WorldWideScience

Sample records for unit review kc

  1. KC-135 Operations Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The KC-135 Low-G Flight Research aircraft (a predecessor of the Boeing 707) is used to fly parabolas to create 20-25 seconds of weightlessness so that the astronauts...

  2. KC-135 Operations Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The KC-135 Low-G Flight Research aircraft (a predecessor of the Boeing 707) is used to fly parabolas to create 20-25 seconds of weightlessness so that the astronauts...

  3. KC-46A Formal Training Unit (FTU) and First Main Operating Base (MOB 1) Beddown EIS. Volume 1

    Science.gov (United States)

    2014-03-01

    support a1rcraft operations and pHot and personnel training • ht UMI O~f’t EIS, the USAF ldet~titJ.s AltUS AF8 as the PTI~ fened A#etnAtfv• for liH! FTV...Frequency, commonly perceived as pitch, is the number of times per second the sound causes air molecules to oscillate . Frequency is measured in units of

  4. KC56 METAR

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — METAR is a routine scheduled observation and is the primary observation code used in the United States to satisfy requirements for reporting surface meteorological...

  5. KC04 METAR

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — METAR is a routine scheduled observation and is the primary observation code used in the United States to satisfy requirements for reporting surface meteorological...

  6. KC-46A Tanker Modernization (KC-46A)

    Science.gov (United States)

    2015-12-01

    reported in December 2014. The CE changes for Milestone C (MS C), Initial Operational Test & Evaluation ( IOT &E), and the FRP Decision milestones...ongoing. The Aircrew Training System (ATS) team continues device engineering and manufacturing development. The ATS Program Office and FlightSafety...and IOT &E for readiness. The Air Force Operational Test and Evaluation Center assessment of the KC-46A confirmed that the program was on track to meet

  7. United Kingdom: Health System Review.

    Science.gov (United States)

    Cylus, Jonathan; Richardson, Erica; Findley, Lisa; Longley, Marcus; O'Neill, Ciaran; Steel, David

    2015-01-01

    This analysis of the United Kingdom health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. It provides an overview of how the national health services operate in the four nations that make up the United Kingdom, as responsibility for organizing health financing and services was devolved from 1997. With devolution, the health systems in the United Kingdom have diverged in the details of how services are organized and paid for, but all have maintained national health services which provide universal access to a comprehensive package of services that are mostly free at the point of use. These health services are predominantly financed from general taxation and 83.5% of total health expenditure in the United Kingdom came from public sources in 2013. Life expectancy has increased steadily across the United Kingdom, but health inequalities have proved stubbornly resistant to improvement, and the gap between the most deprived and the most privileged continues to widen, rather than close. The United Kingdom faces challenges going forward, including how to cope with the needs of an ageing population, how to manage populations with poor health behaviours and associated chronic conditions, how to meet patient expectations of access to the latest available medicines and technologies, and how to adapt a system that has limited resources to expand its workforce and infrastructural capacity so it can rise to these challenges.

  8. Environmental performance reviews: United States

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-01-15

    This book presents OECD assessments and recommendations regarding the United States' effort to manage its environment including air, water nature, and biodiversity to do this in a sustainable manner; and to do this in co-operation with its global neighbours. In particular, it assesses progress made since 1996, when OECD's previous review on the US was done. 40 figs., 21 tabs.

  9. RA Construction KC, LLC Information Sheet

    Science.gov (United States)

    RA Construction KC, LLC (the Company) is located in Gladstone, Missouri. The settlement involves renovation activities conducted at a property constructed prior to 1978, located in Kansas City, Missouri.

  10. OECD environmental performance reviews: United States

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-01-15

    This book presents OECD assessments and recommendations regarding the United States' efforts to manage its environment including air, water, nature, and biodiversity; to do this in a sustainable manner; and to do this in co-operation with its global neighbours. In particular, it assesses progress made since 1996, when OECD's previous review on the US was done. 47 figs., 20 tabs.

  11. Air Force Air Refueling: The KC-X Aircraft Acquisition Program

    Science.gov (United States)

    2008-08-04

    in demand when airlift assets are stretched most thin during the early deployment phase of a conflict.”65 This may be considered significant to some...for proposals (RFP) in early 2007.73 The Boeing Company responded to the RFP with the KC-767, a variant of the commercial 767-200, while Northrop...Industries United States outer rear spar, main landing gearsupport, ribs (for BAE) Ciba-Geigy Corp. Federal Republic of Germany HTA /6376 prepreg on

  12. PI3K-C2α: One enzyme for two products coupling vesicle trafficking and signal transduction.

    Science.gov (United States)

    Campa, Carlo C; Franco, Irene; Hirsch, Emilio

    2015-06-22

    The spatial restriction of phosphorylated phosphoinositides generated downstream activated membrane receptors is critical for proper cell response to environmental cues. The α isoform of class II PI3Ks, PI3K-C2α, has emerged as a modulator of receptor localization, acting both in the control of receptor endocytosis and resensitization. This unexpectedly versatile enzyme was found to differentially produce two distinct 3-phosphorylated phosphoinositides and to selectively control distinct steps of vesicular traffic such as endocytosis and recycling. This review focuses on the latest discoveries regarding PI3K-C2α function in vesicle trafficking and its impact on cell biology and mammalian embryonic development.

  13. Overcoming KC-10 Formal Training Unit Pilot Production Challenges

    Science.gov (United States)

    2013-06-14

    particular individual, program or event for a defined period of time ( Leedy & Ormrod , 2010). Researchers will sometimes focus on a single case so that...studies, particularly when only a single case is involved, is that the findings may not be generalizable to other situations ( Leedy & Ormrod , 2010...from a single case study. For example, Leedy & Ormrod clearly present their concern over generalizations in regards to a single case. However, Yin

  14. Astronaut Harrison Schmitt participates in simulation aboard KC-135

    Science.gov (United States)

    1972-01-01

    Scientist-Astronaut Harrison H. Schmitt, lunar module pilot of the Apollo 17 lunar landing mission, simulates preparing to deploy the Surface Electrical Properties Experiment during lunar surface extravehicular activity (EVA) simulation training under one-sixth gravity conditions aboard a U.S. Air Force KC-135 aircraft.

  15. Review of Labour Statistics for the United Nations Statistical Commission

    OpenAIRE

    Catherine Barham

    2008-01-01

    Describes the Review, whose recommendations will be taken forward by UN Statistical Division and the International Labour OrganisationEarly in 2007, the Office for National Statistics was asked by United Nations Statistics Division (UNSD) to carry out a Review of Labour Statistics on behalf of the UK. The Review was carried out during 2007 and was presented at the annual UN Statistics Commission session in February 2008 in New York. The Review was very well received and recommendations in the...

  16. File list: ALL.CeL.05.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available ALL.CeL.05.AllAg.Kc167 dm3 All antigens Cell line Kc167 SRX331419,SRX331420,SRX3187...,SRX1056719,SRX1299928,SRX335496,SRX495787,SRX495296,SRX1299929 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/ALL.CeL.05.AllAg.Kc167.bed ...

  17. File list: Pol.CeL.05.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Pol.CeL.05.AllAg.Kc167 dm3 RNA polymerase Cell line Kc167 SRX331419,SRX331420,SRX31...8797,SRX318796,SRX749070,SRX749073,SRX749071,SRX331416,SRX331415,SRX749072 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/Pol.CeL.05.AllAg.Kc167.bed ...

  18. File list: Pol.CeL.50.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Pol.CeL.50.AllAg.Kc167 dm3 RNA polymerase Cell line Kc167 SRX331416,SRX331415,SRX33...1420,SRX318796,SRX331419,SRX318797,SRX749070,SRX749072,SRX749071,SRX749073 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/Pol.CeL.50.AllAg.Kc167.bed ...

  19. File list: His.CeL.20.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available His.CeL.20.AllAg.Kc167 dm3 Histone Cell line Kc167 SRX128169,SRX128170,SRX749047,SR...944,SRX749053,SRX1299939,SRX1299938,SRX143462,SRX1299940,SRX143463 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/His.CeL.20.AllAg.Kc167.bed ...

  20. File list: ALL.CeL.20.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available ALL.CeL.20.AllAg.Kc167 dm3 All antigens Cell line Kc167 SRX100248,SRX085402,SRX0854...RX1299924,SRX1299923,SRX193632,SRX1299926,SRX1299929,SRX1299925 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/ALL.CeL.20.AllAg.Kc167.bed ...

  1. File list: Pol.CeL.20.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Pol.CeL.20.AllAg.Kc167 dm3 RNA polymerase Cell line Kc167 SRX331416,SRX331415,SRX33...1420,SRX318796,SRX331419,SRX318797,SRX749070,SRX749072,SRX749071,SRX749073 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/Pol.CeL.20.AllAg.Kc167.bed ...

  2. File list: His.CeL.10.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available His.CeL.10.AllAg.Kc167 dm3 Histone Cell line Kc167 SRX128169,SRX128170,SRX749047,SR...941,SRX1299937,SRX749054,SRX1299939,SRX143462,SRX1299940,SRX143463 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/His.CeL.10.AllAg.Kc167.bed ...

  3. File list: ALL.CeL.10.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available ALL.CeL.10.AllAg.Kc167 dm3 All antigens Cell line Kc167 SRX331419,SRX318797,SRX1002...,SRX495785,SRX495297,ERX402109,SRX1056719,SRX1299929,SRX1299925 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/ALL.CeL.10.AllAg.Kc167.bed ...

  4. File list: His.CeL.50.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available His.CeL.50.AllAg.Kc167 dm3 Histone Cell line Kc167 SRX128169,SRX128170,SRX749052,SR...048,SRX749047,SRX749049,SRX1299938,SRX1299939,SRX1299940,SRX143463 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/His.CeL.50.AllAg.Kc167.bed ...

  5. File list: Pol.CeL.10.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Pol.CeL.10.AllAg.Kc167 dm3 RNA polymerase Cell line Kc167 SRX331419,SRX318797,SRX31...8796,SRX749070,SRX749071,SRX331416,SRX331415,SRX331420,SRX749072,SRX749073 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/Pol.CeL.10.AllAg.Kc167.bed ...

  6. File list: His.CeL.05.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available His.CeL.05.AllAg.Kc167 dm3 Histone Cell line Kc167 SRX128169,SRX128170,SRX749049,SR...9054,SRX1299941,SRX143462,SRX749050,SRX749052,SRX1299940,SRX143463 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/His.CeL.05.AllAg.Kc167.bed ...

  7. File list: ALL.CeL.50.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available ALL.CeL.50.AllAg.Kc167 dm3 All antigens Cell line Kc167 SRX100248,SRX749036,SRX1281...295,SRX495297,SRX495296,SRX495785,SRX495791,SRX335521,SRX111813 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/ALL.CeL.50.AllAg.Kc167.bed ...

  8. Next Generation Tanker: Optimizing Air Refueling Capabilities in 2030 with a Divested KC-10 Fleet

    Science.gov (United States)

    2015-06-19

    NEXT GENERATION TANKER: OPTIMIZING AIR REFUELING CAPABILITIES IN 2030 WITH A DIVESTED KC-10 FLEET...OPTIMIZING AIR REFUELING CAPABILITIES IN 2030 WITH A DIVESTED KC-10 FLEET GRADUATE RESEARCH PAPER Presented to the Faculty Department...CAPABILITIES IN 2030 WITH A DIVESTED KC-10 FLEET Christopher R. MacDonald, BS, MBA Major, USAF Committee Membership: Dr. Darryl

  9. A flexible humidity sensor based on KC-MWCNTs composites

    Science.gov (United States)

    Peng, Xiaoyan; Chu, Jin; Aldalbahi, Ali; Rivera, Manuel; Wang, Lidan; Duan, Shukai; Feng, Peter

    2016-11-01

    Multi-walled carbon nanotubes (MWCNTs) and single-walled carbon nanotubes (SWCNTs) were dispersed in the biopolymer kappa-carrageenan (KC) to form a flexible composite via evaporative casting method. The glycerin was used as plasticizer to increase the flexibility of the composite. The KC-CNTs was examined by using FESEM and Raman, and then the humidity sensing properties of the samples were characterized under alternating current (AC). The purpose for using AC power supply is to avoid the possible polarization effect during measurements of the humidity properties. The experimental data exhibit that the fabricated sensors have high response to relative humidity (RH) with good repeatability, stability, and low hysteresis. A phenomenon that the impedance of the sensor decreases with ascending RH was also found and the basic sensing mechanisms were discussed.

  10. United Kingdom (Wales): Health system review.

    Science.gov (United States)

    Longley, Marcus; Riley, Neil; Davies, Paul; Hernandez-Quevedo, Cristina

    2012-01-01

    Wales is situated to the west of England, with a population of approximately 3 million (5% of the total for the United Kingdom), and a land mass of just over 20 000 km2. For several decades, Wales had a health system largely administered through the United Kingdom Governments Welsh Office, but responsibility for most aspects of health policy was devolved to Wales in a process beginning in 1999. Since then, differences between the policy approach and framework in England and Wales have widened. The internal market introduced in the United Kingdom National Health Service (NHS) has been abandoned in Wales, and seven local health boards (LHBs; supported by three specialist NHS trusts) now plan and provide all health services for their resident populations. Wales currently has more than 120 hospitals as part of an overall estate valued at 2.3 billion pounds. Total spending on health services increased in the first decade of the 21st century, but Wales now faces a period of financial retrenchment greater than in other parts of the United Kingdom as a result of the Welsh Governments decision not to afford the same degree of protection to health spending as that granted elsewhere. The health system in Wales continues to face some structural weaknesses that have proved resistant to reform for some time. However, there has been substantial improvement in service quality and outcomes since the end of the 1990s, in large part facilitated by substantial real growth in health spending. Life expectancy has continued to increase, but health inequalities have proved stubbornly resistant to improvement.

  11. United Kingdom (Northern Ireland): Health system review.

    Science.gov (United States)

    O'Neill, Ciaran; McGregor, Pat; Merkur, Sherry

    2012-01-01

    The political context within which Northern Irelands integrated health and social care system operates has changed since the establishment of a devolved administration (the Northern Ireland Assembly, set up in 1998 but suspended between 2002 and 2007). A locally elected Health Minister now leads the publicly financed system and has considerable power to set policy and, in principle, to determine the operation of other health and social care bodies. The system underwent major reform following the passing of the Health and Social Care (Reform) Act (Northern Ireland) in 2009. The reform maintained the quasi purchaser provider split already in place but reduced the number and increased the size of many of the bodies involved in purchasing (known locally as commissioning) and delivering services. Government policy has generally placed greater emphasis on consultation and cooperation among health and social care bodies (including the department, commissioners and care providers) than on competition. The small size of the population (1.8 million) and Northern Irelands geographical isolation from the rest of the United Kingdom provide a rationale for eschewing a more competitive model. Without competition, effective control over the system requires information and transparency to ensure provider challenge, and a body outside the system to hold it to account. The restoration of the locally elected Assembly in 2007 has created such a body, but it remains to be seen how effectively it will exercise accountability.

  12. File list: Unc.CeL.20.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Unc.CeL.20.AllAg.Kc167 dm3 Unclassified Cell line Kc167 SRX456152,SRX456159,SRX7490...6153,SRX193629,SRX193628,SRX193631,SRX193627,SRX111813,SRX193633,SRX193626,SRX193632 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/Unc.CeL.20.AllAg.Kc167.bed ...

  13. File list: Unc.CeL.50.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Unc.CeL.50.AllAg.Kc167 dm3 Unclassified Cell line Kc167 SRX456152,SRX456159,SRX7490...3628,SRX456154,SRX193633,SRX193626,SRX193629,SRX193632,SRX193631,SRX193627,SRX111813 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/Unc.CeL.50.AllAg.Kc167.bed ...

  14. File list: Unc.CeL.05.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Unc.CeL.05.AllAg.Kc167 dm3 Unclassified Cell line Kc167 SRX456152,SRX456159,SRX4561...3633,SRX456155,SRX456158,SRX456153,SRX456157,SRX193630,SRX193626,SRX456150,SRX111813 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/Unc.CeL.05.AllAg.Kc167.bed ...

  15. File list: Unc.CeL.10.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available Unc.CeL.10.AllAg.Kc167 dm3 Unclassified Cell line Kc167 SRX456152,SRX456159,SRX7490...3629,SRX456150,SRX193631,SRX193627,SRX193626,SRX193630,SRX193632,SRX193633,SRX111813 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/Unc.CeL.10.AllAg.Kc167.bed ...

  16. A review of United Nations tests for explosivity

    NARCIS (Netherlands)

    Brown, A.K.; Mak, W.A.; Whitmore, M.W.

    2000-01-01

    In attempting to develop a closed pressure vessel test for assessing explosivity, arising from propagation of detonation, deflagration or thermal explosion, some difficulties were encountered in relation to United Nations test methods. This led to a review of these methods and comparisons of their p

  17. Pharmacist-led medication review in an acute admissions unit

    DEFF Research Database (Denmark)

    Hansen, Trine Graabæk; Bonnerup, Dorthe Krogsgaard; Kjeldsen, Lene Juel

    2015-01-01

    Objectives Over the last decades, several papers have evaluated clinical pharmacy interventions in hospital settings with conflicting findings as results. Medication reviews are frequently a central component of these interventions. However, the term ‘medication review’ covers a plethora.......Methods A procedure was developed based on clinical experience and inspiration from previous studies and literature on medication review models. The procedure was developed to fit the busy workflow in acute admissions units.Results The procedure consists of five steps: (1) collection of clinical patient data, (2...... of principles and methodologies, and the practical procedure is seldom described in detail, which makes reproducing study findings difficult. The objective of this paper is to provide a detailed description of a procedure developed and used for pharmacist-led medication review in acute admissions units...

  18. Single unit CAD/CAM restorations: a literature review.

    Science.gov (United States)

    Freedman, Michael; Quinn, Frank; O'Sullivan, Michael

    2007-01-01

    Computer-aided design/computer-aided manufacture (CAD/CAM) has been used in dentistry since 1987. Since then, many CAD/CAM systems have been described, which enable the production of chair-side single unit dental restorations. These restorations are of comparable quality to those made by conventional techniques and have some specific advantages, including rapid production, improved wear properties, decreased laboratory fee and improved cross infection control. This literature review investigates the evidence base for the use of single unit CAD/CAM restorations. Materials, marginal gap, aesthetics, post-operative sensitivity, cementation, cost-effectiveness and longevity are discussed.

  19. Pediatric Observation Units in the US: A Systematic Review

    Science.gov (United States)

    Macy, Michelle L.; Kim, Christopher S.; Sasson, Comilla; Lozon, Marie M.; Davis, Matthew M.

    2009-01-01

    Background As the United States' (US) health system seeks more efficient and value-based care models, geographically distinct observation units (OUs) may become an integral part of hospital-based care for children. Purpose To systematically review the literature and evaluate the structure and function of pediatric OUs in the US. Data Sources Searches were conducted in Medline, Web of Science, CINAHL, HCAB, Lexis Nexis, National Guideline Clearinghouse and Cochrane Reviews through February 2009, with review of select bibliographies. Study Selection English language peer-reviewed publications on pediatric OU care in the US. Data Extraction Two authors independently determined study eligibility. Studies were graded using a 5-level quality assessment tool. Data were extracted using a standardized form. Data Synthesis 21 studies met inclusion criteria: 2 randomized trials, 2 prospective observational, 12 retrospective cohort, 2 before and after, and 3 descriptive studies. Studies present data on more than 22,000 children cared for in OUs, most at large academic centers. This systematic review provides a descriptive overview of the structure and function of pediatric OUs in the US. Despite seemingly straightforward outcomes for OU care, significant heterogeneity in the reporting of length of stay, admission rates, return visit rates, and costs precluded our ability to conduct meta-analyses. We propose standard outcome measures and future directions for pediatric OU research. Conclusions Future research using consistent outcome measures will be critical to determining whether OUs can improve the quality and cost of providing care to children requiring observation-length stays. PMID:20235288

  20. Group 12 ASCANs Davis and Jemison during zero gravity training aboard KC-135

    Science.gov (United States)

    1987-01-01

    Group 12, 1987 Astronaut Class, candidates (ASCANs) N. Jan Davis (left) and Mae C. Jemison freefloat during the seconds of microgravity created aboard the KC-135 NASA 930 aircraft's parabolic flight. Davis and Jemison two of the recently-named ASCANs take a familiarization flight aboard the KC-135 'zero gravity' aircraft.

  1. Motor unit changes in normal aging: a brief review.

    Science.gov (United States)

    Tudoraşcu, Iulia; Sfredel, Veronica; Riza, Anca Lelia; Dănciulescu Miulescu, Rucsandra; Ianoşi, Simona Laura; Dănoiu, Suzana

    2014-01-01

    Aging is explored by multiple lines of research, in a pursuit of understanding this natural process. The motor response is usually the main dependent variable in studies regarding physical or cognitive decline in aging. It is therefore critical to understand how the motor function changes with age. The present review, aims at presenting briefly some of the most recently published works in the field, focusing on the three key components of the motor unit. The changes that the skeletal muscle undergoes aging sarcopenia, alteration of fiber type distribution and also intimate metabolic transformations. The neuromuscular junction suffers at cellular and molecular level, with possible implications of various cell components, mediators and oxidative stress. Motoneuron loss and change in their physiological properties accompany remodeling in the motor units. The applicability of knowledge in this field lies in possible interventions intended to counteract these age-related losses.

  2. File list: InP.CeL.05.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available InP.CeL.05.AllAg.Kc167 dm3 Input control Cell line Kc167 SRX749056,SRX365698,SRX511...SRX1056719,SRX495296 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/InP.CeL.05.AllAg.Kc167.bed ...

  3. File list: NoD.CeL.50.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available NoD.CeL.50.AllAg.Kc167 dm3 No description Cell line Kc167 ERX402141,ERX402101,ERX40...RX402123,ERX402115,ERX402104,ERX402109 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/NoD.CeL.50.AllAg.Kc167.bed ...

  4. File list: NoD.CeL.10.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available NoD.CeL.10.AllAg.Kc167 dm3 No description Cell line Kc167 ERX402111,ERX402119,ERX40...RX402127,ERX402115,ERX402103,ERX402109 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/NoD.CeL.10.AllAg.Kc167.bed ...

  5. File list: InP.CeL.50.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available InP.CeL.50.AllAg.Kc167 dm3 Input control Cell line Kc167 SRX017470,SRX1021226,SRX74...,SRX495791,SRX335521 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/InP.CeL.50.AllAg.Kc167.bed ...

  6. File list: InP.CeL.20.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available InP.CeL.20.AllAg.Kc167 dm3 Input control Cell line Kc167 SRX203001,SRX085410,SRX318...,SRX335521,SRX495296 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/InP.CeL.20.AllAg.Kc167.bed ...

  7. File list: InP.CeL.10.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available InP.CeL.10.AllAg.Kc167 dm3 Input control Cell line Kc167 SRX749056,SRX511348,SRX365...SRX495297,SRX1056719 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/InP.CeL.10.AllAg.Kc167.bed ...

  8. File list: NoD.CeL.20.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available NoD.CeL.20.AllAg.Kc167 dm3 No description Cell line Kc167 ERX402126,ERX402141,ERX40...RX402115,ERX402103,ERX402127,ERX402109 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/NoD.CeL.20.AllAg.Kc167.bed ...

  9. File list: NoD.CeL.05.AllAg.Kc167 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available NoD.CeL.05.AllAg.Kc167 dm3 No description Cell line Kc167 ERX402105,ERX402111,ERX40...RX402116,ERX402115,ERX402127,ERX402109 http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/assembled/NoD.CeL.05.AllAg.Kc167.bed ...

  10. Occupational Therapy in the Intensive Care Unit: A Systematic Review.

    Science.gov (United States)

    Weinreich, Mark; Herman, Jennifer; Dickason, Stephanie; Mayo, Helen

    2017-07-01

    This paper is a synthesis of the available literature on occupational therapy interventions performed in the adult intensive care unit (ICU). The databases of Ovid MEDLINE, Embase, the Cochrane Library, ClinicalTrials.gov and CINAHL databases were systematically searched from inception through August 2016 for studies of adults who received occupational therapy interventions in the ICU. Of 1,938 citations reviewed, 10 studies met inclusion criteria. Only one study explicitly discussed occupational therapy interventions performed and only one study specifically tested the efficacy of occupational therapy. Future research is needed to clarify the specific interventions and role of occupational therapy in the ICU and the efficacy of these interventions.

  11. Energy policies of IEA countries: the United Kingdom 2006 review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    The United Kingdom is facing a critical moment in its energy policy: North Sea oil and gas production is declining, dependence on imported energy is increasing, while rising energy prices and climate change considerations pose further challenges. The second thematic review of the UK addresses these challenges, focusing on energy investment, energy efficiency, and the return of nuclear power to the political agenda. Almost all coal-fired and nuclear power capacity in the United Kingdom will be retired within the next 15 years. The review encourages the government to maintain its trust in the market mechanism for the delivery of required investment and security of supply. However, it also identifies the need for the government to play a more active role in setting the framework. On the demand side, the IEA considers the government's 'Energy Efficiency Commitment' (EEC) an impressive success. The EEC was introduced in 2002 and is an energy-saving programme under which suppliers must achieve efficiency targets in households. Challenges, such as the requirement that 50 per cent of savings come from low-income households, remain, and the review invites the government to investigate ways in which fuel poverty could be reduced without distorting the EEC. The review also assesses the government's shifting direction on nuclear energy and backs this new path. It argues that the development of a positive investment framework in planning and licensing - without direct intervention in investment decisions favouring nuclear - will allow investors to judge the viability of new plants. 3 apps.

  12. Noise pollution in intensive care units: a systematic review article

    Directory of Open Access Journals (Sweden)

    Gholamreza Khademi

    2015-01-01

    Full Text Available Introduction: Noise pollution in hospital wards can arise from a wide range of sources including medical devices, air-conditioning systems and conversations among the staffs. Noise in intensive care units (ICUs can disrupt patients’ sleep pattern and may have a negative impact on cognitive performance. Material and methods: In this review article, we searched through PubMed and Google Scholar, using [noise and (ICU or “intensive care unit”] as keyword to find studies related to noise pollution in ICUs. In total, 250 studies were found among which 35 articles were included. Results: The majority of the reviewed studies showed that noise pollution levels were higher in ICUs than the level recommend by The United States Environmental Protection Agency and World Health Organization. Noise pollution was mostly caused by human activity and operating equipments in ICUs and other hospital wards.  Conclusion: As the results indicated, identifying, monitoring and controlling noise sources, as well as educating the hospital staffs about the negative effects of noise on patients’ health, can be highly effective in reducing noise pollution.

  13. Energy policies of IEA countries: United States - 2007 review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-02-15

    The United States is the largest economy and energy user in the world. Significant developments have taken place in its energy policy since the last IEA review in 2002. Most important is the Energy Policy Act 2005 - a comprehensive energy legislation which has set new directions, including opening the way for a nuclear renaissance. Two closely connected challenges shape all debates on the nation's energy policy path: how to increase security by reducing the dependence on imported supplies; and how to address growing emissions of greenhouse gases. The United States national strategy is to find solutions largely through technology. It is a world leader in R&D and is driving development of carbon capture and storage and second-generation biofuels. But thus far, no federal government policy is in place to establish as a target an absolute reduction of CO2 emissions. The resulting uncertainty risks holding back investments into new technologies and may delay projects that are urgently required. The transport sector will be a key to a sustainable success. In the short to medium term, reduced fuel demand through higher vehicle efficiency will increase security and reduce CO2 emissions. Yet the policy for the revision of CAFE (the corporate average fuel economy) standards will leave consumers with vehicles that fall short of the technological possibilities. This review takes an in-depth look at these issues and provides recommendations on how the United States can do more to answer the challenges of both improving its security of energy supply and lowering its emissions intensity, demonstrating the significant improvements that can already be realised through existing technologies.

  14. Quarrelsome Committees in U.S. Defense Acquisition: The KC-X Case

    Science.gov (United States)

    2014-04-30

    aerial refueling (KC-45s) in Alabama. In early 2008, the offer was sweetened with announced plans to open an A330 freighter assembly facility in...construct a plausible rationale for Boeing’s final offer, using BCA methodology. The alternatives in February 2011 were to reduce its original bid or...Service. (2013a). KC-46A training, operational bases, alternatives selected. Retrieved from http://www.af.mil/news/story.asp?id=123349597

  15. 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.

  16. Operations research in intensive care unit management: a literature review.

    Science.gov (United States)

    Bai, Jie; Fügener, Andreas; Schoenfelder, Jan; Brunner, Jens O

    2016-08-12

    The intensive care unit (ICU) is a crucial and expensive resource largely affected by uncertainty and variability. Insufficient ICU capacity causes many negative effects not only in the ICU itself, but also in other connected departments along the patient care path. Operations research/management science (OR/MS) plays an important role in identifying ways to manage ICU capacities efficiently and in ensuring desired levels of service quality. As a consequence, numerous papers on the topic exist. The goal of this paper is to provide the first structured literature review on how OR/MS may support ICU management. We start our review by illustrating the important role the ICU plays in the hospital patient flow. Then we focus on the ICU management problem (single department management problem) and classify the literature from multiple angles, including decision horizons, problem settings, and modeling and solution techniques. Based on the classification logic, research gaps and opportunities are highlighted, e.g., combining bed capacity planning and personnel scheduling, modeling uncertainty with non-homogenous distribution functions, and exploring more efficient solution approaches.

  17. Emotional consequences of intensive care unit delirium and delusional memories after intensive care unit admission : A systematic review

    NARCIS (Netherlands)

    Nouwen, Marinus J.; Klijn, Francina A. M.; van den Broek, Brigitte T. A.; Slooter, Arjen J. C.

    2012-01-01

    Purpose: The aim of this study was to review literature exploring the emotional consequences of delirium and delusional memories in intensive care unit patients. Methods: A systematic review was performed using PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsychINFO.

  18. Dimerization of 30Kc19 protein in the presence of amphiphilic moiety and importance of Cys-57 during cell penetration.

    Science.gov (United States)

    Park, Hee Ho; Sohn, Youngsoo; Yeo, Ji Woo; Park, Ju Hyun; Lee, Hong Jai; Ryu, Jina; Rhee, Won Jong; Park, Tai Hyun

    2014-12-01

    Recently, the recombinant 30Kc19 protein, originating from silkworm hemolymph of Bombyx mori has attracted attention due to its cell-penetrating property and potential application as a protein delivery system. However, this observation of penetration across cell membrane has raised questions concerning the interaction of the protein-lipid bilayer. Here, we report a dimerization propensity of the 30Kc19 protein in the presence of amphiphilic moieties; sodium dodecyl sulfate (SDS) or phospholipid. Native PAGE showed that the 30Kc19 monomer formed a dimer when SDS or phospholipid was present. In the glutathione-S-transferase (GST) pull-down assay, supplementation of the 30Kc19 protein to mammalian cell culture medium showed dimerization and penetration; due to phospholipids at the cell membrane, the main components of the lipid bilayer. Mutagenesis was performed, and penetration was observed by 30Kc19 C76A and not 30Kc19 C57A, which meant that the presence of cysteine at position 57 (Cys-57) is involved in dimerization of the 30Kc19 at the cell membrane during penetration. We anticipate application of the native 30Kc19 protein with high cell-penetrating efficiency for delivery of cargos to various cell types. The intracellular cargo delivery using the 30Kc19 protein is a non-virus derived (e.g. TAT) delivery method, which can open up new approaches for the delivery of therapeutics in bioindustries, such as pharma- and cosmeceuticals.

  19. Fas-deficient mice have impaired alveolar neutrophil recruitment and decreased expression of anti-KC autoantibody:KC complexes in a model of acute lung injury

    Directory of Open Access Journals (Sweden)

    Gil Sucheol

    2012-10-01

    Full Text Available Abstract Background Exposure to mechanical ventilation enhances lung injury in response to various stimuli, such as bacterial endotoxin (LPS. The Fas/FasL system is a receptor ligand system that has dual pro-apoptotic and pro-inflammatory functions and has been implicated in the pathogenesis of lung injury. In this study we test the hypothesis that a functioning Fas/FasL system is required for the development of lung injury in mechanically ventilated mice. Methods C57BL/6 (B6 and Fas-deficient lpr mice were exposed to either intra-tracheal PBS followed by spontaneous breathing or intra-tracheal LPS followed by four hours mechanical ventilation with tidal volumes of 10 mL/kg, respiratory rate of 150 breaths per minute, inspired oxygen 0.21 and positive end expiratory pressure (PEEP of 3 cm of water. Results Compared with the B6 mice, the lpr mice showed attenuation of the neutrophilic response as measured by decreased numbers of BAL neutrophils and lung myeloperoxidase activity. Interestingly, the B6 and lpr mice had similar concentrations of pro-inflammatory cytokines, including CXCL1 (KC, and similar measurements of permeability and apoptosis. However, the B6 mice showed greater deposition of anti-KC:KC immune complexes in the lungs, as compared with the lpr mice. Conclusions We conclude that a functioning Fas/FasL system is required for full neutrophilic response to LPS in mechanically ventilated mice.

  20. KC-46 Tanker Aircraft: Key Aerial Refueling Capabilities Should Be Demonstrated Prior to the Production Decision

    Science.gov (United States)

    2015-04-01

    acquisition program baseline and are mandatory for the KC-46. The key system attributes are also important performance attributes, but are not as...Order by Phone Connect with GAO To Report Fraud, Waste, and Abuse in Federal Programs Congressional Relations Public Affairs Please Print on Recycled Paper.

  1. Pragmatic Divestment of KC-135 Navigators in the Special Operations Air Refueling Mission

    Science.gov (United States)

    2015-03-26

    not only remain as the KC-46 arrives, but inbound navigators will continue arriving until 2018. This thesis applies the Delphi method, a process...officers, and enable the complex SOAR mission to endure. In order to best achieve these results, the experts recommended halting all inbound navigator...Training Life Cycle Costs ...............................................10 Status of Resources and Training System (SORTS

  2. Development of the 501-KC7 gas turbine and the RFA-24 centrifugal pipeline compressor

    Energy Technology Data Exchange (ETDEWEB)

    Kapp, C. [Rolls-Royce, Mount Vernon, OH (United States)

    2002-07-01

    In 1997, Rolls-Royce was faced with the challenge of boosting the Allison 501 KC 5,500 HP gas turbine product for pipeline compression to 7,000 HP. The increase would provide high efficiency, improved reliability and better emissions performance in a cost effective manner. An extension of the 501 KC5 gas turbine was developed using the 501-KB7 boost module and the third and fourth turbine stages. This paper describes the bearing and shaft arrangements and other components of the whole 501 K gas turbine family. The ultimate effect was to provide a gas turbine with increased power of 35 per cent and improved fuel burn by approximately 7 per cent. The 501-KC7 gas generator consists of the following 6 components: (1) compressor, (2) combustion section, (3) gas generator turbine, (4) accessory drive assembly, (5) starter drive gearbox, and (6) an electronic control system. Each of the components is modular. It was concluded that the introduction of the 501-KC7 has established a new standard of excellence. 3 tabs., 15 figs.

  3. Identification of a novel drought tolerance gene in Gossypium hirsutum L. cv KC3

    Directory of Open Access Journals (Sweden)

    Jagadeesh N. Selvam

    2009-02-01

    Full Text Available Development of drought resistant cotton cultivars has long been a major breeding objective, since water stress limits fiber production and productivity. Recent advances in functional genomics can increase the efficiency of conventional breeding for genetic improvement of crop plants for improved abiotic stress resistance. To this end, a novel drought resistance gene was identified by comparing the gene expression profile of Gossypium hirsutum cv KC3 and MCU12 by employing a cDNA-RAPD approach. Physiological and biochemical studies showed that KC3 has relatively better drought tolerance than MCU12. Among 25 random primers, OPA15 has identified differentially expressed cDNA in KC3. Results of BLASTP algorithm have shown that this cDNA has significant homology with P-Glycoprotein, ACC oxidase2 and ABC transporter which are involved either directly, or indirectly, in stress tolerance in animals and plants. Hence, the cDNA sequence identified in this study may be a novel gene that confers drought resistance in cotton as KC3 is well adapted and is widely cultivated in rain-fed tracts of Tamil Nadu, India. Further characterization of this gene may show it has potential application for development of cotton with improved drought resistance, through genetic engineering and/or marker aided selection (MAS

  4. Characterization of Near-Earth Asteroid 2009 KC3 from Radar and Thermal Infrared Observations

    NARCIS (Netherlands)

    Taylor, Patrick A.; Howell, E. S.; Nolan, M. C.; Benner, L. A. M.; Brozovic, M.; Giorgini, J. D.; Vervack, R. J.; Fernandez, Y. R.; Magri, C.; Mueller, M.

    2010-01-01

    We will report on the size, shape, spin state, and reflective and thermal properties of C-type, Apollo-class, potentially hazardous, near-Earth asteroid 2009 KC3 (a = 3.2 AU, e = 0.7, i = 10 deg). This object was discovered by the Siding Spring Survey in May 2009 and subsequently observed in the lat

  5. Gynecologic and dermatologic electrosurgical units: a comparative review.

    Science.gov (United States)

    Ferris, D G; Saxena, S; Hainer, B L; Searle, J R; Powell, J L; Gay, J N

    1994-08-01

    Electrosurgery is a popular surgical technique in which high-frequency, low-voltage electrical energy produced by an electrosurgical unit is used to excise abnormal tissue with hemostasis. In this study, electrosurgical units were critically evaluated for safety, electrical specifications, design, and performance characteristics. Quantitative electrical specification and histologic thermal artifact measurements and qualitative observations were recorded for 13 electrosurgical units representing 11 manufacturers. The Aspen Sabre 180 and Laerscope e10 were considered exemplary units based on safety criteria alone. Cut-mode thermal artifact was less than 10 microns for the Cooper Leep 6000, Laserscope e10, and Utah Finesse. A maximum fulguration distance of greater than 0.5 mm was demonstrated by the Gyne-Tech Autolepe 2000 and 4000, Laserscope e10, and the Elmed ESU 30. For gynecologic electrosurgery, the Aspen Sabre 180 and Laserscope e10 were rated best, followed closely by the Utah Finesse and Finesse II and the Gyne-Tech Autolepe 4000. Dermatologic electrosurgery may be well accomplished with many of the electrosurgical units, except as noted.

  6. Institutional Review Boards: Perspectives from the United States

    Directory of Open Access Journals (Sweden)

    Alvita Nathaniel, Ph.D., FNP-BC, FAANP

    2010-12-01

    Full Text Available In the U.S., all research must be approved by an Institutional Review Board (IRB that evaluates research protocols for the purpose of protecting human subjects. This paper includes a brief history of the development of public policy that guides institutional review boards in the U.S. and commentary on the responsibilities of a grounded theory researcher interested in applying for approval for a research study.An institutional review board (IRB is a formally constituted committee that approves and monitors biomedical and behavioural research with the purpose of protecting the rights and welfare of research participants. An IRB performs scientific, ethical, and regulatory oversight functions. In the U.S., it is common for grounded theorists to experience frustration with the IRB protocol submission process. Facets of the application process may seem rigid, redundant, and non-applicable. Review board members may not seem to understand or appreciate qualitative methods and delays are common. In addition, a conglomeration of disparate policies and procedures coupled with a variety of types of review boards creates a system that defies description. Nevertheless, a researcher who understands public policy and the responsibilities of institutional review boards can learn to develop research applications that are quickly approved.

  7. 78 FR 18325 - Intent To Prepare an Environmental Impact Statement (EIS) for the Formal Training Unit (FTU) and...

    Science.gov (United States)

    2013-03-26

    ... Unit (FTU) and Main Operating Base 1 (MOB 1) for the Beddown of KC-46A Tanker Aircraft AGENCY... Training Unit (FTU) and Main Operating Base 1 (MOB 1) for the Beddown of KC-46A Tanker Aircraft. The EIS... infrastructure and manpower of the FTU and MOB 1 at existing active duty Air Force installations within...

  8. Initial approach to hypertension in the hemodynamics unit: review article

    Directory of Open Access Journals (Sweden)

    Gustavo Teixeira Fulton Schimit

    2013-06-01

    Full Text Available Correct identification and early management of hypertensive disorders should be a part of the therapeutic repertoire of every professional working in hemodynamics units. Based on recent publications, this study aims to propose a practical approach to the identification and early management of these disorders in this type of service.

  9. Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature

    OpenAIRE

    Linda Haddad; Omar El-Shahawy; Roula Ghadban; Barnett, Tracey E.; Emily Johnson

    2015-01-01

    Background: Researchers in tobacco control are concerned about the increasing prevalence of waterpipe smoking in the United States, which may pose similar risks as cigarette smoking. This review explores the prevalence of waterpipe smoking in the United States as well as the shortcomings of current U.S. policy for waterpipe control and regulation. Methods: Researchers conducted a literature review for waterpipe articles dated between 2004 and 2015 using five online databases: MEDLINE, CINHAHL...

  10. Review of noise in neonatal intensive care units - regional analysis

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez Abril, A [National Technological University, Regional Bioengineering Institute, Mendoza (Argentina); Terron, A; Boschi, C [National Technological University, Regional Bioengineering Institute, Mendoza (Argentina); Gomez, M [National Technological University, La Rioja (Argentina)

    2007-11-15

    This work is about the problem of noise in neonatal incubators and in the environment in the neonatal intensive care units. Its main objective is to analyse the impact of noise in hospitals of Mendoza and La Rioja. Methodology: The measures were taken in different moments in front of higher or lower severity level in the working environment. It is shown that noise produces severe damages and changes in the behaviour and the psychological status of the new born babies. Results: The noise recorded inside the incubators and the neonatal intensive care units together have many components but the noise of motors, opening and closing of access gates have been considered the most important ones. Values above 60 db and and up to 120 db in some cases were recorded, so the need to train the health staff in order to manage the new born babies, the equipment and the instruments associated with them very carefully is revealed.

  11. Treatment of hypophosphatemia in the intensive care unit: a review

    NARCIS (Netherlands)

    Geerse, D.A.; Bindels, A.J.; Kuiper, M.A.; Roos, A.N.; Spronk, P.E.; Schultz, M.J.

    2010-01-01

    Introduction: Currently no evidence-based guideline exists for the approach to hypophosphatemia in critically ill patients. Methods: We performed a narrative review of the medical literature to identify the incidence, symptoms, and treatment of hypophosphatemia in critically ill patients. Specifical

  12. Reduced-gravity two-phase flow experiments in the NASA KC-135

    Science.gov (United States)

    Cuta, Judith M.; Michener, Thomas E.; Best, Frederick R.; Kachnik, Leo J.

    1988-01-01

    An adequate understanding is sought of flow and heat transfer behavior in reduced and zero gravity conditions. Microgravity thermal-hydraulic analysis capabilities were developed for application to space nuclear power systems. A series of reduced gravity two phase flow experiments using the NASA KC-135 were performed. The objective was to supply basic thermal hydraulic information that could be used in development of analytical tools for design of space power systems. The experiments are described. Two main conclusions were drawn. First, the tests demonstrate that the KC-135 is a suitable test environment for obtaining two phase flow and heat transfer data in reduced gravity conditions. Second, the behavior of two phase flow in low gravity is sufficiently different from that obtained in 1 g to warrant intensive investigation of the phenomenon if adequate analytical tools are to be developed for microgravity conditions.

  13. Effect of PAR-2 Deficiency in Mice on KC Expression after Intratracheal LPS Administration

    Directory of Open Access Journals (Sweden)

    Julie C. Williams

    2011-01-01

    Full Text Available Protease activated receptors (PAR have been shown to play a role in inflammation. PAR-2 is expressed by numerous cells in the lung and has either proinflammatory, anti-inflammatory, or no effect depending on the model. Here, we examined the role of PAR-2 in a model of LPS-induced lung inflammation. We found that PAR-2-deficient mice had significantly less KC expression in bronchial lavage fluid compared with wild-type mice but there was no difference in MIP-2 or TNF-α expression. We also found that isolated alveolar and resident peritoneal macrophages lacking PAR-2 showed a similar deficit in KC after LPS stimulation without differences in MIP-2 or TNF-α. Infiltration of neutrophils and macrophages into the lung following LPS administration was not affected by an absence of PAR-2. Our results support the notion that PAR-2 plays a role in LPS activation of TLR4 signaling in macrophages.

  14. Calculation of Boil-Off Gas (BOG Generation of KC-1 Membrane LNG Tank with High Density Rigid Polyurethane Foam by Numerical Analysis

    Directory of Open Access Journals (Sweden)

    Jeong Hyeonwon

    2017-03-01

    Full Text Available Recently, a new type of LNG tank named “KC-1 membrane LNG tank” has been developed by Korean Gas Corporation (KOGAS, and Samsung Heavy Industries (SHI is currently building KC-1 membrane type LNG carriers. Unlike other LNG tanks, the KC-1 membrane LNG tank has a single-insulation structure rather than a double-insulation structure. For a given tank’s boundary condition, heat transfer analysis is performed from the external to the internal environment of the LNG tank by numerical simulation for three tanks. In each tank, the main thermally resistant layer of insulation is assembled with a High density rigid Polyurethane Foam (H-PUF, which is blown with one of three different types of hydrofluorocarbons-namely-HFC-365mfc, 245fa, and 245fa-e (enhanced. Advantage of such blowing agents is that it has a lower Ozone Depletion Potential (ODP than HCFC-141b or carbon dioxide (CO2 that has been used in the past as well as having low thermal conductivity. A Reduced Order Model is utilized to a 3-dimensional section of the insulation to calculate equivalent thermal conductivity. The equivalent thermal conductivity of the insulation is then applied to the rest of LNG tank, reducing the size of tank simulation domain as well as computation time. Tank’s two external and internal boundary conditions used are those defined by the International Code for the Construction and Equipment of Ships Carrying Liquefied Gases in Bulk (IGC and the United States Coast Guard (USCG conditions. Boil-off Rate (BOR of the tank that has the insulation with H-PUF blown with HFC-245fa resulted in 0.0927 %/day and 0.0745 %/day for IGC and USCG conditions, respectively.

  15. Draft Environmental Impact Statement: Second KC-135R Air Refueling Squadron, Malmstrom Air Force Base, Montana

    Science.gov (United States)

    1989-05-01

    following findings: U o Althouch the 116 adoitional students are projected to accompany inmigrating operations-period workers, the elementary school pupil-to...Falls where most of the public service demands generated by program-related inmigration would be expected. Public Finance. The ROI for this element...affected by the proposed Second KC-135R AREFS program. Communities and other locations anticipated to receive significant inmigration are the focus of

  16. The Marshall Space Flight Center KC-135 zero gravity test program for FY 1982

    Science.gov (United States)

    Shurney, R. E. (Editor)

    1983-01-01

    During FY-82, researchers and experimenters from Marshall Space Flight Center (MSFC) conducted 11 separate investigations during 26.3 hr of testing aboard the KC-135 zero-gravity aircraft, based at Ellington Air force Base, Texas. Although this represented fewer hours than initially projected, all experiment and test objectives were met or exceeded. This Technical Memorandum compiles all results achieved by MSFC users during FY-82, a year considered to be highly productive.

  17. Stainless Steel NaK-Cooled Circuit (SNaKC) Fabrication and Assembly

    Science.gov (United States)

    Godfroy, Thomas J.

    2007-01-01

    An actively pumped Stainless Steel NaK Circuit (SNaKC) has been designed and fabricated by the Early Flight Fission Test Facility (EFF-TF) team at NASA's Marshall Space Flight Center. This circuit uses the eutectic mixture of sodium and potassium (NaK) as the working fluid building upon the experience and accomplishments of the SNAP reactor program from the late 1960's The SNaKC enables valuable experience and liquid metal test capability to be gained toward the goal of designing and building an affordable surface power reactor. The basic circuit components include a simulated reactor core a NaK to gas heat exchanger, an electromagnetic (EM) liquid metal pump, a liquid metal flow meter, an expansion reservoir and a drain/fill reservoir To maintain an oxygen free environment in the presence of NaK, an argon system is utilized. A helium and nitrogen system are utilized for core, pump, and heat exchanger operation. An additional rest section is available to enable special component testing m an elevated temperature actively pumped liquid metal environment. This paper summarizes the physical build of the SNaKC the gas and pressurization systems, vacuum systems, as well as instrumentation and control methods.

  18. Energy Policies of IEA Countries: The United Kingdom 2012 Review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-01

    The United Kingdom is preparing for a deep decarbonisation of its energy system. The country has decided to halve its greenhouse gas emissions from 1990 to 2027 and to cut them by a total of 80% by 2050. For this to happen, significant private-sector investment in new energy infrastructure is needed. As it seeks concrete solutions to the low-carbon investment challenge, the United Kingdom is leading by example. The UK's proposed Electricity Market Reform is a pioneering effort that will be closely observed by other countries. Ideally, this complex and ambitious reform would in the long run lead to a more liberalised marketplace in which low-carbon power generation technologies compete to deliver innovative and least-cost outcomes. Security of supply remains a key focus of energy policy. Fossil fuel production in the United Kingdom has peaked, and a fifth of the country's ageing power generating capacity will have to be closed this decade. However, oil and gas imports are well diversified, and the government intends to promote various technologies to generate low-carbon electricity -- renewable and nuclear energy and carbon capture and storage. More efficient energy use is essential to both decarbonisation and energy security. The Green Deal programme, which the UK plans to launch later this year, aims to improve energy efficiency in buildings and public spaces. The programme has the potential to help energy consumers overcome economic challenges, but for it to succeed, the general public must be sufficiently aware of its benefits.

  19. Energy Policies of IEA Countries: United Kingdom 2012 Review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-01

    The United Kingdom is preparing for a deep decarbonisation of its energy system. The country has decided to halve its greenhouse gas emissions from 1990 to 2027 and to cut them by a total of 80% by 2050. For this to happen, significant private-sector investment in new energy infrastructure is needed. As it seeks concrete solutions to the low-carbon investment challenge, the United Kingdom is leading by example. The UK's proposed Electricity Market Reform is a pioneering effort that will be closely observed by other countries. Ideally, this complex and ambitious reform would in the long run lead to a more liberalised marketplace in which low-carbon power generation technologies compete to deliver innovative and least-cost outcomes. Security of supply remains a key focus of energy policy. Fossil fuel production in the United Kingdom has peaked, and a fifth of the country's ageing power generating capacity will have to be closed this decade. However, oil and gas imports are well diversified, and the government intends to promote various technologies to generate low-carbon electricity -- renewable and nuclear energy and carbon capture and storage. More efficient energy use is essential to both decarbonisation and energy security. The Green Deal programme, which the UK plans to launch later this year, aims to improve energy efficiency in buildings and public spaces. The programme has the potential to help energy consumers overcome economic challenges, but for it to succeed, the general public must be sufficiently aware of its benefits.

  20. Cooperative Fish and Wildlife Research Units Program—2016 year in review postcard

    Science.gov (United States)

    Organ, John F.; Thompson, John D.; Dennerline, Don E.; Childs, Dawn E.

    2017-02-22

    Cooperative Fish and Wildlife Research Units Program—2016 Year in Review postcardThis postcard provides details about the Cooperative Fish and Wildlife Research Units (CRU) Program—2016 Year in Review, Circular 1424. This Circular provides information relating to fish and wildlife science, students, staffing, vacancies, research funding, outreach and training, science themes, background on the CRU program, accolades, and professional services. Snapshots of Unit projects with information on how results have been or are being applied by cooperators are included. This is the essence of what we do: science that matters.Throughout the year, keep up with our research projects at www.coopunits.org.

  1. A review of recent activity in the United States.

    Science.gov (United States)

    Cannon, H.L.; Petrie, W.L.

    1979-01-01

    Either an overabundance or a deficiency of trace metals in the food chain can ultimately affect adversely the health of livestock and man. Increasing interest in the United States in the distribution of metals in the environment and in metal pollutants has led to widespread interdisciplinary research sponsored by governmental, private and academic groups concerning the availability of trace elements for absorption by plants and animals, and the effects of trace elements throughout the food chain. Effects on the environment of coal-fired power plants, the mining and processing of metals, asbestos, and phosphate, and the disposal of industrial and nuclear wastes have also received much attention in the past few years.-Authors

  2. Quadrennial review of a paediatric emergency assessment unit.

    Science.gov (United States)

    Aitken, Penny; Birch, Simon; Cogman, Genevieve; Glasper, Edward A; Wiltshire, Maureen

    The primary aim of this article is to report on one aspect of a quadrennial study designed to explore the appropriateness and impact of the development of a paediatric emergency assessment unit (PEAU) as a response to increases in paediatric emergencies presenting to a south-western regional child health unit. In particular, this article will present the findings of a prospective audit of admissions to the PEAU over a 1-month period during the latter part of 2002. The primary method of data collection utilized a structured survey instrument developed using a design and automatic data computer software package, completed by the nursing staff. Anonymized descriptive data were obtained from 223 children admitted to the PEAU during one calendar moth and authorized by the appropriate clinical directorate audit committee as part of its ongoing commitment to the full implementation of clinical governance. The data presented primarily relate to children admitted during the official opening times of the PEAU, and those presenting out of hours. The data analysis demonstrates a reduction in the number of children staying overnight in hospital since the opening of the PEAU, with the majority of children being referred by their own family doctor. Only one child in the sample was readmitted to the PEAU within 24 hours, and two within 24 hours of discharge as inpatients. Although thought to be pertinent, only one child admitted after official closing of the PEAU and out of hours was described as being admitted for social reasons. The International Classification of Diagnosis (ICD) 10 (World Health Organization (WHO), 1994) classifications of the children admitted to the PEAU reflect those found in other similar studies. Overall, the results of this investigation demonstrate that a PEAU can offer an efficient service to GPs, families and others as a route of referral, thus mitigating unnecessary overnight stays for individual children.

  3. Determination of Growth Stage-Specific Crop Coefficients (Kc of Sunflowers (Helianthus annuus L. under Salt Stress

    Directory of Open Access Journals (Sweden)

    Minghai Hong

    2017-03-01

    Full Text Available Crop coefficients (Kc are important for the development of irrigation schedules, but few studies on Kc focus on saline soils. To propose the growth-stage-specific Kc values for sunflowers in saline soils, a two-year micro-plot experiment was conducted in Yichang Experimental Station, Hetao Irrigation District. Four salinity levels including non-salinized (ECe = 3.4–4.1 dS·m–1, low (ECe = 5.5–8.2 dS·m–1, moderate (ECe = 12.1–14.5 dS·m–1, and high (ECe = 18.3–18.5 dS·m–1 levels were arranged in 12 micro-plots. Based on the soil moisture observations, Vensim software was used to establish and develop a physically-based water flow in the soil-plant system (WFSP model. Observations in 2012 were used to calibrate the WFSP model and acceptable accuracy was obtained, especially for soil moisture simulation below 5 cm (R2 > 0.6. The locally-based Kc values (LKc of sunflowers in saline soils were presented according to the WFSP calibration results. To be specific, LKc for initial stages (Kc1 could be expressed as a function of soil salinity (R2 = 0.86, while R2 of LKc for rapid growth (Kc2, middle (Kc3, and mature (Kc4 stages were 0.659, 1.156, and 0.324, respectively. The proposed LKc values were also evaluated by observations in 2013 and the R2 for initial, rapid growth, middle, and mature stages were 0.66, 0.68, 0.56 and 0.58, respectively. It is expected that the LKc would be of great value in irrigation management and provide precise water application values for salt-affected regions.

  4. A review on recent developments in solar distillation units

    Indian Academy of Sciences (India)

    Pankaj Kalita; Anupam Dewan; Sangeeta Borah

    2016-02-01

    The solar still is gaining popularity among the scientific community for the production of distillate and fluoride free water due to its low cost and simple working principle. Continuous efforts have been made by various researchers to increase its productivity. Various techniques and configurations have been attempted in the literature to enhance the efficiency of the solar still. Many researchers have also studied different parameters influencing the performance of solar stills. Thermodynamic analysis, such as, energy balance and losses by using the second law of thermodynamics have also been reported in the literature. However, optimum combinations of the operating parameters in addition to thermodynamic optimization for high distillate yield as well as the efficiency have not been thoroughly studied in the literature. In the present work, an emphasis has been given to review the effects of various operating and geometric parameters, and thermodynamic optimization on the performance of a solar still.

  5. Dry coolers and air-condensing units (Review)

    Science.gov (United States)

    Milman, O. O.; Anan'ev, P. A.

    2016-03-01

    The analysis of factors affecting the growth of shortage of freshwater is performed. The state and dynamics of the global market of dry coolers used at electric power plants are investigated. Substantial increase in number and maximum capacity of air-cooled condensers, which have been put into operation in the world in recent years, are noted. The key reasons facilitating the choice of developers of the dry coolers, in particular the independence of the location of thermal power plant from water sources, are enumerated. The main steam turbine heat removal schemes using air cooling are considered, their comparison of thermal efficiency is assessed, and the change of three important parameters, such as surface area of heat transfer, condensate pump flow, and pressure losses in the steam exhaust system, are estimated. It is shown that the most effective is the scheme of direct steam condensation in the heat-exchange tubes, but other schemes also have certain advantages. The air-cooling efficiency may be enhanced much more by using an air-cooling hybrid system: a combination of dry and wet cooling. The basic applied constructive solutions are shown: the arrangement of heat-exchange modules and the types of fans. The optimal mounting design of a fully shopassembled cooling system for heat-exchange modules is represented. Different types of heat-exchange tubes ribbing that take into account the operational features of cooling systems are shown. Heat transfer coefficients of the plants from different manufacturers are compared, and the main reasons for its decline are named. When using evaporative air cooling, it is possible to improve the efficiency of air-cooling units. The factors affecting the faultless performance of dry coolers (DC) and air-condensing units (ACU) and the ways of their elimination are described. A high velocity wind forcing reduces the efficiency of cooling systems and creates preconditions for the development of wind-driven devices. It is noted that

  6. A review of the neural and behavioral consequences for unitizing emotional and neutral information

    Directory of Open Access Journals (Sweden)

    Brendan eMurray

    2013-05-01

    Full Text Available A special type of association, called a unitization, is formed when pieces of information are encoded as a single representation in memory (e.g., shirt and blue are encoded as a blue shirt; Graf & Schacter, 1989 and typically are later reactivated in memory as a single unit, allowing access to the features of multiple related stimuli at once (Bader et al., 2010; Diana et al., 2011. This review examines the neural processes supporting memory for unitizations and how the emotional content of the material may influence unitization. Although associative binding is typically reliant on hippocampal processes and supported by recollection, the first part of this review will present evidence to suggest that when two items are unitized into a single representation, memory for those bound items may be accomplished on the basis of familiarity and without reliance on the hippocampus. The second part of this review discusses how emotion may affect the processes that give rise to unitizations. Emotional information typically receives a mnemonic benefit over neutral information, but the literature is mixed on whether the presence of emotional information impedes or enhances the associative binding of neutral information (reviewed by Mather, 2007. It has been suggested that the way the emotional and neutral details are related together may be critical to whether the neutral details are enhanced or impeded (Mather, 2007; Mather & Sutherland, 2011. We focus on whether emotional arousal aides or inhibits the creation of a unitized representation, presenting preliminary data and future directions to test empirically the effects of forming and retrieving emotional and neutral unitizations.

  7. Analysis and interpretation of low gravity boiling experiments in the KC-135

    Science.gov (United States)

    Cuta, Judith M.; Krotiuk, William J.; Samuels, Jeffery W.

    1988-01-01

    Reduced gravity two phase flow boiling and condensing experiments were conducted in the NASA KC-135. In an attempt to gain a better understanding of two phase flow behavior in reduced gravity, the individual test runs were critically examined to determine their suitability to be taken as representative of two phase flow in microgravity. Selected runs were simulated using the two fluid thermal-hydraulic COBRA/TRAC computer code. The comparisons of these sophisticated codes with the observed flow behavior illustrate the generic shortcomings of current two phase modeling capabilities in application to reduced gravity conditions.

  8. SPECIAL REPORT - The KC EMPOWER Project: Designing More Accessible STEM Learning Activities

    Directory of Open Access Journals (Sweden)

    Bob Hirshon

    2016-01-01

    Full Text Available The overall purpose of the Kinetic City (KC Empower project was to examine how informal science activities can be made accessible for students with disabilities. The premise of this project was that all students, including those with disabilities, are interested in and capable of engaging in science learning experiences, if these experiences are accessible to them. Drawing on resources from Kinetic City, a large collection of science experiments, games, and projects developed by the American Association for the Advancement of Science (AAAS, the project researched and adapted five afterschool science activities guided by universal design for learning principles.

  9. Multiplex cytokine analyses in dogs with pyometra suggest involvement of KC-like chemokine in canine bacterial sepsis.

    Science.gov (United States)

    Karlsson, Iulia; Hagman, Ragnvi; Johannisson, Anders; Wang, Liya; Södersten, Fredrik; Wernersson, Sara

    2016-02-01

    Clinical diagnostic criteria for sepsis (systemic inflammatory response syndrome caused by infection) are unspecific and, therefore, biomarkers for sepsis diagnosis are needed for appropriate treatment and patient survival. Pyometra, a common disease caused by bacterial infection of the uterus, results in sepsis in nearly 60% of cases in dogs. We used dogs with pyometra as a natural model for sepsis and collected serum samples from 39 dogs, of which 22 with pyometra and 17 healthy controls. Dogs with pyometra were further grouped into dogs with sepsis (n=18) and without sepsis (n=4). Serum concentrations of a panel of cytokines, including keratinocyte-derived chemokine (KC)-like, granulocyte-macrophages colony stimulating factor (GM-CSF), interleukin (IL)-2, IL-4, IL-6, IL-7, IL-8, IL-10, IL-15, IL-18, chemokine C-X-C motif ligand (CXCL)10 and tumor necrosis factor (TNF)-α, were measured using multiplex analyses. Serum C-reactive protein (CRP) levels were determined using an automated immunoturbidimetric assay. In addition to physical examination hematological and serum biochemical analyses were performed to evaluate the overall status of the dogs. Significantly higher concentrations of KC-like (757 vs 304 pg/ml) were detected in dogs with pyometra as compared to healthy dogs. Within the pyometra group, dogs with sepsis compared to dogs without sepsis had a higher KC-like concentration (873 vs 300 pg/ml). Hemoglobin levels were significantly lower in dogs with pyometra compared to healthy dogs, regardless of the presence or absence of sepsis, and correlated negatively with KC-like. KC-like concentrations correlated positively with CRP, number of hospitalization days, number of monocytes, concentrations of IL-8, and percentage band neutrophils. Our data suggest that bacterial infection triggers the expression of KC-like and further studies are warranted of KC-like as a possible biomarker for diagnosing sepsis and uterine bacterial infection in dogs. Copyright

  10. Clinical peer review in the United States: history, legal development and subsequent abuse.

    Science.gov (United States)

    Vyas, Dinesh; Hozain, Ahmed E

    2014-06-07

    The Joint Commission on Accreditation requires hospitals to conduct peer review to retain accreditation. Despite the intended purpose of improving quality medical care, the peer review process has suffered several setbacks throughout its tenure. In the 1980s, abuse of peer review for personal economic interest led to a highly publicized multimillion-dollar verdict by the United States Supreme Court against the perpetrating physicians and hospital. The verdict led to decreased physician participation for fear of possible litigation. Believing that peer review was critical to quality medical care, Congress subsequently enacted the Health Care Quality Improvement Act (HCQIA) granting comprehensive legal immunity for peer reviewers to increase participation. While serving its intended goal, HCQIA has also granted peer reviewers significant immunity likely emboldening abuses resulting in Sham Peer Reviews. While legal reform of HCQIA is necessary to reduce sham peer reviews, further measures including the need for standardization of the peer review process alongside external organizational monitoring are critical to improving peer review and reducing the prevalence of sham peer reviews.

  11. The Evolving Practice of Developmental Care in the Neonatal Unit: A Systematic Review

    Science.gov (United States)

    Legendre, Valerie; Burtner, Patricia A.; Martinez, Katrina L.; Crowe, Terry K.

    2011-01-01

    Many neonatal intensive care units (NICUs) are experiencing changes in their approaches to preterm infant care as they consider and incorporate the philosophy of individualized developmental care. The aim of this systematic review is to research current literature documenting the short-term effects of developmental care and the Newborn…

  12. Depression among Latinos in the United States: A Meta-Analytic Review

    Science.gov (United States)

    Menselson, Tamar; Rehkopf, David H.; Kubzansky, Laura D.

    2008-01-01

    The authors conducted a meta-analytic review to assess the prevalence of major depressive disorder and depressive symptoms among Latinos compared with non-Latino Whites in the United States using community-based data. Random-effects estimates were calculated for 8 studies meeting inclusion criteria that reported lifetime prevalence of major…

  13. School Hopscotch: A Comprehensive Review of K-12 Student Mobility in the United States

    Science.gov (United States)

    Welsh, Richard O.

    2017-01-01

    This article provides an integrative review of the extant literature on K-12 student mobility in the United States. Student mobility is a widespread phenomenon with significant policy implications. Changing schools is most prevalent among minority and low-income students in urban school districts. There is an ongoing debate about whether student…

  14. Mentoring and New Teacher Induction in the United States: A Review and Analysis of Current Practices

    Science.gov (United States)

    Bullough, Robert V., Jr.

    2012-01-01

    In this article, current practices were reviewed in mentoring and induction across three large states--New York, Texas, and California--and one small state, Utah. Patterns and trends are described in the United States, program results and evolving views of mentoring are discussed, gaps in the research literature are identified, and the future of…

  15. 15 review article biofilm, dental unit water line and its control

    African Journals Online (AJOL)

    Dr Oboro VO

    Dental unit waterlines (DUWL) are an integral part of dental surgery equipment, supplying water as a ... At present, the goal of this review is to discuss various aspects of biofilm formation and .... in adhesion for both cell-surface and cell-cell.

  16. Measurements of the Fuel Mileage of a KC-135 Aircraft with and Without Winglets

    Science.gov (United States)

    Temanson, G. E.

    1982-01-01

    The KC-135A Winglet Flight Research and Demonstration Program was a joint effort of the Air Force, NASA and the Boeing Military Airplane Company to flight test winglets on the KC-135A. The primary objective of the program was to verify the cruise performance improvements predicted by analysis and wind tunnel tests. Flight test data were obtained for winglets positioned at 15 deg cant/-2 deg incidence, 0 deg cant/-4 deg incidence, 15 deg cant/-4 deg incidence and for winglets off (baseline). Both fuel mileage and drag measurements were obtained. The 15 deg cant/-4 deg incidence winglet configuration provided the greatest performance improvement. The flight test measured fuel mileage improvement for a 0.78 Mach number was 3.1 percent at 8 x 10(5) pounds W/delta and 5.5 percent at 1.05 x 10(6) pounds W/delta. Correcting the flight measured data for surface pressure differences between wind tunnel and flight resulted in a fuel mileage improvement of 4.4 percent at 8 x 10(5) pounds W/delta and 7.2 percent at 1.05 x 10(6) pounds W/delta. The agreement between the fuel mileage and drag data was excellent.

  17. Directional solidification of flake and nodular cast iron during KC-135 low-g maneuvers

    Science.gov (United States)

    Curreri, P. A.; Stefanescu, D. M.; Hendrix, J. C.

    1984-01-01

    Alloys solidified in a low-gravity environment can, due to the elimination of sedimentation and convection, form unique and often desirable microstructures. One method of studying the effects of low-gravity (low-g) on alloy solidification was the use of the NASA KC-135 aircraft flying repetitive low-g maneuvers. Each maneuver gives from 20 to 30 seconds of low-g which is between about 0.1 and 0.001 gravity. A directional solidification furnace was used to study the behavior of off eutectic composition case irons in a low-g environment. The solidification interface of hypereutectic flake and spheroidal graphite case irons was slowly advanced through a rod sample, 5 mm in diameter. Controlled solidification was continued through a number of aircraft parabolas. The known solidification rate of the sample was then correlated with accelerometer data to determine the gravity level during solidification for any location of the sample. The thermal gradient and solidification rate were controlled independently. Samples run on the KC-135 aircraft exhibited bands of coarser graphite or of larger nodules usually corresponding to the regions solidified under low-g. Samples containing high phosphorous (used in order to determine the eutectic cell) exhibited larger eutectic cells in the low-g zone, followed by a band of coarser graphite.

  18. Second periodic safety review of Angra Nuclear Power Station, unit 1

    Energy Technology Data Exchange (ETDEWEB)

    Martins, Carlos F.O.; Crepaldi, Roberto; Freire, Enio M., E-mail: ottoncf@tecnatom.com.br, E-mail: emfreire46@gmail.com, E-mail: robcrepaldi@hotmail.com [Tecnatom do Brasil Engenharia e Servicos Ltda, Rio de Janeiro, RJ (Brazil); Campello, Sergio A., E-mail: sacampe@eletronuclear.gov.br [Eletrobras Termonuclear S.A. (ELETRONUCLEAR), Rio de Janeiro, RJ (Brazil)

    2015-07-01

    This paper describes the second Periodic Safety Review (PSR2-A1) of Angra Nuclear Power Station, Unit 1, prepared by Eletrobras Eletronuclear S.A. and Tecnatom do Brasil Engenharia e Servicos Ltda., during Jul.2013-Aug.2014, covering the period of 2004-2013. The site, in Angra dos Reis-RJ, Brazil, comprises: Unit 1, (640 MWe, Westinghouse PWR, operating), Unit 2 (1300 MWe, KWU/Areva, operating) and Unit 3 (1405 MWe, KWU/Areva, construction). The PSR2-A1 attends the Standards 1.26-Safety in Operation of Nuclear Power Plants, Brazilian Nuclear Regulatory Commission (CNEN), and IAEA.SSG.25-Periodic Safety Review of Nuclear Power Plants. Within 18 months after each 10 years operation, the operating organization shall perform a plant safety review, to investigate the evolution consequences of safety code and standards, regarding: Plant design; structure, systems and components behavior; equipment qualification; plant ageing management; deterministic and probabilistic safety analysis; risk analysis; safety performance; operating experience; organization and administration; procedures; human factors; emergency planning; radiation protection and environmental radiological impacts. The Review included 6 Areas and 14 Safety Parameters, covered by 33 Evaluations.After document evaluations and discussions with plant staff, it was generated one General and 33 Specific Guide Procedures, 33 Specific and one Final Report, including: Description, Strengths, Deficiencies, Areas for Improvement and Conclusions. An Action Plan was prepared by Electronuclear for the recommendations. It was concluded that the Unit was operated within safety standards and will attend its designed operational lifetime, including possible life extensions. The Final Report was submitted to CNEN, as one requisite for renewal of the Unit Permanent Operation License. (author)

  19. Inactivation of class II PI3K-C2α induces leptin resistance, age-dependent insulin resistance and obesity in male mice.

    Science.gov (United States)

    Alliouachene, Samira; Bilanges, Benoit; Chaussade, Claire; Pearce, Wayne; Foukas, Lazaros C; Scudamore, Cheryl L; Moniz, Larissa S; Vanhaesebroeck, Bart

    2016-07-01

    While the class I phosphoinositide 3-kinases (PI3Ks) are well-documented positive regulators of metabolism, the involvement of class II PI3K isoforms (PI3K-C2α, -C2β and -C2γ) in metabolic regulation is just emerging. Organismal inactivation of PI3K-C2β increases insulin signalling and sensitivity, whereas PI3K-C2γ inactivation has a negative metabolic impact. In contrast, the role of PI3K-C2α in organismal metabolism remains unexplored. In this study, we investigated whether kinase inactivation of PI3K-C2α affects glucose metabolism in mice. We have generated and characterised a mouse line with a constitutive inactivating knock-in (KI) mutation in the kinase domain of the gene encoding PI3K-C2α (Pik3c2a). While homozygosity for kinase-dead PI3K-C2α was embryonic lethal, heterozygous PI3K-C2α KI mice were viable and fertile, with no significant histopathological findings. However, male heterozygous mice showed early onset leptin resistance, with a defect in leptin signalling in the hypothalamus, correlating with a mild, age-dependent obesity, insulin resistance and glucose intolerance. Insulin signalling was unaffected in insulin target tissues of PI3K-C2α KI mice, in contrast to previous reports in which downregulation of PI3K-C2α in cell lines was shown to dampen insulin signalling. Interestingly, no metabolic phenotypes were detected in female PI3K-C2α KI mice at any age. Our data uncover a sex-dependent role for PI3K-C2α in the modulation of hypothalamic leptin action and systemic glucose homeostasis. All reagents are available upon request.

  20. PI3KC2{alpha}, a class II PI3K, is required for dynamin-independent internalization pathways

    DEFF Research Database (Denmark)

    Krag, Claudia; Malmberg, Emily Kim; Salcini, Anna Elisabetta

    2010-01-01

    Increasing evidence indicates that cellular uptake of several molecules can occur independently of functional dynamin, but the molecular players that regulate dynamin-independent endocytosis and the subsequent trafficking steps are still largely unknown. A survival-based short-hairpin (sh) RNA...... screen using a cell line expressing a diphtheria toxin receptor (DTR, officially known as HBEGF) anchored to GPI (DTR-GPI), which internalizes diphtheria toxin (DT, officially known as DTX) in a dynamin-independent manner, identified PI3KC2a, a class II phosphoinositide 3-kinase (PI3K), as a specific...... regulator of dynamin-independent DT internalization. We found that the internalization of several proteins that enter the cell through dynamin-independent pathways led to a relocalization of PI3KC2a to cargo-positive vesicles. Furthermore, downregulation of PI3KC2a impaired internalization of CD59 as well...

  1. Electrical resistivity of TiH/sub x/ and TiH/sub x//KC10/sub 4/

    Energy Technology Data Exchange (ETDEWEB)

    White, K.; Reed, J.W.; Love, C.M.; Glaub, J.E.; Holy, J.A.

    1979-03-16

    Various factors affecting the electrical resistivity of the pyrotechnic pressed powder TiH/sub x//KC10/sub 4/, which is sensitive to hot wire ignition yet quite spark insensitive, were evaluated. The electrical resistivity of the TiH/sub x/ and TiH/sub x//KC10/sub 4/ were correlated with their pressing pressure, stoichiometry, powder surface area, and temperature (from below liquid nitrogen temperature to 500 K). Data show resistivity increasing with x and surface area, and decreasing non-linearly with pressing pressure. It was concluded that temperature coefficient of resistivity depends upon powder surface features. In addition, it was found that electrostatic discharge lowers TiH/sub x/ and TiH/sub x//KC10/sub 4/ pellet resistivity and that the effect is larger for pellets with higher initial resistivity.

  2. Isolation and characterization of deleterious Pseudomonas aeruginosa KC1 from rhizospheric soils and its interaction with weed seedlings

    Directory of Open Access Journals (Sweden)

    Vijaya Lakshmi

    2015-04-01

    Full Text Available The bacterial isolate KC1 was screened from the rhizosphere of castor plants (Ricinus communis indigenous to agricultural fields of Bihar. The isolate was Gram negative, non-spore forming, and exhibited fluorescence under UV light. Its molecular characterization is based on the sequencing of 16S rDNA (1450 bp and alignment at GeneBank (NCBI, MaryLand. The strain has been validated as Pseudomonas aeruginosa (HM195190. The bacterium grew at 4–42 °C, with a temperature optima of 30 °C. The strain KC1 was found to produce cyanide (4.78 nmol l−1 over a period of 36 h. Data revealed enhanced cyanogenesis (6.98 nmol l−1, when glycine was provided in the King’s B medium. Seed bacterization exhibited reduction in root length, shoot length of weed seedlings (Amaranthus spinosus, Portulaca oleracea, which was significant (p < 0.05 in both laboratory and glasshouse experiments. Biomass was significantly reduced (p < 0.05 for the weed seedlings in glasshouse experiments. However, KC1 inoculated crop seedlings (Triticum aestivum were found to be less inhibitory as compared to weed seedlings. The observations are significant to establish, that the secondary metabolites producing KC1 rhizobacterium, P. aeruginosa KC1 could be exploited as a weed biocontrol agent. The innate potential of KC1 could be further formulated and utilized in field applications for agricultural sustainability.

  3. Theoretical and Experimental studies of aerodynamic interference effects. [aerodynamic forces on winglets and on wing nacelle configurations for the YC-14 and KC-135 aircraft

    Science.gov (United States)

    Rettie, I. H.

    1980-01-01

    Theoretical studies of aerodynamic forces on winglets shed considerable light on the mechanism by which these devices can reduce drag at constant total lift and on the necessity for proper alignment and cambering to achieve optimum favorable interference. Results of engineering studies, wind tunnel tests and performance predictions are reviewed for installations proposed for the AMST YC-14 and the KC-135 airplanes. The other major area of aerodynamic interference discussed is that of engine nacelle installations. Slipper and overwing nacelles have received much attention because of their potential for noise reduction, propulsive lift and improved ground clearance. A major challenge is the integration of such nacelles with the supercritical flow on the upper surface of a swept wing in cruise at high subsonic speeds.

  4. The Leapfrog initiative for intensive care unit physician staffing and its impact on intensive care unit performance: a narrative review.

    Science.gov (United States)

    Gasperino, James

    2011-10-01

    The field of critical care has changed markedly in recent years to accommodate a growing population of chronically critically ill patients. New administrative structures have evolved to include divisions, departments, and sections devoted exclusively to the practice of critical care medicine. On an individual level, the ability to manage complex multisystem critical illnesses and to introduce invasive monitoring devices defines the intensivist. On a systems level, critical care services managed by an intensivist-led multidisciplinary team are now recognized by their ability to efficiently utilize hospital resources and improve patient outcomes. Due to the numerous cost and quality issues related to the delivery of critical care medicine, intensive care unit physician staffing (IPS) has become a charged subject in recent years. Although the federal government has played a large role in regulating best practices by physicians, other third parties have entered the arena. Perhaps the most influential of these has been The Leapfrog Group, a consortium representing 130 employers and 65 Fortune 500 companies that purchase health care for their employees. This group has proposed specific regulatory guidelines for IPS that are purported to result in substantial cost containment and improved quality of care. This narrative review examines the impact of The Leapfrog Group's recommendations on critical care delivery in the United States.

  5. The undergraduate premedical experience in the United States: a critical review.

    Science.gov (United States)

    Lin, Katherine Y; Parnami, Sonali; Fuhrel-Forbis, Andrea; Anspach, Renee R; Crawford, Brett; De Vries, Raymond G

    2013-01-01

    To better understand the consequences of the premedical years for the character of (future) physicians by critically reviewing the empirical research done on the undergraduate premedical experience in the United States. We searched ERIC, JSTOR, PubMed, Scopus, ISI Web of Science, and PsycINFO from the earliest available date for empirical, peer-reviewed studies of premedical students in the United States. We then used qualitative methods to uncover overall themes present in this literature. The initial literature search identified 1,168 articles, 19 of which were included for review. Reviewed articles were published between 1976 and 2010 with the majority published prior to 1990. Articles covered two broad topics: explaining attrition from the premedical track, and investigating the personality traits and stereotypes of premedical students. Self-selection bias and high attrition rates were among the limitations of the reviewed articles. There is very little current research on the premedical experience. Given the importance of the premedical years on the process of becoming a medical professional, it is imperative that we do more and better research on how the premedical experience shapes future physicians.

  6. Initial Testing of the Stainless Steel NaK-Cooled Circuit (SNaKC)

    Science.gov (United States)

    Garber, Anne; Godfroy, Thomas

    2007-01-01

    An actively pumped alkali metal flow circuit, designed and fabricated at the NASA Marshall Space Flight Center, is currently undergoing testing in the Early Flight Fission Test Facility (EFF-TF). Sodium potassium (NaK) was selected as the primary coolant. Basic circuit components include: simulated reactor core, NaK to gas heat exchanger, electromagnetic liquid metal pump, liquid metal flowmeter, load/drain reservoir, expansion reservoir, test section, and instrumentation. Operation of the circuit is based around the 37-pin partial-array core (pin and flow path dimensions are the same as those in a full core), designed to operate at 33 kWt. This presentation addresses the construction, fill and initial testing of the Stainless Steel NaK-Cooled Circuit (SNaKC).

  7. Active member vibration control experiment in a KC-135 reduced gravity environment

    Science.gov (United States)

    Lawrence, C. R.; Lurie, B. J.; Chen, G.-S.; Swanson, A. D.

    1991-01-01

    An active member vibration control experiment in a KC-135 reduced gravity environment was carried out by the Air Force Flight Dynamics Laboratory and the Jet Propulsion Laboratory. Two active members, consisting of piezoelectric actuators, displacement sensors, and load cells, were incorporated into a 12-meter, 104 kg box-type test structure. The active member control design involved the use of bridge (compound) feedback concept, in which the collocated force and velocity signals are feedback locally. An impact-type test was designed to accommodate the extremely short duration of the reduced gravity testing window in each parabolic flight. The moving block analysis technique was used to estimate the modal frequencies and dampings from the free-decay responses. A broadband damping performance was demonstrated up to the ninth mode of 40 Hz. The best damping performance achieved in the flight test was about 5 percent in the fourth mode of the test structure.

  8. Retiree health benefits in the United States: a strategic critical management review.

    Science.gov (United States)

    Asubonteng, P; Bumpus, M; Munchus, G

    1997-01-01

    This article provides a critical review of studies associated with retiree health benefits in the United States. An attempt is made to determine if logical conclusions or trends could be identified regarding this issue of health care policy debate. The forms of retiree health benefits are covered, as is a discussion of Medigap policies and insurance coverage for the elderly. Employer-sponsored retiree benefits and the effects of supplemental coverage on the use of services are also reviewed. Lastly, a discussion and conclusion regarding this research agenda is presented with a critical analysis of the health care policy management debate for the future.

  9. Responses of heart rate and blood pressure to KC-135 hyper-gravity

    Science.gov (United States)

    Satake, Hirotaka; Matsunami, Ken'ichi; Reschke, Millard F.

    1992-01-01

    Many investigators have clarified the effects of hyper gravitational-inertial forces (G) upon the cardiovascular system, using the centrifugal apparatus with short rotating radius. We investigated the cardiovascular responses to KC-135 hyper-G flight with negligibly small angular velocity. Six normal, healthy subjects 29 to 40 years old (5 males and 1 female) took part in this experiment. Hyper gravitational-inertial force was generated by the KC-135 hyper-G flight, flown in a spiral path with a very long radius of 1.5 miles. Hyper-G was sustained for 3 minutes with 1.8 +Gz in each session and was repeatedly exposed to very subject sitting on a chair 5 times. The preliminary results of blood pressure and R-R interval are discussed. An exposure of 1.8 +Gz stress resulted in a remarkable increase of systolic and diastolic blood pressure, while the pulse pressure did not change and remained equal to the control level regardless of an exposure of hyper-G. These results in blood pressure indicate an increase of resistance in the peripheral vessels, when an exposure of hyper-G was applied. The R-R interval was calculated from ECG. R-R interval in all subjects was changed but not systematically, and R-R interval became obviously shorter during the hyper-G period than during the 1 +Gz control period although R-R interval varied widely in some cases. The coefficient of variation of R-R interval was estimated to determine the autonomic nerve activity, but no significant change was detectable.

  10. Characterization of Near-Earth Asteroid 2009 KC3 from Radar and Thermal Infrared Observations

    Science.gov (United States)

    Taylor, Patrick A.; Howell, E. S.; Nolan, M. C.; Benner, L. A. M.; Brozovic, M.; Giorgini, J. D.; Vervack, R. J.; Fernandez, Y. R.; Magri, C.; Mueller, M.

    2010-10-01

    We will report on the size, shape, spin state, and reflective and thermal properties of C-type, Apollo-class, potentially hazardous, near-Earth asteroid 2009 KC3 (a = 3.2 AU, e = 0.7, i = 10 deg). This object was discovered by the Siding Spring Survey in May 2009 and subsequently observed in the late summer using the Goldstone (8560 MHz, 3.5 cm) and Arecibo (2380 MHz, 12.6 cm) radar systems from August 22-29 as well as with the SpeX instrument on the NASA IRTF on August 30 and September 21. Radar images reveal a roughly spheroidal body about 1.2 km in diameter that is slightly asymmetric and elongated. Tracking of surface features and the echo bandwidth suggest a period near 12 hours, which is in agreement with a period of 11.768 hours found from lightcurve observations (P. Pravec, pers. comm.). A consistent decrease in echo bandwidth during the radar observations implies the line of sight was moving away from the equator. Radar images with resolution as fine as 7.5 m per pixel show an indentation on the leading edge (possibly a crater) and radar-bright features beyond the leading edge. The S-band circular polarization ratio of 0.25 is near the median observed among near-Earth asteroids. Thermal emission between 2 and 4 microns is essentially unchanged in SpeX observations three weeks apart despite a change in phase angle from 98 deg to 49 degrees and an increase in heliocentric distance by 0.1 AU. Furthermore, the thermal parameters derived for 2009 KC3 during a single observation do not accurately predict the thermal emission at a later time in a different viewing geometry. Determination of the shape and spin pole will help us understand how much rotation phase and illumination effects affected the thermal observations.

  11. Development of KC-TZ118 CNC Drilling and Boring Modular Machine for Chain Link%KC-TZ118型链轨节数控钻镗组合机床的研制

    Institute of Scientific and Technical Information of China (English)

    田子欣; 霍苏萍

    2011-01-01

    KC-TZ118型链轨节数控钻镗组合机床,是校企合作共同研发的高效率、高精度、高性能自动钻镗组合机床,专门用于挖掘机左右链轨节镗孔、钻孔的加工.主要介绍KC-TZ118型链轨节数控钻镗组合机床的方案确定、机床结构特点、机床参数的配置、数控系统的配置及调试方法等,并详细分析机床设计中的关键技术.%KC-TZ118 CNC drilling and boring modular machine for chain link, a kind of high efficient, high precise and high performance automatic drilling and boring modular machine developed by enterprise and school, is especially used for boring hole and drilling hole processing of the left and right chain link of the excavator.The program determination, structural characteristics of the machine, and parameter configuration of the machine, the numerical control system configuration and debugging methods of KC-TZ118CNC drilling and boring modular machine were introduced, in addition, the key techniques of design for machine were analyzed in detail.

  12. Assessment of spatially distributed values of Kc using vegetation indices derived from medium resolution satellite data

    Science.gov (United States)

    Greco, M.; Simoniello, T.; Lanfredi, M.; Russo, A. L.

    2010-09-01

    In the last years, the theme of suitable assessment of irrigation water supply has been raised relevant interest for both general principles of sustainable development and optimization of water resources techniques and management. About 99% of the water used in agriculture is lost by crops as evapotranspiration (ET). Thus, it becomes crucial to drive direct or indirect measurement in order to perform a suitable evaluation of water loss by evapotranspiration (i.e. actual evapotranspiration) as well as crop water status and its effect on the production. The main methods used to measure evapotranspiration are available only at field scale (Bowen ratio, eddy correlation system, soil water balance) confined to a small pilot area, generally due to expense and logistical constraints. This led over the last 50 years to the development of a large number of empirical methods to estimate evapotranspiration through different climatic and meteorological variables as well as combining models, based on aerodynamic theory and energy balance, taking into account both canopy properties and meteorological conditions. Among these, the Penman-Monteith equation seems to give the best results providing a robust and consistent method world wide accepted. Such conventional methods only provide accurate evapotranspiration assessment for a homogeneous region nearby the meteorological gauge station and cannot be extrapolated to other different sites; whereas remote sensing techniques allow for filling up such a gap. Some of these satellite techniques are based on the use of thermal band signals as inputs for energy balance equations. Another common approach is mainly based on the FAO method for estimating crop evapotranspiration, in which evapotranspiration data are multiplied by crop coefficients, Kc, derived from satellite multispectral vegetation indices obtained. The rationale behind such a link considers that Kc and vegetation indices are sensitive to both leaf area index and fractional

  13. Information systems for urban and regional planning in the United Kingdom: a review

    OpenAIRE

    Worrall, L.

    1990-01-01

    Design criteria for urban and regional information systems are outlined. An attempt is made to evaluate the nationally available statistical series in the United Kingdom in the context of those design criteria and some of the systems developed in British local government to counter the deficiencies of an inadequate national data system are reviewed. Various systems for collecting local data have been instituted by particular local authorities, although the problems of using such data are ofte...

  14. Professional competences of nurse to work in Intensive Care Units: an integrative review.

    Science.gov (United States)

    Camelo, Silvia Helena Henriques

    2012-01-01

    This study aimed to identify and analyze nurses' competences to work at Intensive Care Units-ICU. An integrative review method was used, and data were collected in LILACS, SciELO and BDENF, from August to October 2010. Ten articles were identified, published in the last 12 years. Data grouping permitted the construction of thematic units related to nurses' competences: nursing care management, high-complexity nursing care delivery, decision making, leadership, communication, continuing/permanent education, human resource management, material resource management. The professional competences identified can support the outline of guidelines to constitute the profile of nursing working in intensive care units and drive/mobilize the improvement of nursing care practices.

  15. Patterns of Colorectal Cancer Care in the United States and Canada: A Systematic Review

    Science.gov (United States)

    2013-01-01

    Colorectal cancer is the third most common cancer in the United States and Canada. Given the high incidence and increased survival of colorectal cancer patients, prevalence is increasing over time in both countries. Using MEDLINE, we conducted a systematic review of the literature published between 2000 and 2010 to describe patterns of colorectal cancer care. Specifically we examined data sources used to obtain treatment information and compared patterns of cancer-directed initial care, post-diagnostic surveillance care, and end-of-life care among colorectal cancer patients diagnosed in the United States and Canada. Receipt of initial treatment for colorectal cancer was associated with the anatomical position of the tumor and extent of disease at diagnosis, in accordance with consensus-based guidelines. Overall, care trends were similar between the United States and Canada; however, we observed differences with respect to data sources used to measure treatment receipt. Differences were also present between study populations within country, further limiting direct comparisons. Findings from this review will allow researchers, clinicians, and policy makers to evaluate treatment receipt by patient, clinical, or system characteristics and identify emerging trends over time. Furthermore, comparisons between health-care systems in the United States and Canada can identify disparities in care, allow the evaluation of different models of care, and highlight issues regarding the utility of existing data sources to estimate national patterns of care. PMID:23962508

  16. Developing a framework for implementing intensive care unit diaries: a focused review of the literature.

    Science.gov (United States)

    Beg, Muna; Scruth, Elizabeth; Liu, Vincent

    2016-11-01

    Intensive care unit diaries have been shown to improve post-critical illness recovery, however, prior reports of diary implementation are heterogeneous. We sought to construct a common framework for designing and implementing Intensive Care Unit diaries based on prior studies. We conducted a focused review of the literature regarding intensive care diaries based on a systematic search of several databases. Two reviewers assessed 56 studies and data were abstracted from a total of 25 eligible studies conducted between 1990 and 2014. We identified key information regarding the development, design, and implementation of the journals. We then grouped elements that appeared consistently across these studies within three main categories: (1) diary target populations; (2) diary format and content; and (3) the manner of diary return and follow-up. Most studies were conducted in European countries in adult intensive care units and targeted patients in both medical and surgical units. The timing of diary initiation was based on the elapsed length of stay or duration of mechanical ventilation. We categorised diary format and content as: entry content, authors, use of standardised headings, type of language, initiation, frequency of entries, and physical location of diaries. Diaries were hand written and many studies found that photographs were an essential element in ICU diaries. We categorised the manner of diary return and follow-up. The context in which intensive care unit diaries were returned were felt to be important factors in improving the use of diaries in recovery. In conclusion, we describe a common framework for the future development of intensive care unit diaries that revolves around the target population for the diaries, their format and content, and the timing of their use. Future studies should address how these elements impact the mechanisms by which intensive are diaries exert beneficial effects. Copyright © 2016 Australian College of Critical Care Nurses

  17. 78 FR 65711 - Uncovered Innerspring Units From China, South Africa, and Vietnam Institution of Five-Year Reviews

    Science.gov (United States)

    2013-11-01

    ... COMMISSION Uncovered Innerspring Units From China, South Africa, and Vietnam Institution of Five-Year Reviews... the scope of the five-year reviews, as defined by the Department of Commerce. (2) The Subject.... Former Commission employees who are seeking to appear in Commission five-year reviews are advised that...

  18. Pharmacist Remote Review of Medication Prescriptions for Appropriateness in Pediatric Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Moran Lazaryan

    2016-08-01

    Full Text Available Background: One aspect of ordering and prescribing medication is the requirement for a trained professional to review medication orders or prescriptions for appropriateness. In practice, this review process is usually performed by a clinical pharmacist. However, in many medical centers there is a shortage of staff and a pharmacist is not always available.Objective: To determine whether remote review of medication orders by a pharmacist is a plausible method in a pediatric intensive care unit (PICU. Methods: A pharmacist from the pharmacy department reviewed medication orders of patients admitted to our PICU over a 7-month period for appropriateness. A special form for medical orders was filled in and sent to the physician in the PICU, who replied informing whether the recommendation had been accepted. The time spent by the pharmacist for this activity was recorded.Results: The review time for one medical record was 8.9 (95% CI, 6.9-10.9 minutes. Every additional drug prescribed increased the total review time by 0.8 (95% CI, 0.45-1.11 minutes. The pharmacist filled in 186 forms on 117 admissions for 109 children. The median review time was 15 (12.8-18.8 and 12 (9-15 minutes, respectively, for patients with psychiatric-neurologic disorders compared to those without (p=0.032. Usually, a daily workload of 240 minutes was needed for the pharmacist accompanying the round in contrast to 108 minutes per day needed to review all the medical records in 95% of the cases. The physician accepted 51.2%, rejected 11.9% and made no comment on 36.9% of the recommendations. Conclusion: Hospitals facing budget shortages can carry out focused remote reviews of prescriptions by the pharmacist.

  19. Enhancement of recombinant human EPO production and glycosylation in serum-free suspension culture of CHO cells through expression and supplementation of 30Kc19.

    Science.gov (United States)

    Park, Ju Hyun; Wang, Zesong; Jeong, Hee-Jin; Park, Hee Ho; Kim, Byung-Gee; Tan, Wen-Song; Choi, Shin Sik; Park, Tai Hyun

    2012-11-01

    We previously reported that the expression of Bombyx mori 30Kc19 gene in CHO cells significantly improved both the production and sialylation of recombinant human EPO (rHuEPO) in adhesion culture mode. In this study, the effects of 30Kc19 expression and supplementation of 30Kc19 recombinant protein on the productivity and glycosylation pattern of rHuEPO were investigated in the serum-free suspension culture mode. Especially, glycosylation pattern was examined in detail using a quantitative MALDI-TOF MS method. The expression of 30Kc19 increased the EPO production by 2.5-folds and the host cells produced rHuEPO with more complex glycan structures and a larger content of sialic acid and fucose. The glycan structures of rHuEPO in the 30Kc19-expressing cell consisted of bi-, tri-, tetra-, and penta-antennary branching (35, 18, 33, and 14 %, respectively), while the control cells produced predominantly bi-antennary branching (70 %). About 53 % of the glycans from rHuEPO in the 30Kc19-expressing cell was terminally sialylated, while no obvious sialylated glycan was found in the control cells. The percentage of fucosylated glycans from the 30Kc19-expressing cell culture was 77 %, whereas only 61 % of the glycans from the control cell were fucosylated glycans. We also examined whether these effects were observed when the recombinant 30Kc19 protein produced from Escherichia coli was supplemented into the culture medium for CHO cells. In the control cell line without the 30Kc19 gene, EPO production increased by 41.6 % after the addition of 0.2 mg/mL of the recombinant 30Kc19 protein to the culture medium. By the Western blot analysis after two-dimensional electrophoresis (2-DE) of isoforms of EPO, we confirmed that 30Kc19 enhanced the sialylation of EPO glycans. These results demonstrated that both 30Kc19 gene expression and the recombinant 30Kc19 protein addition enhanced rHuEPO productivity and glycosylation in suspension culture. In conclusion, the utilization of

  20. The units of measurement of the ventricular stroke work: a review study.

    Science.gov (United States)

    Schramm, Wolfgang

    2010-06-01

    The ventricular stroke work refers to the work done by the left or right ventricle to eject the volume of blood during one cardiac cycle, called stroke volume. Sarnoff and Berglund were one of the first to calculate the stroke work from the pressure volume diagram in 1954. However, they published a wrong unit of measurement for the stroke work, namely gram meter. The present work reviewed 779 scientific publications between May 1954 and January 2010 which used the left or right ventricular stroke work as a variable. Interestingly, the majority (87.2%) of scientific papers since 1954 have either copied this (or a similar) wrong unit of measurement or have invented another one. Only 12.8% of the publications gave a correct unit. The present search in scientific literature demonstrates that the haemodynamic variable ventricular stroke work, which is used daily by thousands of medical doctors and scientists, was specified in an incorrect manner for 56 years in the majority of scientific papers. A correct unit of measurement, of course, is an imperative condition when comparing scientific papers. The aim of this publication is the elimination of incorrect units of measurement of the ventricular stroke work variable in all future scientific papers. Moreover, the present work facilitates the interpretation of at least some of the studies containing the ventricular stroke work variable published up to now.

  1. Estimation of water requirements and Kc values of 'Thompson Seedless' table grapes grown in the overhead trellis system, using the Eddy covariance method

    Directory of Open Access Journals (Sweden)

    Paulina Villagra

    2014-04-01

    Full Text Available Crop evapotranspiration (ETc is essential for irrigation scheduling. The amount of water consumed can be estimated by multiplying the reference evapotranspiration (ET0 by a crop coefficient (Kc; the value of Kc is usually obtained from FAO Paper nr 56. In table grapes (Vitis vinifera L., Kc are obtained from experiments in vines trained on trellis systems; however in Chile, the most used is the overhead trellis system (parronal. Therefore, the objective was to determine water requirements and Kc values of a table grape orchard cv. Thompson Seedless trained on an overhead trellis system in Calle Larga (32°52'40" S, 70°37'45" W, 795 m a.s.l., Aconcagua Valley, Chile, using the Eddy covariance method. During the 2008/2009 and 2009/2010 seasons, the instruments required for ET0 and ETc measurement were installed on a 4 m tower above the soil (2 m above vine canopy. The ET0 was estimated according to the FAO Penman-Monteith equation and ETc by the Eddy covariance method. The Kc was obtained by ratio between ETc and ET0. The maximum ETc was 7 mm d-1 and total water consumption was 810 mm. The season maximum Kc value of 1.2 was obtained near harvest during the first season, and 20 d before veraison in the second season. The Kc increased linearly with the percentage of intercepted solar radiation (IRS by the vine canopy at noon, suggesting that an equation to convert the IRS to Kc is more useful than Kc tabulated according to phenology. The equation obtained in this experiment was Kc = 0.012 IRS - 0.1029, R² = 0.85.

  2. Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature

    Directory of Open Access Journals (Sweden)

    Linda Haddad

    2015-05-01

    Full Text Available Background: Researchers in tobacco control are concerned about the increasing prevalence of waterpipe smoking in the United States, which may pose similar risks as cigarette smoking. This review explores the prevalence of waterpipe smoking in the United States as well as the shortcomings of current U.S. policy for waterpipe control and regulation. Methods: Researchers conducted a literature review for waterpipe articles dated between 2004 and 2015 using five online databases: MEDLINE, CINHAHL, ScienceDirect, PMC, and Cochrane Library. Results: To date, few studies have explored the marketing and regulation of waterpipe smoking in the U.S., which has increased in the last ten years, especially among women, adolescents, and young adults. Data indicate that the majority of waterpipe smokers are unaware of the potential risks of use. In addition, current tobacco control policies do not address waterpipe smoking, enabling tobacco companies to readily market and sell waterpipe products to young adults, who are at risk for becoming lifelong smokers. Conclusion: Policy makers in the area of public health need to update existing tobacco regulations to include waterpipe smoking. Similarly, public health researchers should develop public health campaigns and interventions to address the increasing rates of waterpipe smoking in the United States.

  3. Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature.

    Science.gov (United States)

    Haddad, Linda; El-Shahawy, Omar; Ghadban, Roula; Barnett, Tracey E; Johnson, Emily

    2015-05-29

    Researchers in tobacco control are concerned about the increasing prevalence of waterpipe smoking in the United States, which may pose similar risks as cigarette smoking. This review explores the prevalence of waterpipe smoking in the United States as well as the shortcomings of current U.S. policy for waterpipe control and regulation. Researchers conducted a literature review for waterpipe articles dated between 2004 and 2015 using five online databases: MEDLINE, CINHAHL, ScienceDirect, PMC, and Cochrane Library. To date, few studies have explored the marketing and regulation of waterpipe smoking in the U.S., which has increased in the last ten years, especially among women, adolescents, and young adults. Data indicate that the majority of waterpipe smokers are unaware of the potential risks of use. In addition, current tobacco control policies do not address waterpipe smoking, enabling tobacco companies to readily market and sell waterpipe products to young adults, who are at risk for becoming lifelong smokers. Policy makers in the area of public health need to update existing tobacco regulations to include waterpipe smoking. Similarly, public health researchers should develop public health campaigns and interventions to address the increasing rates of waterpipe smoking in the United States.

  4. Understanding how organized youth sport maybe harming individual players within the family unit: a literature review.

    Science.gov (United States)

    Bean, Corliss N; Fortier, Michelle; Post, Courtney; Chima, Karam

    2014-10-01

    Within the United States, close to 45 million youths between the ages of 6 and 18 participate in some form of organized sports. While recent reviews have shown the positive effects of youth sport participation on youth health, there are also several negative factors surrounding the youth sport environment. To date, a comprehensive review of the negative physical and psychological effects of organized sport on youth has not been done and little to date has documented the effect organized sport has on other players within a family, particularly on parents and siblings. Therefore the purpose of this paper is to conduct a review of papers on the negative effects of organized sport on the youth athlete and their parents and siblings. Articles were found by searching multiple databases (Physical Education Index and Sociology, Psychology databases (Proquest), SPORTDiscus and Health, History, Management databases (EBSCOhost), Science, Social Science, Arts and Humanities on Web of Science (ISI), SCOPUS and Scirus (Elsevier). Results show the darker side of organized sport for actors within the family unit. Ideas for future research are drawn and recommendations are made to optimize the youth sport experience and family health.

  5. Notes on critical care-review of seminal management and leadership papers in the United Kingdom.

    Science.gov (United States)

    Coombs, Maureen

    2009-06-01

    Review of recent critical care provision reveals substantial changes in clinical unit operating, and policy drivers influencing international critical care delivery. Practitioners who have worked in healthcare environments over this time, will have witnessed substantial shifts in healthcare policy, changes in professional body guidance and greater service evaluation have impacted on critical care management and leadership. This paper offers a personal perspective on seminal management and leadership papers published in the critical care literature over the past decade. Presenting a range of national and international work that utilise diverse approaches, ten key papers are highlighted that have impacted in the United Kingdom setting. Through this, the influence of the modernisation agenda, the increasing significance of outcome studies, and the need for flexible, interdependent practice emerges. A key message to surface from this paper is the need for all in critical care to engage with, and understand the wider implications of management and leadership change for critical care delivery.

  6. Review of design conditions applicable to offshore wind energy systems in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Manwell, J.F.; Elkinton, C.N.; Rogers, A.L.; McGowan, J.G. [Renewable Energy Research Laboratory, Department of Mechanical and Industrial Engineering, University of Massachusetts, P.O. Box 32210, Amherst, MA 01003-2210 (United States)

    2007-02-15

    Offshore wind turbines are now being considered for use in the United States. Ensuring proper design of offshore wind turbines and wind farms requires knowledge of the external conditions in which the turbines and associated facilities are to operate. The primary external conditions are due to the wind and waves. Also, for many locations, floating ice will also be a major factor in the design. This review examines the following aspects of external conditions for the design of offshore wind turbines for the United States: (1) design requirements, (2) available offshore data sources, (3) data estimation and extrapolation techniques, (4) on-site data collection, and (5) likely sources of extreme events, including hurricanes and northeast storms. (author)

  7. Oral care in patients on mechanical ventilation in intensive care unit: literature review

    Directory of Open Access Journals (Sweden)

    Selma Atay

    2014-06-01

    Full Text Available intensive care patients needs to oral assessment and oral care for avoid complications caused by orafarengeal bacteria. In this literature review, it is aimed to determine the practice over oral hygiene in mechanical ventilator patients in intensive care unit. For the purpose of collecting data, Medline/pub MED and EBSCO HOST databases were searched with the keywords and lsquo;oral hygiene, oral hygiene practice, mouth care, mouth hygiene, intubated, mechanical ventilation, intensive care and critical care and rdquo; between the years of 2000- 2012. Inclusion criteria for the studies were being performed in adult intensive care unit patients on mechanical ventilation, published in peer-reviewed journals in English between the years of 2000-2012, included oral care practice and presence of a nurse among researchers. A total of 304 articles were identified. Six descriptive evaluation studies, three randomised controlled trials, four literature reviews, three meta-Analysis randomized clinical trials, one qualitative study and one semi-experimental study total 18 papers met all of the inclusion criteria. Oral care is emphasized as an infection control practice for the prevention of Ventilator-Associated Pneumonia (VAP. In conclusion, we mention that oral care is an important nursing practice to prevent VAP development in intensive care unit patients; however, there is no standard oral evaluation tool and no clarity on oral care practice frequency, appropriate solution and appropriate material. It can be recommended that the study projects on oral care in intensive care patients to have high proof level and be experimental, and longitudinal. [Int J Res Med Sci 2014; 2(3.000: 822-829

  8. Outcomes for women admitted to a mother and baby unit: a systematic review.

    Science.gov (United States)

    Gillham, Rebecca; Wittkowski, Anja

    2015-01-01

    Mother and baby units (MBUs) provide inpatient psychiatric care for mothers and their infants up to a year after childbirth. They are commissioned to support the mother-infant relationship as well as stabilize maternal mental health. As their efficacy at meeting these aims had not previously been systematically assessed, this paper reviewed the international literature relating to psychological outcomes following MBU admission. A systematic search of five databases identified 23 papers eligible for inclusion, reporting on a range of outcomes indicating positive effects on maternal mental health and the mother-infant relationship and an absence of adverse effects on child development. The review also highlighted specific groups responding less favorably to MBU admission, eg, mothers with a diagnosis of schizophrenia. Although the included studies were of variable methodological quality, the research findings consistently indicated positive effects. Implications for research and clinical practice are outlined in the discussion.

  9. Palliative medicine physician education in the United States: a historical review.

    Science.gov (United States)

    Case, Amy A; Orrange, Susan M; Weissman, David E

    2013-03-01

    In this review we discuss the history of Hospice and Palliative Medicine (HPM) physician education in the United States over the last 20 years, as there has been dramatic growth in our specialty during this time. A Medline literature search was completed and we surveyed leaders in the field of HPM education regarding their experiences in promoting palliative medicine education. Educators were selected based on their peer reviewed publications on key educational initiatives since 1990. A survey tool was designed and emailed to 18 educators across the country and follow-up phone interviews were done to further explore specific questions. The survey and interviews sought information about major palliative care education milestones, instrumental projects, and barriers to further development of palliative medicine education.

  10. Isolation and characterization of exopolysaccharide from Leuconostoc lactis KC117496 isolated from idli batter.

    Science.gov (United States)

    Saravanan, Chinnashanmugam; Shetty, Prathap Kumar H

    2016-09-01

    Diverse exopolysaccharide (EPS)-producing isolates were isolated from an Indian acidic fermented food (Idli) based on the colony morphology. One of the EPS-producing microflora (Leuconostoc lactis KC117496) was selected for further characterization using FT-IR, HPTLC, AFM, SEM, TGA and XRD analysis. FT-IR spectroscopy revealed the α-d-glucose nature of the EPS. HPTLC analysis confirmed the presence of only glucose monomers, indicating the glucan nature of EPS. NMR spectra revealed the presence of 95% α-(1→6) and 5% branching α-(1→3) linkages. The SEM and AFM showed smooth surfaces and compact structure. TGA results showed higher degradation temperature of 272.01°C. XRD analysis proved the 33.4% crystalline nature of the EPS. Water solubility index and water-holding capacity of EPS are 14.2±0.208% and 117±7.5%. All the above characteristics of the EPS produced by L. lactis showed that the EPS is of a good-quality polysaccharide with potential applications in the food industry. Copyright © 2015 Elsevier B.V. All rights reserved.

  11. Galaxies and their Masks A Conference in Honour of K.C. Freeman, FRS

    CERN Document Server

    Block, David L; Puerari, Ivânio

    2010-01-01

    Various kinds of masks obscure our view of our galaxy, the Milky Way, as well as of other galaxies. Masks of interstellar dust affect our measurements within galaxies, on scales ranging from individual supernovae to the galaxies themselves. The “mass mask” (our inability to image mass rather than light) gives astronomers a very incomplete picture of the size and structure of galaxies themselves, because we cannot image the dark matter which provides most of the galactic mass. Another mass is the “dynamical mask”: as galaxies form, much dynamical information is lost in the birthing process. A new thrust in research is to retrieve such information by means of chemical tagging. About 50 astronomers flew into Namibia in April 2010, to celebrate the 70th birthday of Professor K.C. Freeman, Fellow of the Royal Society. At age 70, Freeman, a father of dark matter in galaxies, continues to be one of planet’s most highly cited astronomers. The current volume affords readers a unique perspective on galaxies b...

  12. Characterization and purification of the Drosophila Kc cell JH binding protein

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Xiuhua.

    1989-01-01

    Juvenile hormone (JH) is one of the principal regulators of insect development. First, physical properties of the JH binding protein are characterized using a photoaffinity ligand ({sup 3}H)-EFDA. Second, ({sup 3}H)-EFDA is employed as labeled to examined the behavior of the JH binding protein in several protein separation procedures. The properties of heparin-agarose, hydroxylapatite, gel filtration, ion exchange, and chromatofocusing chromatography are examined for their ability to affect separation of the JH binding protein from other components of Kc cell cytosol. Third, several of the separation procedures are linked sequentially into a JH binding protein purification scheme and the procedure is shown to purify the JH binding protein to homogeneity. Fourth, competition study is carried out to demonstrate the protein purified using ({sup 3}H)-EFDA is JH competable. In addition, JH III, the naturally occurring hormone, is used as the radioligand in this purification procedure, the authenticity of the intracellar JH binding protein is reassured. Fifth, the amino acid composition of the JH binding protein is elucidated. Finally, nanomoles of the purified JH binding protein are collected for protein microsequencing. The sequencing data will be used to synthesize peptide which, in turn, will be used for JH binding protein antibody production.

  13. A review of changes in composition of hot mix asphalt in the United States.

    Science.gov (United States)

    Mundt, Diane J; Marano, Kristin M; Nunes, Anthony P; Adams, Robert C

    2009-11-01

    This review researched the materials, methods, and practices in the hot mix asphalt industry that might impact future exposure assessments and epidemiologic research on road paving workers. Since World War II, the U.S. interstate highway system, increased traffic volume, transportation speeds, and vehicle axle loads have necessitated an increase in demand for hot mix asphalt for road construction and maintenance, while requiring a consistent road paving product that meets state-specific physical performance specifications. We reviewed typical practices in hot mix asphalt paving in the United States to understand the extent to which materials are and have been added to hot mix asphalt to meet specifications and how changes in practices and technology could affect evaluation of worker exposures for future research. Historical documents were reviewed, and industry experts from 16 states were interviewed to obtain relevant information on industry practices. Participants from all states reported additive use, with most being less than 2% by weight. Crumb rubber and recycled asphalt pavement were added in concentrations approximately 10% per unit weight of the mix. The most frequently added materials included polymers and anti-stripping agents. Crumb rubber, sulfur, asbestos, roofing shingles, slag, or fly ash have been used in limited amounts for short periods of time or in limited geographic areas. No state reported using coal tar as an additive to hot mix asphalt or as a binder alternative in hot mix pavements for high-volume road construction. Coal tar may be present in recycled asphalt pavement from historical use, which would need to be considered in future exposure assessments of pavers. Changes in hot mix asphalt production and laydown emission control equipment have been universally implemented over time as the technology has become available to reduce potential worker exposures. This work is a companion review to a study undertaken in the petroleum refining

  14. A Review of Underground Coal Gasification Research and Development in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Camp, D. W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-06-26

    An intense and productive period of research and development on underground coal gasification (UCG) took place in the United States from the mid-1970’s through the late 1980’s. It began with the translation and review of Soviet literature and ended with the Rocky Mountain 1 field test. This demonstrated the feasibility of newly-developed technologies that form the basis of many UCG projects around the world today. This period began with little domestic understanding of UCG and ended with an accurate observation-based conceptual model and a corresponding predictive multi-physics mathematical model of the process. The many accomplishments of this period form the main content of this report. This report also covers recent U.S. activities and accomplishments during the period 2004-2015, and touches briefly on the Bureau of Mines efforts between 1948 and 1963. Most of the activities were funded by the United States Department of Energy and its predecessors. While private/commercially-funded activities are reviewed here, the emphasis is on government-funded work. It has a much greater extent of publicly available reports and papers, and they generally contain much greater technical detail. Field tests were the marquis activities around which an integrated multi-faceted program was built. These are described in detail in Section 4. Highlights from modeling efforts are briefly covered, as the program was integrated and well-rounded, with field results informing models and vice-versa. The primary goal of this report is to review what has been learned about UCG from the U.S. experience in aggregate. This includes observations, conclusions, lessons-learned, phenomena understood, and technology developed. The latter sections of this report review these things.

  15. Cognitive Training for Ethnic Minority Older Adults in the United States: A Review.

    Science.gov (United States)

    Tzuang, Marian; Owusu, Jocelynn T; Spira, Adam P; Albert, Marilyn S; Rebok, George W

    2017-05-30

    Interest in cognitive training for healthy older adults to reduce cognitive decline has grown considerably over the past few decades. Given the shift toward a more diverse society, the purpose of this review is to examine the extent of race/ethnic minority participation in cognitive training studies and characteristics of studies that included race/ethnic minority participants. This review considered peer-reviewed studies reporting cognitive training studies for cognitively healthy, community-dwelling older adults (age 55+) in the United States published in English before December 31, 2015. A total of 31 articles published between 1986 and 2015 meeting inclusion criteria were identified and included in the review. A total of 6,432 participants were recruited across all of the studies, and ranged in age from 55 to 99 years. Across all studies examined, 39% reported racial/ethnic background information. Only 3 of these studies included a substantial number of minorities (26.7% in the ACTIVE study; 28.4% in the SeniorWISE study; 22.7% in the TEAM study). Race/ethnic minority older adults were disproportionately underrepresented in cognitive training studies. Further research should aim to enroll participants representative of various race/ethnic minority populations. Strategies for recruitment and retention of ethnic minority participants in cognitive training research are discussed, which could lead to the development of more culturally appropriate and perhaps more effective cognitive interventions.

  16. International Comparative Assessments: Broadening the Interpretability, Application and Relevance to the United States. Research in Review 2012-5

    Science.gov (United States)

    Di Giacomo, F. Tony; Fishbein, Bethany G.; Buckley, Vanessa W.

    2013-01-01

    Many articles and reports have reviewed, researched, and commented on international assessments from the perspective of exploring what is relevant for the United States' education systems. Researchers make claims about whether the top-performing systems have transferable practices or policies that could be applied to the United States. However,…

  17. Downregulation of the Ca(2+)-activated K(+) channel KC a3.1 by histone deacetylase inhibition in human breast cancer cells.

    Science.gov (United States)

    Ohya, Susumu; Kanatsuka, Saki; Hatano, Noriyuki; Kito, Hiroaki; Matsui, Azusa; Fujimoto, Mayu; Matsuba, Sayo; Niwa, Satomi; Zhan, Peng; Suzuki, Takayoshi; Muraki, Katsuhiko

    2016-04-01

    The intermediate-conductance Ca(2+)-activated K(+) channel KC a3.1 is involved in the promotion of tumor growth and metastasis, and is a potential therapeutic target and biomarker for cancer. Histone deacetylase inhibitors (HDACis) have considerable potential for cancer therapy, however, the effects of HDACis on ion channel expression have not yet been investigated in detail. The results of this study showed a significant decrease in KC a3.1 transcription by HDAC inhibition in the human breast cancer cell line YMB-1, which functionally expresses KCa3.1. A treatment with the clinically available, class I, II, and IV HDAC inhibitor, vorinostat significantly downregulated KC a3.1 transcription in a concentration-dependent manner, and the plasmalemmal expression of the KC a3.1 protein and its functional activity were correspondingly decreased. Pharmacological and siRNA-based HDAC inhibition both revealed the involvement of HDAC2 and HDAC3 in KC a3.1 transcription through the same mechanism. The downregulation of KC a3.1 in YMB-1 was not due to the upregulation of the repressor element-1 silencing transcription factor, REST and the insulin-like growth factor-binding protein 5, IGFBP5. The significant decrease in KC a3.1 transcription by HDAC inhibition was also observed in the KC a3.1-expressing human prostate cancer cell line, PC-3. These results suggest that vorinostat and the selective HDACis for HDAC2 and/or HDAC3 are effective drug candidates for KC a3.1-overexpressing cancers.

  18. A review of ground penetrating radar research and practice in the United Kingdom

    Science.gov (United States)

    Giannopoulos, Antonios; Alani, Amir

    2014-05-01

    Ground penetrating radar has been playing an important role for many years in assisting in the non-destructive evaluation of UK's built environment as well as being employed in more general shallow depth geophysical investigations. Ground penetrating radar, in the United Kingdom, has a long history of original work both in developing original research ideas on fundamental aspects of the technique, both in hardware and in software, and in exploring innovative ideas relating to the practical implementation of ground penetrating radar in a number of interesting projects. For example, the base of one of the biggest organisations that connects ground penetrating radar practitioners is in the United Kingdom. This paper will endeavour to review the current status of ground penetrating radar research - primarily carried out in UK Universities - and present some key areas and work that is carried out at a practical level - primarily by private enterprises. Although, the main effort is to concentrate on ground penetrating radar applications relating to civil engineering problems other related areas of ground penetrating radar application will also be reviewed. The aim is to create a current picture of ground penetrating radar use with a view to inform and potentially enhance the possibility of new developments and collaborations that could lead to the advancement of ground penetrating radar as a geophysical investigative method. This work is a contribution to COST Action TU1208 "Civil Engineering Applications of Ground Penetrating Radar.

  19. Critical care medicine beds, use, occupancy and costs in the United States: a methodological review

    Science.gov (United States)

    Halpern, Neil A; Pastores, Stephen M.

    2017-01-01

    This article is a methodological review to help the intensivist gain insights into the classic and sometimes arcane maze of national databases and methodologies used to determine and analyze the intensive care unit (ICU) bed supply, occupancy rates, and costs in the United States (US). Data for total ICU beds, use and occupancy can be derived from two large national healthcare databases: the Healthcare Cost Report Information System (HCRIS) maintained by the federal Centers for Medicare and Medicaid Services (CMS) and the proprietary Hospital Statistics of the American Hospital Association (AHA). Two costing methodologies can be used to calculate ICU costs: the Russell equation and national projections. Both methods are based on cost and use data from the national hospital datasets or from defined groups of hospitals or patients. At the national level, an understanding of US ICU beds, use and cost helps provide clarity to the width and scope of the critical care medicine (CCM) enterprise within the US healthcare system. This review will also help the intensivist better understand published studies on administrative topics related to CCM and be better prepared to participate in their own local hospital organizations or regional CCM programs. PMID:26308432

  20. KC2A2P : A Knowledge-driven Content and Context-Awareness Adaptive Protocol for Intelligent Communication

    Directory of Open Access Journals (Sweden)

    Li Wang

    2011-10-01

    Full Text Available Advanced network communication technology decreases data transmission error and make heterogeneous protocols interaction possible, but there still exits misunderstanding for transferred content in computer communication. Inspired by human's communication way, a kind of content and context awareness protocol base on knowledge (abbr. KC2A2P is proposed in this paper. A common shared protocol ontology is built that includes content, context and act in order to not only guide the different protocol terms mapping but also provide an intelligent protocol encoding framework. To avoid unnecessary communication load, event calculus is used to build the axiom of communication cognition and  three basic encoding  rules are made that can adjust the message entity  base on the application context .Furthermore, some experiments are given to show KC2A2P would improve the meaning delivery and even help to build trust relationship.

  1. Changing Epidemiology of Hepatocellular Adenoma in the United States: Review of the Literature

    Directory of Open Access Journals (Sweden)

    Charissa Y. Chang

    2013-01-01

    Full Text Available Hepatocellular adenoma (HCA is a benign neoplasm arising from hepatocytes. There is evidence that the inflammatory subtype may be associated with obesity and alcohol use and that men with metabolic syndrome may be at risk for malignant transformation of HCA. We sought to explore the combined experience of US centers as reported in the literature to document the epidemiologic shift in risk factors for HCA formation in the United States, namely, a shift from oral contraceptive pills (OCPs to an emerging role of obesity as a contributing factor. Methods. Publications reporting HCA in the United States were identified through a PubMed search and a review of the literature. We excluded publications prior to 1970, single case reports, and publications for which there was no data available regarding patient characteristics including OCP use and the number of adenomas. Conclusion. Whereas earlier reports of HCA in the United States described cases exclusively in women exposed to OCPs, there is a trend towards an increase in HCAs reported in men, HCAs in the absence of OCP use, and increased reporting of multiple HCAs. This may be a result of newer OCP formulations and increasing prevalence of obesity.

  2. Window Spacers and Edge Seals in Insulating Glass Units: A State-of-the-Art Review and Future Perspectives

    Energy Technology Data Exchange (ETDEWEB)

    SINTEF Building and Infrastructure; Norwegian University of Science and Technology (NTNU); Bergh, Sofie Van Den; Hart, Robert; Jelle, Bjrn Petter; Gustavsen, Arild

    2013-01-31

    Insulating glass (IG) units typically consist of multiple glass panes that are sealed and held together structurally along their perimeters. This report describes a study of edge seals in IG units. First, we summarize the components, requirements, and desired properties of edge construction in IG units, based on a survey of the available literature. Second, we review commercially available window edge seals and describe their properties, to provide an easily accessible reference for research and commercial purposes. Finally, based on the literature survey and review of current commercial edge seal systems, we identify research opportunities for future edge seal improvements and solutions.

  3. Variation in use of antipsychotic medications in nursing homes in the United States: A systematic review.

    Science.gov (United States)

    Cioltan, Hannah; Alshehri, Samah; Howe, Carol; Lee, Jeannie; Fain, Mindy; Eng, Howard; Schachter, Kenneth; Mohler, Jane

    2017-01-26

    The use of antipsychotic medications (APMs) in nursing home residents in the U.S. is an increasingly prominent issue and has been associated with increased risk of hospitalization, cardiovascular events, hip fractures, and mortality, among other adverse health events. The Food and Drug Administration has placed a black box warning on these drugs, specifying that they are not meant for residents with dementia, and has asked providers to review their treatment plans. The purpose of this systematic PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses)-based review was to summarize original research studies on facility level characteristics contributing to the use of antipsychotics in nursing homes across the United States, in order to investigate the variation of use. We searched Ovid Medline, Embase, Cochrane Library, Web of Science, CINAHL, PsycInfo, and Sociological Abstracts. Articles were selected according to the following criteria: (1) Population of interest: older adults (≥60 years of age) residing in nursing homes (not home-based or inpatient hospital settings) in the U.S. (2) Receiving APMs, typical and/or atypical. Specifically excluded were studies of psychotropic medications such as antidepressants, benzodiazepines, anxiolytics, hypnotics, mood stabilizers, and stimulants. All study designs were considered, though reviews, editorials, letters to the editor and opinion pieces were excluded. An expert consultant panel was consulted to categorize facility characteristics into domains and determine possible etiologies of APM use based upon each characteristic. Nineteen observational studies, both quantitative and qualitative, published from 2000 to 2015, met full inclusion criteria and were included in this review. APM use varied based on multiple facility characteristics across several domains: 1) physical, 2) staffing, 3) occupancy, 4) market, and 5) quality. Variation in use of APMs in U.S. nursing homes based upon facility

  4. Draft audit report, human factors engineering control room design review: Saint Lucie Nuclear Power Plant, Unit No. 2

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, L.R.; Lappa, D.A.; Moore, J.W.

    1981-09-03

    A human factors engineering preliminary design review of the Saint Lucie Unit 2 control room was performed at the site on August 3 through August 7, 1981. This design review was carried out by a team from the Human Factors Engineering Branch, Division of Human Factors Safety. This report was prepared on the basis of the HFEB's review of the applicant's Preliminary Design Assessment and the human factors engineering design review/audit performed at the site. The review team included human factors consultants from BioTechnology, Inc., Falls Church, Virginia, and from Lawrence Livermore National Laboratory (University of California), Livermore, California.

  5. What factors predict length of stay in a neonatal unit: a systematic review

    Science.gov (United States)

    Seaton, Sarah E; Barker, Lisa; Jenkins, David; Draper, Elizabeth S; Abrams, Keith R; Manktelow, Bradley N

    2016-01-01

    Objective In the UK, 1 in 10 babies require specialist neonatal care. This care can last from hours to months depending on the need of the baby. The increasing survival of very preterm babies has increased neonatal care resource use. Evidence from multiple studies is crucial to identify factors which may be important for predicting length of stay (LOS). The ability to predict LOS is vital for resource planning, decision-making and parent counselling. The objective of this review was to identify which factors are important to consider when predicting LOS in the neonatal unit. Design A systematic review was undertaken which searched MEDLINE, EMBASE and Scopus for papers from 1994 to 2016 (May) for research investigating prediction of neonatal LOS. Strict inclusion and exclusion criteria were applied. Quality of each study was discussed, but not used as a reason for exclusion from the review. Main outcome measure Prediction of LOS in the neonatal unit. Results 9 studies were identified which investigated the prediction of neonatal LOS indicating a lack of evidence in the area. Inherent factors, particularly birth weight, sex and gestational age allow for a simple and objective prediction of LOS, which can be calculated on the first day of life. However, other early occurring factors may well also be important and estimates may need revising throughout the baby's stay in hospital. Conclusions Predicting LOS is vital to aid the commissioning of services and to help clinicians in their counselling of parents. The lack of evidence in this area indicates a need for larger studies to investigate methods of accurately predicting LOS. PMID:27797978

  6. 21st Century Parent-Child Sex Communication in the United States: A Process Review.

    Science.gov (United States)

    Flores, Dalmacio; Barroso, Julie

    2017-01-06

    Parent-child sex communication results in the transmission of family expectations, societal values, and role modeling of sexual health risk-reduction strategies. Parent-child sex communication's potential to curb negative sexual health outcomes has sustained a multidisciplinary effort to better understand the process and its impact on the development of healthy sexual attitudes and behaviors among adolescents. This review advances what is known about the process of sex communication in the United States by reviewing studies published from 2003 to 2015. We used the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, SocINDEX, and PubMed, and the key terms "parent child" AND "sex education" for the initial query; we included 116 original articles for analysis. Our review underscores long-established factors that prevent parents from effectively broaching and sustaining talks about sex with their children and has also identified emerging concerns unique to today's parenting landscape. Parental factors salient to sex communication are established long before individuals become parents and are acted upon by influences beyond the home. Child-focused communication factors likewise describe a maturing audience that is far from captive. The identification of both enduring and emerging factors that affect how sex communication occurs will inform subsequent work that will result in more positive sexual health outcomes for adolescents.

  7. Gene cloning and expression analysis of Gro/KC by primary hepatocytes

    Directory of Open Access Journals (Sweden)

    GH. Hassanshahi

    2007-01-01

    Full Text Available Abstract Background and purpose: It is now well established that several environmental stresses lead to activation of p38 MAP kinase and JNK in various cell systems which is followed by chemokine producion. We investigated the expression of both CXC chemokines SDF-1a (ELR- and Gro/KC (ELR+ in rat H4 hepatoma cells in response to heat shock, hyper-osmolarity and oxidative stresses. The pattern of expression of these chemokines by hepatoma cells in response to stress conditions was also studied.Materials and Methods: Hepatoma cells were maintained in MEM medium. Cells were subjected to different stresses [(H2O2 0.15% (w/v, manitol and NaCl (160 mM and heat shock [(42 °C for 20 minutes]. At the indicated time points, cells were harvested and RNA was extracted, purified and expression of the chemokines were analysed by RT-PCR. cDNA was separated by gel electrophoresis on a 1% (w/v agarose gel and visualised on a UV transilluminator.Results: Results obtained in this report showed that there was detectable but low expression of chemokines in H4 hepatoma cells. Heat shock failed to induce expression of chemokines in H4 rat hepatoma cells. Hyper-osmolarity also has not stimulated Chemokines expression. In this study we have also shown that oxidative stress did not induce expression of chemokines. Overall, although detection is possible but regulatory responses were not observed in H4 hepatoma cells.Conclusion: Several known injurious conditions cause recruitment of macrophages, neutrophils and other immune cells to the liver. Immune cells are recruited to the hepatic vasculature following local liver injury and consequent chemokine production. Our results demonstrated that failure in production of these chemokines by Hepatoma cells may be a way to escape from immune surveillance.

  8. Prescription Opioid Abuse: A Literature Review of the Clinical and Economic Burden in the United States

    Science.gov (United States)

    Patel, Anisha M.; Rattana, Stacy K.; Quock, Tiffany P.; Mody, Samir H.

    2014-01-01

    Abstract Between 2002 and 2007, the nonmedical use of prescription pain relievers grew from 11.0 million to 12.5 million people in the United States. Societal costs attributable to prescription opioid abuse were estimated at $55.7 billion in 2007. The purpose of this study was to comprehensively review the recent clinical and economic evaluations of prescription opioid abuse. A comprehensive literature search was conducted for studies published from 2002 to 2012. Articles were included if they were original research studies in English that reported the clinical and economic burden associated with prescription opioid abuse. A total of 23 studies (183 unique citations identified, 54 articles subjected to full text review) were included in this review and analysis. Findings from the review demonstrated that rates of opioid overdose-related deaths ranged from 5528 deaths in 2002 to 14,800 in 2008. Furthermore, overdose reportedly results in 830,652 years of potential life lost before age 65. Opioid abusers were generally more likely to utilize medical services, such as emergency department, physician outpatient visits, and inpatient hospital stays, relative to non-abusers. When compared to a matched control group (non-abusers), mean annual excess health care costs for opioid abusers with private insurance ranged from $14,054 to $20,546. Similarly, the mean annual excess health care costs for opioid abusers with Medicaid ranged from $5874 to $15,183. The issue of opioid abuse has significant clinical and economic consequences for patients, health care providers, commercial and government payers, and society as a whole. (Population Health Management 2014;17:372–387) PMID:25075734

  9. Peer review of the Three Mile Island Unit 2 Vessel Investigation Project metallurgical examinations

    Energy Technology Data Exchange (ETDEWEB)

    Bohl, R.W.; Gaydos, R.G.; Vander Voort, G.F.; Diercks, D.R. [Argonne National Lab., IL (United States)

    1994-07-01

    Fifteen samples recovered from the lower head of the Three Mile Island (TMI) Unit 2 nuclear reactor pressure vessel were subjected to detailed metallurgical examinations by the Idaho National Engineering Laboratory (INEL), with supporting work carried out by Argonne National Laboratory (ANL) and several of the European participants. These examinations determined that a portion of the lower head, a so-called elliptical ``hot spot`` measuring {approx}0.8 {times} 1 m, reached temperatures as high as 1100{degrees}C during the accident and cooled from these temperatures at {approx}10--100{degrees}C/min. The remainder of the lower head was found to have remained below the ferrite-toaustenite transformation temperature of 727{degrees}C during the accident. Because of the significance of these results and their importance to the overall analysis of the TMI accident, a panel of three outside peer reviewers, Dr. Robert W. Bohl, Mr. Richard G. Gaydos, and Mr. George F. Vander Voort, was formed to conduct an independent review of the metallurgical analyses. After a thorough review of the previous analyses and examination of photo-micrographs and actual lower head specimens, the panel determined that the conclusions resulting from the INEL study were fundamentally correct. In particular, the panel reaffirmed that four lower head samples attained temperatures as high as 1100{degrees}C, and perhaps as high as 1150--1200{degrees}C in one case, during the accident. They concluded that these samples subsequently cooled at a rate of {approx}50--125{degrees}C/min in the temperature range of 600--400{degrees}C, in good agreement with the original analysis. The reviewers also agreed that the remainder of the lower head samples had not exceeded the ferrite-to-austenite transformation temperature during the accident and suggested several refinements and alternative procedures that could have been employed in the original analysis.

  10. Prescription opioid abuse: a literature review of the clinical and economic burden in the United States.

    Science.gov (United States)

    Meyer, Roxanne; Patel, Anisha M; Rattana, Stacy K; Quock, Tiffany P; Mody, Samir H

    2014-12-01

    Between 2002 and 2007, the nonmedical use of prescription pain relievers grew from 11.0 million to 12.5 million people in the United States. Societal costs attributable to prescription opioid abuse were estimated at $55.7 billion in 2007. The purpose of this study was to comprehensively review the recent clinical and economic evaluations of prescription opioid abuse. A comprehensive literature search was conducted for studies published from 2002 to 2012. Articles were included if they were original research studies in English that reported the clinical and economic burden associated with prescription opioid abuse. A total of 23 studies (183 unique citations identified, 54 articles subjected to full text review) were included in this review and analysis. Findings from the review demonstrated that rates of opioid overdose-related deaths ranged from 5528 deaths in 2002 to 14,800 in 2008. Furthermore, overdose reportedly results in 830,652 years of potential life lost before age 65. Opioid abusers were generally more likely to utilize medical services, such as emergency department, physician outpatient visits, and inpatient hospital stays, relative to non-abusers. When compared to a matched control group (non-abusers), mean annual excess health care costs for opioid abusers with private insurance ranged from $14,054 to $20,546. Similarly, the mean annual excess health care costs for opioid abusers with Medicaid ranged from $5874 to $15,183. The issue of opioid abuse has significant clinical and economic consequences for patients, health care providers, commercial and government payers, and society as a whole.

  11. Determination of actual crop evapotranspiration (ETc) and dual crop coefficients (Kc) for cotton, wheat and maize in Fergana Valley: integration of the FAO-56 approach and BUDGET

    Science.gov (United States)

    Kenjabaev, Shavkat; Dernedde, Yvonne; Frede, Hans-Georg; Stulina, Galina

    2014-05-01

    Determination of the actual crop evapotranspiration (ETc) during the growing period is important for accurate irrigation scheduling in arid and semi-arid regions. Development of a crop coefficient (Kc) can enhance ETc estimations in relation to specific crop phenological development. This research was conducted to determine daily and growth-stage-specific Kc and ETc values for cotton (Gossypium hirsutum L.), winter wheat (Triticum aestivum L.) and maize (Zea mays L.) for silage at fields in Fergana Valley (Uzbekistan). The soil water balance model - Budget with integration of the dual crop procedure of the FAO-56 was used to estimate the ETc and separate it into evaporation (Ec) and transpiration (Tc) components. An empirical equation was developed to determine the daily Kc values based on the estimated Ec and Tc. The ETc, Kc determination and comparison to existing FAO Kc values were performed based on 10, 5 and 6 study cases for cotton, wheat and maize, respectively. Mean seasonal amounts of crop water consumption in terms of ETc were 560±50, 509±27 and 243±39 mm for cotton, wheat and maize, respectively. The growth-stage-specific Kc for cotton, wheat and maize was 0.15, 0.27 and 0.11 at initial; 1.15, 1.03 and 0.56 at mid; and 0.45, 0.89 and 0.53 at late season stages. These values correspond to those reported by the FAO-56. Development of site specific Kc helps tremendously in irrigation management and furthermore provides precise water applications in the region. The developed simple approach to estimate daily Kc for the three main crops grown in the Fergana region was a first attempt to meet this issue. Keywords: Actual crop evapotranspiration, evaporation and transpiration, crop coefficient, model BUDGET, Fergana Valley.

  12. A review of documented oral care practices in an intensive care unit.

    Science.gov (United States)

    Goss, Linda K; Coty, Mary-Beth; Myers, John A

    2011-05-01

    Oral care is recognized as an essential component of care for critically ill patients and nursing documentation provides evidence of this process. This study examined the practice and frequency of oral care among mechanically ventilated and nonventilated patients. A retrospective record review was conducted of patients admitted to an intensive care unit (ICU) between July 1, 2007 and December 31, 2007. Data were analyzed using bivariate and multivariate analyses to determine the variables related to patients receiving oral care. Frequency of oral care documentation was found to be performed, on average, every 3.17 to 3.51 hr with a range of 1 to 8 hr suggesting inconsistencies in nursing practice. This study found that although oral care is a Center for Disease Control and Prevention (CDC) recommendation for the prevention of hospital-associated infections like ventilator-associated pneumonia (VAP), indication of documentation of the specifics are lacking in the patients' medical record.

  13. Dysfunctional psychological responses among Intensive Care Unit nurses: a systematic review of the literature

    Directory of Open Access Journals (Sweden)

    Maria Karanikola

    2015-10-01

    Full Text Available AbstractOBJECTIVETo systematically review evidence on dysfunctional psychological responses of Intensive Care Units nurses (ICUNs, with focus on anxiety and depressive symptoms and related factors.METHODA literature search was performed in CINAHL, PubMed and Scopus databases, from 1999 to present, along with a critical appraisal and synthesis of all relevant data. The following key words, separately and in combination, were used: "mental status" "depressive symptoms" "anxiety" "ICU nurses" "PTSD" "burnout" "compassion fatigue" "psychological distress".RESULTSThirteen quantitative studies in English and Greek were included. The results suggested increased psychological burden in ICUNs compared to other nursing specialties, as well as to the general population.CONCLUSIONSStudies investigating psychological responses of ICUNs are limited, internationally. Future longitudinal and intervention studies will contribute to a better understanding of the phenomenon.

  14. Critical review: regulatory incentives and impediments for onsite graywater reuse in the United States.

    Science.gov (United States)

    Yu, Zita L T; Rahardianto, Anditya; DeShazo, J R; Stenstrom, Michael K; Cohen, Yoram

    2013-07-01

    Graywater is a potential water source for reducing water demand. Accordingly, a review was undertaken of graywater reuse regulations and guidelines within the 50 United States. Major issues considered included acceptability for graywater segregation as a separate wastewater stream, allowable graywater storage, onsite treatment requirements, and permitted graywater use applications. Existing regulations and plumbing codes in the different states suggest that there are impediments to overcome but also potential incentives for graywater reuse. It is encouraging that regulations in 29 states promote safe graywater reuse, but there are also inconsistencies between plumbing codes and other regulations within and among the 50 states. Impediments to graywater reuse include disallowances of graywater segregation or collection, and restriction of graywater reuse to mostly subsurface irrigation with limited indoor use permission. Ease on restrictions and guidelines to promote development of low-cost and proven treatment technologies are needed to promote graywater reuse.

  15. Medication errors in the intensive care unit: literature review using the SEIPS model.

    Science.gov (United States)

    Frith, Karen H

    2013-01-01

    Medication errors in intensive care units put patients at risk for injury or death every day. Safety requires an organized and systematic approach to improving the tasks, technology, environment, and organizational culture associated with medication systems. The Systems Engineering Initiative for Patient Safety model can help leaders and health care providers understand the complicated and high-risk work associated with critical care. Using this model, the author combines a human factors approach with the well-known structure-process-outcome model of quality improvement to examine research literature. The literature review reveals that human factors, including stress, high workloads, knowledge deficits, and performance deficits, are associated with medication errors. Factors contributing to medication errors are frequent interruptions, communication problems, and poor fit of health information technology to the workflow of providers. Multifaceted medication safety interventions are needed so that human factors and system problems can be addressed simultaneously.

  16. Reproductive Health in the United States: A Review of the Recent Social Work Literature.

    Science.gov (United States)

    Wright, Rachel L; Bird, Melissa; Frost, Caren J

    2015-10-01

    Reproductive health is an important area affecting a woman's overall health and well-being. The examination of reproductive health and barriers to care is pertinent to the social work profession and should be a focus of social work practice, education, research, and advocacy. The authors conducted a literature search of articles published in the social work literature from 2010 to 2014. The findings reveal important published articles that increase our knowledge of the reproductive health of women in the United States. Most published articles focused on pregnancy and birth outcomes. Articles also addressed sexually transmitted infections; abortion; intimate partner violence; prostitution; access to care; cancer screening; views toward contraception; hysterectomies; breastfeeding; menopause; and the intersection of reproductive rights, religion, and social justice. This review also identified unexamined areas that require further social work attention and consideration.

  17. A Survey Study of Institutional Review Board Thought Processes in the United States and South Korea

    Directory of Open Access Journals (Sweden)

    Si-Kyung Jung

    2012-09-01

    Full Text Available Introduction: In the last several decades, South Korea has rapidly adopted Western customs and practices. Yet, cultural differences between South Korea and the United States exist. The purpose ofthis study was to identify and characterize potential cultural differences in the Korean and US institutional review board (IRB approach to certain topics.Methods: A qualitative analysis of a 9-item survey, describing 4 research study case scenarios, sent to IRB members from the United States and South Korea. The case scenarios involved the followingissues: (1 the need for consent for retrospective chart review when research subjects receive their care after the study is conceived; (2 child assent; (3 individual versus population benefit; and (4 exception from informed consent in emergency resuscitation research. The free-text responses were analyzed and abstracted for recurrent themes.Results: Twenty-three of the 45 survey recipients completed the survey, for an overall response rate of 51%. The themes that emerged were as follows: (1 the importance of parental authority among Korean participants versus the importance of child autonomy and child assent among US participants; (2 the recognition of the rights of a proxy or surrogate who can represent an individual’s values by all participants; and (3 the importance of the community, expressed by the Korean respondents, versus individualism, expressed by US respondents.Conclusion: Whereas US participants appear to emphasize the importance of the individual and the autonomy of a child, the Korean respondents stressed the importance of parental authority andbenefiting the community, above and beyond that of the individual person. However, there was substantial overlap in the themes expressed by respondents from both countries.

  18. A systematic review of administrative and clinical databases of infants admitted to neonatal units.

    Science.gov (United States)

    Statnikov, Yevgeniy; Ibrahim, Buthaina; Modi, Neena

    2017-05-01

    High quality information, increasingly captured in clinical databases, is a useful resource for evaluating and improving newborn care. We conducted a systematic review to identify neonatal databases, and define their characteristics. We followed a preregistered protocol using MesH terms to search MEDLINE, EMBASE, CINAHL, Web of Science and OVID Maternity and Infant Care Databases for articles identifying patient level databases covering more than one neonatal unit. Full-text articles were reviewed and information extracted on geographical coverage, criteria for inclusion, data source, and maternal and infant characteristics. We identified 82 databases from 2037 publications. Of the country-specific databases there were 39 regional and 39 national. Sixty databases restricted entries to neonatal unit admissions by birth characteristic or insurance cover; 22 had no restrictions. Data were captured specifically for 53 databases; 21 administrative sources; 8 clinical sources. Two clinical databases hold the largest range of data on patient characteristics, USA's Pediatrix BabySteps Clinical Data Warehouse and UK's National Neonatal Research Database. A number of neonatal databases exist that have potential to contribute to evaluating neonatal care. The majority is created by entering data specifically for the database, duplicating information likely already captured in other administrative and clinical patient records. This repetitive data entry represents an unnecessary burden in an environment where electronic patient records are increasingly used. Standardisation of data items is necessary to facilitate linkage within and between countries. 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/.

  19. Moral distress within neonatal and paediatric intensive care units: a systematic review.

    Science.gov (United States)

    Prentice, Trisha; Janvier, Annie; Gillam, Lynn; Davis, Peter G

    2016-08-01

    To review the literature on moral distress experienced by nursing and medical professionals within neonatal intensive care units (NICUs) and paediatric intensive care units (PICUs). Pubmed, EBSCO (Academic Search Complete, CINAHL and Medline) and Scopus were searched using the terms neonat*, infant*, pediatric*, prematur* or preterm AND (moral distress OR moral responsibility OR moral dilemma OR conscience OR ethical confrontation) AND intensive care. 13 studies on moral distress published between January 1985 and March 2015 met our inclusion criteria. Fewer than half of those studies (6) were multidisciplinary, with a predominance of nursing staff responses across all studies. The most common themes identified were overly 'burdensome' and disproportionate use of technology perceived not to be in a patient's best interest, and powerlessness to act. Concepts of moral distress are expressed differently within nursing and medical literature. In nursing literature, nurses are often portrayed as victims, with physicians seen as the perpetrators instigating 'aggressive care'. Within medical literature moral distress is described in terms of dilemmas or ethical confrontations. Moral distress affects the care of patients in the NICU and PICU. Empirical data on multidisciplinary populations remain sparse, with inconsistent definitions and predominantly small sample sizes limiting generalisability of studies. Longitudinal data reflecting the views of all stakeholders, including parents, are required. 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/

  20. Final KC-46A Formal Training Unit (FTU) and First Main Operating Base (MOB 1) Beddown EIS

    Science.gov (United States)

    2014-03-01

    slightly higher than the national standard (KDHE 2013b). Prescribed burns and wildfires within and outside of Kansas that transported smoke and O3...syndrome, increased stress, increases in admissions to mental hospitals, and adverse effects on pregnant women and fetuses (Harris 1997). C.2.4.3...been reproduced in other similar studies. One such study, conducted in 1983, suggested that 2 of 10 cows in late pregnancy aborted after showing

  1. Review of State Laws Restricting Local Authority to Impose Alcohol Taxes in the United States.

    Science.gov (United States)

    Mosher, James F; Adler, Sabrina S; Pamukcu, Aysha M; Treffers, Ryan D

    2017-03-01

    Building on the extensive research literature demonstrating that increasing alcohol prices reduces excessive alcohol consumption and related harms, this article presents the results of a 50-state review of local authority to tax alcohol in the United States. Between 2013 and 2015, legal databases and government websites were reviewed to collect and analyze relevant statutes, ordinances, and case law. Results reflect laws in effect as of January 1, 2015. Nineteen states allow local alcohol taxation, although 15 of those have one or more major restrictions on local authority to tax. The types of major restrictions are (a) restrictions on the type of beverage and alcohol content that can be taxed, (b) caps on local alcohol taxes, (c) restrictions on the type of retailer where taxes can be imposed, (d) restrictions on jurisdictions within the state that can levy taxes, and (e) requirements for how tax revenue can be spent. The number and severity of restrictions on local authority to tax alcohol vary across states. Previous research has shown that increases in alcohol taxes can lead to reduced excessive alcohol consumption, which provides public health and economic benefits. Taxes can also provide funds to support local prevention and treatment services. Local alcohol taxes therefore present an important policy opportunity, both in states that restrict local authority and in states where local authority exists but is underused.

  2. Air Force KC-X Tanker Aircraft Program: Background and Issues for Congress

    Science.gov (United States)

    2010-07-15

    Australia Australia wingtips, winglets , wing root fillet, ribs (for BAE) Heath Techna Aerospace United States composite components (for BAE) IPTN...Boeing Canada Canada fixed trailing edge panels, composite wing-to-body fairings, engine strut fairings Bombardier (Learjet) Canada wing trailing edge...Hitco Carbon Composites United States flap track fairings IPTN Indonesia flaps, keel beams (for Mitsubishi) Kaman Aerospace United States wing

  3. Critical review of black carbon and elemental carbon source apportionment in Europe and the United States

    Science.gov (United States)

    Briggs, Nicole L.; Long, Christopher M.

    2016-11-01

    An increasing number of air pollution source apportionment studies in Europe and the United States have focused on the black carbon (BC) fraction of ambient particulate matter (PM) given its linkage with adverse public health and climate impacts. We conducted a critical review of European and US BC source apportionment studies published since 2003. Since elemental carbon (EC) has been used as a surrogate measure of BC, we also considered source apportionment studies of EC measurements. This review extends the knowledge presented in previous ambient PM source apportionment reviews because we focus on BC and EC and critically examine the differences between source apportionment results for different methods and source categories. We identified about 50 BC and EC source apportionment studies that have been conducted in either Europe or the US since 2003, finding a striking difference in the commonly used source apportionment methods between the two regions and variations in the assigned source categories. Using three dominant methodologies (radiocarbon, aethalometer, and macro-tracer methods) that only allow for BC to be broadly apportioned into either fossil fuel combustion or biomass burning source categories, European studies generally support fossil fuel combustion as the dominant ambient BC source, but also show significant biomass burning contributions, in particular in wintertime at non-urban locations. Among US studies where prevailing methods such as chemical mass balance (CMB) and positive matrix factorization (PMF) models have allowed for estimation of more refined source contributions, there are fewer findings showing the significance of biomass burning and variable findings on the relative proportion of BC attributed to diesel versus gasoline emissions. Overall, the available BC source apportionment studies provide useful information demonstrating the significance of both fossil fuel combustion and biomass burning BC emission sources in Europe and the US

  4. Racial/Ethnic Disparities in Antenatal Depression in the United States: A Systematic Review.

    Science.gov (United States)

    Mukherjee, Soumyadeep; Trepka, Mary Jo; Pierre-Victor, Dudith; Bahelah, Raed; Avent, Tenesha

    2016-09-01

    Objectives More than 10 % of pregnant women in the United States (U.S.) suffer from depression, which has far-reaching consequences on maternal and fetal well-being. There is conflicting evidence regarding the prevalence of antenatal depression among different race and ethnic groups. This systematic review aimed to summarize the existing literature concerning racial/ethnic disparities in the prevalence and correlates of antenatal depression in the U.S. Methods PubMed, CINAHL and PsycINFO databases were searched online for research studies published in English in peer-reviewed journals until March 2015, using a pre-designed search strategy. Eligibility was determined using pre-specified criteria; and quality was assessed. Results Forty-one (41) articles met the criteria; 13 were cross-sectional, and 21 were longitudinal studies. Overall, the prevalence of antenatal depression was 10-30 %; it was higher among non-Hispanic blacks (NHBs) and Hispanics, compared to non-Hispanic whites (NHWs). Few studies looked at the correlates of depression by race/ethnicity. Among employed women, higher depression scores were observed among NHBs, compared to NHWs; while there was no racial difference among unemployed women. Racial difference and race-employment interaction disappeared once discrimination was accounted for. In another study, higher parity, higher stress, and lower self-esteem were significant correlates of depression among NHBs, while less satisfaction with social support, and higher stress predicted higher depression scores among NHWs and Hispanics respectively. Conclusions The findings of our review suggest that not only is antenatal depression a major public health issue that needs to be addressed, but different racial/ethnic groups seem to differ in their vulnerability and risk factors.

  5. Progress and outcomes of health systems reform in the United Arab Emirates: a systematic review.

    Science.gov (United States)

    Koornneef, Erik; Robben, Paul; Blair, Iain

    2017-09-20

    The United Arab Emirates (UAE) government aspires to build a world class health system to improve the quality of healthcare and the health outcomes for its population. To achieve this it has implemented extensive health system reforms in the past 10 years. The nature, extent and success of these reforms has not recently been comprehensively reviewed. In this paper we review the progress and outcomes of health systems reform in the UAE. We searched relevant databases and other sources to identify published and unpublished studies and other data available between 01 January 2002 and 31 March 2016. Eligible studies were appraised and data were descriptively and narratively synthesized. Seventeen studies were included covering the following themes: the UAE health system, population health, the burden of disease, healthcare financing, healthcare workforce and the impact of reforms. Few, if any, studies prospectively set out to define and measure outcomes. A central part of the reforms has been the introduction of mandatory private health insurance, the development of the private sector and the separation of planning and regulatory responsibilities from provider functions. The review confirmed the commitment of the UAE to build a world class health system but amongst researchers and commentators opinion is divided on whether the reforms have been successful although patient satisfaction with services appears high and there are some positive indications including increasing coverage of hospital accreditation. The UAE has a rapidly growing population with a unique age and sex distribution, there have been notable successes in improving child and maternal mortality and extending life expectancy but there are high levels of chronic diseases. The relevance of the reforms for public health and their impact on the determinants of chronic diseases have been questioned. From the existing research literature it is not possible to conclude whether UAE health system reforms are

  6. Predictors of maternal vaccination in the United States: An integrative review of the literature.

    Science.gov (United States)

    Myers, Kristen L

    2016-07-25

    The purpose of this literature review was to identify, analyze, and synthesize existing research related to patient, provider, and health system predictors of maternal vaccination in the United States, strategies used to increase maternal vaccination rates, and major theoretical frameworks used to guide maternal vaccination research. A search for evidence was conducted in CINAHL, PubMed, PsychINFO, Cochrane Systematic Reviews, and Google Scholar. Twenty-two articles were identified as best evidence for inclusion in this review: five randomized control trials, one cluster randomized trial, one mixed methods study, 12 observational studies, and three qualitative studies. Patient-focused predictors of maternal vaccination included provider recommendation; knowledge, attitudes, and beliefs; cues to action; and race and ethnicity. Provider-focused predictors included knowledge, attitudes, and beliefs; and multi-component intervention packages. Health system predictors included standing order protocols and practice site logistics. The major theoretical frameworks that emerged were the Health Belief Model, Theory of Reasoned Action/Theory of Planned Behavior, and Message Framing/Prospect Theory. Provider recommendation was the single most important predictor of vaccine acceptance among pregnant women. An abundance of theoretically-supported, patient-focused research was found in the literature. A minimal number of U.S.-based, provider-focused research was found and none of these used a theoretical framework. Minimal research examining health system barriers to maternal vaccination was found. Additional research into the logistical barriers to maternal vaccination programs within obstetrical practice locations in other geographical locations within the U.S. is warranted. Future provider- and health system-focused research needs to be grounded in theory. The field of implementation science may offer the theoretical guidance necessary to better understand problems in

  7. Alcohol consumption among university students in Ireland and the United Kingdom from 2002 to 2014: a systematic review

    OpenAIRE

    2016-01-01

    Background: Alcohol is a leading cause of global suffering. Europe reports the uppermost volume of alcohol consumption in the world, with Ireland and the United Kingdom reporting the highest levels of binge drinking and drunkenness. Levels of consumption are elevated among university students. Thus, this literature review aims to summarise the current research on alcohol consumption among university students in the Republic of Ireland and the United Kingdom. Methods: MEDLINE, CINAHL, EMBASE a...

  8. A Review Of The United States Government’s Status Quo North Korean Foreign Policy Approach And Reasons For Change

    Science.gov (United States)

    2016-02-16

    Korea’s "Year of Friendship." Harvard International Review , 2015. 28 Nielsen, Suzanne C. "American Civil-Military Relations The Soldier and the State...AIR WAR COLLEGE AIR UNIVERSITY A REVIEW OF THE UNITED STATES GOVERNMENT’S STATUS QUO NORTH KOREAN FOREIGN POLICY APPROACH AND REASONS FOR...Colonel Spencer holds a Bachelor of Science degree in Mathematics, Masters of Education, and a Doctorate degree in Business Administration. She

  9. Multiple MIPS 4Kc cores based interrupt controller design and its implementation on HDTV SoC platform

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A multiple MIPS 4Kc processor cores based interrupt processing system is introduced. The interrupt controller plays a key role in the high definition television (HDTV) system-on-a-chip (SoC) platform,especially when it is a multiple processor system. Based on a general introduction to the whole HDTV SoC platform, a layered interrupt controller and its implementation are discussed in detail. The proposed scheme was implemented in our FPGA verification board. The results indicate that our scheme is reliable and efficient. Meanwhile, as a functional intellectual property (IP), the interrupt controller has reusability and expandability with the layered structure.

  10. Metal-insulator transition in AC{sub 60}:RbC{sub 60} and KC{sub 60}

    Energy Technology Data Exchange (ETDEWEB)

    Khazeni, K.; Crespi, V.H.; Hone, J.; Zettl, A.; Cohen, M.L. [Department of Physics, University of California at Berkeley, Berkeley, California 94720 (United States)]|[Materials Sciences Division, Lawrence Berkeley Laboratory, Berkeley, California 94720 (United States)

    1997-09-01

    At zero pressure polymerized RbC{sub 60} is an insulator, whereas polymerized KC{sub 60} is a metal with a slight low-temperature resistive upturn. We report measurements of the resistivity of RbC{sub 60} under pressure, finding a hysteretic resistive transition in RbC{sub 60} near 200 K at 5 kbar, at which point the material transforms from insulator to metal. Correcting the resistivity to constant volume, both materials are metallic below the transition with a common low-temperature resistive upturn which is suppressed under compression. {copyright} {ital 1997} {ital The American Physical Society}

  11. Preliminary science report on the directional solidification of hypereutectic cast iron during KC-135 low-G maneuvers

    Science.gov (United States)

    Curreri, P. A.; Stefanescu, D. M.; Hendrix, J. C.

    1983-01-01

    An ADSS-P directional solidification furnace was reconfigured for operation on the KC-135 low-g aircraft. The system offers many advantages over quench ingot methods for study of the effects of sedimentation and convection on alloy formation. The directional sodification furnace system was first flown during the September 1982 series of flights. The microstructure of the hypereutectic cast iron sample solidified on one of these flights suggests a low-g effect on graphite morphology. Further experiments are needed to ascertain that this effect is due to low-gravity and to deduce which of the possible mechanisms is responsible for it.

  12. 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.

  13. Early rehabilitation in the intensive care unit: an integrative literature review.

    Science.gov (United States)

    Sosnowski, Kellie; Lin, Frances; Mitchell, Marion L; White, Hayden

    2015-11-01

    The aim of this review is to appraise current research which examines the impact of early rehabilitation practices on functional outcomes and quality of life in adult intensive care unit (ICU) survivors. A systematic literature search was undertaken; retrieved data was evaluated against a recognised evaluation tool; research findings were analysed and categorised into themes; and a synthesis of conclusions from each theme was presented as an integrated summation of the topic. Electronic databases of PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Ovid Medline and Google Scholar were searched using key search terms 'ICU acquired weakness', 'early rehabilitation' 'early mobility' and 'functional outcomes' combined with 'intensive care' and 'critical illness'. Additional literature was sourced from reference lists of relevant original publications. Five major themes related to the review objectives emerged from the analysis. These themes included: critically ill patients do not always receive physical therapy as a standard of care; ICU culture and resources determine early rehabilitation success; successful respiratory and physical rehabilitation interventions are tailored according to individual patient impairment; early exercise in the ICU prevents the neuromuscular complications of critical illness and improves functional status; early exercise in the ICU is effective, safe and feasible. A limited body of research supports early rehabilitation interventions to optimise the short term outcomes and long term quality of life for ICU survivors. Critical care nurses are in an excellent position to drive change within their departments ensuring that early rehabilitation practices are adopted and implemented. Copyright © 2015 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  14. Families on adult intensive care units: Are they really satisfied? A literature review.

    Science.gov (United States)

    Padilla Fortunatti, Cristóbal; Rojas Silva, Noelia

    2017-08-24

    Family satisfaction in intensive care units (ICU) is of increasing relevance for family-centred cared. The objective of this review was to explore the characteristics of studies that have used questionnaires to measure the satisfaction of family members of ICU patients. A literature review was performed for studies evaluating family satisfaction in the ICU, independent of design. The following data were obtained for each selected article: publication year, country of origin, design, number of family members, instrument for family satisfaction, instrument score range, response rate, moment at which satisfaction was evaluated, and average level of reported satisfaction. The following databases were systematically searched: PubMed, CINAHL, ProQuest Nursing, ProQuest Social Science, ProQuest Psychology, Science Direct, PsycINFO, LILACS, and Scielo. Thirty-seven articles met inclusion criteria, showing high levels of family satisfaction. Among these, nine different questionnaires were identified. In 31.6% of the studies, family satisfaction was evaluated during the ICU stay, whereas 36.9% did not report the evaluation moment. The mean response rate was 65.5%, and response rates greater than 70% were found only in 28.2% of the studies. High satisfaction levels among family members of ICU patients must be contextualised in light of questionnaire heterogeneity, low response rates, and variability in the moment at which family satisfaction is evaluated. The creation of methodological standards for evaluating and reporting family satisfaction could facilitate comparing results between investigations in this field. Copyright © 2017 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  15. A systematic review of smartphone applications for chronic pain available for download in the United States.

    Science.gov (United States)

    Wallace, Lorraine S; Dhingra, Lara K

    2014-01-01

    A Smartphone app could be useful in aiding patients in self-monitoring and self-managing their chronic pain-related symptoms. The purpose of this study was to systematically review English-language pain-related Smartphone apps available for download in the United States. During July 2012, official Android, BlackBerry, and iPhone Smartphone app platform stores were searched. "Pain" was entered into the search-bar of each Smartphone app store. Of the pain apps meeting inclusion criteria, the following were retrieved: release date, download cost (US dollars [US $], file size, documentation of a healthcare professional's (HCP) involvement in app development, primary purpose of the app (pain education, pain self-management, or a combination of pain education and self-management), targeted pain-related condition(s), and inclusion of features that addressed four common self-monitoring and/or management strategies. Of the 220 apps meeting inclusion criteria, the majority were available through the iPhone (80.0 percent). The cost for downloading each app ranged from US $0.00 to 89.99; however, the majority of apps were ≤US $4.99. There was no evidence of HCP involvement in the development of the majority of apps (65.0 percent). Chronic, nonspecific pain was the focus of half (50.5 percent) of the apps, followed by back and/or neck pain (25.9 percent). The primary purpose of the apps was categorized as follows: pain education (n = 53, 24.1 percent), pain self-management (n = 137, 62.3 percent), and both pain education and self management (n = 30, 13.6 percent). Overall, most of the pain-related apps included within our review not only lacked evidence of HCP input regarding development but also contained few evidence-based pain management features.

  16. Human Factors Evaluation of Man-Machine Interface for Periodic Safety Review of Yonggwang Unit no. 1, 2

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Hee; Lee, Jung Woon; Park, Jae Chang (and others)

    2006-01-15

    This report describes the research results of human factors assessment on the MMI(Man Machine Interface) equipment as part of Periodic Safety Review(PSR) of Yonggwang Unit no. 1, 2. As MMI is a key factor among human factors to be reviewed in PSR, we reviewed the MMI components of nuclear power plants in aspect of human factors engineering. The availability, suitability, and effectiveness of the MMI devices were chosen to be reviewed. The MMI devices were investigated through the review of design documents related to the MMI, survey of control panels, evaluation of experts, and experimental assessment. Checklists were used to perform this assessment and record the review results. The items mentioned by the expert comments to review in detail in relation with task procedures were tested by experiments with operators' participation. For some questionable issues arisen during this MMI review, operator workload and possibility of errors in operator actions were analysed. The reviewed MMI devices contain MCR(Main Control Room), SPDS(Safety Parameter Display System), RSP(Remote Shutdown Panel), and the selected LCBs(Local Control Boards) importantly related to safety. As results of the assessments, any significant problem challenging the safety was not found on human factors in the MMI devices. However, several small items to be changed and improved in suitability of MMI devices were discovered. An action plan is recommended to accommodate the suggestions and review comments. It will enhance the plant safety on MMI area.

  17. 75 FR 25032 - Biennial Review of the Progress of Cooperation Under the United States-Singapore Memorandum of...

    Science.gov (United States)

    2010-05-06

    ... Biennial Review of the Progress of Cooperation Under the United States-Singapore Memorandum of Intent on Cooperation in Environmental Matters and Suggestions for 2011-2012 U.S.-Singapore Plan of Action for... under the U.S.-Singapore Memorandum of Intent on Cooperation on Environmental Matters and...

  18. Review of Research for People with ID and Mental Health Problems: A View from the United Kingdom

    Science.gov (United States)

    Hemmings, Colin; Deb, Shoumitro; Chaplin, Eddie; Hardy, Steve; Mukherjee, Rittick

    2013-01-01

    This review of research into mental disorders in people with intellectual disabilities (ID) focuses on research in this field that has originated from the United Kingdom in the last 2 decades. It considers research developments into the epidemiology of mental disorders and problem behaviors, psychopharmacology, psychosocial interventions, and…

  19. Review of Research for People with ID and Mental Health Problems: A View from the United Kingdom

    Science.gov (United States)

    Hemmings, Colin; Deb, Shoumitro; Chaplin, Eddie; Hardy, Steve; Mukherjee, Rittick

    2013-01-01

    This review of research into mental disorders in people with intellectual disabilities (ID) focuses on research in this field that has originated from the United Kingdom in the last 2 decades. It considers research developments into the epidemiology of mental disorders and problem behaviors, psychopharmacology, psychosocial interventions, and…

  20. Disturbance and climate change in United States/Mexico borderland plant communities: a state-of-the-knowledge review

    Science.gov (United States)

    Guy R. McPherson; Jake F. Weltzin

    2000-01-01

    This review evaluates the effects and importance of disturbance and climate change on plant community dynamics in the United States/Mexico borderlands region. Our primary focus is on knowledge of physiognomic-level change in grasslands and woodlands of southeastern Arizona and southwestern New Mexico. Changes in vegetation physiognomy have broad implications for...

  1. The Nutritional Status of Low-Income Preschool Children in the United States: A Review of the Literature.

    Science.gov (United States)

    Kotch, Jonathan; Shackelford, Jo

    This review of the nutritional status of low-income preschool children in the United States discusses the topic in historical perspective and details current knowledge of the nutritional status of preschoolers. Discussion first focuses on the National Health and Nutrition Examination Survey II of 1976-80, and then turns to the National Food…

  2. Quality and safety in adult epilepsy monitoring units: A systematic review and meta-analysis.

    Science.gov (United States)

    Sauro, Khara M; Wiebe, Natalie; Macrodimitris, Sophie; Wiebe, Samuel; Lukmanji, Sara; Jetté, Nathalie

    2016-11-01

    The epilepsy monitoring unit (EMU) is a valuable resource for optimizing management of persons with epilepsy, but may place patients at risk for adverse events due to withdrawal of treatment and induction of symptoms. The purpose of this study was to synthesize data on the safety and quality of care in EMUs to inform the development of quality indicators for EMUs. A systematic review was conducted according to the Preferred Reporting and Items for Systematic Review and Meta-Analysis (PRISMA) statement. The search strategy, which included broad search terms and synonyms pertaining to the EMU, was run in six medical databases and included conference proceedings. Data abstracted included patient and EMU demographics and quality and safety variables. Study quality was evaluated using a modified 15-item Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. Descriptive statistics and meta-analyses were used to describe and synthesize the evidence. The search yielded 7,601 references, of which 604 were reviewed in full text. One-hundred thirty-five studies were included. The quality and safety data came from 181,823 patients and reported on 34 different quality and safety variables. Included studies commonly reported the number of patients (108 studies; median number patients, 171.5), age (49 studies; mean age 35.7 years old), and the reason for admission (34 studies). The most common quality and safety data reported were the utility of the EMU admission (38 studies). Thirty-three studies (24.4%) reported on adverse events, and yielded a pooled proportion of adverse events of 7% (95% confidence interval [CI] 5-9%). The mean quality score was 73.3% (standard deviation [SD] 17.2). This study demonstrates that there is a great deal of variation in the reporting of quality and safety measures and in the quality and safety in EMUs. Study quality also varied considerably from one study to the next. These findings highlight the need to develop

  3. A review of the relationships between drought and forest fire in the United States

    Science.gov (United States)

    Littell, Jeremy; Peterson, David L.; Riley, Karin L.; Yongquiang Liu,; Luce, Charles H.

    2016-01-01

    The historical and pre-settlement relationships between drought and wildfire are well documented in North America, with forest fire occurrence and area clearly increasing in response to drought. There is also evidence that drought interacts with other controls (forest productivity, topography, fire weather, management activities) to affect fire intensity, severity, extent, and frequency. Fire regime characteristics arise across many individual fires at a variety of spatial and temporal scales, so both weather and climate—including short- and long-term droughts—are important and influence several, but not all, aspects of fire regimes. We review relationships between drought and fire regimes in United States forests, fire-related drought metrics and expected changes in fire risk, and implications for fire management under climate change. Collectively, this points to a conceptual model of fire on real landscapes: fire regimes, and how they change through time, are products of fuels and how other factors affect their availability (abundance, arrangement, continuity) and flammability (moisture, chemical composition). Climate, management, and land use all affect availability, flammability, and probability of ignition differently in different parts of North America. From a fire ecology perspective, the concept of drought varies with scale, application, scientific or management objective, and ecosystem.

  4. Intensive Care Unit Acquired Weakness (ICU-AW: a brief and practical review

    Directory of Open Access Journals (Sweden)

    Daniel Agustin Godoy

    2015-01-01

    Full Text Available Intensive care unit-acquired weakness (ICU-AW is an increasingly complication of survivors of critical illness. It should be suspected in the presence of  a patient with a flaccid  tetraparesis or tetraplegia with hyporeflexia or absent deep tendon reflexes and difficult to weaning from mechanical ventilation in the absence of different diagnoses. Important risk factors are age, sepsis, illness duration and severity, some drugs (neuromuscular blockers, steroids. Electrophysiological studies have shown an axonal damage of involved peripheral nerves (critical illness polyneuropathy. However, muscle can also be primitively affected (critical illness myopathy leading to ICUAW with inconstant myopathic damage patterns in electromyographic studies. Mixed forms can are present (critical illness polyneuromyopathy. Although the pathophysiology remains obscure, the hypothesis of an acquired channelopathy is substantial.Electroneuromyography is crucial for diagnosis. Muscular and nerve biopsy are necessary for diagnosis confirmation. Aggressive treatment of baseline disease, prevention, through avoiding or minimizing precipitating factors, strict glycemic control, and early rehabilitation combining mobilization with physiotherapy and muscle electrical muscle stimulation, are the keys to improving recovery of the affected individuals. This narrative review highlights the current literature regarding the etiology and diagnosis of ICU-AW.http://dx.doi.org/10.7175/rhc.v6i1.1037

  5. Drug-nutrient interactions in the intensive care unit: literature review and current recommendations

    Science.gov (United States)

    Heldt, Tatiane; Loss, Sergio Henrique

    2013-01-01

    Objective To describe the interactions between drugs and nutrients and their frequency in the intensive care unit and to assess the professional team's awareness regarding this subject. Methods The keywords "drug interactions" and "nutrition therapy" were searched in the PubMed (specifically MeSH) electronic database. The studies were systematically reviewed for descriptions of the types of interactions between drugs and nutrients, including their frequency and consequences. Results Sixty-seven articles were found. Among these, 20 articles were appropriate for the methodology adopted and accomplished the objectives of the study. Of these 20 articles, 14 articles described interactions between drugs and enteral nutrition, three described interactions between drugs and parenteral nutrition, and three described the importance and care required to avoid such interactions. Conclusions The literature about drug and nutrient interactions is limited and suggests the inability of health care teams to recognize the potential for these interactions. Possibly, the elaboration of a protocol to evaluate drug-nutrient interactions will increase the safety and efficacy of therapeutics. PMID:23917982

  6. Women's perceptions of access to prenatal care in the United States: a literature review.

    Science.gov (United States)

    Phillippi, Julia C

    2009-01-01

    Women report many barriers to accessing prenatal care. This article reviews the literature from 1990 to the present on women's perceptions of access to prenatal care within the United States. Barriers can be classified into societal, maternal, and structural dimensions. Women may not be motivated to seek care, especially for unintended pregnancies. Societal and maternal reasons cited for poor motivation include a fear of medical procedures or disclosing the pregnancy to others, depression, and a belief that prenatal care is unnecessary. Structural barriers include long wait times, the location and hours of the clinic, language and attitude of the clinic staff and provider, the cost of services, and a lack of child-friendly facilities. Knowledge of women's views of access can help in development of policies to decrease barriers. Structural barriers could be reduced through changes in clinic policy and prenatal care format, and the creation of child-friendly waiting and examination rooms. Maternal and societal barriers can be addressed through community education. A focus in future research on facilitators of access can assist in creating open pathways to perinatal care for all women.

  7. Preparation and characterization of masonry units, lightweight concrete based and agro-industrial wastes: a review

    Science.gov (United States)

    Díaz-Fuentes, C. X.

    2013-11-01

    Discussion about the new composite materials that integrate agro industrial residues for the masonry unit's production, which are directed towards its implementation in projects of affordable housing, is a subject of interest to the public and productive sector of the country. For this reason, it presents a descriptive review of primary and secondary sources, which support the project under study. The methodology consisted in finding research articles in databases supported by the scientific community, which are ordered, integrated and prioritized, creating a matrix synthesis, which condensed the objectives, type of material, studied properties and main results found. It was found that the composite materials for masonry use mainly clay or cement as matrix and as reinforcement, agro waste like paper fibers, bamboo, rice husks, among others are used. Moreover, the properties that determine its potential use are low density, stress resistance and low thermal conductivity. Comparing the results with traditional specimens as the block of clay, concrete, adobe vs. experimental models made of the compounds analyzed, favorable results were obtained in the case of integrating waste materials into its composition, optimized their properties. Thus, science and architecture converge through recognition of the properties of materials that expand the alternatives of building spaces, economic and environmentally sustainable.

  8. Mobile screening units for the early detection of cancer: a systematic review.

    Science.gov (United States)

    Greenwald, Zoë R; El-Zein, Mariam; Bouten, Sheila; Ensha, Heydar; Vazquez, Fabiana L; Franco, Eduardo L

    2017-10-04

    Mobile Screening Units (MSUs) provide cancer screening services outside of fixed clinical sites, thereby increasing access to early detection services. We conducted a systematic review of the performance of MSUs for the early detection of cancer. Databases (MEDLINE, EMBASE, Cochrane Library, WHO Global Health Library, Web of Science, PsycINFO) were searched up to July 2015. Studies describing screening for breast, cervical and colon cancer using MSUs were included. Data was collected for operational aspects including the performance of exams, screening tests used, and outcomes of case-detection. Of 268 identified studies, 78 were included. Studies investigated screening for cancers including breast (n=55), cervical (n=12), colon (n=1) and multiphasic screening for multiple cancers (n=10). The median number of screening exams performed per intervention was 1767 (interquartile range 5656-38,233). Programs operated in 20 countries, mostly in North America (36%) and Europe (36%). 52% served mixed rural/urban regions, while 35% and 13% served rural or urban regions, respectfully. MSUs have served to expand access to screening in diverse contexts. Further research on the implementation of MSUs in low-resource settings and health economic research on cost-effectiveness of MSUs compared with fixed clinics to inform policymakers is needed. Copyright ©2017, American Association for Cancer Research.

  9. Protective effect of the silkworm protein 30Kc6 on human vascular endothelial cells damaged by oxidized low density lipoprotein (Ox-LDL).

    Science.gov (United States)

    Yu, Wei; Ying, Huihui; Tong, Fudan; Zhang, Chen; Quan, Yanping; Zhang, Yaozhou

    2013-01-01

    Although the 30K family proteins are important anti-apoptotic molecules in silkworm hemolymph, the underlying mechanism remains to be investigated. This is especially the case in human vascular endothelial cells (HUVECs). In this study, a 30K protein, 30Kc6, was successfully expressed and purified using the Bac-to-Bac baculovirus expression system in silkworm cells. Furthermore, the 30Kc6 expressed in Escherichia coli was used to generate a polyclonal antibody. Western blot analysis revealed that the antibody could react specifically with the purified 30Kc6 expressed in silkworm cells. The In vitro cell apoptosis model of HUVEC that was induced by oxidized low density lipoprotein (Ox-LDL) and in vivo atherosclerosis rabbit model were constructed and were employed to analyze the protective effects of the silkworm protein 30Kc6 on these models. The results demonstrated that the silkworm protein 30Kc6 significantly enhanced the cell viability in HUVEC cells treated with Ox-LDL, decreased the degree of DNA fragmentation and markedly reduced the level of 8-isoprostane. This could be indicative of the silkworm protein 30Kc6 antagonizing the Ox-LDL-induced cell apoptosis by inhibiting the intracellular reactive oxygen species (ROS) generation. Furthermore, Ox-LDL activated the cell mitogen activated protein kinases (MAPK), especially JNK and p38. As demonstrated with Western analysis, 30Kc6 inhibited Ox-LDL-induced cell apoptosis in HUVEC cells by preventing the MAPK signaling pathways. In vivo data have demonstrated that oral feeding of the silkworm protein 30Kc6 dramatically improved the conditions of the atherosclerotic rabbits by decreasing serum levels of total triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and total cholesterol (TC). Furthermore, 30Kc6 alleviated the extent of lesions in aorta and liver in the atherosclerotic rabbits. These data are not only helpful in understanding the anti

  10. Protective effect of the silkworm protein 30Kc6 on human vascular endothelial cells damaged by oxidized low density lipoprotein (Ox-LDL.

    Directory of Open Access Journals (Sweden)

    Wei Yu

    Full Text Available Although the 30K family proteins are important anti-apoptotic molecules in silkworm hemolymph, the underlying mechanism remains to be investigated. This is especially the case in human vascular endothelial cells (HUVECs. In this study, a 30K protein, 30Kc6, was successfully expressed and purified using the Bac-to-Bac baculovirus expression system in silkworm cells. Furthermore, the 30Kc6 expressed in Escherichia coli was used to generate a polyclonal antibody. Western blot analysis revealed that the antibody could react specifically with the purified 30Kc6 expressed in silkworm cells. The In vitro cell apoptosis model of HUVEC that was induced by oxidized low density lipoprotein (Ox-LDL and in vivo atherosclerosis rabbit model were constructed and were employed to analyze the protective effects of the silkworm protein 30Kc6 on these models. The results demonstrated that the silkworm protein 30Kc6 significantly enhanced the cell viability in HUVEC cells treated with Ox-LDL, decreased the degree of DNA fragmentation and markedly reduced the level of 8-isoprostane. This could be indicative of the silkworm protein 30Kc6 antagonizing the Ox-LDL-induced cell apoptosis by inhibiting the intracellular reactive oxygen species (ROS generation. Furthermore, Ox-LDL activated the cell mitogen activated protein kinases (MAPK, especially JNK and p38. As demonstrated with Western analysis, 30Kc6 inhibited Ox-LDL-induced cell apoptosis in HUVEC cells by preventing the MAPK signaling pathways. In vivo data have demonstrated that oral feeding of the silkworm protein 30Kc6 dramatically improved the conditions of the atherosclerotic rabbits by decreasing serum levels of total triglyceride (TG, high density lipoprotein cholesterol (HDL-C, low density lipoprotein cholesterol (LDL-C and total cholesterol (TC. Furthermore, 30Kc6 alleviated the extent of lesions in aorta and liver in the atherosclerotic rabbits. These data are not only helpful in understanding the anti

  11. On fitting the k-C* first order model to batch loaded sub-surface treatment wetlands.

    Science.gov (United States)

    Stein, O R; Towler, B W; Hook, P B; Biederman, J A

    2007-01-01

    The k-C* first order model was fit to time-series COD data collected from batch-loaded model wetlands. Four replicates of four plant species treatments; Carex utriculata (sedge), Schoenoplectus acutus (bulrush), Typha latifolia (cattail) and unplanted controls were compared. Temperature was varied by 4 degrees C from 24 degrees C to 4 degrees C to 24 degrees C over a year-long period. One mathematical fit was made for each wetland replicate at each temperature setting (192 fits). Temperature effects on both parameters were subsequently estimated by fitting the Arrhenius relationship to the estimated coefficients. Inherent interactions between k and C* make values dependent on sample timing and statistical technique for either time series (batch load) or distance profile (plug flow) data. Coefficients calibrated using the Levenberg-Marquardt method are compared to values previously reported using a nonlinear mixed effect regression technique. Overall conclusions are similar across approaches: (a) the magnitude of the coefficients varies strongly by species; (b) the rate constant k decreases with increasing temperature; and (c) temperature and species variation in the residual concentration C* is greater than the variation in k, such that variation in k alone is a poor predictor of performance. However, the magnitudes of the coefficients, especially the rate parameter k, vary between the statistical techniques, highlighting the need to better document the statistical routines used to calibrate the k-C* model.

  12. Temporal variation of normalized difference vegetation index (NDVI and calculation of the crop coefficient (Kc from NDVI in areas cultivated with irrigated soybean

    Directory of Open Access Journals (Sweden)

    Thálita Carrijo de Oliveira

    2016-09-01

    Full Text Available ABSTRACT: Vegetation indices obtained by remote sensing products have various applications in agriculture. An important application of the Normalized Difference Vegetation Index (NDVI is obtaining the crop coefficient (Kc. The aims of this study were to analyze NDVI temporal profiles and to obtain Kc from the NDVI vegetation index product MOD13Q1. The analysis is based on the phenological stages of irrigated soybean crops in the municipality of Planura/MG during the 2010/2011 growing season. Areas planted with irrigated soybean were identified through fieldwork. Temporal series of the MOD13Q1 products were used to analyze NDVI, allowing the extraction of NDVI values for all points in the period studied. The NDVI temporal profiles showed a similar pattern to each other and corresponded to the crop cycle. The KcNDVI values for the MOD13Q1 products were well correlated to the FAO Kc values (r2=0.72. Thus, NDVI can be used as an alternative for obtaining crop coefficient (Kc.

  13. Voluntary peer review as innovative tool for quality improvement in the intensive care unit – a retrospective descriptive cohort study in German intensive care units

    Directory of Open Access Journals (Sweden)

    Kumpf, Oliver

    2014-12-01

    Full Text Available [english] Introduction: Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports.Methods: Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs – representing over 300 patient beds – had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports of these ICUs are presented. Results: External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interestingConclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators.

  14. Voluntary peer review as innovative tool for quality improvement in the intensive care unit – a retrospective descriptive cohort study in German intensive care units

    Science.gov (United States)

    Kumpf, Oliver; Bloos, Frank; Bause, Hanswerner; Brinkmann, Alexander; Deja, Maria; Marx, Gernot; Kaltwasser, Arnold; Dubb, Rolf; Muhl, Elke; Greim, Clemens-A.; Weiler, Norbert; Chop, Ines; Jonitz, Günther; Schaefer, Henning; Felsenstein, Matthias; Liebeskind, Ursula; Leffmann, Carsten; Jungbluth, Annemarie; Waydhas, Christian; Pronovost, Peter; Spies, Claudia; Braun, Jan-Peter

    2014-01-01

    Introduction: Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs) started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports. Methods: Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs – representing over 300 patient beds – had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports) of these ICUs are presented. Results: External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interesting Conclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators. PMID:25587245

  15. Managing Highway Maintenance: Instructor's Manual for Management by Objectives Review, Unit 11, All Levels.

    Science.gov (United States)

    Federal Highway Administration (DOT), Washington, DC. Offices of Research and Development.

    Part of the series "Managing Highway Maintenance," the unit is designed for the training group leader and contains selected highlights and suggested discussion questions from six units of training: maintenance activities, work units, and classifying work; maintenance feature inventories; how to conduct a maintenance feature inventory;…

  16. HIV Testing Among Internet-Using MSM in the United States: Systematic Review.

    Science.gov (United States)

    Noble, Meredith; Jones, Amanda M; Bowles, Kristina; DiNenno, Elizabeth A; Tregear, Stephen J

    2017-02-01

    Regular HIV testing enables early identification and treatment of HIV among at-risk men who have sex with men (MSM). Characterizing HIV testing needs for Internet-using MSM informs development of Internet-facilitated testing interventions. In this systematic review we analyze HIV testing patterns among Internet-using MSM in the United States who report, through participation in an online study or survey, their HIV status as negative or unknown and identify demographic or behavioral risk factors associated with testing. We systematically searched multiple electronic databases for relevant English-language articles published between January 1, 2005 and December 16, 2014. Using meta-analysis, we summarized the proportion of Internet-using MSM who had ever tested for HIV and the proportion who tested in the 12 months preceding participation in the online study or survey. We also identified factors predictive of these outcomes using meta-regression and narrative synthesis. Thirty-two studies that enrolled 83,186 MSM met our inclusion criteria. Among the studies reporting data for each outcome, 85 % (95 % CI 82-87 %) of participants had ever tested, and 58 % (95 % CI 53-63 %) had tested in the year preceding enrollment in the study, among those for whom those data were reported. Age over 30 years, at least a college education, use of drugs, and self-identification as being homosexual or gay were associated with ever having tested for HIV. A large majority of Internet-using MSM indicated they had been tested for HIV at some point in the past. A smaller proportion-but still a majority-reported they had been tested within the year preceding study or survey participation. MSM who self-identify as heterosexual or bisexual, are younger, or who use drugs (including non-injection drugs) may be less likely to have ever tested for HIV. The overall findings of our systematic review are encouraging; however, a subpopulation of MSM may benefit from targeted outreach. These

  17. Adherence: a review of education, research, practice, and policy in the United States

    Directory of Open Access Journals (Sweden)

    Brown TA

    2010-03-01

    Full Text Available Objective: To describe the education, research, practice, and policy related to pharmacist interventions to improve medication adherence in community settings in the United States.Methods: Authors used MEDLINE and International Pharmaceutical Abstracts (since 1990 to identify community and ambulatory pharmacy intervention studies which aimed to improve medication adherence. The authors also searched the primary literature using Ovid to identify studies related to the pharmacy teaching of medication adherence. The bibliographies of relevant studies were reviewed in order to identify additional literature. We searched the tables of content of three US pharmacy education journals and reviewed the American Association of Colleges of Pharmacy website for materials on teaching adherence principles. Policies related to medication adherence were identified based on what was commonly known to the authors from professional experience, attendance at professional meetings, and pharmacy journals.Results: Research and Practice: 29 studies were identified: 18 randomized controlled trials; 3 prospective cohort studies; 2 retrospective cohort studies; 5 case-controlled studies; and one other study. There was considerable variability in types of interventions and use of adherence measures. Many of the interventions were completed by pharmacists with advanced clinical backgrounds and not typical of pharmacists in community settings. The positive intervention effects had either decreased or not been sustained after interventions were removed. Although not formally assessed, in general, the average community pharmacy did not routinely assess and/or intervene on medication adherence. Education: National pharmacy education groups support the need for pharmacists to learn and use adherence-related skills. Educational efforts involving adherence have focused on students’ awareness of adherence barriers and communication skills needed to engage patients in behavioral

  18. 如何上好单元复习课%How to Give a Good Unit Review Class

    Institute of Scientific and Technical Information of China (English)

    包晓明

    2014-01-01

    如何把单元复习课上得有新意,又有效呢?仅以Unit 3 Teenagers should be allowed to choose their own clothes?(义务教育课程标准实验教科书人教版新目标英语九年级)为例,谈谈如何上好单元复习课。这堂课的主要任务是帮助学生复习本单元的基础知识,梳理基本信息,最后达到温故而知新。%How to put the unit review class to have the fresh idea,and effective? Only with the Unit 3 Teenagers should be allowed to choose their own clothes?(the experimental textbooks of compulsory education curriculum standard person teaching edition“English”)New (grade nine)as an example about how to teach unit review class. The main task of this course is to help students review the basic knowledge, combed the basic information,and finally reached the entrance.

  19. Protocol management of severe traumatic brain injury in intensive care units: a systematic review.

    Science.gov (United States)

    English, Shane W; Turgeon, Alexis F; Owen, Elliott; Doucette, Steve; Pagliarello, Giuseppe; McIntyre, Lauralyn

    2013-02-01

    To examine clinical trials and observational studies that compared use of management protocols (MPs) versus usual care for adult intensive care unit (ICU) patients with acute severe traumatic brain injury (TBI) on 6-month neurologic outcome (Glasgow Outcome Scale, GOS) and mortality, major electronic databases were searched from 1950 to April 18, 2011. Abstracts from major international meetings were searched to identify gray literature. A total of 6,151 articles were identified; 488 were reviewed in full and 13 studies were included. Data on patient and MP characteristics, outcomes and methodological quality were extracted. All 13 included studies were observational. A random effects model showed that use of MPs was associated with a favorable neurologic outcome (GOS 4 or 5) at 6 months (odds ratio [OR] and 95 % confidence interval [CI] 3.84 (2.47-5.96)) but not 12 months (OR, 95 % CI 0.87 (0.56-1.36)). Use of MPs was associated with reduced mortality at hospital discharge and 6 months (OR and 95 % CI 0.72 (0.45-1.14) and 0.33 (0.13-0.82) respectively), but not 12 months (OR, 95 % CI 0.79 (0.5-1.24)). Sources of heterogeneity included variation in study design, methodological quality, MP design, MP neurophysiologic endpoints, and type of ICU. MPs for severe TBI were associated with reductions in death and improved neurologic outcome. Although no definitive conclusions about the efficacy of MPs for severe TBI can be drawn from our study, these results should encourage the conduct of randomized controlled trials to more rigorously examine the efficacy of MPs for severe TBI.

  20. Tires as habitats for mosquitoes: a review of studies within the eastern United States.

    Science.gov (United States)

    Yee, Donald A

    2008-07-01

    Discarded vehicle tires are a common habitat for a variety of container mosquito species. I reviewed the literature from the last 50 yr on mosquitoes collected within tires in the eastern United States with four objectives: to examine the historical and contemporary issues of tires as a habitat for mosquitoes, to identify tire-inhabiting species, to summarize findings from studies that focused on biotic and abiotic characteristics of tires, and to offer future directions to aid our understanding of tire-inhabiting mosquitoes. Thirty-two species have been documented, including seven invasives, with the most frequently encountered being Aedes triseriatus, Ae. albopictus, Ae. atropalpus, Culex restuans, Cx. pipiens, Cx. territans, Anopheles punctipennis, and Toxorhynchites rutilus. The proclivity of these species to occupy small containers is one possible explanation for their occurrence in tires. The native species Ae. triseriatus was abundant and the most often collected, particularly in central and northern regions, whereas the invasive Ae. albopictus was most abundant in the south. One half of the studies investigating aspects of the tire environment compared mosquito populations between sunlit and shaded tires, with the general finding that this factor alone led to dramatic differences in larval species composition and abundance patterns. Less frequently investigated factors, e.g., tire orientation, detritus, and proximity to humans, also were found to affect patterns of occupancy by mosquitoes. For the future, I suggest more surveys are needed in understudied areas, as well as quantitative experiments to determine habitat associations and community dynamics in tires, which are especially necessary to assist in understanding invasions. Discarded tires are important for studies of vector dynamics, because of their abundance near human populations and because they expand the habitat range of mosquitoes that vector pathogens.

  1. Entrepreneurial nurses and midwives in the United Kingdom: an integrative review.

    Science.gov (United States)

    Drennan, Vari; Davis, Kathy; Goodman, Claire; Humphrey, Charlotte; Locke, Rachel; Mark, Annabelle; Murray, Susan F; Traynor, Michael

    2007-12-01

    This paper is a report of an integrative literature review to investigate: (a) the extent of entrepreneurial activity by nurses, midwives and health visitors in the United Kingdom and (b) the factors that influenced these activities. Internationally, social and commercial entrepreneurial activity is regarded as important for economic growth and social cohesion. Seventeen bibliographic databases were searched using single and combined search terms: 'entrepreneur$', 'business', 'private practice', 'self-employ$', 'intrapreneur$''social enterprise$''mutuals', 'collectives', 'co-op' and 'social capital' which were related to a second layer of terms 'Nurs$', 'Midwi$', 'Visit$'. 'Entrepreneur$' Private Midwi$, Independent Midwi$, and 'nursing workforce'. In addition, hand searches of non-indexed journals and grey literature searches were completed. The following inclusion criteria were: (a) describing nurses, midwife and/or health visitor entrepreneurship (b) undertaken in the UK, and (c) reported between January 1996 and December 2005. Of 154 items included only three were empirical studies; the remainder were narrative accounts. While quality of these accounts cannot be verified, they provide as complete an account as possible in this under-researched area. The numbers of nurses, midwives and health visitors acting entrepreneurially were very small and mirror international evidence. A categorization of entrepreneurial activity was inductively constructed by employment status and product offered. 'Push' and 'pull' influencing factors varied between types of entrepreneurial activity. Empirical investigation into the extent to which nurses and midwives respond to calls for greater entrepreneurialism should take account of the complex interplay of contextual factors (e.g. healthcare legislation), professional and managerial experience and demographic factors.

  2. Uncovering the decision-making work of transferring dying patients home from critical care units: An integrative review.

    Science.gov (United States)

    Lin, Yanxia; Myall, Michelle; Jarrett, Nikki

    2017-06-21

    To understand how decisions are made to transfer dying patients home from critical care units. Many people prefer a home death, but a high proportion die in critical care units. Transferring dying patients home is recognized to be complex but transfer decision-making itself remains unclear. Integrative review. Seven bibliographic databases (origin-2015), grey literature and reference lists were searched. An integrative review method was used to synthesize data from diverse sources. Papers were selected through title and abstract screening and full-text reviewing, using inclusion and exclusion criteria derived from review questions. Following quality appraisal, data were extracted and synthesized using normalization process theory as a framework. The number of patients transferred home ranged from 1-346, with most papers reporting on the transfer of one or two patients. Four themes regarding transfer decision-making work were generated: divergent views and practice, multiple stakeholders' involvement in decision-making, collective work and limited understanding of individuals' experiences. The practice of transferring patients home to die and its decision-making varies internationally and is usually influenced by the care system, culture or religion. It is less common to transfer patients home to die from critical care units in western societies. A better understanding of the decision-making work was obtained but mainly from the perspective of hospital-based healthcare professionals. Further research is needed to develop decision-making practice guidance to facilitate patients' wishes to die at home. © 2017 John Wiley & Sons Ltd.

  3. Increased function of the TRPV1 channel in small sensory neurons after local inflammation or in vitro exposure to the pro-inflammatory cytokine GRO/KC

    Institute of Scientific and Technical Information of China (English)

    Fei Dong; Yi-Ru Du; Wenrui Xie; Judith A.Strong; Xi-Jing He; Jun-Ming Zhang

    2012-01-01

    Objective Inflammation at the level of the sensory dorsal root ganglia (DRGs) leads to robust mechanical pain behavior and the local inflammation has direct excitatory effects on sensory neurons including small,primarily nociceptive,neurons.These neurons express the transient receptor potential vanilloid-1 (TRPV 1) channel,which integrates multiple signals of pain and inflammation.The aim of this study was to characterize the regulation of the TRPV1 channel by local DRG inflammation and by growth-related oncogene (GRO/KC,systemic name:CXCL1),a cytokine known to be upregulated in inflamed DRGs.Methods Activation of the TRPV1 receptor with capsaicin was studied with patch clamp methods in acutely isolated small-diameter rat sensory neurons in primary culture.In vivo,behavioral effects of TRPV1 and GRO/KC were examined by paw injections.Results Neurons isolated from lumbar DRGs 3 days after local inflammation showed enhanced TRPV1 function:tachyphylaxis (the decline in response to repeated applications of capsaicin) was significantly reduced.A similar effect on tachyphylaxis was observed in neurons pre-treated for 4 h in vitro with GRO/KC.This effect was blocked by H-89,a protein kinase A inhibitor.Consistent with the in vitro results,in vivo behavioral responses to paw injection of capsaicin were enhanced and prolonged by pre-injecting the paw with GRO/KC 4 h before the capsaicin injection.GRO/KC paw injections alone did not elicit pain behaviors.Conclusion Function of the TRPV 1 channel is enhanced by DRG inflammation and these effects are preserved in vitro during short-term culture.The effects (decreased tachyphylaxis) are mimicked by incubation with GRO/KC,which has previously been found to be strongly upregulated in this and other pain models.

  4. Thermal stability of the F centre in KC1 between 80 and 300 K; Estabilidad termica del centro F' en KC1 entre 80 y 300 K

    Energy Technology Data Exchange (ETDEWEB)

    Garcia Codovila, C.

    1974-07-01

    After shining an F spark light of high intensity upon a coloured sample of KC1, the annealing of the induced F1 band and the decay of the induced luminescence are observed. This luminescence is produced by the electrons returning to the anion vacancies through the F* state. From the annealing characteristics of the F1 band between 80 and 300 K, we conclude that at least six thermally activated processes ase involved. The luminescence decay curves also show evidence of six the thermally activated processes which correlate quite wall in magnitude with those from the F1 band anneal. We conclude that the luminescence and annealing of the F1 band are aspects of the same process, and some explanations are suggested involving the interaction of F1 centres and electron traps. (Author) 41 refs.

  5. Determinação do coeficiente de cultura (Kc e eficiência do uso de água do alecrim-pimenta irrigado Determination of crop coefficient (Kc and water use efficiency for irrigated rosemary peppermint

    Directory of Open Access Journals (Sweden)

    Otávio D. Lopes

    2011-06-01

    Full Text Available Objetivou-se com este estudo determinar os coeficientes de cultura (Kc, a eficiência do uso de água (EUA do alecrim-pimenta contemplando a produção de biomassa e óleo essencial. O experimento foi conduzido em lisímetro de drenagem, no Instituto de Ciências Agrárias da Universidade Federal de Minas Gerais, em Montes Claros, MG. O delineamento experimental utilizado foi em blocos casualizados, cujos tratamentos correspondiam a sete lâminas de água (0,5; 0,75; 1,0; 1,2; 1,4; 1,65 e 1,9 ETo, e três repetições. A evapotranspiração potencial de referência utilizada no cálculo das lâminas de irrigação foi obtida pelo método de Penman-Monteith. Os tratamentos foram submetidos à análise de regressão. Os resultados indicam que o alecrim-pimenta apresenta resposta positiva ao aumento da lâmina d'água aplicada. O tratamento responsável pelo maior índice de eficiência do uso da água, foi o tratamento 6 (1,65 ETo, com 1,26 kg m-3 para a produção de matéria fresca em função da lâmina aplicada. A produtividade de óleo essencial foi de 59,12 kg ha-1 aos 120 dias após transplantio, para o tratamento 7 (1,9 ETo. Os coeficientes de cultura (Kc médios determinados em todo o ciclo da cultura, variaram de 0,98 na fase inicial, 1,20 no desenvolvimento vegetativo e 1,52 no florescimento.The aim of this study was to determine the crop coefficient (Kc, water use efficiency (WUE of the Lippia sidoides Cham. contemplating the production of biomass and essential oil and growth parameters. The experiment was conducted in drainage lysimeter at the Instituto de Ciências Agrárias of the Universidade Federal de Minas Gerais, at Montes Claros, MG. The experimental design was randomized blocks, with the treatments corresponding to seven water depths (0.5; 0.75; 1.0; 1.2; 1.4; 1.65 and 1.9 ETo, and three replications. The potential evapotranspiration of reference used in the calculation of the irrigation was obtained by the Penman Monteith

  6. Determinação do coeficiente de cultura (Kc) e eficiência do uso de água do alecrim-pimenta irrigado Determination of crop coefficient (Kc) and water use efficiency for irrigated rosemary peppermint

    OpenAIRE

    Lopes,Otávio D.; Kobayashi,Mauro K.; Flávio G. Oliveira; Ivan C. A. Alvarenga; Ernane R Martins; Carlos E. Corsato

    2011-01-01

    Objetivou-se com este estudo determinar os coeficientes de cultura (Kc), a eficiência do uso de água (EUA) do alecrim-pimenta contemplando a produção de biomassa e óleo essencial. O experimento foi conduzido em lisímetro de drenagem, no Instituto de Ciências Agrárias da Universidade Federal de Minas Gerais, em Montes Claros, MG. O delineamento experimental utilizado foi em blocos casualizados, cujos tratamentos correspondiam a sete lâminas de água (0,5; 0,75; 1,0; 1,2; 1,4; 1,65 e 1,9 ETo), e...

  7. Interventions for the prevention of catheter associated urinary tract infections in intensive care units: An integrative review.

    Science.gov (United States)

    Galiczewski, Janet M

    2016-02-01

    Catheter associated urinary tract infections (CAUTIs) put an unnecessary burden on patients and health care systems. The purpose of this integrative review was to examine existing evidence on preventative interventions and protocols currently implemented in intensive care units (ICUs) and the impact they have on CAUTI rates and patient outcomes. This review analysed 14 research articles obtained from electronic databases and included adult patients with urinary catheters in an ICU setting. Evidence demonstrated interventions that included criteria for catheter use, daily review of catheter necessity and discontinuation of catheter prior to day seven were successful in decreasing CAUTI rates. This review provides a scientific basis for the effectiveness of these interventions and protocols. Identification and use of interventions with the greatest positive impact on CAUTI rates are an asset to healthcare professional caring for patients with indwelling catheters and nurse clinicians developing policies.

  8. Imaging of non-small cell lung cancers with a monoclonal antibody, KC-4G3, which recognizes a human milk fat globule antigen

    Energy Technology Data Exchange (ETDEWEB)

    Dienhart, D.G.; Schmelter, R.F.; Lear, J.L.; Miller, G.J.; Glenn, S.D.; Bloedow, D.C.; Kasliwal, R.; Moran, P.; Seligman, P.; Murphy, J.R. (Univ. of Colorado Cancer Center, Denver (USA))

    1990-11-01

    To determine the role of lung cancer tumor imaging with monoclonal antibodies directed against high molecular weight human milk fat globule antigens, we administered i.v. 111In-KC-4G3 to 24 patients with advanced non-small cell lung cancer. One mg of 111In-KC-4G3 was mixed with 0, 9, 49, 99, or 499 mg of unlabeled KC-4G3 and infused i.v. over 1 to 5 h. The mean 111In-KC-4G3 radiochemical purity was greater than 97% and the resultant immunoreactivity averaged 62%. Successful imaging of cancer sites was accomplished in 92% of 24 patients, and 57% of 91 total lesions were visualized. Successful localization of tumor sites related to size (P less than 0.001), with 81% of lesions greater than 3.0 cm in diameter, 50% of lesions 1.5 to 3 cm, and 6% of lesions less than 1.5 cm successfully imaging, and to location (P less than 0.05), with 69% of pulmonary lesions, 80% of soft tissue lesions, and only 32% of bone metastases being visualized. Nonspecific reticulo-endothelial uptake of radioactivity was a major problem. Approximately 35% of 111In was chelated to serum transferrin by 24 and 48 h after infusion. The mean t 1/2 beta for plasma radioisotope and immunoreactive KC-4G3 was 29 and 27 h, respectively. There was no correlation between total infused antibody dose and imaging success or between total dose and effect on 111In and KC-4G3 kinetics. Circulating free KC-4 antigen was measurable in all but one patient before study. Tumor biopsy following infusion could demonstrate antibody presence but not saturable antigen binding. We conclude that (a) 111In-KC-4G3 demonstrates successful tumor localization in non-small cell lung cancers bearing generally high expression of its antigen and (b) further investigations to diminish nonspecific radioactivity for imaging and utilization of high dose radiolabeled antibody for therapeutic intent are warranted.

  9. A systematic review of relocation stress following in-house transfer out of critical/intensive care units.

    Science.gov (United States)

    Salmond, Susan Warner; Evans, Benjamin; Hamdi, Hanaa A; Saimbert, Marie K

    2011-01-01

    Objective The objective was to conduct a mixed methods systematic review to determine the occurrence and meaningfulness of relocation stress and the effectiveness of strategies for decreasing transfer anxiety in patients and their families upon transfer from an intensive care unit to a non-intensive care unit and to offer evidence-based recommendations for best practice.Inclusion criteria The review included quantitative and qualitative studies where the participants were adult intensive care patients, family members of adult intensive care patients, intensive care nurses caring for the adult critically ill patient, and ward/unit nurses receiving transfer patients from the ICU (intensive care unit). Studies examining the transfer experience for infants, children or psychiatric patients were excluded from this review.Search strategy The search strategy sought to find both published and unpublished studies and papers limited to the English language. An initial limited search of MEDLINE and CINAHL was undertaken followed by an analysis of text words contained in the title and abstract, and of index terms to describe the article. A second extensive search was then undertaken using identified key words and index terms.Methodological quality Each paper was assessed by two independent reviewers for quality prior to inclusion in the review using the Joanna Briggs Critical Appraisal Tools for experimental, cohort, descriptive, qualitative and expert text papers. Disagreements were discussed and resolved among the reviewers without needing to rely on a third reviewer.Data collection Information was extracted from each paper independently by two reviewers using the JBI extraction tools for quantitiative, qualitaitive and expert opinion papers and narrative table summaries were prepared.Data synthesis Data synthesis aimed to portray an accurate interpretation and synthesis of concepts arising from the experiences of patients and families transferring out of ICU and the nurses

  10. HIV and Mexican migrant workers in the United States: a review applying the vulnerable populations conceptual model.

    Science.gov (United States)

    Albarrán, Cynthia R; Nyamathi, Adeline

    2011-01-01

    Mexican migrant workers residing in the United States are a vulnerable population at high risk for HIV infection. This article critically appraises the published data surrounding HIV prevalence in this vulnerable group, as seen through the lens of the Vulnerable Populations Conceptual Model. This model demonstrates how exposure to risk and resource availability affect health status. The health status of Mexican migrants in the United States is compromised by a number of factors that increase risk of HIV: limited access to health services, multiple sexual partners, low rates of condom use, men having sex with men, and lay injection practices. Migration from Mexico to the United States has increased the prevalence of HIV in rural Mexico, making this an issue of urgent binational concern. This review highlights the implications for further nursing research, practice, and policy.

  11. Severe imported malaria in an intensive care unit: a review of 59 cases

    Directory of Open Access Journals (Sweden)

    Santos Lurdes C

    2012-03-01

    Full Text Available Abstract Background In view of the close relationship of Portugal with African countries, particularly former Portuguese colonies, the diagnosis of malaria is not a rare thing. When a traveller returns ill from endemic areas, malaria should be the number one suspect. World Health Organization treatment guidelines recommend that adults with severe malaria should be admitted to an intensive care unit (ICU. Methods Severe cases of malaria in patients admitted to an ICU were reviewed retrospectively (1990-2011 and identification of variables associated with in-ICU mortality performed. Malaria prediction score (MPS, malaria score for adults (MSA, simplified acute physiology score (SAPSII and a score based on WHO's malaria severe criteria were applied. Statistical analysis was performed using StataV12. Results Fifty nine patients were included in the study, all but three were adults; 47 (79,6% were male; parasitaemia on admission, quantified in 48/59 (81.3% patients, was equal or greater than 2% in 47 of them (97.9%; the most common complications were thrombocytopaenia in 54 (91.5% patients, associated with disseminated intravascular coagulation (DIC in seven (11.8%, renal failure in 31 (52.5% patients, 18 of which (30.5% oliguric, shock in 29 (49.1% patients, liver dysfunction in 27 (45.7% patients, acidaemia in 23 (38.9% patients, cerebral dysfunction in 22 (37.2% patients, 11 of whom with unrousable coma, pulmonary oedema/ARDS in 22 (37.2% patients, hypoglycaemia in 18 (30.5% patients; 29 (49.1% patients presented five or more dysfunctions. The case fatality rate was 15.2%. Comparing the four scores, the SAPS II and the WHO score were the most sensitive to death prediction. In the univariate analysis, death was associated with the SAPS II score, cerebral malaria, acute renal and respiratory failure, DIC, spontaneous bleeding, acidosis and hypoglycaemia. Age, partial immunity to malaria, delay in malaria diagnosis and the level of parasitaemia were

  12. Cooperative Fish and Wildlife Research Units Program—2016 year in review

    Science.gov (United States)

    Organ, John F.; Thompson, John D.; Dennerline, Donald E.; Childs, Dawn E.

    2017-02-22

    SummaryThe Cooperative Fish and Wildlife Research Units (CRU) Program had a productive year in 2016. Despite vacancies in our scientist ranks exceeding 20 percent, our research, training, and teaching portfolio was full and we graduated 93 students and published 398 manuscripts primarily focused on addressing the real conservation challenges of our cooperators. As I’ve stated before, our mission is our legacy: meeting the actionable science needs of our cooperators, providing them technical guidance and assistance in interpreting and applying new advances in science, and developing the future workforce through graduate education and mentoring. Our scientists and the manner in which they approach our mission continue to inspire me. The most rewarding part of my job is meeting and engaging with the students they recruit—the conservation professionals of the future. I cannot help but feel uplifted after discussions with and presentations by these young men and women. Personally, I owe my place in the profession today to the mentoring I received as a CRU student, and today’s CRU scientists have raised the bar. It gives me hope for the future of conservation, and added motivation to see our vacancies filled so that we can expand our portfolio.The National Cooperators’ Coalition has been active and is strategically working to build support on our behalf. Sincere thanks to the American Fisheries Society, the Association of Fish and Wildlife Agencies, the Boone and Crockett Club, the National Association of University Fish and Wildlife Programs, the Wildlife Management Institute, and The Wildlife Society for their efforts and those of their affiliated members.We co-sponsored a workshop at the 2016 North American Wildlife and Natural Resources Conference along with the American Fisheries Society, the Association of Fish and Wildlife Agencies, the Wildlife Management Institute, and The Wildlife Society, titled “Barriers and Bridges in Reconnecting Natural Resources

  13. 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.

  14. 家蚕Bm30Kc6蛋白对过氧化氢诱导的家蚕细胞凋亡的抑制作用%The Protective Effect of Silkworm(Bombyx mori) Bm30Kc6 on BmN Cells Apoptosis Induced by Hydrogen Peroxide

    Institute of Scientific and Technical Information of China (English)

    应慧慧; 余海鹏; 寿鑫; 全滟平; 张耀洲; 童富淡; 于威

    2013-01-01

    30K蛋白是一类家蚕(Bombyx mori)血淋巴中具有最强抗细胞凋亡活性的蛋白,家蚕Bm30Kc6蛋白作为30K蛋白家族的成员之一,也具有较强的抗细胞凋亡作用,但其抗细胞凋亡的作用机制还不十分清楚.本研究将本实验室成功构建的重组病毒Bacmid-Bm30Kc6接种家蚕BmN细胞大量表达后,利用Ni-NTA蛋白亲和层析柱纯化重组蛋白Bm30Kc6.SDS-PAGE和Western blot检测结果显示纯化蛋白的纯度较高.然后利用不同浓度(0.1、1、5和10 mmol/L)的H2O2处理家蚕BmN细胞,诱导细胞发生凋亡,结果表明,在培养基中加入终浓度为5 mmol/LH2O2孵育4h后即可成功诱导BmN细胞凋亡.在上述建立的H2O2诱导的家蚕BmN细胞凋亡体外损伤模型的基础上,分析了Bm30Kc6蛋白的抗细胞凋亡的活性及作用机制.首先利用Cell death Detection ELISA试剂盒检测了细胞内的DNA片段化程度,检测结果表明,Bm30Kc6蛋白(终浓度5μg/mL)可明显降低H2O2诱导的家蚕BmN细胞内的DNA片段化程度.然后利用Cell proliferation ELISA试剂盒检测了细胞的增殖情况,结果表明,Bm30Kc6蛋白可以显著增强家蚕BmN细胞的活力.进一步利用8-isoprostane EIA试剂盒检测细胞内氧化应激标志物8-isoprostane的浓度变化,结果显示,家蚕Bm30Kc6蛋白可以显著降低胞内8-isoprostane的浓度.此外,Western blot分析结果显示,Bm30Kc6蛋白可显著抑制家蚕BmN细胞中细胞色素c从线粒体中释放进入细胞质.Bm30Kc6蛋白一方面可以通过降低BmN细胞内的氧化应激水平从而起到抑制细胞凋亡的作用;另一方面,Bm30Kc6蛋白也可以通过阻断H2O2诱导激活的线粒体通路来抑制细胞发生凋亡.本研究将为进一步深入研究家蚕Bm30Kc6蛋白的抗凋亡机制提供基础资料.%It has been clear that silkworm (Bombyx mori) 30K protein in larval hemolymph has the highest apoptosis inhibition activities. As one of the member of 30K apolipoproteins family, Bm30Kc6

  15. MECHANISM OF THE CONTROLLED HYDROLYSIS OF (NPCL2)(2)NSOCL - CRYSTAL AND MOLECULAR-STRUCTURE OF [KC12H24O6](+)[NHPO2NPCL2NSOCL](-)

    NARCIS (Netherlands)

    WINTER, H; MEETSMA, A; VANDEGRAMPEL, JC; SPEK, AL

    1994-01-01

    The reaction mechanism of controlled hydrolysis of the inorganic ring system (NPCl2)(2)NSOCl in the presence of KCl and 18-crown-6 has been revised and is explained from steric constraints rather than from electronic considerations. The X-ray structure of one of the hydrolysis products, [KC12H24O6](

  16. A Unit on "Fahrenheit 451" That Uses Cooperative Learning (Resources and Reviews).

    Science.gov (United States)

    Ebbers, Frances A.

    1991-01-01

    Provides a curriculum unit using the novel "Fahrenheit 451" to provide student-centered activities based on solid pedagogical methodology. Emphasizes value-centered analysis of the novel, comparison of alternative arguments, and integration of cooperative learning activities. (PRA)

  17. 75 FR 16837 - Public Review of Draft United States Thoroughfare, Landmark, and Postal Address Data Standard

    Science.gov (United States)

    2010-04-02

    ... public on the FGDC Web site. DATES: Comments on the draft United States Thoroughfare, Landmark, and... principles can be extended to all addresses. Dated: March 18, 2010. Ivan DeLoatch, FGDC Executive...

  18. A Brief Review of High Entropy Alloys and Serration Behavior and Flow Units

    Institute of Scientific and Technical Information of China (English)

    Yong ZHANG; Jun-wei QIAO; Peter KLIAW

    2016-01-01

    Multicomponent alloys with high entropy of mixing,e.g.,high entropy alloys (HEAs)and/or multiprin-cipal-element alloys (MEAs),are attracting increasing attentions,because the materials with novel properties are being developed,based on the design strategy of the equiatomic ratio,multicomponent,and high entropy of mixing in their liquid or random solution state.Recently,HEAs with the ultrahigh strength and fracture toughness,excel-lent magnetic properties,high fatigue,wear and corrosion resistance,great phase stability/high resistance to heat-softening behavior,sluggish diffusion effects,and potential superconductivity,etc.,were developed.The HEAs can even have very high irradiation resistance and may have some self-healing effects,and can potentially be used as the first wall and nuclear fuel cladding materials.Serration behaviors and flow units are powerful methods to understand the plastic deformation or fracture of materials.The methods have been successfully used to study the plasticity of amorphous alloys (also bulk metallic glasses,BMGs).The flow units are proposed as:free volumes,shear transi-tion zones (STZs),tension-transition zones (TTZs),liquid-like regions,soft regions or soft spots,etc.The flow units in the crystalline alloys are usually dislocations,which may interact with the solute atoms,interstitial types,or sub-stitution types.Moreover,the flow units often change with the testing temperatures and loading strain rates,e.g., at the low temperature and high strain rate,plastic deformation will be carried out by the flow unit of twinning,and at high temperatures,the grain boundary will be the weak area,and play as the flow unit.The serration shapes are related to the types of flow units,and the serration behavior can be analyzed using the power law and modified power law.

  19. A crucial role for TNF-alpha in mediating neutrophil influx induced by endogenously generated or exogenous chemokines, KC/CXCL1 and LIX/CXCL5.

    Science.gov (United States)

    Vieira, S M; Lemos, H P; Grespan, R; Napimoga, M H; Dal-Secco, D; Freitas, A; Cunha, T M; Verri, W A; Souza-Junior, D A; Jamur, M C; Fernandes, K S; Oliver, C; Silva, J S; Teixeira, M M; Cunha, F Q

    2009-10-01

    Chemokines orchestrate neutrophil recruitment to inflammatory foci. In the present study, we evaluated the participation of three chemokines, KC/CXCL1, MIP-2/CXCL2 and LIX/CXCL5, which are ligands for chemokine receptor 2 (CXCR2), in mediating neutrophil recruitment in immune inflammation induced by antigen in immunized mice. Neutrophil recruitment was assessed in immunized mice challenged with methylated bovine serum albumin, KC/CXCL1, LIX/CXCL5 or tumour necrosis factor (TNF)-alpha. Cytokine and chemokine levels were determined in peritoneal exudates and in supernatants of macrophages and mast cells by elisa. CXCR2 and intercellular adhesion molecule 1 (ICAM-1) expression was determined using immunohistochemistry and confocal microscopy. Antigen challenge induced dose- and time-dependent neutrophil recruitment and production of KC/CXCL1, LIX/CXCL5 and TNF-alpha, but not MIP-2/CXCL2, in peritoneal exudates. Neutrophil recruitment was inhibited by treatment with reparixin (CXCR1/2 antagonist), anti-KC/CXCL1, anti-LIX/CXCL5 or anti-TNF-alpha antibodies and in tumour necrosis factor receptor 1-deficient mice. Intraperitoneal injection of KC/CXCL1 and LIX/CXCL5 induced dose- and time-dependent neutrophil recruitment and TNF-alpha production, which were inhibited by reparixin or anti-TNF-alpha treatment. Macrophages and mast cells expressed CXCR2 receptors. Increased macrophage numbers enhanced, while cromolyn sodium (mast cell stabilizer) diminished, LIX/CXCL5-induced neutrophil recruitment. Macrophages and mast cells from immunized mice produced TNF-alpha upon LIX/CXCL5 stimulation. Methylated bovine serum albumin induced expression of ICAM-1 on mesenteric vascular endothelium, which was inhibited by anti-TNF-alpha or anti-LIX/CXCL5. Following antigen challenge, CXCR2 ligands are produced and act on macrophages and mast cells triggering the production of TNF-alpha, which synergistically contribute to neutrophil recruitment through induction of the expression of ICAM

  20. Burn Injuries Resulting from Hot Water Bottle Use: A Retrospective Review of Cases Presenting to a Regional Burns Unit in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Shehab Jabir

    2013-01-01

    Full Text Available Introduction. Hot water bottles are commonly used to relieve pain and for warmth during the colder months of the year. However, they pose a risk of serious burn injuries. The aim of this study is to retrospectively review all burn injuries caused by hot water bottles presenting to our regional burns unit. Methods. Patients with burns injuries resulting from hot water bottle use were identified from our burns database between the periods of January 2004 and March 2013 and their cases notes reviewed retrospectively. Results. Identified cases involved 39 children (aged 17 years or younger and 46 adults (aged 18 years or older. The majority of burns were scald injuries. The mean %TBSA was 3.07% (SD ± 3.40. Seven patients (8.24% required debridement and skin grafting while 3 (3.60% required debridement and application of Biobrane. One patient (1.18% required local flap reconstruction. Spontaneous rupture accounted for 48.20% of injuries while accidental spilling and contact accounted for 33% and 18.80% of injuries, respectively. The mean time to heal was 28.87 days (SD ± 21.60. Conclusions. This study highlights the typical distribution of hot water bottle burns and the high rate of spontaneous rupture of hot water bottles, which have the potential for significant burn injuries.

  1. Literature Review of Multi-Unit Franchise%多店特许文献综述

    Institute of Scientific and Technical Information of China (English)

    赵小涛

    2012-01-01

    多店特许近期发展非常迅速,中外研究者识别了区域发展、主特许、区域代理、特许中介、顺序多店特许、合资特许等多店特许方式,从特许人与受许人动机、多店特许优缺点进行了实证研究,使用了代理理论、国际化理论、集体行为与社会选择等理论方法。国内有关研究强调主特许经营"三层两关系",指出法律不能也不应该对经营模式进行保护。这些研究绝大多数将国内与国际分开,存在局限性;且将多店特许与单店特许比较,而实质上多店特许更应该与特许体系分支机构对应。%Researchers identified several modes of multi-unit franchise,such as area development,master franchise,area representative,franchise broke,sequential multi-unit franchise,joint-venture franchise.Some empirical study concentrated on the motivation of franchisor and franchisee,or advantage and disadvantage of multi-unit franchise.Theories for multi-unit franchise conclude agency theory,internationalization theory,collective behavior and social choice theory and so on.The domestic research analyzes the master franchise in law angle,emphasizes "three layers and two relationships" is the characteristic of the mode,and points out that the law cannot and should not protect the business model.For most of these researches have separated multi-unit franchise into domestic and international expansion.In fact,both of them are market expansion modes of a franchise system.The division research has very large limitation.At the same time,the empirical research to multi-unit franchise compares multi-unit franchise with single-unit franchise,but multi-unit franchise should be more corresponding with the branches of a franchise system in fact.

  2. Prospective gas turbine and combined-cycle units for power engineering (a Review)

    Science.gov (United States)

    Ol'khovskii, G. G.

    2013-02-01

    The modern state of technology for making gas turbines around the world and heat-recovery combined-cycle units constructed on their basis are considered. The progress achieved in this field by Siemens, Mitsubishi, General Electric, and Alstom is analyzed, and the objectives these companies set forth for themselves for the near and more distant future are discussed. The 375-MW gas turbine unit with an efficiency of 40% produced by Siemens, which is presently the largest one, is subjected to a detailed analysis. The main specific features of this turbine are that the gas turbine unit's hot-path components have purely air cooling, due to which the installation has enhanced maneuverability. The single-shaft combined-cycle plant constructed on the basis of this turbine has a capacity of 570 MW and efficiency higher than 60%. Programs adopted by different companies for development of new-generation gas turbine units firing synthesis gas and fitted with low-emission combustion chambers and new cooling systems are considered. Concepts of rotor blades for new gas turbine units with improved thermal barrier coatings and composite blades different parts of which are made of materials selected in accordance with the conditions of their operation are discussed.

  3. Effect of Early Rehabilitation during Intensive Care Unit Stay on Functional Status: Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Castro-Avila, Ana Cristina; Serón, Pamela; Fan, Eddy; Gaete, Mónica; Mickan, Sharon

    2015-01-01

    Critically ill survivors may have functional impairments even five years after hospital discharge. To date there are four systematic reviews suggesting a beneficial impact for mobilisation in mechanically ventilated and intensive care unit (ICU) patients, however there is limited information about the influence of timing, frequency and duration of sessions. Earlier mobilisation during ICU stay may lead to greater benefits. This study aims to determine the effect of early rehabilitation for functional status in ICU/high-dependency unit (HDU) patients. Systematic review and meta-analysis. MEDLINE, EMBASE, CINALH, PEDro, Cochrane Library, AMED, ISI web of science, Scielo, LILACS and several clinical trial registries were searched for randomised and non-randomised clinical trials of rehabilitation compared to usual care in adult patients admitted to an ICU/HDU. Results were screened by two independent reviewers. Primary outcome was functional status. Secondary outcomes were walking ability, muscle strength, quality of life, and healthcare utilisation. Data extraction and methodological quality assessment using the PEDro scale was performed by primary reviewer and checked by two other reviewers. The authors of relevant studies were contacted to obtain missing data. 5733 records were screened. Seven articles were included in the narrative synthesis and six in the meta-analysis. Early rehabilitation had no significant effect on functional status, muscle strength, quality of life, or healthcare utilisation. However, early rehabilitation led to significantly more patients walking without assistance at hospital discharge (risk ratio 1.42; 95% CI 1.17-1.72). There was a non-significant effect favouring intervention for walking distance and incidence of ICU-acquired weakness. Early rehabilitation during ICU stay was not associated with improvements in functional status, muscle strength, quality of life or healthcare utilisation outcomes, although it seems to improve walking

  4. Effect of Early Rehabilitation during Intensive Care Unit Stay on Functional Status: Systematic Review and Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    Ana Cristina Castro-Avila

    Full Text Available Critically ill survivors may have functional impairments even five years after hospital discharge. To date there are four systematic reviews suggesting a beneficial impact for mobilisation in mechanically ventilated and intensive care unit (ICU patients, however there is limited information about the influence of timing, frequency and duration of sessions. Earlier mobilisation during ICU stay may lead to greater benefits. This study aims to determine the effect of early rehabilitation for functional status in ICU/high-dependency unit (HDU patients.Systematic review and meta-analysis. MEDLINE, EMBASE, CINALH, PEDro, Cochrane Library, AMED, ISI web of science, Scielo, LILACS and several clinical trial registries were searched for randomised and non-randomised clinical trials of rehabilitation compared to usual care in adult patients admitted to an ICU/HDU. Results were screened by two independent reviewers. Primary outcome was functional status. Secondary outcomes were walking ability, muscle strength, quality of life, and healthcare utilisation. Data extraction and methodological quality assessment using the PEDro scale was performed by primary reviewer and checked by two other reviewers. The authors of relevant studies were contacted to obtain missing data.5733 records were screened. Seven articles were included in the narrative synthesis and six in the meta-analysis. Early rehabilitation had no significant effect on functional status, muscle strength, quality of life, or healthcare utilisation. However, early rehabilitation led to significantly more patients walking without assistance at hospital discharge (risk ratio 1.42; 95% CI 1.17-1.72. There was a non-significant effect favouring intervention for walking distance and incidence of ICU-acquired weakness.Early rehabilitation during ICU stay was not associated with improvements in functional status, muscle strength, quality of life or healthcare utilisation outcomes, although it seems to

  5. Peer-Delivered Recovery Support Services for Addictions in the United States: A Systematic Review.

    Science.gov (United States)

    Bassuk, Ellen L; Hanson, Justine; Greene, R Neil; Richard, Molly; Laudet, Alexandre

    2016-04-01

    This systematic review identifies, appraises, and summarizes the evidence on the effectiveness of peer-delivered recovery support services for people in recovery from alcohol and drug addiction. Nine studies met criteria for inclusion in the review. They were assessed for quality and outcomes including substance use and recovery-related factors. Despite significant methodological limitations found in the included studies, the body of evidence suggests salutary effects on participants. Current limitations and recommendations for future research are discussed.

  6. Understanding How Organized Youth Sport May Be Harming Individual Players within the Family Unit: A Literature Review

    Science.gov (United States)

    Bean, Corliss N.; Fortier, Michelle; Post, Courtney; Chima, Karam

    2014-01-01

    Within the United States, close to 45 million youths between the ages of 6 and 18 participate in some form of organized sports. While recent reviews have shown the positive effects of youth sport participation on youth health, there are also several negative factors surrounding the youth sport environment. To date, a comprehensive review of the negative physical and psychological effects of organized sport on youth has not been done and little thus far has documented the effect organized sport has on other players within a family, particularly on parents and siblings. Therefore the purpose of this paper is to conduct a review of studies on the negative effects of organized sport on the youth athlete and their parents and siblings. Articles were found by searching multiple databases (Physical Education Index and Sociology, Psychology databases (Proquest), SPORTDiscus and Health, History, Management databases (EBSCOhost), Science, Social Science, Arts and Humanities on Web of Science (ISI), SCOPUS and Scirus (Elsevier). Results show the darker side of organized sport for actors within the family unit. A model is proposed to explain under which circumstances sport leads to positive versus negative outcomes, ideas for future research are drawn and recommendations are made to optimize the youth sport experience and family health. PMID:25275889

  7. Climate Justice in Rural Southeastern United States: A Review of Climate Change Impacts and Effects on Human Health.

    Science.gov (United States)

    Gutierrez, Kristie S; LePrevost, Catherine E

    2016-02-03

    Climate justice is a local, national, and global movement to protect at-risk populations who are disproportionately affected by climate change. The social context for this review is the Southeastern region of the United States, which is particularly susceptible to climate change because of the geography of the area and the vulnerabilities of the inhabiting populations. Negative human health effects on variable and vulnerable populations within the Southeast region due to changing climate are concerning, as health threats are not expected to produce parallel effects among all individuals. Vulnerable communities, such as communities of color, indigenous people, the geographically isolated, and those who are socioeconomically disadvantaged and already experiencing poor environmental quality, are least able to respond and adapt to climate change. Focusing on vulnerable populations in the Southeastern United States, this review is a synthesis of the recent (2010 to 2015) literature-base on the health effects connected to climate change. This review also addresses local and regional mitigation and adaptation strategies for citizens and leaders to combat direct and indirect human health effects related to a changing climate.

  8. Climate Justice in Rural Southeastern United States: A Review of Climate Change Impacts and Effects on Human Health

    Directory of Open Access Journals (Sweden)

    Kristie S. Gutierrez

    2016-02-01

    Full Text Available Climate justice is a local, national, and global movement to protect at-risk populations who are disproportionately affected by climate change. The social context for this review is the Southeastern region of the United States, which is particularly susceptible to climate change because of the geography of the area and the vulnerabilities of the inhabiting populations. Negative human health effects on variable and vulnerable populations within the Southeast region due to changing climate are concerning, as health threats are not expected to produce parallel effects among all individuals. Vulnerable communities, such as communities of color, indigenous people, the geographically isolated, and those who are socioeconomically disadvantaged and already experiencing poor environmental quality, are least able to respond and adapt to climate change. Focusing on vulnerable populations in the Southeastern United States, this review is a synthesis of the recent (2010 to 2015 literature-base on the health effects connected to climate change. This review also addresses local and regional mitigation and adaptation strategies for citizens and leaders to combat direct and indirect human health effects related to a changing climate.

  9. The quality of work life of registered nurses in Canada and the United States: a comprehensive literature review.

    Science.gov (United States)

    Nowrouzi, Behdin; Giddens, Emilia; Gohar, Basem; Schoenenberger, Sandrine; Bautista, Mary Christine; Casole, Jennifer

    2016-10-01

    Workplace environment is related to the physical and psychological well-being, and quality of work life (QWL) for nurses. The aim of this paper was to perform a comprehensive literature review on nurses' quality of work life to identify a comprehensive set of QWL predictors for nurses employed in the United States and Canada. Using publications from 2004-2014, contributing factors to American and Canadian nurses' QWL were analyzed. The review was structured using the Work Disability Prevention Framework. Sixty-six articles were selected for analysis. Literature indicated that changes are required within the workplace and across the health care system to improve nurses' QWL. Areas for improvement to nurses' quality of work life included treatment of new nursing graduates, opportunities for continuing education, promotion of positive collegial relationships, stress-reduction programs, and increased financial compensation. This review's findings support the importance of QWL as an indicator of nurses' broader work-related experiences. A shift in health care systems across Canada and the United States is warranted where health care delivery and services are improved in conjunction with the health of the nurses working in the system.

  10. Understanding How Organized Youth Sport May Be Harming Individual Players within the Family Unit: A Literature Review

    Directory of Open Access Journals (Sweden)

    Corliss N. Bean

    2014-10-01

    Full Text Available Within the United States, close to 45 million youths between the ages of 6 and 18 participate in some form of organized sports. While recent reviews have shown the positive effects of youth sport participation on youth health, there are also several negative factors surrounding the youth sport environment. To date, a comprehensive review of the negative physical and psychological effects of organized sport on youth has not been done and little thus far has documented the effect organized sport has on other players within a family, particularly on parents and siblings. Therefore the purpose of this paper is to conduct a review of studies on the negative effects of organized sport on the youth athlete and their parents and siblings. Articles were found by searching multiple databases (Physical Education Index and Sociology, Psychology databases (Proquest, SPORTDiscus and Health, History, Management databases (EBSCOhost, Science, Social Science, Arts and Humanities on Web of Science (ISI, SCOPUS and Scirus (Elsevier. Results show the darker side of organized sport for actors within the family unit. A model is proposed to explain under which circumstances sport leads to positive versus negative outcomes, ideas for future research are drawn and recommendations are made to optimize the youth sport experience and family health.

  11. Review of Continuous Infusion Neuromuscular Blocking Agents in the Adult Intensive Care Unit.

    Science.gov (United States)

    Smetana, Keaton S; Roe, Neil A; Doepker, Bruce A; Jones, G Morgan

    The use of continuous infusion neuromuscular blocking agents remains controversial. The clinical benefit of these medications may be overshadowed by concerns of propagating intensive care unit-acquired weakness, which may prolong mechanical ventilation and impair the inability to assess neurologic function or pain. Despite these risks, the use of neuromuscular blocking agents in the intensive care unit is indicated in numerous clinical situations. Understanding pharmacologic nuances and clinical roles of these agents will aid in facilitating safe use in a variety of acute disease processes. This article provides clinicians with information regarding pharmacologic differences, indication for use, adverse effects, recommended doses, ancillary care, and monitoring among agents used for continuous neuromuscular blockade.

  12. Risk factors for pressure injury development in critically ill patients in the intensive care unit: a systematic review protocol.

    Science.gov (United States)

    Coyer, Fiona; Tayyib, Nahla

    2017-03-20

    Pressure injuries (PIs) create a significant burden in the health care system. Up to 49% of critically ill patients develop PIs. Identifying and understanding potential risk factors is essential to the provision of effective targeted prevention strategies to mitigate risk. The objectives of this review are to identify patient-centred clinical factors that may be associated with PI development in the adult intensive care environment and to determine the effect size of the relationship between identified factors and PI development in this unique population. The review will follow the PRISMA reporting guidelines for systematic reviews. Electronic databases (Cochrane; PubMed/MEDLINE; CINAHL (EBSCOhost); Embase; Scopus; PsycINFO; Proquest; Networked Digital Library of Theses and Dissertations; Australian Digital Theses Program, Grey literature, Google scholar, and Clinical Trial Registries) will be systematically searched. A suite of search terms will identify articles that have examined the patient-centred risk factors for PI development in adult intensive care units. The search strategy will be designed to retrieve studies published since inception to 2016 in English language. Quality of the studies will be assessed by using an assessment framework designed to appraise quality in prognostic studies and methodological considerations in the analysis and publication of observational studies. Screening, study selection process, and data extraction will be undertaken by two independent reviewers. Disagreement will be resolved by discussion and, if required, a third independent reviewer. Clinical and methodological heterogeneity across studies will be assessed and, if possible, meta-analyses will be performed. The evidence synthesis arising from this review will identify person-centred risk factors that are associated with PI development among critically ill patients in intensive care. Findings from this review will demonstrate potential patient risk factors that may

  13. Dental age estimation utilizing third molar development: A review of principles, methods, and population studies used in the United States.

    Science.gov (United States)

    Lewis, James M; Senn, David R

    2010-09-10

    When an individual reaches the age of legal majority, their treatment within the criminal and civil legal systems is changed dramatically in the United States. Forensic odontologists are often asked to assist government agencies in estimating the ages of persons who may or may not have reached that legally important age. The third molars are the only teeth useful as forensic estimators of chronological age in the target age group. This study reviews the principles, methodology, and population data of the most commonly used technique in the United States, the analysis of the third molar development based on modified Demirjian staging. The method analyzes the developing third molar to estimate mean age, age intervals and the empirical probability that an individual has reached the anniversary of her or his eighteenth birthday.

  14. A review of the current geographic distribution of and debate surrounding electronic cigarette clean air regulations in the United States.

    Science.gov (United States)

    Kadowaki, Joy; Vuolo, Mike; Kelly, Brian C

    2015-01-01

    In this article, we present the results of a systematic review of state, county, and municipal restrictions on the use of electronic cigarettes (e-cigarettes) in public spaces within the United States, alongside an overview of the current legal landscape. The lack of federal guidance leaves lower-level jurisdictions to debate the merits of restrictions on use in public spaces without sufficient scientific research. As we show through a geographic assessment of restrictions, this has resulted in an inconsistent patchwork of e-cigarette use bans across the United States of varying degrees of coverage. Bans have emerged over time in a manner that suggests a "bottom up" diffusion of e-cigarette clean air policies. Ultimately, the lack of clinical and scientific knowledge on the risks and potential harm reduction benefits has led to precautionary policymaking, which often lacks grounding in empirical evidence and results in spatially uneven diffusion of policy.

  15. Technical cooperation on nuclear security between the United States and China : review of the past and opportunities for the future.

    Energy Technology Data Exchange (ETDEWEB)

    Pregenzer, Arian Leigh

    2011-12-01

    The United States and China are committed to cooperation to address the challenges of the next century. Technical cooperation, building on a long tradition of technical exchange between the two countries, can play an important role. This paper focuses on technical cooperation between the United States and China in the areas of nonproliferation, arms control and other nuclear security topics. It reviews cooperation during the 1990s on nonproliferation and arms control under the U.S.-China Arms Control Exchange, discusses examples of ongoing activities under the Peaceful Uses of Technology Agreement to enhance security of nuclear and radiological material, and suggests opportunities for expanding technical cooperation between the defense nuclear laboratories of both countries to address a broader range of nuclear security topics.

  16. Social and Economic Statistics in the United Kingdom: A Review of Information Sources.

    Science.gov (United States)

    Tanenbaum, Eric; Nunez, Alfonso

    1982-01-01

    A new system is needed to monitor socioeconomic statistical data for the United Kingdom (UK). The current state of UK socioeconomic statistics, an assessment of methods used to communicate available information, and the resource requirements of a successful monitoring service are discussed. (AM)

  17. Neuroleptic Malignant Syndrome Requiring Neurological Intensive Care Unit Follow-up: Review with Nine Cases

    Directory of Open Access Journals (Sweden)

    Nazlı Gamze Bülbül

    2014-12-01

    Full Text Available Neuroleptic malignant syndrome (NMS is a rare but life-threatening clinical manifestation induced by neuroleptic medication. Although NMS is regarded as a psychiatric diagnosis, its treatment requires a systematic approach and thus intensive care follow-up. In this paper, we report nine cases with NMS followed up in our Neurology Intensive Care Unit over the last three years.

  18. A Review Of The History Of Gender Equality In The United States Of America

    Directory of Open Access Journals (Sweden)

    Wedad Andrada Quffa

    2016-12-01

    Full Text Available Gender inequality is one of the important challenges in all modern societies, the United States of America being no exception, despite the progress and significant advances that have been made in the past century. There still is a significant gender gap in many areas - most notable being the pay gap, social norms and practices, education, political participation and social institutions. The present article aims to analyse the legal framework and social framework that has evolved in the United States of America in order to diminish or completely abolish gender inequality and discrimination. After the 1920 ratification of the Nineteenth Amendment to the Constitution of the United States of America, which empowered women with political rights, there was a proposed amendment to the Constitution to guarantee equal rights for women, first introduced in Congress in 1923, passed by both houses in 1972, but which failed ratification - only 35 out of the 38 states needed ratified the amendment before the deadline - 1979, which later was extended to 1982. The United States has since taken some steps in reducing the gender gap and stopping gender discrimination

  19. The Case of Educational Peacebuilding inside the United Nations Universities: A Review and Critique

    Science.gov (United States)

    Kester, Kevin

    2017-01-01

    This article examines higher education for peace inside the United Nations (UN). It offers an overview and synthesis of core concepts, organizing frameworks and theoretical premises in the field of peace and conflict studies (PACS) higher education and in the UN universities in particular, as the field aspires toward transformative learning and…

  20. Reviewing colony losses and Colony Collapse Disorder in the United States

    Science.gov (United States)

    The beekeeping industry in the United States has faced a number of obstacles to healthy bee management in recent decades. These obstacles range from arthropod pests such as tracheal mites (Acrapis woodi), varroa mites (Varroa destructor), and small hive beetles (Aethina tumida) to pathogenic disease...

  1. "Index for Inclusion": A Framework for School Review in the United Arab Emirates

    Science.gov (United States)

    Alborno, Nadera Emran; Gaad, Eman

    2014-01-01

    This study uses the "Index for Inclusion", developed by Booth and Ainscow, as a framework for investigating inclusive provision in the United Arab Emirates (UAE), introduced through the "School for All" initiative. The study, by Nadera Emran Alborno of the American University in Dubai and Eman Gaad of the British University in…

  2. Thermal treatment of solid residues from WtE units: A review

    Energy Technology Data Exchange (ETDEWEB)

    Lindberg, Daniel, E-mail: daniel.lindberg@abo.fi; Molin, Camilla, E-mail: camilla.molin@abo.fi; Hupa, Mikko, E-mail: mikko.hupa@abo.fi

    2015-03-15

    Highlights: • We review the thermal treatment methods for ashes and residues from WtE plants. • We review the results from extensive laboratory work on vitrification, melting and vaporization of ash. • We analyze the results from the extensive patent literature on thermal treatment. • We review industrial concepts for thermal treatment of ash. - Abstract: Thermal treatment methods of bottom ash, fly ash and various types of APC (air pollution control) residues from waste-to-energy plants can be used to obtain environmentally stable material. The thermal treatment processes are meant to reduce the leachability of harmful residue constituents, destroy toxic organic compounds, reduce residue volume, and produce material suitable for utilization. Fly ash and APC residues often have high levels of soluble salts, particularly chlorides, metals such as cadmium, lead, copper and zinc, and trace levels of organic pollutants such as dioxins and furans. Different thermal treatment methods can be used to either decompose or stabilize harmful elements and compounds in the ash, or separate them from the ash to get a material that can be safely stored or used as products or raw materials. In the present paper, thermal treatment methods, such as sintering, vitrification, and melting have been reviewed. In addition to a review of the scientific literature, a survey has been made of the extensive patent literature in the field.

  3. A review of water and greenhouse gas impacts of unconventional natural gas development in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Arent, Doug; Logan, Jeff; Macknick, Jordan; Boyd, William; Medlock , Kenneth; O' Sullivan, Francis; Edmonds, James A.; Clarke, Leon E.; Huntington, Hill; Heath, Garvin; Statwick, Patricia M.; Bazilian, Morgan

    2015-01-01

    This paper reviews recent developments in the production and use of unconventional natural gas in the United States with a focus on water and greenhouse gas emission implications. If unconventional natural gas in the U.S. is produced responsibly, transported and distributed with little leakage, and incorporated into integrated energy systems that are designed for future resiliency, it could play a significant role in realizing a more sustainable energy future; however, the increased use of natural gas as a substitute for more carbon intensive fuels will alone not substantially alter world carbon dioxide concentration projections.

  4. Human factors review of CFMS displays for Ulchin Nuclear Power Unit 3 and 4

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Hee; Baek, Seung Min; Kim, Jung Taek; Park, Jae Chang; Lee, Jung Woon; Oh, In Suk; Lee, Joon Whan; Jung, Kwang Tae; Cha, Hye Young [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1996-11-01

    This report describes the human factors review of CFMS displays for Ulchin 3 and 4 by the following four subjects; At first, by reviewing issues regarding the design process of present CFMS, human factors engineering program plan (HFEPP) and human factors verification and validation plan Were proposed to accomplish the completeness of design word; Secondly, researches and developments were integrated into the review results at the point of suitability of CFMS design concept and basic function; For the third, availability and suitability were assessed according to human factors evaluation criteria on the CFMS display design, and overall effectiveness was also evaluated in parts; For the fourth, recommendations were made to human factors problems in accordance with their importance and an implementation plan was suggested for the resolution of problems. 54 refs., 34 tabs., 42 figs. (author)

  5. Ketamine in adult cardiac surgery and the cardiac surgery Intensive Care Unit: An evidence-based clinical review

    Directory of Open Access Journals (Sweden)

    Michael Mazzeffi

    2015-01-01

    Full Text Available Ketamine is a unique anesthetic drug that provides analgesia, hypnosis, and amnesia with minimal respiratory and cardiovascular depression. Because of its sympathomimetic properties it would seem to be an excellent choice for patients with depressed ventricular function in cardiac surgery. However, its use has not gained widespread acceptance in adult cardiac surgery patients, perhaps due to its perceived negative psychotropic effects. Despite this limitation, it is receiving renewed interest in the United States as a sedative and analgesic drug for critically ill-patients. In this manuscript, the authors provide an evidence-based clinical review of ketamine use in cardiac surgery patients for intensive care physicians, cardio-thoracic anesthesiologists, and cardio-thoracic surgeons. All MEDLINE indexed clinical trials performed during the last 20 years in adult cardiac surgery patients were included in the review.

  6. From Single Motor Unit Activity to Multiple Grip Forces: Mini‐review of Multi‐digit Grasping1

    Science.gov (United States)

    Winges, Sara A.; Santello, Marco

    2007-01-01

    SYNOPSIS This paper is a mini review of kinetic and kinematic evidence on the control of the hand with emphasis on grasping. It is not meant to be an exhaustive review, rather it summarizes current research examining the mechanisms through which specific patterns of coordination are elicited and observed during reach to grasp movements and static grasping. These coordination patterns include the spatial and temporal covariation of the rotation at multiple joints during reach to grasp movements. A basic coordination between grip forces produced by multiple digits also occurs during whole hand grasping such that normal forces tend to be produced in a synchronous fashion across pairs of digits. Finally, we address current research that suggests that motor unit synchrony across hand muscles and muscle compartments might be one of the neural mechanisms underlying the control of grasping. PMID:18414593

  7. A comparative review between the updated models of Brazilian, United Kingdom and American eye banks and lamellar transplants

    Directory of Open Access Journals (Sweden)

    Gustavo Victor

    2014-12-01

    Full Text Available The corneal transplantation (CT is the most commonly performed type of transplant in the world and the Eye Banks are organizations whose capture, evaluate, preserve, store and distribute ocular tissues. With the evolution of surgical techniques and equipment for CT, the BOs had to evolve to keep up with these requirements. This evolution goes from tissues capture techniques, donating money and clarification to the patient (e.g. internet-based, use of current equipment for more adequate tissues supply for the most current surgical techniques, integration of BOs of certain country and real-time management of stocks of ocular tissues, and adequacy of laws that manage the entire process. This review aims to make a comparative review between the updated models of Brazilian, United Kingdon and American Eye Banks. Like, check what the trend towards lamellar transplants in these three countries.

  8. A literature review of methods of analysis of organic analytes in radioactive wastes with an emphasis on sources from the United Kingdom

    Energy Technology Data Exchange (ETDEWEB)

    Clauss, S.A.; Bean, R.M.

    1993-09-01

    This report, compiled by Pacific Northwest Laboratory (PNL), examines literature originating through the United Kingdom (UK) nuclear industry relating to the analyses of organic constituents of radioactive waste. Additionally, secondary references from the UK and other counties, including the United States, have been reviewed. The purpose of this literature review was to find analytical methods that would apply to the mixed-waste matrices found at Hanford.

  9. Deployment of United Nations Peace Keeping Forces: The Nature of Transportation and Review of Current Methodologies.

    Science.gov (United States)

    1980-06-06

    the support by the western countries. For example, the Suez Canal is a vital sea lane for trade between the industrialized developed nations of the west...lines Authority: Security Council Size: Maximum 89 Contributing Countries: Australia, Belgium, Canada, Chile, Denmark, Finland, Italy, Mexico , New...other specific public tasks. 3. Royal Netherlands Air Force (a) Organizacion For peace-keeping operations of the United Nations are earmarked: (1

  10. Individual Characteristics and Unit Performance: A Review of Research and Methods

    Science.gov (United States)

    1985-02-01

    IU Individual in Characteristics and Unit Performance A Revlew of Research and Methods James P. Kahan, Noreen Webb, RIchard J. Shavelson, Ross M...Research and Methods James P. Kahan, Noreen Webb, Richard J. Shavelson, Ross M. Stolzenberg February 1985 Prepared for the Office of the Assistant Secretary...Members wore asked to name the people they would associate with in nonmilitary, garrison area, and field/tactical area recreational time. The number

  11. Platoon-Level After Action Review Aids in the SIMNET Unit Performance Assessment System

    Science.gov (United States)

    1992-07-01

    EXERCISE AS A FUNCTION OF UNIT SIDE, TIME, RESULT, AND RANGE TIME FIRING SIDE RESULT RANGE 06:45:00 Red Near Miss 1430 07:03:00 Blue Hit 1860 07:04:00 Blue...Hit 1781 Near Miss 1612 Red Near Miss 2263 Hit 1856 07:05:00 Blue Near Miss 1563 Near Miss 1836 Kill 1132 Hit 1894 Red Near Miss 1900 Hit 1918 11

  12. Profile of IL-2, IL-4, IL-10, IFN- ? , TNF- ? and KC-like cytokines in pregnant bitches

    Directory of Open Access Journals (Sweden)

    M.A.R. Feliciano

    2014-08-01

    Full Text Available The aim of this study was to determine the profile of IL-2, IL-4, IL-10, IFN-γ, and TNF-α cytokines and KC-like cells (natural killer in pregnant bitches, unpublished values for the species. A total of 27 females of the Shi Tzu, Pug, English Bulldog and French breeds, weighing 4-20kg and aged 4-6 years were used. Blood samples were collected from bitches during the anestrous and on the 2nd, 5th, 6th, 7th and 8th week of pregnancy. Serum levels of cytokines were measured by panel MILLIPLEX MAP (CCYTO-90K, MILLIPORE, Billerica, Massachusetts, USA validated for dogs. Twenty four females showed physiological pregnancy and three bitches showed pathological pregnancy. There was no difference between cytokine values during anestrous and gestational weeks of bitches (P>0.05. However, it was possible to verify the physiological behavior of serum levels during modulation of immune response in the gestational process of animals. In animals with gestational disorders, abnormal values for IL-2, IL-4 and INF-y were noted. It was concluded that serum levels of cytokines evaluated in pregnant bitches can help the better understanding of physiological and pathological gestational processes and correlated immunology in this species.

  13. Book review: Biology and management of invasive quagga and zebra mussels in the western United States

    Science.gov (United States)

    Benson, Amy J.

    2017-01-01

    Water is a precious and limited commodity in the western United States and its conveyance is extremely important. Therefore, it is critical to do as much as possible to prevent the spread of two species of dreissenid mussels, both non-native and highly invasive aquatic species already well-established in the eastern half of the United States. This book addresses the occurrences of the two dreissenid mussels in the West, the quagga mussel and the zebra mussel, that are both known to negatively impact water delivery systems and natural ecosystems. It is edited by two researchers whom have extensive experience working with the mussels in the West and is composed of 34 chapters, or articles, written by a variety of experts.Book information: Biology and Management of Invasive Quagga and Zebra Mussels in the Western United States. Edited by Wai Hing Wong and Shawn L. Gerstenberger. Boca Raton (Florida): CRC Press (Taylor & Francis Group). $149.95. xx + 545 p.; ill.; index. ISBN: 978-1-4665-9561-3. [Compact Disc included.] 2015.

  14. 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.

  15. Indications and outcome for obstetric patients' admission to intensive care unit: a 7-year review.

    Science.gov (United States)

    Lataifeh, I; Amarin, Z; Zayed, F; Al-Mehaisen, L; Alchalabi, H; Khader, Y

    2010-05-01

    The objective of this retrospective study was to investigate the indications, interventions and clinical outcome of pregnant and newly delivered women admitted to the multidisciplinary intensive care unit at the King Abdullah University Hospital in Jordan over a 7-year period from January 2002 to December 2008. The collected data included demographic characteristics of the patients, mode of delivery, pre-existing medical conditions, reason for admission, specific intervention, length of stay and maternal outcome. A total of 43 women required admission to the intensive care unit (ICU), which represented 0.37% of all deliveries. The majority (95.3%) of patients were admitted to the ICU postpartum. The most common reasons for admissions were (pre)eclampsia (48.8%) and obstetric haemorrhage (37.2). The remainder included adult respiratory distress syndrome (6.9%), pulmonary embolism (2.3%) and neurological disorders (4.6%). Mechanical ventilation was required to support 18.6% of patients and transfusion of red blood cells was needed for 48.8% of patients. There were three maternal deaths (6.9%). A multidisciplinary team approach is essential to improve the management of hypertensive disorders and postpartum haemorrhage to achieve significant improvements in maternal outcome. A large, prospective study to know which women are at high risk of admission to the intensive care units and to prevent serious maternal morbidity and mortality is warranted.

  16. Independent dose per monitor unit review of eight U.S.A. proton treatment facilities

    Energy Technology Data Exchange (ETDEWEB)

    Moyers, M. F., E-mail: MFMoyers@roadrunner.com [Colton, California 92354 (United States); Ibbott, G. S.; Grant, R. L.; Summers, P. A.; Followill, D. S. [Department of Radiation Physics, University of Texas – M. D. Anderson Cancer Center, Houston, Texas 77030 (United States)

    2014-01-15

    Purpose: Compare the dose per monitor unit at different proton treatment facilities using three different dosimetry methods. Methods: Measurements of dose per monitor unit were performed by a single group at eight facilities using 11 test beams and up to six different clinical portal treatment sites. These measurements were compared to the facility reported dose per monitor unit values. Results: Agreement between the measured and reported doses was similar using any of the three dosimetry methods. Use of the ICRU 59 N{sub D,w} based method gave results approximately 3% higher than both the ICRU 59 N{sub X} and ICRU 78 (TRS-398) N{sub D,w} based methods. Conclusions: Any single dosimetry method could be used for multi-institution trials with similar conformity between facilities. A multi-institutional trial could support facilities using both the ICRU 59 N{sub X} based and ICRU 78 (TRS-398) N{sub D,w} based methods but use of the ICRU 59 N{sub D,w} based method should not be allowed simultaneously with the other two until the difference is resolved.

  17. Independent dose per monitor unit review of eight U.S.A. proton treatment facilities.

    Science.gov (United States)

    Moyers, M F; Ibbott, G S; Grant, R L; Summers, P A; Followill, D S

    2014-01-01

    Compare the dose per monitor unit at different proton treatment facilities using three different dosimetry methods. Measurements of dose per monitor unit were performed by a single group at eight facilities using 11 test beams and up to six different clinical portal treatment sites. These measurements were compared to the facility reported dose per monitor unit values. Agreement between the measured and reported doses was similar using any of the three dosimetry methods. Use of the ICRU 59 ND,w based method gave results approximately 3% higher than both the ICRU 59 NX and ICRU 78 (TRS-398) ND,w based methods. Any single dosimetry method could be used for multi-institution trials with similar conformity between facilities. A multi-institutional trial could support facilities using both the ICRU 59 NX based and ICRU 78 (TRS-398) ND,w based methods but use of the ICRU 59 ND,w based method should not be allowed simultaneously with the other two until the difference is resolved.

  18. Assessing the Effectiveness of One Approach to the Teaching of Thematic Unit Construction of Literature Reviews

    Science.gov (United States)

    Bitchener, John; Turner, Elizabeth

    2011-01-01

    Despite the availability of practitioner advice on the characteristics of a literature review, students often report that they are unclear about what content should be included and how it can be most effectively organised. To assist them, some institutions provide courses that are specially tailored to the writing of thesis part-genres but very…

  19. The Undergraduate Library at United States and Canadian Universities: A Bibliographic Review.

    Science.gov (United States)

    Person, Roland C.

    This bibliographic review of the literature on American and Canadian university undergraduate libraries was adapted from a PhD dissertation completed at Southern Illinois University at Carbondale in 1982. Included are books, dissertations, and journal articles which treat the undergraduate library as a whole, rather than looking at only one aspect…

  20. AUTOMOTIVE DIESEL MAINTENANCE 1. UNIT XXIX, REVIEWING THE CONSTRUCTION OF ENGINE COMPONENTS.

    Science.gov (United States)

    Human Engineering Inst., Cleveland, OH.

    THIS MODULE OF A 30-MODULE COURSE IS DESIGNED TO PROVIDE A REVIEW OF THE CONSTRUCTION AND OPERATION OF DIESEL ENGINE COMPONENTS. TOPICS ARE STATIONARY PARTS, ENGINE MOVING PARTS, PISTON RINGS, AND CONNECTING RODS AND PISTON PINS. THE MODULE CONSISTS OF AN INSTRUCTOR'S GUIDE, TRANSPARENCIES, A LIST OF SUGGESTED SUPPLEMENTARY MATERIALS, AND TRAINEE…

  1. Post-wildfire seeding in forests of the western United States: An evidence-based review

    Science.gov (United States)

    Donna Peppin; Peter Z. Fule; Carolyn Hull Sieg; Jan L. Beyers; Molly E. Hunter

    2010-01-01

    Broadcast seeding is one of the most widely used post-wildfire emergency response treatments intended to reduce soil erosion, increase vegetative ground cover, and minimize establishment and spread of non-native plant species. We conducted an evidence-based review to examine the effectiveness and effects of post-wildfire seeding treatments on soil stabilization, non-...

  2. 76 FR 31225 - Procedures Governing Administrative Review of a United States Trustee's Decision To Deny a...

    Science.gov (United States)

    2011-05-31

    ... remedies pertaining to a denial of a claim of actual, necessary expenses before seeking judicial review... to ensure a fair and just resolution is accomplished. In order to balance the competing interests of a quick resolution with that of obtaining the most equitable resolution that is fair to all...

  3. Assessing the Effectiveness of One Approach to the Teaching of Thematic Unit Construction of Literature Reviews

    Science.gov (United States)

    Bitchener, John; Turner, Elizabeth

    2011-01-01

    Despite the availability of practitioner advice on the characteristics of a literature review, students often report that they are unclear about what content should be included and how it can be most effectively organised. To assist them, some institutions provide courses that are specially tailored to the writing of thesis part-genres but very…

  4. 76 FR 44609 - United States-Peru Trade Promotion Agreement Notice of Determination Regarding Review of...

    Science.gov (United States)

    2011-07-26

    ... regulations, and practices thereunder, the effective recognition of the right to collective bargaining as stated in the International Labour Organization's Declaration on Fundamental Principles and Rights at... inconsistent with its commitments under the Labor Chapter. The objective of the review of the submission will...

  5. The Dynamics of Poverty in the United States: A Review of Data, Methods, and Findings

    Science.gov (United States)

    Cellini, Stephanie Riegg; McKernan, Signe-Mary; Ratcliffe, Caroline

    2008-01-01

    This paper reviews the literature on poverty dynamics in the U.S. It surveys the most prevalent data, theories, and methods used to answer three key questions: How likely are people to enter, exit, and reenter poverty? How long do people remain in poverty? And what events are associated with entering and exiting poverty? The paper then analyzes…

  6. Review of Paleomagnetic Age Constraints of Mid-Continent Rift Strata, Upper Midwestern United States

    Science.gov (United States)

    Houlihan, E.; Runkel, A.; Feinberg, J. M.; Cowan, C. A.; Titus, S.

    2016-12-01

    The Keweenawan Supergroup consists of 1.1 Ga volcanic units and overlying km-thick sedimentary succession that are associated with the Midcontinent Rift (MR), one of the most prominent geologic features in the Precambrian basement rocks of the North American craton (Morey and Green, 1982; Ojakangas et al., 2001; Ojakangas and Dickas, 2002). Recent studies targeting the sedimentary sequences of the rift highlight a longstanding problem that limits the impact of their results. The studies are based on data collected from a sedimentary package of the Keweenawan Supergroup that is very poorly constrained in age. Sedimentary strata low in the succession are constrained by dated intercalated volcanics, or mineralization ages, that indicate syn-rift filling commenced at about 1087 Ma as volcanism was waning (Davis and Paces, 1990). However, km-thick younger strata within the rift are constrained in maximum age only by virtue of overlying Cambrian fossil-bearing units (Morey and Ojakangas, 1982). Thus, the bulk of the MR sedimentary succession has a range in possible age of about 500 Ma, and potentially is in places as young as Middle Cambrian. Paleomagnetic methods may hold the most promise to date the MR sedimentary succession. Widespread paleomagnetic studies have been conducted on the igneous rocks of the rift, and several previous studies have used paleomagnetic techniques to date the sedimentary units as well (Dubois, 1962; Henry et al., 1976; Elmore and Van der Voo, 1978; Roy and Robertson, 1978; Halls and Palmer, 1981; Palmer et al., 1981; Watts, 1981; McCabe and Van der Voo, 1982; Diehl and Haig, 1994; Kulakov et al., 2013 and others). These authors generally considered the paleomagnetic signatures to be consistent with a Mesoproterozoic age for both the igneous and sedimentary rocks of the rift. Recently, however, authors have suggested that the uppermost sedimentary units are much younger in age, based on a combination of zircon and paleomagnetic analysis

  7. Critical review of the United Kingdom's "gold standard" survey of public attitudes to science.

    Science.gov (United States)

    Smith, Benjamin K; Jensen, Eric A

    2016-02-01

    Since 2000, the UK government has funded surveys aimed at understanding the UK public's attitudes toward science, scientists, and science policy. Known as the Public Attitudes to Science series, these surveys and their predecessors have long been used in UK science communication policy, practice, and scholarship as a source of authoritative knowledge about science-related attitudes and behaviors. Given their importance and the significant public funding investment they represent, detailed academic scrutiny of the studies is needed. In this essay, we critically review the most recently published Public Attitudes to Science survey (2014), assessing the robustness of its methods and claims. The review casts doubt on the quality of key elements of the Public Attitudes to Science 2014 survey data and analysis while highlighting the importance of robust quantitative social research methodology. Our analysis comparing the main sample and booster sample for young people demonstrates that quota sampling cannot be assumed equivalent to probability-based sampling techniques.

  8. Public Stigma of Mental Illness in the United States: A Systematic Literature Review

    OpenAIRE

    Parcesepe, Angela M.; Cabassa, Leopoldo J.

    2013-01-01

    Public stigma is a pervasive barrier that prevents many individuals in the U.S. from engaging in mental health care. This systematic literature review aims to: (1) evaluate methods used to study the public’s stigma toward mental disorders, (2) summarize stigma findings focused on the public’s stigmatizing beliefs and actions and attitudes toward mental health treatment for children and adults with mental illness, and (3) draw recommendations for reducing stigma towards individuals with mental...

  9. What factors predict length of stay in a neonatal unit: a systematic review

    OpenAIRE

    Seaton, Sarah E.; Barker, Lisa; Jenkins, David; Draper, Elizabeth S; Keith R Abrams; Manktelow, Bradley N.

    2016-01-01

    Objective In the UK, 1 in 10 babies require specialist neonatal care. This care can last from hours to months depending on the need of the baby. The increasing survival of very preterm babies has increased neonatal care resource use. Evidence from multiple studies is crucial to identify factors which may be important for predicting length of stay (LOS). The ability to predict LOS is vital for resource planning, decision-making and parent counselling. The objective of this review was to identi...

  10. 75 FR 504 - In the Matter of the Review of the Designation of Kahane Chai (aka American Friends of the United...

    Science.gov (United States)

    2010-01-05

    ... Matter of the Review of the Designation of Kahane Chai (aka American Friends of the United Yeshiva... Judea Police aka Judean Congress aka Kach aka Kahane aka Kahane Lives aka Kahane Tzadak aka Kahane.org... to Section 219 of the Immigration and Nationality Act, as amended Based upon a review of...

  11. A review of the potential effects of climate change on quaking aspen (Populus tremuloides) in the Western United States and a new tool for surveying sudden aspen decline

    Science.gov (United States)

    Toni Lyn Morelli; Susan C. Carr

    2011-01-01

    We conducted a literature review of the effects of climate on the distribution and growth of quaking aspen (Populus tremuloides Michx.) in the Western United States. Based on our review, we summarize models of historical climate determinants of contemporary aspen distribution. Most quantitative climate-based models linked aspen presence and growth...

  12. Voith power transmission systems in diesel multiple units and railcars. A review on recent developments

    Energy Technology Data Exchange (ETDEWEB)

    Paetzold, W. [Voith Turbo GmbH und Co. KG, Heidenheim (Germany). Rail Div.

    1999-04-01

    Voith today offers complete transmission systems consisting of hydrodynamic and hydromechanical transmissions with integrated retarders, cardan shafts, final drives and cooling units. For DMUs with underfloor powerpacks, the hydrodynamic power transmission system currently is the pre-eminent drive system worldwide and meets the established standards for rail service, i.e. high availability, low operating costs and a reasonable purchasing price. In this article, the author describes Voith`s contribution to the further development of these transmission systems in several modern dieselhydraulic railcars and DMUs for regional and main-line operations. (orig.)

  13. On hitting children: a review of corporal punishment in the United States.

    Science.gov (United States)

    Knox, Michele

    2010-01-01

    Research has clearly demonstrated associations between corporal punishment of children and maladaptive behavior patterns such as aggression and delinquency. Hitting children is an act of violence and a clear violation of children's human rights. In this article, the position of the United States on corporal punishment of children is discussed. Professional and international progress on ending corporal punishment is explained, and the relationship between corporal punishment and child abuse is discussed. An appeal is made for prevention efforts such as parent education and removal of social sanctions for hitting children that may hold significant promise for preventing child maltreatment.

  14. Which alternative communication methods are effective for voiceless patients in Intensive Care Units? A systematic review.

    Science.gov (United States)

    Carruthers, Helen; Astin, Felicity; Munro, Wendy

    2017-03-29

    To assess the effectiveness of Augmentative and Alternative Communication (AAC) strategies to enable people who are temporarily voiceless due to medical intervention, to communicate. A systematic review informed by a protocol published on an international register. Ten databases were searched from January 2004 to January 2017. Included studies assessed the effect of using AAC strategies on patient related outcomes and barriers to their use. All included studies were quality appraised. Due to the heterogeneity of interventions and outcome measures findings were narratively reviewed. Twelve studies met the inclusion criteria and were included in the review reporting outcomes from 1981 patient and 454 health professional participants. The quality of included studies were moderate to weak. AAC communication strategies increased the number of communication interactions, improved patient satisfaction with communication and reduced communication difficulties. Barriers to usage were device characteristics, the clinical condition of the patient, lack of timeliness in communication and staff constraints. There is preliminary, but inconsistent evidence that AAC strategies are effective in improving patient satisfaction with communication and reducing difficulties in communication. A lack of comparable studies precluded the identification of the most effective AAC strategy. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Quality Assurance Peer Review Chart Rounds in 2011: A Survey of Academic Institutions in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Lawrence, Yaacov Richard, E-mail: yaacovla@gmail.com [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Sheba Medical Center, Tel HaShomer (Israel); Sackler School of Medicine, Tel Aviv University (Israel); Whiton, Michal A. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Skagit Valley Hospital Regional Cancer Care Center, Mt. Vernon, Washington (United States); Symon, Zvi [Department of Radiation Oncology, Sheba Medical Center, Tel HaShomer (Israel); Sackler School of Medicine, Tel Aviv University (Israel); Wuthrick, Evan J. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States); Department of Radiation Oncology, Ohio State University, Columbus, Ohio (United States); Doyle, Laura; Harrison, Amy S.; Dicker, Adam P. [Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania (United States)

    2012-11-01

    Purpose: In light of concerns regarding the quality of radiation treatment delivery, we surveyed the practice of quality assurance peer review chart rounds at American academic institutions. Methods and Materials: An anonymous web-based survey was sent to the chief resident of each institution across the United States. Results: The response rate was 80% (57/71). The median amount of time spent per patient was 2.7 minutes (range, 0.6-14.4). The mean attendance by senior physicians and residents was 73% and 93%, respectively. A physicist was consistently present at peer review rounds in 66% of departments. There was a close association between attendance by senior physicians and departmental organization: in departments with protected time policies, good attendance was 81% vs. 31% without protected time (p = 0.001), and in departments that documented attendance, attending presence was 69% vs. 29% in departments without documentation (p < 0.05). More than 80% of institutions peer review all external beam therapy courses; however, rates were much lower for other modalities (radiosurgery 58%, brachytherapy 40%-47%). Patient history, chart documentation, and dose prescription were always peer reviewed in >75% of institutions, whereas dosimetric details (beams, wedges), isodose coverage, intensity-modulated radiation therapy constraints, and dose-volume histograms were always peer reviewed in 63%, 59%, 42%, and 50% of cases, respectively. Chart rounds led to both minor (defined as a small multileaf collimator change/repeated port film) and major (change to dose prescription or replan with dosimetry) treatment changes. Whereas at the majority of institutions changes were rare (<10% of cases), 39% and 11% of institutions reported that minor and major changes, respectively, were made to more than 10% of cases. Conclusion: The implementation of peer review chart rounds seems inconsistent across American academic institutions. Brachytherapy and radiosurgical procedures are

  16. The peer-reviewed literature on undergraduate education for public health in the United States, 2004-2014.

    Science.gov (United States)

    Evashwick, Connie J; Tao, Donghua; Arnold, Lauren D

    2014-01-01

    The education of undergraduate college students in the field of public health has burgeoned over the past decade. Professional literature in peer-reviewed journals is one indicator of the status of a field of study and its related body of knowledge. It is also a mechanism for sharing information among professionals about challenges, issues, experiences, and best practices. The purpose of the literature review conducted here was to describe the status of the peer-reviewed literature over the past decade pertaining to the education of undergraduates about the field of public health in the United States (U.S.). A literature search was conducted of three databases: PubMed, Scopus, and ERIC. Inclusion criteria were publication date from January 1, 2004 through July 31, 2014; written in the English language; pertaining to undergraduate education in the U.S.; and a focus on public health as the primary discipline. Public health was searched as an overarching discipline; articles focused on sub-disciplines or other health professions disciplines were excluded. The search resulted in 158 articles. Each of the authors reviewed the abstracts for all articles and read full articles when necessary. The result was 23 articles that were then considered in depth. The articles were categorized according to their primary theme: curriculum, courses, learning objectives (N = 14); evaluation of teaching method (N = 3); case study (N = 3); career path and advising (N = 2); accreditation (N = 1). Year of publication and journal were also examined. The results of the literature search lead to several observations about how the peer-reviewed literature has been used to date and how it could be used to advance the emerging field of undergraduate education for public health.

  17. Implementing health promotion in schools: protocol for a realist systematic review of research and experience in the United Kingdom (UK

    Directory of Open Access Journals (Sweden)

    Pearson Mark

    2012-10-01

    Full Text Available Abstract Background School-based interventions and campaigns are used to promote health and address a wide variety of public health problems. Schools are considered to be key sites for the implementation of health promotion programmes for their potential to reach the whole population in particular age-groups and instil healthy patterns of behavior early in life. However, evidence for the effectiveness of school-based health promotion interventions is highly variable. Systematic reviews of the evidence of school-based interventions tend to be highly problem- or intervention- specific, thereby missing potential generic insights into implementation and effectiveness of such programmes across problems. Methods/design A realist systematic review will be undertaken to explain how, why and in what circumstances schools can provide feasible settings for effective health promotion programmes in the United Kingdom (UK. The review will be conducted in two phases. Phase 1 will identify programme theories about implementation (ideas about what enables or inhibits effective health promotion to be delivered in a school setting. Phase 2 will test the programme theories so that they can be challenged, endorsed and/or refined. A Review Advisory Group of education and health professionals will be convened to help identify and choose potential programme theories, provide a ‘reality check’ on the clarity and explanatory strength of the mechanisms to be tested, and help shape the presentation of findings to be usable by practitioners and decision-makers. Review findings will be disseminated through liaison with decision-makers, and voluntary and professional groups in the fields of education and health.

  18. The potential for calcium depletion in forest ecosystems of southeastern United States: Review and analysis

    Science.gov (United States)

    Huntington, Thomas G.

    2000-06-01

    Biogeochemical mass balance assessments of calcium status in southeastern forests indicate that losses through harvesting and soil leaching often exceed inputs from atmospheric deposition and weathering. Many forest soils of the southeastern United States are particularly sensitive because these soils and the underlying saprolite from which these soils are derived are largely depleted of weatherable calcium. At most of the intensively studied sites in the southeastern United States, it is estimated that calcium depletion has already reduced or will likely reduce exchangeable soil calcium reserves to less than the estimated requirement for a merchantable forest stand in 150 years or less. At most sites, calcium uptake into merchantable wood equals or exceeds soil leaching losses. Chronic atmospheric deposition of sulfate and nitrate and declining atmospheric deposition of calcium are likely to accelerate calcium depletion. The southeastern U.S. regional distribution of soil calcium pools and calcium fluxes (deposition and uptake in merchantable wood) indicates that the depletion status of the intensively studied sites is representative of a substantially larger area. Where weathering inputs are insufficient to replace leaching and uptake losses, there is a potential for a regional problem in forest nutrition over the long term.

  19. Review: The feto-placental unit, pregnancy pathology and impact on long term maternal health.

    Science.gov (United States)

    Clifton, V L; Stark, M J; Osei-Kumah, A; Hodyl, N A

    2012-02-01

    Pregnancy induces a number of alterations to maternal physiology to accommodate the increased demands made by the developing fetus and placenta. These alterations appear at least in part to be driven by products derived from the feto-placental unit, including microchimeric cells, as well as placental exosomes and microparticles, inducing changes to maternal physiology both during pregnancy and beyond. Further, increasing evidence suggests that some of these alterations are dependent on the sex of the fetus. Pre-eclampsia and asthma represent two common pregnancy complications that have provided valuable insight into how the feto-placental unit influences maternal physiology in a sex-specific manner. Pregnancy-induced alterations in maternal physiology may expose pre-existing subclinical pathologies and provide insight into future maternal health and disease. While most pregnancy-induced alterations to the maternal system are reversed following delivery, some can persist after parturition leading to cardiovascular, metabolic and autoimmune disease and increased risk of early mortality. Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.

  20. Infectious diseases of Afghan immigrants in the United States: review of published reports.

    Science.gov (United States)

    Pilsczek, Florian H

    2011-01-01

    Infectious diseases of immigrants may differ from patients born and resident in the same country, especially if immigrants from Africa or Asia live in Europe or North America. Because the available information is limited published reports of infections of Afghan immigrants in the United States and other countries were analysed. Four reports from the US and 15 reports from other countries were identified [7, (46.7%) Pakistan, 5 (33.3%) Iran, 1 (6.7%) United Kingdom, 1 (6.7%) Germany, 1 (6.7%) Israel)]. Reports from the US were case reports or case series of infections with gastro-intestinal parasites and Mycobacterium tuberculosis (1, 25%), Echinococcus species (2, 50%), and Plasmodium vivax (1, 25%). Reports from other countries were case reports, case series, or surveys and investigated infections with Echinococcus species (2, 13%), Hepatitis B virus (HBV) (1, 6.7%), M. tuberculosis (6, 40%), P. falciparum (1, 6.7%), Leishmania tropica (3, 20%), Fasciola hepatica (1, 6.7%), and M. leprae (1, 6.7%). The reports suggest that Echinococcus species and L. tropica infections can be encountered in Afghan immigrants in the US, and the frequency of a positive PPD (purified protein derivative) response or HBsAg test was increased. An infectious diseases database specific for the country of residence readily available to clinicians treating Afghan patients outside of Afghanistan may be useful.

  1. KC-46 Tanker Modernization: Delivery of First Fully Capable Aircraft Has Been Delayed over One Year and Additional Delays Are Possible

    Science.gov (United States)

    2017-03-01

    Boeing was awarded a fixed price incentive (firm target) contract for development. The contract is designed to hold Boeing accountable for costs ...ceiling price . The government is not responsible for the additional cost . The KC-46 program is meeting total acquisition cost and performance...possible requirements changes, based on its experience with prior major acquisition programs. Military construction costs have also come in below

  2. Determinants of preventable readmissions in the United States: a systematic review

    Directory of Open Access Journals (Sweden)

    Slawson Kevin M

    2010-11-01

    Full Text Available Abstract Background Hospital readmissions are a leading topic of healthcare policy and practice reform because they are common, costly, and potentially avoidable events. Hospitals face the prospect of reduced or eliminated reimbursement for an increasing number of preventable readmissions under nationwide cost savings and quality improvement efforts. To meet the current changes and future expectations, organizations are looking for potential strategies to reduce readmissions. We undertook a systematic review of the literature to determine what factors are associated with preventable readmissions. Methods We conducted a review of the English language medicine, health, and health services research literature (2000 to 2009 for research studies dealing with unplanned, avoidable, preventable, or early readmissions. Each of these modifying terms was included in keyword searches of readmissions or rehospitalizations in Medline, ISI, CINAHL, The Cochrane Library, ProQuest Health Management, and PAIS International. Results were limited to US adult populations. Results The review included 37 studies with significant variation in index conditions, readmitting conditions, timeframe, and terminology. Studies of cardiovascular-related readmissions were most common, followed by all cause readmissions, other surgical procedures, and other specific-conditions. Patient-level indicators of general ill health or complexity were the commonly identified risk factors. While more than one study demonstrated preventable readmissions vary by hospital, identification of many specific organizational level characteristics was lacking. Conclusions The current literature on preventable readmissions in the US contains evidence from a variety of patient populations, geographical locations, healthcare settings, study designs, clinical and theoretical perspectives, and conditions. However, definitional variations, clear gaps, and methodological challenges limit translation of

  3. Gastrointestinal cryptosporidiosis in captive psittacine birds in the United States: a case review.

    Science.gov (United States)

    Ravich, Michelle L; Reavill, Drury R; Hess, Laurie; Childress, April L; Wellehan, James F X

    2014-12-01

    Histopathologic analysis performed on tissue samples from 34 captive psittacine birds over a 14-year period demonstrated gastrointestinal cryptosporidiosis. Although 8 birds had died unexpectedly, at least 10 showed gastrointestinal signs before death. Most birds had other significant pathologic lesions, unrelated to cryptosporidiosis, in which case Cryptosporidium was likely a secondary pathogen. However, in 11 birds the only significant histopathologic finding was gastrointestinal cryptosporidiosis. In 2 lovebird (Agapornis species) cases, direct sequencing of proventricular samples confirmed the presence of Cryptosporidium avian genotype III. A description and analysis of the pathologic findings in these 34 birds, as well as a review of avian gastrointestinal cryptosporidiosis, is provided.

  4. Disconnected, fragmented, or united? A trans-disciplinary review of network science

    OpenAIRE

    Hidalgo, Cesar A.

    2015-01-01

    During decades the study of networks has been divided between the efforts of social scientists and natural scientists, two groups of scholars who often do not see eye to eye. In this review I present an effort to mutually translate the work conducted by scholars from both of these academic fronts hoping to continue to unify what has become a diverging body of literature. I argue that social and natural scientists fail to see eye to eye because they have diverging academic goals. Social scient...

  5. Public stigma of mental illness in the United States: a systematic literature review.

    Science.gov (United States)

    Parcesepe, Angela M; Cabassa, Leopoldo J

    2013-09-01

    Public stigma is a pervasive barrier that prevents many individuals in the U.S. from engaging in mental health care. This systematic literature review aims to: (1) evaluate methods used to study the public's stigma toward mental disorders, (2) summarize stigma findings focused on the public's stigmatizing beliefs and actions and attitudes toward mental health treatment for children and adults with mental illness, and (3) draw recommendations for reducing stigma towards individuals with mental disorders and advance research in this area. Public stigma of mental illness in the U.S. was widespread. Findings can inform interventions to reduce the public's stigma of mental illness.

  6. "Bed Side" Human Milk Analysis in the Neonatal Intensive Care Unit: A Systematic Review.

    Science.gov (United States)

    Fusch, Gerhard; Kwan, Celia; Kotrri, Gynter; Fusch, Christoph

    2017-03-01

    Human milk analyzers can measure macronutrient content in native breast milk to tailor adequate supplementation with fortifiers. This article reviews all studies using milk analyzers, including (i) evaluation of devices, (ii) the impact of different conditions on the macronutrient analysis of human milk, and (iii) clinical trials to improve growth. Results lack consistency, potentially due to systematic errors in the validation of the device, or pre-analytical sample preparation errors like homogenization. It is crucial to introduce good laboratory and clinical practice when using these devices; otherwise a non-validated clinical usage can severely affect growth outcomes of infants.

  7. Length of stay of general psychiatric inpatients in the United States: systematic review.

    LENUS (Irish Health Repository)

    Tulloch, Alex D

    2011-05-01

    Psychiatric length of stay (LOS) has reduced but is still longer than for physical disorders. Inpatient costs are 16% of total mental health spending. Regression analyses of the determinants of LOS for US adult psychiatric inpatients were systematically reviewed. Most studies predated recent LOS reductions. Psychosis, female gender and larger hospital size were associated with longer LOS, while discharge against medical advice, prospective payment, being married, being detained and either younger or middle age were associated with shorter LOS. Associations appeared consistent, especially where sample size was above 3,000. Updated studies should be adequately powered and include the variables above.

  8. Pharmacological inhibition of p38 mitogen-activated protein kinases affects KC/CXCL1-induced intraluminal crawling, transendothelial migration, and chemotaxis of neutrophils in vivo.

    Science.gov (United States)

    Xu, Najia; Hossain, Mokarram; Liu, Lixin

    2013-01-01

    p38 mitogen-activated protein kinase (MAPK) signalling is critical in the pathophysiology of a variety of inflammatory processes. Leukocyte recruitment to the site of inflammation is a multistep process governed by specific signalling cascades. After adhesion in the lumen, many leukocytes crawl to optimal sites at endothelial junctions and transmigrate to extravascular tissue in a Mac-1-dependent manner. The signalling mechanisms that regulate postadhesion steps of intraluminal crawling, transmigration, and chemotaxis in tissue remain incompletely understood. The present study explored the effect of p38 MAPK inhibitor SB203580 on various parameters of neutrophil recruitment triggered by chemokine KC (CXCL1) gradient. Neutrophil-endothelial interactions in microvasculature of murine cremaster muscle were determined using intravital microscopy and time-lapsed video analysis. SB203580 (100 nM) did not change leukocyte rolling but significantly attenuated neutrophil adhesion, emigration, and transmigration and impaired the initiation of neutrophil crawling and transmigration. In response to KC chemotactic gradient, SB203580 significantly reduced the velocity of migration and chemotaxis index of neutrophils in tissue. The upregulation of Mac-1 expression in neutrophils stimulated by KC was significantly blunted by SB203580 in vitro. Collectively, our findings demonstrate that pharmacological suppression of p38 MAPK significantly impairs multiple steps of neutrophil recruitment in vivo.

  9. Pharmacological Inhibition of p38 Mitogen-Activated Protein Kinases Affects KC/CXCL1-Induced Intraluminal Crawling, Transendothelial Migration, and Chemotaxis of Neutrophils In Vivo

    Directory of Open Access Journals (Sweden)

    Najia Xu

    2013-01-01

    Full Text Available p38 mitogen-activated protein kinase (MAPK signalling is critical in the pathophysiology of a variety of inflammatory processes. Leukocyte recruitment to the site of inflammation is a multistep process governed by specific signalling cascades. After adhesion in the lumen, many leukocytes crawl to optimal sites at endothelial junctions and transmigrate to extravascular tissue in a Mac-1-dependent manner. The signalling mechanisms that regulate postadhesion steps of intraluminal crawling, transmigration, and chemotaxis in tissue remain incompletely understood. The present study explored the effect of p38 MAPK inhibitor SB203580 on various parameters of neutrophil recruitment triggered by chemokine KC (CXCL1 gradient. Neutrophil-endothelial interactions in microvasculature of murine cremaster muscle were determined using intravital microscopy and time-lapsed video analysis. SB203580 (100 nM did not change leukocyte rolling but significantly attenuated neutrophil adhesion, emigration, and transmigration and impaired the initiation of neutrophil crawling and transmigration. In response to KC chemotactic gradient, SB203580 significantly reduced the velocity of migration and chemotaxis index of neutrophils in tissue. The upregulation of Mac-1 expression in neutrophils stimulated by KC was significantly blunted by SB203580 in vitro. Collectively, our findings demonstrate that pharmacological suppression of p38 MAPK significantly impairs multiple steps of neutrophil recruitment in vivo.

  10. Interaction between small GTPase Rab7 and PI3KC3 links autophagy and endocytosis: A new Rab7 effector protein sheds light on membrane trafficking pathways.

    Science.gov (United States)

    Lin, Mary Grace; Zhong, Qing

    2011-03-01

    Endocytosis and autophagy are both membrane trafficking pathways vital for cell survival. Endocytosis, the primary means by which cells internalize material such as cell-surface receptors and their protein ligands, is essential for proper cell growth and communication. Autophagy is a catabolic process that degrades cargo ranging from organelles to protein aggregates to bacteria, and it is important for maintaining cellular homeostasis. Defects in both endosome and autophagosome maturation lead to an array of human diseases, including cancer; however, the molecular mechanisms underlying endosome and autophagosome maturation are not well characterized. In the case of endocytosis, small GTPases, key players in membrane organization, are required for endosome maturation. Specifically, activation of the small GTPase Rab7 is required for the initiation of the early-to-late endosome transition, although how this is regulated is largely unknown. Now recent findings from our laboratory show that Rubicon, a component of the PI3KC3 complex, inhibits endosome maturation by preventing activation of Rab7. Not only do our results clarify the molecular link between PI3KC3 and Rab7 function in endosome maturation, they lead us to propose new models for PI3KC3 involvement in membrane trafficking, particularly at the convergence between the endosome and autophagosome pathways.

  11. Pathology of Haemonchus contortus in New World camelids in the southeastern United States: a retrospective review.

    Science.gov (United States)

    Edwards, Erin E; Garner, Bridget C; Williamson, Lisa H; Storey, Bob E; Sakamoto, Kaori

    2016-03-01

    Most small ruminant farms in tropical climates are plagued by Haemonchus contortus, a hematophagous, abomasal parasite. Heavy burdens of this parasite can cause anemia, hypoproteinemia, weight loss, and mortality in susceptible animals. Haemonchus contortus is becoming a major health concern in New World camelids as well, namely llamas (Llama glama) and alpacas (Vicugna pacos), yet little research has been conducted regarding its prevalence or pathology in these species. Herein, we present a retrospective review of llamas and alpacas that were admitted to The University of Georgia Veterinary Teaching Hospital and Athens Diagnostic Laboratory between the years 2002 and 2013. Antemortem fecal egg count (FEC) estimates performed on 30 alpacas were negatively correlated with hematocrit, hemoglobin, and red blood cell count. Total protein was not significantly correlated with FEC. On postmortem examination, 55 of 198 camelids, including 2 from the aforementioned antemortem review, were infected with H. contortus, with llamas (42.6%) having a significantly higher infection rate than alpacas (22.2%). In 15.7% of the total cases, the parasite was the major cause of death. Common gross lesions included peritoneal, thoracic, and pericardial effusions, visceral pallor, subcutaneous edema, and serous atrophy of fat. Histologic lesions included centrilobular hepatic necrosis, hepatic atrophy, lymphoplasmacytic inflammation of the mucosa of the third gastric compartment (C3), extramedullary hematopoiesis in both the liver and spleen, and the presence of nematodes in C3. Our study emphasizes the importance of H. contortus diagnosis and herd monitoring in New World camelids, particularly llamas.

  12. Facets of career satisfaction for women physicians in the United States: a systematic review.

    Science.gov (United States)

    Rizvi, Rabab; Raymer, Lindsay; Kunik, Mark; Fisher, Joslyn

    2012-01-01

    Women make up a growing proportion of the physician workforce, and their career satisfaction may affect their health. The authors hypothesized that many facets adversely affecting career satisfaction in women physicians were extrinsic, therefore, preventable or modifiable. The authors conducted a systematic review of the literature in English published through February 2010 to examine facets of career satisfaction of U.S. women physicians. The authors used the women physician AND job satisfaction OR career satisfaction Medical Subject Headings (MeSH) terms, and reviewed bibliographies of key articles to ensure inclusion of relevant studies. The authors used the "Strengthening the Reporting of Observation Studies in Epidemiology" quality tool. Of an initial 1,000 studies, only 30 met the inclusion criteria. Facets reported most frequently to influence career satisfaction for women physicians were income/prestige, practice characteristics, and personal/family characteristics. Overall, career satisfaction for women and men physicians was 73.4% (range = 56.4% to 90%) and 73.2% (range = 59% to 90%), respectively. When compared with men, women physicians were more concerned with perceived lack of time for relationships with patients, colleagues, and family; less satisfied with mentoring relationships and support from all sources; and less satisfied with career-advancement opportunities, recognition, and salary. Career satisfaction can affect health, as well as health and safety of patients. Many factors adversely affecting career satisfaction for women physicians are extrinsic and, therefore, modifiable.

  13. ExoU activates NF-κB and increases IL-8/KC secretion during Pseudomonas aeruginosa infection.

    Directory of Open Access Journals (Sweden)

    Carolina Diettrich Mallet de Lima

    Full Text Available ExoU, a Pseudomonas aeruginosa cytotoxin injected into host cytosol by type III secretion system, exhibits a potent proinflammatory activity that leads to a marked recruitment of neutrophils to infected tissues. To evaluate the mechanisms that account for neutrophil infiltration, we investigated the effect of ExoU on IL-8 secretion and NF-κB activation. We demonstrate that ExoU increases IL-8 mRNA and protein levels in P. aeruginosa-infected epithelial and endothelial cell lines. Also, ExoU induces the nuclear translocation of p65/p50 NF-κB transactivator heterodimer as well as NF-κB-dependent transcriptional activity. ChIP assays clearly revealed that ExoU promotes p65 binding to NF-κB site in IL-8 promoter and the treatment of cultures with the NF-κB inhibitor Bay 11-7082 led to a significant reduction in IL-8 mRNA levels and protein secretion induced by ExoU. These results were corroborated in a murine model of pneumonia that revealed a significant reduction in KC secretion and neutrophil infiltration in bronchoalveolar lavage when mice were treated with Bay 11-7082 before infection with an ExoU-producing strain. In conclusion, our data demonstrate that ExoU activates NF-κB, stimulating IL-8 expression and secretion during P. aeruginosa infection, and unveils a new mechanism triggered by this important virulence factor to interfere in host signaling pathways.

  14. Coeficiente de cultura (Kc do cafeeiro (Coffea arabica L. no período de outono-inverno na região de Lavras - MG Crop coefficient (kc for coffee (Coffea arabica L. during the winter-fall seasons in Lavras region - MG, Brazil

    Directory of Open Access Journals (Sweden)

    Fabio A. Sato

    2007-08-01

    Full Text Available O balanço hídrico é de elevada importância para avaliar a intensidade das entradas e saídas de água em um volume de solo explorado por uma cultura, permitindo, ainda, estimar parâmetros característicos das suas necessidades hídricas, como a evapotranspiração e o coeficiente de cultura (Kc, que se apresentam como indicadores com significados físicos e biológicos da planta, sobretudo quando associados com o seu ciclo fenológico. Dessa forma, neste trabalho, monitorou-se o regime hídrico e climático, de abril a setembro de 2004, e estimou-se a evapotranspiração da cultura (ETc e o Kc do cafeeiro Catuaí, após quatro anos de recepa, utilizando-se do método do balanço hídrico. Os resultados obtidos permitiram concluir que o cafeeiro, após quatro anos de recepa, apresentou ETc entre 1,23 e 4,39 mm dia-1 e Kc variando de 0,59 a 1,16. O coeficiente de cultura mostrou sintonia com a fenologia do cafeeiro, sinalizando, entretanto, para a redução do período de dormência e a antecipação do período de formação de frutos e de desenvolvimento vegetativo.Water balance is very important for evaluating inflow and outflow water in a soil block explored by a crop. This situation allows to estimate parameters associated to crop water schedule such as evapotranspiration and crop coefficient (kc, which are present as physical and biological indicators, especially when associated to the phenologic cycle. Therefore, the objective of this paper was to monitor water and climatic regime from April to Setember/2004 of an adult coffee crop of the cultivar Catuaí pruned four years before, and to estimate crop evapotranspiration (ETc and Kc, applying the water balance method. The results allowed concluding that the coffee crop presented ETc values between 1.23 and 4.39 mm day-1 and Kc from 0.59 to 1.16. Kc showed a relationship with coffee crop phenology; however, it indicated a decrease of the dormancy period and an anticipation of the coffee

  15. A Critical Review of the Marketing Claims of Infant Formula Products in the United States.

    Science.gov (United States)

    Belamarich, Peter F; Bochner, Risa E; Racine, Andrew D

    2016-05-01

    A highly competitive infant formula market has resulted in direct-to-consumer marketing intended to promote the sale of modified formulas that claim to ameliorate common infant feeding problems. The claims associated with these marketing campaigns are not evaluated with reference to clinical evidence by the Food and Drug Administration. We aimed to describe the language of claims made on formula labels and compare it with the evidence in systematic reviews. Of the 22 product labels we identified, 13 product labels included claims about colic and gastrointestinal symptoms. There is insufficient evidence to support the claims that removing or reducing lactose, using hydrolyzed or soy protein or adding pre-/probiotics to formula benefits infants with fussiness, gas, or colic yet claims like "soy for fussiness and gas" encourage parents who perceive their infants to be fussy to purchase modified formula. Increased regulation of infant formula claims is warranted.

  16. Risk factors for domestic minor sex trafficking in the United States: a literature review.

    Science.gov (United States)

    Choi, Kristen R

    2015-01-01

    Domestic minor sex trafficking (DMST) is an important social and public health problem, but it has received little attention from healthcare professionals in research, practice, and policy. Prevention and early victim identification efforts for this population are severely limited or entirely absent. The aim of this study was to integrate evidence on risk factors for DMST and critically appraise the quality and quantity of nursing literature on DMST. This literature review was reported using PRISMA criteria. Three databases (CINAHL, PsychInfo, and PubMed) were searched using various terms for (a) human trafficking, (b) risk factors, and (c) children. Demographic factors were not important predictors of DMST. Childhood maltreatment trauma and running away from home were the most important risk factors for trafficking victimization. There was little nursing literature on the topic of DMST. Nurses and other healthcare professionals must engage in confronting DMST by improving early identification of victims and conducting high-quality research to inform practice.

  17. Cancer Survivors in the United States: A Review of the Literature and a Call to Action

    Directory of Open Access Journals (Sweden)

    Manuel Valdivieso, Ann M. Kujawa, Tisha Jones, Laurence H. Baker

    2012-01-01

    Full Text Available Background: The number of cancer survivors in the U.S. has increased from 3 million in 1971, when the National Cancer Act was enacted, to over 12 million today. Over 70% of children affected by cancer survive more than 10 years, and most are cured. Most cancer survivors are adults, with two-thirds of them 65 years of age or older and two-thirds alive at five years. The most common cancer diagnoses among survivors include breast, prostate and colorectal cancers. This review was conducted to better appreciate the challenges associated with cancer survivors and the opportunities healthcare providers have in making a difference for these patients.Methods: Comprehensive review of literature based on PubMed searches on topics related to cancer survivorship, and associated physical, cognitive, socio-economic, sexual/behavioral and legal issues.Results: At least 50% of cancer survivors suffer from late treatment-related side effects, often including physical, psychosocial, cognitive and sexual abnormalities, as well as concerns regarding recurrence and/or the development of new malignancies. Many are chronic in nature and some are severe and even life-threatening. Survivors also face issues involving lack of appropriate health maintenance counseling, increased unemployment rate and workplace discrimination.Conclusions: Advances in the diagnosis and treatment of cancer will lead to more survivors and better quality of life. However, tools to recognize potentially serious long-lasting side effects of cancer therapy earlier in order to treat and/or prevent them must be developed. It is incumbent upon our health care delivery systems to make meeting these patients' needs a priority.

  18. A crucial role for TNF-α in mediating neutrophil influx induced by endogenously generated or exogenous chemokines, KC/CXCL1 and LIX/CXCL5

    Science.gov (United States)

    Vieira, SM; Lemos, HP; Grespan, R; Napimoga, MH; Dal-Secco, D; Freitas, A; Cunha, TM; Verri Jr, WA; Souza-Junior, DA; Jamur, MC; Fernandes, KS; Oliver, C; Silva, JS; Teixeira, MM; Cunha, FQ

    2009-01-01

    Background and purpose: Chemokines orchestrate neutrophil recruitment to inflammatory foci. In the present study, we evaluated the participation of three chemokines, KC/CXCL1, MIP-2/CXCL2 and LIX/CXCL5, which are ligands for chemokine receptor 2 (CXCR2), in mediating neutrophil recruitment in immune inflammation induced by antigen in immunized mice. Experimental approach: Neutrophil recruitment was assessed in immunized mice challenged with methylated bovine serum albumin, KC/CXCL1, LIX/CXCL5 or tumour necrosis factor (TNF)-α. Cytokine and chemokine levels were determined in peritoneal exudates and in supernatants of macrophages and mast cells by elisa. CXCR2 and intercellular adhesion molecule 1 (ICAM-1) expression was determined using immunohistochemistry and confocal microscopy. Key results: Antigen challenge induced dose- and time-dependent neutrophil recruitment and production of KC/CXCL1, LIX/CXCL5 and TNF-α, but not MIP-2/CXCL2, in peritoneal exudates. Neutrophil recruitment was inhibited by treatment with reparixin (CXCR1/2 antagonist), anti-KC/CXCL1, anti-LIX/CXCL5 or anti-TNF-α antibodies and in tumour necrosis factor receptor 1-deficient mice. Intraperitoneal injection of KC/CXCL1 and LIX/CXCL5 induced dose- and time-dependent neutrophil recruitment and TNF-α production, which were inhibited by reparixin or anti-TNF-α treatment. Macrophages and mast cells expressed CXCR2 receptors. Increased macrophage numbers enhanced, while cromolyn sodium (mast cell stabilizer) diminished, LIX/CXCL5-induced neutrophil recruitment. Macrophages and mast cells from immunized mice produced TNF-α upon LIX/CXCL5 stimulation. Methylated bovine serum albumin induced expression of ICAM-1 on mesenteric vascular endothelium, which was inhibited by anti-TNF-α or anti-LIX/CXCL5. Conclusion and implications: Following antigen challenge, CXCR2 ligands are produced and act on macrophages and mast cells triggering the production of TNF-α, which synergistically contribute to

  19. Cervical Cancer Screening Among Arab Women in the United States: An Integrative Review.

    Science.gov (United States)

    Abboud, Sarah; De Penning, Emily; Brawner, Bridgette M; Menon, Usha; Glanz, Karen; Sommers, Marilyn S

    2017-01-01

    Arab American women are an ethnic minority and immigrant population in the United States with unique and nuanced sociocultural factors that influence preventive health behaviors. The aims of this article are to evaluate and synthesize the existing evidence on cervical cancer screening behaviors, as well as determine factors that influence these behaviors, among Arab American women.
. Extensive literature searches were performed using PubMed, CINAHL®, Scopus, Embase, and Cochrane databases; articles published through October 2015 were sought. 
. Of 17 articles, 14 explicitly identified Arab and/or Muslim women and cervical cancer screening in either the title or the abstract; the remaining three focused on cancer attitudes and behaviors in Arab Americans in general but measured cervical cancer screening. Eleven articles reported different aspects of one intervention. Because of methodologic heterogeneity, the current authors synthesized results narratively.
. Key factors influencing cervical cancer screening were identified as the following. Cervical cancer screening rates among Arab American women are comparable to other ethnic minorities and lower than non-Hispanic White women. Findings are inconsistent regarding factors influencing cervical cancer screening behaviors in this underrepresented group. 
. Significant need exists for more research to better understand cervical cancer prevention behaviors in this group to inform culturally relevant interventions. Healthcare providers play a crucial role in increasing cervical cancer screening awareness and recommendations for Arab American women.

  20. Healthcare Laundry and Textiles in the United States: Review and Commentary on Contemporary Infection Prevention Issues.

    Science.gov (United States)

    Sehulster, Lynne M

    2015-09-01

    Healthcare professionals have questions about the infection prevention effectiveness of contemporary laundry processes for healthcare textiles (HCTs). Current industrial laundry processes achieve microbial reductions via physical, chemical, and thermal actions, all of which result in producing hygienically clean HCTs. European researchers have demonstrated that oxidative laundry additives have sufficient potency to meet US Environmental Protection Agency benchmarks for sanitizers and disinfectants. Outbreaks of infectious diseases associated with laundered HCTs are extremely rare; only 12 such outbreaks have been reported worldwide in the past 43 years. Root cause analyses have identified inadvertent exposure of clean HCTs to environmental contamination (including but not limited to exposure to dust in storage areas) or a process failure during laundering. To date, patient-to-patient transmission of infection has not been associated with hygienically clean HCTs laundered in accordance with industry process standards. Occupationally acquired infection involved mishandling of soiled HCTs and failure to use personal protective equipment properly. Laboratory studies of antimicrobial treatments for HCTs demonstrate a wide range of activity from 1 to 7 log10 reduction of pathogens under various experimental conditions. Clinical studies are needed to evaluate potential use of these treatments for infection prevention. Microbiological testing of clean HCTs for certification purposes is now available in the United States. Key features (eg, microbial sampling strategy, numbers of textiles sampled) and justification of the testing are discussed.

  1. [Ethics consultation unit in nephrology (UCEN): review of 10 years of operation in the Grenoble area].

    Science.gov (United States)

    Maurizi Balzan, Jocelyne; Moreaud, Olivier; Palacin, Pedro; Truche, Anne-Sophie; Zaoui, Philippe

    2013-07-01

    The existence of an ethics consultation unit in nephrology (UCEN) gives to the nephrologist the collegiality required to meet the difficulties of therapeutic choice on a legislative level, particularly in indications of stop dialysis. The discussion conducted, outside the emergency, is guided by a tool for reflexion that details successive steps necessary to the identification of elements required for decision-making. Thanks to complementary skills provided by the participants and training acquired, the UCEN can approach other ethic issues encountered during practice such as contrindication for a kidney transplantation or maintenance of conservative treatment, or performing invasive procedures on patients refusing transfusion. Propositions are not always relevant due to opposition or ambivalence of some patients, their relatives, an external or disagreements between teams or a mismatch between the technical and the patient's condition. These non-conformities decrypted always have an explanation, sometimes they are understood and accepted by the teams, and sometimes they became source of regrets when they extend life in very poor conditions. The UCEN, if it does not solve every single point, remains a place and a time of sharing that face difficult situations, help the nephrologist positioning himself on maintaining treatments that were first to avoid and prevent the realization of unreasonable acts and accept their limits.

  2. Methylene blue, midodrine, and pseudoephedrine: a review of alternative agents for refractory hypotension in the intensive care unit.

    Science.gov (United States)

    Van Berkel, Megan A; Fuller, Laura A; Alexandrov, Anne W; Jones, G Morgan

    2015-01-01

    Hypotensive episodes are common among patients in the intensive care unit and can lead to multiorgan failure if uncontrolled. Fluid administration and continuous infusion of vasoactive agents are frequently used for management of hypotension; however, both therapies may be associated with adverse effects including pulmonary edema and tissue necrosis. In addition, availability of these first-line agents has been impacted by the increasing occurrence of drug shortages. Methylene blue, pseudoephedrine, and midodrine have been considered potential alternatives to standard therapy. These agents may not only be used when first-line agents are unavailable due to shortages, but they may also aid in reducing the cumulative dose of other vasoactive agents used. The purpose of this review was to discuss strategies for the safe and effective use of methylene blue, pseudoephedrine, and midodrine for the treatment of hypotension in the critically ill.

  3. Retrospective review of critical incidents in the post-anaesthesia care unit at a major tertiary hospital.

    Science.gov (United States)

    Bruins, Suze Dominique; Leong, Pauline Meng Choo; Ng, Shin Yi

    2017-08-01

    We reviewed patients with critical incidents that occurred in the post-anaesthesia care unit (PACU) at a major tertiary hospital, and assessed the effect of these incidents on PACU length of stay and discharge disposition. A retrospective review was conducted of patients in the PACU over a two-year period from 24 June 2011 to 23 August 2013. Data on critical incidents was recorded in the administrative database using a standardised data form. There were 701 incidents involving 364 patients; 203 (55.8%) patients had American Society of Anesthesiologists (ASA) physical status I or II. The most common critical incidents were cardiovascular-related (n = 293, 41.8%), respiratory (n = 155, 22.1%), neurological (n = 52, 7.4%), surgical (n = 47, 6.7%) and airway-related (n = 34, 4.9%). There were two incidents of cardiac arrest and 25 incidents of unexpected reintubations. Many patients (n = 186, 51.2%) stayed for over four hours in the PACU due to critical incidents and 184 (50.5%) patients required a higher level of care postoperatively than initially planned. Some patients (n = 34, 9.3%) returned to the operation theatre for further management. A proportion of patients (n = 64, 17.6%) had unplanned intensive care unit admissions due to adverse events in the PACU. A wide spectrum of critical incidents occur in the PACU, many of which are related to the cardiovascular and respiratory systems. Critical incidents have a major impact on healthcare utilisation and result in prolonged PACU stays and higher levels of postoperative care than initially anticipated.

  4. The Short Stay Unit as a new option for hospitals: A review of the scientific literature

    Science.gov (United States)

    Damiani, Gianfranco; Pinnarelli, Luigi; Sommella, Lorenzo; Vena, Valentina; Magrini, Patrizia; Ricciardi, Walter

    2011-01-01

    Summary Background The short stay unit (SSU) is a ward providing targeted care for patients requiring brief hospitalization and dischargeable as soon as clinical conditions are resolved. Therefore, SSU is an alternative to the ordinary ward (OW) for the treatment of selected patients. The SSU model has been tested in only a few hospitals, and the literature lacks systematic evaluation of the impact of SSU use. The aim of our study was to evaluate the use of SSUs in terms of length of hospital stay, mortality and readmission rate. Material/Methods A random effect meta-analysis was carried out by consulting electronic databases. Studies were selected that focused on comparison between use of SSUs and OWs. Mean difference of length of stay was calculated within 95% confidence intervals. Results Six articles were selected, for a total of 21 264 patients. The estimated mean difference was −3.06 days (95% CI −4.71, −1.40) in favor of the SSU. The selected articles did not show any differences in terms of mortality and readmission rate. Conclusions Use of SSUs could reduce patient length of stay in hospital, representing an alternative to the ordinary ward for selected patients. A shorter period of hospitalization could reduce the risk of hospital-acquired infections, increase patient satisfaction and yield more efficient use of hospital beds. Findings of this study are useful for institutional, managerial and clinical decision-makers regarding the implementation of the SSU in a hospital setting, and for better management of continuity of care. PMID:21629205

  5. Nurse-patient interaction in acute adult inpatient mental health units: a review and synthesis of qualitative studies.

    Science.gov (United States)

    Cleary, Michelle; Hunt, Glenn E; Horsfall, Jan; Deacon, Maureen

    2012-02-01

    Mental health nurses work with acutely unwell patients, and the busy setting is characterised by unpredictable events. This paper is a report of a review conducted to identify, analyse and synthesize research in adult acute inpatient mental health units, which focused on nurse-patient interaction. Several electronic databases were searched using relevant keywords to identify studies published from 1999-present. Qualitative studies published in English were included if they specifically investigated nurse-patient interaction in acute inpatient care in adult settings. Eighteen studies were included (23 papers). Findings were grouped into the following six categories: 1) sophisticated communication; 2) subtle discriminations; 3) managing security parameters; 4) ordinary communication; 5) reliance on colleagues; and 6) personal characteristics. These studies of acute inpatient mental health units reveal that nurse communication involves interpersonal approaches and modalities that exemplify highly developed communication and personal skills designed specifically for this challenging setting. Further quality research should focus on the conditions that enable the development of therapeutic interactional skills and the relationship of these skills to the nuanced context in which they are practiced.

  6. Multitarget stool DNA for colorectal cancer screening:A review and commentary on the United States Preventive Services Draft Guidelines

    Institute of Scientific and Technical Information of China (English)

    Barry M Berger; Bernard Levin; Robert J Hilsden

    2016-01-01

    Multitarget stool DNA(mt-sDNA) testing was approved for average risk colorectal cancer(CRC) screening by the United States Food and Drug Administration and thereafter reimbursed for use by the Medicare program(2014).The United States Preventive Services Task Force(USPSTF) October 2015 draft recommendation for CRC screening included mt-s DNA as an "alternative" screening test that "may be useful in select clinical circumstances",despite its very high sensitivity for early stage CRC.The evidence supporting mt-s DNA for routine screening use is robust.The clinical efficacy of mt-s DNA as measured by sensitivity,specificity,life-years gained(LYG),and CRC deaths averted is similar to or exceeds that of the other more specifically recommended screening options included in the draft document,especially those requiring annual testing adherence.In a population with primarily irregular screening participation,tests with the highest point sensitivity and reasonable specificity are more likely to favorably impact CRC related morbidity and mortality than those depending on annual adherence.This paper reviews the evidence supporting mt-s DNA for routine screening and demonstrates,using USPSTF’s modeling data,that mt-s DNA at three-year intervals provides significant clinical net benefits and fewer complications per LYG than annual fecal immunochemical testing,high sensitivity guaiac based fecal occult blood testing and 10-year colonoscopy screening.

  7. The clinical relevance of Organ Procurement and Transplantation Network screening criteria for program performance review in the United States.

    Science.gov (United States)

    Salkowski, Nicholas; Wey, Andrew; Snyder, Jon J; Orlowski, Jeffrey P; Israni, Ajay K; Kasiske, Bertram L

    2016-09-01

    The Organ Procurement and Transplantation Network is charged with overseeing the quality of transplant programs in the United States. However, there has been controversy over whether too many programs are being identified as underperforming. It has also been suggested that dramatic improvements in outcomes throughout the United States have made the thresholds for determining which deceased donor transplant programs are underperforming no longer clinically relevant. The Scientific Registry of Transplant Recipients compared actual and expected 1-y graft survival for transplant programs identified as underperforming in the most recent cohort (transplants from July 1, 2012 to December 31, 2014). For most organs, actual 1-y graft survival was substantially lower for programs identified as underperforming than for programs identified as performing as expected. Differences were smallest for kidney programs: median 1-y graft survival 89.2% vs 95.4% in large-volume programs identified and not identified for Membership and Professional Standards Committee review, respectively. Median expected graft survival was only slightly lower (94.8% vs 95.1%, respectively), suggesting that identified and not identified programs tend to have similar risk tolerances. An excess of 143 grafts were lost from kidney programs identified as underperforming. Transplant programs identified as underperforming generally have reduced 1-y graft survival that stakeholders may consider clinically relevant.

  8. Health facility environment as humanization strategy care in the pediatric unit: systematic review

    Directory of Open Access Journals (Sweden)

    Juliane Portella Ribeiro

    2014-06-01

    Full Text Available Objective: To identify and analyze the production of knowledge about the strategies that health care institutions have implemented to humanize care of hospitalized children. Method: This is a systematic review conducted in the Virtual Health Library - Nursing and SciELO, using the seven steps proposed by the Cochrane Handbook. Results: 15 studies were selected, and strategies that involved relationship exchanges were used between the health professional, the hospitalized child and their families, which may be mediated by leisure activities, music and by reading fairy tales. We also include the use of the architecture itself as a way of providing welfare to the child and his/her family, as well as facilitating the development of the work process of health professionals. Conclusion: Investments in research and publications about the topic are necessary, so that, the National Humanization Policy does not disappear and that the identified strategies in this study do not configure as isolated and disjointed actions of health policy.

  9. United States Gulf of Mexico Coastal Marsh Vegetation Responses and Sensitivities to Oil Spill: A Review

    Directory of Open Access Journals (Sweden)

    S. Reza Pezeshki

    2015-12-01

    Full Text Available The present review summarizes the literature on the effects of oil spill on the U.S. Gulf of Mexico coastal vegetation including freshwater-, brackish-, and salt-marshes. When in contact with plant tissues, oil may have adverse impacts via physical and chemical effects. Oil may also become detrimental to plants by covering soil surfaces, leading to root oxygen stress and/or penetrate into the soil where it becomes in contact with the roots. The affected vegetation may survive the impact by producing new leaves, however, an episode of oil spill may impose severe stress. Oil spills may lead to partial or complete plant death but in many situations plants recover by regenerating new shoots. Plant sensitivity to oil varies among species; plants from salt marshes appear to be more sensitive than freshwater species. In addition, sensitivity appears to be dependent on the oil characteristics and the quantity of oil being spilled, repeated oiling events, season of spill, greenhouse vs. field conditions, and plant age are among the many factors that interact simultaneously. Many aspects of coastal plant responses to oiling remain in need of additional research, including the possibility that differences in oil sensitivity may interact with changes in the environment, and contribution to additional wetland losses through coastal erosion. Environmental stressors such as drought and salinity may also interact with oil, leading to the observed changes in plant species community composition following an oil spill.

  10. Microbiological safety of mayonnaise, salad dressings, and sauces produced in the United States: a review.

    Science.gov (United States)

    Smittle, R B

    2000-08-01

    The literature on the death and survival of foodborne pathogens in commercial mayonnaise, dressing, and sauces was reviewed and statistically analyzed with emphasis on Salmonella, Escherichia coli O157:H7, and Listeria monocytogenes. The absence of reports of foodborne illness associated directly with the consumption of commercially prepared acidic dressings and sauces is evidence of their safety. Salmonella, E. coli O157:H7, E. coli, L. monocytogenes, Staphylococcus aureus, and Yersinia enterocolitica die when inoculated into mayonnaise and dressings. Historically, mayonnaise and dressings have been exempt from the acidified food regulations and have justly deserved this status due primarily to the toxic effect of acetic and to a lesser extent lactic and citric acids. These organic acids are inimical to pathogenic bacteria and are effective natural preservatives with acetic being the most effective in killing pathogenic bacteria at the pH values encountered in these products. Statistical analysis on data reported in the literature shows that the most important and significant factor in destroying pathogenic bacteria is pH as adjusted with acetic acid followed by the concentration of acetic acid in the water phase. The reported highest manufacturing target pH for dressings and sauces is 4.4, which is below the 4.75 pKa of acetic acid and below the reported inhibitory pH of 4.5 for foodborne pathogens in the presence of acetic acid. The overall conclusion is that these products are very safe. They should remain exempt from the acidified food regulations providing adequate research has been done to validate their safety, and the predominant acid is acetic and reasonable manufacturing precautions are taken.

  11. [Measurement units used in treatments to reduce weight and obesity. Systematic review].

    Science.gov (United States)

    Gutiérrez Hervás, Ana Isabel; Reig García-Galbis, Manuel; Rizo Baeza, M Mercedes; Cortés Castell, Ernesto; Mur Villar, Norma; Aguilar Cordero, M J

    2014-09-01

    There are different parameters to express the loss of weight in the treatment of overweight and obesity: absolute loss, percentage of loss, decrease in BMI, etc. To determine the magnitudes more used in the bibliography in order to establish criteria for uniformity in the expression of those results. a systematic review of the last five years has made at Proquest, CINHAL, Scopus, with descriptors "body fat distribution" and "diet" and "diet, reducing" and "weight loss". Articles published in English, French and Spanish were selected. Inclusion criteria were used: articles only dietary treatment of overweight in humans, and exclusion criteria: not dietary treatments, metabolic diseases, less than 50 patients and less than 8 weeks of treatment. Title, summary, methodology, results and discussion have been analysed by two researchers independently. 854 items found, only 61 met the criteria. These were grouped into 5 subgroups, as they expressed the weight loss (weight or fat loss in kg; weight and fat loss in kg; weight or fat loss in %; weight loss in % and fat loss in kg or vice versa; weight and far loss in%). The results show a lack of homogeneity in the loss, being the percentage the most used expression. There is great heterogeneity in the expression of results of the treatments for weight loss; the diet is one of the least used tools; the analysis of clinical trials of intervention reflects a high quality in subjects older than 18 years, highlighting the lack of this type of research lines in children under 18 years. Therefore, it should standardize the magnitudes of expression of the success of these treatments and increase the lines of research on this topic. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  12. Review: Regional groundwater flow modeling in heavily irrigated basins of selected states in the western United States

    Science.gov (United States)

    Rossman, Nathan R.; Zlotnik, Vitaly A.

    2013-09-01

    Water resources in agriculture-dominated basins of the arid western United States are stressed due to long-term impacts from pumping. A review of 88 regional groundwater-flow modeling applications from seven intensively irrigated western states (Arizona, California, Colorado, Idaho, Kansas, Nebraska and Texas) was conducted to provide hydrogeologists, modelers, water managers, and decision makers insight about past modeling studies that will aid future model development. Groundwater models were classified into three types: resource evaluation models (39 %), which quantify water budgets and act as preliminary models intended to be updated later, or constitute re-calibrations of older models; management/planning models (55 %), used to explore and identify management plans based on the response of the groundwater system to water-development or climate scenarios, sometimes under water-use constraints; and water rights models (7 %), used to make water administration decisions based on model output and to quantify water shortages incurred by water users or climate changes. Results for 27 model characteristics are summarized by state and model type, and important comparisons and contrasts are highlighted. Consideration of modeling uncertainty and the management focus toward sustainability, adaptive management and resilience are discussed, and future modeling recommendations, in light of the reviewed models and other published works, are presented.

  13. Review of infrastructures and preparedness systems in France, Germany and United Kingdom for potential releases of radioactivity into the environment

    Energy Technology Data Exchange (ETDEWEB)

    Fiedler, I.; Voigt, G. [International Atomic Energy Agency, Vienna (Austria); Lochard, J.; Croueail, P. [Centre d' Etudes sur l' Evaluation de la Protection dans le Domaine Nucleaire, Paris (France); Nisbet, A.; Mercer, J.; Green, N.; Wilkins, B. [National Radiological Protection Board, Chilton (United Kingdom)

    2004-07-01

    For the European SAGE-Project a review of the existing infrastructures and preparedness systems in France, Germany and United Kingdom concerning radiation protection with regard to a long term contamination after a nuclear accident was made. This review clearly shows that the infrastructure in all three countries regulates the situation during and shortly after a nuclear incident but not in case that a radioactive contamination will last for long time. For that situation it is necessary to install local information centres in the affected area with sufficient trained staff. To improve the confidence of the population in possible measures implemented by the authorities a copious and understandable information and education must be provided. Especially doctors, teachers, kindergarten teachers and mothers have to get the possibility to be educated in a reasonable way how to deal with a short, middle and long term contamination. The concerned population must be able to control the own radiological situation by measuring their environment and their food and by reducing food contamination by appropriate reasonable measures. (orig.)

  14. The health of Arab-Americans living in the United States: a systematic review of the literature

    Directory of Open Access Journals (Sweden)

    Galea Sandro

    2009-07-01

    Full Text Available Abstract Background Despite substantial attention paid to Arab-Americans (AAs in the media and in public discourse, there is limited research about the health of AAs in the United States (US in the public health literature. This review aims to synthesize the extant peer-reviewed literature concerned with the health of AAs living in the US. Methods We summarize existing research on the prevalence, relative burden compared to other ethnic and racial groups, and determinants of diseases within each morbidity cluster among AAs living in the US. Results Available evidence suggests that the health of AAs may differ from that of other ethnic and racial groups in the US, and that exposures specific to this ethnic group, such as immigration, acculturation, and discrimination may be important in the etiology of several diseases among AAs. Conclusion Given the growth of this ethnic group and its marginalization in the current sociopolitical climate, more research about the health of AAs in the US seems warranted. We summarize relevant methodological concerns and suggest avenues for future research.

  15. Do United States’ Teachers Know and Adhere to the National Guidelines on Asthma Management in the Classroom? A Systematic Review

    Directory of Open Access Journals (Sweden)

    Yudilyn Jaramillo

    2015-01-01

    Full Text Available Proper asthma management in schools is important in achieving optimum asthma control in children with asthma. The National Heart, Lung, and Blood Institute (NHLBI has developed guidelines on classroom asthma management. We conducted a systematic review to examine teacher knowledge of the NHLBI guidelines on asthma management in the classroom. We searched PubMed and EMBASE using search terms “asthma management,” “teacher(s,” “school teacher,” and “public school.” The inclusion criteria were articles published in English from 1994 to May 2014 that focus on schools in the United States (US. From 535 titles and abstracts, 9 studies met inclusion criteria. All studies reported that school teachers did not know the policies and procedures of asthma management. Teachers relied on school nurses to handle medical emergencies. Some studies identified that lack of full-time school nurses was a barrier to asthma management. Only one study showed directly that classroom teachers were not following the NHLBI guidelines on asthma management. Our literature review revealed that US teachers do not know the NHLBI guidelines on asthma management in the classroom. Future research should focus on interventions targeted toward training classroom teachers on asthma management as per NHLBI guidelines to ultimately improve asthma management in schools.

  16. Recent population adherence to and knowledge of United States federal nutrition guides, 1992-2013: a systematic review.

    Science.gov (United States)

    Haack, Sarah A; Byker, Carmen J

    2014-10-01

    The Dietary Guidelines for Americans dictates the federal nutrition programs, policies, and recommendations of the United States. Corresponding nutrition guides have been established to help educate the public about the dietary intake patterns recommended in these guidelines as well as to ameliorate the US obesity epidemic and its health-related outcomes. The purpose of this systematic review was to summarize population adherence to and knowledge of these guiding US nutrition guides issued since 1992, including the Food Guide Pyramid, MyPyramid, and MyPlate. Of the 31 studies included in the review, 22 examined adherence, 6 examined knowledge, and 3 examined both adherence and knowledge. Across studies, adherence to nutrition guides was low, with participants consuming inadequate levels of fruit, vegetables, and dairy in particular. Knowledge of nutrition guides increased over time since publication and decreased with age of the participants. An association between knowledge of and adherence to nutrition guides was not found. Disparities in knowledge and adherence existed across demographic groups. Based on these findings, it is suggested that federal dietary guidance can be strengthened by increasing dissemination of nutrition guides to the public and tailoring promotional activities to specific demographic and socioeconomic groups. © 2014 International Life Sciences Institute.

  17. Do United States' teachers know and adhere to the national guidelines on asthma management in the classroom? A systematic review.

    Science.gov (United States)

    Jaramillo, Yudilyn; Reznik, Marina

    2015-01-01

    Proper asthma management in schools is important in achieving optimum asthma control in children with asthma. The National Heart, Lung, and Blood Institute (NHLBI) has developed guidelines on classroom asthma management. We conducted a systematic review to examine teacher knowledge of the NHLBI guidelines on asthma management in the classroom. We searched PubMed and EMBASE using search terms "asthma management," "teacher(s)," "school teacher," and "public school." The inclusion criteria were articles published in English from 1994 to May 2014 that focus on schools in the United States (US). From 535 titles and abstracts, 9 studies met inclusion criteria. All studies reported that school teachers did not know the policies and procedures of asthma management. Teachers relied on school nurses to handle medical emergencies. Some studies identified that lack of full-time school nurses was a barrier to asthma management. Only one study showed directly that classroom teachers were not following the NHLBI guidelines on asthma management. Our literature review revealed that US teachers do not know the NHLBI guidelines on asthma management in the classroom. Future research should focus on interventions targeted toward training classroom teachers on asthma management as per NHLBI guidelines to ultimately improve asthma management in schools.

  18. Inspiratory muscle training facilitates weaning from mechanical ventilation among patients in the intensive care unit: a systematic review

    Directory of Open Access Journals (Sweden)

    Mark Elkins

    2015-07-01

    Full Text Available Question: Does inspiratory muscle training improve inspiratory muscle strength in adults receiving mechanical ventilation? Does it improve the duration or success of weaning? Does it affect length of stay, reintubation, tracheostomy, survival, or the need for post-extubation non-invasive ventilation? Is it tolerable and does it cause adverse events? Design: Systematic review of randomised trials. Participants: Adults receiving mechanical ventilation. Intervention: Inspiratory muscle training versus sham or no inspiratory muscle training. Outcome measures: Data were extracted regarding: inspiratory muscle strength and endurance; the rapid shallow breathing index; weaning success and duration; duration of mechanical ventilation; reintubation; tracheostomy; length of stay; use of non-invasive ventilation after extubation; survival; readmission; tolerability and adverse events. Results: Ten studies involving 394 participants were included. Heterogeneity within some meta-analyses was high. Random-effects meta-analyses showed that the training significantly improved maximal inspiratory pressure (MD 7 cmH2O, 95% CI 5 to 9, the rapid shallow breathing index (MD 15 breaths/min/l, 95% CI 8 to 23 and weaning success (RR 1.34, 95% CI 1.02 to 1.76. Although only assessed in individual studies, significant benefits were also reported for the time spent on non-invasive ventilation after weaning (MD 16 hours, 95% CI 13 to 18, length of stay in the intensive care unit (MD 4.5 days, 95% CI 3.6 to 5.4 and length of stay in hospital (MD 4.4 days, 95% CI 3.4 to 5.5. Weaning duration decreased in the subgroup of patients with known weaning difficulty. The other outcomes weren’t significantly affected or weren’t measured. Conclusion: Inspiratory muscle training for selected patients in the intensive care unit facilitates weaning, with potential reductions in length of stay and the duration of non-invasive ventilatory support after extubation. The heterogeneity

  19. How Does Medical Device Regulation Perform in the United States and the European Union? A Systematic Review

    Science.gov (United States)

    Kramer, Daniel B.; Xu, Shuai; Kesselheim, Aaron S.

    2012-01-01

    Background Policymakers and regulators in the United States (US) and the European Union (EU) are weighing reforms to their medical device approval and post-market surveillance systems. Data may be available that identify strengths and weakness of the approaches to medical device regulation in these settings. Methods and Findings We performed a systematic review to find empirical studies evaluating medical device regulation in the US or EU. We searched Medline using two nested categories that included medical devices and glossary terms attributable to the US Food and Drug Administration and the EU, following PRISMA guidelines for systematic reviews. We supplemented this search with a review of the US Government Accountability Office online database for reports on US Food and Drug Administration device regulation, consultations with local experts in the field, manual reference mining of selected articles, and Google searches using the same key terms used in the Medline search. We found studies of premarket evaluation and timing (n = 9), studies of device recalls (n = 8), and surveys of device manufacturers (n = 3). These studies provide evidence of quality problems in pre-market submissions in the US, provide conflicting views of device safety based largely on recall data, and relay perceptions of some industry leaders from self-surveys. Conclusions Few studies have quantitatively assessed medical device regulation in either the US or EU. Existing studies of US and EU device approval and post-market evaluation performance suggest that policy reforms are necessary for both systems, including improving classification of devices in the US and promoting transparency and post-market oversight in the EU. Assessment of regulatory performance in both settings is limited by lack of data on post-approval safety outcomes. Changes to these device approval and post-marketing systems must be accompanied by ongoing research to ensure that there is better assessment of

  20. How does medical device regulation perform in the United States and the European union? A systematic review.

    Directory of Open Access Journals (Sweden)

    Daniel B Kramer

    Full Text Available BACKGROUND: Policymakers and regulators in the United States (US and the European Union (EU are weighing reforms to their medical device approval and post-market surveillance systems. Data may be available that identify strengths and weakness of the approaches to medical device regulation in these settings. METHODS AND FINDINGS: We performed a systematic review to find empirical studies evaluating medical device regulation in the US or EU. We searched Medline using two nested categories that included medical devices and glossary terms attributable to the US Food and Drug Administration and the EU, following PRISMA guidelines for systematic reviews. We supplemented this search with a review of the US Government Accountability Office online database for reports on US Food and Drug Administration device regulation, consultations with local experts in the field, manual reference mining of selected articles, and Google searches using the same key terms used in the Medline search. We found studies of premarket evaluation and timing (n = 9, studies of device recalls (n = 8, and surveys of device manufacturers (n = 3. These studies provide evidence of quality problems in pre-market submissions in the US, provide conflicting views of device safety based largely on recall data, and relay perceptions of some industry leaders from self-surveys. CONCLUSIONS: Few studies have quantitatively assessed medical device regulation in either the US or EU. Existing studies of US and EU device approval and post-market evaluation performance suggest that policy reforms are necessary for both systems, including improving classification of devices in the US and promoting transparency and post-market oversight in the EU. Assessment of regulatory performance in both settings is limited by lack of data on post-approval safety outcomes. Changes to these device approval and post-marketing systems must be accompanied by ongoing research to ensure that there is

  1. The effectiveness of music on pain among preterm infants in the neonatal intensive care unit: a systematic review.

    Science.gov (United States)

    Pölkki, Tarja; Korhonen, Anne

    2012-01-01

    The objective of this review is to synthesize the best available evidence related to the effectiveness of music as pain relieving method among preterm infants during painful procedures in the neonatal intensive care unit.Review questions are: Among preterm infants in the neonatal intensive care unit, is music effective in reducing BACKGROUND: Preterm infants (i.e. babies born at or before 37 gestational weeks) compose a patient group of the most vulnerable to pain. Infants treated in a neonatal intensive care unit (NICU) are exposed to a variety of painful procedures (e.g. heel prick, iv cannula insertion, endotracheal suctioning) and to environmental stress (e.g. noise, light). Simons et al., for example, described an average 14 +/- 4 painful procedures during the first 2 weeks of life within a period of 24 hours among 151 neonates. Many studies have shown that repeated and sustained pain can have direct and long-term consequences on the neurological and behavior-oriented development of the neonates during the rapid development phase of the central nervous system. Pain can cause detectable physiological, behavioral and hormonal changes and contribute to the altered development of the pain system during later childhood and adolescence. Instead, live music such as singing is excellent type of music when it is steady, constant, quiet, soothing and directed to the infants. Graven emphasizes that recorded sound should not replace human voice exposure in the NICU; therefore, health care providers should provide ample opportunity for the infant to hear parent's voices live, such as singing or humming, in interactions between the parent and the infant at the bedside.The AmericanAcademy of Pediatrics Committee on Environmental Health has recommended safe levels of sound, and these recommendations have been updated by an expert team of practitioners. Recommendations specify that continuous sound should not exceed an hourly equivalent sound level of 50 A-weighted decibels (d

  2. Infectious disease exposures and outbreaks at a South African neonatal unit with review of neonatal outbreak epidemiology in Africa.

    Science.gov (United States)

    Dramowski, A; Aucamp, M; Bekker, A; Mehtar, S

    2017-04-01

    Hospitalized neonates are vulnerable to infection, with pathogen exposures occurring in utero, intrapartum, and postnatally. African neonatal units are at high risk of outbreaks owing to overcrowding, understaffing, and shared equipment. Neonatal outbreaks attended by the paediatric infectious diseases and infection prevention (IP) teams at Tygerberg Children's Hospital, Cape Town (May 1, 2008 to April 30, 2016) are described, pathogens, outbreak size, mortality, source, and outbreak control measures. Neonatal outbreaks reported from Africa (January 1, 1996 to January 1, 2016) were reviewed to contextualize the authors' experience within the published literature from the region. Thirteen outbreaks affecting 148 babies (11 deaths; 7% mortality) over an 8-year period were documented, with pathogens including rotavirus, influenza virus, measles virus, and multidrug-resistant bacteria (Serratia marcescens, Acinetobacter baumannii, methicillin-resistant Staphylococcus aureus, and vancomycin-resistant enterococci). Although the infection source was seldom identified, most outbreaks were associated with breaches in IP practices. Stringent transmission-based precautions, staff/parent education, and changes to clinical practices contained the outbreaks. From the African neonatal literature, 20 outbreaks affecting 524 babies (177 deaths; 34% mortality) were identified; 50% of outbreaks were caused by extended-spectrum β-lactamase-producing Klebsiella pneumoniae. Outbreaks in hospitalized African neonates are frequent but under-reported, with high mortality and a predominance of Gram-negative bacteria. Breaches in IP practice are commonly implicated, with the outbreak source confirmed in less than 50% of cases. Programmes to improve IP practice and address antimicrobial resistance in African neonatal units are urgently required. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  3. Outcome of Keratoconus Management: Review of the Past 20 Years' Contemporary Treatment Modalities.

    Science.gov (United States)

    Mandathara, Preeji S; Stapleton, Fiona J; Willcox, Mark D P

    2017-05-01

    To describe the past 20 years' contemporary management modalities for keratoconus (KC) and their outcomes and failures and to propose recommendations in reporting their outcomes. A systematic review of the literature on KC management options for the last 20 years was performed. Original articles that reported the outcome of any form of KC management other than full-thickness or lamellar corneal graft were reviewed to collect information on their outcomes and complications and the level of scientific evidence of the study. A total of 1,147 articles retrieved and of those, 241 satisfied the inclusion criteria, and 41.1% of them were prospective case series. The higher level of evidence studies, that is, randomized controlled trials (RCTs), were limited to only one intervention, that is, corneal collagen cross-linking (CXL). However, the quality of most RCTs was limited because of performance and detection bias. Contact lenses (CLs) remain the mainstream of KC management and were associated with reversible and non-sight-threatening complications. Surgical options such as intracorneal segment implantation and phakic intraocular lens are considered in the visual rehabilitation of CL intolerants, and CXL is the only available option to stop or delay the disease progression. Generally, these surgical procedures are associated with transient inflammatory events and permanent sequelae. The published studies on KC management options varied significantly with respect to the study population, age of participants, severity of KC, clinical outcome measurements, and follow-up period. High-quality longer follow-up RCTs are required to evaluate the long-term effects of KC interventions.

  4. Use of KC-135 parabolic flights to determine if brief changes in the gravity field can influence the phase and/or period of the circadian clock

    Science.gov (United States)

    Turek, Fred W. (Principal Investigator)

    1994-01-01

    In February 1994 a total of 10 hampsters flew on two separate KC-135 flights. On one flight, 25 animals experienced 31 parabolas, thus going through 31 cycles of hypergravity (up to about 1.8 G). On the other flight, the animals were exposed to 43 parabolas. fifty additional animals served as ground based controls and were treated in the same fashion as the experimental animals. The profiles of plasma GH, corisol and coricosterone from representative parabolic flight and ground control animals during pre-flight, in-flight, and post-flight conditions are depicted.

  5. The Prevalence of Compassion Fatigue and Burnout among Healthcare Professionals in Intensive Care Units: A Systematic Review

    Science.gov (United States)

    van Mol, Margo M. C.; Kompanje, Erwin J. O.; Benoit, Dominique D.; Bakker, Jan; Nijkamp, Marjan D.

    2015-01-01

    Background Working in the stressful environment of the Intensive Care Unit (ICU) is an emotionally charged challenge that might affect the emotional stability of medical staff. The quality of care for ICU patients and their relatives might be threatened through long-term absenteeism or a brain and skill drain if the healthcare professionals leave their jobs prematurely in order to preserve their own health. Purpose The purpose of this review is to evaluate the literature related to emotional distress among healthcare professionals in the ICU, with an emphasis on the prevalence of burnout and compassion fatigue and the available preventive strategies. Methods A systematic literature review was conducted, using Embase, Medline OvidSP, Cinahl, Web-of-science, PsychINFO, PubMed publisher, Cochrane and Google Scholar for articles published between 1992 and June, 2014. Studies reporting the prevalence of burnout, compassion fatigue, secondary traumatic stress and vicarious trauma in ICU healthcare professionals were included, as well as related intervention studies. Results Forty of the 1623 identified publications, which included 14,770 respondents, met the selection criteria. Two studies reported the prevalence of compassion fatigue as 7.3% and 40%; five studies described the prevalence of secondary traumatic stress ranging from 0% to 38.5%. The reported prevalence of burnout in the ICU varied from 0% to 70.1%. A wide range of intervention strategies emerged from the recent literature search, such as different intensivist work schedules, educational programs on coping with emotional distress, improving communication skills, and relaxation methods. Conclusions The true prevalence of burnout, compassion fatigue, secondary traumatic stress and vicarious trauma in ICU healthcare professionals remains open for discussion. A thorough exploration of emotional distress in relation to communication skills, ethical rounds, and mindfulness might provide an appropriate starting

  6. Passive Fit in Screw Retained Multi-unit Implant Prosthesis Understanding and Achieving: A Review of the Literature.

    Science.gov (United States)

    Buzayan, Muaiyed Mahmoud; Yunus, Norsiah Binti

    2014-03-01

    One of the considerable challenges for screw-retained multi-unit implant prosthesis is achieving a passive fit of the prosthesis' superstructure to the implants. This passive fit is supposed to be one of the most vital requirements for the maintenance of the osseointegration. On the other hand, the misfit of the implant supported superstructure may lead to unfavourable complications, which can be mechanical or biological in nature. The manifestations of these complications may range from fracture of various components in the implant system, pain, marginal bone loss, and even loss of osseointegration. Thus, minimizing the misfit and optimizing the passive fit should be a prerequisite for implant survival and success. The purpose of this article is to present and summarize some aspects of the passive fit achieving and improving methods. The literature review was performed through Science Direct, Pubmed, and Google database. They were searched in English using the following combinations of keywords: passive fit, implant misfit and framework misfit. Articles were selected on the basis of whether they had sufficient information related to framework misfit's related factors, passive fit and its achievement techniques, marginal bone changes relation with the misfit, implant impression techniques and splinting concept. The related references were selected in order to emphasize the importance of the passive fit achievement and the misfit minimizing. Despite the fact that the literature presents considerable information regarding the framework's misfit, there was not consistency in literature on a specified number or even a range to be the acceptable level of misfit. On the other hand, a review of the literature revealed that the complete passive fit still remains a tricky goal to be achieved by the prosthodontist.

  7. A brief review of the estimated economic burden of sexually transmitted diseases in the United States: inflation-adjusted updates of previously published cost studies.

    Science.gov (United States)

    Chesson, Harrell W; Gift, Thomas L; Owusu-Edusei, Kwame; Tao, Guoyu; Johnson, Ana P; Kent, Charlotte K

    2011-10-01

    We conducted a literature review of studies of the economic burden of sexually transmitted diseases in the United States. The annual direct medical cost of sexually transmitted diseases (including human immunodeficiency virus) has been estimated to be $16.9 billion (range: $13.9-$23.0 billion) in 2010 US dollars.

  8. Credible Leadership-In the Eyes of the Follower: A Historical Review of Leadership Theory throughout the Twentieth Century in the United States

    Science.gov (United States)

    Hoffman, Sharon C.

    2008-01-01

    The purpose of this historical review was to trace the credible leadership construct of trustworthiness, integrity, honesty, and consistency in leadership theory development during the last 100 years in the United States. Theory focus, key U.S. pivotal events, and follower importance influenced the construct's occurrence in leadership theory. …

  9. Book Review: McCoy, Alfred, Policing America’s Empire: The United States, the Philippines, and the Rise of the Surveillance State

    Directory of Open Access Journals (Sweden)

    Salvador Santino F. Regilme, Jr

    2010-01-01

    Full Text Available Book Review of the Monograph: McCoy, Alfred (2009, Policing America’s Empire: The United States, the Philippines, and the Rise of the Surveillance State, Madison, Wisconsin: The University of Wisconsin Press ISBN 978-0-299-23414-0, 659 pages

  10. Children's Exposure to Pyrethroid Insecticides at Home: A Review of Data Collected in Published Exposure Measurement Studies Conducted in the United States

    Science.gov (United States)

    Pyrethroid insecticides are frequently used to control insects in residential and agriculture settings in the United States and worldwide. As a result, children can be potentially exposed to pyrethroid residues in food and at home. This review summarizes data reported in 15 publi...

  11. Effect of a vascular access team on central line-associated bloodstream infections in infants admitted to a neonatal intensive care unit : a systematic review

    NARCIS (Netherlands)

    Legemaat, Monique M; Jongerden, IP; van Rens, Roland M F P T; Zielman, Marjanne; van den Hoogen, Agnes

    2015-01-01

    OBJECTIVE: To review the effect of a vascular access team on the incidence of central line-associated bloodstream infections in infants admitted to a neonatal intensive care unit. DATA SOURCES: MEDLINE, CINAHL, Embase, Web-of-Science and the Cochrane Library were searched until December 2013. STUDY

  12. Forest products research and development organizations in a worldwide setting: A review of structure, governance, and measures of performance of organizations outside the United States

    Science.gov (United States)

    Paul V. Ellefson; Michael A. Kilgore; Kenneth E. Skog; Christopher D. Risbrudt

    2007-01-01

    Located in 23 countries, 40 forest-products research and development organizations outside the United States were reviewed in 2004 and 2005. The intent was to obtain a better understanding of how such organizations are structured and administered and their performance judged. Investing over $600 million annually, the 40 organizations employed 7,000 to 7,500 scientists...

  13. The History of Workplace Learning in the United States and the Question of Control: A Selective Review of the Literature and the Implications of a Constructivist Paradigm

    Science.gov (United States)

    Altman, Brian A.

    2008-01-01

    Anderson (1980) and Harris's (2000) examinations of the history of workplace learning and training in the United States highlight issues of power and control in the determination of what training is provided to workers. This paper reviews these two texts and considers the implications of a constructivist paradigm in addressing the dilemmas of…

  14. The proximal hamstring muscle–tendon–bone unit: A review of the normal anatomy, biomechanics, and pathophysiology

    Energy Technology Data Exchange (ETDEWEB)

    Beltran, Luis, E-mail: luisbeltran@mac.com [Department of Radiology, Hospital for Joint Diseases, NYU, New York, NY (United States); Ghazikhanian, Varand, E-mail: varandg@aol.com [Department of Radiology, Maimonides Medical Center, Brooklyn, NY (United States); Padron, Mario, E-mail: mario.padron@cemtro.es [Clinica CEMTRO, Avenida del Ventisquero de la Condesa 42, 28035 Madrid (Spain); Beltran, Javier, E-mail: Jbeltran46@msn.com [Department of Radiology, Maimonides Medical Center, Brooklyn, NY (United States)

    2012-12-15

    Proximal hamstring injuries occur during eccentric contraction with the hip and the knee on extension; hence they are relatively frequent lesions in specific sports such as water skiing and hurdle jumping. Additionally, the trend toward increasing activity and fitness training in the general population has resulted in similar injuries. Myotendinous strains are more frequent than avulsion injuries. Discrimination between the two types of lesions is relevant for patient management, since the former is treated conservatively and the latter surgically. MRI and Ultrasonography are both well suited techniques for the diagnosis and evaluation of hamstring tendon injuries. Each one has its advantages and disadvantages. The purpose of this article is to provide a comprehensive review of the anatomy and biomechanics of the proximal hamstring muscle–tendon–bone unit and the varied imaging appearances of hamstring injury, which is vital for optimizing patient care. This will enable the musculoskeletal radiologist to contribute accurate and useful information in the treatment of athletes at all levels of participation.

  15. Preparing students for careers in food-supply veterinary medicine: a review of educational programs in the United States.

    Science.gov (United States)

    Posey, R Daniel; Hoffsis, Glen F; Cullor, James S; Naylor, Jonathan M; Chaddock, Michael; Ames, Trevor R

    2012-01-01

    The real and/or perceived shortage of veterinarians serving food-supply veterinary medicine has been a topic of considerable discussion for decades. Regardless of this debate, there are issues still facing colleges of veterinary medicine (CVMs) about the best process of educating future food-supply veterinarians. Over the past several years, there have been increasing concerns by some that the needs of food-supply veterinary medicine have not adequately been met through veterinary educational institutions. The food-supply veterinary medical curriculum offered by individual CVMs varies depending on individual curricular design, available resident animal population, available food-animal caseload, faculty, and individual teaching efforts of faculty. All of the institutional members of the Association of American Veterinary Medical Colleges (AAVMC) were requested to share their Food Animal Veterinary Career Incentives Programs. The AAVMC asked all member institutions what incentives they used to attract and educate students interested in, or possibly considering, a career in food-supply veterinary medicine (FSVM). The problem arises as to how we continue to educate veterinary students with ever shrinking budgets and how to recruit and retain faculty with expertise to address the needs of society. Several CVMs use innovative training initiatives to help build successful FSVM programs. This article focuses on dairy, beef, and swine food-animal education and does not characterize colleges' educational efforts in poultry and aquaculture. This review highlights the individual strategies used by the CVMs in the United States.

  16. Association of proximity and density of parks and objectively measured physical activity in the United States: A systematic review.

    Science.gov (United States)

    Bancroft, Carolyn; Joshi, Spruha; Rundle, Andrew; Hutson, Malo; Chong, Catherine; Weiss, Christopher C; Genkinger, Jeanine; Neckerman, Kathryn; Lovasi, Gina

    2015-08-01

    One strategy for increasing physical activity is to create and enhance access to park space. We assessed the literature on the relationship of parks and objectively measured physical activity in population-based studies in the United States (US) and identified limitations in current built environment and physical activity measurement and reporting. Five English-language scholarly databases were queried using standardized search terms. Abstracts were screened for the following inclusion criteria: 1) published between January 1990 and June 2013; 2) US-based with a sample size greater than 100 individuals; 3) included built environment measures related to parks or trails; and 4) included objectively measured physical activity as an outcome. Following initial screening for inclusion by two independent raters, articles were abstracted into a database. Of 10,949 abstracts screened, 20 articles met the inclusion criteria. Five articles reported a significant positive association between parks and physical activity. Nine studies found no association, and six studies had mixed findings. Our review found that even among studies with objectively measured physical activity, the association between access to parks and physical activity varied between studies, possibly due to heterogeneity of exposure measurement. Self-reported (vs. independently-measured) neighborhood park environment characteristics and smaller (vs. larger) buffer sizes were more predictive of physical activity. We recommend strategies for further research, employing standardized reporting and innovative study designs to better understand the relationship of parks and physical activity.

  17. Searching for predictors of surgical complications in critically ill surgery patients in the intensive care unit: a review.

    Science.gov (United States)

    Meyer, Zainna C; Schreinemakers, Jennifer M J; de Waal, Ruud A L; van der Laan, Lijckle

    2015-09-01

    We reviewed the use of the levels of C-reactive protein, lactate and procalcitonin and/or the Sequential Organ Failure Assessment score to determine their diagnostic accuracy for predicting surgical complications in critically ill general post-surgery patients. Included were all studies published in PubMed from inception to July 2013 that met the following inclusion criteria: evaluation of the above parameters, describing their diagnostic accuracy and the risk stratification for surgical complications in surgical patients admitted to an intensive care unit. No difference in the Sequential Organ Failure Assessment scores was seen between patients with or without complications. The D-lactate levels were significantly higher in those who developed colonic ischemic complications after a ruptured abdominal aortic aneurysm. After gastro-intestinal surgery, contradictory data were reported, with both positive and negative use of C-reactive protein and procalcitonin in the diagnosis of septic complications. However, in trauma patients, the C-reactive protein levels may help to discriminate between those with and without infectious causes. We conclude that the Sequential Organ Failure Assessment score, lactate concentration and C-reactive protein level have no significant predictive value for early postoperative complications in critically ill post-surgery patients. However, procalcitonin seems to be a useful parameter for diagnosing complications in specific patient populations after surgery and/or after trauma.

  18. Scales for evaluating self-perceived anxiety levels in patients admitted to intensive care units: a review.

    Science.gov (United States)

    Perpiñá-Galvañ, Juana; Richart-Martínez, Miguel

    2009-11-01

    To review studies of anxiety in critically ill patients admitted to an intensive care unit to describe the level of anxiety and synthesize the psychometric properties of the instruments used to measure anxiety. The CUIDEN, IME, ISOC, CINAHL, MEDLINE, and PSYCINFO databases for 1995 to 2005 were searched. The search focused on 3 concepts: anxiety, intensive care, and mechanical ventilation for the English-language databases and ansiedad, cuidados intensivos, and ventilación mecánica for the Spanish-language databases. Information was extracted from 18 selected articles on the level of anxiety experienced by patients and the psychometric properties of the instruments used to measure anxiety. Moderate levels of anxiety were reported. Levels were higher in women than in men, and higher in patients undergoing positive pressure ventilation regardless of sex. Most multi-item instruments had high coefficients of internal consistency. The reliability of instruments with only a single item was not demonstrated, even though the instruments had moderate-to-high correlations with other measurements. Midlength scales, such the anxiety subscale of the Brief Symptom Inventory or the shortened state version of the State-Trait Anxiety Inventory are best for measuring anxiety in critical care patients.

  19. Prevention of ventilator-associated pneumonia in the intensive care unit: A review of the clinically relevant recent advancements

    Directory of Open Access Journals (Sweden)

    Holly Keyt

    2014-01-01

    Full Text Available Ventilator-associated pneumonia (VAP is one of the most commonly encountered hospital-acquired infections in intensive care units and is associated with significant morbidity and high costs of care. The pathophysiology, epidemiology, treatment and prevention of VAP have been extensively studied for decades, but a clear prevention strategy has not yet emerged. In this article we will review recent literature pertaining to evidence-based VAP-prevention strategies that have resulted in clinically relevant outcomes. A multidisciplinary strategy for prevention of VAP is recommended. Those interventions that have been shown to have a clinical impact include the following: (i Non-invasive positive pressure ventilation for able patients, especially in immunocompromised patients, with acute exacerbation of chronic obstructive pulmonary disease or pulmonary oedema, (ii Sedation and weaning protocols for those patients who do require mechanical ventilation, (iii Mechanical ventilation protocols including head of bed elevation above 30 degrees and oral care, and (iv Removal of subglottic secretions. Other interventions, such as selective digestive tract decontamination, selective oropharyngeal decontamination and antimicrobial-coated endotracheal tubes, have been tested in different studies. However, the evidence for the efficacy of these measures to reduce VAP rates is not strong enough to recommend their use in clinical practice. In numerous studies, the implementation of VAP prevention bundles to clinical practice was associated with a significant reduction in VAP rates. Future research that considers clinical outcomes as primary endpoints will hopefully result in more detailed prevention strategies.

  20. Parent Involvement in End-of-Life Care and Decision Making in the Newborn Intensive Care Unit: An Integrative Review

    Science.gov (United States)

    Eden, Lacey M.; Callister, Lynn Clark

    2010-01-01

    Survival rates for very preterm and critically ill infants are increasing, raising complex ethical issues for health-care providers and parents who face the challenge of making end-of-life decisions for newborns. The purpose of this integrative literature review was to evaluate parental involvement in end-of-life care and decision making for their infant in the newborn intensive care unit. Findings revealed that establishing good relationships and clear communication between health-care providers and parents builds trust and eases stress placed on parents making decisions about the care of their infant. Palliative care programs provide support for parents and facilitate their decision making. Parents can be educated about how to communicate with health-care providers. Educating nurses on how to provide end-of-life care may also help improve support for parents during this difficult time. Additional research is recommended to examine parents' needs during and after end-of-life care decisions for their newborn. PMID:21197127

  1. Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review

    Directory of Open Access Journals (Sweden)

    Jeroen S. Kok

    2013-10-01

    Full Text Available Background: Special care facilities for patients with dementia gain increasing attention. However, an overview of studies examining the differences between care facilities with respect to their effects on behavior, cognition, functional status and quality of life is lacking. Results: Our literature search resulted in 32 studies published until October 2012. Overall, patients with dementia who lived at special care units (SCUs showed a significantly more challenging behavior, more agitation/aggression, more depression and anxiety, more cases of global cognitive impairment and a better psychosocial functioning. There was a tendency towards a better functional status in specialized care facilities, and a better quality of life was found in favor of the SCU group compared to the traditional nursing home (n-SCU group. Longitudinal studies showed an increased number of neuropsychiatric cases, more patients displaying deteriorating behavior and resistance to care as well as less decline in activities of daily living (ADL in the SCU group compared to the n-SCU group. Patients in small-scale, homelike SCUs showed more agitation and less ADL decline compared to SCU patients. Conclusion: This review shows that the patient characteristics in SCU and n-SCU settings and, to a minor extent, in SCU and small-scale, homelike SCU settings are different. Over time, there are differences between n-SCU, SCU and small-scale, homelike SCU facilities for some variables.

  2. Health Effects and Public Health Concerns of Energy Drink Consumption in the United States: A Mini-Review

    Directory of Open Access Journals (Sweden)

    Laila Al-Shaar

    2017-08-01

    Full Text Available As energy drink consumption continues to grow worldwide and within the United States, it is important to critically examine the nutritional content and effects on population health of these beverages. This mini-review summarizes the current scientific evidence on health consequences from energy drink consumption, presents relevant public health challenges, and proposes recommendations to mitigate these issues. Emerging evidence has linked energy drink consumption with a number of negative health consequences such as risk-seeking behaviors, poor mental health, adverse cardiovascular effects, and metabolic, renal, or dental conditions. Despite the consistency in evidence, most studies are of cross-sectional design or focus almost exclusively on the effect of caffeine and sugar, failing to address potentially harmful effects of other ingredients. The negative health effects associated with energy drinks (ED are compounded by a lack of regulatory oversight and aggressive marketing by the industry toward adolescents. Moreover, the rising trend of mixing ED with alcohol presents a new challenge that researchers and public health practitioners must address further. To curb this growing public health issue, policy makers should consider creating a separate regulatory category for ED, setting an evidence-based upper limit on caffeine, restricting sales of ED, and regulating existing ED marketing strategies, especially among children and adolescents.

  3. Chest physiotherapy on intracranial pressure of critically ill patients admitted to the intensive care unit: a systematic review.

    Science.gov (United States)

    Ferreira, Lucas Lima; Valenti, Vitor Engrácia; Vanderlei, Luiz Carlos Marques

    2013-01-01

    To analyze the outcomes of increased or decreased intracranial pressure and/or the decrease in cerebral perfusion pressure resulting from respiratory physiotherapy on critically ill patients admitted to the intensive care unit. Through a systematic review of the literature, clinical trials published between 2002 and 2012 were selected. The search involved the LILACS, SciELO, MedLine and PEDro databases using the keywords "physical therapy", "physiotherapy", "respiratory therapy" and "randomized controlled trials" combined with the keyword "intracranial pressure". In total, five studies, including a total of 164 patients between 25 and 65 years of age, reporting that respiratory physiotherapy maneuvers significantly increased intracranial pressure without changing the cerebral perfusion pressure were included. The articles addressed several techniques including vibration, vibrocompression, tapping, postural drainage, and the endotracheal aspiration maneuver. All patients required invasive mechanical ventilation. Respiratory physiotherapy leads to increased intracranial pressure. Studies suggest that there are no short-term hemodynamic or respiratory repercussions or changes in the cerebral perfusion pressure. However, none of the studies evaluated the clinical outcomes or ensured the safety of the maneuvers.

  4. Voluntary peer review as innovative tool for quality improvement in the intensive care unit--a retrospective descriptive cohort study in German intensive care units.

    Science.gov (United States)

    Kumpf, Oliver; Bloos, Frank; Bause, Hanswerner; Brinkmann, Alexander; Deja, Maria; Marx, Gernot; Kaltwasser, Arnold; Dubb, Rolf; Muhl, Elke; Greim, Clemens-A; Weiler, Norbert; Chop, Ines; Jonitz, Günther; Schaefer, Henning; Felsenstein, Matthias; Liebeskind, Ursula; Leffmann, Carsten; Jungbluth, Annemarie; Waydhas, Christian; Pronovost, Peter; Spies, Claudia; Braun, Jan-Peter

    2014-01-01

    Einleitung: Die Verbesserung von Qualität und Sicherheit in der Intensivmedizin gewinnt zunehmend an Bedeutung. Allerdings fehlt ein Goldstandard für die Beurteilung von Qualitätsverbesserung in der Intensivmedizin. Im Jahr 2007 begann ein Pilotprojekt auf deutschen Intensivstationen, das freiwilliges Peer Review als innovatives Instrument zur Qualitätsbewertung und -verbesserung nutzt. Wir beschreiben die Methode des freiwilligen Peer Review und untersuchten ihre Durchführbarkeit. Wir analysierten anonymisierte Peer-Review-Berichte auf die thematischen Schwerpunkte, die in den Berichten hervorgehoben waren. Methode: Retrospektive Datenanalyse von 22 anonymisierten Peer-Review-Berichten. Alle 22 Intensivstationen – mit zusammen mehr als 300 Patientenbetten – hatten sich freiwilligen Peer Reviews unterzogen. Die Daten wurden aus den Berichten der Peer Reviewer und aus den Rückmeldungen der besuchten Intensivstationen gewonnen. Die Daten wurden im Hinblick auf die Anzahl der behandelten Themen und die Ergebnisse der Bewertungsbögen analysiert. Berichte über Stärken, Schwächen, Chancen und Risiken (SWOT-Berichte) dieser Intensivstationen werden vorgestellt. Ergebnisse: Die Bewertung der Struktur, Prozess- und Ergebnisindikatoren zeigte einen hohen Erreichungsgrad der vorgegebenen Qualitätsziele. In den SWOT-Berichten wurden 11 Hauptthemen, die auf allen besuchten Intensivstationen als relevant eingestuft wurden, identifiziert. 58,1% der genannten Themen betrafen Personalfragen, Team- und Kommunikationsfragen sowie Organisation und Behandlungsstandards. Als Schwachstellen wurden die Themen Dokumentation/Reporting, Hygiene und Ethik eingestuft. Fazit: Das freiwillige intensivmedizinische Peer Review stellte sich als einfach anwendbares und wertvolles Instrument für die Qualitätsverbesserung heraus. Die Peer-Review-Berichte behandelten allgemeine Problemschwerpunkte in der Intensivmedizin detaillierter als andere Methoden, wie z.B. die ausschlie

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

    Energy Technology Data Exchange (ETDEWEB)

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

    1969-07-01

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

  6. Glycolytic pathway (GP), kreb's cycle (KC), and hexose monophosphate shunt (HMS) activity in myocardial subcellular fractions exposed to cannabinoids

    Energy Technology Data Exchange (ETDEWEB)

    Watson, A.T.; Manno, B.R.; King, J.W.; Fowler, M.R.; Dempsey, C.A.; Manno, J.E.

    1986-03-05

    Delta-9-tetrahydrocannabinol (..delta../sup 9/-THC), the primary psychoactive component of marihuana, and its active metabolite 11-hydroxy-..delta../sup 9/-tetrahydrocannabinol (11-OH-..delta../sup 9/-THC) have been reported to produce a direct cardiac depressant effect. Studies in isolated perfused rat hearts have indicated a decreased force of contraction (inotropic response) when ..delta../sup 9/-THC or 11-OH-..delta../sup 9/-THC was administered in microgram amounts. The mechanism and site of action have not been explained or correlated with associated metabolic pathways. The purpose of this study was to investigate the effects of cannabinoids on major myocardial energy producing pathways, GP and KC, and a non-energy producing pathway, HMS. Cardiac ventricular tissue from male Sprague-Dawley rats (250-300 g) was excised and homogenized for subcellular fractionation. KC, GP and HMS activity was assayed in the appropriate fractions by measuring /sup 14/CO/sub 2/ generation from /sup 14/C-2-pyruvate, /sup 14/C-6-glucose and /sup 14/C-1-glucose respectively. Duplicate assays (n=8) were performed on tissue exposed to saline (control), empty liposomes (vehicle) and four doses each of ..delta../sup 9/-THC and 11-OH-..delta../sup 9/-THC. Changes in metabolic activity and decreases in cardiac contractile performance may be associated.

  7. Transient Diabetes Insipidus After Discontinuation of Vasopressin in Neurological Intensive Care Unit Patients: Case Series and Literature Review.

    Science.gov (United States)

    Bohl, Michael A; Forseth, James; Nakaji, Peter

    2017-01-01

    Arginine vasopressin (AVP) is a common second-line or third-line vasopressor used in critically ill neurosurgical patients. Neurosurgical indications include hyperdynamic therapy for vasospasm, maintenance of cerebral perfusion pressure in patients with intracranial hypertension, and prevention of hypotension in patients with sepsis. A series of 6 neurosurgical patients receiving AVP infusions developed severe but transient diabetes insipidus (tDI) after cessation of AVP. To our knowledge, no previous reports of this phenomenon in neurosurgical patients have been published. We reviewed the clinical histories, intensive care unit treatment, medication administration records, and laboratory values of these patients, and we found recurrent elevated serum sodium and urine output and decreased urine specific gravity after discontinuation of AVP. Resolution of tDI occurred upon resumption of AVP or administration of desmopressin. Elevated serum sodium levels were often severe, resulting in worsened clinical outcomes. When AVP was resumed, tDI typically recurred if AVP was again tapered and discontinued. Routine administration of desmopressin was useful in controlling sodium levels until the tDI resolved. Recognition of this phenomenon has caused us to change our clinical management of neurosurgical patients receiving AVP. We hypothesize that tDI is caused by downregulation of the V2 receptor mass in the renal distal convoluted tubule and collecting duct cells. When AVP is discontinued, patients develop nephrogenic tDI secondary to decreased V2 receptor binding, which explains why desmopressin is effective in correcting tDI. Future research includes a large prospective study to determine risk factors for tDI, its incidence, and its pathophysiology. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Beyond welfare reform: reframing undocumented immigrants' entitlement to health care in the United States, a critical review.

    Science.gov (United States)

    Viladrich, Anahí

    2012-03-01

    This article addresses the main scholarly frames that supported the deservingness of unauthorized immigrants to health benefits in the United States (U.S.) following the passage of the Personal Responsibility Work Opportunity Reconciliation Act (PRWORA), known as the Welfare Reform bill, in 1996. Based on a critical literature review, conducted between January 1997 and March 2011, this article begins with an analysis of the public health rhetorics that endorsed immigrants' inclusion into the U.S. health safety net. In this vein, the "cost-saving" and "the effortful immigrant" frames underscore immigrants' contributions to society vis-à-vis their low utilization of health services. These are complemented by a "surveillance" account that claims to protect the American public from communicable diseases. A "maternalistic" frame is also discussed as a tool to safeguard families, and particularly immigrant mothers, in their roles as bearers and caretakers of their American-born children. The analyses of the "chilling" and the "injustice" frames are then introduced to underscore major anthropological contributions to the formulation of counter-mainstream discourses on immigrants' selective inclusion into the U.S. health care system. First, the "chilling effect," defined as the voluntary withdrawal from health benefits, is examined in light of unauthorized immigrants' internalized feelings of undeservingness. Second, an "injustice" narrative highlights both the contributions and the limitations of a social justice paradigm, which advocated for the restoration of government benefits to elderly immigrants and refugees after the passage of PRWORA. By analyzing the contradictions among all these diverse frames, this paper finally reflects on the conceptual challenges faced by medical anthropology, and the social sciences at large, in advancing health equity and human rights paradigms. Copyright © 2011 Elsevier Ltd. All rights reserved.

  9. Reviews

    Science.gov (United States)

    2004-03-01

    WEB WATCH (204) Try unearthing some interesting information about archaeology BOOK REVIEWS (206) Teaching and assessing practical skills Book Review: Learn to drive with Sir Isaac Newton DVD REVIEW (207) Bring some sunshine into the classroom EQUIPMENT REVIEWS (208) Robust air puck takes a kicking Flowlog offers sensing options plus multimode datalogging Mastering Chladni figures takes practice but it offers surprises

  10. 76 FR 32409 - Medicare Program; Five-Year Review of Work Relative Value Units Under the Physician Fee Schedule

    Science.gov (United States)

    2011-06-06

    ... Medicine and Rehabilitation AATS American Association for Thoracic Surgery ACC American College of... ICU Intensive care unit IDTF Independent diagnostic testing facility IWPUT Intra-service work per...

  11. A Study to Determine a Relationship Between Flying Hours and Flying Proficiency for the KC-135A/Q Aircraft

    Science.gov (United States)

    1975-08-13

    8217 UNCLASSIFIED »tCUWITY CLASSIFICATION OF VMIS PAGEfllkan Dmtm Sntmnd) I i ■ The united States Air Force’s operational readiness posture is...8217 evaluacion ratings’ results (percentage unqualified) for the period January through June, 1974. 2. Column 2. The sample Y_. data are the depen- dent

  12. Safety of Patient Mobilization and Rehabilitation in the Intensive Care Unit. Systematic Review with Meta-Analysis.

    Science.gov (United States)

    Nydahl, Peter; Sricharoenchai, Thiti; Chandra, Saurabh; Kundt, Firuzan Sari; Huang, Minxuan; Fischill, Magdalena; Needham, Dale M

    2017-05-01

    Early mobilization and rehabilitation of patients in intensive care units (ICUs) may improve physical function, and reduce the duration of delirium, mechanical ventilation, and ICU length of stay. However, safety concerns are an important barrier to widespread implementation. To synthesize safety data regarding patient mobilization and rehabilitation in the ICU, including falls, removal of endotracheal tubes, removal or dysfunction of intravascular catheters, removal of other catheters/tubes, cardiac arrest, hemodynamic changes, and desaturation. Systematic literature review, including searches of five databases. Eligible studies evaluated patients who received mobilization-related interventions in the ICU. Exclusion criteria included: (1) case series with fewer than 10 patients; (2) majority of patients under 18 years of age; and (3) data not reported to permit calculation of incidence of safety events. Number of patients, mobilization/rehabilitation sessions, potential safety events, and events with negative consequences (e.g., requiring intervention or additional therapy). Heterogeneity was assessed by I(2) statistics, and bias assessed by the Newcastle-Ottawa Scale and Cochrane risk of bias assessment. The literature search identified 20,660 titles. There were 48 eligible publications evaluating 7,546 patients, with 583 potential safety events occurring in 22,351 mobilization/rehabilitation sessions. There was a total of 583 (2.6%) potential safety events with heterogeneity in the definitions for these events. For the safety event types that could be meta-analyzed, pooled incidences per 1,000 mobilization/rehabilitation sessions (95% confidence interval), were: hemodynamic changes, 3.8 (1.3-11.4), and desaturation, 1.9 (0.9-4.3). A total of 24 studies of 3,404 patients reported on any consequences of potential safety events (e.g., needing to increase dose of vasopressor due to mobility-related hypotension), with a frequency of 0.6% in 14,398 mobilization

  13. Prevalence of Financial Fraud and Scams Among Older Adults in the United States: A Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Burnes, David; Henderson, Charles R; Sheppard, Christine; Zhao, Rebecca; Pillemer, Karl; Lachs, Mark S

    2017-08-01

    The financial exploitation of older adults was recently recognized by the Centers for Disease Control and Prevention as a serious public health problem. Knowledge of the prevalence of elder financial exploitation is mostly limited to the category of financial abuse, which occurs in relationships involving an expectation of trust. Little is known about the other major category of elder financial exploitation-elder financial fraud and scams, which is perpetrated by strangers. A valid estimate of elder financial fraud-scam prevalence is necessary as a foundation for research and prevention efforts. To estimate the prevalence of elder financial fraud-scam victimization in the United States based on a systematic review and meta-analysis. Multiple investigators independently screened titles and abstracts and reviewed relevant full-text records from PubMed, Medline, PsycINFO, Criminal Justice Abstracts, Social Work Abstracts, and AgeLine databases. To maximize the validity and generalizability of prevalence estimation, we restricted eligibility to general population-based studies (English speaking, 1990 onward) using state- or national-level probability sampling and collecting data directly from older adults. Information on elder financial fraud-scam prevalence and study-level characteristics was extracted independently by 2 investigators. Meta-analysis of elder financial fraud-scam prevalence used generalized mixed models with individual studies as levels of a random classification factor. We included 12 studies involving a total of 41 711 individuals in the meta-analysis. Overall pooled elder financial fraud-scam prevalence (up to 5-year period) across studies was 5.6% (95% confidence interval [CI] = 4.0%, 7.8%), with a 1-year period prevalence of 5.4% (95% CI = 3.2%, 7.6%). Studies using a series of questions describing specific fraud-scam events to measure victimization found a significantly higher prevalence (7.1%; 95% CI = 4.8%, 9.4%) than studies

  14. Identification of the Genome Segments of Bluetongue Virus Serotype 26 (Isolate KUW2010/02 that Restrict Replication in a Culicoides sonorensis Cell Line (KC Cells.

    Directory of Open Access Journals (Sweden)

    Gillian D Pullinger

    Full Text Available Bluetongue virus (BTV can infect most ruminant species and is usually transmitted by adult, vector-competent biting midges (Culicoides spp.. Infection with BTV can cause severe clinical signs and can be fatal, particularly in naïve sheep and some deer species. Although 24 distinct BTV serotypes were recognized for several decades, additional 'types' have recently been identified, including BTV-25 (from Switzerland, BTV-26 (from Kuwait and BTV-27 from France (Corsica. Although BTV-25 has failed to grow in either insect or mammalian cell cultures, BTV-26 (isolate KUW2010/02, which can be transmitted horizontally between goats in the absence of vector insects, does not replicate in a Culicoides sonorensis cell line (KC cells but can be propagated in mammalian cells (BSR cells. The BTV genome consists of ten segments of linear dsRNA. Mono-reassortant viruses were generated by reverse-genetics, each one containing a single BTV-26 genome segment in a BTV-1 genetic-background. However, attempts to recover a mono-reassortant containing genome-segment 2 (Seg-2 of BTV-26 (encoding VP2, were unsuccessful but a triple-reassortant was successfully generated containing Seg-2, Seg-6 and Seg-7 (encoding VP5 and VP7 respectively of BTV-26. Reassortants were recovered and most replicated well in mammalian cells (BSR cells. However, mono-reassortants containing Seg-1 or Seg-3 of BTV-26 (encoding VP1, or VP3 respectively and the triple reassortant failed to replicate, while a mono-reassortant containing Seg-7 of BTV-26 only replicated slowly in KC cells.

  15. Acid deposition in the United Kingdom 1992-1994. Fourth report of the Review Group on Acid Rain

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-06-01

    The fourth report in the series examines the nature and extent of acid deposition throughout the United Kingdom. Topics are covered under the following headings: emissions of air pollutants leading to acidification, atmospheric transport and chemical conversion of acidifying air pollutants; wet deposition; concentrations of gases and particles; dry deposition processes, spatial patterns and recent trends; cloud droplet interception; total deposition; modelling of acid deposition in the United Kingdom; changes in concentrations and deposition of acidifying pollutants over the United Kingdom; and conclusions and recommendations. While emissions of SO{sub 2} are falling, emissions of nitrogen oxides have remained fairly constant since 1970. 240 refs., 128 figs., 34 tabs., 5 apps.

  16. The Uptake of Human Papillomavirus (HPV) Vaccine among Adolescent Females in the United States: A Review of the Literature

    Science.gov (United States)

    Bartlett, Jacqueline A.; Peterson, Jane Anthony

    2011-01-01

    A comprehensive review of literature was conducted to identify the barriers and facilitators, from the parents'/guardians' and primary care providers' (PCPs) perspective, that are associated with the uptake of Human Papillomavirus (HPV) vaccine among adolescent females. Findings from 14 peer-reviewed articles indicate that 37% of adolescent…

  17. Effect of selective decontamination on antimicrobial resistance in intensive care units: a systematic review and meta-analysis.

    Science.gov (United States)

    Daneman, Nick; Sarwar, Syed; Fowler, Robert A; Cuthbertson, Brian H

    2013-04-01

    Many meta-analyses have shown reductions in infection rates and mortality associated with the use of selective digestive decontamination (SDD) or selective oropharyngeal decontamination (SOD) in intensive care units (ICUs). These interventions have not been widely implemented because of concerns that their use could lead to the development of antimicrobial resistance in pathogens. We aimed to assess the effect of SDD and SOD on antimicrobial resistance rates in patients in ICUs. We did a systematic review of the effect of SDD and SOD on the rates of colonisation or infection with antimicrobial-resistant pathogens in patients who were critically ill. We searched for studies using Medline, Embase, and Cochrane databases, with no limits by language, date of publication, study design, or study quality. We included all studies of selective decontamination that involved prophylactic application of topical non-absorbable antimicrobials to the stomach or oropharynx of patients in ICUs, with or without additional systemic antimicrobials. We excluded studies of interventions that used only antiseptic or biocide agents such as chlorhexidine, unless antimicrobials were also included in the regimen. We used the Mantel-Haenszel model with random effects to calculate pooled odds ratios. We analysed 64 unique studies of SDD and SOD in ICUs, of which 47 were randomised controlled trials and 35 included data for the detection of antimicrobial resistance. When comparing data for patients in intervention groups (those who received SDD or SOD) versus data for those in control groups (who received no intervention), we identified no difference in the prevalence of colonisation or infection with Gram-positive antimicrobial-resistant pathogens of interest, including meticillin-resistant Staphylococcus aureus (odds ratio 1·46, 95% CI 0·90-2·37) and vancomycin-resistant enterococci (0·63, 0·39-1·02). Among Gram-negative bacilli, we detected no difference in aminoglycoside-resistance (0

  18. Clinchfield Coal Co. v. District 28, United Mine Workers: a standard for judicial review of labor arbitration awards

    Energy Technology Data Exchange (ETDEWEB)

    Woody, C.L.

    A review of the Clinchfield Coal Company case suggests that the Fourth Circuit Court may be expanding the limitations that the Steelworkers Trilogy established in terms of the judicial review standards in federal labor law. The decision signals coal companies that the parties to collective bargaining agreements are responsible for the quality of their arbitrators in keeping with the philosophy of industrial self-government. If new standards are evolving, it may indicate that such self-government is not working. If the industry seeks court review, it may end up with decisions that are more onerous in the long term than isolated arbitration decisions.

  19. A bibliometric review of drug and alcohol research focused on Indigenous peoples of Australia, New Zealand, Canada and the United States.

    Science.gov (United States)

    Clifford, Anton; Shakeshaft, Anthony

    2017-07-01

    Indigenous peoples of Australia, New Zealand, Canada and the United States experience a disproportionately high burden of harms from substance misuse. Research is therefore required to improve our understanding of substance use in Indigenous populations and provide evidence on strategies effective for reducing harmful use. A search of 13 electronic databases for peer-reviewed articles published between 1993 and 2014 focusing on substance use and Indigenous peoples of Australia, New Zealand, Canada and the United States. Relevant abstracts were classified as data or non-data based research. Data-based studies were further classified as measurement, descriptive or intervention and their trends examined by country and drug type. Intervention studies were classified by type and their evaluation designs classified using the Cochrane Effective Practice and Organisation of Care (EPOC) data collection checklist. There was a statistically significant increase from 1993 to 2014 in the percentage of total publications that were data-based (P EPOC evaluation design. Strategies to increase the frequency and quality of measurement and intervention research in the Indigenous drug and alcohol field are required. The dominance of descriptive research in the Indigenous drug and alcohol field is less than optimal for generating evidence to inform Indigenous drug and alcohol policy and programs. [Clifford A, Shakeshaft A. A bibliometric review of drug and alcohol research focused on Indigenous peoples of Australia, New Zealand, Canada and the United States. Drug Alcohol Rev 2017;36:509-522]. © 2017 Australasian Professional Society on Alcohol and other Drugs.

  20. What is the role of the physiotherapist in paediatric intensive care units? A systematic review of the evidence for respiratory and rehabilitation interventions for mechanically ventilated patients.

    Science.gov (United States)

    Hawkins, Ellie; Jones, Anne

    2015-12-01

    Physiotherapy in intensive care units (ICU) has traditionally focussed on the respiratory management of mechanically ventilated patients. Gradually, focus has shifted to include rehabilitation in adult ICUs, though evidence of a similar shift in the paediatric ICU (PICU) is limited. Review the evidence to determine the role of physiotherapists in the management of mechanically ventilated patients in PICU. A search was conducted of: PEDro, CINAHL, Medline, PubMed and the Cochrane Library. Studies involving PICU patients who received physiotherapy while invasively ventilated were included in this review. Those involving neonatal or adult ICU patients, or patients on non-invasive or long-term ventilation, were not included in the study. All articles were critically appraised by two reviewers and results were analysed descriptively. Six studies on chest physiotherapy (CPT) met the selection criteria. Results support the use of the expiratory flow increase technique and CPT, especially manual hyperinflation and vibrations, for secretion clearance. Evidence does not support the routine use of either CPT or suction alone. No studies investigating rehabilitation in PICU met selection criteria. A lack of high level evidence was available to inform this review. Evidence indicates that CPT is still the focus of physiotherapy intervention in PICU for mechanically ventilated patients, and supports its use for secretion clearance in this setting. PROSPERO register for systematic reviews (registration no. CRD42014009582). Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

  1. The Alvey Conference in Edinburgh: A Review of the United Kingdom’s Research Program in Computer Science.

    Science.gov (United States)

    2014-09-26

    A conference to review the UK’s Alvey Program of research in computer science was held in Edinburgh from 24 through 27 June 1985. This report summarizes the speakers’ comments about the progress of the Alvey Program.

  2. A review of high-temperature polymer electrolyte membrane fuel-cell (HT-PEMFC)-based auxiliary power units for diesel-powered road vehicles

    Science.gov (United States)

    Liu, Yongfeng; Lehnert, Werner; Janßen, Holger; Samsun, Remzi Can; Stolten, Detlef

    2016-04-01

    This paper presents an extensive review of research on the development of auxiliary power units with enhanced reformate tolerance for high temperature polymer electrolyte membrane fuel cells (HT-PEMFCs). Developments in diesel reforming for fuel cells as auxiliary power units (APUs), single fuel cells and stacks and systems are outlined in detail and key findings are presented. Summaries of HT-PEMFC APU applications and start-up times for HT-PEMFC systems are then given. A summary of cooling HT-PEMFC stacks using a classic schematic diagram of a 24-cell HT-PEMFC stack, with a cooling plate for every third cell, is also presented as part of a stack analysis. Finally, a summary of CO tolerances for fuel cells is given, along with the effects of different CO volume fractions on polarization curves, the fraction of CO coverage, hydrogen coverage, anode overpotential and cell potential.

  3. Computer Science Teacher Professional Development in the United States: A Review of Studies Published between 2004 and 2014

    Science.gov (United States)

    Menekse, Muhsin

    2015-01-01

    While there has been a remarkable interest to make computer science a core K-12 academic subject in the United States, there is a shortage of K-12 computer science teachers to successfully implement computer sciences courses in schools. In order to enhance computer science teacher capacity, training programs have been offered through teacher…

  4. A Review of Children's Rights Literature since the Adoption of the United Nations Convention on the Rights of the Child

    Science.gov (United States)

    Reynaert, Didier; Bouverne-de-Bie, Maria; Vandevelde, Stijn

    2009-01-01

    Children's rights have become a significant field of study during the past decades, largely due to the adoption of the United Nations Convention on the Rights of the Child (UNCRC) in 1989. Today, scholarly work on children's rights is almost inconceivable without considering the Convention as the bearer of the children's rights debate. The goal of…

  5. Prepare, Do, Review: A Model Used to Reduce the Negative Feelings towards Laboratory Classes in an Introductory Chemistry Undergraduate Unit

    Science.gov (United States)

    Spagnoli, Dino; Wong, Lawrence; Maisey, Shannan; Clemons, Tristan D.

    2017-01-01

    Student feelings towards the laboratory component of an introductory chemistry unit were evaluated in an action research study, over a three-year period at the University of Western Australia. In 2013 we found that the percentage of students with negative feelings towards the laboratory increased over the duration of a semester. In 2014 we…

  6. Computer Science Teacher Professional Development in the United States: A Review of Studies Published between 2004 and 2014

    Science.gov (United States)

    Menekse, Muhsin

    2015-01-01

    While there has been a remarkable interest to make computer science a core K-12 academic subject in the United States, there is a shortage of K-12 computer science teachers to successfully implement computer sciences courses in schools. In order to enhance computer science teacher capacity, training programs have been offered through teacher…

  7. 75 FR 55586 - Submission for OMB Review; Comment Request Cancer Trials Support Unit (CTSU) Public Use Forms and...

    Science.gov (United States)

    2010-09-13

    ... Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI) SUMMARY: Under the provisions... Forms 2 CTSU Web Site Customer 250 10-15 0.2500 1.00 63 Satisfaction Survey. 3 CTSU Helpdesk Customer... of customer satisfaction for clinical site staff using the CTSU Help Desk and the CTSU Web site. An...

  8. A Comparative Review of Music Education in Mainland China and the United States: From Nationalism to Multiculturalism

    Science.gov (United States)

    Ho, Wai-Chung

    2016-01-01

    This paper attempts to compare interactions between social changes and the integration of nationalism and multiculturalism in the context of music education by focusing on the ways in which the governmental politics of mainland China and the United States have managed nationalism and diversity in school music education. This paper also explores…

  9. Cost of Liver Transplantation A Systematic Review and Meta-Analysis Comparing the United States With Other OECD Countries

    NARCIS (Netherlands)

    van der Hilst, Christian S.; IJtsma, Alexander J. C.; Slooff, Maarten J. H.; TenVergert, Elisabeth M.

    2009-01-01

    Large cost variations of liver transplantation are reported. The aim of this study was to assess cost differences of liver transplantation and clinical follow-up between the United States and other Organization for Economic Cooperation and Development (OECD) countries. Eight electronic databases wer

  10. A Review of Special Education Services Delivery in the United States and Nigeria: Implications for Inclusive Education

    Science.gov (United States)

    Michael, Eskay; Onu, Victoria; Janeth, Igbo

    2012-01-01

    Both Nigeria and the United States represent developing and developed countries respectively, and special education policy between these two countries are different. Both countries have contributed to help learners with exceptionalities in their policies. These policies help in the formulation and implementation of special education programmes for…

  11. [Single-family rooms for neonatal intensive care units impacts on preterm newborns, families, and health-care staff. A systematic literature review].

    Science.gov (United States)

    Servel, A-C; Rideau Batista Novais, A

    2016-09-01

    The quality of the environment is an essential point in the care of preterm newborns. The design of neonatal intensive care units (NICUs) (open-bay, single-patient room, single-family room) directly affects both the preterm newborns and their caregivers (parents, healthcare staff). The aim of this systematic review was to evaluate the impact of single-family rooms on the preterm newborn, its parents, and the staff. Single-family rooms improve outcome for the preterm newborn, with increasing parental involvement and better control of the environment (fewer inappropriate stimulations such as high levels of noise and illumination). This kind of NICU design also improves parental and staff satisfaction.

  12. Reviews.

    Science.gov (United States)

    Greenleaf, Floyd; And Others

    1986-01-01

    Reviews eight textbooks, readers, and books. Topics include Latin America, colonial America, the Carolinians, women in French textbooks, the Vikings, the Soviet Union, nineteenth-century Black America, and Ernest Rutherford. (TRS)

  13. Reviews.

    Science.gov (United States)

    Science Teacher, 1987

    1987-01-01

    Provides reviews of four computer software packages designed for use in science education. Describes courseware dealing with a variety of tips for teaching physics concepts, chemical reactions in an aqueous solution, mitosis and meiosis, and photosynthesis. (TW)

  14. Review

    African Journals Online (AJOL)

    2016-01-01

    Jan 1, 2016 ... medicine and biology here an attempt has been made to review the synthesis and biological ... insight into the recent applications of Mannich reaction and its ...... Various thermodynamic parameters were also determined to ...

  15. Reviews

    Directory of Open Access Journals (Sweden)

    1990-06-01

    Full Text Available Michael Issacharoff. Discourse as Performance . Stanford: Stanford University Press, 1989. vii + 161 pp. Reviewed by Gerald Prince, University of Pennsylvania Thomas M. Kavanagh, ed. The Limits of Theory . Stanford: Stanford University Press, 1989. 254 pp. Reviewed by André J.M. Prévos, Pennsylvania State University, Worthington Scranton Campus Wendy B. Faris. Labyrinths of Language: Symbolic Landscape and Narrative Design in Modern Fiction . Baltimore and London: The Johns Hopkins Press, 1988. 242 pp. Reviewed by Carol Rigolot, Princeton University Eve Tavor Bannet. Structuralism and the Logic of Dissent: Barthes, Derrida, Foucault, Lacan . Urbana and Chicago: University of Illinois Press, 1989. 299 pp. Reviewed by Andrew J. McKenna, Loyoyla University of Chicago Gary Saul Morson and Caryl Emerson, eds. Rethinking Bakhtin: Extensions and Challenges . Evanston: Northwestern University Press, 1989. Reviewed by Lewis Bagby, University of Wyoming Fernando Moreno. Carlos Fuentes. La mort d'Artemio Cruz: entre le mythe et l'histoire . Paris: Editions Caribeennes, 1989. Reviewed by Susan Levine, Lawrence, Kansas

  16. Social determinants and maternal exposure to intimate partner violence of obstetric patients with severe maternal morbidity in the intensive care unit: a systematic review protocol

    Science.gov (United States)

    Ayala Quintanilla, Beatriz Paulina; Taft, Angela; McDonald, Susan; Pollock, Wendy; Roque Henriquez, Joel Christian

    2016-01-01

    Introduction Maternal mortality is a potentially preventable public health issue. Maternal morbidity is increasingly of interest to aid the reduction of maternal mortality. Obstetric patients admitted to the intensive care unit (ICU) are an important part of the global burden of maternal morbidity. Social determinants influence health outcomes of pregnant women. Additionally, intimate partner violence has a great negative impact on women's health and pregnancy outcome. However, little is known about the contextual and social aspects of obstetric patients treated in the ICU. This study aimed to conduct a systematic review of the social determinants and exposure to intimate partner violence of obstetric patients admitted to an ICU. Methods and analysis A systematic search will be conducted in MEDLINE, CINAHL, ProQuest, LILACS and SciELO from 2000 to 2016. Studies published in English and Spanish will be identified in relation to data reporting on social determinants of health and/or exposure to intimate partner violence of obstetric women, treated in the ICU during pregnancy, childbirth or within 42 days of the end of pregnancy. Two reviewers will independently screen for study eligibility and data extraction. Risk of bias and assessment of the quality of the included studies will be performed by using the Critical Appraisal Skills Programme (CASP) checklist. Data will be analysed and summarised using a narrative description of the available evidence across studies. This systematic review protocol will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines. Ethics and dissemination Since this systematic review will be based on published studies, ethical approval is not required. Findings will be presented at La Trobe University, in Conferences and Congresses, and published in a peer-reviewed journal. Trial registration number CRD42016037492. PMID:27895065

  17. 75 FR 66767 - Submission for OMB Review; Comment Request; Cancer Trials Support Unit (CTSU) Public Use Forms...

    Science.gov (United States)

    2010-10-29

    ... Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI) SUMMARY: Under the provisions....00 1000.00 Form. Surveys/Web Forms 2 CTSU Web Site Customer 250 10-15 0.2500 1.00 63 Satisfaction Survey. 3 CTSU Helpdesk Customer 300 10-15 0.2500 1.00 75 Satisfaction Survey. 4 CTSU OPEN Survey 120 10...

  18. THE IMPACT OF REDUCED AGRICULTURAL CHEMICAL USE ON FOOD: A REVIEW OF THE LITERATURE FOR THE UNITED STATES

    OpenAIRE

    Senauer, Benjamin

    1993-01-01

    Concerns about food safety and environmental quality have increased in recent years. Consumers are particularly concerned about the health risks posed by pesticide residues in food and the environmental impact of agricultural chemicals. These concerns have stimulated a considerable amount of recent research to assess the effects of reduced agricultural chemical use. This paper focuses on the research in the United States which has examined the impact of reduced agricultural chemical use on fo...

  19. External Peer Review Report on the United States Special Operations Command Office of Inspector General Audit Division

    Science.gov (United States)

    2016-08-15

    audit evidence obtained and its source, and the conclusions reached, including evidence that supports the auditors’ significant judgements and...identify organizations, geographic locations, and period covered?” For one of the four reports reviewed, the sampling methodology was not fully... sampling methodology was used to support the items tested. Recommendation 3 The USSOCOM OIG audit manager should ensure that the sampling methodology

  20. Monitoring healing of pressure ulcers : a review of assessment instruments for use in the spinal cord unit

    NARCIS (Netherlands)

    van Lis, M. S.; van Asbeck, F. W. A.; Post, M. W. M.

    2010-01-01

    Study design: Review. Objectives: To identify the pressure ulcer healing assessment instrument that is the best choice for use in spinal cord injury rehabilitation. Methods: Articles were retrieved from PubMed. Inclusion criteria were written in English, published up to December 2008 and describing

  1. Systematic Review of Disparities in Health Care for Individuals with Autism Spectrum Disorders in the United States

    Science.gov (United States)

    Tregnago, Megan K.; Cheak-Zamora, Nancy C.

    2012-01-01

    Authors conducted a systematic review of the literature to determine whether differences exist for children with ASD versus children without ASD in the utilization, accessibility, and cost of their health care services. Population and outcome variables of interest were used to search for articles in Medline and PsycInfo databases. Thirteen studies…

  2. A review of the species of Geraeus Pascoe and Linogeraeus Casey found in the continental United States (Coleoptera: Curculionidae: Baridinae)

    Science.gov (United States)

    The baridine weevils with a smooth inner mandibular face and unmodified antenna are reviewed for the continental U.S. Toxeres Germar 1829, a new synonym of Geraeus Pascoe 1889, is suppressed as nomen oblitum and Geraeus is conserved as nomen protectum. Pycnogeraeus Casey 1920 is a new synonym of G...

  3. Searching for predictors of surgical complications in critically ill surgery patients in the intensive care unit: a review

    NARCIS (Netherlands)

    Meyer, Z.C.; Schreinemakers, J.M.J.; Waal, R.A. de; Laan, L. van der

    2015-01-01

    We reviewed the use of the levels of C-reactive protein, lactate and procalcitonin and/or the Sequential Organ Failure Assessment score to determine their diagnostic accuracy for predicting surgical complications in critically ill general post-surgery patients. Included were all studies published in

  4. Understanding How Organized Youth Sport May Be Harming Individual Players within the Family Unit: A Literature Review

    National Research Council Canada - National Science Library

    Corliss N Bean; Michelle Fortier; Courtney Post; Karam Chima

    2014-01-01

    ... has on other players within a family, particularly on parents and siblings. Therefore the purpose of this paper is to conduct a review of studies on the negative effects of organized sport on the youth athlete and their parents and siblings...

  5. Legal, Institutional, and Economic Indicators of Forest Conservation and Sustainable Management: Review of Information Available for the United States

    Science.gov (United States)

    Paul V. Ellefson; Calder M. Hibbard; Michael A. Kilgore; James E. Granskog

    2005-01-01

    This review looks at the Nation’s legal, institutional, and economic capacity to promote forest conservation and sustainable resource management. It focuses on 20 indicators of Criterion Seven of the so-called Montreal Process and involves an extensive search and synthesis of information from a variety of sources. It identifies ways to fill information gaps and improve...

  6. Cyberbullying Prevalence among United States Middle and High School Aged Adolescents: A Systematic Review and Quality Assessment

    Science.gov (United States)

    Selkie, Ellen M.; Fales, Jessica L.; Moreno, Megan A.

    2015-01-01

    Background Cyberbullying has established links to physical and mental health problems including depression, suicidality, substance use, and somatic symptoms. Quality reporting of cyberbullying prevalence is essential to guide evidence-based policy and prevention priorities. The purpose of this systematic review was to investigate study quality and reported prevalence among cyberbullying research studies conducted in populations of US adolescents of middle and high school age. Methods Searches of peer-reviewed literature published through June 2015 for “cyberbullying” and related terms were conducted using PubMed, PsycINFO, CINAHL Plus, and Web of Science. Included manuscripts reported cyberbullying prevalence in general populations of U.S. adolescents between the ages of 10 and 19. Using a review tool based on the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement, reviewers independently scored study quality on study methods, results reporting, and reported prevalence. Results Search results yielded 1,447 manuscripts; 81 manuscripts representing 58 unique studies were identified as meeting inclusion criteria. Quality scores ranged between 12 and 37 total points out of a possible 42 points (M = 26.7, SD = 4.6). Prevalence rates of cyberbullying ranged as follows: perpetration, 1% to 41%; victimization, 3% to 72%; and overlapping perpetration and victimization, 2.3% to 16.7%. Conclusions Literature on cyberbullying in US middle and high school aged students is robust in quantity but inconsistent in quality and reported prevalence. Consistent definitions and evidence-based measurement tools are needed. PMID:26576821

  7. The Peer Reviewed Literature on Undergraduate Education for Public Health in the United States, 2004-2014

    Directory of Open Access Journals (Sweden)

    Connie J Evashwick

    2014-11-01

    Full Text Available The education of undergraduate college students in the field of public health has burgeoned over the past decade. Professional literature in peer-reviewed journals is one indicator of the status of a field of study and its related body of knowledge. It is also a mechanism for sharing information among professionals about challenges, issues, experiences and best practices.The purpose of the literature review conducted here was to describe the status of the peer reviewed literature over the past decade pertaining to the education of undergraduates about the field of public health in the U.S.A literature search was conducted of three data bases: PubMed, Scopus and ERIC. Inclusion criteria were publication date from January 1, 2004 through July 31, 2014; written in the English language; pertaining to undergraduate education in the U.S.; and a focus on public health as the primary discipline. Public health was searched as an overarching discipline; articles focused on sub-disciplines or other health professions disciplines were excluded.The search resulted in 158 articles. Each of the authors reviewed the abstracts for all articles and read full articles when necessary. The result was 23 articles that were then considered in depth. The articles were categorized according to their primary theme: curriculum, courses, learning objectives (N=14; evaluation of teaching method (N=3; case study (N=3; career path and advising (N=2; accreditation (N=1. Year of publication and journal were also examined.The results of the literature search lead to several observations about how the peer reviewed literature has been used to date and how it could be used to advance the emerging field of undergraduate education for public health.

  8. Reviews

    NARCIS (Netherlands)

    NN,

    1997-01-01

    BRUENIG, E.F. 1996. Conservation and management of tropical rainforests. An integrated approach to sustainability. 352 pp., illus. CAB International, Wallingford, Oxon 0X10 8DE, United Kingdom. ISBN 0-85198-994-2. Hardcover. Price: US$ 99, £ 55. This is the? ultimate masterpiece of Eberhardt

  9. The cytoskeleton of Drosophila-derived Schneider line-1 and Kc23 cells undergoes significant changes during long-term culture

    Science.gov (United States)

    Schatten, H.; Hedrick, J.; Chakrabarti, A.

    1998-01-01

    Insect cell cultures derived from Drosophila melanogaster are increasingly being used as an alternative system to mammalian cell cultures, as they are amenable to genetic manipulation. Although Drosophila cells are an excellent tool for the study of genes and expression of proteins, culture conditions have to be considered in the interpretation of biochemical results. Our studies indicate that significant differences occur in cytoskeletal structure during the long-term culture of the Drosophila-derived cell lines Schneider Line-1 (S1) and Kc23. Scanning, transmission-electron, and immunofluorescence microscopy studies reveal that microfilaments, microtubules, and centrosomes become increasingly different during the culture of these cells from 24 h to 7-14 days. Significant cytoskeletal changes are observed at the cell surface where actin polymerizes into microfilaments, during the elongation of long microvilli. Additionally, long protrusions develop from the cell surface; these protrusions are microtubule-based and establish contact with neighboring cells. In contrast, the microtubule network in the interior of the cells becomes disrupted after four days of culture, resulting in altered transport of mitochondria. Microtubules and centrosomes are also affected in a small percent of cells during cell division, indicating an instability of centrosomes. Thus, the cytoskeletal network of microfilaments, microtubules, and centrosomes is affected in Drosophila cells during long-term culture. This implies that gene regulation and post-translational modifications are probably different under different culture conditions.

  10. Gene delivery to Nile tilapia cells for transgenesis and the role of PI3K-c2α in angiogenesis

    Science.gov (United States)

    Tonelli, Fernanda Maria Policarpo; Lacerda, Samyra Maria dos Santos Nassif; Procópio, Marcela Santos; Lemos, Breno Luiz Sales; de França, Luiz Renato; Resende, Rodrigo Ribeiro

    2017-01-01

    Microinjection is commonly performed to achieve fish transgenesis; however, due to difficulties associated with this technique, new strategies are being developed. Here we evaluate the potential of lentiviral particles to genetically modify Nile tilapia cells to achieve transgenesis using three different approaches: spermatogonial stem cell (SSC) genetic modification and transplantation (SC), in vivo transduction of gametes (GT), and fertilised egg transduction (ET). The SC protocol using larvae generates animals with sustained production of modified sperm (80% of animals with 77% maximum sperm fluorescence [MSF]), but is a time-consuming protocol (sexual maturity in Nile tilapia is achieved at 6 months of age). GT is a faster technique, but the modified gamete production is temporary (70% of animals with 52% MSF). ET is an easier way to obtain mosaic transgenic animals compared to microinjection of eggs, but non-site-directed integration in the fish genome can be a problem. In this study, PI3Kc2α gene disruption impaired development during the embryo stage and caused premature death. The manipulator should choose a technique based on the time available for transgenic obtainment and if this generation is required to be continuous or not. PMID:28317860

  11. The use of performance improvement methods to enhance emergency department patient satisfaction in the United States: a critical review of the literature and suggestions for future research.

    Science.gov (United States)

    Boudreaux, Edwin D; Cruz, Brian L; Baumann, Brigitte M

    2006-07-01

    The authors reviewed the evidence on performance improvement methods for increasing emergency department (ED) patient satisfaction to provide evidence-based suggestions for clinical practice. Data sources consisted of searches through MEDLINE, CINAHL, PSYCHINFO, Cochrane Library, and Emergency Medicine Abstracts and a manual search of references. Articles were included if they reported a performance improvement intervention targeting patient satisfaction in the ED setting. Articles on studies not conducted in the United States or that failed to provide enough details to allow critical evaluation of the study were excluded. Two authors used structured evaluation criteria to independently review each retained study. Nineteen articles met all selection criteria. Three studies found varying levels of support for multicomponent interventions, predominantly focused on implementation of clinical practice guidelines for specific presenting complaints and process redesign. Sixteen studies evaluated single-component interventions, with the following having at least one supportive study: using alternating patient assignment to provider teams rather than "zone"-based assignment, enhancing provider communication and customer service skills, incorporating information delivery interventions (e.g., pamphlets, video) that target patient expectations, using preformatted charts, and establishing ED-based observation units for specific conditions such as asthma and chest pain. There is modest evidence supporting a range of performance improvement interventions for improving ED patient satisfaction. Further work is needed before specific, evidence-based recommendations can be made regarding which process changes are most effective. Recommendations are made for improving the quality of performance improvement efforts in the ED setting.

  12. Prostate cancer disparities in Black men of African descent: a comparative literature review of prostate cancer burden among Black men in the United States, Caribbean, United Kingdom, and West Africa

    Directory of Open Access Journals (Sweden)

    Reams R Renee

    2009-02-01

    Full Text Available Abstract Background African American men have the highest prostate cancer morbidity and mortality rates than any other racial or ethnic group in the US. Although the overall incidence of and mortality from prostate cancer has been declining in White men since 1991, the decline in African American men lags behind White men. Of particular concern is the growing literature on the disproportionate burden of prostate cancer among other Black men of West African ancestry in the Caribbean Islands, United Kingdom and West Africa. This higher incidence of prostate cancer observed in populations of African descent may be attributed to the fact that these populations share ancestral genetic factors. To better understand the burden of prostate cancer among men of West African Ancestry, we conducted a review of the literature on prostate cancer incidence, prevalence, and mortality in the countries connected by the Transatlantic Slave Trade. Results Several published studies indicate high prostate cancer burden in Nigeria and Ghana. There was no published literature for the countries Benin, Gambia and Senegal that met our review criteria. Prostate cancer morbidity and/or mortality data from the Caribbean Islands and the United Kingdom also provided comparable or worse prostate cancer burden to that of US Blacks. Conclusion The growing literature on the disproportionate burden of prostate cancer among other Black men of West African ancestry follows the path of the Transatlantic Slave Trade. To better understand and address the global prostate cancer disparities seen in Black men of West African ancestry, future studies should explore the genetic and environmental risk factors for prostate cancer among this group.

  13. Reviews

    OpenAIRE

    Revista alicantina de estudios ingleses

    1995-01-01

    Contiene: M. Carmen África Vidal Claramonte. Traducción, manipulación, desconstrucción. Colección Biblioteca Filológica de Salamanca. Salamanca: Ediciones Colegio de España, 1995 / reviewed by Enrique Alcaraz Varó; Diccionario de uso inglés-español/Spanish-English. Directed by Aquilino Sánchez. Madrid: SGEL, 1993, 450 pp. Diccionario de uso pocket inglés-español/Spanish- English. Directed by Aquilino Sánchez. Madrid: SGEL, 1993, 274 pages / reviewed by Miguel Ángel Campos Pardillo...

  14. Pulmonary interstitial emphysema presenting in a woman on the intensive care unit: case report and review of literature

    Directory of Open Access Journals (Sweden)

    Jovaisa Tomas

    2011-06-01

    Full Text Available Abstract Introduction Pulmonary interstitial emphysema is a life-threatening form of ventilator-induced lung injury. We present one of the few reported adult cases of pulmonary interstitial emphysema in a woman with respiratory failure admitted to our intensive care unit. Case presentation An 87-year-old Caucasian woman with a diagnosis of community-acquired pneumonia was admitted to our intensive care unit requiring invasive ventilation. The combination of a poor oxygenation index and bilateral alveolar/interstitial infiltrates on a chest radiograph fulfilled the criteria for adult respiratory distress syndrome; the cause was thought to be a combination of the direct pneumonic pulmonary injury and extrapulmonary severe sepsis. By day seven, the fraction of inspired oxygen, peak airway and positive end expiratory pressures weaned sufficiently to allow an uncomplicated percutaneous tracheostomy. On day 10, problems with ventilation necessitated recruitment maneuvers with a Mapleson C circuit, after which dramatic surgical emphysema was noted. An upper airway bronchoscopy showed no obvious tracheal wall injury, and computed tomography of her chest showed extensive surgical emphysema, perivascular emphysema and peribronchial emphysema, which were consistent with a diagnosis of pulmonary interstitial emphysema. Over the following days, despite protective ventilatory strategies and intercostal tube thoracostomy, lung compliance along with oxygenation deteriorated and our patient died on day 14. Conclusion The development of pulmonary interstitial emphysema is a rare but real risk when caring for patients with worsening lung compliance on the intensive care unit. Improved awareness of the condition, early protective ventilation strategies and timely treatment of any of the lethal complications will hopefully result in improved survival from the condition in adults.

  15. Sources of Corn for Ethanol Production in the United States: A Review and Decomposition Analysis of the Empirical Data

    Energy Technology Data Exchange (ETDEWEB)

    Oladosu, Gbadebo A [ORNL; Kline, Keith L [ORNL; Uria Martinez, Rocio [ORNL; Eaton, Laurence M [ORNL

    2011-01-01

    The use of corn for ethanol production in the United States quintupled between 2001 and 2009, generating concerns that this could lead to the conversion of forests and grasslands around the globe, known as indirect land-use change (iLUC). Estimates of iLUC and related food versus fuel concerns rest on the assumption that the corn used for ethanol production in the United States would come primarily from displacing corn exports and land previously used for other crops. A number of modeling efforts based on these assumptions have projected significant iLUC from the increases in the use of corn for ethanol production. The current study tests the veracity of these assumptions through a systematic decomposition analysis of the empirical data from 2001 to 2009. The logarithmic mean divisia index decomposition method (Type I) was used to estimate contributions of different factors to meeting the corn demand for ethanol production. Results show that about 79% of the change in corn used for ethanol production can be attributed to changes in the distribution of domestic corn consumption among different uses. Increases in the domestic consumption share of corn supply contributed only about 5%. The remaining contributions were 19% from added corn production, and 2% from stock changes. Yield change accounted for about two-thirds of the contributions from production changes. Thus, the results of this study provide little support for large land-use changes or diversion of corn exports because of ethanol production in the United States during the past decade.

  16. Malaysia's Human Rights Performance: Assessment of its First Session of Universal Periodic Review in the United Nations Human Rights Council

    OpenAIRE

    Ying Hooi Khoo

    2014-01-01

    Since its inception, the Universal Periodic Review (UPR) has been subjected to a substantial amount of criticism. The mechanism began functioning in 2008, however there have been little made known about the roles and functions of the UPR. This article explicitly examines the first UPR process of Malaysia in 2009, in order to illustrate how the mechanism operates in practice by highlighting the engagement of Malaysia government with the stakeholders, the follow-up process and the main issues c...

  17. Recent advances in TeleStroke: a systematic review on applications in prehospital management and Stroke Unit treatment or TeleStroke networking in developing countries.

    Science.gov (United States)

    Hubert, Gordian J; Müller-Barna, Peter; Audebert, Heinrich J

    2014-12-01

    TeleStroke has become an increasing means to overcome shortage of stroke expertise in underserved areas. This rapidly growing field has triggered a large amount of publications in recent years. We aimed to analyze recent advances in the field of telemedicine for acute stroke, with main focus on prehospital management, Stroke Unit treatment and network implementations in developing countries. Out of 260 articles, 25 were selected for this systematic review: 9 regarding prehospital management, 14 regarding Stroke Unit treatment and 2 describing a network in developing countries. Prehospital management showed that stroke recognition can start at the dispatch emergency call, important clinical information can be electronically transmitted to hospitals before admission and even acute treatment such as thrombolysis can be initiated in the prehospital field if ambulances are equipped with CT scan and point-of-care laboratory. Articles on remote clinical examination, telemedical imaging interpretation, trial recruitment and cost-effectiveness described various aspects of Stroke Unit treatment within TeleStroke networks, underlining reliability, safety and cost savings of these systems of care. Only one network was described to have been implemented in a developing/emerging nation. TeleStroke is a growing field expanding its focus to a broader spectrum of stroke care. It still seems to be underused, particularly in developing countries.

  18. Legislation impacting audiology and the provision of audiological services: a review of legislation across the United States.

    Science.gov (United States)

    Messersmith, Jessica J; Lockie, Jill; Jorgensen, Lindsey; Vaith, Shana Bauer; Falk, Elizabeth

    2014-06-01

    The purpose of this review was to investigate the legislation about the provision of audiology services. Specifically, the goal of the review was to investigate the similarities and differences in legislation regarding the identification of, and audiology services provided to, children with hearing loss. A systematic review was conducted to collect state-specific legislation regarding the audiology licensure requirements, requirements about the identification and management of children with hearing loss, and insurance coverage regulations. Compiled data were analyzed for similarities and differences between state regulations and legislature. All states require audiologists to hold licensure; however, many differences exist between the requirements of acquiring and maintaining the license. Some states regulate the identification and management of children with hearing loss, whereas others do not. Additionally, states differ in their regulation of services provided to children with hearing loss, who can provide these services, and what is covered by insurance. It is critical for audiologists to understand the requirements of their state in the provision of audiology services. Specifically, it is important for audiologists to understand how the laws may impact the services they provide to children with hearing loss.

  19. Reviews.

    Science.gov (United States)

    Journal of Chemical Education, 1988

    1988-01-01

    Reviews three computer software packages for chemistry education including "Osmosis and Diffusion" and "E.M.E. Titration Lab" for Apple II and "Simplex-V: An Interactive Computer Program for Experimental Optimization" for IBM PC. Summary ratings include ease of use, content, pedagogic value, student reaction, and…

  20. Reviews

    NARCIS (Netherlands)

    Sleumer, H.; Steenis, van C.G.G.J.

    1966-01-01

    An exhaustive Flora of Delhi, compiled by J. K. Maheshwari, was published by C.S.I.R. in 1963 (for a review see Blumea 13, 1965, p. 174). During the compilation of that flora, 278 line-drawings, illustrating the habits and chief features of the plants found in Delhi, were prepared; they form a welco

  1. Reviews

    NARCIS (Netherlands)

    NN,

    1998-01-01

    BALGOOY, M.M.J, VAN. 1998. Malesian Seed Plants. Volume 2. Portraits of tree families. 307 pp., numerous text figures. Published by Rijksherbarium/Hortus Botanicus, Leiden. ISBN 90-71236-36-6. Paperback. Price: NLG 100.00. This is the second volume of a trilogy [see the review of ‘Spot-characters’ b

  2. Reviews.

    Science.gov (United States)

    Repak, Arthur J.; And Others

    1988-01-01

    Computer software, audiovisuals, and books are reviewed. Includes topics on interfacing, ionic equilibrium, space, the classification system, Acquired Immune Disease Syndrome, evolution, human body processes, energy, pesticides, teaching school, cells, and geological aspects. Availability, price, and a description of each are provided. (RT)

  3. Review

    DEFF Research Database (Denmark)

    Van Den Hazel, H B; Kielland-Brandt, Morten; Winther, Jakob R.

    1996-01-01

    The yeast vacuole, which is equivalent to the lysosome of higher eukaryotes, is one of the best characterized degradative organelles. This review describes the biosynthesis and function of yeast vacuolar proteases. Most of these enzymes are delivered to the vacuole via the early compartments...

  4. Review

    NARCIS (Netherlands)

    Wilde, de W.J.J.O.

    1994-01-01

    This review marks the appearance of Volume II, after the publication of Volume I, Pteridophytes and Gymnosperms, in 1990; several more volumes are expected in the future before completion of the Vascular plants as a whole. The present volume contains 73 families out of some 250-500 families which ca

  5. Reviews

    NARCIS (Netherlands)

    Adema, Frits

    1995-01-01

    This is the second volume of a revision of Tabernaemontana (Apocynaceae). The volume covers the New World species (44) and the genus Stemmadenia (10 species). This part of the revision of Tabernaemontana comes up to the high standards set in the first volume [see the review by Leenhouts, Blumea 38 (

  6. Manejo de irrigação por aspersão com base no "Kc" e adubação mineral na cultura de arroz de terras altas Sprinkler irrigation management strategies as a function of "Kc" and mineral fertilization on upland rice crop

    Directory of Open Access Journals (Sweden)

    Carlos Alexandre Costa Crusciol

    2003-01-01

    Full Text Available A irrigação por aspersão diminui bastante o risco de perda da lavoura por deficiência hídrica e aumenta a produtividade de grãos, incentivando maior uso de tecnologias como adubação mineral. Com o objetivo de avaliar o efeito de diferentes manejos da água da irrigação por aspersão com base no coeficiente de cultura (Kc e da adubação mineral sobre a cultura do arroz cv. IAC 201, foram instalados dois experimentos em Latossolo Vermelho Distrófico, em Selvíria (MS. O delineamento foi em blocos casualizados, com quatro repetições. Os tratamentos constituíram-se de precipitação pluvial natural e três manejos de água fornecidos por aspersão. O manejo (M2 foi realizado com base no Kc do arroz de terras altas. Os manejos M1 e M3 foram definidos como 0,5 e 1,5 vezes os Kcs utilizados em M2 respectivamente. Em 1995/96, utilizou-se o esquema de parcelas subdivididas, sendo as subparcelas constituídas por dois níveis de adubação: AD1 - 12 kg de N, 90 kg de P2O5 e 30 kg de K2O ha-1, e AD2 - 24 kg de N, 180 kg de P2O5 e 60 kg de K2O ha-1. A deficiência hídrica da emergência da plântula até a diferenciação do primórdio da panícula provocou aumento do ciclo e redução do porte da planta. A deficiência hídrica entre os estádios de diferenciação do primórdio da panícula e os de emborrachamento reduziu o número de espiguetas por panícula. A utilização de 1,5 vezes os valores de Kc recomendados, no manejo da irrigação por aspersão proporcionou maior produtividade de grãos. Os níveis de adubação utilizados não influenciaram a resposta da cultura ao manejo da irrigação por aspersão.The use of the sprinkler irrigation to reduce the risk of forfeit production, by water deficiency, and increase yield, encouraging to use of the tecnologies like mineral fertilizer. With the objective of evaluate the effects at sprinkler irrigation management strategies based on crop coefficient (Kc and mineral fertilizers on the

  7. 80C196KC单片机在层流流量计数字式仪表开发中的应用%The Application of 80C196KC Micro -controller In Developing a Digital Laminar Flow Meter

    Institute of Scientific and Technical Information of China (English)

    李过房

    2012-01-01

    In this paper, using 80C196KC micro - controller, a digital laminar flow meter is de- signed. Practice has proved that compared with the MCS -51 micro -controller,the 80C196KC mi- cro- controller can greatly improve the efficiency of the development processes. And, at the same time, it can ensure the running speed of the digital meters developed.%本文通过实例,介绍了80C196KC单片机在层流流量计数字式仪表开发中的应用方法,实践证明,与传统的MCS-51单片机比,它可大大提高数字式仪表的开发效率,同时,保证所开发的数字式仪表的运行速度。

  8. Mood and anxiety problems in perinatal Indigenous women in Australia, New Zealand, Canada, and the United States: a critical review of the literature.

    Science.gov (United States)

    Bowen, Angela; Duncan, Vicky; Peacock, Shelley; Bowen, Rudy; Schwartz, Laura; Campbell, Diane; Muhajarine, Nazeem

    2014-02-01

    We conducted a review of research literature related to anxiety, depression, and mood problems in Indigenous women in Canada, the United States (including Hawaii), Australia, and New Zealand. Quantitative and qualitative research studies published between 1980 and March 2010 were reviewed. The initial search revealed 396 potential documents, and after being checked for relevance by two researchers, data were extracted from 16 quantitative studies, one qualitative research article, and one dissertation. Depression is a common problem in Indigenous pregnant and postpartum women; however, the prevalence and correlates of anxiety and mood disorders are understudied. The review identified four key areas where further research is needed: (a) longitudinal, population-based studies; (b) further validation and modification of appropriate screening tools; (c) exploration of cultural diversity and meaning of the lived experiences of antenatal and postpartum depression, anxiety, and mood disorders; and (d) development of evidence-informed practices for researchers and practitioners through collaborations with Aboriginal communities to better understand and improve mental health of women of childbearing age.

  9. Heavy metal in the intensive care unit: a review of current literature on trace element supplementation in critically ill patients.

    Science.gov (United States)

    Rech, Megan; To, Long; Tovbin, Alina; Smoot, Thomas; Mlynarek, Mark

    2014-02-01

    Trace elements are essential for many physiologic processes. In recent years, supplementation has been studied for a variety of indications, including glycemic control, wound healing, antioxidant effect, and anemia. Critical illness, especially states such as burns, traumas, and septic shock, is associated with inflammatory and oxidative stress, immune dysfunction, and malnutrition. In these patients, enteral and parenteral nutrition or pharmaceutical supplementation is used to provide essential macronutrients, including trace elements. The purpose of this review is to describe trace element supplementation, including iron, copper, chromium, manganese, selenium, and zinc, and highlight their mechanism, pharmacology, outcome data, and adverse effects.

  10. A Historical Review of R. J. Reynolds’ Strategies for Marketing Tobacco to Hispanics in the United States

    Science.gov (United States)

    Parascandola, Mark

    2013-01-01

    Hispanics are the fastest growing racial/ethnic group in the United States, and smoking is the leading preventable cause of morbidity and mortality among this population. We analyzed tobacco industry documents on R. J. Reynolds’ marketing strategies toward the Hispanic population using tobacco industry document archives from the Legacy Tobacco Documents Library (http://legacy.library.ucsf.edu) between February–July 2011 and April–August 2012. Our analysis revealed that by 1980 the company had developed a sophisticated surveillance system to track the market behavior of Hispanic smokers and understand their psychographics, cultural values, and attitudes. This information was translated into targeted marketing campaigns for the Winston and Camel brands. Marketing targeted toward Hispanics appealed to values and sponsored activities that could be perceived as legitimating. Greater understanding of tobacco industry marketing strategies has substantial relevance for addressing tobacco-related health disparities. PMID:23488493

  11. Reviews on Rzewski’s Leftist Political Piano Variations: ‘The People United Will Never Be Defeated’

    Directory of Open Access Journals (Sweden)

    Deng Liang

    2017-02-01

    Full Text Available ‘The People United Will Never Be Defeated (1975 is an one-hour epic modern piano variations, is one with an exquisite structure as well as a humanistic content. As a political context, this could be a legendary piece as well, in its creation in Chile just before Pinochet's military regime and the music's subsequent meaning for so many leftist political enthusiasts. In his approach the author highlighted the role of music, i.e. the role of cultural power in crating consciousness and attracting masses of people to political causes inspiring them to fight for better future. In addition, the author opened a number of questions on performance of contemporary music on the basis of Rzewski’s own DVD recording, the analyzing of which revealed an interesting phenomenon because when Rzewski played his own music, his playing differentiated from his own score.

  12. Levothyroxine absorption and difficult management of hypothyroid patients in the intensive care unit: two case reports and a literature review.

    Science.gov (United States)

    Vinagre, Ana Lúcia Marinho; Souza, Marcus Vinícius Leitão de

    2011-06-01

    Levothyroxine absorption in hypothyroid patients can be influenced by several factors, particularly medications and concomitant food administration. This is especially evident in intensive care unit patients, where a continual enteral diet and the administration of multiple medications changes its absorption. Changes or adaptations in the hypothalamic-pituitary-thyroid axis, in conjunction with clinical abnormalities possibly related to under-treatment of hypothyroidism, render levothyroxine replacement therapy very challenging. Here, we report two intensive care hypothyroidism patients and their respective levothyroxine replacement management issues, focusing on a number of controversial issues, such as the optimal replacement dose, how fast the levothyroxine doses should be increased, triiodothyronine requirements, the interference of an enteral diet with absorption, and finally, the possible consequences of undertreated hypothyroidism and levothyroxine replacement monitoring useful clinical/laboratory parameters.

  13. Review and Status of Wind Integration and Transmission in the United States. Key Issues and Lessons Learned

    Energy Technology Data Exchange (ETDEWEB)

    Milligan, M. [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Kirby, B. [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Acker, T. [Northern Arizona Univ., Flagstaff, AZ (United States); Ahlstrom, M. [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Frew, B. [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Goggin, M. [American Wind Energy Association, Washington, DC (United States); Lasher, W. [Electric Reliability Council of Texas, Austin, TX (United States); Marquis, M. [National Oceanic and Atmospheric Adminstration, Washington, DC (United States); Osborn, D. [Midcontinent Independent System Operator, Carmel, IN (United States)

    2015-03-01

    The objective in electric power system operation is to use generation and transmission resources within organizational constraints and operational rules and regulations to reliably and costeffectively balance load and generation. To meet this objective, system operational practices have been created to accommodate the innate variability and uncertainty that comes from a variety of sources, such as uncertainty of demand forecasts, whether a specific generating unit will be available when called upon, the variability of demand from many different types of customers, and others. As more wind power is connected to the power system, operating experiences acquired during the past several years have generally confirmed the findings of wind integration studies: wind energy increases the level of variability and uncertainty that a system operator must manage.

  14. A historical review of R.J. Reynolds' strategies for marketing tobacco to Hispanics in the United States.

    Science.gov (United States)

    Iglesias-Rios, Lisbeth; Parascandola, Mark

    2013-05-01

    Hispanics are the fastest growing racial/ethnic group in the United States, and smoking is the leading preventable cause of morbidity and mortality among this population. We analyzed tobacco industry documents on R. J. Reynolds' marketing strategies toward the Hispanic population using tobacco industry document archives from the Legacy Tobacco Documents Library (http://legacy.library.ucsf.edu) between February-July 2011 and April-August 2012. Our analysis revealed that by 1980 the company had developed a sophisticated surveillance system to track the market behavior of Hispanic smokers and understand their psychographics, cultural values, and attitudes. This information was translated into targeted marketing campaigns for the Winston and Camel brands. Marketing targeted toward Hispanics appealed to values and sponsored activities that could be perceived as legitimating. Greater understanding of tobacco industry marketing strategies has substantial relevance for addressing tobacco-related health disparities.

  15. Review, Analyses and Recommendations Related to Modern International Use of Nuclear Space Technologies with Focus on United States and Russia

    Science.gov (United States)

    Smith, T.

    The current Administration under President Barack Obama has given NASA a new directive in manned spaceflight. Instead of building a fleet of Ares rockets with various load specifications to deliver astronauts to the International Space Station (ISS) and return them to the Moon, the 2011 NASA Strategic Plan [1] states that NASA will develop ``integrated architecture and capabilities for safe crewed and cargo missions beyond Low Earth Orbit.'' The technologies developed within this architecture will take astronauts beyond the Moon, to destinations such as Mars or asteroids and will most likely require the use of Nuclear Space Technologies (NSTs).While there are other proposals for novel power generation and propulsion, such as fusion technology, these technologies are immature and it may be decades before they have demonstrated feasibility; in contrast NSTs are readily available, proven to work in space, and flight qualified. However, NSTs such as nuclear thermal propulsion (NTP) may or may not reach completion - especially with the lack of a mission in which they may be developed. Prospects and progress in current NST projects, ranging from power sources to propulsion units, are explored within this study, mainly in the United States, with an overview of projects occurring in other countries. At the end of the study, recommendations are made in order to address budget and political realities, aerospace export control and nuclear non-proliferation programs, and international issues and potentials as related to NSTs. While this report is not fully comprehensive, the selection of chosen projects illustrates a range of issues for NSTs. Secondly, the reader would be keen to make a distinction between technologies that have flown in the past, projects that have been tested and developed yet not flown, and concepts that have not yet reached the bench for testing.

  16. The management of pemphigus vulgaris in a burn intensive care unit: a case report and treatment review.

    Science.gov (United States)

    Miletta, Nathanial; Miller, Mary E; Lam, Thomas; Chung, Kevin K; Hivnor, Chad

    2014-01-01

    Pemphigus vulgaris is a rare, potentially fatal, autoimmune blistering disease of the skin and mucous membranes. Treatment of this disease is problematic because of a lack of high-grade, evidence-based recommendations, the side-effect profiles of the therapies available, and the extensive supportive care that afflicted patients require. The authors present the unfortunate course of a patient with severe pemphigus vulgaris who was admitted to the U.S. Army Institute of Surgical Research Burn Center, to demonstrate the potential complications of therapy. Given the patient's complex course, the authors reviewed the literature and share in this article the most up-to-date treatment recommendations for patients with pemphigus vulgaris. The authors' review of the literature supports using conventional therapy consisting of high-dose corticosteroids and an adjuvant immunosuppressant for mild to moderate cases of pemphigus vulgaris. The immunosuppresants recommended are mycophenolate mofetil, azathioprine, and cyclophosphamide, in order of preference, based on their side-effect profiles and steroid-sparing effects. For severe or recalcitrant cases of pemphigus vulgaris, the authors recommend adding rituximab as early as possible. If increased risk of infection is of particular concern, the use of intravenous immunoglobulin in place of rituximab is advised.

  17. Rethinking the Concepts of Fluence (UV Dose) and Fluence Rate: The Importance of Photon-based Units - A Systemic Review.

    Science.gov (United States)

    Bolton, James R; Mayor-Smith, Ian; Linden, Karl G

    2015-11-01

    After a critical review of the fundamental equations describing photobiological and photochemical processes occurring in a medium exposed to a quasi-collimated monochromatic UV light beam, the analysis in this review is extended to analogous processes driven by polychromatic UV light, such as that emitted by medium pressure mercury-vapor arc lamps. The analysis is based on the Second Law of Photochemistry, namely that all photochemical events must be independent, and the rate of such events must be proportional to the rate of photon absorption. A consistent application of the Second Law of Photochemistry leads to a concept change; hence it is proposed herein to use photon fluence and photon fluence rate, rather than fluence (UV dose) and fluence rate, respectively, in the analysis and interpretation of photobiological and photochemical processes. As a consequence, many equations that have been used in the past must be revised, and some experimental information (e.g. action spectra) needs to be re-analyzed. © 2015 The American Society of Photobiology.

  18. Reviews

    Directory of Open Access Journals (Sweden)

    Wilma D'Ambrosio

    2013-12-01

    Full Text Available In the wake of the great interest raised by Maurizio Gabrieli’s review of the book Musical Networks. Parallel Distributed Perception and Performance (various authors; edited by Niall Griffith and Peter M. Todd, MA: MIT Press, Cambridge, 1999 which appeared in our last issue of Analitica, the present review section no longer follows the format used up to now but offers a survey of texts dedicated to the relationship between music analysis and technology. This decision was also made as a result of the request for more information on the subject by many of our readers. In coming issues we plan to extend this bibliography and comment on at least some of the most interesting texts published in recent years, among which we would immediately like to draw attention to the important work by Baroni, Dalmonte and Jacoboni published in 1999 (Le regole della musica. Indagine sui meccanismi della comunicazione, Torino, I Manuali EDT/SIdM, 1999.

  19. Reviews

    Directory of Open Access Journals (Sweden)

    Philip Barker

    1998-12-01

    Full Text Available There were two copy-editing blunders in Clive Betts's review, in ALT-J 5 (3, of Shirley Fletcher's Designing Competence-Based Training, one in paragraph 2 line 1, the other in paragraph 3 line 8. The errors (the result of the Editor, Gabriel Jacobs, trying to perform a final proof of the journal at lightning speed in order to meet the printing deadline, and not of any mistake on the part of either Philip Barker or the University of Wales Press hardly affected meaning, but the fact that they appeared in a review of a book on competence makes the embarrassment all the more telling. The Editor apologizes, and thanks eagle-eyed readers. He has decided to read the book in the hope that such errors will not recur.

  20. Interleukin-1 (IL-1) signaling in intestinal stromal cells controls KC/ CXCL1 secretion, which correlates with recruitment of IL-22- secreting neutrophils at early stages of Citrobacter rodentium infection.

    Science.gov (United States)

    Lee, Yong-Soo; Yang, Hyungjun; Yang, Jin-Young; Kim, Yeji; Lee, Su-Hyun; Kim, Ji Heui; Jang, Yong Ju; Vallance, Bruce A; Kweon, Mi-Na

    2015-08-01

    Attaching and effacing pathogens, including enterohemorrhagic Escherichia coli in humans and Citrobacter rodentium in mice, raise serious public health concerns. Here we demonstrate that interleukin-1 receptor (IL-1R) signaling is indispensable for protection against C. rodentium infection in mice. Four days after infection with C. rodentium, there were significantly fewer neutrophils (CD11b+ Ly6C+ Ly6G+) in the colons of IL-1R−/− mice than in wild-type mice. Levels of mRNA and protein of KC/CXCL1 were also significantly reduced in colon homogenates of infected IL-1R−/− mice relative to wild-type mice. Of note, infiltrated CD11b+ Ly6C+ Ly6G+ neutrophils were the main source of IL-22 secretion after C. rodentium infection. Interestingly, intestinal stromal cells isolated from IL-1R−/− mice secreted lower levels of KC/CXCL1 than stromal cells from wild-type mice during C. rodentium infection. Similar effects were found when mouse intestinal stromal cells and human nasal polyp stromal cells were treated with IL-1R antagonists (i.e., anakinra) in vitro. These results suggest that IL-1 signaling plays a pivotal role in activating mucosal stromal cells to secrete KC/CXCL1, which is essential for infiltration of IL-22-secreting neutrophils upon bacterial infection.

  1. Systematic review of the relation between smokeless tobacco and non-neoplastic oral diseases in Europe and the United States

    Directory of Open Access Journals (Sweden)

    Weitkunat Rolf

    2008-05-01

    Full Text Available Abstract Background How smokeless tobacco contributes to non-neoplastic oral diseases is unclear. It certainly increases risk of oral mucosal lesions, but reviewers disagree as to other conditions. In some areas, especially South-East Asia, risk is difficult to quantify due to the many products, compositions (including non-tobacco ingredients, and usage practices involved. This review considers studies from Europe (in practice mainly Scandinavia and from the USA. Methods Experimental and epidemiological studies published in 1963–2007 were identified that related risk of oral lesions to smokeless tobacco use. Data were assessed separately for oral mucosal lesions, periodontal and gingival diseases, dental caries and tooth loss, and oral pain. Results Oral mucosal lesions: Thirty-three epidemiological studies consistently show a strong dose-related effect of current snuff on oral mucosal lesion prevalence. In Scandinavia, users have a near 100% prevalence of a characteristic "snuff-induced lesion", but prevalence of the varied lesions reported in the USA is lower. Associations with chewing tobacco are weaker. The lack of clear association with former use suggests reversibility following cessation, consistent with experimental studies showing rapid lesion regression on quitting. Periodontal and gingival diseases: Two of four studies report a significant association of snuff with attachment loss and four out of eight with gingival recession. Snuff is not clearly related to gingivitis or periodontal diseases. Limited evidence suggests chewing tobacco is unrelated to periodontal or gingival diseases. Tooth loss: Swedish studies show no association with snuff, but one US study reported an association with snuff, and another with chewing tobacco. Dental caries: Evidence from nine studies suggests a possible relationship with use of smokeless tobacco, particularly chewing tobacco, and the risk of dental caries. Oral pain: Limited evidence precludes any

  2. KC-130J Transport Aircraft (KC-130J)

    Science.gov (United States)

    2015-12-01

    integrated logistics support and aircraft sustainment (follow-on case to provide support upon depletion of KU-P- SBF funds) Kuwait 3/11/2014 47.9 FMS...management of products, supply chain , inventory, material movement, and warehousing until Material Support Date, scheduled for October 1, 2016, when...normal military supply system that includes NAVSUP WSS, U.S. Air Force (USAF) ALCs, and Defense Logistics Agency. Antecedent Information The antecedent

  3. KC-46A Tanker Modernization (KC-46A)

    Science.gov (United States)

    2013-12-01

    Defense Acquisition Management Information Retrieval Dev Est - Development Estimate DoD - Department of Defense DSN - Defense Switched Network Econ... Dev Est Current APB Development Objective/Threshold Current Estimate Milestone B and Contract Award FEB 2011 FEB 2011 FEB 2011 FEB 2011...Milestone C AUG 2015 AUG 2015 AUG 2016 AUG 2015 IOT &E Start MAY 2016 MAY 2016 MAY 2017 MAY 2016 FRP Decision JUN 2017 JUN 2017 JUN 2018 JUN 2017 RAA AUG 2017

  4. Correlates and predictors of sexual health among adolescent Latinas in the United States: A systematic review of the literature, 2004-2015.

    Science.gov (United States)

    Morales-Alemán, Mercedes M; Scarinci, Isabel C

    2016-06-01

    Adolescent Latinas in the United States (US) are disproportionately affected by early pregnancy, sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) in comparison to their non-Hispanic white counterparts. However, only a few studies have sought to understand the multi-level factors associated with sexual health in adolescent Latinas. Adhering to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, we conducted a systematic literature review to better understand the correlates and predictors of sexual health among adolescent Latinas in the US, identify gaps in the research, and suggest future directions for empirical studies and intervention efforts. Eleven studies were identified: five examined onset of sexual intercourse, nine examined determinants of sexual health/risk behaviors (e.g., number of sexual partners and condom use), and three examined determinants of a biological sexual health outcome (i.e., STIs or pregnancy). Two types of variables/factors emerged as important influences on sexual health outcomes: proximal context-level variables (i.e., variables pertaining to the individual's family, sexual/romantic partner or peer group) and individual-level variables (i.e., characteristics of the individual). A majority of the studies reviewed (n=9) examined some aspect of acculturation or Latino/a cultural values in relation to sexual health. Results varied widely between studies suggesting that the relationship between individual and proximal contextual variables (including acculturation) and sexual health may be more complex than previously conceived. This review integrates the findings on correlates and predictors of sexual health among adolescent Latinas, and supports the need for strengths-based theoretically guided research on the mechanisms driving these associations.

  5. A Brief Review of Intimate Partner Violence in the United States: Nature, Correlates, and Proposed Preventative Measures

    Directory of Open Access Journals (Sweden)

    Pamela C. Regan

    2015-12-01

    Full Text Available Aggression and violence are themes which characterize a significant proportion of many close romantic relationships. Both women and men may find themselves caught in a web of intimate terror – controlled, manipulated, and hurt by a coercive and violent partner. In this brief review article, we summarize existing literature on the form of intimate partner violence known as coercive controlling violence (CCV, domestic abuse, or intimate terrorism. We begin by discussing the nature and consequences of CCV relationships. Personal or individual (e.g., biological sex, age, immigrant status, socioeconomic status, attitudes and beliefs, mental health and psychopathology, relational or interpersonal (e.g., relationship type, relationship satisfaction, and environmental (e.g., economic strain, social isolation risk factors associated with the occurrence of domestic abuse are identified. Finally, potential preventative measures at the individual, interpersonal, and sociocultural level that may serve to reduce the likelihood of this pernicious interpersonal phenomenon are considered.

  6. Independent Review of Elemental Phosphorus Remediation at the Eastern Michaud Flats FMC Operable Unit near Pocatello, Idaho

    Energy Technology Data Exchange (ETDEWEB)

    Martino, L. E. [Argonne National Lab. (ANL), Argonne, IL (United States); Jerden, J. J. [Argonne National Lab. (ANL), Argonne, IL (United States); Kimmell, T. A. [Argonne National Lab. (ANL), Argonne, IL (United States); Quinn, J. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-01-01

    If, despite risks to workers and these potential impacts, stakeholders decide that P4 wastes need to be excavated and treated, the Review Team determined that a number of the ETTs examined warrant further consideration for the treatment of P4 waste that has been characterized (for example, P4 waste present in the historical ponds). Nevertheless, concerns about the health and safety of site investigation workers using then-available investigation approaches prevented the collection of subsurface samples containing P4 from large areas of the site (e.g., the railroad swale, the vadose zone beneath the Furnace Building, and the abandoned railcars), As a result, the contaminant CSM in those particular areas was not refined enough to allow the Review Team to draw conclusions about using some of the ETTs to treat P4 waste in those areas. The readiness of an ETT for implementation varies depending on many factors, including stakeholder input, permitting, and remedial action construction requirements. Technologies that could be ready for use in the near term (within 1 year) include the following: mechanical excavation, containment technologies, off-site incineration, and drying and mechanical mixing under a tent structure. Technologies that could be ready for use in the mid-term (1 to 2 years) include cutter suction dredging, thermal-hydraulic dredging, and underground pipeline cleaning technologies. Technologies requiring a longer lead time (2 to 5 years) include on-site incineration, a land disposal restriction waste treatment system, an Albright & Wilson batch mud still, post-treatment on-site disposal, and post-treatment off-site disposal.

  7. Kr/Kc but not dN/dS correlates positively with body mass in birds, raising implications for inferring lineage-specific selection.

    Science.gov (United States)

    Weber, Claudia C; Nabholz, Benoit; Romiguier, Jonathan; Ellegren, Hans

    2014-01-01

    The ratio of the rates of non-synonymous and synonymous substitution (dN/dS) is commonly used to estimate selection in coding sequences. It is often suggested that, all else being equal, dN/dS should be lower in populations with large effective size (Ne) due to increased efficacy of purifying selection. As Ne is difficult to measure directly, life history traits such as body mass, which is typically negatively associated with population size, have commonly been used as proxies in empirical tests of this hypothesis. However, evidence of whether the expected positive correlation between body mass and dN/dS is consistently observed is conflicting. Employing whole genome sequence data from 48 avian species, we assess the relationship between rates of molecular evolution and life history in birds. We find a negative correlation between dN/dS and body mass, contrary to nearly neutral expectation. This raises the question whether the correlation might be a method artefact. We therefore in turn consider non-stationary base composition, divergence time and saturation as possible explanations, but find no clear patterns. However, in striking contrast to dN/dS, the ratio of radical to conservative amino acid substitutions (Kr/Kc) correlates positively with body mass. Our results in principle accord with the notion that non-synonymous substitutions causing radical amino acid changes are more efficiently removed by selection in large populations, consistent with nearly neutral theory. These findings have implications for the use of dN/dS and suggest that caution is warranted when drawing conclusions about lineage-specific modes of protein evolution using this metric.

  8. Review of potential host rocks for radioactive waste disposal in the southeast United States-Southern Piedmont subregion

    Energy Technology Data Exchange (ETDEWEB)

    1980-10-01

    A literature study was conducted on the geology of the Southern Piedmont province in the states of Maryland, Virginia, North Carolina, South Carolina, and Georgia. The purpose was to identify geologic areas potentially suitable for containment of a repository for the long-term isolation of solidified radioactive waste. The crystalline rocks of the Southern Piedmont province range in age from Precambrian to Paleozoic, and are predominantly slates, phyllites, argillites, schists, metavolcanics, gneisses, gabbros, and granites. These rock units were classified as either favorable, potentially favorable, or unfavorable as potential study areas based on an evaluation of the geologic, hydrologic, and geotechnical characteristics. No socio-economic factors were considered. Rocks subjected to multiple periods of deformation and metamorphism, or described as highly fractured, or of limited areal extent were generally ranked as unfavorable. Potentially favorable rocks are primarily the high-grade metamorphic gneisses and granites. Sixteen areas were classified as being favorable for additional study. These areas are primarily large igneous granite plutons as follows: the Petersburg granite in Virginia; the Rolesville-Castallia, Churchland, and Landis plutons in North Carolina; the Liberty Hill, Winnsboro, and Ogden plutons in South Carolina; and the Siloam, Elberton, and six unnamed granite plutons in Georgia.

  9. The reproductive health behaviors of HIV-infected young women in the United States: A literature review.

    Science.gov (United States)

    Carter, Marion W; Kraft, Joan M; Hatfield-Timajchy, Kendra; Snead, Margaret C; Ozeryansky, Larisa; Fasula, Amy M; Koenig, Linda J; Kourtis, Athena P

    2013-12-01

    HIV-infected young women in the United States have important reproductive health needs that are made more complex by their HIV status. We searched Pubmed and relevant bibliographies to identify 32 articles published from 2001 to July 2012 that described the prevalence, correlates, and characteristics of the sexual activity, relationships, pregnancy intentions, HIV status disclosure, and contraceptive and condom use among US HIV-infected adolescents and young women. Our synthesis of those articles found that, like youth not infected with HIV, substantial proportions of HIV-infected youth were sexually active, and most sought romantic or sexual relationships, though their serostatus may have affected the pace of physical and emotional intimacy. Disclosure was difficult, and large proportions of HIV-infected youth had not disclosed their serostatus to recent partners. A few studies suggest that most HIV-infected young women hoped to have children in the future, but many wanted to avoid pregnancy until later. Only one study described contraceptive use among this population in detail and found that condoms were a primary method of contraception. The results point to substantial gaps in published research, particularly in the areas of pregnancy intentions and contraceptive use. Much more needs to be done in research and health services to better understand and meet the complex health needs of HIV-infected young women.

  10. Electroconvulsive therapy as a treatment for protracted refractory delirium in the intensive care unit--five cases and a review.

    Science.gov (United States)

    Nielsen, R M; Olsen, K S; Lauritsen, A Oe; Boesen, H C

    2014-10-01

    Delirium in the intensive care unit (ICU) is conventionally treated pharmacologically but can progress into a protracted state refractory to medical treatment--a potentially life-threatening condition in itself. We treated 5 cases of severe protracted delirium in our ICU with electroconvulsive therapy (ECT) after failure of conventional medical therapy. The delirious state of long standing agitation, anxiety, and discomfort was controlled in all patients. Electroconvulsive therapy was effective in controlling delirium in 4 patients. The last patient became calm, relieved of stress, and able to cooperate with the ventilator but remained in a state of posttraumatic amnesia after a head trauma. Although controversial, ECT is nevertheless recognized as an efficient and safe treatment for various psychiatric illnesses including delirium. Considering the significantly increased mortality and severe cognitive decline associated with delirium in the ICU, we find ECT to be a valuable treatment option for this vulnerable patient population. It can be considered when agitation cannot be controlled with medical treatment, when agitation and delirium make weaning impossible, or prolonged deep sedation the only alternative. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. A review of nasal cancer in furniture manufacturing and woodworking in North Carolina, the United States, and other countries.

    Science.gov (United States)

    Imbus, H R; Dyson, W L

    1987-09-01

    Nasal adenocarcinoma in the High Wycombe furniture industry of England during 1956-1965 had an annual incidence of 500 to 1,000 times greater than that of the general population. Excesses of nasal cancer have also been described in France, Australia, Denmark, Finland, Italy, and Holland. Interestingly, one limited study in Canada revealed no excess, whereas a more recent one showed a slight excess. In contrast to the strikingly large excesses of nasal adenocarcinoma in other countries, there has never been any evidence of similarly large excesses in the US woodworking and furniture industry. Modern manufacturing conditions may not present the same degree of risk of developing nasal cancer as was present in the English furniture manufacturing industry. The incidence of nasal cancer associated with furniture manufacturing in the United States is examined in considerable detail in North Carolina, the leading furniture manufacturing state. Furniture manufacturing in the state began around 1890 and has grown steadily since. Utilizing statistics available from the North Carolina Department of Vital Statistics, the absolute mortality of nasal cancer in North Carolina was calculated from 1964 to 1977. The average mortality was approximately 3.5 times greater in the furniture manufacturing industry than in the general population.(ABSTRACT TRUNCATED AT 250 WORDS)

  12. Reviews

    Directory of Open Access Journals (Sweden)

    Philip Barker

    1997-12-01

    Full Text Available For a variety of different reasons, increasing use is now being made of the Internet for the delivery of course materials and/or for the support of teaching and learning activities. The details of the mechanisms used will obviously vary from one situation to another, depending upon the types of problem to be addressed. These may involve mentoring, teaching, monitoring, recording, tutoring, assessing, and so on. In this book, the author attempts to review the educational and administrative considerations of offering courses, course materials or course delivery via the Internet.

  13. Review of family satisfaction with care in the Intensive Care Unit%I CU患者家属护理满意度研究进展

    Institute of Scientific and Technical Information of China (English)

    张慧; 许翠萍; 程彦伶; 徐泽俊; 李燕; 高青; 胡传芬

    2014-01-01

    通过中国知网、万方和PubMed、Web of Knowledge数据库进行文献查阅,对ICU患者家属护理满意度的概念、测评工具进行总结,阐明了家属护理满意度的影响因素并提出了干预措施,为临床护理工作者提供参考。%This paper reviewed concept and measure tools of family satisfaction in the intensive care unit through searching databases of CNKI, Wanfang, PubMed and Web of Knowledge to provide bases for clinical nurses. It mainly presented the inlfuencing factors of family satisfaction and the intervention measures to improve family satisfaction.

  14. Reviews

    Science.gov (United States)

    2008-07-01

    WE RECOMMEND Geyser Tube A simple plastic tube makes a great difference to an old trick Field Trip to the Moon This DVD postulates what the next Moon mission will be like Plutonium: A History of the World's Most Dangerous Element A fascinating account of the people and the science behind atomic bombs Solar Energy Modules A series of units ideal for use with 7-14-year-olds Photocopiable Practical Science New teaching resource is clear, straightforward and flexible Joseph Rotblat: Visionary for Peace Biography that is thorough, well-told and worth the telling WORTH A LOOK Applied Biophysics: A Molecular Approach for Physical Scientists This book explains why physics is essential to biology William's Words in Science Classroom dictionary of scientific terms can be hit and miss HANDLE WITH CARE Zero Time Space This story of quantum mechanics loses its thread in translation WEB WATCH A whizz around the pole-related science tools that are available

  15. Description and utilization of the United States department of defense serum repository: a review of published studies, 1985-2012.

    Directory of Open Access Journals (Sweden)

    Christopher L Perdue

    Full Text Available Specimens in the United States Department of Defense (DoD Serum Repository have accumulated in frozen storage since 1985 when the DoD began universal screening for human immunodeficiency virus. Use of the stored serum for health research has been carefully controlled, but the resulting publications have never been systematically identified or described. The Armed Forces Health Surveillance Center (AFHSC information systems and open (online sites were used as data sources. Through 2012, the repository contained 54,542,658 serum specimens, of which 228,610 (0.42% have been accessed for any purpose. Between 2001 (the first year that comprehensive, digital records were available and 2012, 65.2% of all approved requests for serum were for healthcare or public health investigations, but greater than 99% of all shipped samples were for research. Using two different methods - a structure search of PubMed and an exhaustive online search based on records from AFHSC - we identified 76 articles published between October 1988 and March 2013 that covered a multitude of infectious diseases, injuries, environmental exposures and mental health conditions through analysis of antibodies, biological metabolic, signaling and regulatory substances, Vitamin D, organochlorines, dioxin, omega-3-fatty acid, and portions of human deoxyribonucleic acid. Despite its operational and scientific value, it appears that the DoD Serum Repository has been underutilized. Changes to policy and increased capacity for specimen processing could increase use of the repository without risking privacy or the availability of specimens for the healthcare of individual service members in the future.

  16. Description and Utilization of the United States Department of Defense Serum Repository: A Review of Published Studies, 1985-2012

    Science.gov (United States)

    Perdue, Christopher L.; Cost, Angelia A. Eick; Rubertone, Mark V.; Lindler, Luther E.; Ludwig, Sharon L.

    2015-01-01

    Specimens in the United States Department of Defense (DoD) Serum Repository have accumulated in frozen storage since 1985 when the DoD began universal screening for human immunodeficiency virus. Use of the stored serum for health research has been carefully controlled, but the resulting publications have never been systematically identified or described. The Armed Forces Health Surveillance Center (AFHSC) information systems and open (online) sites were used as data sources. Through 2012, the repository contained 54,542,658 serum specimens, of which 228,610 (0.42%) have been accessed for any purpose. Between 2001 (the first year that comprehensive, digital records were available) and 2012, 65.2% of all approved requests for serum were for healthcare or public health investigations, but greater than 99% of all shipped samples were for research. Using two different methods – a structure search of PubMed and an exhaustive online search based on records from AFHSC – we identified 76 articles published between October 1988 and March 2013 that covered a multitude of infectious diseases, injuries, environmental exposures and mental health conditions through analysis of antibodies, biological metabolic, signaling and regulatory substances, Vitamin D, organochlorines, dioxin, omega-3-fatty acid, and portions of human deoxyribonucleic acid. Despite its operational and scientific value, it appears that the DoD Serum Repository has been underutilized. Changes to policy and increased capacity for specimen processing could increase use of the repository without risking privacy or the availability of specimens for the healthcare of individual service members in the future. PMID:25723497

  17. The economic burden of incident venous thromboembolism in the United States: A review of estimated attributable healthcare costs

    Science.gov (United States)

    Grosse, Scott D.; Nelson, Richard E.; Nyarko, Kwame A.; Richardson, Lisa C.; Raskob, Gary E.

    2015-01-01

    Venous thromboembolism (VTE), which includes deep vein thrombosis and pulmonary embolism, is an important cause of preventable mortality and morbidity. In this study, we summarize estimates of per-patient and aggregate medical costs or expenditures attributable to incident VTE in the United States. Per-patient estimates of incremental costs can be calculated as the difference in costs between patients with and without an event after controlling for differences in underlying health status. We identified estimates of the incremental per-patient costs of acute VTEs and VTE-related complications, including recurrent VTE, post-thrombotic syndrome, chronic thromboembolic pulmonary hypertension, and anticoagulation-related adverse drug events. Based on the studies identified, treatment of an acute VTE on average appears to be associated with incremental direct medical costs of $12,000 to $15,000 (2014 US dollars) among first-year survivors, controlling for risk factors. Subsequent complications are conservatively estimated to increase cumulative costs to $18,000–23,000 per incident case. Annual incident VTE events conservatively cost the US healthcare system $7–10 billion each year for 375,000 to 425,000 newly diagnosed, medically treated incident VTE cases. Future studies should track long-term costs for cohorts of people with incident VTE, control for comorbid conditions that have been shown to be associated with VTE, and estimate incremental medical costs for people with VTE who do not survive. The costs associated with treating VTE can be used to assess the potential economic benefit and cost-savings from prevention efforts, although costs will vary among different patient groups. PMID:26654719

  18. Assessment of microbiological air quality in hemato-oncology units and its relationship with the occurrence of invasive fungal infections: an integrative review

    Directory of Open Access Journals (Sweden)

    Mayra Goncalves Menegueti

    2013-07-01

    Full Text Available Worldwide aging of the human population has promoted an increase in the incidence of neoplasia, including hematological cancers, which render patients particularly vulnerable to invasive fungal infections. For this reason, air filtration in hemato-oncology units has been recommended. However, scarce literature has assessed the impact of microbiological air quality on the occurrence of fungal infections in this population. We performed an integrative review of studies in the MEDLINE database that were published between January 1980 and October 2012, using the following combinations of keywords: air × quality × HEPA, air × quality × hematology, and airborne fungal infections. The search yielded only 13 articles, suggesting that high-efficiency filtering of the ambient air in hemato-oncology units can prevent the incidence of invasive fungal infections. However, no randomized clinical trial was found to confirm this suggestion. Currently, there is no consensus about the maximum allowable count of fungi in the air, which complicates filtration monitoring, including filter maintenance and replacement, and needs to be addressed in future studies.

  19. Children’s Exposures to Pyrethroid Insecticides at Home: A Review of Data Collected in Published Exposure Measurement Studies Conducted in the United States

    Directory of Open Access Journals (Sweden)

    Marsha K. Morgan

    2012-08-01

    Full Text Available Pyrethroid insecticides are frequently used to control insects in residential and agriculture settings in the United States and worldwide. As a result, children can be potentially exposed to pyrethroid residues in food and at home. This review summarizes data reported in 15 published articles from observational exposure measurement studies conducted from 1999 to present that examined children’s (5 months to 17 years of age exposures to pyrethroids in media including floor wipes, floor dust, food, air, and/or urine collected at homes in the United States. At least seven different pyrethroids were detected in wipe, dust, solid food, and indoor air samples. Permethrin was the most frequently detected (>50% pyrethroid in these media, followed by cypermethrin (wipes, dust, and food. 3-phenoxybenzoic acid (3-PBA, a urinary metabolite of several pyrethroids, was the most frequently (≥67% detected pyrethroid biomarker. Results across studies indicate that these children were likely exposed to several pyrethroids, but primarily to permethrin and cypermethrin, from several sources including food, dust, and/or on surfaces at residences. Dietary ingestion followed by nondietary ingestion were the dominate exposure routes for these children, except in homes with frequent pesticide applications (dermal followed by dietary ingestion. Urinary 3-PBA concentration data confirm that the majority of the children sampled were exposed to one or more pyrethroids.

  20. Review for librarians of evidence-based practice in nursing and the allied health professions in the United States

    Science.gov (United States)

    Kronenfeld, Michael; Stephenson, Priscilla L.; Nail-Chiwetalu, Barbara; Tweed, Elizabeth M.; Sauers, Eric L.; McLeod, Tamara C. Valovich; Guo, Ruiling; Trahan, Henry; Alpi, Kristine M.; Hill, Beth; Sherwill-Navarro, Pamela; Allen, Margaret (Peg); Stephenson, Priscilla L.; Hartman, Linda M.; Burnham, Judy; Fell, Dennis; Kronenfeld, Michael; Pavlick, Raymond; MacNaughton, Ellen W.; Nail-Chiwetalu, Barbara

    2007-01-01

    Objective: This paper provides an overview of the state of evidence-based practice (EBP) in nursing and selected allied health professions and a synopsis of current trends in incorporating EBP into clinical education and practice in these fields. This overview is intended to better equip librarians with a general understanding of the fields and relevant information resources. Included Professions: Professions are athletic training, audiology, health education and promotion, nursing, occupational therapy, physical therapy, physician assisting, respiratory care, and speech-language pathology. Approach: Each section provides a description of a profession, highlighting changes that increase the importance of clinicians' access to and use of the profession's knowledgebase, and a review of each profession's efforts to support EBP. The paper concludes with a discussion of the librarian's role in providing EBP support to the profession. Conclusions: EBP is in varying stages of growth among these fields. The evolution of EBP is evidenced by developments in preservice training, growth of the literature and resources, and increased research funding. Obstacles to EBP include competing job tasks, the need for additional training, and prevalent attitudes and behaviors toward research among practitioners. Librarians' skills in searching, organizing, and evaluating information can contribute to furthering the development of EBP in a given profession. PMID:17971887

  1. Navigating the digital divide: A systematic review of eHealth literacy in underserved populations in the United States.

    Science.gov (United States)

    Chesser, Amy; Burke, Anne; Reyes, Jared; Rohrberg, Tessa

    2016-01-01

    eHealth provides an important mechanism to connect medically underserved populations with health information, but little is known about gaps in eHealth literacy research in underserved adult populations within the U.S. Between June and July 2013, three systematic literature reviews of five databases were conducted and a subsequent hand search was completed. Identified literature was screened and studies meeting exclusion and inclusion criteria were synthesized and analyzed for common themes. Of the 221 articles critically appraised, 15 met these criteria. Thirty-five of these studies were excluded due to international origin. Of the articles meeting the inclusion criteria, underserved populations assessed included immigrant women, the elderly, low-income, the un- and underemployed, and African-American and Hispanic populations. eHealth literacy assessments utilized included one or two item screeners, the eHEALS scale, health information competence and cognitive task analysis. Factors examined in relation to eHealth literacy included age, experience, overall health literacy, education, income and culture. The majority did not assess the impact of locality and those that did were predominately urban. These data suggest that there is a gap in the literature regarding eHealth literacy knowledge for underserved populations, and specifically those in rural locations, within the U.S.

  2. A Systematic Review of HIV and STI Behavior Change Interventions for Female Sex Workers in the United States.

    Science.gov (United States)

    Abad, Neetu; Baack, Brittney N; O'Leary, Ann; Mizuno, Yuko; Herbst, Jeffrey H; Lyles, Cynthia M

    2015-09-01

    The lives of female sex workers (FSW) in the US are typically marked by substance abuse, violence, trauma, and poverty. These factors place FSW at risk for acquiring and transmitting HIV and other sexually transmitted infections (STIs). The purpose of this systematic review is to examine HIV/STI interventions conducted in the US that aim to reduce sexual- or drug-related risk behavior among FSW. Eighteen studies describing 19 unique interventions met our selection criteria: five exclusively targeted FSW, two reported stratified data for FSW, and 12 included at least 50 % FSW. Results indicate that 15 interventions provided HIV/STI information, 13 provided substance abuse prevention information, and few included content tailored to specific needs of FSW. Our findings suggest that current HIV/STI prevention efforts in the US do not adequately address the needs of FSW. Interventions are needed to address issues facing FSW in order to reduce HIV/STI transmission in this high-risk group.

  3. Diet and Physical Activity in Rural vs Urban Children and Adolescents in the United States: A Narrative Review.

    Science.gov (United States)

    McCormack, Lacey Arneson; Meendering, Jessica

    2016-03-01

    Current research suggests that the prevalence of obesity is higher among rural youth than urban youth. Due to the health implications that are associated with child and adolescent obesity, it is critical to understand systematic differences in diet and physical activity (PA) behaviors that may be contributing to this disparity in weight. However, varying definitions of rural and inconsistencies in study tools and methodologies may limit the generalizability of findings from research in this area. The objective of this narrative review was to synthesize and critically evaluate existing literature comparing diet and PA behaviors between rural and urban children and adolescents, providing recommendations for future research. Only five studies were found that reported on measures of diet in rural vs urban youth, whereas 16 were found that reported on measures of PA. Dietary assessment tools were generally standard and acceptable; however, differences existed in how dietary outcomes were defined. Few studies used assessment tools that objectively measured PA, and definitions for meeting PA recommendations varied among studies. Very few studies defined rural using the same criteria. Future research on the rural youth obesity disparity should focus on including a high-quality assessment of both diet and PA (as opposed to one or the other) and on using an appropriate and consistent definition of rural.

  4. REVIEW

    Directory of Open Access Journals (Sweden)

    N. F. Bugay

    2016-01-01

    Full Text Available Review of Study Guide: «KUBAN STUDIES. KUBAN IN THE XX CENTURY – THE BEGINNING OF THE XXI CENTURY. HISTORY. PEOPLE SOCIETY.» Study Guide (electronic version to grade 11 of educational institutions. A.A. Zaitsev, E.V. Morozova, N.V. Plotichkina and O.A. Borisko, M.A. Egupova, A.B. Sazantovich, I.S. Bashkakov, T.I. Belyaeva. Krasnodar: Perspectives on Education, 2015.In a review of a thorough analysis of all the component parts of the book that will surely attract the attention first of all history teachers and students in 11 classes of educational institutions of the region. A comprehensive presentation of the material significantly adds to the course of modern history of Russia and enrich its specific material about the life of the Russian Cossacks and as part of the – of the Kuban Cossacks. Along with the reference materials of pure nature that is needed for this kind of research are presented and informative sections on the socio-economic condition of the region, the interests of different strata of the population, the multinational factor and the religious beliefs of the population. Cossacks in its warlike mentality, and this trait is passed from generation to generation. But the aspirations of the Cossacks in this respect are transparent – protecting the integrity of the Fatherland, faithful service to him, boundless devotion to the Orthodox faith. The important story is linked with the identity of the Russian Cossacks, its mentality, "Kuban" specificity, especially for the rule on different sections of history, to various of its exponents, both military and civilians. As is known from the Cossacks received a development institute of judging for each Ataman smoking, working village judge. Cossacks series comply with the law as applied his own family, and chic plan – in the state, fought against offenders, it is considered in relation to the Cossacks and representatives of different ethnic communities living with the Cossacks, and

  5. Traumatic Brain Injury in United States Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Hispanic Veterans-A Review Using the PRISMA Method.

    Science.gov (United States)

    Arriola, Vanessa D; Rozelle, Jeffrey W

    2016-01-12

    Traumatic brain injury (TBI) is commonly defined by Menon et al. as an "alteration of the brain function, or other evidence of brain pathology, caused by an external force." TBI can be caused by penetrating trauma to the head in which the magnitude of the injury is dependent on the magnitude of the forces that are applied to the head. The consequences of TBI can range from minimal to severe disability and even death. The major objectives of this systematic review are to survey the current literature on Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) Hispanic veterans with TBI. To complete this analysis, the Preferred Reporting Items for Systematic Reviews and MetaAnalysis (PRISMA) identified 875 articles in common and retrieved a total of 34 articles that met the inclusion criteria, consisted of OEF/OIF Hispanic veterans, reported quantitative data, and were conducted with adult U.S. veterans living in the United States. Since TBI diagnosis was unclear in most articles, only five articles that used the VATBIST instrument were analyzed. The results suggested that there is a lack of research on OEF/OIF Hispanic veterans and Hispanic subgroups. Future studies need to be conducted to consider minority groups while analyzing data involving TBI.

  6. Traumatic Brain Injury in United States Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF Hispanic Veterans—A Review Using the PRISMA Method

    Directory of Open Access Journals (Sweden)

    Vanessa D. Arriola

    2016-01-01

    Full Text Available Traumatic brain injury (TBI is commonly defined by Menon et al. as an “alteration of the brain function, or other evidence of brain pathology, caused by an external force.” TBI can be caused by penetrating trauma to the head in which the magnitude of the injury is dependent on the magnitude of the forces that are applied to the head. The consequences of TBI can range from minimal to severe disability and even death. The major objectives of this systematic review are to survey the current literature on Operation Enduring Freedom (OEF and Operation Iraqi Freedom (OIF Hispanic veterans with TBI. To complete this analysis, the Preferred Reporting Items for Systematic Reviews and MetaAnalysis (PRISMA identified 875 articles in common and retrieved a total of 34 articles that met the inclusion criteria, consisted of OEF/OIF Hispanic veterans, reported quantitative data, and were conducted with adult U.S. veterans living in the United States. Since TBI diagnosis was unclear in most articles, only five articles that used the VATBIST instrument were analyzed. The results suggested that there is a lack of research on OEF/OIF Hispanic veterans and Hispanic subgroups. Future studies need to be conducted to consider minority groups while analyzing data involving TBI.

  7. Restraining good practice: Reviewing evidence of the effects of restraint from the perspective of service users and mental health professionals in the United Kingdom (UK).

    Science.gov (United States)

    Cusack, P; McAndrew, S; Cusack, F; Warne, T

    2016-01-01

    Safeguarding, balancing the concept of risk with the need for public protection and its implication for the lives of individuals, is an important facet of contemporary mental health care. Integral to safeguarding is the protection of human rights; the right to live free from torture, inhuman, or degrading treatment, and having the right to liberty, security, respect, and privacy. Professionals are required to recognise all of these rights when delivering care to vulnerable people. In the United Kingdom (UK) there has been growing public concern regarding abusive practices in institutions, with a number of unacceptable methods of restraint being identified as a feature of care, particularly in mental health care. In keeping with the service user movement, and following a review of the literature, this paper discusses the evidence regarding restraint from the perspectives of service users and professionals within mental health services and considers the implications for future practice and research. In reviewing the literature, findings revealed that restraint can be a form of abuse, it's inappropriate use often being a consequence of fear, neglect, and lack of using de-escalation techniques. Using restraint in this way can have negative implications for the well-being of service users and mental health professionals alike.

  8. A systematic review and meta-analysis of behavioral interventions to reduce HIV risk behaviors of Hispanics in the United States and Puerto Rico.

    Science.gov (United States)

    Herbst, Jeffrey H; Kay, Linda S; Passin, Warren F; Lyles, Cynthia M; Crepaz, Nicole; Marín, Barbara V

    2007-01-01

    This systematic review examines the overall efficacy of HIV behavioral interventions designed to reduce HIV risk behaviors or incident sexually transmitted diseases (STDs) among Hispanics residing in the United States or Puerto Rico. Data from 20 randomized and nonrandomized trials (N = 6,173 participants) available through January 2006 were included in this review. Interventions successfully reduced the odds of unprotected sex and number of sex partners, increased the odds of condom use, and decreased the odds of acquiring new STD infections. Interventions successful in reducing the odds of any sex risk behavior used non-peer deliverers; included >or=4 intervention sessions; taught condom use or problem solving skills; or addressed barriers to condom use, sexual abstinence, or peer norms. Interventions that included the Hispanic cultural belief of machismo or those developed based on ethnographic interviews were successful in reducing the odds of sex risk behaviors among non-drug users. Interventions targeting injection drug users (IDUs; N = 3,569) significantly reduced the odds of injection drug use and the odds of sharing cotton or cookers, but did not significantly reduce the odds of engaging in risky sex behavior or needle sharing. Further development of culturally appropriate HIV prevention interventions for Hispanic populations, particularly men and persons living with HIV, are warranted.

  9. A scoping review of how new midwifery practitioners transition to practice in Australia, New Zealand, Canada, United Kingdom and The Netherlands.

    Science.gov (United States)

    Gray, Michelle; Malott, Anne; Davis, Beth Murray; Sandor, Christine

    2016-11-01

    contemporary knowledge related to the experiences of new midwifery practitioners is limited to countries that run hospital-based transition to practice programmes within an employment contract arrangement, such as the United Kingdom, and Australia. Less is known of the experiences of New Midwifery Practitioners (NMPs) who transition into autonomous private practice in New Zealand, Canada and the Netherlands. the purpose of this paper is to report on a scoping review of the way NMPs are transitioned to practice in the first year of registered practice across the selected countries. this review accessed literature and government and professional sites to make comparisons between the transition to practice processes within five countries, and discusses the benefits and issues, associated with public hospital employment programs versus community based government funded midwifery group practices. comparison of the way in which NMPs are transitioned to practice in the first year of registered practice between the selected countries shows important differences based on occupational organisation. Funding of maternity services influences how NMPs in each country are orientated and supported in their transition to registered practice. Direct comparisons between countries were difficult. More research is recommended to investigate NMPs' experiences of transition to practice in private practice. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. A comprehensive systematic review of visitation models in adult critical care units within the context of patient- and family-centred care.

    Science.gov (United States)

    Ciufo, Donna; Hader, Richard; Holly, Cheryl

    2011-12-01

    The aim of this review was to appraise and synthesise the best available evidence on visitation models used in adult intensive care units in acute care hospitals and to explicate their congruence with the core concepts of patient- and family-centred care (PFCC). The review considered both quantitative and qualitative studies on visitation models developed within the PFCC model in adult intensive care units in acute care hospitals. The search strategy sought published and unpublished research papers limited to English for the years 1988 through 2009. An initial search of the Joanna Briggs Institute for Evidence-Based Nursing and Midwifery, the Cochrane Library, and PubMed's Clinical Inquiry/Find Systematic Review database was conducted, followed by an analysis of key words contained in the title, abstract and index terms. Following this, an extensive three-stage search was conducted using PubMed, CINAHL, HealthStar, ScienceDirect, Dissertation Abstracts International, DARE, PsycINFO, BioMedCentral, TRIP, Pre-CINAHL, PsycARTICLES, Psychology and Behavioural Sciences Collection, ISI Current Contents, Science.gov, Web of Science/Web of Knowledge, Scirus.com website. Included was a hand search of reference lists of identified papers to capture all pertinent material as well as a search of relevant worldwide websites and search engines, such as Google Scholar and the Virginia Henderson Library of Sigma Theta Tau International. Each paper was assessed independently by two reviewers for methodological quality prior to inclusion in the review using the appropriate critical appraisal instrument. Findings from the qualitative studies were extracted and a synthesis conducted using the QARI (Qualitative Assessment and Review Instrument) software developed by the Joanna Briggs Institute. One synthesis revealed that visiting hours were seen as guidelines for the benefit of nurse and patient, rather than rules or policy. Due to the various types of designs in the available studies

  11. Sono-leather technology with ultrasound: a boon for unit operations in leather processing - review of our research work at Central Leather Research Institute (CLRI), India.

    Science.gov (United States)

    Sivakumar, Venkatasubramanian; Swaminathan, Gopalaraman; Rao, Paruchuri Gangadhar; Ramasami, Thirumalachari

    2009-01-01

    Ultrasound is a sound wave with a frequency above the human audible range of 16 Hz to 16 kHz. In recent years, numerous unit operations involving physical as well as chemical processes are reported to have been enhanced by ultrasonic irradiation. There have been benefits such as improvement in process efficiency, process time reduction, performing the processes under milder conditions and avoiding the use of some toxic chemicals to achieve cleaner processing. These could be a better way of augmentation for the processes as an advanced technique. The important point here is that ultrasonic irradiation is physical method activation rather than using chemical entities. Detailed studies have been made in the unit operations related to leather such as diffusion rate enhancement through porous leather matrix, cleaning, degreasing, tanning, dyeing, fatliquoring, oil-water emulsification process and solid-liquid tannin extraction from vegetable tanning materials as well as in precipitation reaction in wastewater treatment. The fundamental mechanism involved in these processes is ultrasonic cavitation in liquid media. In addition to this there also exist some process specific mechanisms for the enhancement of the processes. For instance, possible real-time reversible pore-size changes during ultrasound propagation through skin/leather matrix could be a reason for diffusion rate enhancement in leather processing as reported for the first time. Exhaustive scientific research work has been carried out in this area by our group working in Chemical Engineering Division of CLRI and most of these benefits have been proven with publications in valued peer-reviewed international journals. The overall results indicate that about 2-5-fold increase in the process efficiency due to ultrasound under the given process conditions for various unit operations with additional benefits. Scale-up studies are underway for converting these concepts in to a real viable larger scale operation. In

  12. A Systematic Review of Waterborne Disease Outbreaks Associated with Small Non-Community Drinking Water Systems in Canada and the United States.

    Directory of Open Access Journals (Sweden)

    Wendy Pons

    Full Text Available Reports of outbreaks in Canada and the United States (U.S. indicate that approximately 50% of all waterborne diseases occur in small non-community drinking water systems (SDWSs. Summarizing these investigations to identify the factors and conditions contributing to outbreaks is needed in order to help prevent future outbreaks.The objectives of this study were to: 1 identify published reports of waterborne disease outbreaks involving SDWSs in Canada and the U.S. since 1970; 2 summarize reported factors contributing to outbreaks, including water system characteristics and events surrounding the outbreaks; and 3 identify terminology used to describe SDWSs in outbreak reports.Three electronic databases and grey literature sources were searched for outbreak reports involving SDWSs throughout Canada and the U.S. from 1970 to 2014. Two reviewers independently screened and extracted data related to water system characteristics and outbreak events. The data were analyzed descriptively with 'outbreak' as the unit of analysis.From a total of 1,995 citations, we identified 50 relevant articles reporting 293 unique outbreaks. Failure of an existing water treatment system (22.7% and lack of water treatment (20.2% were the leading causes of waterborne outbreaks in SDWSs. A seasonal trend was observed with 51% of outbreaks occurring in summer months (p<0.001. There was large variation in terminology used to describe SDWSs, and a large number of variables were not reported, including water source and whether water treatment was used (missing in 31% and 66% of reports, respectively.More consistent reporting and descriptions of SDWSs in future outbreak reports are needed to understand the epidemiology of these outbreaks and to inform the development of targeted interventions for SDWSs. Additional monitoring of water systems that are used on a seasonal or infrequent basis would be worthwhile to inform future protection efforts.

  13. An Official American Thoracic Society Systematic Review: The Effect of Nighttime Intensivist Staffing on Mortality and Length of Stay among Intensive Care Unit Patients.

    Science.gov (United States)

    Kerlin, Meeta Prasad; Adhikari, Neill K J; Rose, Louise; Wilcox, M Elizabeth; Bellamy, Cassandra J; Costa, Deena Kelly; Gershengorn, Hayley B; Halpern, Scott D; Kahn, Jeremy M; Lane-Fall, Meghan B; Wallace, David J; Weiss, Curtis H; Wunsch, Hannah; Cooke, Colin R

    2017-02-01

    Studies of nighttime intensivist staffing have yielded mixed results. To review the association of nighttime intensivist staffing with outcomes of intensive care unit (ICU) patients. We searched five databases (2000-2016) for studies comparing in-hospital nighttime intensivist staffing with other nighttime staffing models in adult ICUs and reporting mortality or length of stay. We abstracted data on staffing models, outcomes, and study characteristics and assessed study quality, using standardized tools. Meta-analyses used random effects models. Eighteen studies met inclusion criteria: one randomized controlled trial and 17 observational studies. Overall methodologic quality was high. Studies included academic hospitals (n = 10), community hospitals (n = 2), or both (n = 6). Baseline clinician staffing included residents (n = 9), fellows (n = 4), and nurse practitioners or physician assistants (n = 2). Studies included both general and specialty ICUs and were geographically diverse. Meta-analysis (one randomized controlled trial; three nonrandomized studies with exposure limited to nighttime intensivist staffing with adjusted estimates of effect) demonstrated no association with mortality (odds ratio, 0.99; 95% confidence interval, 0.75-1.29). Secondary analyses including studies without risk adjustment, with a composite exposure of organizational factors, stratified by intensity of daytime staffing and by ICU type, yielded similar results. Minimal or no differences were observed in ICU and hospital length of stay and several other secondary outcomes. Notwithstanding limitations of the predominantly observational evidence, our systematic review and meta-analysis suggests nighttime intensivist staffing is not associated with reduced ICU patient mortality. Other outcomes and alternative staffing models should be evaluated to further guide staffing decisions.

  14. Changes in microRNA (miRNA) expression during pancreatic cancer development and progression in a genetically engineered KrasG12D;Pdx1-Cre mouse (KC) model

    Science.gov (United States)

    Rachagani, Satyanarayana; Dey, Parama; Pai, Priya; Smith, Lynette M.; Mo, Yin-Yuan; Batra, Surinder K.

    2015-01-01

    Differential expression of microRNAs (miRNAs) has been demonstrated in various cancers, including pancreatic cancer (PC). Due to the lack of tissue samples from early-stages of PC, the stage-specific alteration of miRNAs during PC initiation and progression is largely unknown. In this study, we investigated the global miRNA expression profile and their processing machinery during PC progression using the KrasG12D;Pdx1-Cre (KC) mouse model. At 25 weeks, the miRNA microarray analysis revealed significant downregulation of miR-150, miR-494, miR-138, miR-148a, miR-216a, and miR-217 and upregulation of miR-146b, miR-205, miR-31, miR-192, and miR-21 in KC mice compared to controls. Further, expression of miRNA biosynthetic machinery including Dicer, Exportin-5, TRKRA, and TARBP2 were downregulated, while DGCR8 and Ago2 were upregulated in KC mice. In addition, from 10 to 50 weeks of age, stage-specific expression profiling of miRNA in KC mice revealed downregulation of miR-216, miR-217, miR-100, miR-345, miR-141, miR-483-3p, miR-26b, miR-150, miR-195, Let-7b and Let-96 and upregulation of miR-21, miR-205, miR-146b, miR-34c, miR-1273, miR-223 and miR-195 compared to control mice. Interestingly, the differential expression of miRNA in mice also corroborated with the miRNA expression in human PC cell lines and tissue samples; ectopic expression of Let-7b in CD18/HPAF and Capan1 cells resulted in downregulation of KRAS and MSST1 expression. Overall, the present study aids an understanding of miRNA expression patterns during PC pathogenesis and helps to facilitate the identification of promising and novel early diagnostic/prognostic markers and therapeutic targets. PMID:26516699

  15. The Role of Online Social Support in Supporting and Educating Parents of Young Children With Special Health Care Needs in the United States: A Scoping Review.

    Science.gov (United States)

    DeHoff, Beth A; Staten, Lisa K; Rodgers, Rylin Christine; Denne, Scott C

    2016-12-22

    When parents of young children with special health care needs (CSHCN) receive their child's diagnosis, they encounter information they may not understand, emotions they may not know how to cope with, and questions about their child's immediate and long-term future that frequently lack answers. The challenge of health care providers is how to prepare parents for caring for their CSHCN, for coping with any resulting challenges, and for accessing the systems and services that can assist them. The purpose of this work was to review evidence of the information and support needs of parents of young CSHCN and to determine whether online social support can serve as an avenue for learning and empowerment for these parents. A scoping review identified the challenges, coping mechanisms, and support needs among parents of CSHCN, and the reach and effectiveness of digital technologies with these families and health care providers. We also conducted interviews with professionals serving parents of CSHCN. The literature review and interviews suggested that parents best learn the information they need, and cope with the emotional challenges of raising a CSHCN, with support from other parents of CSHCN, and that young parents in recent years have most often been finding this parent-to-parent support through digital media, particularly social media, consistent with the theory of online social support. Evidence also shows that social media, particularly Facebook, is used by nearly all women aged 18-29 years across racial and socioeconomic lines in the United States. Parents of young CSHCN experience significant stress but gain understanding, receive support, and develop the ability to care for and be advocates for their child through parent-to-parent emotional and informational social support. Online social support is most effective with young adults of childbearing age, with social media and apps being the most useful within the theoretical framework of social support. This opens new

  16. A Review of Applicability and Effectiveness of Low Impact Development/Green Infrastructure Practices in Arid/Semi-Arid United States

    Directory of Open Access Journals (Sweden)

    Yan Jiang

    2015-06-01

    Full Text Available Urbanized areas of the southwestern/western United States are among the fastest growing in the nation and face multiple water resource challenges. Low impact development (LID/green infrastructure (GI practices are increasingly popular technologies for managing stormwater; however, LID is often not as common in the southwest/west due to the lack of regulatory and/or economic drivers. There is also a lack of performance evaluation of these practices, particularly at the field scale. This study focused on investigating the hydrologic and pollutant removal performance of field-scale LID/GI systems in arid/semi-arid climates. Nine typical practices were reviewed: rainwater harvest system, detention pond, retention pond, bioretention, media filter, porous pavement, vegetated swale/buffer/strip, green roof, and infiltration trench, as well as integrated LIDs. We evaluate these practices by a cost-effectiveness analysis and also recommend best practices for the arid/semi-arid area. The analysis provides data support and insights for future implementation of LID/GI in the southwest/west.

  17. Aldrin and dieldrin: a review of research on their production, environmental deposition and fate, bioaccumulation, toxicology, and epidemiology in the United States.

    Science.gov (United States)

    Jorgenson, J L

    2001-01-01

    In the last decade four international agreements have focused on a group of chemical substances known as persistent organic pollutants (POPs). Global agreement on the reduction and eventual elimination of these substances by banning their production and trade is a long-term goal. Negotiations for these agreements have focused on the need to correlate data from scientists working on soil and water sampling and air pollution monitoring. Toxicologists and epidemiologists have focused on wildlife and human health effects and understanding patterns of disease requires better access to these data. In the last 20 years, substantial databases have been created and now are becoming available on the Internet. This review is a detailed examination of 2 of the 12 POPs, aldrin and dieldrin, and how scientific groups identify and measure their effects. It draws on research findings from a variety of environmental monitoring networks in the United States. An overview of the ecologic and health effects of aldrin and dieldrin provides examples of how to streamline some of the programs and improve access to mutually useful scientific data. The research groups are located in many government departments, universities, and private organizations. Identifying databases can provide an "information accelerator" useful to a larger audience and can help build better plant and animal research models across scientific fields. PMID:11250811

  18. How does Intimate Partner Violence Affect Condom and Oral Contraceptive Use in the United States? A Systematic Review of the Literature

    Science.gov (United States)

    Bergmann, Julie N.; Stockman, Jamila K.

    2015-01-01

    INTRODUCTION Intimate partner violence (IPV) is estimated to affect 25% of adult women in the US alone. IPV directly impacts women’s ability to use contraception, resulting in many of unintended pregnancies and STIs. This review examines the relationship between IPV and condom and oral contraceptive use within the United States at two levels: the female victim’s perspective on barriers to condom and oral contraceptive use, in conjunction with experiencing IPV (Aim 1) and the male perpetrator’s perspective regarding condom and oral contraceptive use (Aim 2). STUDY DESIGN We systematically reviewed and synthesized all publications meeting the study criteria published since 1997. We aimed to categorize the results by emerging themes related to each study aim. RESULTS We identified 42 studies that met our inclusion criteria. We found 37 studies that addressed Aim 1. Within this we identified three themes: violence resulting in reduced condom or oral contraceptive use (n=15); condom or oral contraceptive use negotiation (n=15); which we further categorized as IPV due to condom or oral contraceptive request, perceived violence (or fear) of IPV resulting in decreased condom or oral contraceptive use, and sexual relationship power imbalances decreasing the ability to use condoms or oral contraceptives; and reproductive coercion (n=7). We found 5 studies that addressed Aim 2. Most studies were cross-sectional, limiting the ability to determine causality between IPV and condom or oral contraceptive use; however, most studies did find a positive relationship between IPV and decreased condom or oral contraceptive use. CONCLUSIONS Quantitative, qualitative, and mixed methods research has demonstrated the linkages between female IPV victimization/male IPV perpetration and condom or oral contraceptive use. However, additional qualitative and longitudinal research is needed to improve the understanding of dynamics in relationships with IPV and determine causality between IPV

  19. Review report: safety and reliability issues on digital instrumentation and control systems in nuclear power plants and United States Nuclear Regulatory Commission`s dispositions

    Energy Technology Data Exchange (ETDEWEB)

    Watanabe, Norio; Suzudo, Tomoaki [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    1998-09-01

    Recently, digital instrumentation and control (I and C) systems have been applied to nuclear power plants (NPPs) in various countries. Introduction of digital I and C systems, however, raises special issues on design, implementation, safety and licensing. Since FY 1997, the Japan Atomic Energy Research Institute (JAERI) has been carrying out a project, Study on Reliability of Digital I and C Systems, which includes extensive reviews of design approaches, technical standards, regulatory processes, especially, in the United States. This report summarizes the results from the study of National Research Council (NRC) and the U.S. Nuclear Regulatory Commission`s (USNRC`s) responses to the recommendations made by the NRC`s study. That study identified six technical key issues (system aspects of digital I and C technology, software quality assurance, common-mode software failure potential, safety and reliability assessment methods, human factors and man-machine interface, dedication of commercial off-the-shelf hardware and software) and two strategic key issues (case-by-case licensing process, adequacy of technical infrastructure) that arise from the introduction of digital I and C technology and then, made recommendations to the USNRC for coping with digital I and C applications. The USNRC responded to each recommendation and showed their own dispositions in which the USNRC agreed with most of the recommendations. In Japan, it is expected that introduction of digital I and C technology is inevitable in NPPs because the vendors are gradually discontinuing support and stocking of analog components. To cope with such situations, there is a need to develop and update the standards and guidelines applicable to digital I and C technology. The key issues and the USNRC`s dispositions provided in this report is believed to be useful for developing and updating them. (J.P.N.)

  20. Association of hyponatremia with in-hospital outcomes in infective endocarditis: A 5-year review from an Indian Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Saraschandra Vallabhajosyula

    2016-01-01

    Full Text Available Hyponatremia is commonly noted with cardiovascular disorders, but its role in infective endocarditis (IE is limited to being a marker of increased morbidity in IE patients with intravenous drug use. This was a 5-year retrospective review from an Indian Intensive Care Unit (ICU. Patients >18 years with IE and available serum sodium levels were included in the study. Pediatric and pregnant patients were excluded from the study. Hyponatremia was defined as admission sodium <135 mmol/L. Detailed data were abstracted from the medical records. Primary outcomes were need for invasive mechanical ventilation, ICU length of stay, and in-hospital mortality. Secondary outcomes included development of acute kidney injury, acute decompensated heart failure (ADHF, acute respiratory distress syndrome, stroke, and severe sepsis in the ICU. Two-tailed P < 0.05 was considered statistically significant. Between January 2010 and December 2014, 96 patients with IE were admitted to the ICU with 85 (88.5% (median age 46 [34.5-55] years, 51 [60.0%] males meeting our inclusion criteria. The comorbidities, echocardiographic, and microbiological characteristics were comparable between patients with hyponatremia (56; 65.9% and eunatremia (29; 34.1%. Median sodium in the hyponatremic cohort was 131 mmol/L (127.25-133 compared to the eunatremic cohort 137 mmol/L (135-139 (P < 0.001. The primary outcomes were not different between the two groups. Hyponatremia was associated more commonly with ADHF (12 [21.4%] vs. 0; P = 0.007 during the ICU stay. Hyponatremia is commonly seen in IE patients and is not associated with worse hospital outcomes. ADHF was seen more commonly in the hyponatremic patients in comparison to those with eunatremia.

  1. Development of innovative teaching materials: clinical pharmacology problem-solving (CPPS) units: comparison with patient-oriented problem-solving units and problem-based learning--a 10-year review.

    Science.gov (United States)

    Lathers, Claire M; Smith, Cedric M

    2002-05-01

    The First Teaching Clinic in Clinical Pharmacology, sponsored by the American College of Clinical Pharmacology in September 1992, was designed for the preparation and development of new clinical pharmacology problem-solving (CPPS) units. CPPS units are case histories that illustrate pertinent principles in clinical pharmacology. Each unit consists of the following sections: introduction, learning objectives, pretest, four clinical pharmacology scenarios, posttest, answers to pre- and posttest questions, and selected references. The clinical pharmacology content of the CPPS units place greater emphasis on clinical information, drug selection, and risk/benefit analyses, and thus they complement the basic pharmacology presented in the patient-oriented problem-solving (POPS) units. In general, the CPPS units are intended for use by students more advanced in clinical pharmacology than first- and second-year medical students. The CPPS unit "Clinical Pharmacology of Antiepileptic Drug Use: Clinical Pearls about the Perils of Patty" was developed for use by third- and fourth-year medical students doing rotations in neurology or clinical pharmacology; advanced pharmacy students; residents in neurology, pediatrics, internal medicine, and family practice; fellows in clinical pharmacology, and those taking the board examination in clinical pharmacology. The CPPS unit titled "Geriatric Clinical Psychopharmacology" was written for third- and fourth-year medical students; residents in psychiatry, family practice, and internal medicine;fellows in clinical pharmacology; and those studying for boards in clinical pharmacology. The CPPS unit "Anisocoria and Glaucoma" was written for more advanced students of clinical pharmacology. The CPPS unit titled "Antiepileptic Drugs" was intended for second-year medical students. The second teaching clinic was held in November 1993 and focused on the development and editing of the CPPS units and their evaluations by faculty and students from

  2. Systematic review of interventions for Indigenous adults with mental and substance use disorders in Australia, Canada, New Zealand and the United States.

    Science.gov (United States)

    Leske, Stuart; Harris, Meredith G; Charlson, Fiona J; Ferrari, Alize J; Baxter, Amanda J; Logan, Jacquie M; Toombs, Maree; Whiteford, Harvey

    2016-11-01

    The aim of this study was to systematically review the evidence-base for the effectiveness of culturally unadapted, culturally adapted and culture-based interventions for Indigenous adults with mental or substance use disorders. We conducted a systematic search of scientific databases, government websites and web-based Indigenous research repositories. We sought studies using designs comparing an intervention group to a control/comparator group or pre- and post-test designs, published between 2000 and 2015 examining interventions to improve individual-level outcomes (e.g. remission, symptoms, quality of life, functioning) or service-level outcomes (e.g. number of interventions delivered) for Indigenous adults with mental or substance use disorders in Australia, Canada, New Zealand or the United States. A total of 16 studies met inclusion criteria. Virtually all North American studies (6 US and 1 Canadian) evaluated culturally unadapted interventions, all of which were interventions for substance use. Two-thirds of Australian and New Zealand studies evaluated culturally adapted interventions and included samples with mental disorders. Of eight culturally unadapted psychological/psychosocial, pharmacological and educational intervention studies, seven reported significant improvements on at least one measure of psychological well-being, mental health problem severity, or significantly reduced alcohol or illicit drug use. Of seven culturally adapted psychological/psychosocial intervention studies, all reported significant improvement on at least one measure of symptoms of mental illness, functioning, and alcohol use. One culture-based psychological/psychosocial intervention study significantly reduced problem severity in medical and psychiatric domains. There remains inconclusive evidence regarding interventions due to a small and methodologically weak evidence-base. The literature would be enhanced by intervention replication and outcome standardisation, validating

  3. Treatment of diabetic mice with undenatured whey protein accelerates the wound healing process by enhancing the expression of MIP-1α, MIP-2, KC, CX3CL1 and TGF-β in wounded tissue

    Directory of Open Access Journals (Sweden)

    Badr Gamal

    2012-06-01

    Full Text Available Abstract Background Continuous diabetes-associated complications are a major source of immune system exhaustion and an increased incidence of infection. Diabetes can cause poor circulation in the feet, increasing the likelihood of ulcers forming when the skin is damaged and slowing the healing of the ulcers. Whey proteins (WPs enhance immunity during childhood and have a protective effect on some immune disorders. Therefore, in this study, we investigated the effects of camel WP on the healing and closure of diabetic wounds in a streptozotocin (STZ-induced type I diabetic mouse model. Results Diabetic mice exhibited delayed wound closure characterized by a significant decrease in an anti-inflammatory cytokine (namely, IL-10 and a prolonged elevation of the levels of inflammatory cytokines (TNF-α, IL-1β and IL-6 in wound tissue. Moreover, aberrant expression of chemokines that regulate wound healing (MIP-1α, MIP-2, KC and CX3CL1 and growth factors (TGF-β were observed in the wound tissue of diabetic mice compared with control nondiabetic mice. Interestingly, compared with untreated diabetic mice, supplementation with WP significantly accelerated the closure of diabetic wounds by limiting inflammatory stimuli via the restoration of normal IL-10, TNF-α, IL-1β and IL-6 levels. Most importantly, the supplementation of diabetic mice with WP significantly modulated the expression of MIP-1α, MIP-2, KC, CX3CL1 and TGF-β in wound tissue compared with untreated diabetic mice. Conclusion Our data demonstrate the benefits of WP supplementation for improving the healing and closure of diabetic wounds and restoring the immune response in diabetic mice.

  4. High-resolution paleoclimatology of the Santa Barbara Basin during the Medieval Climate Anomaly and early Little Ice Age based on diatom and silicoflagellate assemblages in Kasten core SPR0901-02KC

    Science.gov (United States)

    Barron, John A.; Bukry, David B.; Hendy, Ingrid L.

    2015-01-01

    Diatom and silicoflagellate assemblages documented in a high-resolution time series spanning 800 to 1600 AD in varved sediment recovered in Kasten core SPR0901-02KC (34°16.845’ N, 120°02.332’ W, water depth 588 m) from the Santa Barbara Basin (SBB) reveal that SBB surface water conditions during the Medieval Climate Anomaly (MCA) and the early part of the Little Ice Age (LIA) were not extreme by modern standards, mostly falling within one standard deviation of mean conditions during the pre anthropogenic interval of 1748 to 1900. No clear differences between the character of MCA and the early LIA conditions are apparent. During intervals of extreme droughts identified by terrigenous proxy scanning XRF analyses, diatom and silicoflagellate proxies for coastal upwelling typically exceed one standard deviation above mean values for 1748-1900, supporting the hypothesis that droughts in southern California are associated with cooler (or La Niña-like) sea surface temperatures (SSTs). Increased percentages of diatoms transported downslope generally coincide with intervals of increased siliciclastic flux to the SBB identified by scanning XRF analyses. Diatom assemblages suggest only two intervals of the MCA (at ~897 to 922 and ~1151 to 1167) when proxy SSTs exceeded one standard deviation above mean values for 1748 to 1900. Conversely, silicoflagellates imply extreme warm water events only at ~830 to 860 (early MCA) and ~1360 to 1370 (early LIA) that are not supported by the diatom data. Silicoflagellates appear to be more suitable for characterizing average climate during the 5 to 11 year-long sample intervals studied in the SPR0901-02KC core than diatoms, probably because diatom relative abundances may be dominated by seasonal blooms of a particular year.

  5. Quantity of IL-2, IL-4, IL-10, INF-γ, TNF-α and KC-like cytokines in serum of bitches with pyometra in different stages of oestrous cycle and pregnancy.

    Science.gov (United States)

    Maciel, G S; Uscategui, R R; de Almeida, V T; Oliveira, M E F; Feliciano, M A R; Vicente, W R R

    2014-08-01

    The occurrence of the pyometra is most common in the first half of the dioestrus when there is decreased cellular immunity associated with increased serum concentration of progesterone in females. The aim of this study was to determine the immunological profile of bitches with pyometra, studying serum levels of IL-2, IL-4, IL-10, IFN-γ, KC-like and TNF-α and comparing them with those of healthy bitches in anoestrus, dioestrus and pregnant. Forty females were divided into four experimental groups: group 1 (G1): with pyometra (n = 10); group 2 (G2): bitches in the second week of gestation (n = 10); group 3 (G3): in anoestrus (n = 10); and group 4 (G4): in dioestrus (n = 10). The serum levels for IL-2, KC-like, INF-γ and TNF-α were similar for all experimental groups. The values obtained for IL-10 were found increased (p < 0.001) in animals in dioestrus and pyometra compared with females in anoestrus and pregnant, and the levels of IL-4 observed were significantly greater (p < 0.001) in bitches with pyometra when compared with others. The cytokine profile in animals with pyometra is similar to bitches in dioestrus for IL-10 and had increase in IL-4 for bitches with pyometra, which represents an anti-inflammatory these cases. This suggests the presence of an immunosuppressive state in both cases, which may explain the propensity of bitches in dioestrus to be affected by pyometra and the severity of the disease on these animals.

  6. 75 FR 36579 - Airworthiness Directives; McDonnell Douglas Corporation Model DC-10-30, DC-10-30F, DC-10-30F (KC...

    Science.gov (United States)

    2010-06-28

    ... the center upper auxiliary fuel tank, and marking the location if necessary; a one-time inspection for... inspection for damage to the fuel vapor barrier seal and upper surface of the center upper auxiliary fuel... channels. This proposed AD results from fuel system reviews conducted by the manufacturer. We are...

  7. 75 FR 61352 - Airworthiness Directives; McDonnell Douglas Corporation Model DC-10-30, DC-10-30F, DC-10-30F (KC...

    Science.gov (United States)

    2010-10-05

    ... above the center upper auxiliary fuel tank; a one-time inspection for damage to the fuel vapor barrier..., new attaching hardware, and new extruded channels. This AD was prompted by fuel system reviews... auxiliary fuel tank; a one-time inspection for damage to the fuel vapor barrier seal and upper surface...

  8. Social Ecology of Bullying and Peer Victimization of Latino and Asian Youth in the United States: A Review of the Literature

    Science.gov (United States)

    Hong, Jun Sung; Peguero, Anthony A.; Choi, Shinwoo; Lanesskog, Deirdre; Espelage, Dorothy L.; Lee, Na Youn

    2014-01-01

    Existing research on bullying and peer victimization among school-age youth focuses on identifying risk and protective factors, developing interventions, and assessing outcomes to address this pervasive problem. This article reviews research on bullying and victimization of Latino and Asian youth. The review suggests that risk and protective…

  9. Public Review Draft: A Method for Assessing Carbon Stocks, Carbon Sequestration, and Greenhouse-Gas Fluxes in Ecosystems of the United States Under Present Conditions and Future Scenarios

    Science.gov (United States)

    Bergamaschi, Brian A.; Bernknopf, Richard; Clow, David; Dye, Dennis; Faulkner, Stephen; Forney, William; Gleason, Robert; Hawbaker, Todd; Liu, Jinxun; Liu, Shu-Guang; Prisley, Stephen; Reed, Bradley; Reeves, Matthew; Rollins, Matthew; Sleeter, Benjamin; Sohl, Terry; Stackpoole, Sarah; Stehman, Stephen; Striegl, Robert G.; Wein, Anne; Zhu, Zhi-Liang; Zhu, Zhi-Liang

    2010-01-01

    The Energy Independence and Security Act of 2007 (EISA), Section 712, authorizes the U.S. Department of the Interior to develop a methodology and conduct an assessment of the Nation's ecosystems focusing on carbon stocks, carbon sequestration, and emissions of three greenhouse gases (GHGs): carbon dioxide, methane, and nitrous oxide. The major requirements include (1) an assessment of all ecosystems (terrestrial systems, such as forests, croplands, wetlands, shrub and grasslands; and aquatic ecosystems, such as rivers, lakes, and estuaries), (2) an estimation of annual potential capacities of ecosystems to increase carbon sequestration and reduce net GHG emissions in the context of mitigation strategies (including management and restoration activities), and (3) an evaluation of the effects of controlling processes, such as climate change, land use and land cover, and wildlfires. The purpose of this draft methodology for public review is to propose a technical plan to conduct the assessment. Within the methodology, the concepts of ecosystems, carbon pools, and GHG fluxes used for the assessment follow conventional definitions in use by major national and international assessment or inventory efforts. In order to estimate current ecosystem carbon stocks and GHG fluxes and to understand the potential capacity and effects of mitigation strategies, the method will use two time periods for the assessment: 2001 through 2010, which establishes a current ecosystem GHG baseline and will be used to validate the models; and 2011 through 2050, which will be used to assess future potential conditions based on a set of projected scenarios. The scenario framework is constructed using storylines of the Intergovernmental Panel on Climate Change (IPCC) Special Report Emission Scenarios (SRES), along with initial reference land-use and land-cover (LULC) and land-management scenarios. An additional three LULC and land-management mitigation scenarios will be constructed for each

  10. Reabilitação pulmonar na unidade de terapia intensiva: revisão de literatura Pulmonary rehabilitation in intensive care unit: a literature review

    Directory of Open Access Journals (Sweden)

    Danielle Corrêa França

    2010-03-01

    Full Text Available O longo período de imobilidade na internação em unidade de terapia intensiva (UTI desencadeia prejuízos aos sistemas musculoesquelético, cardiovascular, respiratório e neurológico. A reabilitação pulmonar na UTI, em especial o treinamento físico, visa restaurar a funcionalidade anterior ao episódio que determinou a necessidade da ventilação mecânica, reduzindo a dependência, prevenindo novas internações e, conseqüentemente, melhorando a qualidade de vida. Entretanto, é observada resistência na aplicação dessa modalidade de tratamento, devido ao receio das equipes. O objetivo do presente estudo foi efetuar uma revisão da literatura sobre as implicações dos programas de reabilitação pulmonar nas UTI. O levantamento bibliográfico foi feito nas bases de dados PubMed, Cochrane, PEDro e SciELO por meio dos descritores"reabilitação pulmonar""no cuidado intensivo" e"na unidade de terapia intensiva", além de estudos sugeridos por especialistas. Sete artigos (ensaios clínicos randomizados, estudos de coorte e retrospectivos foram avaliados. Todos sugeriram que a reabilitação na UTI é benéfica e não causa efeitos colaterais. Os principais benefícios identificados foram a melhora da deambulação, aumento de força da musculatura respiratória e esquelética, além de melhora funcional ligada às atividades de vida diária. De acordo com os estudos analisados, a reabilitação pulmonar em UTI mostrou-se uma modalidade segura, bem tolerada e que determina efeitos positivos aos pacientes.The long period of immobility in intensive care units (ICU may be harmful to patients' musculoskeletal, cardiovascular, respiratory and neurological systems. Pulmonary rehabilitation in ICU, particularly the physical training, aims to restore previous functionality prior to the event that determined the need for mechanical ventilation, thus reducing dependence, preventing new admissions, and improving patients' quality of life. However

  11. Do health and education agencies in the United States share responsibility for academic achievement and health? A review of 25 years of evidence about the relationship of adolescents' academic achievement and health behaviors.

    Science.gov (United States)

    Bradley, Beverly J; Greene, Amy C

    2013-05-01

    The United States Centers for Disease Control and Prevention monitors health-risk behaviors of adolescents in United States, which include (1) violence; (2) tobacco use; (3) alcohol and other drug use; (4) sexual behaviors contributing to unintended pregnancy and sexually transmitted diseases; (5) inadequate physical activity; and (6) unhealthy dietary behaviors. We reviewed original research published in peer-reviewed journals between 1985 and 2010 to synthesize evidence about the association of adolescent health-risk behaviors and academic achievement. Using predetermined selection criteria, 122 articles were included that used at least one variable for health-risk behaviors and also for academic achievement. For all six health-risk behaviors, 96.6% of the studies reported statistically significant inverse relationships between health-risk behaviors and academic achievement. With this persuasive evidence about the interrelationship of health-risk behaviors and academic achievement, it is imperative that leaders in education and health act together to make wise investments in our nation's school-age youth that will benefit the entire population. A unified system that addresses both health behavior and academic achievement would have reciprocal and synergistic effects on the health and academic achievement not only of children and adolescents, but also of adults in the United States. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  12. Acute Thrombotic Occlusion of the Popliteal Artery following Knee Dislocation: A Case Report of Management, Local Unit Practice, and a Review of the Literature

    Science.gov (United States)

    Hindi, Fadi; Ettles, Callum; Pemberton, Mark

    2017-01-01

    Arterial complications following traumatic knee injury are relatively rare but mandate timely recognition and treatment to avoid significant comorbidity and medicolegal ramifications. In this report we describe a case of acute thrombotic occlusion of the popliteal artery occurring after knee dislocation, successfully repaired by intimal fixation and a limited venous patch reconstruction. We present a review of local practice in screening vascular injuries following knee dislocation, aligned with a review of the literature and considerations for practice. PMID:28246569

  13. A systematic review and meta-analysis of three-unit fixed dental prostheses: are the results of two abutment implants comparable to the results of two abutment teeth?

    Science.gov (United States)

    Pol, C W P; Raghoebar, G M; Kerdijk, W; Boven, C; Cune, M S; Meijer, H J A

    2017-09-23

    The purpose of the systematic review and meta-analysis was to compare the performance of three-unit bridges on teeth with three-unit bridges on implants, evaluating survival of the bridges, survival of the teeth or implants, condition of the hard and soft tissues surrounding the supports, complications and patient-reported outcome measures after a mean observation period of at least 1 year. A literature search was conducted using a combination of the search terms: fixed partial denture and fixed dental prostheses. An electronic search for data published until January 2017 was undertaken using the Medline, Embase and Cochrane Library databases. Eligibility criteria included clinical human studies, either randomized or not, interventional or observational, which evaluated the results of three-unit FDPs (fixed dental prostheses) on either two implants or two abutment teeth. The search identified 1686 unique references. After applying eligibility criteria 66 articles were included in the analysis. A total of 1973 three-unit FDPs were supported by teeth, and 765 were implant-supported. No significant differences were found either in the survival of the supporting abutments (P=0.52; 99% versus 98.7% survival per year) or in the survival of the prostheses (P=0.34; 96.4% versus 97.4% survival per year). Both treatments show an almost equally low complication rate, but there is a low level of reporting of hard and soft tissue conditions and patient-reported outcome measures. It is concluded that implant-supported three-unit FDPs seem to be a reliable treatment with survival rates not significantly different from the results of teeth-supported three-unit FDPs. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  14. 164 REVIEW ARTICLE

    African Journals Online (AJOL)

    boaz

    OR UNDELIVERED REPORTS AS QUALITY INDICATOR. Iregbu KC.*, Abdullahi N. Department of Medical Microbiology and Parasitology, National Hospital, Abuja, ... Poor management of information generated in the laboratory, such as ...

  15. A review of basin morphology and pool hydrology of isolated ponded wetlands: implications for seasonal forest pools of the northeastern United States

    Science.gov (United States)

    Robert T. Brooks; Robert T. Brooks

    2005-01-01

    Seasonal forest pools (SFPs) are geographically- and hydrologically- isolated ponded wetlands, in that they are topographically isolated from other surface waters. SFPs occur commonly throughout the temperate forests of the eastern United States and adjacent Canada. SFPs are ephemeral in occurrence, typically drying annually. The regular drying of SFPs excludes fish...

  16. A REVIEW OF HOUSEHOLD DRINKING WATER INTERVENTION TRIALS AND AN APPROACH TO THE ESTIMATION OF ENDEMIC WATERBORNE GASTROENTERITIS IN THE UNITED STATES

    Science.gov (United States)

    The incidence of acute gastrointestinal illness (AGI) attributable to public drinking water systems in the United States cannot be directly measured but must be estimated based on epidemiologic studies and other information. The randomized trial is one study design used to evalua...

  17. A review of the siricid woodwasps and their Ibaliid parasitoids (Hymenoptera: Siricidae, Ibaliidae) in the Eastern United States, with emphasis on the Mid-Atlantic Region

    Science.gov (United States)

    David R. Smith; Nathan M. Schiff

    2002-01-01

    Keys are presented for the five genera and 15 species of adult Siricidae and one genus and two species of their parasitoids of the family Ibaliidae that occur in or may be adventive in the Eastern United States. Sircid larvae are wood borers in conifers and broadleafed trees. Notes on their biology, fungal symbionts, distributions, and host associations are given. Data...

  18. Literature Review - Vegetation on Levees

    Science.gov (United States)

    2010-12-01

    Hydrological Society. : N/A Title: Model for piping-plugging in earthen structures Author: Khilar, K.C., H.S. Fogler , and D.H. Gray Series/Source...Engineering 111(7), K.C. Khilar, H.S. Fogler , and D.H. Gray, Model for piping-plugging in earthen structures, 833-846, 1985, American Society of Civil

  19. Confusion assessment method para analisar delirium em unidade de terapia intensiva: revisão de literatura Confusion assessment method to analyze delirium in intensive care unit: literature review

    Directory of Open Access Journals (Sweden)

    Satomi Mori

    2009-03-01

    Intensive Care Unit. A literature review was conducted in the LILACS, MedLine, PubMed and CINAHL databases, from 2001, when the Confusion Assessment Method for Intensive Care Unit was validated, to 2008. Descriptors used for LILACS, MedLine and PubMed were delirium and intensive care unit, while for the CINAHL database, delirium and intensive care were used. From 293 articles, 35 were selected. The aspects analyzed disclosed, different types of delirium in different intensive care units. Variation in sensitivity was of 93% to 100% and variation in specificity, 89% to 100% of the Confusion Assessment Method for Intensive Care Unit, an important tool for detection, characterization and control of delirium and its impact. The aspects of delirium studied by means of the Confusion Assessment Method for Intensive Care Unit were: the performance index, identification, management, cost of treatment, morbidity and mortality due to delirium.

  20. Studying in the United Kingdom

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Beijing Review:The United Kingdom has many top universities in the world. Could you please tell us how many inter-national students are enrolled in UK institutes of higher learning and how many are from China?

  1. 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...

  2. Occupational exposures and genetic susceptibility to urinary tract cancers: a systematic review and meta-analysis.

    Science.gov (United States)

    Stojanovic, Jovana; Milovanovic, Sonja; Pastorino, Roberta; Iavicoli, Ivo; Boccia, Stefania

    2017-04-11

    This study aims to summarize the current knowledge on the relationship between genetic polymorphisms, occupational exposures, and urinary tract cancers. We searched MEDLINE, ISI Web of science, and SCOPUS online databases for all articles published in English language up to September 2016. A meta-analysis was performed to provide summary estimates for the association between a certain genetic polymorphism, occupational exposure and bladder cancer (BC) or kidney cancer (KC), when appropriate. Fifteen studies on BC and six on KC were deemed eligible for the review. With regard to BC, an overall odds ratio (OR) of 2.07 [95% confidence interval (CI): 1.38-3.09] for those with GSTM1 and an OR of 2.07 (95% CI: 1.38-3.09) for those with GSTT1 null genotype were reported when exposed to polycyclic aromatic hydrocarbons (PAHs). NAT2 slow genotype carriers had an OR of 3.59 (95% CI: 2.62-4.93) for BC when exposed to aromatic amines and an OR of 2.07 (95% CI: 1.36-3.15) when exposed to PAHs. With regard to KC and pesticide exposure, the meta-analysis reported an OR of 4.38 (95% CI: 2.28-8.41) for GSTM1 present genotype, an OR of 2.59 (95% CI: 1.62-4.15) for GSTT1-present genotype and an OR of 6.51 (95% CI: 2.85-14.89) for combined effects of GSTM1 and GSTT1 active genotypes. This meta-analysis indicates a possible association between the variant genotypes of GSTM1, GSTT1, NAT2 and SULT1A1, occupational exposure to aromatic amines or PAHs, and development of BC. Our results suggest that polymorphisms in GSTM1 and GSTT1 genes could influence the risk for developing KC in individuals occupationally exposed to pesticides.

  3. Mechanical ventilation strategies for intensive care unit patients without acute lung injury or acute respiratory distress syndrome: a systematic review and network meta-analysis

    OpenAIRE

    Guo, Lei; Wang, Weiwei; Zhao, Nana; Guo, Libo; Chi, Chunjie; Hou, Wei; Wu, Anqi; Tong, Hongshuang; Wang, Yue; Wang, Changsong; Li, Enyou

    2016-01-01

    Background It has been shown that the application of a lung-protective mechanical ventilation strategy can improve the prognosis of patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). However, the optimal mechanical ventilation strategy for intensive care unit (ICU) patients without ALI or ARDS is uncertain. Therefore, we performed a network meta-analysis to identify the optimal mechanical ventilation strategy for these patients. Methods We searched the Cochra...

  4. Disparities in health, poverty, incarceration, and social justice among racial groups in the United States: a critical review of evidence of close links with neoliberalism.

    Science.gov (United States)

    Nkansah-Amankra, Stephen; Agbanu, Samuel Kwami; Miller, Reuben Jonathan

    2013-01-01

    Problems of poverty, poor health, and incarceration are unevenly distributed among racial and ethnic minorities in the United States. We argue that this is due, in part, to the ascendance of United States-style neoliberalism, a prevailing political and economic doctrine that shapes social policy, including public health and anti-poverty intervention strategies. Public health research most often associates inequalities in health outcomes, poverty, and incarceration with individual and cultural risk factors. Contextual links to structural inequality and the neoliberal doctrine animating state-sanctioned interventions are given less attention. The interrelationships among these are not clear in the extant literature. Less is known about public health and incarceration. Thus, the authors describe the linkages between neoliberalism, public health, and criminal justice outcomes. We suggest that neoliberalism exacerbates racial disparities in health, poverty, and incarceration in the United States. We conclude by calling for a new direction in public health research that advances a pro-poor public health agenda to improve the general well-being of disadvantaged groups.

  5. Review of Rescue Architecture for the Homeless in the United States%美国流浪人员救助建筑实例评介

    Institute of Scientific and Technical Information of China (English)

    杨悦; 邹广天

    2011-01-01

    Homeless is a serious social problem in the United States.In order to solve this problem, the United States has established some special rescue architecture for the homeless in recent years. Through analysis of these rescue architecture,we can find out the development directions of the rescue architecture design in the United States,and have some useful inspirations for the development of this kind of a architecture in China.%流浪现象是美国的一个很严重的社会问题.为解决这一问题,美国近年来为流浪人员兴建了一些专门的救助建筑.通过分析三个此类建筑实例,可以了解美国救助建筑设计的发展方向,并能得到对我国这类建筑发展有益的启示.

  6. Type 2 diabetes–related foot care knowledge and foot self-care practice interventions in the United States: a systematic review of the literature

    Directory of Open Access Journals (Sweden)

    Timethia Bonner

    2016-02-01

    Full Text Available Introduction: The purpose of this systematic literature review is to review published studies on foot care knowledge and foot care practice interventions as part of diabetic foot care self-management interventions. Methods: Medline, CINAHL, CENTRAL, and Cochrane Central Register of Controlled Trials databases were searched. References from the included studies were reviewed to identify any missing studies that could be included. Only foot care knowledge and foot care practice intervention studies that focused on the person living with type 2 diabetes were included in this review. Author, study design, sample, intervention, and results were extracted. Results: Thirty studies met the inclusion criteria and were classified according to randomized controlled trial (n=9, survey design (n=13, cohort studies (n=4, cross-sectional studies (n=2, qualitative studies (n=2, and case series (n=1. Improving lower extremity complications associated with type 2 diabetes can be done through effective foot care interventions that include foot care knowledge and foot care practices. Conclusion: Preventing these complications, understanding the risk factors, and having the ability to manage complications outside of the clinical encounter is an important part of a diabetes foot self-care management program. Interventions and research studies that aim to reduce lower extremity complications are still lacking. Further research is needed to test foot care interventions across multiple populations and geographic locations.

  7. Reporting Bias Leading to Discordant Venous Thromboembolism Rates in the United States Versus Non-US Countries Following Radical Cystectomy: A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Fantony, Joseph J; Gopalakrishna, Ajay; Noord, Megan Van; Inman, Brant A

    2016-06-01

    Postcystectomy bladder cancer (BCa) patients are at high risk for developing venous thromboembolism (VTE). The literature varies widely in the reporting of VTE in this population. To determine the VTE rate in subjects undergoing radical cystectomy (RC) and highlight specific factors affecting this rate. This meta-analysis was registered with the International Prospective Register of Systematic Reviews (PROSPERO) database, registration number: CRD42015016776. We queried MEDLINE, the Cochrane Library, Embase, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science. Search terms captured BCa, RC, and VTE. Per the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, abstracts were reviewed for inclusion/exclusion criteria by two reviewers, and disagreements were resolved by a third reviewer. A search of the gray literature and references of pertinent articles was also performed. The date of our last search was December 15, 2014. For unreported data, authors were contacted. Data were abstracted in duplicate and pooled using a random effects (RE) model. Subgroup analyses and meta-regression were performed to determine risk factors for VTE. We identified 2927 publications, of which 223 met inclusion criteria for this review. A total of 1 115 634 surgeries were performed on patient population (80% men) with a total of 51 908 VTEs. The VTE rate estimated by the RE model was 3.7%. Due to significant heterogeneity, subgroup and meta-regression analyses were undertaken. These revealed a higher rate of VTE in US studies at 4.49% compared with "westernized" non-US studies at 3.43% and "nonwesternized" non-US based studies at 2.50%. Other important modifiers included minimally invasive surgery at 5.54% versus open surgery at 3.55%, and age. The case-fatality rate of pulmonary emboli was 44%. VTE is common in patients undergoing RC. Reporting of VTE is heterogeneous and the rate varies according to study

  8. External Peer Review Team Report for Corrective Action Unit 97: Yucca Flat/Climax Mine, Nevada National Security Site, Nye County, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Marutzky, Sam J. [Navarro-Intera, LLC (N-I), Las Vegas, NV (United States); Andrews, Robert [Navarro-Intera, LLC (N-I), Las Vegas, NV (United States)

    2015-01-01

    The peer review team commends the Navarro-Intera, LLC (N-I), team for its efforts in using limited data to model the fate of radionuclides in groundwater at Yucca Flat. Recognizing the key uncertainties and related recommendations discussed in Section 6.0 of this report, the peer review team has concluded that U.S. Department of Energy (DOE) is ready for a transition to model evaluation studies in the corrective action decision document (CADD)/corrective action plan (CAP) stage. The DOE, National Nuclear Security Administration Nevada Field Office (NNSA/NFO) clarified the charge to the peer review team in a letter dated October 9, 2014, from Bill R. Wilborn, NNSA/NFO Underground Test Area (UGTA) Activity Lead, to Sam J. Marutzky, N-I UGTA Project Manager: “The model and supporting information should be sufficiently complete that the key uncertainties can be adequately identified such that they can be addressed by appropriate model evaluation studies. The model evaluation studies may include data collection and model refinements conducted during the CADD/CAP stage. One major input to identifying ‘key uncertainties’ is the detailed peer review provided by independent qualified peers.” The key uncertainties that the peer review team recognized and potential concerns associated with each are outlined in Section 6.0, along with recommendations corresponding to each uncertainty. The uncertainties, concerns, and recommendations are summarized in Table ES-1. The number associated with each concern refers to the section in this report where the concern is discussed in detail.

  9. Studying in the United Kingdom

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The United Kingdom is among the world leaders in recruiting international students.Joanna Burke,Cultural Counselor in the Cultural and Education Section of the British Embassy in China,recently spoke about international students,especially Chinese students in the United Kingdom,with Beijing Review reporter Wang Hairong.

  10. 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…

  11. Diabetes in pregnancy among indigenous women in Australia, Canada, New Zealand, and the United States: a method for systematic review of studies with different designs

    Directory of Open Access Journals (Sweden)

    Chamberlain Catherine

    2011-12-01

    Full Text Available Abstract Background Diabetes in pregnancy, which includes gestational diabetes mellitus (GDM and type 2 diabetes mellitus (T2DM, is associated with poor outcomes for both mother and infant during pregnancy, at birth and in the longer term. Recent international guidelines recommend changes to the current GDM screening criteria. While some controversy remains, there appears to be consensus that women at high risk of T2DM, including indigenous women, should be offered screening for GDM early in pregnancy, rather than waiting until 24-28 weeks as is current practice. A range of criteria should be considered before changing screening practice in a population sub-group, including: prevalence, current practice, acceptability and whether adequate treatment pathways and follow-up systems are available. There are also specific issues related to screening in pregnancy and indigenous populations. The evidence that these criteria are met for indigenous populations is yet to be reported. A range of study designs can be considered to generate relevant evidence for these issues, including epidemiological, observational, qualitative, and intervention studies, which are not usually included within a single systematic review. The aim of this paper is to describe the methods we used to systematically review studies of different designs and present the evidence in a pragmatic format for policy discussion. Methods/Design The inclusion criteria will be broad to ensure inclusion of the critical perspectives of indigenous women. Abstracts of the search results will be reviewed by two persons; the full texts of all potentially eligible papers will be reviewed by one person, and 10% will be checked by a second person for validation. Data extraction will be standardised, using existing tools to identify risks for bias in intervention, measurement, qualitative studies and reviews; and adapting criteria for appraising risk for bias in descriptive studies. External validity

  12. Recruitment and retention of participants in randomised controlled trials: a review of trials funded and published by the United Kingdom Health Technology Assessment Programme.

    Science.gov (United States)

    Walters, Stephen J; Bonacho Dos Anjos Henriques-Cadby, Inês; Bortolami, Oscar; Flight, Laura; Hind, Daniel; Jacques, Richard M; Knox, Christopher; Nadin, Ben; Rothwell, Joanne; Surtees, Michael; Julious, Steven A

    2017-03-20

    Substantial amounts of public funds are invested in health research worldwide. Publicly funded randomised controlled trials (RCTs) often recruit participants at a slower than anticipated rate. Many trials fail to reach their planned sample size within the envisaged trial timescale and trial funding envelope. To review the consent, recruitment and retention rates for single and multicentre randomised control trials funded and published by the UK's National Institute for Health Research (NIHR) Health Technology Assessment (HTA) Programme. HTA reports of individually randomised single or multicentre RCTs published from the start of 2004 to the end of April 2016 were reviewed. Information was extracted, relating to the trial characteristics, sample size, recruitment and retention by two independent reviewers. Target sample size and whether it was achieved; recruitment rates (number of participants recruited per centre per month) and retention rates (randomised participants retained and assessed with valid primary outcome data). This review identified 151 individually RCTs from 787 NIHR HTA reports. The final recruitment target sample size was achieved in 56% (85/151) of the RCTs and more than 80% of the final target sample size was achieved for 79% of the RCTs (119/151). The median recruitment rate (participants per centre per month) was found to be 0.92 (IQR 0.43-2.79) and the median retention rate (proportion of participants with valid primary outcome data at follow-up) was estimated at 89% (IQR 79-97%). There is considerable variation in the consent, recruitment and retention rates in publicly funded RCTs. Investigators should bear this in mind at the planning stage of their study and not be overly optimistic about their recruitment projections. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  13. Ozone monitoring in the UK (United Kingdom): A review of 1978/8. Data from monitoring sites operated by Warren Spring Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Bower, J.S.; Broughton, G.F.; Dando, M.T.

    1988-01-01

    A new national air-quality monitoring network has been established for the Department of the Environment. Its purpose is to determine rural baseline concentrations of ozone and other pollutants throughout the United Kingdom. The report describes the background to the establishment of the network, together with its present structure and instrumentation. A series of data analyses are presented and discussed, with the intention of providing a broad and preliminary overview of ozone observations at WSL-operated monitoring sites throughout the first full year of network operation. Average and peak levels of ozone during 1987/8 are quantified, seasonal and diurnal variations are determined, and high pollution periods are examined.

  14. Staffing in postnatal units: is it adequate for the provision of quality care? Staff perspectives from a state-wide review of postnatal care in Victoria, Australia

    Directory of Open Access Journals (Sweden)

    Lumley Judith

    2006-07-01

    Full Text Available Abstract Background State-wide surveys of recent mothers conducted over the past decade in Victoria, one state of Australia, have identified that women are consistently less satisfied with the care they received in hospital following birth compared with other aspects of maternity care. Little is known of caregivers' perspectives on the provision ofhospital postnatal care: how care is organised and provided in different hospitals; what constrains the provision of postnatal care (apart from funding and what initiatives are being undertaken to improve service delivery. A state-widereview of organisational structures and processes in relation to the provision of hospital postnatal care in Victoria was undertaken. This paper focuses on the impact of staffing issues on the provision of quality postnatal care from the perspective of care providers. Methods A study of care providers from Victorian public hospitals that provide maternity services was undertaken. Datawere collected in two stages. Stage one: a structured questionnaire was sent to all public hospitals in Victoria that provided postnatal care (n = 73, exploring the structure and organisation of care (e.g. staffing, routine observations, policy framework and discharge planning. Stage two: 14 maternity units were selected and invited to participate in a more in-depth exploration of postnatal care. Thirty-eight key informant interviews were undertaken with midwives (including unit managers, associate unit managers and clinical midwives and a medical practitioner from eachselected hospital. Results Staffing was highlighted as a major factor impacting on the provision of quality postnatal care. There were significant issues associated with inadequate staff/patient ratios; staffing mix; patient mix; prioritisation of birth suites over postnatal units; and the use of non-permanent staff. Forty-three percent of hospitals reported having only midwives (i.e. no non-midwives providing postnatal care

  15. Improvements in State and Local Planning for Mass Dispensing of Medical Countermeasures: The Technical Assistance Review Program, United States, 2007-2014.

    Science.gov (United States)

    Renard, Paul G; Vagi, Sara J; Reinold, Chris M; Silverman, Brenda L; Avchen, Rachel N

    2017-09-01

    To evaluate and describe outcomes of state and local medical countermeasure preparedness planning, which is critical to ensure rapid distribution and dispensing of a broad spectrum of life-saving medical assets during a public health emergency. We used 2007 to 2014 state and local data collected from the Centers for Disease Control and Prevention's Technical Assistance Review. We calculated descriptive statistics from 50 states and 72 local Cities Readiness Initiative jurisdictions that participated in the Technical Assistance Review annually. From 2007 to 2014, the average overall Technical Assistance Review score increased by 13% for states and 41% for Cities Readiness Initiative jurisdictions. In 2014, nearly half of states achieved the maximum possible overall score (100), and 94% of local Cities Readiness Initiative jurisdictions achieved a score of 90 or more. Despite challenges, effective and timely medical countermeasure distribution and dispensing is possible with appropriate planning, staff, and resources. However, vigilance in training, exercising, and improving plans from lessons learned in a sustained, coordinated way is critical to ensure continued public health preparedness success.

  16. The new United Nations approach to sustainable development post-2015: Findings from four overviews of systematic reviews on interventions for sustainable development and health.

    Science.gov (United States)

    Galvão, Luiz A C; Haby, Michelle M; Chapman, Evelina; Clark, Rachel; Câmara, Volney Magalhães; Luiz, Ronir Raggio; Becerra-Posada, Francisco

    2016-03-01

    Objective To identify reported interventions that facilitate sustainable development and have had a positive impact on health in four areas: sustainable food production; sustainable energy use; sustainable jobs ("decent work"); and prevention of toxic exposure to chemicals. Methods Systematic review methods were used to synthesize evidence from multiple systematic reviews and economic evaluations. A comprehensive search was conducted of at least 14 databases and 8 websites for each of the four overviews, using pre-defined protocols, including clear inclusion criteria. To qualify as "sustainable," interventions needed to aim (explicitly or implicitly) to positively impact at least two dimensions of the integrated framework for sustainable development and had to include measures of health impact. Results In total, 47 systematic reviews and 10 economic evaluations met the inclusion criteria. The most promising interventions, such as agricultural policies, were identified for each of the four topics. While the evidence for the interventions is not strong because of the limited number of studies, there is no evidence of a definite negative impact on health. The only possible exception is that of taxes and subsidies-though this intervention also has the potential to be pro-equity with higher relative impacts for lower income groups. Conclusions The evidence found for effective interventions is useful for guiding countries toward the best options for non-health sector interventions that can positively impact health. This overviews shows that intersectoral work benefits every sector involved.

  17. A comparison of the lattice discrete particle method to the finite-element method and the K&C material model for simulating the static and dynamic response of concrete.

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Jovanca J.; Bishop, Joseph E.

    2013-11-01

    This report summarizes the work performed by the graduate student Jovanca Smith during a summer internship in the summer of 2012 with the aid of mentor Joe Bishop. The projects were a two-part endeavor that focused on the use of the numerical model called the Lattice Discrete Particle Model (LDPM). The LDPM is a discrete meso-scale model currently used at Northwestern University and the ERDC to model the heterogeneous quasi-brittle material, concrete. In the first part of the project, LDPM was compared to the Karagozian and Case Concrete Model (K&C) used in Presto, an explicit dynamics finite-element code, developed at Sandia National Laboratories. In order to make this comparison, a series of quasi-static numerical experiments were performed, namely unconfined uniaxial compression tests on four varied cube specimen sizes, three-point bending notched experiments on three proportional specimen sizes, and six triaxial compression tests on a cylindrical specimen. The second part of this project focused on the application of LDPM to simulate projectile perforation on an ultra high performance concrete called CORTUF. This application illustrates the strengths of LDPM over traditional continuum models.

  18. The use of the bispectral index in the detection of pain in mechanically ventilated adults in the intensive care unit: A review of the literature

    Science.gov (United States)

    Coleman, Robin Marie; Tousignant-Laflamme, Yannick; Ouellet, Paul; Parenteau-Goudreault, Élizabeth; Cogan, Jennifer; Bourgault, Patricia

    2015-01-01

    BACKGROUND: Pain assessment is an immense challenge for clinicians, especially in the context of the intensive care unit, where the patient is often unable to communicate verbally. Several methods of pain assessment have been proposed to assess pain in this environment. These include both behavioural observation scales and evaluation of physiological measurements such as heart rate and blood pressure. Although numerous validation studies pertaining to behavioural observation scales have been published, several limitations associated with using these measures for pain assessment remain. Over the past few years, researchers have been interested in the use of the bispectral index monitoring system as a proxy for the evaluation of encephalography readings to assess the level of anesthesia and, potentially, analgesia. OBJECTIVES: To synthesize the main studies exploring the use of the bispectral index monitoring system for pain assessment, to guide future research in adults under sedation in the intensive care unit. METHOD: The EMBASE, Medline, CINAHL and PsycINFO databases were searched for studies published between 1996 and 2013 that evaluated the use of the bispectral index in assessing pain. RESULTS: Most studies conclude that nociceptive stimulation causes a significant increase in the bispectral index and revealed the importance of controlling certain confounding variables such as the level of sedation. DISCUSSION: Further studies are needed to clearly demonstrate the relationship between nociceptive stimuli and the bispectral index, as well as the specificity of the bispectral index in detecting pain. PMID:25050877

  19. BOOK REVIEW: NCRP Report No. 160: Ionizing Radiation Exposure of the Population of the United States NCRP Report No. 160: Ionizing Radiation Exposure of the Population of the United States

    Science.gov (United States)

    Thurston, Jim

    2010-10-01

    the overall average effective dose to a US citizen from approximately 3.6 mSv reported in 1987 to 6.2 mSv per annum, with medical exposures now responsible for 48% of the total (up from 15% in 1992). It is interesting to note that over roughly the same period of time, the total dose to the UK population has been revised upwards from 2.6 mSv to 2.7mSv to reflect (amongst other factors) the increase in CT scanning in the UK—obviously a much smaller change. However, one has to consider whether medical radiological practices in the UK might similarly change in the coming years, and UK population doses subsequently follow the US trend reported here. There is now a more detailed chapter on exposure to the population from consumer products and activities. Of the contributing factors in this category, the radiation dose received from radioactivity in tobacco smoke is the most significant, followed by building materials and air travel. There has been no significant change in the total dose received from these sources when compared to the earlier Report 93, at 0.13 mSv. The report also gives significant detail on exposure to the public from industrial sources (not just nuclear power), and discusses occupational exposure. Both these categories of exposure, averaged out of the whole population, give very small contributions to the total dose (0.003 mSv and 0.005 mSv, respectively). There are two final points to make about this report. Firstly, it continues the NCRP policy introduced for Report 93 of using SI units rather than the radiation units more commonly used within the US, hence making this report more readily accessible to an international audience. Secondly, in all the descriptions of the exposures and radiation doses received, no attempt is made to convert the doses into risk. The view of the Council, as stated in the forward to the report, is that attempting to quantify the risks associated with such levels of radiation exposure falls outside the remit of the

  20. Screening mammography: update and review of publications since our report in the New England Journal of Medicine on the magnitude of the problem in the United States.

    Science.gov (United States)

    Bleyer, Archie

    2015-08-01

    After a half century of clinical trials, expansive observations, vigorous advocacy and debate, screening mammography could not be in a more controversial condition, especially the potential harm of overdiagnosis. Despite a simple rationale (catch the cancer early and either prevent death or at least decrease the amount of therapy needed for cure), the estimates to date of overdiagnosis rates are conflicting and the interpretations complex. Since the author's 2012 publication in the New England Journal of Medicine (NEJM), the peer-reviewed publications on overdiagnosis caused by screening mammography are reviewed and the NEJM analyses updated with three additional calendar years of results. The recent peer-reviewed medical literature on screening mammography induced overdiagnosis of breast cancer has increased exponentially, nearly 10-fold in 10 years. The average estimate of overdiagnosis is about 30%, but the range extends from 0% to 70+%. An update of the NEJM report estimates that in the US, 78,000 women and 30%-31% of those diagnosed with breast cancer at the age of 40 years or older during 2011 were overdiagnosed. Until we have better screening procedures that identify who really has cancer and needs to be treated, the risk of overdiagnosis relative to the benefit of screening merits more effective public and professional education. Radiologists, pathologists, and other professionals involved with screening mammography should recognize that the potential harm of overdiagnosis is downplayed or not discussed with the patient and family, despite agreement that the objective is informed choice. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.