISSION AIM Growth Series (Invesco Growth Series), et al.; Notice of Application November 15, 2013. AGENCY... approval and would grant relief from certain disclosure requirements. APPLICANTS: AIM Growth Series (Invesco Growth Series) and AIM Investment Funds (Invesco Investment Funds) (each, a ``Trust''), and...

  20. DMPD: Fifty years of interferon research: aiming at a moving target. [Dynamic Macrophage Pathway CSML Database

    Lifescience Database Archive (English)

    Full Text Available 16979566 Fifty years of interferon research: aiming at a moving target. Vilcek J. I...mmunity. 2006 Sep;25(3):343-8. (.png) (.svg) (.html) (.csml) Show Fifty years of interferon research: aiming... at a moving target. PubmedID 16979566 Title Fifty years of interferon research: aiming at a moving target.