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Sample records for urgences retroperitoneales vasculaires

  1. Aspects épidémiologiques des accidents vasculaires cérébraux (AVC) aux urgences de l'institut de cardiologie d'Abidjan (ICA)

    Science.gov (United States)

    N'goran, Yves N'da Kouakou; Traore, Fatou; Tano, Micesse; Kramoh, Kouadio Euloge; Kakou, Jean-Baptiste Anzouan; Konin, Christophe; Kakou, Maurice Guikahue

    2015-01-01

    Introduction L'objectif de notre étude était de décrire les caractéristiques sociodémographiques et les Facteurs de Risque cardio-Vasculaires (FRV) des patients admis pour accidents vasculaires cérébraux (AVC) dans un service autre que celui de la neurologie. Méthodes Étude transversale rétrospective sur une période de 2 ans (janv. 2010 et déc. 2011), réalisée aux urgences de l'institut de cardiologie d'Abidjan. Résultats Il s'agissait de 176 adultes avec un âge moyen de 60 ans, une prédominance féminine. Les facteurs de risque majeurs retrouvés étaient l'hypertension artérielle dans 86,4% des cas, le diabète dans 11,4% des cas, le tabagisme dans 2,2% des cas. Les motifs de consultation étaient la perte de connaissance dans 36,4% des cas, l'hémiplégie dans 31,8% des cas, les céphalées dans 17,4% des cas, les vertiges dans 10,9% et les palpitations dans 2,2% des cas. La tension artérielle systolique moyenne était à 174 mmHg, la tension artérielle diastolique moyenne était à 105 mmHg et la pression pulsée moyenne était à 70 mmHg. Les AVC étaient associés à une arythmie complète par fibrillation auriculaire dans 11,4% des cas. Les AVC ischémiques représentaient 84,1%. L’évolution aux urgences a été marquée par un décès dans 17% (30) des cas. Conclusion Les AVC constituent un problème majeur de santé publique. Malgré sa prédominance féminine, ils (AVC) touchaient 44% des hommes dans notre étude lorsqu'on sait qu'en Afrique l'activité sociale repose sur les hommes. Ils restent une pathologie grave par la forte létalité. PMID:26327997

  2. Retroperitoneal relapse of non-seminomatous testicular cancer: computed tomography findings before retroperitoneal lymphadenectomy; Retroperitoneale Rezidive nicht-seminomatoeser Hodentumoren: Computertomographische Befunde vor retroperitonealer Lymphadenektomie

    Energy Technology Data Exchange (ETDEWEB)

    Hosten, N.; Stroszczynski, C.; Lemke, M.; Felix, R. [Strahlenklinik und Poliklinik, Charite Campus Virchow, Humboldt Univ. zu Berlin (Germany); Rick, O. [Abt. Innere Medizin mit Schwerpunkt Haematologie/Onkologie, Charite Campus Virchow, Humboldt Univ. zu Berlin (Germany)

    1999-01-01

    Purpose: In relapsing testicular cancer, additional chemotherapy is followed by abdominal CT. If residual lesions are found, retroperitoneal lymphadenectomy is considered. We studied retrospectively whether morphological criteria can help in selected cases in deciding about lymphadenectomy by distinguishing between vital tumor, scarring and mature teratoma. Methods: In 26 patients who had been treated by salvage chemotherapy and retroperitoneal lymphadenectomy for non-seminomatous testicular cancer between 1990 and 1997, abdominal computed tomography and histology were correlated. Results: Histological examination found scarring in 10 patients, vital tumor in 6, mature teratoma in 4, and simultaneous teratoma and vital tumor in 6. A single CT criterion for distinguishing between these histologies was not identified. In two patients with large masses which were partly cystic and partly solid vital tumor and teratoma were verified. Scarrings may be expected in cystic lesions at the level of the renal hilus which are lined by a thin and smooth wall. Size did not matter. Conclusion: Accurate differentiation between vital tumor and necrosis was not possible. Before lymphadenectomy CT, however, localised lesions. (orig.) [Deutsch] Ziel: Bei Patienten mit rezidivierten Hodentumoren wird nach erneuter Chemotherapie die abdominelle CT durchgefuehrt. Wenn verbliebene Raumforderungen nachgewiesen werden, wird eine retroperitoneale Lymphadenektomie in Betracht gezogen. Untersucht wurde, ob der Bildbefund Hinweise auf das Vorliegen von vitalem Tumor, Nekrose bzw. Narbe oder reifem Teratom geben kann, die in Einzelfaellen zur Indikationsstellung herangezogen werden koennten. Methoden: Bei 26 Patienten, die wegen eines rezidivierten nicht-seminomatoesen Hodentumors in den Jahren 1990 bis 1997 einer erneuten Chemotherapie mit anschliessender retroperitonealer Lymphadenektomie von Tumorresten unterzogen worden waren, wurden abdominelle CT und Histologie korreliert. Ergebnisse: Die

  3. Demence vasculaire en milieu hospitalier au Togo | Kombate ...

    African Journals Online (AJOL)

    La démence vasculaire représente la deuxième cause de démence après la maladie d'Alzheimer. Objectif: Evaluer les aspects cliniques et paracliniques des ... English Title: Vascular dementia is the second leading cause of dementia after Alzheimer's disease. English Abstract. Objective: To evaluate the clinical and ...

  4. Pronostic des accidents vasculaires cerebraux en medecine interne ...

    African Journals Online (AJOL)

    Pronostic des accidents vasculaires cerebraux en medecine interne du C.H.U du Point G. D Traore, Syd Syd, N Sawadogo, A Sanogo, I Dembélé, M Cissoko, M Saliou, Y Fofana, N Doumbia, I Menta, A Kaya, M Dembélé, A.K. Traoré, A.T. Sidibé, H.A. Traoré ...

  5. Epaisseur de l'intima-média carotidienne et facteurs de risque cardio-vasculaires

    Science.gov (United States)

    Herinirina, Nicolas Fanantenana; Rajaonarison, Lova Hasina Ny Ony Narindra; Herijoelison, Andry Roussel; Ahmad, Ahmad

    2015-01-01

    Introduction L’épaisseur intima-média de la carotide commune mesurée à l’échographie est un marqueur de risque cardio-vasculaire. L'objectif de ce travail est d’établir la corrélation entre l’épaisseur de l'intima-média carotidienne commune et les facteurs de risque cardio-vasculaire chez des sujets asymptomatiques. Méthodes Etude transversale descriptive et analytique portant sur 77 sujets de 40 ans et plus chez qui nous avons évalué les facteurs de risque cardio-vasculaire et analysé leur association avec l’épaisseur intima-média carotidienne commune. Résultats L’épaisseur intima-média augmentait avec l’âge. Les hommes avaient une épaisseur intima-média plus marquée que les femmes. L'hypertension artérielle, le diabète et la dyslipidémie sont corrélés à l’épaisseur de l'intima-média contrairement au tabagisme. Conclusion L’âge élevé et le sexe masculin sont les facteurs déterminants de la majoration de l’épaisseur intima-média carotidienne commune surtout si s'ajoutent l'hypertension artérielle, le diabète ou la dyslipidémie. PMID:26327990

  6. La surveillance des abords vasculaires chez les hémodialysés ...

    African Journals Online (AJOL)

    La fistule artério veineuse a présenté très peu de complications chez les patients. Mots clés : Abord vasculaire, Hémodialyse, insuffisance rénale chronique. English abstract. Monitoring of vascular access in chronic hemodialysis patients at the National Hospital of Niamey Lamordé The purpose of this cross-sectional study ...

  7. Accident vasculaire cérébral hémorragique du tronc cérébral suite à une éclampsie du post partum: à propos d’un cas et revue de la littérature

    OpenAIRE

    Ennaqui, Khadija; Makayssi, Assia; Boufettal, Houssine; Samouh, Naima

    2017-01-01

    Les accidents vasculaires cérébraux sont des accidents rares mais graves durant la grossesse et le post-partum, ils sont responsable d'une mortalité et d'une morbidité élevée, la pré éclampsie, l'éclampsie et les accidents vasculaires cérébraux sont significativement liés. Le dysfonctionnement endothélial, l'altération de l'autorégulation cérébrale, et l'hypertension sévère sont, probablement, la cause de nombreux accidents vasculaires cérébraux chez la femme enceinte et durant la période du ...

  8. Prise en charge des urgences au service d'accueil des urgences ...

    African Journals Online (AJOL)

    Introduction: La prise en charge des patients dans les services d'accueil des urgences est une des meilleures vitrines d'un système de santé. En Afrique subsaharienne, la gestion des urgences se heurte à des difficultés humaines et matérielles. Le but de ce travail était d'évaluer les difficultés de prise en charge au Service ...

  9. Relational aggression, positive urgency and negative urgency: predicting alcohol use and consequences among college students.

    Science.gov (United States)

    Grimaldi, Elizabeth M; Napper, Lucy E; LaBrie, Joseph W

    2014-09-01

    Research on relational aggression (indirect and social means of inflicting harm) has previously focused on adolescent populations. The current study extends this research by exploring both the frequency of perpetrating and being the target of relational aggression as it relates to alcohol use outcomes in a college population. Further, this study examines whether positive urgency (e.g., acting impulsively in response to positive emotions) and negative urgency (e.g., acting impulsively in response to negative emotions) moderate the relationship between relational aggression and alcohol outcomes. In this study, 245 college students (65.7% female) completed an online survey. Results indicated greater frequency of perpetrating relational aggression, higher levels of positive urgency, or higher levels of negative urgency was associated with more negative consequences. Further, negative urgency moderated the relationship between frequency of perpetrating aggression and consequences such that aggression was more strongly associated with consequences for those high in urgency. Counter to the adolescent literature, the frequency of being the target of aggression was not associated with more alcohol use. These findings suggest that perpetrators of relational aggression may be at particular risk for negative alcohol-related consequences when they act impulsively in response to negative, but not positive, emotions. These students may benefit from interventions exploring alternative ways to cope with negative emotions.

  10. Basic mechanisms of urgency: preclinical and clinical evidence.

    Science.gov (United States)

    Michel, Martin C; Chapple, Christopher R

    2009-08-01

    Urgency is the core symptom of the overactive bladder symptom complex, but the underlying mechanisms are not fully understood. To review clinical and experimental studies related to how bladder filling and urgency are sensed and what causes urgency and to discuss how this process affects potential therapeutic strategies. Review of published reports. The definition of urgency as a desire implies that it can only be assessed in cognitively intact patients and that animal studies have to rely on surrogate markers thereof, such as detrusor overactivity (DO); however, DO and urgency are not always associated. While the precise mechanisms of how urgency is sensed remain unclear, accumulating evidence suggests that they may differ from the physiologic sensation of bladder filling. Studies on the neurophysiology of urgency sensing are hampered by reliance on the surrogate marker DO. Functional brain imaging may help to understand the central neurophysiology, but, until now, it has not specifically focused on urgency. With regard to causes of urgency, multiple theories have been forwarded. While none of them has been proven, it should be noted that they are not mutually exclusive, and, in specific patients, different causes may be present. The development of improved therapeutic strategies against urgency will be helped by a better understanding of how urgency is perceived and the underlying causes. Rigorous use of existing definitions and the search for reliable surrogate markers will aid such attempts.

  11. 47 CFR 80.327 - Urgency signals and messages.

    Science.gov (United States)

    2010-10-01

    ....327 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Distress, Alarm, Urgency and Safety Procedures § 80.327 Urgency signals and messages. (a) The urgency signal indicates that the...

  12. Figures de l’urgence et communication

    OpenAIRE

    Carayol, Valérie

    2012-01-01

    Introduction Nous ne savions pas, en commençant à travailler sur l'urgence en 2003, que la France allait connaître un état d'urgence et que nous serions plongés dans l'actualité, au point que certains intervenants se sont interrogés sur le bien fondé de leur voyage… en cette période de crise. L'interdiction de circulation, l'interdiction des réunions, l'interdiction de communiquer dans l'espace public, sont autant de conséquences de cet état d'urgence dont nous voyons qu'il a beaucoup à voir ...

  13. 47 CFR 80.1131 - Transmissions of urgency communications.

    Science.gov (United States)

    2010-10-01

    ... consists of the words PAN PAN. In radiotelephony each word of the group must be pronounced as the French word “panne”. (d) The urgency call format and the urgency signal indicate that the calling station has... International Telecommunication Union (ITU), Place des Nations, CH-1211 Geneva 20, Switzerland. (k) Urgency...

  14. Bladder pain syndrome/interstitial cystitis: a sense of urgency.

    Science.gov (United States)

    Hanno, Philip M; Chapple, Chris R; Cardozo, Linda D

    2009-12-01

    A classic triad of symptoms (bladder pain, urinary frequency, and urgency) has served to define bladder pain syndrome/painful bladder syndrome/interstitial cystitis (BPS/PBS/IC) syndrome. BPS/PBS/IC is a distinct condition and it is likely that the urgency experienced by these patients differs from that experienced by those with overactive bladder syndrome. It is unclear how best to define urgency in the BPS/PBS/IC setting. Differences in the other primary symptoms associated with these conditions probably influence how urgency is perceived. Advances in research into the pathophysiology of urgency and underlying disease processes will help to optimize both the diagnosis and treatment of BPS/PBS/IC.

  15. Basic mechanisms of urgency: roles and benefits of pharmacotherapy.

    Science.gov (United States)

    Michel, Martin Christian; Chapple, Christopher R

    2009-12-01

    Since urgency is key to the overactive bladder syndrome, we have reviewed the mechanisms underlying how bladder filling and urgency are sensed, what causes urgency and how this relates to medical therapy. Review of published literature. As urgency can only be assessed in cognitively intact humans, mechanistic studies of urgency often rely on proxy or surrogate parameters, such as detrusor overactivity, but these may not necessarily be reliable. There is an increasing evidence base to suggest that the sensation of ‘urgency’ differs from the normal physiological urge to void upon bladder filling. While the relative roles of alterations in afferent processes, central nervous processing, efferent mechanisms and in intrinsic bladder smooth muscle function remain unclear, and not necessarily mutually exclusive, several lines of evidence support an important role for the latter. A better understanding of urgency and its causes may help to develop more effective treatments for voiding dysfunction.

  16. Striatal activation reflects urgency in perceptual decision making.

    Science.gov (United States)

    van Maanen, Leendert; Fontanesi, Laura; Hawkins, Guy E; Forstmann, Birte U

    2016-10-01

    Deciding between multiple courses of action often entails an increasing need to do something as time passes - a sense of urgency. This notion of urgency is not incorporated in standard theories of speeded decision making that assume information is accumulated until a critical fixed threshold is reached. Yet, it is hypothesized in novel theoretical models of decision making. In two experiments, we investigated the behavioral and neural evidence for an "urgency signal" in human perceptual decision making. Experiment 1 found that as the duration of the decision making process increased, participants made a choice based on less evidence for the selected option. Experiment 2 replicated this finding, and additionally found that variability in this effect across participants covaried with activation in the striatum. We conclude that individual differences in susceptibility to urgency are reflected by striatal activation. By dynamically updating a response threshold, the striatum is involved in signaling urgency in humans. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. A psychophysiological evaluation of the perceived urgency of auditory warning signals

    Science.gov (United States)

    Burt, J. L.; Bartolome, D. S.; Burdette, D. W.; Comstock, J. R. Jr

    1995-01-01

    One significant concern that pilots have about cockpit auditory warnings is that the signals presently used lack a sense of priority. The relationship between auditory warning sound parameters and perceived urgency is, therefore, an important topic of enquiry in aviation psychology. The present investigation examined the relationship among subjective assessments of urgency, reaction time, and brainwave activity with three auditory warning signals. Subjects performed a tracking task involving automated and manual conditions, and were presented with auditory warnings having various levels of perceived and situational urgency. Subjective assessments revealed that subjects were able to rank warnings on an urgency scale, but rankings were altered after warnings were mapped to a situational urgency scale. Reaction times differed between automated and manual tracking task conditions, and physiological data showed attentional differences in response to perceived and situational warning urgency levels. This study shows that the use of physiological measures sensitive to attention and arousal, in conjunction with behavioural and subjective measures, may lead to the design of auditory warnings that produce a sense of urgency in an operator that matches the urgency of the situation.

  18. Envenimation scorpionique compliqué d'un accident vasculaire cérébral ischemique

    Science.gov (United States)

    Bibiche, Youssef; Berdai, Adnan; Labib, Smael; Harandou, Mustapha

    2015-01-01

    Les piqûres de scorpion sont dans un certain nombre de pays, un accident fréquemment rencontré, et un risque grave. Au Maroc, les données épidémiologiques établies par le centre anti-poison (CAPM) montrent que les piqûres scorpioniques se placent en tête de toutes les intoxications relevées par le centre (60%). Les envenimations scorpioniques posent un grand problème de santé publique. L'apparition de signes neurologiques lors d'une envenimation scorpionique témoigne d'une envenimation grave et correspond au stade III de l’échelle de sévérité. Nous rapportons le cas d'une envenimation scorpionique compliqué d'un Accident vasculaire cérébral ischémique (AVCI) chez un enfant. PMID:26175806

  19. Striatal activation reflects urgency in perceptual decision making

    NARCIS (Netherlands)

    van Maanen, L.; Fontanesi, L.; Hawkins, G.E.; Forstmann, B.U.

    2016-01-01

    Deciding between multiple courses of action often entails an increasing need to do something as time passes - a sense of urgency. This notion of urgency is not incorporated in standard theories of speeded decision making that assume information is accumulated until a critical fixed threshold is

  20. Urgences chirurgicales abdominales non traumatiques de l'adulte ...

    African Journals Online (AJOL)

    The objectives were to determine the frequency of these urgencies among the adults, to find out the methods used and to study the post- operative progress. Material and method: from 2000 until 2004, we studied the files of the adult patients whose were been operated for abdominal non-traumatic urgency. The diagnosis ...

  1. Dimensions of sensation assessed in urinary urgency: a systematic review.

    Science.gov (United States)

    Das, Rebekah; Buckley, Jonathan; Williams, Marie

    2013-10-01

    Urinary urgency is an adverse sensory experience. Confirmation of the multidimensional nature of other adverse sensory experiences such as pain and dyspnea has improved the understanding of neurophysiological and perceptual mechanisms leading to innovations in assessment and treatment. It has been suggested that the sensation of urgency may include multiple dimensions such as intensity, suddenness and unpleasantness. In this systematic review we determine which dimensions of sensation have been assessed by instruments used to measure urinary urgency. A systematic search was undertaken of MEDLINE, Embase, AMED, CINAHL, Ageline, Web of Science, InformIT Health and Scopus databases to identify studies that included assessments of urinary urge or urgency. Articles were included in the analysis if they were primary studies that described the method used to measure urge/urgency in adults and published in English in peer reviewed publications since January 1, 2000. Articles were excluded from study if urgency was measured only in conjunction with other symptoms (eg frequency or incontinence) or if there was no English version of the instrument. Secondary analyses and systematic reviews were retained to hand search references for additional primary studies. Data were extracted for the instruments used to measure urge/urgency. For each instrument the items specific to urinary urgency were reviewed using a prospectively developed categorization process for the sensory dimension and the measurement metric. Items used to assess urinary urgency were collated in a matrix (sensory dimensions vs assessment metric). The most frequently used dimensions, metrics and combinations were descriptively analyzed. After removal of duplicate articles 1,048 full text articles were screened and 411 were excluded, leaving 637 eligible articles from which data were extracted. A total of 216 instruments were identified which were 1 of 6 types, namely 1) wider symptom questionnaires, 2) urgency

  2. Create a Sense of Urgency to Spark Learning

    Science.gov (United States)

    Kelleher, Joanne

    2015-01-01

    While recent state and federal education policies convey a sense of urgency in regard to the need for education reforms, there are teachers for whom this sense of urgency has long been woven into the fabric of their practice. Fortified by their high expectations for their students, these teachers utilize strategies that convey the message that the…

  3. Traumatisme insolite de la région temporale | Lmekki | Journal ...

    African Journals Online (AJOL)

    Un homme âgé de 37ans était victime d'une agression par coup de couteau. Le patient se présente aux urgences le couteau fiché dans la région temporale sans symptomatologie clinique particulière et avec un score de Glasgow à 15. Le bilan lésionnel n'a pas objectivé d'atteinte vasculaire. Le retrait du couteau a été ...

  4. Role of muscarinic receptor antagonists in urgency and nocturia

    NARCIS (Netherlands)

    Michel, Martin C.; de La Rosette, Jean J. M. C. H.

    2005-01-01

    The overactive bladder (OAB) syndrome is defined as urgency, with or without urgency incontinence, usually accompanied by frequency and nocturia. Muscarinic receptor antagonists are the most established form of treatment for OAB, but until recently their effectiveness was only confirmed for symptoms

  5. Judging the urgency of non-verbal auditory alarms: a case study.

    Science.gov (United States)

    Arrabito, G Robert; Mondor, Todd; Kent, Kimberley

    2004-06-22

    When designed correctly, non-verbal auditory alarms can convey different levels of urgency to the aircrew, and thereby permit the operator to establish the appropriate level of priority to address the alarmed condition. The conveyed level of urgency of five non-verbal auditory alarms presently used in the Canadian Forces CH-146 Griffon helicopter was investigated. Pilots of the CH-146 Griffon helicopter and non-pilots rated the perceived urgency of the signals using a rating scale. The pilots also ranked the urgency of the alarms in a post-experiment questionnaire to reflect their assessment of the actual situation that triggers the alarms. The results of this investigation revealed that participants' ratings of perceived urgency appear to be based on the acoustic properties of the alarms which are known to affect the listener's perceived level of urgency. Although for 28% of the pilots the mapping of perceived urgency to the urgency of their perception of the triggering situation was statistically significant for three of the five alarms, the overall data suggest that the triggering situations are not adequately conveyed by the acoustic parameters inherent in the alarms. The pilots' judgement of the triggering situation was intended as a means of evaluating the reliability of the alerting system. These data will subsequently be discussed with respect to proposed enhancements in alerting systems as it relates to addressing the problem of phase of flight. These results call for more serious consideration of incorporating situational awareness in the design and assignment of auditory alarms in aircraft.

  6. Urgency traits moderate daily relations between affect and drinking to intoxication among young adults.

    Science.gov (United States)

    Bold, Krysten W; Fucito, Lisa M; DeMartini, Kelly S; Leeman, Robert F; Kranzler, Henry R; Corbin, William R; O'Malley, Stephanie S

    2017-01-01

    Young adults with higher trait urgency (i.e., a tendency to act rashly in response to heightened affect) may be especially vulnerable to heavy drinking. The current study examined 1) the influence of urgency on daily relations between affect and drinking to intoxication, and 2) whether urgency influenced the effectiveness of naltrexone (vs. placebo) for reducing alcohol use. This study is a secondary analysis of data from 126 (n=40 female) heavy drinking young adults, ages 18-25, enrolled in a double-blind, 8-week clinical trial comparing brief motivational intervention and either naltrexone or placebo. Multilevel models examined whether trait urgency moderated daily relations between positive and negative affect and drinking to intoxication, measured by an estimated blood-alcohol concentration (eBAC) at or above the legal limit (≥0.08g%). Person-level interactions examined whether naltrexone was more effective than placebo at reducing the odds of eBAC≥0.08g% for individuals with higher vs. lower trait urgency. On days of greater within-person positive or negative affect, young adults with higher urgency were more likely to drink to intoxication than those with lower urgency. Naltrexone reduced the odds of drinking to intoxication significantly more than placebo, independent of positive or negative urgency. Although naltrexone treatment reduced drinking overall, young adults with higher trait urgency were still at increased risk for hazardous drinking following times of strong positive or negative mood. Targeted interventions are needed to reduce the risk of heavy drinking among young adults with high trait urgency. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  7. Accident vasculaire cérébral ischémique révélant une maladie coeliaque

    Directory of Open Access Journals (Sweden)

    Belfkih Rachid

    2010-04-01

    Full Text Available La maladie cœliaque (MC de l’adulte est une pathologie fréquente dont la présentation clinique est polymorphe. Les manifestations extradigestives sont multiples et rendent le diagnostic difficile lorsqu’elles sont isolées. Nous rapportons le cas d’un patient de 52 ans qui présentait un accident vasculaire cérébral ischémique (AVCI. Le bilan étiologique objectivait une hyperhomocystéinémie avec une carence en vitamine B12. La biopsie duodénale était en faveur d’une maladie coeliaque. Les anticorps antigliadines étaient positifs. Le patient fût mis sous régime sans gluten, anti-aggrégant plaquettaire et hydroxocobalamine avec une évolution favorable.

  8. The perceived urgency of auditory warning alarms used in the hospital operating room is inappropriate.

    Science.gov (United States)

    Mondor, Todd A; Finley, G Allen

    2003-03-01

    To examine the perceived urgency of 13 auditory warning alarms commonly occurring in the hospital operating room. Undergraduate students, who were naïve with respect to the clinical situation associated with the alarms, judged perceived urgency of each alarm on a ten-point scale. The perceived urgency of the alarms was not consistent with the actual urgency of the clinical situation that triggers it. In addition, those alarms indicating patient condition were generally perceived as less urgent than those alarms indicating the operation of equipment. Of particular interest were three sets of alarms designed by equipment manufacturers to indicate specific priorities for action. Listeners did not perceive any differences in the urgency of the 'information only', 'medium' and 'high' priority alarms of two of the monitors with all judged as low to moderate in urgency. In contrast, the high priority alarm of the third monitor was judged as significantly more urgent than its low and medium urgency counterparts. The alarms currently in use do not convey the intended sense of urgency to naïve listeners, and this holds even for two sets of alarms designed specifically by manufacturers to convey different levels of urgency.

  9. Use FOMO to Create Urgency in the Booking Process

    OpenAIRE

    2017-01-01

    Create a sense of urgency and “fear of missing out” (FOMO) to nudge people to book faster. People feel more compelled to buy if they believe they are about to miss out on a limited-time offer or a good deal. This type of urgency is about creating “scarcity value,” a concept that OTAs have mastered and implemented systematically on their OTA websites to stimulate purchase behavior.

  10. The role of urgency and its underlying psychological mechanisms in problematic behaviours.

    Science.gov (United States)

    Billieux, Joël; Gay, Philippe; Rochat, Lucien; Van der Linden, Martial

    2010-11-01

    The urgency facet of impulsivity, that is, the tendency to act rashly in response to intense emotional contexts [Cyders, M. A., & Smith, G. T. (2008). Emotion-based dispositions to rash action: positive and negative urgency. Psychological Bulletin, 134, 807-828], has been related to a wide range of maladaptive behaviours. The present study further investigates the role of urgency in problematic behaviours by considering distinct psychological mechanisms that may underlie this component of impulsivity. With this aim, 95 volunteer participants were screened with self-reported questionnaires assessing urgency and three problematic behaviours (compulsive buying, excessive mobile phone use, excessive Internet use). They performed two laboratory tasks: a stop-signal task designed to assess the capacity to inhibit prepotent responses in response to both neutral and emotional stimuli; and the Iowa Gambling Task (IGT) measuring the ability to take into account the future consequences of an action. A poor ability to inhibit prepotent responses in the emotional condition of the stop-signal task was found to predict more disadvantageous choices in the IGT, which ultimately results in higher urgency and more problematic behaviours. These findings shed new light on the construct of urgency, its related psychological mechanisms, and its role in problematic behaviours. Copyright © 2010 Elsevier Ltd. All rights reserved.

  11. Negative and positive urgency may both be risk factors for compulsive buying.

    Science.gov (United States)

    Rose, Paul; Segrist, Daniel J

    2014-06-01

    Descriptions of compulsive buying often emphasize the roles of negative moods and trait impulsivity in the development of problematic buying habits. Trait impulsivity is sometimes treated as a unidimensional trait in compulsive buying research, but recent factor analyses suggest that impulsivity consists of multiple components that are probably best treated as independent predictors of problem behavior. In order to draw greater attention to the role of positive moods in compulsive buying, in this study we tested whether negative urgency (the tendency to act rashly while in negative moods) and positive urgency (the tendency to act rashly while in positive moods) account for similar amounts of variance in compulsive buying. North American adults (N = 514) completed an online survey containing the Richmond Compulsive Buying Scale (Ridgway, Kukar-Kinney & Monroe, 2008), established measures of positive and negative urgency (Cyders et al., 2007), ad hoc measures of buying-specific positive and negative urgency, measures of extraversion and neuroticism obtained from the International Personality Item Pool (http://ipip.ori.org/), and demographic questions. In several multiple regression analyses, when demographic variables, neuroticism, and extraversion were controlled, positive urgency and negative urgency both emerged as significant predictors of compulsive buying. Whether the two urgency variables were domain-general or buying-specific, they accounted for similar amounts of variance in compulsive buying. Preventing and reducing compulsive buying may require attention not only to the purchasing decisions people make while in negative states, but also to the purchasing decisions they make while in positive states.

  12. Integrating affect and impulsivity: The role of positive and negative urgency in substance use risk.

    Science.gov (United States)

    Smith, Gregory T; Cyders, Melissa A

    2016-06-01

    The personality traits of positive and negative urgency refer to the tendencies to act rashly when experiencing unusually positive or negative emotions, respectively. The authors review recent empirical work testing urgency theory (Cyders and Smith, 2008a) and consider advances in theory related to these traits. Empirical findings indicate that (a) the urgency traits are particularly important predictors of the onset of, and increases in, substance use in both children and young adults; (b) they appear to operate in part by biasing psychosocial learning; (c) pubertal onset is associated with increases in negative urgency, which in turn predict increases in adolescent drinking behavior; (d) variation in negative urgency trait levels are associated with variations in the functioning of an identified brain system; and (e) variations in the serotonin transporter gene, known to influence the relevant brain system, relate to variations in the urgency traits. A recent model (Carver et al., 2008) proposes the urgency traits to be markers of a tendency to respond reflexively to emotion, whether through impulsive action or ill-advised inaction (the latter leading to depressive symptoms); this model has received empirical support. The authors discuss new directions for research on the urgency traits. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  13. The female urinary microbiome in urgency urinary incontinence.

    Science.gov (United States)

    Pearce, Meghan M; Zilliox, Michael J; Rosenfeld, Amy B; Thomas-White, Krystal J; Richter, Holly E; Nager, Charles W; Visco, Anthony G; Nygaard, Ingrid E; Barber, Matthew D; Schaffer, Joseph; Moalli, Pamela; Sung, Vivian W; Smith, Ariana L; Rogers, Rebecca; Nolen, Tracy L; Wallace, Dennis; Meikle, Susan F; Gai, Xiaowu; Wolfe, Alan J; Brubaker, Linda

    2015-09-01

    The purpose of this study was to characterize the urinary microbiota in women who are planning treatment for urgency urinary incontinence and to describe clinical associations with urinary symptoms, urinary tract infection, and treatment outcomes. Catheterized urine samples were collected from multisite randomized trial participants who had no clinical evidence of urinary tract infection; 16S ribosomal RNA gene sequencing was used to dichotomize participants as either DNA sequence-positive or sequence-negative. Associations with demographics, urinary symptoms, urinary tract infection risk, and treatment outcomes were determined. In sequence-positive samples, microbiotas were characterized on the basis of their dominant microorganisms. More than one-half (51.1%; 93/182) of the participants' urine samples were sequence-positive. Sequence-positive participants were younger (55.8 vs 61.3 years old; P = .0007), had a higher body mass index (33.7 vs 30.1 kg/m(2); P = .0009), had a higher mean baseline daily urgency urinary incontinence episodes (5.7 vs 4.2 episodes; P urinary incontinence episodes, -4.4 vs -3.3; P = .0013), and were less likely to experience urinary tract infection (9% vs 27%; P = .0011). In sequence-positive samples, 8 major bacterial clusters were identified; 7 clusters were dominated not only by a single genus, most commonly Lactobacillus (45%) or Gardnerella (17%), but also by other taxa (25%). The remaining cluster had no dominant genus (13%). DNA sequencing confirmed urinary bacterial DNA in many women with urgency urinary incontinence who had no signs of infection. Sequence status was associated with baseline urgency urinary incontinence episodes, treatment response, and posttreatment urinary tract infection risk. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. The interaction of stress and urgency urinary incontinence and its effect on quality of life.

    Science.gov (United States)

    Minassian, Vatché A; Sun, Haiyan; Yan, Xiaowei S; Clarke, Deseraé N; Stewart, Walter F

    2015-02-01

    The objective was to estimate the impact of stress and urgency urinary incontinence (UI) on the quality of life (QOL), and to determine whether the impact varies according to UI severity. We used data from the General Longitudinal Overactive Bladder Evaluation-UI study in women. Stress and urgency UI symptom severity scores ranged from 0 to 8. We used logistic regression to test the relation among different severity levels of stress and urgency UI, and their interaction with the Incontinence Impact Questionnaire (IIQ-7). This was categorized according to percentage ranges as 0-40% (reference), 41-80%, and 81-100%. Both stress and urgency UI were significantly associated with IIQ-7. Higher scores had higher odds ratios (ORs). The OR for urgency vs stress UI was greater at the same severity level. For instance, comparing IIQ-7 quintiles (0-40% vs 41-80%), the OR for an association with an urgency UI score of 5-6 was 5.27 (95% CI = 3.78-7.33) vs 2.76 (95% CI = 2.07-3.68) for a stress UI score of 5-6. Both UI subtypes were more strongly related to the upper (81-100%) than the to the lower (41-80%) quintiles. There was a strong positive urgency UI and stress UI interaction with the upper (i.e., 81-100%) but not the two next lower (41-80%) quintiles. The impact of UI subtypes on QOL varies according to the score of IIQ-7, stress and urgency UI, and their interaction. Urgency vs stress UI has a stronger impact. The effect is greatest for high IIQ-7 scores with a significant share mediated by the interaction of the two UI subtypes.

  15. A longitudinal study of the reciprocal relationship between ever smoking and urgency in early adolescence.

    Science.gov (United States)

    Burris, Jessica L; Riley, Elizabeth; Puleo, Gabriella E; Smith, Gregory T

    2017-09-01

    Among early adolescents in the United States (U.S.), the prevalence of cigarette smoking is at its lowest level in recent decades. Nonetheless, given the risks of smoking in early development, it remains critically important to study both risk factors for smoking and risks from smoking. This longitudinal study with U.S. early adolescents examines smoking initiation and tests a model of reciprocal prediction between ever smoking and the personality trait of urgency (i.e., mood-based impulsivity), a trait that increases risk for multiple forms of dysfunction. Participants (n=1906; 90% 10-11 years old, 50% female, 39% racial minorities at baseline) completed questionnaires 1-2 times per year starting in 5th grade and ending in 9th grade. Structural equation modeling allowed tests of bidirectional relationships between ever smoking and urgency controlling for pubertal status and negative affect at each wave. Incidence of ever smoking increased from 5% to 27% over time, with current smoking around 5% at the last wave. Urgency at each wave predicted ever smoking at the next wave above and beyond covariates and prior smoking (all psmoking predicted an increase in urgency at the subsequent wave above and beyond covariates and prior urgency (all psmoking increases with higher levels of urgency and urgency increases secondary to engagement in smoking. Future work should therefore explore urgency as a point of prevention for smoking and smoking cessation as a means to mitigate mood-based impulsivity. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Interactive and Indirect Effects of Anxiety and Negative Urgency on Alcohol-Related Problems

    Science.gov (United States)

    Menary, Kyle R.; Corbin, William R.; Leeman, Robert F.; Fucito, Lisa M.; Toll, Benjamin A.; DeMartini, Kelly; O’Malley, Stephanie S.

    2015-01-01

    Background Although drinking for tension reduction has long been posited as a risk factor for alcohol-related problems, studies investigating anxiety in relation to risk for alcohol problems have returned inconsistent results, leading researchers to search for potential moderators. Negative urgency (the tendency to become behaviorally dysregulated when experiencing negative affect) is a potential moderator of theoretical interest because it may increase risk for alcohol problems among those high in negative affect. The present study tested a cross-sectional mediated moderation hypothesis whereby an interactive effect of anxiety and negative urgency on alcohol problems is mediated through coping-related drinking motives. Method The study utilized baseline data from a hazardously drinking sample of young adults (N = 193) evaluated for participation in a randomized controlled trial of naltrexone and motivational interviewing for drinking reduction. Results The direct effect of anxiety on physiological dependence symptoms was moderated by negative urgency such that the positive association between anxiety and physiological dependence symptoms became stronger as negative urgency increased. Indirect effects of anxiety and negative urgency on alcohol problems (operating through coping motives) were also observed. Conclusions Although results of the current cross-sectional study require replication using longitudinal data, the findings suggest that the simultaneous presence of anxiety and negative urgency may be an important indicator of risk for AUDs via both direct interactive effects and indirect additive effects operating through coping motives. These findings have potentially important implications for prevention/intervention efforts for individuals who become disinhibited in the context of negative emotional states. PMID:26031346

  17. Likelihood of being seen within emergency departments’ assigned urgency times for poisoned and injured individuals

    Directory of Open Access Journals (Sweden)

    Rachel L. Rosenthal

    2014-10-01

    Full Text Available The objective of the present study is to determine the likelihood of injured or poisoned patients in special populations, such as those patients that are elderly and self-injurious, being seen within an emergency department’s triage nurse assigned urgency. Data from the National Hospital Ambulatory Medical Care Survey (2007 was utilized in this study. Multi-level models and multivariate linear regression models were used; patient age, sex, reported pain levels, wait time, and injury type were examined as potential predictors of being seen within assigned urgency. From a random sample across all US Emergency Departments, 5616 patients nested in 312 hospital emergency departments were included into the study. Typically, approximately 1 in 5 emergency department patients were not seen within their triage nurse assigned urgencies. The typical patient in the average hospital had an 81% likelihood of being seen within their assigned urgency. P atients who were oldest [odds ratio (OR=0.0990] and had self-inflicted injuries (vs assault OR=1.246 and OR=1.596 had the least likelihood to be seen within their assigned urgencies. As actual wait-time increased for patients, they were less likely to be seen within their assigned urgencies. The most powerful predictors of the study’s outcome were injury type and age, indicating that patients from special populations such as the elderly or those with injuries resulting from deliberate self-harm are less likely to be actually priority patients independent of triage nurse assigned urgencies.

  18. A Two-Stage Fuzzy Logic Control Method of Traffic Signal Based on Traffic Urgency Degree

    OpenAIRE

    Yan Ge

    2014-01-01

    City intersection traffic signal control is an important method to improve the efficiency of road network and alleviate traffic congestion. This paper researches traffic signal fuzzy control method on a single intersection. A two-stage traffic signal control method based on traffic urgency degree is proposed according to two-stage fuzzy inference on single intersection. At the first stage, calculate traffic urgency degree for all red phases using traffic urgency evaluation module and select t...

  19. Eating disorder-specific risk factors moderate the relationship between negative urgency and binge eating: A behavioral genetic investigation.

    Science.gov (United States)

    Racine, Sarah E; VanHuysse, Jessica L; Keel, Pamela K; Burt, S Alexandra; Neale, Michael C; Boker, Steven; Klump, Kelly L

    2017-07-01

    Theoretical models of binge eating and eating disorders include both transdiagnostic and eating disorder-specific risk factors. Negative urgency (i.e., the tendency to act impulsively when distressed) is a critical transdiagnostic risk factor for binge eating, but limited research has examined interactions between negative urgency and disorder-specific variables. Investigating these interactions can help identify the circumstances under which negative urgency is most strongly associated with binge eating. We examined whether prominent risk factors (i.e., appearance pressures, thin-ideal internalization, body dissatisfaction, dietary restraint) specified in well-established etiologic models of eating disorders moderate negative urgency-binge eating associations. Further, we investigated whether phenotypic moderation effects were due to genetic and/or environmental associations between negative urgency and binge eating. Participants were 988 female twins aged 11-25 years from the Michigan State University Twin Registry. Appearance pressures, thin-ideal internalization, and body dissatisfaction, but not dietary restraint, significantly moderated negative urgency-binge eating associations, with high levels of these risk factors and high negative urgency associated with the greatest binge eating. Twin moderation models revealed that genetic, but not environmental, sharing between negative urgency and binge eating was enhanced at higher levels of these eating disorder-specific variables. Future longitudinal research should investigate whether eating disorder risk factors shape genetic influences on negative urgency into manifesting as binge eating. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  20. Dissociable roles of dopamine and serotonin transporter function in a rat model of negative urgency.

    Science.gov (United States)

    Yates, Justin R; Darna, Mahesh; Gipson, Cassandra D; Dwoskin, Linda P; Bardo, Michael T

    2015-09-15

    Negative urgency is a facet of impulsivity that reflects mood-based rash action and is associated with various maladaptive behaviors in humans. However, the underlying neural mechanisms of negative urgency are not fully understood. Several brain regions within the mesocorticolimbic pathway, as well as the neurotransmitters dopamine (DA) and serotonin (5-HT), have been implicated in impulsivity. Extracellular DA and 5-HT concentrations are regulated by DA transporters (DAT) and 5-HT transporters (SERT); thus, these transporters may be important molecular mechanisms underlying individual differences in negative urgency. The current study employed a reward omission task to model negative urgency in rats. During reward trials, a cue light signaled the non-contingent delivery of one sucrose pellet; immediately following the non-contingent reward, rats responded on a lever to earn sucrose pellets (operant phase). Omission trials were similar to reward trials, except that non-contingent sucrose was omitted following the cue light prior to the operant phase. As expected, contingent responding was higher following omission of expected reward than following delivery of expected reward, thus reflecting negative urgency. Upon completion of behavioral training, Vmax and Km were obtained from kinetic analysis of [(3)H]DA and [(3)H]5-HT uptake using synaptosomes prepared from nucleus accumbens (NAc), dorsal striatum (Str), medial prefrontal cortex (mPFC), and orbitofrontal cortex (OFC) isolated from individual rats. Vmax for DAT in NAc and for SERT in OFC were positively correlated with negative urgency scores. The current findings suggest that mood-based impulsivity (negative urgency) is associated with enhanced DAT function in NAc and SERT function in OFC. Copyright © 2015 Elsevier B.V. All rights reserved.

  1. Is it a matter of urgency? A survey of assessments by walk-in patients and doctors of the urgency level of their encounters at a general emergency outpatient clinic in Oslo, Norway.

    Science.gov (United States)

    Ruud, Sven Eirik; Hjortdahl, Per; Natvig, Bård

    2016-07-04

    Emergency room (ER) use is increasing in several countries. Variability in the proportion of non-urgent ER visits was found to range from 5 to 90 % (median 32 %). Non-urgent emergency visits are considered an inappropriate and inefficient use of the health-care system because they may lead to higher expenses, crowding, treatment delays, and loss of continuity of health care provided by a general practitioner. Urgency levels of doctor-walk-in patient encounters were assessed based on their region of origin in a diverse Norwegian population. An anonymous, multilingual questionnaire was distributed to all walk-in patients at a general emergency outpatient clinic in Oslo during two weeks in September 2009. We analysed demographic data, patient-doctor assessments of the level of urgency, and the results of the consultation. We used descriptive statistics to obtain frequencies with 95 % confidence interval (CI) for assessed levels of urgency and outcomes. Concordance between the patients' and doctors' assessments was analysed using a Kendall tau-b test. We used binary logistic regression modelling to quantify associations of explanatory variables and outcomes according to urgency level assessments. The analysis included 1821 walk-in patients. Twenty-four per cent of the patients considered their emergency consultation to be non-urgent, while the doctors considered 64 % of encounters to be non-urgent. The concordance between the assessments by the patient and by their doctor was positive but low, with a Kendall tau-b coefficient of 0.202 (p < 0.001). Adjusted logistic regression analysis showed that patients from Eastern Europe (odds ratio (OR) = 3.04; 95 % CI 1.60-5.78), Asia and Turkey (OR = 4.08; 95 % CI 2.43-6.84), and Africa (OR = 8.47; 95 % CI 3.87-18.5) reported significantly higher urgency levels compared with Norwegians. The doctors reported no significant difference in assessment of urgency based on the patient's region of origin, except

  2. The effects of urgency to reach agreement on the process and outcome of multi-party natural resource negotiations

    Science.gov (United States)

    Lamb, B.L.; Taylor, J.G.; Burkardt, N.; Gillette, S.C.

    2005-01-01

    We studied seven hydropower license consultations to examine the role of a sense of urgency to reach agreement. Hydropower licensing consultations were studied because the statutory requirement for consultation encourages negotiation, all such consultations are similar, and a negotiated settlement is not a foregone result. Cases selected for analysis met screening criteria. Structured interviews were conducted with participants after the negotiations had been concluded. Respondent recollections were checked against the documentary record. A sense of urgency to reach agreement was a significant factor in the completion of these negotiations; where there was no shared sense of urgency, purposeful delay adversely affected the negotiations. Although a sense of urgency was experienced by at least one party in each case, only a shared sense of urgency at the end of the process proved significant. Delay did not prevent ultimate agreement but a shared sense of urgency brought speedier agreement and greater satisfaction with the negotiation.

  3. Visionless leadership and the urgency of resistance: a perspective ...

    African Journals Online (AJOL)

    Visionless leadership and the urgency of resistance: a perspective of Niyi Osundare's ... visionless leadership, drawing from literature, history, sociology and political science. ... Now and then, a two-pronged thrust approach will be applied.

  4. Verbal collision avoidance messages during simulated driving: perceived urgency, alerting effectiveness and annoyance.

    Science.gov (United States)

    Baldwin, Carryl L

    2011-04-01

    Matching the perceived urgency of an alert with the relative hazard level of the situation is critical for effective alarm response. Two experiments describe the impact of acoustic and semantic parameters on ratings of perceived urgency, annoyance and alerting effectiveness and on alarm response speed. Within a simulated driving context, participants rated and responded to collision avoidance system (CAS) messages spoken by a female or male voice (experiments 1 and 2, respectively). Results indicated greater perceived urgency and faster alarm response times as intensity increased from -2 dB signal to noise (S/N) ratio to +10 dB S/N, although annoyance ratings increased as well. CAS semantic content interacted with alarm intensity, indicating that at lower intensity levels participants paid more attention to the semantic content. Results indicate that both acoustic and semantic parameters independently and interactively impact CAS alert perceptions in divided attention conditions and this work can inform auditory alarm design for effective hazard matching. Matching the perceived urgency of an alert with the relative hazard level of the situation is critical for effective alarm response. Here, both acoustic and semantic parameters independently and interactively impacted CAS alert perceptions in divided attention conditions. This work can inform auditory alarm design for effective hazard matching. STATEMENT OF RELEVANCE: Results indicate that both acoustic parameters and semantic content can be used to design collision warnings with a range of urgency levels. Further, these results indicate that verbal warnings tailored to a specific hazard situation may improve hazard-matching capabilities without substantial trade-offs in perceived annoyance.

  5. Circadian Activity Rhythms, Time Urgency, and Achievement Concerns.

    Science.gov (United States)

    Watts, Barbara L.

    Many physiological and psychological processes fluctuate throughout the day in fairly stable, rhythmic patterns. The relationship between individual differences in circadian activity rhythms and a sense of time urgency were explored as well as a number of achievement-related variables. Undergraduates (N=308), whose circadian activity rhythms were…

  6. 47 CFR 80.1109 - Distress, urgency, and safety communications.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Distress, urgency, and safety communications. 80.1109 Section 80.1109 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS...

  7. Democracy is a historical urgency

    Science.gov (United States)

    Synek, Miroslav

    2015-03-01

    Survival of humanity, on this planet, may depend, heavily, on coping with advancing technology of nuclear missiles. Let us consider critical alternatives of powerful governments: democracy, as an alternative to dictatorship. Democracy is based on free elections, as a government of the people, by the people and for the people. Democracy is a historical urgency, in the age of inter-continental nuclear missiles, computerized on a push-button, conceivably controllable by a very powerful, miscalculating and/or insane, dictator, capable of producing global nuclear holocaust, on our entire planet. Diplomacy, together with supporting activities, should be utilized, to help, in important steps, at this time, for achieving democracy in critical areas.

  8. Politics and application guide of urgency measures and administrative sanctions of the CNSNS

    International Nuclear Information System (INIS)

    Espinosa V, J.M.; Cruz R, L.A.; EsquiveI T, J.L.; Nunez C, A.

    2007-01-01

    In use of their attributions, granted by the Regulation Law of the 27 Constitutional Article in Nuclear Matter, the National Commission of Nuclear Safety and Safeguards (CNSNS) it has taken charge to the authors the Politics' s elaboration and Guide of Application of Urgency measures and Administrative Sanctions (PGAMASA) with the double objective of discouraging the licensees, contractors and employees of incurring in nonfulfillment or violations to the regulator mark and of encouraging them to be attentive to the prompt identification and the immediate and appropriate correction of the violations and nonfulfillment. The present article presents the legal mark that confers the CNSNS the attributions to implant a PGAMASA and it exposes the more important elements that conform it. The urgency measures and administrative sanctions are defined, the approaches to determine the level of graveness of a violation or nonfulfillment and it is related the application process of urgency measures and administrative sanctions are presented. Like this among the urgency measures they stand out figures like the Notifications of Violation and the Regulatory Orders by their versatility and use potentiality. The PGAMASA has a basically dissuasive character and its last purpose it is to strengthen the actions that the CNSNS carries out in the fulfillment of its functions to maintain the safety standards in the operation of the nuclear facilities. (Author)

  9. Under Pressure: Response Urgency Modulates Striatal and Insula Activity during Decision-Making under Risk

    OpenAIRE

    Jones, Catherine L.; Minati, Ludovico; Harrison, Neil A.; Ward, Jamie; Critchley, Hugo D.

    2011-01-01

    When deciding whether to bet in situations that involve potential monetary loss or gain (mixed gambles), a subjective sense of pressure can influence the evaluation of the expected utility associated with each choice option. Here, we explored how gambling decisions, their psychophysiological and neural counterparts are modulated by an induced sense of urgency to respond. Urgency influenced decision times and evoked heart rate responses, interacting with the expected value of each gamble. Usin...

  10. Discriminating evidence accumulation from urgency signals in speeded decision making.

    Science.gov (United States)

    Hawkins, Guy E; Wagenmakers, Eric-Jan; Ratcliff, Roger; Brown, Scott D

    2015-07-01

    The dominant theoretical paradigm in explaining decision making throughout both neuroscience and cognitive science is known as “evidence accumulation”--The core idea being that decisions are reached by a gradual accumulation of noisy information. Although this notion has been supported by hundreds of experiments over decades of study, a recent theory proposes that the fundamental assumption of evidence accumulation requires revision. The "urgency gating" model assumes decisions are made without accumulating evidence, using only moment-by-moment information. Under this assumption, the successful history of evidence accumulation models is explained by asserting that the two models are mathematically identical in standard experimental procedures. We demonstrate that this proof of equivalence is incorrect, and that the models are not identical, even when both models are augmented with realistic extra assumptions. We also demonstrate that the two models can be perfectly distinguished in realistic simulated experimental designs, and in two real data sets; the evidence accumulation model provided the best account for one data set, and the urgency gating model for the other. A positive outcome is that the opposing modeling approaches can be fruitfully investigated without wholesale change to the standard experimental paradigms. We conclude that future research must establish whether the urgency gating model enjoys the same empirical support in the standard experimental paradigms that evidence accumulation models have gathered over decades of study. Copyright © 2015 the American Physiological Society.

  11. Uni-, bi- and tri-modal warning signals: effects of temporal parameters and sensory modality on perceived urgency

    NARCIS (Netherlands)

    van Erp, Johannes Bernardus Fransiscus; Toet, Alexander; Janssen, Joris B.

    Multi-sensory warnings can potentially enhance risk communication. Hereto we investigated how temporal signal parameters affect perceived urgency within and across modalities. In an experiment, 78 observers rated the perceived urgency of uni-, bi-, and/or tri-modal stimuli as function of 25

  12. Uni-, bi- and tri-modal warning signals : Effects of temporal parameters and sensory modality on perceived urgency

    NARCIS (Netherlands)

    Erp, J.B.F. van; Toet, A.; Janssen, J.B.

    2015-01-01

    Multi-sensory warnings can potentially enhance risk communication. Hereto we investigated how temporal signal parameters affect perceived urgency within and across modalities. In an experiment, 78 observers rated the perceived urgency of uni-, bi-, and/or tri-modal stimuli as function of 25

  13. Under pressure: response urgency modulates striatal and insula activity during decision-making under risk.

    Science.gov (United States)

    Jones, Catherine L; Minati, Ludovico; Harrison, Neil A; Ward, Jamie; Critchley, Hugo D

    2011-01-01

    When deciding whether to bet in situations that involve potential monetary loss or gain (mixed gambles), a subjective sense of pressure can influence the evaluation of the expected utility associated with each choice option. Here, we explored how gambling decisions, their psychophysiological and neural counterparts are modulated by an induced sense of urgency to respond. Urgency influenced decision times and evoked heart rate responses, interacting with the expected value of each gamble. Using functional MRI, we observed that this interaction was associated with changes in the activity of the striatum, a critical region for both reward and choice selection, and within the insula, a region implicated as the substrate of affective feelings arising from interoceptive signals which influence motivational behavior. Our findings bridge current psychophysiological and neurobiological models of value representation and action-programming, identifying the striatum and insular cortex as the key substrates of decision-making under risk and urgency.

  14. Drinking motives and alcohol outcome expectancies as mediators of the association between negative urgency and alcohol consumption.

    Science.gov (United States)

    Anthenien, Amber M; Lembo, Jordanna; Neighbors, Clayton

    2017-03-01

    To determine whether the effects of negative urgency, a unique facet of impulsivity marked by engaging in potentially unhealthy and rash behaviors in order to cope with anxiety or negative moods, on drinking behavior can be explained by positive and negative alcohol outcome expectancies and specific drinking motives (i.e., coping and enhancement). College students (N=194) completed web-based surveys in exchange for course credit. Students completed measures of negative urgency, comprehensive effects of alcohol, drinking motives, and alcohol use behaviors. Results of path analysis indicated significant indirect effects of negative urgency and alcohol use through both alcohol outcome expectancies and enhancement motives. The effects of enhancement motives on drinking were mediated by positive alcohol outcome expectancies. The effects of coping motives on drinking were not attributable to negative expectancies. Individuals high on negative urgency may consume alcohol in order to ameliorate their emotional distress due to strong desires to increase positive and decrease negative experiences associated with drinking. Emotion-focused impulsivity's influence on drinking outcomes can be ascribed to enhancement motives for drinking as well as positive and negative alcohol outcome expectancies. Prevention efforts should target drinking motives and alcohol outcome expectancies among those higher in negative urgency. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Under pressure: response urgency modulates striatal and insula activity during decision-making under risk.

    Directory of Open Access Journals (Sweden)

    Catherine L Jones

    Full Text Available When deciding whether to bet in situations that involve potential monetary loss or gain (mixed gambles, a subjective sense of pressure can influence the evaluation of the expected utility associated with each choice option. Here, we explored how gambling decisions, their psychophysiological and neural counterparts are modulated by an induced sense of urgency to respond. Urgency influenced decision times and evoked heart rate responses, interacting with the expected value of each gamble. Using functional MRI, we observed that this interaction was associated with changes in the activity of the striatum, a critical region for both reward and choice selection, and within the insula, a region implicated as the substrate of affective feelings arising from interoceptive signals which influence motivational behavior. Our findings bridge current psychophysiological and neurobiological models of value representation and action-programming, identifying the striatum and insular cortex as the key substrates of decision-making under risk and urgency.

  16. Order of the 27 October 2006 relative to the national urgency measures aiming to guarantee the supplying security of the natural gas in crisis; Arrete du 27 octobre 2006 relatif aux mesures nationales d'urgence visant a garantir la securite de l'approvisionnement en gaz naturel en cas de crise

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-11-15

    The dispositions of this order and of the associated national urgency concern a crisis prevention and the management of the country natural gas supplying. The concerned articles are presented. The national urgency plan is detailed: the legal framework, the principles and organization of the national urgency device, the organization of the crisis cell and the typology of the urgency measures. (A.L.B.)

  17. URGENCES NOUVELLE VERSION

    CERN Multimedia

    Medical Service

    2002-01-01

    The table of emergency numbers that appeared in Bulletin 10/2002 is out of date. The updated version provided by the Medical Service appears on the following page. Please disregard the previous version. URGENT NEED OF A DOCTOR GENEVAPATIENT NOT FIT TO BE MOVED: Call your family doctor Or SOS MEDECINS (24H/24H) 748 49 50 Or ASSOC. OF GENEVA DOCTORS (7H-23H) 322 20 20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 372 33 11 382 33 11 CHILDREN'S HOSPITAL 6 rue Willy Donzé 382 68 18 382 45 55 MATERNITY 24 Micheli du Crest 382 68 16 382 33 11 OPHTALMOLOGY 22 Alcide Jentzer 382 84 00 HOPITAL DE LA TOUR Meyrin 719 61 11 CENTRE MEDICAL DE MEYRIN Champs Fréchets 719 74 00 URGENCES : FIRE BRIGADE 118 FIRE BRIGADE CERN 767 44 44 BESOIN URGENT D'AMBULANCE (GENEVE ET VAUD) : 144 POLICE 117 ANTI-POISON CENTRE 24H/24H 01 251 51 510 EUROPEAN EMERGENCY CALL: 112 FRANCE PATIENT NOT FIT TO BE MOVED: call your family doctor PATIENT CAN BE MOVED: ST. JULIE...

  18. Order of the 27 October 2006 relative to the national urgency measures aiming to guarantee the supplying security of the natural gas in crisis

    International Nuclear Information System (INIS)

    2006-11-01

    The dispositions of this order and of the associated national urgency concern a crisis prevention and the management of the country natural gas supplying. The concerned articles are presented. The national urgency plan is detailed: the legal framework, the principles and organization of the national urgency device, the organization of the crisis cell and the typology of the urgency measures. (A.L.B.)

  19. URGENCES ET MEDECINE DE CATASTROPHE

    Directory of Open Access Journals (Sweden)

    Jihane BELAYACHI

    2017-05-01

    Full Text Available La concentration humaine et urbaine, le développement des technologies , les menaces de destruction et de contamination sont à l’origine d’une prise de conscience de la nécessité d’une assistance civile. L’aide médicale urgente, qui s’affirme et s’oriente vers une médecine de réseau, en partenariat avec toutes les structures concourant à l’urgence, participe à la rationalisation de la politique sociale. Les acteurs de l’aide médicale urgente contribuent ainsi à sauvegarder, tout en l’améliorant, un secteur sanitaire et social qui est désormais l’un des fondements de la démocratie et l’une de ses assises face aux défis du futur.

  20. Pelvic floor myofascial trigger points: manual therapy for interstitial cystitis and the urgency-frequency syndrome.

    Science.gov (United States)

    Weiss, J M

    2001-12-01

    The effectiveness of manual physical therapy was evaluated in patients with interstitial cystitis and the urethral syndrome, that is urgency-frequency with or without pelvic pain. The rationale was based on the hypothesis that pelvic floor myofascial trigger points are not only a source of pain and voiding symptoms, but also a trigger for neurogenic bladder inflammation via antidromic reflexes. From September 1995 to November 2000, 45 women and 7 men, including 10 with interstitial cystitis and 42 with the urgency-frequency syndrome, underwent manual physical therapy to the pelvic floor for 1 to 2 visits weekly for 8 to 12 weeks. Results were determined by patient completed symptom score sheets indicating the rate of improvement according to outcome parameters, including 25% to 50%-mild, 51% to 75%-moderate, 76% to 99%-marked and 100%-complete resolution. In 10 cases these subjective results were confirmed by measuring resting pelvic floor tension by electromyography before and after the treatment course. Of the 42 patients with the urgency-frequency syndrome with or without pain 35 (83%) had moderate to marked improvement or complete resolution, while 7 of the 10 (70%) with interstitial cystitis had moderate to marked improvement. The mean duration of symptoms before treatment in those with interstitial cystitis and the urgency-frequency syndrome was 14 (median 12) and 6 years (median 2.5), respectively. In patients with no symptoms or brief, low intensity flares mean followup was 1.5 years. In 10 patients who underwent electromyography mean resting pelvic floor tension decreased from 9.73 to 3.61 microV., which was a 65% improvement. Pelvic floor manual therapy for decreasing pelvic floor hypertonus effectively ameliorates the symptoms of the urgency/frequency syndrome and interstitial cystitis.

  1. A urodynamic study of surface neuromodulation versus sham in detrusor instability and sensory urgency.

    Science.gov (United States)

    Bower, W F; Moore, K H; Adams, R D; Shepherd, R

    1998-12-01

    We studied the effect of surface neuromodulation on cystometric pressure and volume parameters in women with detrusor instability or sensory urgency. Electrical current was delivered to the suprapubic region and third sacral foramina via a transcutaneous electrical nerve stimulator with sham neuromodulation control. A consecutive series of women with proved detrusor instability or sensory urgency were randomized to 3 surface neuromodulation groups. Volume and pressure parameters were the main outcomes of transcutaneous electrical nerve stimulation applied during second cystometric fill. Sham transcutaneous electrical nerve stimulation did not alter the outcome measures. However, neuromodulation delivered across the suprapubic and sacral skin effected a reduction in mean maximum height of detrusor contraction. A current which inhibits motor activity was not superior to that which inhibits sensory perception in reducing detrusor pressure. Response in sensory urgency was poor. Results from our sham controlled study suggest that short-term surface neuromodulation via transcutaneous electrical nerve stimulation may have a role in the treatment of detrusor instability. Future studies must examine the clinical effect of long-term surface neuromodulation.

  2. Interactions between Internalizing Symptoms and Urgency in the Prediction of Alcohol Use and Expectancies among Low-Income, Minority Early Adolescents

    Directory of Open Access Journals (Sweden)

    Naomi R. Marmorstein

    2015-01-01

    Full Text Available This study examined whether urgency, a disposition to rash action under conditions of strong emotion, moderates associations between internalizing symptoms and alcohol use and related expectancies. Data from the Camden Youth Development Study, a longitudinal, community-based study of early adolescents ( N = 144, mean age at intake = 11.9 years; 65% Hispanic, 30% African-American; 50% male, were used. Self-report questionnaire measures of depressive symptoms, social and generalized anxiety symptoms, urgency, alcohol use, and alcohol expectancies were used. Mixed models were used to examine the effects of internalizing symptoms, urgency, and their interaction on alcohol use and expectancy trajectories over time. Depressive symptoms interacted with urgency such that youth with high levels of both tended to have elevated levels of global positive alcohol expectancies. Social anxiety symptoms interacted with urgency to be associated with increasing levels of social behavior alcohol expectancies such that youth with high levels of both tended to experience particular increases in these expectancies over time. Generalized anxiety was not found to be associated with alcohol-related constructs. Therefore, high levels of urgency combine with depressive and social anxiety symptoms to be associated with particularly increased risk for alcohol expectancies that are associated with later alcohol use and problems, indicating particular risk for youth with these combinations of personality traits and psychopathology symptoms.

  3. Epidural steroid injections in the management of a patient with spinal stenosis and urinary urgency.

    Science.gov (United States)

    Mitra, Raj; Huang, Lawrence; Payne, Christopher

    2009-02-01

    A 79-year-old woman with a history of chronic back pain and urinary urgency presented to a spine center for treatment and evaluation for axial low back pain. The patient described the back pain as severe with intermittent radiation into the right leg; her pain intensity was 7 out of 10 on a visual analog scale. She described her sense of urgency as severe, and could delay urination for 10 min or less. She described her bladder control as 6 out of 10 on the urgency perception score (with 0 being perfect control). Physical examination, including manual muscle testing, test for sensation to fine touch, reflex assessment and assessment of gait pattern, and MRI of the lumbar spine. Overactive bladder associated with severe central-canal stenosis at L4-5, in the setting of anterolisthesis. Fluoroscopically guided caudal epidural steroid injection; 60 mg of triamcinolone, 3 ml of 1% lidocaine hydrochloride and 3 ml of normal saline, injected in increments.

  4. Establishing a sense of urgency for leading transformational change.

    Science.gov (United States)

    Shirey, Maria R

    2011-04-01

    This department highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders advancing organizational change, content includes evidence-based projects, tools, and resources that mobilize and sustain organizational change initiatives. In this article, the author discusses successful tactics for establishing a sense of urgency to facilitate organizational change.

  5. Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue.

    Science.gov (United States)

    Quan, S D; Morra, D; Lau, F Y; Coke, W; Wong, B M; Wu, R C; Rossos, P G

    2013-05-01

    Through our research into the design and evaluation of technology systems to improve the quality and safety of clinical communication, we have discovered that physicians and nurses differ in perspective regarding clinical prioritization and desirable response times. This has a number of important consequences including unnecessary interruptions, escalating conflict and deterioration in interprofessional relationships. Understanding the differing perspectives on clinical prioritization, or the gap in perceived urgency, may improve interprofessional relationships. We conducted a mixed-methods study utilizing both qualitative (semi-structured interviews) and quantitative (surveys) methods to determine the gap between perceived urgency among physicians and nurses. The survey comprised of real messages extracted from the clinical communication system that was implemented. Physicians and nurses reviewed the messages and assigned an urgency level to each. The semi-structured interviews used open-ended questions to act as a guide to highlight key themes of interest. Thematic analysis, frequency tabulation, and triangulation were used to analyze the data. Although the surveys demonstrated concordance between physicians and nurses when independently ranking the urgency of clinical messages (kappa=0.66 SE 0.15), agreement was only fair in comparison to the urgency identified by the original nurse who sent the message (kappa=0.22 SE 0.18). We hypothesize that clinical context has a major role in defining urgency and may explain this finding. The survey data was triangulated with the semi-structured interview data and it was determined that the desired response time significantly impacted the sender's message prioritization. For example, shift changes and anxious family members were associated with discordant prioritizations. This study demonstrated that the perceived communication urgency gap between sending nurses and receiving physicians was primarily related to timeframe

  6. Military sexual trauma, combat exposure, and negative urgency as independent predictors of PTSD and subsequent alcohol problems among OEF/OIF veterans.

    Science.gov (United States)

    Hahn, Austin M; Tirabassi, Christine K; Simons, Raluca M; Simons, Jeffrey S

    2015-11-01

    This study tested a path model of relationships between military sexual trauma (MST), combat exposure, negative urgency, posttraumatic stress disorder (PTSD) symptoms, and alcohol use and related problems. The sample consisted of 86 Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans who reported drinking at least one alcoholic beverage per week. PTSD mediated the relationships between MST and alcohol-related problems, negative urgency and alcohol-related problems, and combat exposure and alcohol-related problems. In addition, negative urgency had a direct effect on alcohol problems. These results indicate that MST, combat exposure, and negative urgency independently predict PTSD symptoms and PTSD symptoms mediate their relationship with alcohol-related problems. Findings support previous literature on the effect of combat exposure and negative urgency on PTSD and subsequent alcohol-related problems. The current study also contributes to the limited research regarding the relationship between MST, PSTD, and alcohol use and related problems. Clinical interventions aimed at reducing emotional dysregulation and posttraumatic stress symptomology may subsequently improve alcohol-related outcomes. (c) 2015 APA, all rights reserved).

  7. Communicating the Urgency and Challenge of Global Climate Change: Lessons Learned and New Strategies

    Science.gov (United States)

    Dilling, L.; Moser, S. C.

    2004-12-01

    Climate change can sometimes be characterized as a "creeping environmental problem"--it is complex and long-term, involves long system lags, lacks the immediacy of everyday experience and thus is hard to perceive, and feels overwhelming to most individuals. Climate change thus does not typically attain the status of an urgent concern, taking priority over other matters for individuals, organizations or in the policy arena. We review the major reasons behind this lack of urgency, and document the observed consequences of previous communication strategies, including lack of public understanding, indifference, confusion, fear and uncertainty. We find that certain emotional motivators such as fear and guilt, while oft-employed, do not actually result in improved recognition of the urgency of the issue, nor do they typically result in action. Rather, positive and engaging approaches may be more likely to achieve this goal. We propose seven strategies to improve the communication of climate change and its urgency: 1) Abide by basic communication rules and heed the warnings of communication experts; 2) Address the emotional and the temporal components of "urgency"; 3) Increase the persuasiveness of the message; 4) Use trusted messengers-broaden the circle; 5) Use opportunities well; 6) Tap into individual and cultural strengths and values; and 7) Unite and Conquer. The multi-faceted nature of the proposed strategies reflects the unique challenges of the climate change issue as well as the need to engage all levels and sectors of societies in the solution, from individuals, to businesses, to governments. These strategies and results emerged from a multi-disciplinary, academic/practitioner workshop on the topic held at NCAR in summer 2004.

  8. A teleophthalmology system for the diagnosis of ocular urgency in remote areas of Brazil

    Directory of Open Access Journals (Sweden)

    Anna Giselle Ribeiro

    2014-08-01

    Full Text Available Purposes: To validate a teleophthalmology mobile system aimed at improving and providing eye urgency screenings in remote and poor area settings in Brazil. The system enables one or more ophthalmologists to remotely examine a patient's condition and submit a decision describing the gravity of the case. If necessary, the patient can be forwarded to a hospital for further consultation. Methods: A cellphone (Nexus One model, with a 5 megapixel camera was used to collect data and pictures from 100 randomly selected patients at the Ophthalmology Emergency Room located at the General Hospital of the Federal University of São Paulo (UNIFESP. Data was then sent remotely to an online recording system to be reviewed by an ophthalmologist who provided feedback regarding the state of ocular urgency. Results were then compared to the gold standard diagnosis provided at the hospital. Results: The diagnosis of urgency was given by two ophthalmologists: one in the hospital (gold standard and one remotely. When we compared both diagnoses we obtained results of 81.94% specificity, 92.85% sensitivity, and 85% accuracy, with a negative predictive value of 96.72%. This work also included a processing time analysis, resulting in an average time of 8.6 min per patient for remote consultations. Conclusions: This study is the first that has used only a cellphone for diagnosing the urgency of ocular cases. Based on our results, the system can provide a reliable distinction between urgent and non-urgent situations and can offer a viable alternative for the servicing of underprivileged areas. In screening techniques, the most important outcome is to identify urgent cases with a high level of sensitivity and predictive negative value. Thus, our results demonstrate that this tool is robust and we suggest that a major study aimed to verify its efficiency in resource-poor areas should be initiated.

  9. A teleophthalmology system for the diagnosis of ocular urgency in remote areas of Brazil.

    Science.gov (United States)

    Ribeiro, Anna Giselle; Rodrigues, Renan Albert Mendonça; Guerreiro, Ana Maria; Regatieri, Caio Vinicius Saito

    2014-08-01

    To validate a teleophthalmology mobile system aimed at improving and providing eye urgency screenings in remote and poor area settings in Brazil. The system enables one or more ophthalmologists to remotely examine a patient's condition and submit a decision describing the gravity of the case. If necessary, the patient can be forwarded to a hospital for further consultation. A cellphone (Nexus One model, with a 5 megapixel camera) was used to collect data and pictures from 100 randomly selected patients at the Ophthalmology Emergency Room located at the General Hospital of the Federal University of São Paulo (UNIFESP). Data was then sent remotely to an online recording system to be reviewed by an ophthalmologist who provided feedback regarding the state of ocular urgency. RESULTS were then compared to the gold standard diagnosis provided at the hospital. The diagnosis of urgency was given by two ophthalmologists: one in the hospital (gold standard) and one remotely. When we compared both diagnoses we obtained results of 81.94% specificity, 92.85% sensitivity, and 85% accuracy, with a negative predictive value of 96.72%. This work also included a processing time analysis, resulting in an average time of 8.6 min per patient for remote consultations. This study is the first that has used only a cellphone for diagnosing the urgency of ocular cases. Based on our results, the system can provide a reliable distinction between urgent and non-urgent situations and can offer a viable alternative for the servicing of underprivileged areas. In screening techniques, the most important outcome is to identify urgent cases with a high level of sensitivity and predictive negative value. Thus, our results demonstrate that this tool is robust and we suggest that a major study aimed to verify its efficiency in resource-poor areas should be initiated.

  10. THE URGENCY OF THE CRIMINAL POLICY IN CRIME MITIGATION POLICE PROFESSION

    Directory of Open Access Journals (Sweden)

    Ridwan Tahir

    2016-12-01

    Full Text Available This article aims to reveal the characteristics of the crimes committed by the police in general, and then continued by asserting the main orientation of the criminal policy in crime prevention. Next, will be discussed more specifically about the urgency of the criminal policy in the prevention of the crimes committed by the police. This paper, presented using data and information from literature sources, then analyzed qualitatively with decomposition descriptive and prescriptive analytics. The focus of the discussion of this article will be directed to the issue of urgency criminal policy in relation to the role of agency compensation and rehabilitation for the abuses of power that are criminogen in the investigation process established through pretrial agencies that the results are only set compensation and rehabilitation as a result of misuse of the police profession. To that end, the weakness of the criminal law policy, need to be updated, ie, by adding the authority to institute pretrial may also recommend its findings to be prosecuted and criminal sanctions

  11. Negative affect, negative urgency, thought suppression, and bulimic symptoms: a moderated mediation analysis in a sample at-risk for bulimic symptoms.

    Science.gov (United States)

    Lavender, Jason M; Green, Daniel; Anestis, Michael D; Tull, Matthew T; Gratz, Kim L

    2015-05-01

    Research suggests that negative affect, negative urgency, and thought suppression are related to bulimic symptoms, either directly or indirectly. This study examined associations between these constructs in a sample at-risk for bulimic symptoms. Participants (N = 80) recruited from a residential substance abuse treatment facility completed self-report questionnaires. A regression-based bootstrapping approach was used to examine the indirect effect of negative affect on bulimic symptoms through negative urgency and the moderating role of thought suppression in the association between negative affect and negative urgency. Results revealed a significant indirect effect, significant moderation, and a significant moderated mediation effect, with an indirect effect of negative affect on bulimic symptoms through negative urgency, conditional upon low to moderate (but not high) levels of thought suppression. These findings suggest that negative affect may promote rash actions, particularly in the context of low to moderate thought suppression, leading to increased risk of bulimic symptoms. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  12. Early life stress predicts negative urgency through brooding, depending on 5-HTTLPR genotype: A pilot study with 6-month follow-up examining suicide ideation.

    Science.gov (United States)

    Valderrama, Jorge; Miranda, Regina

    2017-12-01

    The present study examined the interaction between early life stress and 5-HTT genotypes in predicting two risk factors for suicidal behavior - the brooding subtype of rumination and impulsivity, in the form of negative urgency - over time. Furthermore, we examined early life stress, brooding, and impulsivity as predictors of suicidal ideation over time. Participants with and without a history of early life stress were genotyped for the 5-HTTLPR polymorphism and completed assessments assessing brooding and negative urgency at baseline and 6-month follow up. Early life emotional abuse was associated with negative urgency at follow-up. We found an indirect effect of early life emotional abuse on negative urgency through brooding among individuals with 5-HTT low expressing genotypes but not among individuals with 5-HTT high expressing genotypes. Further, a logistic regression analysis revealed that negative urgency was associated with higher odds (O.R. = 16.2) of reporting suicide ideation (versus no ideation) at follow-up. Our findings suggest that brooding and negative urgency may result from the interaction between early life emotional abuse and 5-HTT low expressing genotypes. Further research is necessary to understand how early life stress interacts with 5-HTT genotypes to confer risk for suicidal behavior through psychological mechanisms. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Validation of the urgency questionnaire in Portuguese: A new instrument to assess overactive bladder syndrome.

    Science.gov (United States)

    Moraes, Rodolfo Pacheco de; Silva, Jonas Lopes da; Calado, Adriano Almeida; Cavalcanti, Geraldo de Aguiar

    2018-01-01

    Overactive Bladder (OAB) is a clinical condition characterized by symptoms reported by patients. Therefore, measurement instruments based on reported information are important for understanding its impact and treatment benefits. The aim of this study was to translate, culturally adapt and validate the Urgency Questionnaire (UQ) in Portuguese. Initially, the UQ was translated and culturally adapted to Portuguese. Sixty-three volunteers were enrolled in the study and were interviewed for responding the Portuguese version of the UQ and the validated Portuguese version of the Overactive Bladder Questionnaire short-form (OABq-SF), used as the gold standard measurement for the validation process. Psychometric properties such as criterion validity, stability, and reliability were tested. Forty-six subjects were included in the symptomatic group (presence of "urgency"), and seventeen were included in the asymptomatic group (control group). There was difference between symptomatic and asymptomatic subjects on all of the subscales (p≤0.001). The UQ subscales correlated with the OABq-SF subscales (p≤0.01), except the subscale "time to control urgency" and the item "impact" from the visual analog scales (VAS). However, these scales correlated with the OABq-SF - Symptom Bother Scale. The UQ subscales demonstrated stability over time (pPortuguese version of the UQ proved to be a valid tool for the evaluation of OAB in individuals whose native language is Portuguese. Copyright® by the International Brazilian Journal of Urology.

  14. Prevalence of storage lower urinary tract symptoms in male patients attending Spanish urology office. Urinary urgency as predictor of quality of life.

    Science.gov (United States)

    Cambronero Santos, J; Errando Smet, C

    2016-12-01

    The study sought to determine the symptomatic profile of men with lower urinary tract symptoms (LUTS) who visited a urology clinic in Spain and its impact on their health-related quality of life (HRQL). A national, epidemiological cross-sectional study was conducted and included 291 urology clinics. The prevalence of storage LUTS was investigated in 25,482 men. The study collected sociodemographic and clinical data from a subgroup of 1015 patients with storage LUTS who filled out the International Prostate Symptom Score (IPSS), Overactive Bladder Questionnaire Short Form (OABq-SF) and Patient Perception of Bladder Condition (PPBC) questionnaires. The impact of urinary urgency on HRQL was analysed. The prevalence of storage LUTS was 41%, increasing with age: 14.1%, 41.5% and 60.8% for patients aged 18-49, 50-64 and ≥65 years, respectively. Of the 1015 selected patients, only 2.6% had storage symptoms exclusively. Symptom severity (IPSS) increased with age. Nocturia, frequency and urgency were the most common symptoms and had the most impact on HRQL (IPSS and OABq-SF). The number of urgency episodes was inversely correlated with the HRQL (r=-.773; P<.0001). In the multivariate analysis, only the IPSS and OABq-SF bother scores were significant predictors of HRQL (P<.001). Storage LUTS are highly prevalent among patients attending urology clinics in Spain. The severity of the urgency (number of urgency episodes) predicted a poorer quality of life for the patient. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  15. Surgical timing of treating injured extremities: an evolving concept of urgency.

    Science.gov (United States)

    Crist, Brett D; Ferguson, Tania; Murtha, Yvonne M; Lee, Mark A

    2013-01-01

    The management of some orthopaedic extremity injuries has changed over the past decade because of changing resource availability and the risks of complications. It is helpful to review the current literature regarding orthopaedic extremity emergencies and urgencies. The effects of the techniques of damage control orthopaedic techniques and the concept of the orthopaedic trauma room have also affected the management of these injuries. The available literature indicates that the remaining true orthopaedic extremity emergencies include compartment syndrome and vascular injuries associated with fractures and dislocations. Orthopaedic urgencies include open fracture management, femoral neck fractures in young patients treated with open reduction and internal fixation, and talus fractures that are open or those with impending skin compromise. Deciding when the definitive management of orthopaedic extremity injuries will occur has evolved as the concept of damage control orthopaedics has become more commonly accepted. Patient survival rates have improved with current resuscitative protocols. Definitive fixation of extremity injuries should be delayed until the patient's physiologic and extremity soft-tissue status allows for appropriate definitive management while minimizing the risks of complications. In patients with semiurgent orthopaedic injuries, the use of an orthopaedic trauma room has led to more efficient care of patients, fewer complications, and better time management for surgeons who perform on-call service for patients with traumatic orthopaedic injuries.

  16. Sacral Nerve Stimulation For Urinary Urge Incontinence, Urgency-Frequency, Urinary Retention, and Fecal Incontinence

    Science.gov (United States)

    2005-01-01

    Executive Summary Objective The aim of this review was to assess the effectiveness, safety, and cost of sacral nerve stimulation (SNS) to treat urinary urge incontinence, urgency-frequency, urinary retention, and fecal incontinence. Background: Condition and Target Population Urinary urge incontinence, urgency-frequency, urinary retention, and fecal incontinence are prevalent, yet rarely discussed, conditions. They are rarely discussed because patients may be uncomfortable disclosing their symptoms to a health professional or may be unaware that there are treatment options for these conditions. Briefly, urge incontinence is an involuntary loss of urine upon a sudden urge. Urgency-frequency is an uncontrollable urge to void, which results in frequent, small-volume voids. People with urgency-frequency may or may not also experience chronic pelvic pain. Urinary retention refers to the inability to void despite having the urge to void. It can be caused by a hypocontractile detrusor (weak or no bladder muscle contraction) or obstruction due to urethral overactivity. Fecal incontinence is a loss of voluntary bowel control. The prevalence of urge incontinence, urgency-frequency, and urinary retention in the general population is 3.3% to 8.2%, and the prevalence of fecal incontinence is 1.4% to 1.9%. About three-quarters of these people will be successfully treated by behaviour and/or drug therapy. For those who do not respond to these therapies, the options for treatment are management with diapers or pads, or surgery. The surgical procedures are generally quite invasive, permanent, and are associated with complications. Pads and/or diapers are used throughout the course of treatment as different therapies are tried. Patients who respond successfully to treatment may still require pads or diapers, but to a lesser extent. The Technology Being Reviewed: Sacral Nerve Stimulation Sacral nerve stimulation is a procedure where a small device attached to an electrode is

  17. Urgency of Community Supervision Organization by Government

    Directory of Open Access Journals (Sweden)

    Catur Wibowo Budi Santoso

    2015-03-01

    Full Text Available Urgency Surveillance Study of Social Organization aims to describe the reality of the problems in the a real of Social Organization; describe the implementation of the role of government (including local government in controlling the Social Organization; and provider recommendations on matters that need to be regulated in the draft regulations on the supervision of organizations. This study used a qualitative approach, with the aim that can be obtained in-depth and complete information about matters relating to the existence and dynamics in regional organizations. The study results presented can be: that on the one hand the existence of organizations that do not contribute little in development, but on the other hand there are many community organizations that act an archaic and disturbing in society; for the entire operational provisions for the implementation of Social Organization must be available; things that need to be arranged substantially in the surveillance by the government.

  18. [The liaison psychiatry approach of the psychiatric crisis, urgencies and emergencies].

    Science.gov (United States)

    Tenconi, Juan Cristóbal

    2003-01-01

    The purpose of this paper is to differentiate crisis, emergencies and urgencies within the frame of Liaison psychiatry. It begins with the definition of each one of the terms, later the emphasis is put in the clinical characteristics of each one of these situations. These characteristics are determined by the patient and the therapeutic team. At last therapeutic guidelines are stated, which allow more precision in the intervention, in function of the direct involvement of these situations in the development and evolution of the patients.

  19. Epidemiology of mixed, stress, and urgency urinary incontinence in middle-aged/older women: the importance of incontinence history.

    Science.gov (United States)

    Komesu, Yuko M; Schrader, Ronald M; Ketai, Loren H; Rogers, Rebecca G; Dunivan, Gena C

    2016-05-01

    Urinary incontinence (UI) is common and the relationship among its subtypes complex. Our objective was to describe the natural history and predictors of the incontinence subtypes stress, urgency, and mixed, in middle-aged and older US women. We tested our hypothesis that UI subtype history predicted future occurrence, evaluating subtype incidence/remission over multiple time points in a stable cohort of women. We analyzed longitudinal urinary incontinence data in 10,572 community-dwelling women aged ≥50 in the 2004-2010 Health and Retirement Study. Mixed, stress, and urgency incontinence prevalence (2004, 2006, 2008, 2010) and 2-year cumulative incidence and remissions (2004-2006, 2006-2008, 2008-2010) were estimated. Patient characteristics and incontinence subtype status 2004-2008 were entered into a multivariable, transition model to determine predictors for incontinence subtype occurrence in 2010. The prevalence of each subtype in this population (median age 63-66) was 2.6-8.9 %. Subtype incidence equaled 2.1-3.5 % and remissions for each varied between 22.3 and 48.7 %. Incontinence subtype incidence predictors included ethnicity/race, age, body mass index, and functional limitations. Compared with white women, black women had decreased odds of incident stress incontinence and Hispanic women had increased odds of stress incontinence remission. The age range 80-90 and severe obesity predicted incident mixed incontinence. Functional limitations predicted mixed and urgency incontinence. The strongest predictor of incontinence subtype was subtype history. The presence of the respective incontinence subtypes in 2004 and 2006 strongly predicted 2010 recurrence (odds ratio [OR] stress incontinence = 30.7, urgency OR = 47.4, mixed OR = 42.1). Although the number of remissions was high, a previous history of incontinence subtypes predicted recurrence. Incontinence status is dynamic, but tends to recur over the longer term.

  20. Emotionally Up and Down, Behaviorally To and Fro: Drinking Motives Mediate the Synergistic Effects of Urgency and Emotional Instability on Alcohol Outcomes.

    Science.gov (United States)

    Dvorak, Robert D; Kuvaas, Nicholas J; Lamis, Dorian A; Pearson, Matthew R; Stevenson, Brittany L

    2015-01-01

    Emotional and behavioral regulation has been linked to coping and enhancement motives and associated with different patterns of alcohol use and problems. The current studies examined emotional instability, urgency, and internal drinking motives as predictors of alcohol dependence symptoms as well as the likelihood and severity of Diagnostic and Statistical Manual of Mental Disorders-5th editionAlcohol Use Disorder (AUD). In Study 1, college drinkers (n = 621) completed alcohol involvement and behavioral/emotional functioning assessments. There was an indirect association between emotional instability and dependence symptoms via both coping and enhancement drinking motives which was potentiated by trait urgency. In Study 2, college drinkers (n = 510) completed alcohol involvement, behavioral/emotional functioning, and AUD criteria assessments. A significant indirect effect from emotional instability to the likelihood of meeting AUD criteria, via drinking to cope was found, again potentiated by urgency. © The Author(s) 2016.

  1. Specific Changes in Brain Activity During Urgency in Women with Overactive Bladder after Successful Sacral Neuromodulation: An fMRI Study.

    Science.gov (United States)

    Weissbart, Steven J; Bhavsar, Rupal; Rao, Hengyi; Wein, Alan J; Detre, John A; Arya, Lily A; Smith, Ariana L

    2018-04-06

    The mechanism of sacral neuromodulation is poorly understood. We compared brain activity during urgency before and after sacral neuromodulation in women with overactive bladder and according to response to treatment. Women with refractory overactive bladder who elected for sacral neuromodulation were invited to undergo a functional magnetic resonance imaging exam before and after treatment. During the imaging exams, the bladder was filled until urgency was experienced. Regions of interest were identified a priori, and brain activity in these regions of interest was compared before and after treatment as well as according to treatment response. A whole brain exploratory analysis with an uncorrected voxel level threshold of pbrain regions that changed after sacral neuromodulation. Among 12 women who underwent a pretreatment functional magnetic resonance imaging exam, seven were successfully treated with sacral neuromodulation and underwent a posttreatment exam. After sacral neuromodulation, brain activity decreased in the left anterior cingulate cortex, bilateral insula, left dorsolateral prefrontal cortex and bilateral orbitofrontal cortex (all pbrain regions with increased activity after sacral neuromodulation. Pretreatment brain activity levels in the bilateral anterior cingulate cortex, right insula, bilateral dorsolateral prefrontal cortex, right orbitofrontal cortex, right supplementary motor area, and right sensorimotor cortex were higher in women who underwent successful treatment (all pBrain activity during urgency changes after successful sacral neuromodulation. Sacral neuromodulation may be more effective in women with higher levels of pretreatment brain activity during urgency. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  2. The influence of meteorological parameters on the occurrence of hypertensive urgency and emergency

    Energy Technology Data Exchange (ETDEWEB)

    Koppe, Christina [Centre for Human-Biometeorological Research, Freiburg (Germany). Deutscher Wetterdienst; Ghafoor, Jasmin; Arndt, Daniel; Schilling, Hanno; Boergel, Jan [Katharinen-Hospital, Unna (Germany). Dept. of Cardiology; Springer, Stephanie; Muegge, Andreas [Ruhr Univ., Bochum (Germany). Medizinische Klinik 2

    2011-10-15

    Hypertensive urgency/emergency is a common and potentially life threatening condition that is characterised by a rapid and strong increase in blood pressure. It is estimated that hypertensive urgencies/emergencies account for 25 % of all patient visits in the medical section of emergency departments. Between 24 September 2007 and 06 September 2008, we investigated 195 persons with hypertensive events who were admitted to the emergency unit of the University Clinic St. Josef Hospital in Bochum. After stabilization of blood pressure, the patients were sent to the ward for further evaluation. Aldosterone, renin, and cortisol levels were monitored during the first 24 hours. Blood was taken at 8 am after 2 hours in supine position and after mobilization at 10 am. Meteorological data at the time of admission were analyzed for potential associations with the temporary accumulation of hypertensive events. The meteorological parameters were air temperature TA, relative humidity RH, air pressure P, and sunshine duration SD, observed at the meteorological station in Duesseldorf (airport). In addition, perceived temperature PT was calculated and included in the analysis. First results indicate that the hypertensive events occurred on days when TA departed on average -0.28 K (95 % confidence interval: -0.59 to -0.03 K) and PT deviated on average -0.43 K (-0.82 to -0.04) from the respective values of the preceding day. On days without hypertensive events TA was on average 0.21 (-0.08 to 0.49) and PT was on average 0.32 K (-0.04 to 0.68) higher than on the day before. Days with and days without cases of hypertensive events were, with respect to the daily TA and PT changes, significantly different (TA: p = 0.012; PT: p = 0.003). On days with lower PT than on the previous day the probability of a hospital admission due to a hypertensive event was more than twice as high as on days with higher PT than on the day before. These first results indicate a potential relationship between

  3. APPLICATION HYDRAULIQUE DE LA TECHNIQUE GRAPHIQUE DE BERGERON AUX ACCIDENTS VASCULAIRES CÉRÉBRAUX : LE COUP DE BÉLIER HYDRAULIQUE Á L’ORIGINE D’UNE CAVITATION ENGENDRANT UN PHÉNOMÈNE DE THIXOTROPIE. LE MIRACLE DE SAINT JANVIER : HYPOTHESE SUR L’ORIGINE DE L’HEMORRAGIE CEREBRALE DU SUJET HYPERTENDU.

    OpenAIRE

    Venet , Richard; Léger , Philippe; Pavie , Alain

    2013-01-01

    Un poète de l’entre deux guerres a décrit les circonstances de son accident vasculaire cérébral, nous évoquant « un coup de bélier hydraulique ». Pour Ahlqvist l’hémorragie cérébrale est secondaire à l’embolisation (occlusion instantanée) d’une artère cérébrale engendrant ainsi un coup de bélier responsable de la fissuration d’un micro-anévrisme de Charcot. Nous nous proposons dans cet article d’exposer le plus compendieusement possible la théorie du coup de bélier hydraulique. Appliquant cet...

  4. SELECTION OF RECIPIENTS FOR HEART TRANSPLANTATION BASED ON URGENCY STATUS

    Directory of Open Access Journals (Sweden)

    O. A. Sujayeva

    2014-01-01

    Full Text Available The article provides the overview of current international recommendations dedicated to selection of heart transplantation recipients based on urgency status. Authors found that cardiopulmonary bicycle stress test allowed to reveal additional criteria of high death risk within 1 year. These additional criteria were: the maximal oxygen consumption VO2max < 30% of the expected considering the age; VD/VT (ratio of physiologic dead space over tidal volume increasing during the test; maximal tolerance to physical loading ≤50 Wt and/or < 20% of the expected considering the age. Authors created mathematical model for prediction of death within 1 year based on above mentioned data. Special software estimating the probability of death within 1 year was also created.

  5. Assessment of the urgency and deferability of transfusion to inform emergency blood planning and triage: the Bloodhound prospective audit of red blood cell use.

    Science.gov (United States)

    Shortt, Jake; Polizzotto, Mark N; Waters, Neil; Borosak, Marija; Moran, Martine; Comande, Mary; Devine, Alexandra; Jolley, Damien J; Wood, Erica M

    2009-11-01

    Careful planning is essential to ensure blood availability during shortages. Triaging supply is one proposed strategy; however, few data concerning the urgency of transfusion are available to inform planning. This study sought to determine the proportion of red blood cells (RBCs) used for clinically urgent indications. A total of 5132 RBC units were randomly selected at point of production and distributed into general statewide inventory over a 9-month period. These selected units carried case report forms, for completion at the point of hospital issue for transfusion. Completed forms were returned to the blood service for collation and analysis, capturing information on indication and clinical urgency of supply, including use for potentially deferrable elective surgery. Data from 5052 RBC units indicated that 95.6% were transfused. Approximately one-third of transfused units were used to support surgery, one-third for hematology/oncology, and one-third for other medical and miscellaneous indications. Where used for surgery, 25.7% (95% confidence interval [CI], 23.4%-28.0%) were for elective procedures, although urgency of surgery was unknown in 17.1% (95% CI, 15.2%-19.2%) of cases. Supply for nonurgent medical indications and elective surgery only accounted for 9.8% (95% CI, 9.0%-10.6%) of use, with 53.4% (95% CI, 52.0%-54.8%) of RBCs required within 24 hours. The majority of RBCs are transfused with a high degree of clinical urgency, with only a minor proportion required to support elective surgery.

  6. Utilisation de la radiographie de l’abdomen sans préparation au service des urgences de l’Hôpital Général de Douala : étude rétrospective.

    OpenAIRE

    Essomba AC; Essola B; Sende C; Ngatchou W; Sone W; M. Sone; Ebana Mvogo

    2013-01-01

    Malgré ses limitations en termes de sensibilité et de spécificité, la radiographie sans préparation (ASP) reste un examen largement prescrit dans un service d’urgence. Le but de l’étude est d’analyser l’état actuel de la prescription de cet examen au service des urgences de l’hôpital général de Douala (Cameroun) Méthode et matériel : À partir d’une série de 391 ASP consécutifs prescrits au service des urgences entre juillet 2007 et juillet 2009, les dossiers de patients de plus de 18an...

  7. Tutelage of man's terrestrial patrimony: Urgency for tenable development

    International Nuclear Information System (INIS)

    Caglioti, V.

    1992-01-01

    Urgency for prompt and coordinated action by industrialized countries is emphasized in this analysis of the earth's most pressing environmental problems - desertification, acid rain, deforestation, the greenhouse effect and ozone depletion. In the analysis of the chemical, physical, thermochemical and climatic processes (e.g., ozone reactions with chlorofluorocarbons, Antarctic atmospheric vortex circulation, volcanic eruptions, the earth's water and carbon cycles, cyclic global temperature variations, etc.) governing the formation and modification of the various environmentally destabilizing phenomena, and in the assessments of the severity and duration of the effects, the paper evidences global and socio-economic aspects relative to the probable causes and proposed solutions. The author states that whereas greater investment by industrialized countries in environmental protection and technology transfer programs is essential to save the earth's natural resources, overall positive results can be achieved only through a contemporaneous change in social values to favour the sharing of the earth's wealth among nations and future generations

  8. Factors associated with variation in urgency of primary out-of-hours contacts in the Netherlands: a cross-sectional study.

    NARCIS (Netherlands)

    Zwaanswijk, M.; Nielen, M.M.J.; Hek, K.; Verheij, R.A.

    2015-01-01

    Objectives: Dutch primary out-of-hours care is provided by general practice cooperatives (GPCs). Although most GPCs use the same standardised triage system, differences between GPCs exist in the urgency assigned to patients’ health problems. This crosssectional study aims to provide insight into

  9. Economic Functions Proposal of Urgency Prioritization of Investment Projects of Operated Railway Bridges

    Directory of Open Access Journals (Sweden)

    Pitoňák Martin

    2014-12-01

    Full Text Available The main objective of the article is to describe the proposals of economic functions within the prioritization of urgency investments of operated railway bridges within a comprehensive evaluation of existing bridges. The purpose of the paper is a comprehensive assessment of existing bridges and to define determinants and determinants of decision-making and designing a mechanism of decision-making procedures of prioritized infrastructure measures in the form of repairs and reconstructions of bridges resulting from the records of supervising activities based not only on technical but also economic aspects to the railway infrastructure manager.

  10. Evaluation and management of pediatric hypertensive crises: hypertensive urgency and hypertensive emergencies

    Directory of Open Access Journals (Sweden)

    Patel NH

    2012-11-01

    Full Text Available Nirali H Patel,1 Sarah K Romero,2 David C Kaelber31Division of Emergency Medicine, Akron Children's Hospital, Akron, OH, USA; 2Division of Emergency Medicine, Rainbow Babies and Children's Hospital, Cleveland, OH, USA; 3Departments of Information Services, Internal Medicine, Pediatrics, and Epidemiology and Biostatistics, The Center for Clinical Informatics Research and Education, The MetroHealth System and School of Medicine, Case Western Reserve University, Cleveland OH, USAAbstract: Hypertension (HTN in the pediatric population is estimated to have a world-wide prevalence of 2%-5%. As with adults, pediatric patients with HTN can present with hypertensive crises include hypertensive urgency and hypertensive emergencies. However, pediatric blood pressure problems have a greater chance of being from secondary causes of HTN, as opposed to primary HTN, than in adults. Thorough evaluation of a child with a hypertensive emergency includes accurate blood pressure readings, complete and focused symptom history, and appropriate past medical, surgical, and family history. Physical exam should include height, weight, four-limb blood pressures, a general overall examination and especially detailed cardiovascular and neurological examinations, including fundoscopic examination. Initial work-up should typically include electrocardiography, chest X-ray, serum chemistries, complete blood count, and urinalysis. Initial management of hypertensive emergencies generally includes the use of intravenous or oral antihypertensive medications, as well as appropriate, typically outpatient, follow-up. Emergency department goals for hypertensive crises are to (1 safely lower blood pressure, and (2 treat/minimize acute end organ damage, while (3 identifying underlying etiology. Intravenous antihypertensive medications are the treatment modality of choice for hypertensive emergencies with the goal of reducing systolic blood pressure by 25% of the original value over an 8

  11. Urgency coding as a dynamic tool in management of waiting lists for psychogeriatric nursing home care in The Netherlands

    NARCIS (Netherlands)

    Meiland, F. J. M.; Danse, J. A. C.; Wendte, J. F.; Gunning-Schepers, L. J.; Klazinga, N. S.

    2002-01-01

    Criteria are used to prioritise patients on waiting lists for health care services. This is also true for waiting lists for admission to psychogeriatric nursing homes. A patient's position on these latter waiting lists is determined by (changes in) urgency and waiting time. The present article

  12. Politics and application guide of urgency measures and administrative sanctions of the CNSNS; Politica y guia de aplicacion de medidas de apremio y sanciones administrativas de la CNSNS

    Energy Technology Data Exchange (ETDEWEB)

    Espinosa V, J.M.; Cruz R, L.A.; EsquiveI T, J.L.; Nunez C, A. [CNSNS, 03020 Mexico D.F. (Mexico)]. e-mail: jmespinosa@cnsns.gob.mx

    2007-07-01

    In use of their attributions, granted by the Regulation Law of the 27 Constitutional Article in Nuclear Matter, the National Commission of Nuclear Safety and Safeguards (CNSNS) it has taken charge to the authors the Politics' s elaboration and Guide of Application of Urgency measures and Administrative Sanctions (PGAMASA) with the double objective of discouraging the licensees, contractors and employees of incurring in nonfulfillment or violations to the regulator mark and of encouraging them to be attentive to the prompt identification and the immediate and appropriate correction of the violations and nonfulfillment. The present article presents the legal mark that confers the CNSNS the attributions to implant a PGAMASA and it exposes the more important elements that conform it. The urgency measures and administrative sanctions are defined, the approaches to determine the level of graveness of a violation or nonfulfillment and it is related the application process of urgency measures and administrative sanctions are presented. Like this among the urgency measures they stand out figures like the Notifications of Violation and the Regulatory Orders by their versatility and use potentiality. The PGAMASA has a basically dissuasive character and its last purpose it is to strengthen the actions that the CNSNS carries out in the fulfillment of its functions to maintain the safety standards in the operation of the nuclear facilities. (Author)

  13. Examining the role of emotion in suicidality: negative urgency as an amplifier of the relationship between components of the interpersonal-psychological theory of suicidal behavior and lifetime number of suicide attempts.

    Science.gov (United States)

    Anestis, Michael D; Joiner, Thomas E

    2011-03-01

    Joiner's (2005) interpersonal-psychological theory of suicidal behavior posits that an individual must exhibit elevations on three variables--perceived burdensomeness, thwarted belongingness, and the acquired capability for suicide--in order to enact lethal self-harm. Thus far, however, no research has examined the role of emotion in this process or whether the interaction of these three variables is more problematic for certain populations than for others. We sought to address these voids by examining the role of negative urgency as an amplifier of the relationship between the components of the theory and lifetime number of suicide attempts. Results indicated that the four-way interaction of negative urgency and the three components of the theory predicted lifetime number of suicide attempts, controlling for depression symptoms and sex. Additionally, the three-way interaction of the theory components significantly predicted lifetime number of suicide attempts in the full sample. Furthermore, for individuals with negative urgency scores at or above the median, the three-way interaction of the theory components significantly predicted lifetime number of suicide attempts whereas, for individuals with negative urgency scores below the median, the interaction was non-significant. These findings indicate that, although elevations on the three components of the theory may be dangerous for anyone, this is particularly true for individuals exhibiting high levels of negative urgency, as they might be more likely to quickly develop suicidal ideation and resort to painful self-harming behaviors while experiencing negative affective states. Copyright © 2010 Elsevier B.V. All rights reserved.

  14. Urgency of Attorney Governed by the Constitution

    Directory of Open Access Journals (Sweden)

    Rommy Patra

    2015-12-01

    Full Text Available Attorney existence in the Indonesian constitutional structure has a dilemma for this position. On one side is the Prosecutor’s law enforcement agencies to exercise power independently prosecution while on the other hand is part of a government institution under Law No. 16 of 2004 regarding the Attorney. The position of Attorney as an institution of government has been led to the independence of the Prosecutor is not optimal so that it appears stigma that the Prosecutor merely as a tool of the ruling power. In addition the terms of the arrangement just under the Act, the Attorney General has no legal standing as a constitutional organ that has the constitutional authority so that the current position does not reflect the urgency of its duties and functions. In an effort to organize the next Attorney institutions should be regulated directly by the Constitution. It is intended to make the Attorney as part of the main state organs have the same legal standing as other law enforcement agencies, the police and the courts (Supreme Court and Constitutional Court. As well as to strengthen and clarify the position as a state institution, prosecution authorities are focusing on the Attorney as central of authority, to fix the institutional relations between the members of law enforcement and related agencies and strengthen the independence of the Prosecutor in performing the function of prosecution in the constitutional structure of Indonesia.

  15. Time-Lag in Responses of Birds to Atlantic Forest Fragmentation: Restoration Opportunity and Urgency.

    Science.gov (United States)

    Uezu, Alexandre; Metzger, Jean Paul

    2016-01-01

    There are few opportunities to evaluate the relative importance of landscape structure and dynamics upon biodiversity, especially in highly fragmented tropical landscapes. Conservation strategies and species risk evaluations often rely exclusively on current aspects of landscape structure, although such limited assumptions are known to be misleading when time-lag responses occur. By relating bird functional-group richness to forest patch size and isolation in ten-year intervals (1956, 1965, 1978, 1984, 1993 and 2003), we revealed that birds with different sensitivity to fragmentation display contrasting responses to landscape dynamics in the Brazilian Atlantic Forest. For non-sensitive groups, there was no time-lag in response: the recent degree of isolation best explains their variation in richness, which likely relates to these species' flexibility to adapt to changes in landscape structure. However, for sensitive bird groups, the 1978 patch area was the best explanatory variable, providing evidence for a 25-year time-lag in response to habitat reduction. Time-lag was more likely in landscapes that encompass large patches, which can support temporarily the presence of some sensitive species, even when habitat cover is relatively low. These landscapes potentially support the most threatened populations and should be priorities for restoration efforts to avoid further species loss. Although time-lags provide an opportunity to counteract the negative consequences of fragmentation, it also reinforces the urgency of restoration actions. Fragmented landscapes will be depleted of biodiversity if landscape structure is only maintained, and not improved. The urgency of restoration action may be even higher in landscapes where habitat loss and fragmentation history is older and where no large fragment remained to act temporarily as a refuge.

  16. "Food Addiction" in Patients with Eating Disorders is Associated with Negative Urgency and Difficulties to Focus on Long-Term Goals.

    Science.gov (United States)

    Wolz, Ines; Hilker, Ines; Granero, Roser; Jiménez-Murcia, Susana; Gearhardt, Ashley N; Dieguez, Carlos; Casanueva, Felipe F; Crujeiras, Ana B; Menchón, José M; Fernández-Aranda, Fernando

    2016-01-01

    The present study aimed to investigate if eating disorder patients differ in specific personality traits depending on a positive screening of food addiction (FA) and to find a model to predict FA in eating disorder patients using measures of personality and impulsivity. Two hundred seventy eight patients, having an eating disorder, self-reported on FA, impulsivity, personality, eating and general psychopathology. Patients were then split into two groups, depending on a positive or negative result on the FA screening. Analysis of variance was used to compare means between the two groups. Stepwise binary logistic regression was used to obtain a predictive model for the presence of FA. Patients with FA had lower self-directedness, and more negative urgency and lack of perseverance than patients not reporting addictive eating. The probability of FA can be predicted by high negative urgency, high reward dependence, and low lack of premeditation. Eating disorder patients who have more problems to pursue tasks to the end and to focus on long-term goals seem to be more likely to develop addictive eating patterns.

  17. Essential role of transient receptor potential M8 (TRPM8) in a model of acute cold-induced urinary urgency.

    Science.gov (United States)

    Uvin, Pieter; Franken, Jan; Pinto, Silvia; Rietjens, Roma; Grammet, Luc; Deruyver, Yves; Alpizar, Yeranddy A; Talavera, Karel; Vennekens, Rudi; Everaerts, Wouter; De Ridder, Dirk; Voets, Thomas

    2015-10-01

    Acute exposure of part of the skin to cold stimuli can evoke urinary urgency, a phenomenon termed acute cold-induced urgency (ACIU). Despite its high prevalence, particularly in patients with overactive bladder, little is known about the mechanisms that induce ACIU. To develop an animal model of ACIU and test the involvement of cold-activated ion channels transient receptor potential (TRP) M8 and TRPA1. Intravesical pressure and micturition were monitored in female mice (wild-type C57BL/6J, Trpa1(-/-), Trpm8(+/+), and Trpm8(-/-)) and Sprague Dawley rats. An intravesical catheter was implanted. Localized cooling of the skin was achieved using a stream of air or topical acetone. The TRPM8 antagonist (N-(3-aminopropyl)-2-{[(3-methylphenyl) methyl]oxy}-N-(2-thienylmethyl)benzamide (AMTB) or vehicle was injected intraperitoneally. Frequencies of bladder contractions and voids in response to sensory stimuli were compared using the Mann-Whitney or Kruskal-Wallis test. Brief, innocuously cold stimuli applied to different parts of the skin evoked rapid bladder contractions and voids in anesthetized mice and rats. These responses were strongly attenuated in Trpm8(-/-) mice and in rats treated with AMTB. As rodent bladder physiology differs from that of humans, it is difficult to directly extrapolate our findings to human patients. Our findings indicate that ACIU is an evolutionarily conserved reflex rather than subconscious conditioning, and provide a useful in vivo model for further investigation of the underlying mechanisms. Pharmacological inhibition of TRPM8 may be useful for treating ACIU symptoms in patients. Brief cold stimuli applied to the skin can evoke a sudden desire to urinate, which can be highly bothersome in patients with overactive bladder. We developed an animal model to study this phenomenon, and found that it depends on a specific molecular cold sensor, transient receptor potential M8 (TRPM8). Pharmacological inhibition of TRPM8 may alleviate acute cold

  18. Urgency in energy justice : contestation and time in prospective shale extraction in the United States and United Kingdom

    OpenAIRE

    Partridge, Tristan

    2018-01-01

    Changes to the material and social systems that underpin energy infrastructures are inextricably linked to energy justice concerns, and the timeframes of those changes significantly affect their outcomes. Temporal aspects of energy initiatives and their impacts are thus an important site for examining emergent public views on new energy proposals, inequality, and energy justice. We propose urgency is a particularly rich concept through which to study (i) the justice and socioenvironmental imp...

  19. Emotionally Up and Down, Behaviorally to and fro: Drinking Motives Mediate the Synergistic Effects of Urgency and Emotional Instability on Alcohol Outcomes

    Science.gov (United States)

    Dvorak, Robert D.; Kuvaas, Nicholas J.; Lamis, Dorian A.; Pearson, Matthew R.; Stevenson, Brittany L.

    2015-01-01

    Emotional and behavioral regulation has been linked to coping and enhancement motives and associated with different patterns of alcohol use and problems. The current studies examined emotional instability, urgency, and internal drinking motives as predictors of alcohol dependence symptoms as well as the likelihood and severity of "Diagnostic…

  20. Investigating the Mediational Role of Negative Urgency in the Anxiety Sensitivity Pathway to Cannabis Problems and Dependence Symptoms among Postsecondary Students

    Science.gov (United States)

    Keough, Matthew T.; Hendershot, Christian S.; Wardell, Jeffrey D.; Bagby, R. Michael

    2018-01-01

    Objectives: Anxiety sensitivity (AS) is associated with cannabis use. People high in AS may use cannabis to cope with elevated anxiety. This association is consistently supported in the literature. However, we have much to learn about the mechanisms of the AS pathway to cannabis use. We aimed to examine negative urgency--the tendency to act…

  1. "Food addiction" in patients with eating disorders is associated with negative urgency and difficulties to focus on long-term goals

    Directory of Open Access Journals (Sweden)

    Ines eWolz

    2016-02-01

    Full Text Available Objectives: The present study aimed to investigate if eating disorder patients differ in specific personality traits depending on a positive screening of food addiction and to find a model to predict food addiction in eating disorder patients using measures of personality and impulsivity. Methods: 278 patients having an eating disorder self-reported on food addiction, impulsivity, personality, eating and general psychopathology. Patients were then split into two groups, depending on a positive or negative result on the food addiction screening. Analysis of variance was used to compare means between the two groups. Stepwise binary logistic regression was used to obtain a predictive model for the presence of food addiction. Results: Patients with food addiction had lower self-directedness, and more negative urgency and lack of perseverance than patients not reporting addictive eating. The probability of food addiction can be predicted by high negative urgency, high reward dependence, and low lack of premeditation. Conclusions: Eating disorder patients who have more problems to pursue tasks to the end and to focus on long-term goals seem to be more likely to develop addictive eating patterns.

  2. [Knowledge of nurses about medication doses at pediatric urgency departament].

    Science.gov (United States)

    Guerrero-Márquez, Gloria; Martínez-Serrano, Ana; Míguez-Navarro, Concepción; López-Mirón, Juan Antonio; Espartosa-Larrayad, Marta

    2016-01-01

    Errors in drug administration are the second cause of errors in hospitalized patients. Children are a high risk group. Besides, pressure in care interventions at emergency department leads to increase incidence errors. Determining nurses' knowledge about the most common drug doses at pediatric urgency department. Descriptive transversal study. We collected data from nurses of 14 pediatric emergency departments of Madrid. With an "ad hoc" questionnaire we collected the following data during five days in January of 2014: demographic, knowledge of responsibility in administration and doses of drugs. Global descriptive analysis was made and it was stratified by hospital and work experience. The answer rate was 114 (34.9%). Only 80 (70.8%) of nurses confirm doses before their administration; 20 (18.6%) think that a wrong prescription that they administer is not their responsibility. There is a high knowledge in the group with more than five years of work experience, except for sedative-analgesic drugs (p<0.05). The average score obtained was 3.8 of 10 (1.99). Nurses' knowledge about drug doses is low. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  3. Pelvic Floor Physical Therapy as Primary Treatment of Pelvic Floor Disorders With Urinary Urgency and Frequency-Predominant Symptoms.

    Science.gov (United States)

    Adams, Sonia R; Dessie, Sybil G; Dodge, Laura E; Mckinney, Jessica L; Hacker, Michele R; Elkadry, Eman A

    2015-01-01

    To assess the efficacy of pelvic floor physical therapy (PFPT) as primary treatment of urinary urgency and frequency symptoms We conducted a prospective cohort study of women with urinary urgency and frequency symptoms. Participants underwent PFPT once or twice per week for 10 weeks. Symptom improvement was assessed by validated questionnaires (Pelvic Floor Distress Inventory-Short Form 20 and Patient Global Impression of Improvement), voiding diaries, and subjective measures. Fifty-seven participants enrolled; 21 (36.8%) withdrew or completed less than 5 weeks of PFPT. Thirty-one (54.4%) of the remaining 36 participants completed 10 weeks of PFPT. The mean age of the study group (n = 36) was 48.9 ± 15.0 years. The primary diagnoses were overactive bladder syndrome (n = 24, 66.7%) and painful bladder syndrome (n = 12, 33.3%). Women attended a median of 14.0 (interquartile range [IQR], 8.0-16.0) PFPT visits over a median of 11.9 weeks (IQR, 10.0-18.1). At baseline, the median Pelvic Floor Distress Inventory-Short Form 20 score was 79.2 (IQR, 53.1-122.9), and decreased to 50.0 (IQR, 25.0-88.5; P therapies. The high dropout rates suggest that motivation or logistic factors may play a significant role in the utilization and success of this treatment option.

  4. Intended Sensitive and Harsh Caregiving Responses to Infant Crying: The Role of Cry Pitch and Perceived Urgency in an Adult Twin Sample

    Science.gov (United States)

    Out, Dorothee; Pieper, Suzanne; Bakermans-Kranenburg, Marian J.; Zeskind, Philip Sanford; van IJzendoorn, Marinus H.

    2010-01-01

    Objective: To examine the underlying mechanisms of adults' intended caregiving responses to cry sounds in a behavioral genetic design and to investigate the role of cry pitch and perceived urgency in sensitive and harsh caregiving responses. Methods: The sample consisted of 184 adult twin pairs (18-69 years), including males and females, parents…

  5. Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out-of-hospital care.

    Science.gov (United States)

    Brokmann, Jörg C; Rossaint, Rolf; Müller, Michael; Fitzner, Christina; Villa, Luigi; Beckers, Stefan K; Bergrath, Sebastian

    2017-07-01

    Prehospital hypertensive emergencies and urgencies are common, but evidence is lacking. Telemedically supported hypertensive emergencies and urgencies were prospectively collected (April 2014-March 2015) and compared retrospectively with a historical control group of on-scene physician care in the emergency medical service of Aachen, Germany. Blood pressure management and guideline adherence were evaluated. Telemedical (n=159) vs conventional (n=172) cases: blood pressure reductions of 35±24 mm Hg vs 44±23 mm Hg revealed a group effect adjusted for baseline differences (P=.0006). Blood pressure management in categories: no reduction 6 vs 0 (P=.0121); reduction ≤25% (recommended range) 113 vs 110 patients (P=.2356); reduction >25% to 30% 13 vs 29 (0.020); reduction >30% 12 vs 16 patients (P=.5608). The telemedical approach led to less pronounced blood pressure reductions and a tendency to improved guideline adherence. Telemedically guided antihypertensive care may be an alternative to conventional care especially for potentially underserved areas. ©2017 Wiley Periodicals, Inc.

  6. Úlceras em megacólons chagásicos operados na urgência e eletivamente Ulcerations in Chagas' megacolon operated at urgency and electively

    Directory of Open Access Journals (Sweden)

    Augusto Diogo-Filho

    2006-12-01

    megacolon is a frequent disease in our emergencie hospital, and approached in the urgency by your complications as fecal impaction, volvulus and perforations. The ulcerations in the megacolons contribute as probable sites of perforations AIM: To compare the frequencies of stercoral ulceration in Chagas' megacolon operated at urgency, by volvulus or fecal impaction, and electively, aiming at a better surgical conduct in the urgency surgery METHODS: It was analyzed 356 anatomy-pathological exams from colon resection of operated patients due to Chagas' megacolon at urgency (102 cases; 29% and electively (254 cases; 71%, from 1980 to 2000. The surgical urgency indications were attributed to volvulus (71 cases; 69,6%, fecal impaction (25 cases; 24,5%, perforated acute abdomen after rectal catheter or sigmoidoscopy (6 cases; 5,9%. The ulceration frequency was compared in both groups of resections, using chi-square RESULTS: The pathological anatomy - of surgery resection obtained at urgency surgeries, showed 26 cases of ulceration (25,5% and in electively resections were verified 21 cases of ulceration (8,25%. The difference observed was statistically significant. The comparison among the groups of volvulus; fecal impaction and volvulus with fecal impaction, separately with electively surgery group evidenced significant differences in relation to volvulus and fecal impaction CONCLUSIONS: The higher frequency of ulcerations in the megacolon operated at urgency character emphasizes the needs of immediate resection of sigmoid colon, instead of conservative conduct of simple decompression colostomy, even in exploration laparotomy which the macroscopic examination of sigmoid does not show necrotic signs. This way, should prevent the occurrence of perforation in megacolon at mediate postoperative, with serious results.

  7. Five-year outcome of a stroke cohort in Martinique, French West Indies: Etude Réalisée en Martinique et Centrée sur l'Incidence des Accidents vasculaires cérebraux, Part 2.

    Science.gov (United States)

    Chausson, Nicolas; Olindo, Stéphane; Cabre, Philippe; Saint-Vil, Martine; Smadja, Didier

    2010-04-01

    Limited information exists on stroke among black populations outside the United States and United Kingdom. Part 1 of the Etude Réalisée en Martinique et Centrée sur l'Incidence des Accidents vasculaires cérebraux (ERMANCIA) provided strong epidemiologic data on the incidence of first-ever stroke in a black Caribbean population and showed a 40% greater incidence of stroke in Martinique than in continental France. In ERMANCIA part 2, we evaluated the long-term outcomes of our cohort. Survivors of a first stroke from this prospective, community-based, stroke incidence study were reassessed at 5 years according to standardized procedures and criteria, including the modified Rankin scale, Barthel Index, Montgomery-Asberg Depression-Rating Scale, Mini-Mental State Examination, treatment compliance, and blood pressure control. Of the 293 survivors of the original 580 (50.5%) patients who were still alive 5 years after stroke, 262 (89.4%) were assessed. Among these survivors, 66.4% were functionally independent and 43% were completely autonomous for activities of daily living, but 25.8% were depressed and 58.9% were cognitively impaired. Only 50 of 170 (29.4%) of the hypertensive patients achieved their target blood pressure. These results highlight the very poor blood pressure control and the very high rate of cognitive impairment in Martinican patients after stroke. As a consequence, a poststroke prevention network was established in Martinique.

  8. Remote sensing techniques and their urgency for snow and glacier mapping in Himalayas

    Energy Technology Data Exchange (ETDEWEB)

    Das, M C; Chattopadhyay, S N; Murty, A S

    1979-01-01

    The mighty Himalayas are great repositories of snow and ice. The river system of Indus, the Ganges and Brahmaputra owe their perennial flow to these large snow and ice masses. The demand for systematic exploitation of water resources of these great mountain ranges calls for a thorough inventory of these water-holding bodies. Rough and difficult terrain, inclement weather and very inaccessible altitudes stood in the way for better understanding of these vast sources of life giving water. In this paper, the urgency for snow and glacier mapping of this Himalayan region is highlighted in the light of the fast evolving techniques of remote sensing. Aerospace photography, use of radars and infrared sensing methods microwave sensing, and application of gamma radiation with the help of satellites, are examined for their present status and future potential for application in this ice and snow capped, top of the world.

  9. A model to prioritize access to elective surgery on the basis of clinical urgency and waiting time

    Directory of Open Access Journals (Sweden)

    Santori Gregorio

    2009-01-01

    Full Text Available Abstract Background Prioritization of waiting lists for elective surgery represents a major issue in public systems in view of the fact that patients often suffer from consequences of long waiting times. In addition, administrative and standardized data on waiting lists are generally lacking in Italy, where no detailed national reports are available. This is true although since 2002 the National Government has defined implicit Urgency-Related Groups (URGs associated with Maximum Time Before Treatment (MTBT, similar to the Australian classification. The aim of this paper is to propose a model to manage waiting lists and prioritize admissions to elective surgery. Methods In 2001, the Italian Ministry of Health funded the Surgical Waiting List Info System (SWALIS project, with the aim of experimenting solutions for managing elective surgery waiting lists. The project was split into two phases. In the first project phase, ten surgical units in the largest hospital of the Liguria Region were involved in the design of a pre-admission process model. The model was embedded in a Web based software, adopting Italian URGs with minor modifications. The SWALIS pre-admission process was based on the following steps: 1 urgency assessment into URGs; 2 correspondent assignment of a pre-set MTBT; 3 real time prioritization of every referral on the list, according to urgency and waiting time. In the second project phase a prospective descriptive study was performed, when a single general surgery unit was selected as the deployment and test bed, managing all registrations from March 2004 to March 2007 (1809 ordinary and 597 day cases. From August 2005, once the SWALIS model had been modified, waiting lists were monitored and analyzed, measuring the impact of the model by a set of performance indexes (average waiting time, length of the waiting list and Appropriate Performance Index (API. Results The SWALIS pre-admission model was used for all registrations in the

  10. Risk factors for urinary tract infection in children with urinary urgency.

    Science.gov (United States)

    Gondim, Rhaiana; Azevedo, Roberta; Braga, Ana Aparecida Nascimento Martinelli; Veiga, Maria Luiza; Barroso, Ubirajara

    2018-01-01

    To identify which independent variable would be strong predictor of febrile urinary tract infection (UTI) in children and adolescents with overactive bladder. A search was made of the institute's database for all patients diagnosed with overactive bladder over the preceding four years. Children and adolescents under 18 years of age with overactive bladder and no neurological or anatomical alterations of the lower urinary tract were included in the study. The independent variables were: sex, age, ethnicity (Brazilians of African descendence/others), the presence of urinary urgency, daytime incontinence, enuresis, frequent urination, infrequent voiding (≤3 voids/day), nocturia, holding maneuvers, straining to void, intermittent urinary flow, constipation and encopresis. An analysis was conducted to identify patients with febrile UTI and subsequently determine predictors of this condition. Univariate and multivariate analyses were performed. Overall, 326 patients (214 girls/112 boys) were evaluated. The mean age of the patients was 7.7±3.19 years (± standard deviation). The incidence of febrile UTI was 39.2%. Being female and infrequent voiding were factors significantly associated with febrile UTI, both in the univariate and multivariate analyses. These results show that being female and infrequent voiding constituted significant risk factors for a diagnosis of febrile UTI in these children. Copyright® by the International Brazilian Journal of Urology.

  11. Le séisme de Pisco du 15 août 2007 : entre urgence et reconstruction

    Directory of Open Access Journals (Sweden)

    Hugo Perfettini

    2007-12-01

    Full Text Available Plus de trois mois ont passé depuis le séisme qui, sur la côte péruvienne, à 200 km au sud de Lima, a tué plus de 500 personnes. Le nombre de victimes est faible au regard des dégâts matériels enregistrés mais le nombre de sinistrés est très élevé. Alors que l’événement est presque oublié à l’échelle internationale, plusieurs dizaines de milliers de personnes vivent toujours dans des conditions précaires dans les abris provisoires fournis par les secours d’urgence, en attendant que ne s’engage le processus de reconstruction. Dans ce contexte, l’objectif de cet article est de procéder à un premier bilan des caractéristiques du séisme, de ses effets différentiels, de la gestion de la crise et de la situation actuelle qui oscille entre urgence et reconstruction.More than three months have passed since the earthquake, on the Peruvian coast, 200 km south of Lima, killed more than 500 people. The number of casualties is small in comparison with the damage recorded, but the number of homeless people is very high. While the event is almost forgotten at the international level, tens of thousands of people are still living in precarious conditions in the temporary shelters provided by the emergency, until begins the reconstruction process. In this context, the objective of this article is to make an initial assessment of the characteristics of the earthquake and its effects, the management of the crisis and the current situation that oscillates between relief and reconstruction.

  12. [Midline Cyst of the Prostate with Increased Urinary Frequency and Urgency : A Case Report].

    Science.gov (United States)

    Nakano, Kosuke; Kiuchi, Hiroshi; Miyagawa, Yasushi; Tsujimura, Akira; Nonomura, Norio

    2018-02-01

    A 40-year-old man presented to our institution with a few-month history of increased urinary frequency, urgency and voiding difficulty. He had severe lower urinary tract symptoms with an International Prostate Symptom Score of 28 and quality of life score of 6. The mean urinary frequency and voided volume was 20 times per day and 150 ml, respectively. Abdominal ultrasonography and pelvic magnetic resonance imaging revealed the prostate measuring 15 cm3 with a 3 cm midline cyst which compressed the posterior of the bladder wall. A subsequent examination indicated that his lower urinary tract symptoms could be attributed to the cystic mass which mainly affected his storage symptoms. The patient underwent transurethral unroofing of the prostate cyst. Immediately after the surgery, his storage symptoms were improved greatly. The voiding volume was increased to 250 ml, and the frequency of urination was decreased to 8 times. No recurrent symptoms were found for seven months after the surgery.

  13. Pielonefritis, colecistitis y cistitis enfisematosas en paciente con diabetes mellitus descompensada

    OpenAIRE

    Zaragoza S,Tahitiana Abelina; Osnaya M,Humberto; Mondragón C,Marco Antonio; Sánchez R,Rubén Darío

    2012-01-01

    Introducción: La Pielonefritis enfisematosa es una infección necrotizante caracterizada por la producción de gas, que habitualmente se ubica en el parénquima renal, las vías urinarias y los tejidos retroperi-toneales. Cuando el gas es abundante puede escapar siguiendo las venas renales y acumularse en las venas hepáticas, y el resto del sistema. La E. coli es el patógeno más frecuente. Caso clínico: Presentamos el caso de paciente femenina de 62 años, diabética que ingresa con sintomatología ...

  14. Ideaciones y comportamientos suicidas en adolescentes: una urgencia social Adolescent suicidal behaviors and ideations: a social urgency

    Directory of Open Access Journals (Sweden)

    María Martina Casullo

    2005-12-01

    Full Text Available El artículo analiza investigaciones realizadas sobre el tema SUICIDIO en un intento de poder constatar y destacar que la identificación y orientación psicológica de los sujetos adolescentes en riesgo suicida es una urgencia social y como tal debe ser estudiada. En base a las investigaciones que se concreten se deberán proponer acciones preventivas eficientes y oportunas.The article analyzes studies carried out on Suicide in order to verify and to point out that identification and psychological orientation of adolescents at risk is currently a social urgency, and as such it has to be investigated. Efficient and opportune preventive actions have to be proposed based on those researches.

  15. La construction de l’urgence au travail et ses effets suivant les statuts hiérarchiques : le cas des mécaniciens et des agents de maîtrise dans le secteur aérien

    OpenAIRE

    Monneuse, Denis

    2012-01-01

    Travailler dans l’urgence est devenu un impératif catégorique pour nombre de salariés. Cet impératif se double d’une injonction paradoxale : il faut que le travail soit « vite fait, bien fait ». Comment la légitimation de l’urgence est-elle construite ? Dans quelle mesure les salariés intériorisent-ils cette logique managériale ? Quelles différences note-t-on suivant leur statut hiérarchique ? Cet article vise à rendre compte d’une enquête menée au sein d’un centre de maintenance d’une compag...

  16. African Journal of Neurological Sciences 2010 - Vol. 29, No 1 9 ...

    African Journals Online (AJOL)

    kim

    REINTEGRATION COMMUNAUTAIRE POST-ACCIDENT VASCULAIRE CEREBRAL ... reorganization of physical, psychologic and social characteristics so that the ... community and distance mobility, self care, daily activity (work and school) ...

  17. angiofibrome nasopharyngien compliqué d'un syndrome de foster ...

    African Journals Online (AJOL)

    FACIALE. * SERVICE DE RADIOTHÉRAPIE. HÔPITAL UNIVERSITAIRE F. HACHED - SOUSSE. RESUME. L'angiofibrome nasopharyngien (FNP) est une tumeur vasculaire bénigne localement agressive. Il représente 0,05% des.

  18. Urgencias estomatológicas en pacientes con VIH/SIDA de la Clínica Estomatológica Docente "Yuri Gómez Reinoso" Stomatology urgencies in HIV/AIDS patients in "Yuri Gómez Reinoso" Stomatology Teaching Clinic

    Directory of Open Access Journals (Sweden)

    Susel Quesada Peña

    2011-09-01

    Full Text Available Se realizó un estudio observacional descriptivo transversal con el objetivo de identificar la edad, el sexo y la frecuencia de urgencias estomatológicas y su relación con el tiempo de infección por el virus de inmunodeficiencia humana y el consumo de antirretrovirales. El universo lo constituyeron 32 pacientes mayores de edad, con infección por el virus de inmunodeficiencia humana/síndrome de inmunodeficiencia adquirida, que se presentaron con urgencias estomatológicas en la clínica "Yuri Gómez Reinoso", en La Habana, Cuba, entre el mes de enero de 2008 e igual mes de 2010. Resultó que el 68,75 % correspondieron al sexo masculino, el 31,25 % con edades de 31 a 40 años, el 25 % presentaron estomatitis aftosa recurrente, el 21,8 % absceso dentoalveolar agudo, el 15,62 % pulpitis irreversible aguda y candidiasis eritematosa y el 37,5 % xerostomía. El 46,87 % de los pacientes con infección por el virus de 6 a 10 años de diagnóstico presentaron urgencias. El 46,9 % de los pacientes, no consumían medicamentos antirretrovirales y el 53,1 % sí lo consumían. Estas diferencias no fueron estadísticamente significativas (p= 0,8026. Se concluyó que en los pacientes estudiados, predominó el sexo masculino y los mayores de 31 años. Los tipos de urgencias mayormente tratadas fueron: estomatitis aftosa recurrente, absceso dentoalveolar agudo, pulpitis irreversible y candidiasis eritematosa. En la investigación no se constaron diferencias entre la presencia de urgencias y el consumo de antirretrovirales.A cross-sectional, descriptive and observational study was conducted to identify age, sex and frequency of Stomatology urgencies and its relation to time of infection from HIV and of antiretroviral consumption drugs. Universe included 32 HIV/AIDS adult patients came with Stomatology urgencies in the "Yuri Gómez Reinoso" Teaching Clinic between January, 2008 and January, 2010. The 68.75 % corresponded to male sex, the 31.25 % aged from 31 to

  19. Revisiting the evidence for collapsing boundaries and urgency signals in perceptual decision-making.

    Science.gov (United States)

    Hawkins, Guy E; Forstmann, Birte U; Wagenmakers, Eric-Jan; Ratcliff, Roger; Brown, Scott D

    2015-02-11

    For nearly 50 years, the dominant account of decision-making holds that noisy information is accumulated until a fixed threshold is crossed. This account has been tested extensively against behavioral and neurophysiological data for decisions about consumer goods, perceptual stimuli, eyewitness testimony, memories, and dozens of other paradigms, with no systematic misfit between model and data. Recently, the standard model has been challenged by alternative accounts that assume that less evidence is required to trigger a decision as time passes. Such "collapsing boundaries" or "urgency signals" have gained popularity in some theoretical accounts of neurophysiology. Nevertheless, evidence in favor of these models is mixed, with support coming from only a narrow range of decision paradigms compared with a long history of support from dozens of paradigms for the standard theory. We conducted the first large-scale analysis of data from humans and nonhuman primates across three distinct paradigms using powerful model-selection methods to compare evidence for fixed versus collapsing bounds. Overall, we identified evidence in favor of the standard model with fixed decision boundaries. We further found that evidence for static or dynamic response boundaries may depend on specific paradigms or procedures, such as the extent of task practice. We conclude that the difficulty of selecting between collapsing and fixed bounds models has received insufficient attention in previous research, calling into question some previous results. Copyright © 2015 the authors 0270-6474/15/352476-09$15.00/0.

  20. L'infection a virus de l'Immunodeficience Humaine (VIH), facteur ...

    African Journals Online (AJOL)

    L'infection a virus de l'Immunodeficience Humaine (VIH), facteur predictif de gravite et de mortalite des accidents vasculaires cerebraux au Centre National Hospitalier et Universitaire-Hubert Koutoukou Maga (CNHU-HKM) de Cotonou, Benin.

  1. ASPECTS NUTRITIONNELS DES ACIDES GRAS TRANS : Consommation en acides gras trans et risque cardio-vasculaire : Étude Aquitaine

    Directory of Open Access Journals (Sweden)

    Combe Nicole

    2000-01-01

    Full Text Available Au cours de cette dernière décennie, les études sur la consommation d’acides gras trans (AGT se sont multipliées pour en préciser l’impact éventuel sur le risque de maladies cardio-vasculaires (MCV. À l’origine, se trouve l’étude américaine de Willett et al. [1], conduite sur une cohorte de 85 000 infirmières suivies pendant 8 ans. Cette étude épidémiologique rapportait l’existence d’une corrélation positive entre la consommation d’AGT d’origine végétale et l’apparition de MCV. Ont suivi d’autres études que l’on peut classer en trois catégories selon leur approche expérimentale : les études épidémiologiques [2-5] longitudinales ou transversales, les comparaisons « cas-témoins » [6-11] et les interventions nutritionnelles [12-15]. Des deux premières catégories d’études, il n’émerge aucun consensus quant à l’implication éventuelle des AGT alimentaires dans le risque de MCV. Les divergences observées pourraient, en partie tout au moins, être liées à la méthode utilisée pour estimer la consommation d’AGT qui, dans certains cas, est fondée sur des enquêtes alimentaires et, dans d’autres cas, sur la teneur en AGT du tissu adipeux des sujets, connue pour refléter l’apport alimentaire en AGT des années précédentes. En effet, au-delà de considérations sur de possibles biais méthodologiques [16], comme le non-ajustement des résultats à des facteurs de confusion tels que l’âge, la consommation de tabac ou certaines pathologies, on peut faire le constat suivant : les études qui ont conclu à un effet négatif des AGT alimentaires étaient fondées, pour la plupart, exclusivement sur des enquêtes alimentaires [1-3, 11] ; celles qui ne montraient aucun effet utilisaient, le plus souvent, la composition en AGT du tissu adipeux [4, 6-9]. La carence, dans les bases de données, vis-à-vis des teneurs en AGT des aliments augmente, en outre, la difficulté à déterminer la

  2. Role of Transglutaminase 2 in vascular remodeling

    NARCIS (Netherlands)

    van den Akker, H.H.O.

    2011-01-01

    Verschillende vasculaire ziektebeelden, waaronder hoge bloeddruk en verminderde doorbloeding, leiden tot vernauwing van slagadertjes. Het enzym Transglutaminase 2 (TG2) speelt hierbij een belangrijke rol. Jeroen van den Akker onderzocht het achterliggende proces en ontdekte een nieuwe activatieroute

  3. Research

    African Journals Online (AJOL)

    abp

    6 nov. 2013 ... Résultats: sur un total de 4587 accouchements, 62 cas d'éclampsie étaient enregistrés .... coagulation intra-vasculaire disséminée et la survenue de .... Lopez-Llera, M. Main clinical types and subtypes of eclampsia.

  4. The influence of negative urgency, attentional bias, and emotional dimensions on palatable food consumption.

    Science.gov (United States)

    Becker, Kendra Davis; Fischer, Sarah; Smith, Gregory T; Miller, Joshua D

    2016-05-01

    We tested a theoretical model concerning the role of attentional bias and negative affect in food consumption that offers important advances. We hypothesized that the effects of negative affect manipulations on food consumption vary as a function of trait levels of negative urgency (NU; tendency to act impulsively when distressed), and attentional bias and that the roles of emotional arousal and negative emotional valence differ and should be studied separately. 190 undergraduate women were randomly assigned to either an anger or neutral mood condition. Women in both conditions completed the Food Stroop, in which the presentation of food and neutral words were counterbalanced. After the task, participants were given the opportunity to eat mandarin oranges and/or chocolate candy while the experimenter was out of the room. The type and quantity of food consumed was counted after the participant departed. As hypothesized, the roles of emotional arousal and valence differed and the effect of the induced emotion was moderated by NU. Women high in NU who experienced emotional arousal were more likely to eat candy and consumed more candy than other women. Emotional valence had no effect on candy consumption. Neither increases in emotional arousal or emotional valence influenced attentional bias to food cues. Attentional bias was also unrelated to food consumption. The impact of negative mood inductions on palatable food consumption appears to operate through emotional arousal and not negative emotional valence, and it may operate primarily for women high in NU. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Informations et satisfactions de l'accouchement dystocique : à propos de 85 patientes ayant eu recours à une extraction instrumentale ou à une césarienne en urgence à terme

    OpenAIRE

    Dupré, Laura

    2012-01-01

    Introduction : Actuellement, en France, 33.1% des accouchements nécessitent l'intervention de l'obstétricien pour une extraction instrumentale ou une césarienne en urgence. Le caractère imprévisible et urgent des situations obstétricales per partum est susceptible de modifier la satisfaction maternelle et du couple. Les cours de PNP représentent un moyen d'information préalable des patientes face à ce type de naissance. Objectifs : L'objectif principal de notre étude était d'évaluer le nombre...

  6. DETERMINATION OF THE URGENCY OF UNDERTAKING LAND CONSOLIDATION WORKS IN THE VILLAGES OF THE SŁAWNO MUNICIPALITY

    Directory of Open Access Journals (Sweden)

    Przemysław Leń

    2016-09-01

    Full Text Available The object of the paper is to analyze the spatial structure of land and identification of the needs of consolidation works and exchange of land in the villages of the Sławno municipality, lying in the district of Opoczno, in the Łódzkie Voivodship. The authors use the method of zero unitarisation for the purposes of determining the order of undertaking consolidation works and exchange of land in the area of research. The basis for calculation is the database of 19 factors (x1–x19 characteristic for the listed five groups of issues, describing each of the following villages. The obtained results, in a form of synthetic meter for each village, allowed creating the hierarchy of the urgency of carrying out consolidation works. The problem of excessive fragmentation of farms, constituting the collections of a certain number of parcels, in a broader sense, is one of the elements that prevent the acceleration of reforms by conversion of the Land and Buildings Register (EGiB in a full valuable real estate cadastre in Poland. The importance of the problem is highlighted by the fact that there are ecological grounds in the study area, significant from the point of view of environmental protection.

  7. Browse Title Index

    African Journals Online (AJOL)

    zemidjan" de la ville de Porto-Novo (Benin). Abstract. B Akplogan, MM Lawani, AD Fanou. Vol 15, No 2 (2013): Series A,B,D,E, La surveillance des abords vasculaires chez les hémodialysés chroniques à l'Hôpital National de Lamordé Niamey ...

  8. Fuelling Economic Growth: The Role of Public–Private Sector ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    26 avr. 2009 ... ... in the environment for research and development (R&D) around the world. ... It addresses trends in funding, performance, and management of R&D ... Michael Graham is a specialist in development communication, evaluation, and science ... et comptent pour près des deux tiers des accidents vasculaires.

  9. [Accidents by external causes in adolescents: care in sentinel urgency and emergency services in the Brazilian State Capitals--2009].

    Science.gov (United States)

    Malta, Deborah Carvalho; Mascarenhas, Márcio Dênis Medeiros; Bernal, Regina Tomie Ivata; Andrade, Silvania Suely Caribé de Araújo; das Neves, Alice Cristina Medeiros; de Melo, Elza Machado; da Silva Junior, Jarbas Barbosa

    2012-09-01

    Adolescents are seeking new references and experiences, which may involve attitudes of risk and exposure to accidents and violence from external causes. These events constitute a serious Public Health problem. The scope of this study was to analyze the occurrence of accidents by external causes in adolescents from 10 to 19 years of age attended at sentinel urgency and emergency services in Brazil. Data from the 2009 Surveillance System for Violence and Accidents (VIVA 2009) was analyzed in 74 emergency units in 23 state capitals and the Federal District. The findings revealed that 6,434 adolescents (89.8%) were victims of accidents and 730 (10.2 %) were victims of violence. The main causes of the accidents were falls and traffic accidents, and assaults were predominant in violence. For both accidents and violence, non-white male adolescents were predominant and the events occurred most frequently on the public highways. A marked increase was detected, with hospitalization of victims of violence between 15 and 19 years of age. Understanding the epidemiological reality of external causes among adolescents represents an important tool for health prevention and promotion policies and the culture of peace seeking to reduce morbidity and mortality.

  10. Adolescents taken care of in a public service of urgency and emergency: profile of morbidade and mortality

    Directory of Open Access Journals (Sweden)

    Islaine Fernandes Dubuc

    2006-08-01

    Full Text Available One is about a transversal descriptive inquiry in the characterize causes of morbidade and mortality between adolescents taken care of in the urgency and emergency service of a public hospital. The collection of data was carried through the attendance fiches, in the January, February and March months of 2003, totalizing 2722. The population consisted of adolescents of 10 the 19 years of age, residents in the city. The morbi-mortality causes had been classified in accordance with the International Classification of Desease (CID-10. More than the half of the taken care is for the feminine population (54.1%. The predominant causes of morbidade had been the infectious and parasitic illnesses in the feminine sex (26.5% and injuries and poisoning and some other consequences of external causes in the masculine sex (30.5%. The month of bigger attendance was March (38.4%. The period of the night was of bigger prevalence (37.6%. The medical clinic took care of 63.9% of the adolescents. They had received high, 84.6% of the cases and had not been detected deaths. The results contribute for the aiming of writ of prevention public politics the specific action, of control and reduction of the main causes of morbidade that take the adolescent population to look the service of ready aid.

  11. Research

    African Journals Online (AJOL)

    abp

    24 juin 2015 ... Page number not for citation purposes. 1. Epaisseur de l'intima-média carotidienne et facteurs de risque cardio-vasculaires. Nicolas Fanantenana Herinirina1, Lova Hasina Ny Ony Narindra Rajaonarison2,&, Andry Roussel Herijoelison3, Ahmad Ahmad2. 1Service Imagerie Médicale, Centre Hospitalier ...

  12. 2299-IJBCS-Article-Roger Niebié

    African Journals Online (AJOL)

    hp

    1Département Substances Naturelles/IRSAT/CNRST, 03 BP 7047 Ouagadougou 03, Burkina Faso. 2 Laboratoire de Chimie Organique et de ... 2000) ainsi que les risques de maladies cardio- vasculaires (Riccioni, 2009). La production ... obtenus par séchage naturel à l'ombre au laboratoire pendant sept (07) jours, soit à.

  13. Images in medicine

    African Journals Online (AJOL)

    abp

    6 nov. 2013 ... clinique à type de thromboangéite oblitérante, des lésions très distales, une atteinte ... d'amputation, mais les problèmes de tolérance et de coût limitent ... vasculaires, le dosage des facteurs de coagulation et les examens.

  14. Case report

    African Journals Online (AJOL)

    raoul

    28 août 2011 ... préeclamptiques admises durant la période d'étude est de 1,49 %. Aucune .... consécutif au développement d'une coagulation intra vasculaire disséminée. ... aura vraisemblablement dans l'avenir sa place dans ce type de.

  15. Trends in incidence and early outcomes in a Black Afro-Caribbean population from 1999 to 2012: Etude Réalisée en Martinique et Centrée sur l'Incidence des Accidents Vasculaires Cérébraux II Study.

    Science.gov (United States)

    Olindo, Stephane; Chausson, Nicolas; Mejdoubi, Mehdi; Jeannin, Severine; Rosillette, Karine; Saint-Vil, Martine; Signate, Aissatou; Edimonana-Kaptue, Mireille; Larraillet, Veronique; Cabre, Philippe; Smadja, Didier; Joux, Julien

    2014-11-01

    Seldom studies are available on trends in stroke incidence in blacks. We aimed to evaluate whether stroke risk prevention policies modified first-ever stroke incidence and outcomes in the black Afro-Caribbean population of Martinique. Etude Réalisée en Martinique et Centrée sur l'Incidence des Accidents Vasculaires Cérébraux (ERMANCIA) I and II are 2 sequential prospective population-based epidemiological studies. There have assessed temporal trends in first-ever stroke incidence, risk factors, pathological types, and early outcomes in the black Afro-Caribbean population of Martinique comparing two 12-month periods (1998-1999 and 2011-2012). Crude and age-standardized incidence and 30-day outcomes for stroke in the 2 study periods were compared using Poisson regression. We identified 580 and 544 first-ever strokes in the 2 studies. World age-standardized incidence rates decreased by 30.6% in overall (111 [95% confidence interval, 102-120] versus 77 [95% confidence interval, 70-84]). Rate decline was greater in women than in men (34% versus 26%) particularly in women aged 65 to 74 years (-69%) and 75 to 84 years (-43%). Frequencies of hypertension and diabetes mellitus were unchanged, whereas dyslipidemia, smoking, and atrial fibrillation significantly increased. Only ischemic stroke types showed significant rate reduction in overall and in women, incidence rate ratio (95% confidence intervals) of 0.69 (0.50-0.97) and 0.61 (0.42-0.88), respectively. The overall 30-day case-fatality ratio remained stable (19.3%/17.6%), whereas a better 30-day outcome was found (modified Rankin Score, ≤2 in 47%/37.6%; P=0.03). Over 13 years, there has been a significant decrease (30.6%) in the age-specific first-ever stroke incidence in our Afro-Carribean population. Although prevention policies seem effective, we need to focus on new risk factors limitation and on male population adherence to prevention program. © 2014 American Heart Association, Inc.

  16. Epidemiologie des accidents vasculaires cerebraux dans la ...

    African Journals Online (AJOL)

    ischemic; 45, 2% were haemorrhagic and 10, 8 % were meningeal bleeding. The main risk factors were high blood pressure (87, 3%), diabetes (17, 5%), hypercholesterolemia (4, 2%), irregular heart rate (4,2%). Hospital length stay average was 17 days with 8, 5 SD. Mortality rate was 27, 5%. This represented 7, 8% of all ...

  17. Author Details

    African Journals Online (AJOL)

    Ngouma, Amour. Vol 36, No 1 (2017) - Articles Depression chez l'hemiplegique vasculaire a Brazzaville Abstract. ISSN: 1015-8618. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms and Conditions of Use · Contact AJOL ...

  18. Case series

    African Journals Online (AJOL)

    ebutamanya

    autres causes d'hémorragies ont été décrites. Il s'agit de: une blessure ou un embrochage du foie par un écarteur ou un instrument; une plaie vasculaire; un mauvais contrôle de l'artère cystique ou un mauvais décollement de la ...

  19. Research

    African Journals Online (AJOL)

    abp

    29 avr. 2016 ... Mots clés: Accident vasculaire cérébrale, doppler transcrânien, drépanocytose, enfant. Received: 17/05/2015 - Accepted: 07/03/2016 - Published: ... original work is properly cited. Pan African Medical Journal – ISSN: 1937- 8688 ..... Aracaju, Northeast-Brazil. Arq Neuropsiquiatr. 2008 Jun; 66(2):. 360-4.

  20. Impact of daily number of urgency urinary incontinence episodes on overactive bladder patient reported outcomes.

    Science.gov (United States)

    Angulo, J C; Brenes, F J; Lizarraga, I; Rejas, J; Trillo, S; Ochayta, D; Arumi, D

    2016-04-01

    To explore the impact of urgency urinary incontinence (UUI) on well-being in non-institutionalized patients with overactive bladder (OAB) in a community sample. A cross-sectional web-based study was conducted in the general population, including males and females, >18 years of age. Patients with probable OAB were identified using a validated algorithm together with a score ≥8 on the OAB-V8 scale. Presence of coping behavior was considered determinant for the clinical diagnosis of OAB. Individual well-being was determined through a battery of patient-reported outcomes (PRO) measurements including assessment of health-related quality of life (EQ-5D), sleep disturbances (MOS Sleep), and life satisfaction (LISAT-8). Patients were grouped according to the number of daily UUI episodes (UUI severity): 0 (dry OAB),1, 2-3, or ≥4. Multivariate analysis to evaluate factors independently affecting quality of life was undertaken. A total of 396 patients (52.5% women, mean age: 55.3 [11.1] years, OAB-V8 mean score: 14.5 [7.9]) out of 2035 subjects participating from the general population met the criteria for OAB: 203 (51.3%) with 0episodes, 119 (30.1%) with 1, 52 (13.1%) with 2 or 3, and 22 (5.6%) with ≥4 episodes. A statistically significant linear adjusted association was found between number of UUI episodes and PRO scores. Participants with more episodes had poorer health profiles and self-evaluated quality of life, worse life satisfaction, and more sleep disturbances and fewer hours of sleep per night. Number of incontinence episodes was independent factor to affect quality of life using both LISAT-8 and MOS questionnaires. Severity of UUI was significantly associated with poorer individual well-being in subjects with OAB in a community sample in Spain. Copyright © 2015 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  1. The Eurotransplant High-Urgency Heart Transplantation Program: an option for patients in acute heart failure?

    Science.gov (United States)

    Koch, A; Tochtermann, U; Remppis, A; Dengler, T J; Schnabel, P A; Hagl, S; Sack, F U

    2006-09-01

    The Eurotransplant High-Urgency (HU) Heart Transplantation Program allows urgent heart transplants to be carried out in rapidly deteriorating patients with acute-to-chronic heart failure on the elective waiting list. But do the results of HU heart transplantation justify performing primary heart transplantation in these critically ill patients and offer an acceptable outcome? Between 2000 and 2004, 64 heart transplantations (HTx) (32 elective and 32 HU-HTx) were performed in our department. After having been accepted in an auditing process based on HU criteria, intensive care patients in NYHA functional class IV (cardiac index 1.7 l/min/qm BS), in end-organ failure (creatinine 1.5 mg/dl), and with catecholamine dependence (dobutamine 8 microg/kg/min), are given priority with respect to organ allocation, and their data were compared to data from elective patients from the same period. HU requests were accepted in 97 % of cases. Two requests were not accepted, and both patients with contraindications for assist device implantation died within one week. The HU patients were 100 % in NYHA class IV, 93 % of the elective patients were in NYHA class III. Waiting time on the HU list was 13 days, and 7 of these patients died before HTx. Following heart transplantation, survival rates at 30 days and at one year of the HU group were 88 % and 85 % versus 94 % and 93 % in the elective group. This study shows that end-stage heart failure patients in the HU program can be transplanted primarily with good results if an organ is available in time. We are still in the position where the HU program only manages the organ shortage; there are still too many patients on the waiting list who die before receiving a donor organ.

  2. Urgências em traumatismos dentários: classificação, características e procedimentos Dental traumatism urgencies: classification, signs and procedures

    Directory of Open Access Journals (Sweden)

    Mariane Emi Sanabe

    2009-12-01

    Full Text Available OBJETIVO: Discutir os aspectos das urgências odontológicas relacionadas aos traumatismos dentários, disponibilizando mais informações para médicos pediatras ou plantonistas de serviços de atendimento de urgências e emergências. FONTES DE DADOS: O levantamento dos dados foi realizado na base de dados Pubmed e Bireme, selecionando os artigos dos últimos 13 anos. As palavras-chave utilizadas foram: traumatismo dentário, dente decíduo e dente permanente. Os critérios de inclusão utilizados foram: artigos em inglês e português sobre incidência, prevalência e etiologia, guias de procedimentos e casos clínicos apenas de traumatismo dentário, sendo excluídos artigos de clareamento de dentes traumatizados, traumas faciais ósseos e casos clínicos de acompanhamento reduzido. SÍNTESE DOS DADOS: Os dados foram descritos de forma concisa para se tornar um guia de fácil leitura e rápido acesso em relação à conduta, necessidade de atendimento imediato e correta escolha de soluções para armazenagem dos dentes e fragmentos. CONCLUSÕES: O conhecimento sobre o assunto, a agilidade no tratamento de urgência e o correto encaminhamento do paciente proporcionam melhor prognóstico.OBJECTIVE: The aim of this literature review is to discuss the clinical aspects of dental urgencies related to dental traumatisms, providing more information for health professionals who work in emergency units, such as pediatricians or physicians on-call and nurses. DATA SOURCE: The studies were searched and selected in the Pubmed and Bireme databases, from the past 13 years. The keywords were: tooth injuries, deciduous tooth and permanent tooth. The inclusion criteria were: articles written in English and Portuguese related to incidence, prevalence, cause, guidelines and case reports of dental traumatism. Studies about dental bleaching in dental trauma, face bone trauma and reduced post-operative case reports were excluded. DATA SYNTHESIS: The data were

  3. Original Paper Evaluation de la fonction rénale chez les patients ...

    African Journals Online (AJOL)

    Evaluation de la fonction rénale chez les patients atteints de maladie cardio vasculaire (MCV) : comparaison entre ... Mots clés : Cystatine C, créatinine, insuffisance rénale, débit de filtration glomérulaire, maladies cardiovasculaires. Evaluation of the ... L'insuffisance rénale chronique (IRC) et les maladies cardiovasculaires ...

  4. Author Details

    African Journals Online (AJOL)

    Touré, Kamadore. Vol 31, No 1 (2012) - Articles Infirmite motrice d'origine cerebrale : une serie Senegalaise Abstract PDF · Vol 32, No 2 (2013) - Articles Qualite de vie apres un accident vasculaire cerebral au Senegal: a propos de 50 cas. Abstract PDF · Vol 32, No 2 (2013) - Articles Selective attention of students suffering ...

  5. Author Details

    African Journals Online (AJOL)

    Maladie de Krabbe : a propos d'un cas. Abstract PDF · Vol 32, No 2 (2013) - Articles Qualite de vie apres un accident vasculaire cerebral au Senegal: a propos de 50 cas. Abstract PDF · Vol 32, No 2 (2013) - Articles Selective attention of students suffering from primary headaches in a pain free period: a case control study

  6. Vasculopathie artérielle dans la sclérodermie systémique. Caractéristiques micro- et macrovasculaire de l’angioscanner des artères des membres supérieurs

    NARCIS (Netherlands)

    Emad, Y.; Al-Sherbeni, H.; Ragab, Y.; Abo-El-Youn, I.; El Shaarawy, Nashwa; Nassar, D.Y.; Fathy, Ahmed; Al-Hanafi, H.; Rasker, Johannes J.

    2015-01-01

    Objectifs Décrire les résultats de l’angioscanner de la vasculopathie artérielle des gros vaisseaux ainsi que des petits et moyens vaisseaux de l’ensemble de l’arbre vasculaire des membres supérieurs chez les patients porteurs d’une sclérodermie systémique (ScS) avec ou sans ulcération digitale.

  7. Duration and urgency of transfer in births planned at home and in freestanding midwifery units in England: secondary analysis of the birthplace national prospective cohort study.

    Science.gov (United States)

    Rowe, Rachel E; Townend, John; Brocklehurst, Peter; Knight, Marian; Macfarlane, Alison; McCourt, Christine; Newburn, Mary; Redshaw, Maggie; Sandall, Jane; Silverton, Louise; Hollowell, Jennifer

    2013-12-05

    In England, there is a policy of offering healthy women with straightforward pregnancies a choice of birth setting. Options may include home or a freestanding midwifery unit (FMU). Transfer rates from these settings are around 20%, and higher for nulliparous women. The duration of transfer is of interest because of the potential for delay in access to specialist care and is also of concern to women. We aimed to estimate the duration of transfer in births planned at home and in FMUs and explore the effects of distance and urgency on duration. This was a secondary analysis of data collected in a national prospective cohort study including 27,842 'low risk' women with singleton, term, 'booked' pregnancies, planning birth in FMUs or at home in England from April 2008 to April 2010. We described transfer duration using the median and interquartile range, for all transfers and those for reasons defined as potentially urgent or non-urgent, and used cumulative distribution curves to compare transfer duration by urgency. We explored the effect of distance for transfers from FMUs and described outcomes in women giving birth within 60 minutes of transfer. The median overall transfer time, from decision to transfer to first OU assessment, was shorter in transfers from home compared with transfers from FMUs (49 vs 60 minutes; p birth for potentially urgent reasons (home 42 minutes, FMU 50 minutes) was 8-10 minutes shorter compared with transfers for non-urgent reasons. In transfers for potentially urgent reasons, the median overall transfer time from FMUs within 20 km of an OU was 47 minutes, increasing to 55 minutes from FMUs 20-40 km away and 61 minutes in more remote FMUs. In women who gave birth within 60 minutes after transfer, adverse neonatal outcomes occurred in 1-2% of transfers. Transfers from home or FMU commonly take up to 60 minutes from decision to transfer, to first assessment in an OU, even for transfers for potentially urgent reasons. Most

  8. Prise en charge et surveillance d'une exostose solitaire du fémur ...

    African Journals Online (AJOL)

    L'exostose solitaire est une affection bénigne touchant l'enfant et les adultes. Son diagnostic est clinique, aidé par les examens radiologiques. Le traitement est chirurgical et consiste en son exérèse afin d'éviter les complications de compression vasculaire, ou de dégénérescence sarcomateuse. Nous rapportons ici le cas ...

  9. Case series

    African Journals Online (AJOL)

    raoul

    18 janv. 2012 ... d'asthme, d'une affection cardiaque préexistante (valvulopathie ou une autre atteinte), de prise d'anorexigènes. Nous avons en outre apprécié les données cliniques (dont les signes fonctionnels cardio-vasculaires, dermatologiques), les signes généraux (constantes hémodynamiques, état général), les ...

  10. Case report

    African Journals Online (AJOL)

    abp

    31 oct. 2017 ... (1-3%) à triple composante graisseuse, musculaire lisse et vasculaire en proportions variables. Classiquement ce type de tumeur s'inscrit dans le cadre de la Sclérose Tubéreuse de. Bourneville (STB), L'atteinte rénale est alors multiple et bilatérale. Mais, l'angiomyolipome rénal peut être sporadique, isolé ...

  11. Effet antihypertensif d'un extrait aqueux d'écorce de tronc de parkia ...

    African Journals Online (AJOL)

    Sci-Nat

    musculaire lisse vasculaire au travers des canaux calciques lents ou voltage - dépendants ou canaux de type L (Gired et al., 1998); il s'en suit une relaxation musculaire et une diminution des résistances périphériques, entraînant une vasodilatation et une chute de la pression artérielle (Cohen, 1997; Gired et al.,. 1998 ...

  12. Methodology for a Trial of Brain-Centered versus Anti-cholinergic Therapy for Women with Urgency Urinary Incontinence

    Science.gov (United States)

    Komesu, Yuko M.; Ketai, Loren H.; Sapien, Robert E.; Rogers, Rebecca G.; Schrader, Ronald M.; Simmerman-Sierra, Timothy; Mayer, Andrew R.

    2016-01-01

    Introduction This paper describes the rationale and methodology a study which investigates mind-body treatment versus pharmacotherapy for women with urgency urinary incontinence (UUI). To explore brain associations in UUI, a subset of patients will also undergo functional magnetic resonance imaging (fMRI). We hypothesize that hypnotherapy a mind-body intervention, will be at least as effective pharmacotherapy in treating UUI. We also hypothesize that fMRI findings will change following treatment, with changes potentially differing between groups. Methods The purpose of this manuscript is to recount the development and design challenges of a study evaluating the efficacy of hypnotherapy compared to conventional pharmacotherapy in UUI treatment. The study randomizes women to either of these treatments and outcome measures include bladder diaries and validated questionnaires. Sample size estimates, based on a non-inferiority test (alpha=.025, beta=0.20), after considering drop-out/loss to follow-up, indicated approximately 150 woman would be required to test the hypothesis that hypnotherapy is non-inferior to pharmacotherapy within a 5% non-inferiority margin. The study will also evaluate fMRI change in a subset of participants before and after therapy. Study challenges included designing a study with a mind-body therapy and a comparison treatment equally acceptable to participants, standardizing the interventions, confronting the reality that trials are time-consuming for participants and making appropriate accommodations. Results Study enrollment began March 2013 and is ongoing. Conclusions This manuscript details the design a of randomized controlled trial (RCT) comparing mind-body therapy to medications in treatment of UUI and describes the challenges encountered in its planning. PMID:27752750

  13. Does the Urinary Microbiome Play a Role in Urgency Urinary Incontinence and Its Severity?

    Science.gov (United States)

    Karstens, Lisa; Asquith, Mark; Davin, Sean; Stauffer, Patrick; Fair, Damien; Gregory, W. Thomas; Rosenbaum, James T.; McWeeney, Shannon K.; Nardos, Rahel

    2016-01-01

    Objectives: Traditionally, the urinary tract has been thought to be sterile in the absence of a clinically identifiable infection. However, recent evidence suggests that the urinary tract harbors a variety of bacterial species, known collectively as the urinary microbiome, even when clinical cultures are negative. Whether these bacteria promote urinary health or contribute to urinary tract disease remains unknown. Emerging evidence indicates that a shift in the urinary microbiome may play an important role in urgency urinary incontinence (UUI). The goal of this prospective pilot study was to determine how the urinary microbiome is different between women with and without UUI. We also sought to identify if characteristics of the urinary microbiome are associated with UUI severity. Methods: We collected urine from clinically well-characterized women with UUI (n = 10) and normal bladder function (n = 10) using a transurethral catheter to avoid bacterial contamination from external tissue. To characterize the resident microbial community, we amplified the bacterial 16S rRNA gene by PCR and performed sequencing using Illumina MiSeq. Sequences were processed using the workflow package QIIME. We identified bacteria that had differential relative abundance between UUI and controls using DESeq2 to fit generalized linear models based on the negative binomial distribution. We also identified relationships between the diversity of the urinary microbiome and severity of UUI symptoms with Pearson's correlation coefficient. Results: We successfully extracted and sequenced bacterial DNA from 95% of the urine samples and identified that there is a polymicrobial community in the female bladder in both healthy controls and women with UUI. We found the relative abundance of 14 bacteria significantly differed between control and UUI samples. Furthermore, we established that an increase in UUI symptom severity is associated with a decrease in microbial diversity in women with UUI

  14. Envenimation scorpionique compliqué d'un accident vasculaire ...

    African Journals Online (AJOL)

    Les piqûres de scorpion sont dans un certain nombre de pays, un accident fréquemment rencontré, et un risque grave. Au Maroc, les données épidémiologiques établies par le centre anti-poison (CAPM) montrent que les piqûres scorpioniques se placent en tête de toutes les intoxications relevées par le centre (60%).

  15. Depression chez l'hemiplegique vasculaire a Brazzaville | Ossou ...

    African Journals Online (AJOL)

    L'évolution à 6 mois n'a pas été favorable chez 65,7 % des patients. ... Sa prise en charge permettrait assurément d'améliorer la qualité de vie des patients, ... The management of post-stroke depression certainly improves the quality of life of ...

  16. Malformations vasculaires au cours du syndrome de Williams ...

    African Journals Online (AJOL)

    Le syndrome de Williams-Beuren est une maladie génétique rare, il associe classiquement une dysmorphie faciale assez spécifique, des malformations cardiovasculaires et un profil neuropsychologique particulier. Nous rapportons les observations de trois enfants atteints du syndrome de Williams-Beuren en insistant ...

  17. Contenu de la fréquence de l'E.E.G. en fonction de l'effort physique et mental chez des malades présentant une insuffisance cérébrovasculaire (Communication préliminaire)

    NARCIS (Netherlands)

    Troost, J.; Kamp, A.; Kamphuisen, A.H.C.; Storm van Leeuwen, W.

    Le contenu de la fréquence de l'E.E.G. en fonction de l'effort physique et mental chez des malades présentant une insuffisance cérébro-vasculaire (une communication préalable). La méthode consiste en une analyse spectrale digitale de l'E.E.G., qui est enregistré à l'aide d'un système

  18. 2185-IJBCS-Article-Aduayi-Akue Adote

    African Journals Online (AJOL)

    hp

    différentes parties de l'organisme humain en entraînant des effets chroniques ou aigus sur la santé de l'homme (Were et al., 2008). La pollution par les métaux ... de certaines maladies liées à la contamination aux métaux lourds telles que les affections du foie et des reins, les maladies cardio- vasculaires, les cancers, la ...

  19. Hematome organise du sinus maxillaire a propos d'un cas | Beltaief ...

    African Journals Online (AJOL)

    L'hématome organisé du sinus maxillaire est une entité rare. Son étiopathogénie reste incertaine. Nous rapportons le cas d'une patiente âgée de 16 ans présentant une épistaxis unilatérale droite de grande abondance avec une endoscopie nasale strictement normale. L'imagerie était en faveur d'une tumeur vasculaire du ...

  20. Mise au point

    African Journals Online (AJOL)

    7 mai 2012 ... butyl-cyanoacrylate en ponction directe intra-lésionnelle. (10,17), ou en double approche (endo-vasculaire et trans- osseuse) (18,19, 20,21). La plupart des auteurs s'accordent sur le fait que l'alcool ne doit pas être utilisé dans les MAv des maxillaires (6,. 22, 23,24). en effet, injecté en intra-artériel, il donne ...

  1. Pattern Matching Framework to Estimate the Urgency of Off-Normal Situations in NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Jin Soo; Park, Sang Jun; Heo, Gyun Young [Kyung Hee University, Yongin (Korea, Republic of); Park, Jin Kyun [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Kim, Hyo Jin; Park, Soon Yeol [Korea Hydro and Nuclear Power, Yeonggwang (Korea, Republic of)

    2010-10-15

    approach. This is the process of fitting the collected data to a pre-set framework. In this study, we proposed the non-parametric approach based pattern matching technique to reduce the uncertainty arising during the selection of models and modeling processes. Preserving the data as collected from off-normal situations, the snapshot data captured in a certain size moving window continues to perform pattern matching with collected data and to determine the most similar case as an off-normal situation. From the database, we are able to provide the remaining time to a trip, in other words, the urgency of off-normal situation

  2. Pattern Matching Framework to Estimate the Urgency of Off-Normal Situations in NPPs

    International Nuclear Information System (INIS)

    Shin, Jin Soo; Park, Sang Jun; Heo, Gyun Young; Park, Jin Kyun; Kim, Hyo Jin; Park, Soon Yeol

    2010-01-01

    approach. This is the process of fitting the collected data to a pre-set framework. In this study, we proposed the non-parametric approach based pattern matching technique to reduce the uncertainty arising during the selection of models and modeling processes. Preserving the data as collected from off-normal situations, the snapshot data captured in a certain size moving window continues to perform pattern matching with collected data and to determine the most similar case as an off-normal situation. From the database, we are able to provide the remaining time to a trip, in other words, the urgency of off-normal situation

  3. The maternal venous system: the ugly duckling of obstetrics

    OpenAIRE

    Tomsin, Kathleen

    2013-01-01

    Zowel de maternale vasculaire tonus als de hartfunctie tijdens zwangerschap worden beschouwd als cruciale factoren in de uitkomst van zowel moeder als kind. In dit complex verhaal van maternale hemodynamiek, hetgeen intens beschreven wordt in de huidige wetenschappelijke literatuur, wordt de rol van de maternale venen desalniettemin sterk onderschat. Tijdens deze thesis ontwikkelden en evalueerden wij een set van meetbare, objectieve parameters die een indicatie zijn voor veneuze functie, nam...

  4. Traumatismes iatrogènes de l'artère fémorale secondaire à la pose ...

    African Journals Online (AJOL)

    Le recours aux cathéters veineux centraux (CVC) est incontournable en hémodialyse. Comparé aux autres abords vasculaires, il est pourtant associé à une morbidité et une mortalité plus élevées. Selon une étude menée par El Minshawy et coll, l'atteinte de l'artère fémorale représente 5% de ces complications. Nous en ...

  5. Case report

    African Journals Online (AJOL)

    ebutamanya

    1 oct. 2015 ... Les troubles de l'hémostase secondaires à une LV ou à un SAM sont fréquents, mais la survenue d'une coagulation intra-vasculaire disséminée (CIVD) est peu rapportée [3, 4]. Le traitement de la LV par Glucantime® peut être responsable de plusieurs effets indésirables ; la survenue d'une pancréatite est ...

  6. نظام التغدية وعوامله التقافية والإجتماعية

    OpenAIRE

    BEKHCHI Mohamed

    2013-01-01

    La disparition de certaines maladies, demeure liée à l’évolution technologique et alimentaire, cependant, ce changement, de notre mode de vie, accompagnant, une industrialisation, et un changement culturel ont influencés notre alimentation conduisant ainsi l’apparition, de l’obésité et ses complications cardiaques, vasculaires et donc, l’excès de prise alimentaire, associant une limitation de l’exercice physique constituant un dang...

  7. Prevalence de l'infection a VIH chez les patients victimes d'un ...

    African Journals Online (AJOL)

    Introduction: Le VIH/SIDA et son traitement antirétroviral sont associés à un risque élevé de maladies cardiovasculaires comme les accidents vasculaires cérébraux (AVC). L'objectif de cette étude était d'estimer la prévalence du VIH et d'identifier ses facteurs associés chez les patients hospitalisés pour un AVC. Méthode: ...

  8. Case report

    African Journals Online (AJOL)

    abp

    19 févr. 2013 ... trimestre, diagnostiqué à un stade tardif ainsi que les limites de la prise en charge en milieu sous équipé. Patient et observation. Il s'agit d'une gestante âgée de ... L'accouchement peut entraîner un risque d'emboles vasculaires et de dissémination. Après une vulvéctomie, un accouchement par voie basse ...

  9. Syndrome de Sturge-Weber : A propos d'un cas a Lome. | Adigo ...

    African Journals Online (AJOL)

    Le syndrome de Sturge-Weber est une rare maladie congénitale, sporadique et non héréditaire. Il implique des malformations vasculaires de la peau (angiome cutané plan), des yeux et du cerveau (angiome leptoméningé). Les auteurs rapportent un cas révélé à l'âge adulte et dont le traitement a été médical ...

  10. Case series

    African Journals Online (AJOL)

    abp

    14 janv. 2013 ... actuel, l'âge avancé à la mise en hémodialyse, le sexe féminin, l'excès pondéral, et l'abord vasculaire. Le SCC est une complication fréquente de l'hémodialyse chronique. L'amélioration de la qualité de dialyse permettrait de réduire le risque de survenue du SCC. Pan African Medical Journal. 2013 ...

  11. Le syndrome du canal carpien chez les patients hémodialysés ...

    African Journals Online (AJOL)

    La comparaison statistique entre les deux groupes de patients avec et sans SCC a démontré que la survenue de ce syndrome est liée à: l'âge actuel, l'âge avancé à la mise en hémodialyse, le sexe féminin, l'excès pondéral, et l'abord vasculaire. Le SCC est une complication fréquente de l'hémodialyse chronique.

  12. Case series

    African Journals Online (AJOL)

    abp

    19 sept. 2013 ... La durée moyenne d'hémodialyse était de 89± 54 mois. 67(80%) de nos patients étaient de bas niveau socio-économique. La néphropathie causale était diabétique dans 17.8% des cas, vasculaire dans 9.6% des cas, et indéterminée dans 53.3 %. (Figure 1). Les douleurs osseuses étaient présentes chez ...

  13. Pérou : tous les projets | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Les régimes à teneur élevée en sel sont une cause majeure de l'hypertension artérielle et un facteur prédominant des décès, et comptent pour près des deux tiers des accidents vasculaires cérébraux et de la moitié des incidents de maladie cardiaque dans le monde. Région: Argentina, Brazil, Costa Rica, Paraguay, Peru.

  14. Promouvoir des systèmes alimentaires sains

    International Development Research Centre (IDRC) Digital Library (Canada)

    fdieudonne

    d'hypertension, de maladie cardiaque, de diabète et d'accidents vasculaires cérébraux. Le CRDI contribut aux efforts déployés pour réduire la consommation de sel, de sucre et de gras : Au Costa Rica, des objectifs de réduction de la consommation de sel ont été établis en s'appuyant sur les résultats de la recherche.

  15. Peru : tous les projets | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Les régimes à teneur élevée en sel sont une cause majeure de l'hypertension artérielle et un facteur prédominant des décès, et comptent pour près des deux tiers des accidents vasculaires cérébraux et de la moitié des incidents de maladie cardiaque dans le monde. Région: Argentina, Brazil, Costa Rica, Paraguay, Peru.

  16. Brazil : tous les projets | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Les régimes à teneur élevée en sel sont une cause majeure de l'hypertension artérielle et un facteur prédominant des décès, et comptent pour près des deux tiers des accidents vasculaires cérébraux et de la moitié des incidents de maladie cardiaque dans le monde. Région: Argentina, Brazil, Costa Rica, Paraguay, Peru.

  17. Faible taux de succes du sevrage tabagique a court et moyen termes au decours d�un infarctus aigu du myocarde dans un service de cardiologie de Dakar au Senegal

    Directory of Open Access Journals (Sweden)

    Alassane Mbaye

    2011-10-01

    Full Text Available e le tabac pendant l�hospitalisation. Apres un suivi de 3 mois, 45% des patients ont repris le tabac, 65% a 6 mois et 85% a 12 mois. CONCLUSION: Le tabagisme est assez frequent chez les patients senegalais presentant un infarctus du myocarde. Le taux de sevrage tabagique a court et moyen termes est faible. Le sevrage tabagique devrait alors constituer un objectif privilegie dans la prevention des maladies cardio-vasculaires.

  18. Research

    African Journals Online (AJOL)

    ebutamanya

    28 avr. 2016 ... L'objectif de ce travail était de déterminer la proportion des AVC du sujet jeune, les facteurs de risque cérébro- vasculaire (FRCV) et de rechercher les facteurs prédictifs de .... utilisée était non probabiliste basée sur le recrutement consécutif des dossiers obéissant aux critères d'éligibilité. Les données.

  19. The impact of traditional coffee processing on river water quality in Ethiopia and the urgency of adopting sound environmental practices.

    Science.gov (United States)

    Beyene, Abebe; Kassahun, Yared; Addis, Taffere; Assefa, Fassil; Amsalu, Aklilu; Legesse, Worku; Kloos, Helmut; Triest, Ludwig

    2012-11-01

    Although waste from coffee processing is a valuable resource to make biogas, compost, and nutrient-rich animal food, it is usually dumped into nearby water courses. We carried out water quality assessment at 44 sampling sites along 18 rivers that receive untreated waste from 23 coffee pulping and processing plants in Jimma Zone, Ethiopia. Twenty upstream sampling sites free from coffee waste impact served as control, and 24 downstream sampling sites affected by coffee waste were selected for comparison. Physicochemical and biological results revealed a significant river water quality deterioration as a result of disposing untreated coffee waste into running water courses. During coffee-processing (wet) season, the highest organic load (1,900 mg/l), measured as biochemical oxygen demand, depleted dissolved oxygen (DO) to a level less than 0.01 mg/l, and thus curtailed nitrification. During off season, oxygen started to recuperate and augmented nitrification. The shift from significantly elevated organic load and reduced DO in the wet season to increased nitrate in the off season was found to be the determining factor for the difference in macroinvertebrate community structure as verified by ordination analysis. Macroinvertebrate diversity was significantly reduced in impacted sites during the wet season contrary to the off season. However, there was a significant difference in the ratio of sensitive to pollution-tolerant taxa in the off season, which remained depreciated in the longer term. This study highlights the urgency of research exploring on the feasibility of adopting appropriate pollution abatement technologies to implement ecologically sound coffee-processing systems in coffee-growing regions of Ethiopia.

  20. Linfoma de Hodgkin con depleción linfocítica e infiltración difusa de médula ósea

    Directory of Open Access Journals (Sweden)

    Fernando Carballo

    2011-04-01

    Full Text Available Se presenta el caso clínico de un paciente varón de 38 años de edad, agricultor, natural de Lamas, San Martín (selva peruana, quien desde hacía 8 meses presentaba diarreas, fiebre intermitente, dolor abdominal, pérdida ponderal y anemia severa. Aunque lúcido, a su ingreso el paciente exhibía mal estado general, palidez y adenopatías generalizadas de menos de 0,5 cm, hepatoesplenomegalia y matidez desplazable. La tomografía computarizada abdominal reveló hepatoesplenomegalia y múltiples adenopatías retroperitoneales, mesentéricas y otras. La biopsia de ganglio mostró células de Reed Sternberg, células mononucleares, eosinófilos y escasos linfocitos. La inmunohistoquímica ganglionar fue positiva para anticuerpos CD15 y CD30. La biopsia de hueso señaló fibrosis difusa, células mononucleares y marcada escasez de linfocitos. La hibridización in situ para EBV-virus de Epstein Barr fue positiva en las células neoplásicas.

  1. Liban | CRDI - Centre de recherches pour le développement ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Nous avons également appuyé la lutte antitabac afin de réduire les risques, entre autres, de cancer, de diabète et d'accidents vasculaires cérébraux. Une étude menée auprès des utilisateurs du narguilé, ou pipe à eau, qui sont très nombreux au Moyen-Orient, a donné lieu à des résultats inédits. Des chercheurs de ...

  2. Social interaction anxiety and personality traits predicting engagement in health risk sexual behaviors.

    Science.gov (United States)

    Rahm-Knigge, Ryan L; Prince, Mark A; Conner, Bradley T

    2018-06-01

    Individuals with social interaction anxiety, a facet of social anxiety disorder, withdraw from or avoid social encounters and generally avoid risks. However, a subset engages in health risk sexual behavior (HRSB). Because sensation seeking, emotion dysregulation, and impulsivity predict engagement in HRSB among adolescents and young adults, the present study hypothesized that latent classes of social interaction anxiety and these personality traits would differentially predict likelihood of engagement in HRSB. Finite mixture modeling was used to discern four classes: two low social interaction anxiety classes distinguished by facets of emotion dysregulation, positive urgency, and negative urgency (Low SIAS High Urgency and Low SIAS Low Urgency) and two high social interaction anxiety classes distinguished by positive urgency, negative urgency, risk seeking, and facets of emotion dysregulation (High SIAS High Urgency and High SIAS Low Urgency). HRSB were entered into the model as auxiliary distal outcomes. Of importance to this study were findings that the High SIAS High Urgency class was more likely to engage in most identified HRSB than the High SIAS Low Urgency class. This study extends previous findings on the heterogeneity of social interaction anxiety by identifying the effects of social interaction anxiety and personality on engagement in HRSB. Copyright © 2018 Elsevier Ltd. All rights reserved.

  3. Relationship between voided volume and the urge to void among patients with lower urinary tract symptoms.

    Science.gov (United States)

    Blaivas, Jerry G; Tsui, Johnson F; Amirian, Michael; Ranasinghe, Buddima; Weiss, Jeffrey P; Haukka, Jari; Tikkinen, Kari A O

    2014-12-01

    The aim of this study was to explore the relationship between voided volume (VV) and urge to void among patients with lower urinary tract symptoms. Consecutive adult patients (aged 23-90 years) were enrolled, and completed a 24 h bladder diary and the Urgency Perception Scale (UPS). Patients were categorized as urgency or non-urgency based on the Overactive Bladder Symptom Score. The relationship between UPS and VV (based on the bladder diary) was analyzed by Spearman's rho and proportional odds model. In total, 1265 micturitions were evaluated in 117 individuals (41 men, 76 women; 56 individuals in the urgency and 61 in the non-urgency group). The mean (± SD) VV and UPS were 192 ± 127 ml and 2.4 ± 1.2 ml in the urgency group and 173 ± 124 ml and 1.7 ± 1.1 ml in the non-urgency group, respectively. Spearman's rho (between UPS and VV) was 0.21 [95% confidence interval (CI) 0.13-029, p < 0.001] for the urgency group, 0.32 (95% CI 0.25-0.39, p < 0.001) for the non-urgency group, and 0.28 (95% CI 0.23-0.33, p < 0.001) for the total cohort. Urgency patients had higher UPS [odds ratio (OR) 3.1, 95% CI 2.5-3.8]. Overall, each additional 50 ml VV increased the odds of having a higher UPS with OR 1.2 (95% CI 1.2-1.3). The relationship between VV and UPS score was similar in both groups (p = 0.548 for interaction). Although urgency patients void with a higher UPS score, among both urgency and non-urgency patients there is only a weak correlation between VV and the urge to void. This suggests that there are factors other than VV that cause the urge to void.

  4. Evaluation des prescriptions antibiotiques au service des urgences de l’Hôpital Militaire d’Instruction Mohammed V (HMIMV)

    Science.gov (United States)

    Elbouti, Anass; Rafai, Mostafa; Chouaib, Naoufal; Jidane, Said; Belkouch, Ahmed; Bakkali, Hicham; Belyamani, Lahcen

    2016-01-01

    Cette étude à pour objectifs de décrire les pratiques des prescriptions, évaluer leur pertinence et leur conformité aux règles d’utilisations et étudier les facteurs susceptibles de les influencer. Il s’agit d’une étude transversale d’évaluation des prescriptions antibiotiques portant sur 105 patients réalisée au service des urgences médico-chirurgicales de l’H.M.I.Med V de Rabat sur une période d’un mois. Le recueil des données était fait à l’aide d’un questionnaire rapportant les données démographiques et anamnestiques, les antécédents, la notion d’allergie, les données spécifiques de l’examen clinique, les données para cliniques, la prescription détaillée de l’antibiotique. Les données récoltées ont été ensuite évaluées par un médecin référent, chargé d’indiquer les éventuelles erreurs de traitement. Parmi les infections ayant motivé la prescription des antibiotiques, les affections des systèmes respiratoires et urinaires étaient au premier rang, les familles d’antibiotiques les plus couramment employées sont les pénicillines, les quinolones et les céphalosporines. 74 prescriptions soit (70,5%) étaient à la fois pertinentes et conformes contre 9 prescriptions soit (8,6%) justifiées mais non pertinentes et 6 prescriptions soit (5,7%) étaient jugées injustifiées par le médecin référent par absence d’infection. Les évaluations des pratiques médicales sont rarement menées dans les établissements de santé; c’est dans ce cadre que nous avons voulu nous inscrire en produisant cette étude afin d’améliorer la pertinence de nos prescriptions antibiotiques et d’optimiser leur conformité aux différentes recommandations. PMID:28292124

  5. Anomalies échocardiographiques chez l'hémodialysé chronique: prévalence et facteurs de risqué

    OpenAIRE

    Ezziani, Mariam; Najdi, Adil; Mikou, Souad; Elhassani, Anis; Akrichi, Mohammed Amine; Hanin, Hakim; Arrayhani, Mohammed; Houssaini, Tarik Sqalli

    2014-01-01

    Introduction Les complications cardio-vasculaires sont la principale cause de mortalité et de morbidité chez les patients hémodialysés chroniques. Le but de cette étude est de décrire les différentes atteintes cardiaques à l’échocardiographie transthoracique et de dégager les facteurs associés aux principales atteintes. Méthodes Etude transversale monocentrique incluant des patients adultes hémodialysés depuis plus d'un an et ayant bénéficié d'une échocardiographie transthoracique durant l'an...

  6. Urgences en neuro-ophtalmologie

    DEFF Research Database (Denmark)

    Caignard, A.; Leruez, S.; Milea, D.

    2017-01-01

    Neuro-ophthalmic emergencies can cause life-threatening or sight-threatening complications. Various conditions may have acute neuro-ophthalmic manifestations, including inflammatory or ischemic processes, as well as tumoral, aneurysmal compression or metabolic and systemic diseases. Diplopia...

  7. Bien-être animal en élevage de poulets de chair

    OpenAIRE

    Arnould, Cécile; Leterrier, Christine

    2007-01-01

    L’élevage des poulets de chair s’est intensifié ces dernières décennies et de nombreux problèmes de bien-être animal sont apparus, en particulier chez les poulets standards et les reproducteurs à l’origine de ces croisements. Les poulets standards ont un niveau d’activité très faible et ils sont notamment atteints de troubles locomoteurs, de lésions cutanées et de pathologies cardio-vasculaires. Des solutions à ces altérations du bien-être peuvent être apportées en contrôlant des facteurs lié...

  8. Qualite de vie apres un accident vasculaire cerebral au Senegal: a ...

    African Journals Online (AJOL)

    The accident was ischemic in 70% of cases, hemorrhagic in 30% of cases. 66% had a Barthel index between (60-100), 6% were between (0-20). The score was significantly better in young series (15-34), which all have a Barthel index between (60-100), more over 50% of patients in the portion above 75 years were in the ...

  9. Flore vasculaire rare et endemique de la peninsule de l'Edough ...

    African Journals Online (AJOL)

    sous le nom de« biodiversity hotspots» [2]. La flore du bassin mediterraneen est aujourd'hui tres serieusement menacee, en raison de la forte regression des milieux naturels sous l' action de l 'homme, mais aussi parce que cette region serait l'une des plus exposees aux changements climatiques globaux [3-5]. Cette flore ...

  10. System and method of self-properties for an autonomous and automatic computer environment

    Science.gov (United States)

    Hinchey, Michael G. (Inventor); Sterritt, Roy (Inventor)

    2010-01-01

    Systems, methods and apparatus are provided through which in some embodiments self health/urgency data and environment health/urgency data may be transmitted externally from an autonomic element. Other embodiments may include transmitting the self health/urgency data and environment health/urgency data together on a regular basis similar to the lub-dub of a heartbeat. Yet other embodiments may include a method for managing a system based on the functioning state and operating status of the system, wherein the method may include processing received signals from the system indicative of the functioning state and the operating status to obtain an analysis of the condition of the system, generating one or more stay alive signals based on the functioning status and the operating state of the system, transmitting the stay-alive signal, transmitting self health/urgency data, and transmitting environment health/urgency data. Still other embodiments may include an autonomic element that includes a self monitor, a self adjuster, an environment monitor, and an autonomic manager.

  11. Should I stay or should I go? Hospital emergency department waiting times and demand.

    Science.gov (United States)

    Sivey, Peter

    2018-03-01

    In the absence of the price mechanism, hospital emergency departments rely on waiting times, alongside prioritisation mechanisms, to restrain demand and clear the market. This paper estimates by how much the number of treatments demanded is reduced by a higher waiting time. I use variation in waiting times for low-urgency patients caused by rare and resource-intensive high-urgency patients to estimate the relationship. I find that when waiting times are higher, more low-urgency patients are deterred from treatment and leave the hospital during the waiting period without being treated. The waiting time elasticity of demand for low-urgency patients is approximately -0.25 and is highest for the lowest-urgency patients. Copyright © 2017 John Wiley & Sons, Ltd.

  12. Bladder sensation measures and overactive bladder.

    Science.gov (United States)

    Rapp, David E; Neil, Nancy J; Govier, Fred E; Kobashi, Kathleen C

    2009-09-01

    We performed a prospective multicomponent study to determine whether subjective and objective bladder sensation instruments may provide data on sensory dysfunction in patients with overactive bladder. We evaluated 70 prospectively enrolled patients with urodynamics and questionnaires on validated urgency (Urgency Perception Score), general overactive bladder (Urogenital Distress Inventory) and quality of life (Incontinence Impact Questionnaire). We first sought a correlation between sensory specific (Urgency Perception Score) and quality of life questionnaire scores. We then assessed a correlation between sensory questionnaire scores and urodynamic variables, exploring the hypothesis that certain urodynamic parameters may be bladder sensation measures. We evaluated 2 urodynamic derivatives (first sensation ratio and bladder urgency velocity) to increase sensory finding discrimination. We noted a moderate correlation between the Urgency Perception Score (0.56) and the Urogenital Distress Inventory (0.74) vs the Incontinence Impact Questionnaire (each p Perception Score and bladder capacity (-0.25, p sensation ratio and bladder urgency velocity statistically significantly correlated with the Urgency Perception Score despite the lesser or absent correlation associated with the individual components of these derivatives. Bladder sensation questionnaires may be valuable to identify patients with sensory dysfunction and provide additional data not obtained in generalized symptom questionnaires. Urodynamic variables correlated with bladder sensation questionnaire scores and may be an objective method to assess sensory dysfunction.

  13. How impulsivity relates to compulsive buying and the burden perceived by caregivers after moderate-to-severe traumatic brain injury.

    Science.gov (United States)

    Rochat, Lucien; Beni, Catia; Billieux, Joël; Annoni, Jean-Marie; Van der Linden, Martial

    2011-01-01

    Impulsivity is a core feature in patients with traumatic brain injury (TBI). The aim of the study is to investigate how a specific dimension of impulsivity, namely urgency (the tendency to act rashly when distressed), might shed new light on the aetiology of compulsive buying proneness in patients with TBI and to explore how urgency and compulsive buying relate to the burden perceived by the caregivers. Caregivers of 74 patients with TBI were given 3 questionnaires in order to assess their subjective burden as well as patients' impulsivity and compulsive buying proneness. Both urgency and compulsive buying tendencies significantly increased after TBI. Furthermore, path analyses revealed that current urgency was both directly and indirectly related to the subjective burden perceived by the caregivers, and this indirect pathway was mediated by compulsive buying. Urgency plays a central role in understanding specific problematic behaviours after TBI and their impact on caregivers. These findings are discussed in light of the cognitive processes underlying the urgency component of impulsivity in relation to the occurrence of compulsive buying behaviours after TBI. Copyright © 2011 S. Karger AG, Basel.

  14. Géographie et politiques de l’aide d’urgence au Bangladesh ; les désastres engendrés par le typhon Sidr, le 16 novembre 2007

    Directory of Open Access Journals (Sweden)

    Mouhssine Ennaïmi

    2008-04-01

    Full Text Available Le typhon Sidr a frappé le Sud du Bangladesh le 16 novembre 2007 (4 000 victimes, 8 millions de déplacés et sans abris. La réputation controversée de ce pays mal connu lui a valu l’attention de l’opinion internationale. Le Bangladesh a une longue expérience en matière de catastrophes naturelles, et est doté d’un large réseau d’organisations de solidarité. La prévention de l’aléa et la gestion de l’aide d’urgence ont permis de limiter les pertes humaines. Grâce à cette bonne coordination, la phase de reconstruction a été amorcée rapidement. La situation demeure difficile et le pays n’est pas encore sorti du marasme économique et social qui le caractérise.Sidr typhoon struck the Southern districts in Bangladesh on November 16, 2007 (4000 victims, 8 millions of displaced people / homeless. The discussed reputation of this country supports the attention of the international opinion to him. Thanks to its experience about natural hazards and to a broad humanitarian organizations network, the prevention of the catastrophe and the management of emergency aid made it possible to limit the human lives losses. A good relief aid management offered the opportunity of quickly switching from an emergency to a development stage.Still, the situation remains complex and the country has not overcome the economic and social depression which characterizes it.

  15. Differential effects of social stress on laboratory-based decision-making are related to both impulsive personality traits and gender.

    Science.gov (United States)

    Wise, Richard J; Phung, Alissa L; Labuschagne, Izelle; Stout, Julie C

    2015-01-01

    Urgency is the tendency to make impulsive decisions under extreme positive or negative emotional states. Stress, gender and impulsive personality traits are all known to influence decision-making, but no studies have examined the interplay of all of these factors. We exposed 78 men and women to a stress or a non-stress condition, and then administered the Balloon Analogue Risk Task. We found that stress effects varied as a function of gender and urgency traits. Under stress, women low in negative urgency and men high in negative urgency made fewer risky decisions. Positive urgency yielded a similar pattern. Thus, decisions under stress depend on a complex interplay between gender and impulsive personality traits. These findings have implications for clinical disorders, such as substance use disorders, in which there are known deficits in decision-making and high levels of impulsive traits.

  16. Non disponible / Not available

    OpenAIRE

    Erika , Nnang Obada

    2010-01-01

    Non disponible / Not available; La préservation du capital vasculaire est un challenge permanent dans la prise en charge des patients insuffisants rénaux chroniques. Cette démarche doit être systématique, précoce, même en situation d'insuffisance rénale aiguë. La mise en place de cathéters pour l'hémodialyse doit être encadrée. Tout dysfonctionnement réduit l'efficacité d'une séance de dialyse avec une morbidité non négligeable. Dans une étude rétrospective de 62 patients hémodialysés inciden...

  17. Réalité augmentée pour la chirurgie minimalement invasive du foie utilisant un modèle biomécanique guidé par l'image

    OpenAIRE

    Haouchine , Nazim; Cotin , Stéphane; Dequidt , Jérémie; Kerrien , Erwan; Berger , Marie-Odile

    2014-01-01

    National audience; Cet article présente une méthode de réalité augmentée pour la chirurgie minimalement invasive du foie. Le réseau vasculaire et les tumeurs internes reconstruites à partir des données pré-opératoires (IRM ou CT) peuvent ainsi être visualisées dans l'image laparoscopique afin de guider les gestes du chirurgien pendant l'opération. Cette méthode est capable de propager les déformations 3D de la surface du foie à ses structures internes grâce à un modèle biomécanique sous-jacen...

  18. PRESSION PULSEE OU COUP DE BÉLIER HYDRAULIQUE. LE MIRACLE DE SAINT JANVIER : HYPOTHÈSE SUR L'ORIGINE DE L'HÉMORRAGIE CÉRÉBRALE DU SUJET HYPERTENDU.

    OpenAIRE

    Venet , Richard; Pavie , Alain; Léger , Philippe

    2007-01-01

    Un poète de l'entre deux guerres a décrit les circonstances de son accident vasculaire cérébral, nous évoquant « un coup de bélier hydraulique ». Pour Ahlqvist l'hémorragie cérébrale est secondaire à l'embolisation (occlusion instantanée) d'une artère cérébrale engendrant ainsi un coup de bélier responsable de la fissuration d'un micro-anévrisme de Charcot. Nous nous proposons dans cet article d'exposer le plus compendieusement possible la théorie du coup de bélier hydraulique. Appliquant cet...

  19. HYPOTHÈSES SUR L'ORIGINE DES BRUITS DU CŒUR ET DES ACCIDENTS DE DÉCOMPRESSION EN PLONGÉE : LA CAVITATION. HYPOTHÈSE SUR L'ORIGINE DE LA FERMETURE DES VALVES CARDIAQUES : LE PHÉNOMÈNE DE VENTOUSE.

    OpenAIRE

    Venet , Richard ,; Pavie , Alain; Leger , Philippe

    2012-01-01

    Nous avons proposé, dans un travail antérieur, l'hypothèse d'un phénomène de cavitation à l'origine des bruits de Korotkoff. Encouragés par l'aphorisme de MacDonald comme quoi le phénomène de cavitation est plus fréquent qu'on peut le penser dans le système cardio-vasculaire, nous avons appliqué la théorie de Womersley aux enregistrements hémodynamiques exposés dans la littérature médicale. L'enregistrement simultané des pressions du ventricule gauche (PVG), de l'aorte (PAo) et de l'oreillett...

  20. HYPOTHÈSES SUR L'ORIGINE DES BRUITS DU CŒUR ET DES ACCIDENTS DE DÉCOMPRESSION EN PLONGÉE : LA CAVITATION. HYPOTHÈSE SUR L'ORIGINE DE LA FERMETURE DES VALVES CARDIAQUES : LE RETARD A LA FERMETURE DES VALVES (COUP DE CLAPET) ET LE PHÉNOMÈNE DE VENTOUSE.

    OpenAIRE

    Venet , Richard ,

    2012-01-01

    Nous avons proposé, dans un travail antérieur, l'hypothèse d'un phénomène de cavitation à l'origine des bruits de Korotkoff. Encouragés par l'aphorisme de MacDonald comme quoi le phénomène de cavitation est plus fréquent qu'on peut le penser dans le système cardio-vasculaire, nous avons appliqué la théorie de Womersley aux enregistrements hémodynamiques exposés dans la littérature médicale. L'enregistrement simultané des pressions du ventricule gauche (PVG), de l'aorte (PAo) et de l'oreillett...

  1. HYPOTHÈSES SUR L'ORIGINE DES BRUITS DU COEUR ET DES ACCIDENTS DE DÉCOMPRESSION EN PLONGÉE : LA CAVITATION

    OpenAIRE

    Venet , Richard

    2007-01-01

    Nous avons proposé, dans un travail antérieur, l'hypothèse d'un phénomène de cavitation à l'origine des bruits de Korotkoff. Encouragés par l'aphorisme de MacDonald comme quoi le phénomène de cavitation est plus fréquent qu'on peut le penser dans le système cardio-vasculaire, nous avons appliqué la théorie de Womersley aux enregistrements hémodynamiques exposés dans la littérature médicale. L'enregistrement simultané des pressions du ventricule gauche (PVG), de l'aorte (PAo) et de l'oreillett...

  2. Use of Data to Develop a Code Blue Training Program

    Science.gov (United States)

    2017-01-28

    training program and create a sense of urgency for change. 3. Describe methods for linking learning objectives to performance gaps utilizing high...IMSH2017 .. .... _ . \\ "~ - ’ Enlisting Buy-In • Garner Leadership Support \\ ’(C>’>f ,... ... ,. -- ~ • Create a sense of urgency - I {’ . J...Include Data • ve1lows: Detail oriented; enjoy structure; punctual https://www.paceorg.com/ Creating a Sense of Urgency ... http

  3. Urgencias habitacionales, fantasías de salvación y retorno del desamparo Housing urgencies, salvation fantasies and the return of neglect

    Directory of Open Access Journals (Sweden)

    Margarita Robertazzi

    2010-12-01

    Full Text Available Se presentan resultados parciales obtenidos durante el desarrollo de la investigación "Narrativas del desamparo: conformismo, mesianismo, opciones críticas", que aborda la problemática de grupos familiares marginalizados por condiciones precarias de trabajo y de hábitat, así como el análisis de políticas públicas, privadas y autogestionadas para la atención de esa problemática. Es un estudio de casos múltiples, intencionalmente seleccionados, que se realiza con método cualitativo, en el que se administran técnicas conversacionales, observacionales y documentales. En este artículo se analizan tres casos en los que es posible detectar protagonismo en la transformación de la urgencia habitacional, a pesar de que los niveles de desamparo no son homogéneos. En todos ellos se identifica una combinación de los modos preponderantes de subjetivación, así como el papel que juegan los distintos actores sociales en su gestión/resolución, atendiendo especialmente las representaciones y tendencias ligadas a los destinatarios de políticas sociales.Short term results obtained during the development of research work on "Stories of the neglected: conformity, messianism, critical options" are presented in this article. It approaches problems of family groups socially excluded because of precarious working and habitat (housing conditions, as well as the analysis of public, private, and self management policies intended to deal with these problems. It is a study of multiple, intentionally selected cases, performed with qualitative method, in which conversational, observational and documentary techniques are administered. Three cases are analyzed in which it is possible to notice protagonism in the process of transformation of housing urgency, in spite of the fact that the levels of neglect are not equivalent. In all of them it is possible to identify a combination of the main processes of subjectivity formation, as well as the role played by

  4. Impulsivity-like traits and risky driving behaviors among college students.

    Science.gov (United States)

    Pearson, Matthew R; Murphy, Elaine M; Doane, Ashley N

    2013-04-01

    The present study examined the predictive effects of five impulsivity-like traits (Premeditation, Perseverance, Sensation Seeking, Negative Urgency, and Positive Urgency) on driving outcomes (driving errors, driving lapses, driving violations, cell phone driving, traffic citations, and traffic collisions). With a convenience sample of 266 college student drivers, we found that each of the impulsivity-like traits was related to multiple risky driving outcomes. Positive Urgency (tendency to act impulsively when experiencing negative affect) was the most robust predictor of risky driving outcomes. Positive Urgency is a relatively newly conceptualized impulsivity-like trait that was not examined in the driving literature previously, suggesting a strong need to further examine its role as a personality trait related to risky driving. These findings generally support the multidimensional assessment of impulsivity-like traits, and they specifically support the addition of Positive Urgency to a list of risk factors for risky driving behaviors. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Looking to the Future of the Air Force Nuclear Enterprise

    Science.gov (United States)

    2016-09-01

    SAC bred a sense of urgency into its members and ensured that no one was complacent with the job, instead everyone worked to achieve perfection as the...steps from Kotter’s process in this category are: Establishing a Sense of Urgency , Creating the Guiding Coalition, and Developing a Vision and...mentality. To help combat the status quo Kotter takes the first step by creating a sense of urgency in an organization. Most organization look at

  6. [Urgenturia, a logical improvement in order to better caracterize a keyword irritative symptom].

    Science.gov (United States)

    Grise, Philippe; Caremel, Romain; Cherif, Mohamed; Sibert, Louis

    2007-09-01

    Multiple medical terms are used in the french medical literature to caracterize an urgency. However, it is a corner stone symptom of bladder overactivity, different from a normal physiological sensation. Specific tools have been designed to measure urgency but there is an essential need to give a specific and clear medical word according to other medical terms for urinary signs or symptoms. This leads to propose urgenturia as the specific medical term for urgency.

  7. Fréquence et caractéristiques des AVC impliquant les artères perforantes dans le Service de Neurologie de l’Hopital Bafelatanana, Antananarivo

    Science.gov (United States)

    Rasaholiarison, Nomena Finiavana; Randrianasolo, Rahamefy Odilon; Rajaonarison, Lala Andriamasinavalona; Rakotomanana, Jenny Larissa; Razafimahefa, Julien; Tehindrazanarivelo, Alain Djacoba

    2017-01-01

    Introduction Les accidents vasculaires cérébraux des artères perforantes sont surtout des artériolopathies. Ils évoluent vers la démence et la récurrence. Pour mieux prévenir ces complications notre étude avait pour but d'évaluer la fréquence et les caractéristiques de ces AVC. Méthodes c'est une étude descriptive rétrospective du 01 Mars au 25 Septembre 2015 au service de Neurologie CHU-JRB. Ont été inclus les patients présentant un déficit neurologique brutal et un scanner cérébral avec atteinte du territoire profonde. Les caractéristiques des AVC des artères perforantes ont été recueillies. Les données étaient traitées par le logiciel SPSS 20. Résultats Quatre-vingt-trois (48,25%) patients avaient des AVC des artères perforantes sur 172 AVC. Pour les AVC des artères perforantes la population était jeune avec 65,06% moins de 65 ans et à prédominance masculine avec 61,44%. Les formes hémorragiques étaient à 67,46%. Trente et un patients (37,34%) ont connu des récurrences et parmi eux presque le quart avait 2 récurrences avec 38,70% en moins de un an. Tous les patients avec récurrence avaient un trouble dysexécutif (p AVC pendant l'hospitalisation. Conclusion Un suivi spécifique en neurologie est nécessaire dès le premier accident vasculaire cérébral d'artère perforante pour dépister un début de démence et prévenir les récurrences. PMID:29255546

  8. Grid Standards and Codes | Grid Modernization | NREL

    Science.gov (United States)

    photovoltaics (PV) adoption have given a sense of urgency to the standards development process. The Accelerating Systems Integration Standards team is addressing this urgency by providing leadership and direction for

  9. Angiomyolipome rénal agressif avec extension à la veine rénale: à propos d'un cas et une revue de la littérature

    Science.gov (United States)

    Majdoub, Aziz El; Khallouk, Abdelhak; Farih, Moulay Hassan

    2017-01-01

    L'angiomyolipome rénal est une tumeur qui est reconnue bénigne. Elle présente trois composantes différentes: musculaire, vasculaire et graisseuse, dont la distribution est variable. Le diagnostic repose sur la mise en évidence de la composante graisseuse intra-tumorale en TDM ou IRM. Exceptionnellement la tumeur peut avoir un caractère agressive avec extension locorégionale et veineuse (la veine rénale et la veine cave inferieure). Nous présentons une observation d'une patiente âgée de 37 ans présentant un Angiomyolipome rénal volumineux avec extension à la veine rénale. PMID:29599888

  10. Self-reported toileting behaviors in employed women: Are they associated with lower urinary tract symptoms?

    Science.gov (United States)

    Palmer, Mary H; Willis-Gray, Marcella G; Zhou, Fang; Newman, Diane K; Wu, Jennifer M

    2018-02-01

    To describe toileting behaviors working women habitually use and investigate behaviors associated with lower urinary tract symptoms (LUTS), especially urinary urgency with or without leakage. Non-pregnant female employees of a large academic medical center 18 years and over were eligible to complete an online survey about bladder health and toileting behaviors. One hundred eighty-two women participated in the survey. The majority were white (83.52%), married (52.49%), had ≥1 pregnancy (54.40%), and in excellent health (93.41%). The average age and body mass index were 47.28 ± 13.56 years and 27.92 ± 6.78, respectively. The sample was further sub-divided into two groups: urinary urgency (N = 119) or no urinary urgency symptoms (N = 51). Habitual toileting behaviors for these groups (N = 170) included: sitting to urinate at home (98.24%), emptying the bladder completely (88.82%), emptying the bladder before leaving home (80.00%), and sitting to urinate when away from home (68.82%). Logistic regression analysis showed age increased the odds of urinary urgency (aOR 1.06, 95%CI 1.02-1.09). Women who waited too long to urinate at work (aOR 7.85, 95%CI 1.57-39.24) and wore panty liners for urinary leakage (aOR 2.86, 95%CI 1.25-6.56) had greater odds of urinary urgency than women who did neither. Most habitual toileting behaviors were not associated with urinary urgency except waiting too long to urinate when at work. Logistic regression revealed significant relationships among health-related factors, personal characteristics, behaviors, and urinary urgency. LUTS in women is both a women's health and occupational health issue. © 2017 Wiley Periodicals, Inc.

  11. The evaluation of a formalized queue management system for coronary angiography waiting lists.

    Science.gov (United States)

    Alter, D A; Newman, Alice M; Cohen, Eric A; Sykora, Kathy; Tu, Jack V

    2005-11-01

    Lengthy waiting lists for coronary angiography have been described in many health care systems worldwide. The extent to which formal queue management systems may improve the prioritization and survival of patients in the angiography queue is unknown. To prospectively evaluate the performance of a formal queue management system for patients awaiting coronary angiography in Ontario. The coronary angiography urgency scale, a formal queue management system developed in 1993 using a modified Delphi panel, allocates recommended maximum waiting times (RMWTs) in accordance with clinical necessity. By using a provincial clinical registry, 35,617 consecutive patients referred into the coronary angiography queue between April 1, 2001, and March 31, 2002, were prospectively tracked. Cox proportional hazards models were used to examined mortality risk across urgency after adjusting for additional clinical and comorbid factors. Good agreement was determined in urgency ratings between scores from the coronary angiography urgency scale and implicit physician judgement, which was obtained independently at the time of the index referral (weighted kappa = 0.49). The overall mortality in the queue was 0.3% (0.47%, 0.26% and 0.13% for urgent, semiurgent and elective patients, respectively). Urgency, as specified by the coronary angiography urgency scale, was the strongest predictor of death in the queue (Pqueue management system may decrease mortality in the coronary angiography queue. The authors recommend its implementation in health care systems where patients experience excessive waiting time delays for coronary angiography.

  12. La préservation du capital vasculaire au CHU Ibn Sina de Rabat ...

    African Journals Online (AJOL)

    Introduction: Tout patient ayant une maladie chronique nécessitant des prélèvements sanguins répétés ou des traitements par voie veineuse ou susceptible d'évoluer vers l'insuffisance rénale chronique, doit bénéficier d'une stratégie de préservation de son réseau veineux. Le but de ce travail était de déterminer le rôle de ...

  13. Moya moya: étiologie rare d'accident vasculaire cérébral ...

    African Journals Online (AJOL)

    Moya moya disease is an angiogenic disease characterized by the narrowing of the distal internal carotid artery extending to the proximal segments of the middle and anterior cerebral arteries, inducing collateral vessels formation. These vessels come from the collateral parenchymal vessels, the perforating vessels, ...

  14. Diversité floristique des épiphytes et hémiparasites vasculaires de l ...

    African Journals Online (AJOL)

    SARAH

    30 sept. 2017 ... septembre sont en partie secs, entrainant une stabilité de l'air (Vennetier, 1977) ; (iii) une saison sèche et fraîche de juin à septembre, qui alterne avec une saison humide et chaude allant d'octobre à mai (Vennetier, 1977) ; (iv) l'humidité relative est particulièrement élevée, toujours supérieure à 70 %.

  15. Incidence des accidents vasculaires cérébraux chez les patients VIH ...

    African Journals Online (AJOL)

    Introduction: avec l'introduction de la trithérapie dans les années 1996, la morbidité et la mortalité liées à l'infection par le VIH a nettement diminué. Concomitamment avec ce succès clinique, plusieurs changements métaboliques incluant diabète, hypertension artérielle, dyslipidémie et lipodystrophie ont été observés, ...

  16. The Right Superior Frontal Gyrus and Individual Variation in Proactive Control of Impulsive Response.

    Science.gov (United States)

    Hu, Sien; Ide, Jaime S; Zhang, Sheng; Li, Chiang-Shan R

    2016-12-14

    A hallmark of cognitive control is the ability to rein in impulsive responses. Previously, we used a Bayesian model to describe trial-by-trial likelihood of the stop signal or p(Stop) and related regional activations to p(Stop) to response slowing in a stop signal task. Here, we characterized the regional processes of conflict anticipation in association with intersubject variation in impulse control in 114 young adults. We computed the stop signal reaction time (SSRT) and a measure of motor urgency, indexed by the reaction time (RT) difference between go and stop error trials or "GoRT - SERT," where GoRT is the go trial RT and SERT is the stop error RT. Motor urgency and SSRT were positively correlated across subjects. A linear regression identified regional activations to p(Stop), each in correlation with SSRT and motor urgency. We hypothesized that shared neural activities mediate the correlation between motor urgency and SSRT in proactive control of impulsivity. Activation of the ventromedial prefrontal cortex, posterior cingulate cortex and right superior frontal gyrus (SFG) during conflict anticipation correlated negatively with the SSRT. Activation of the right SFG also correlated negatively with GoRT - SERT. Therefore, activation of the right SFG was associated with more efficient response inhibition and less motor urgency. A mediation analysis showed that right SFG activation to conflict anticipation mediates the correlation between SSRT and motor urgency bidirectionally. The current results highlight a specific role of the right SFG in translating conflict anticipation to the control of impulsive response, which is consistent with earlier studies suggesting its function in action restraint. Individuals vary in impulse control. However, the neural bases underlying individual variation in proactive control of impulsive responses remain unknown. Here, in a large sample of young adults, we showed that activation of the right superior frontal gyrus (SFG

  17. The urgency of outer territories anthropology

    Directory of Open Access Journals (Sweden)

    Miloš Milenković

    2016-02-01

    Full Text Available In the context of transforming a part of Serbian anthropology into social theoretic management of identity, I suggest both comparative historiographic and ethnographic learning from societies with similar post-colonial experience, with the aim to include the discipline into an urgent defense of Serbia and Belgrade from further ethno-profiteering interests of elites in/from outer territories, left over on the ruins of our ill judged, resource incompatible, exaggerated or immoral twentieth century adventures. Serbian anthropology, written by anthropologists to whom Serbia and Belgrade are "homeland" by origin or civilized choice, should play the key role in the defense of Serbian citizens from the interest of elites in/from the outer "homelands", particularly by revealing the processes for which it is, as a discipline, most expert at – the professionalization of ethnicity, interactive and hybrid nature of identity, instrumental nature of tradition and the identity politics in general. Having in mind the latest attempt, a particularly successful one, conducted by the end of the 20th and the beginning of the 21st century that the lives, health, well-being, dignity and future of persons born in and loyal to the interest of Serbia and Belgrade, in large scale, thoroughly and long term be sacrificed and dedicated to the interests of ethno-profiteering elites in/from outer territories, in this article I point to the possibility to, along with the comparative learning from the above mentioned post-colonial experiences, delicate experiences of urgent anthropology be applied as well as the rich tradition of collective research. This text analyzes the results of first such research, that represenst the initial, praiseworthy and a brave step in the wise striving to engage social sciences and humanities in a search of expert and not mythical/daily-political solutions of the key problem of the Serbian nation – that of how to settle the interests of the elites of population in/from outer territories sufficiently so that their local/regional problems or private interests can never again be treated as the national interest, nor be used as reasons for (selfdestruction and(selfhumiliation of Serbia and Belgrade.

  18. Hypertensive crisis: urgency and hypertensive emergency

    Directory of Open Access Journals (Sweden)

    Javier Sobrino Martínez

    2016-12-01

    Full Text Available Resumen Las crisis hipertensivas son un conjunto de situaciones clínicas de variada gravedad y pronóstico. Las diferencias entre urgencias y emergencias hipertensivas radican en la existencia o no de riesgo vital por afectación de órganos diana, más que por los niveles de presión arterial. Las urgencias hipertensivas no suelen comportar riesgo vital inmediato por lo que el tratamiento puede iniciarse, incluso completarse, en el medio extrahospitalario. Las emergencias hipertensivas son situaciones clínicas muy graves que requieren asistencia hospitalaria. Ante un paciente con hipertensión grave, asintomático o con síntomas inespecíficos debe adoptarse una actitud terapéutica prudente. La primera medida será comprobar las cifras de presión arterial con tomas repetidas de la misma y tratar los posibles factores desencadenantes. El objetivo del tratamiento de las urgencias hipertensivas es tanto obtener una reducción de las cifras de presión arterial (al menos un 20% de las cifras basales como evitar reducciones bruscas y/o excesivas de la misma. En las urgencias hipertensivas no deberían utilizarse fármacos de acción rápida por el riesgo de accidentes isquémicos y utilizar fármacos con vida media más larga. El riesgo cardiovascular de estos pacientes es superior al de los hipertensos que no sufren una crisis hipertensiva. En las emergencias hipertensivas la elección del fármaco deberá individualizarse. La vía parenteral es la forma habitual de la administración de fármacos.

  19. Public contracts by negotiated procedure in cases of urgency – a new interpretation of the legal basis in light of experiences with organization of the 2012 European Football Championships

    Directory of Open Access Journals (Sweden)

    Krzysztof Horubski

    2013-06-01

    Full Text Available The negotiated procedure without publication of a contract notice is a special procedure for awarding public procurement contracts which departs from the obligation imposed on contracting authorities of respecting the freedoms of the internal market and rules of competition. The procedure may be applied in exceptional situations of extreme urgency resulting from an event which could not be foreseen. The current judicature of the Court of Justice of the EU provides interpretations of the legal basis for application of the procedure in specific cases. However, it does not address the issue of whether it is possible to regard improper performance of contractual obligations as unpredictable. It does not provide broader considerations concerning the form of regulations on the procedure of awarding public interest contracts either. These issues were subject to analysis in one of the resolutions of the National Appeal Chamber (KIO – the Polish authority issuing decisions in matters related to public procurement contracts. In resolution KIO/KD 58/10 of 6 August 2010, KIO assessed the correctness of the application of the negotiated procedure for changing the contractor of the Municipal Stadium in Wrocław in the run-up to the 2012 European Football Championships. KIO found that the significant delay in construction of the facility was unpredictably exceptional, and significantly threatened the timeliness of commissioning the facility, which resulted in termination of the agreement by the contracting authority. The resolution also included an assessment allowing for the position that such a situation was exceptional due to the scale of the threat to the public interest, including the commercial interest of the contracting authority, stemming from a lack of immediate performance of the contract if it resulted in disproportionate consequences for a specific community. The issue of acceptance of such an interpretation by EU institutions remains unresolved.

  20. Development of an approach to facilitate optimal equipment replacement : technical summary.

    Science.gov (United States)

    1999-10-01

    The objective of the study was to determine a way or ways to assign an urgency rating to equipment that was currently in service but in need of replacement. This urgency rating must in some manner took into account the various costs associated with r...

  1. Author Details

    African Journals Online (AJOL)

    Pratique de la transfusion sanguine perioperatoire au Togo: etude multicentrique nationale. Abstract · Vol 19, No 1 (2017) - Articles Prise en charge des urgences au service d'accueil des urgences Chirurgicales du CHU Sylvanus Olympio de Lome (Togo) : difficultes, solutions et perspectives. Abstract. ISSN: 2413-354X.

  2. Emotional regulation, attachment to possessions and hoarding symptoms.

    Science.gov (United States)

    Phung, Philip J; Moulding, Richard; Taylor, Jasmine K; Nedeljkovic, Maja

    2015-10-01

    This study aimed to test which particular facets of emotion regulation (ER) are most linked to symptoms of hoarding disorder, and whether beliefs about emotional attachment to possessions (EA) mediate this relationship. A non-clinical sample of 150 participants (108 females) completed questionnaires of emotional tolerance (distress tolerance, anxiety sensitivity, negative urgency - impulsivity when experiencing negative emotions), depressed mood, hoarding, and beliefs about emotional attachment to possessions. While all emotional tolerance measures related to hoarding, when considered together and controlling for depression and age, anxiety sensitivity and urgency were the significant predictors. Anxiety sensitivity was fully mediated, and urgency partially mediated, via beliefs regarding emotional attachment to possessions. These findings provide further support for (1) the importance of anxiety sensitivity and negative urgency for hoarding symptoms, and (2) the view that individuals with HD symptoms may rely on items for emotion regulation, leading to stronger beliefs that items are integral to emotional wellbeing. © 2015 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  3. 75 FR 67201 - Flightcrew Alerting

    Science.gov (United States)

    2010-11-02

    ... two different senses for warning and caution alerts. Identifying an alert and determining corrective... pilots to the urgency that should be associated with the meaning of these colors, which could increase... consistent and standardized color usage is desirable to ensure the pilot understands the urgency of an alert...

  4. ['Nothing' or 'just a bit'? 'Much' or 'too much'? Impulsivity traits as markers of severity transitions within non-problematic and problematic ranges of alcohol and Internet use].

    Science.gov (United States)

    J F, Navas; A, Torres; A, Cándido; J C, Perales

    2014-01-01

    This study aims to explore the relationship between impulsivity traits and perceived negative consequences of alcohol consumption and Internet use. More specifically, impulsivity traits - positive and negative urgency, sensation seeking, lack of premeditation, and lack of perseverance - in (1) the occurrence of initial negative consequences linked to use, and (2) the transition from consequences possibly indicating a problematic behavior to consequences very likely indicating a clinical problem. For this, 709 first-year college students were assessed using the UPPS-P impulsive behavior scale, and the Multicage CAD-4 scale for addictive behaviors. Logistic regressions were used to discriminate (a) between individuals with a 0-score and individuals with a 1-score in the Multicage scales (low severity range), and (b) between individuals with a 2-score and individuals with 3/4-score (high severity range), separately for alcohol and Internet use. For alcohol use, positive urgency and lack of premeditation marked the transition from 0 to 1 scores, whereas negative urgency marked the transition from 2 to 3/4 scores. For Internet use, however, none of the UPPS-P dimensions significantly marked the transition from 0 to 1 (occurrence of initial negative consequences), and positive urgency marked the transition from 2 to 3/4 (from possible to very likely problematic behavior). Negative urgency arises as a pathologization marker for alcohol abuse, whereas changes in non-clinical levels are linked to impulsivity elicited by appetitive emotions. Impulsivity does not seem to play any role in low severity levels of Internet use, and positive urgency marks the transition between high severity scores. These differential patterns are indicative of different etiological paths for excessive Internet use and substance abuse.

  5. Baseline Lower Urinary Tract Symptoms in Patients Enrolled in LURN: A Prospective, Observational Cohort Study.

    Science.gov (United States)

    Cameron, Anne P; Lewicky-Gaupp, Christina; Smith, Abigail R; Helfand, Brian T; Gore, John L; Clemens, J Quentin; Yang, Claire C; Siddiqui, Nazema Y; Lai, H Henry; Griffith, James W; Andreev, Victor P; Liu, Gang; Weinfurt, Kevin; Amundsen, Cindy L; Bradley, Catherine S; Kusek, John W; Kirkali, Ziya

    2018-04-01

    We described and compared the frequency and type of lower urinary tract symptoms reported by men and women at the time that they were recruited from urology and urogynecology clinics into the Symptoms of Lower Urinary Tract Dysfunction Research Network multicenter, prospective, observational cohort study. At 6 research sites treatment seeking men and women were enrolled who reported any lower urinary tract symptoms at a frequency more than rarely during the last month on the LUTS (Lower Urinary Tract Symptoms) Tool. At baseline the study participants underwent a standardized clinical evaluation and completed validated questionnaires. Urological tests were performed, including pelvic/rectal examination, post-void residual urine measurement and urinalysis. A total of 545 women and 519 men were enrolled in the study. Mean ± SD age was 58.8 ± 14.1 years. At baseline nocturia, frequency and a sensation of incomplete emptying were similar in men and women but men experienced more voiding symptoms (90% vs 85%, p = 0.007) and women reported more urgency (85% vs 66%, p urinary incontinence than men (82% vs 51% p urinary incontinence, including post-void dribbling in 44% and urgency incontinence in 46%. Older participants had higher odds of reporting symptoms of nocturia and urgency. In this large, treatment seeking cohort of men and women lower urinary tract symptoms varied widely by gender and age. Men reported more voiding symptoms and nonstress or urgency urinary incontinence while women reported more incontinence overall and urgency. Older participants had greater odds of urgency and nocturia. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  6. 75 FR 13416 - Federal Acquisition Regulation; FAR Case 2008-006, Enhanced Competition for Task- and Delivery...

    Science.gov (United States)

    2010-03-19

    .... ``Unusual and Compelling Urgency.'' In the event of a FAR subpart 6.3 exception for a single contract award over $100 million including an unusual and compelling urgency exception, the commenter expresses... work. In those situations, it does not make sense in terms of costs and efficiency to require the...

  7. Examining the Conditions Under Which Internalized Homophobia Is Associated with Substance Use and Condomless Sex in Young MSM: the Moderating Role of Impulsivity.

    Science.gov (United States)

    Puckett, Jae A; Newcomb, Michael E; Garofalo, Robert; Mustanski, Brian

    2017-08-01

    Internalized homophobia (IH) is the internalization of homophobic attitudes by sexual minorities due to social bias. IH has been inconsistently related to substance use and condomless sex for young men who have sex with men (YMSM). We examined negative urgency (the tendency to act impulsively in response to negative emotional experiences), positive urgency (the tendency to act impulsively in response to positive emotional experiences), and sensation seeking as independent moderators of the association of IH with binge drinking, drug use, and condomless anal sex. Data were collected from 450 YMSM (mean age = 18.9) over the course of 18 months (baseline, 6-, 12-, and 18-month follow-up). Hierarchical generalized linear modeling revealed that there was a significant moderation for binge drinking and receptive condomless anal sex, with the association between IH and these risk behaviors increased for those with higher levels of negative urgency and positive urgency. IH is important to the negative health outcomes of binge drinking and condomless anal sex for individuals high in negative and/or positive urgency, who may act impulsively to avoid subjective negative experiences or in the face of positive emotional experiences. Future research is needed to further establish additional conditions under which IH may be important to understanding risk behaviors in YMSM, which is essential to developing targeted prevention and intervention efforts.

  8. The effect of prolapse repair on urinary flow rates and the relationship to changes in the ultrasound appearance of the bladder neck.

    Science.gov (United States)

    Duckett, Jonathan; Chakani, Dorothy

    2013-12-01

    To assess whether specific changes in bladder neck morphology, caused by an anterior repair operation, are associated with resolution of overactive bladder and improved urinary flow rates. Sixty-four women with urgency documented on the urgency perception scale (UPS) underwent an anterior repair. Their preoperative flow studies were compared to those 8 weeks postoperatively. Flow rates were compared in those women who reported improved or cured urgency to those who reported no effect. Resolution of urgency was correlated with the change in bladder neck angulation (posterior urethrovesical angle-PUA). 55% (35/64) women reported no urgency after the anterior repair. A further 19% (12/64) were improved and 26% (17/64) were no better. Patients who were cured or improved showed a significant increase in their flow rates after surgery (mean flow=15 before and 17.6 ml/s after) (Mann-Whitney p=0.04). There was a significant change (increase in the PUA angle/straightening of the angle between the bladder and urethra) from a mean value of 123 degrees (SD 49.3) preoperatively to a mean value of 146.8 (SD 29.2) post operatively (pflow rate centile (p=0.45, r=0.10). An anterior repair results in increased maximum urinary flow rates but this does not correlate to changes in the appearance of the bladder neck. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  9. Math Anxiety and How It Affects High School Students.

    Science.gov (United States)

    Murr, Kathleen A.

    2001-01-01

    Studies the role that math anxiety played in the poor performance of students, what promoted such feelings, and what teachers can do to lessen this anxiety. Students and adults sense the urgency to understand the mathematical material, and that urgency often leads to anxiety when they cannot arrive at a solution. (ASK)

  10. Impulsivity and the Sexes: Measurement and Structural Invariance of the UPPS-P Impulsive Behavior Scale

    Science.gov (United States)

    Cyders, Melissa A.

    2013-01-01

    Before it is possible to test whether men and women differ in impulsivity, it is necessary to evaluate whether impulsivity measures are invariant across sex. The UPPS-P Impulsive Behavior Scale (negative urgency, lack of premeditation, lack of perseverance, and sensation seeking, with added subscale of positive urgency) is one measure of five…

  11. Impact of convenience void in a bladder diary with urinary perception grade to assess overactive bladder symptoms: a community-based study.

    Science.gov (United States)

    Honjo, Hisashi; Kawauchi, Akihiro; Nakao, Masahiro; Ukimura, Osamu; Kitakoji, Hiroshi; Miki, Tsuneharu

    2010-09-01

    Bladder diaries including bladder perception grade were analyzed to assess convenience void (CV) in community-dwelling women 40 years of age or older. A total of 310 women completed a 3-day bladder diary with a grade for bladder perception. The grade was defined on scores 0-5 as follows: 0 = No bladder sensation, 1 = Sensation of bladder filling without desire to void, 2 = Desire to void, 3 = Strong desire to void, 4 = Urgency without urge urinary incontinence (UUI), and 5 = Urge incontinence episode. CV was defined as void without desire to void: when the grade was 0, CV in a narrow sense, and when 0 or 1, CV in a broad sense. The incidence of CV in the broad sense significantly decreased with age. Of the 310 women, 48 (15.5%) had overactive bladder (OAB) symptoms on the medical interview, including 37 (11.9%) without UUI (OAB-Dry) and 11 (3.5%) with UUI (OAB-Wet). Of the remaining 262 women, 111 (35.8%), who had urgency but a urinary frequency of 7 or less, and another 141 (48.7%) were classified into the Normal with Urgency and Normal without Urgency groups, respectively. The incidence of CV in a broad sense in the Normal without Urgency group was significantly greater than that in the Normal with Urgency and OAB-Wet groups. The mean voided volumes of CV in the broad sense in the OAB-Wet group were significantly smaller than those in the other three groups. The evaluation of CV may be a new tool in assessing storage condition and voiding dysfunction. © 2010 Wiley-Liss, Inc.

  12. URGENT NEED OF A DOCTOR

    CERN Multimedia

    2002-01-01

    GENEVA PATIENT NOT FIT TO BE MOVED: Call your family doctor  Or SOS MEDECINS (24H/24H) Or ASSOC. MEDECINS DE GENEVE (7H-23H) 022 748-49-50 022 322-20-20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest  022 372-33-11 / 022 382-33-11 URGENCES PEDIATRIQUES  30 Bd de la Cluse  022 382-45-55  MATERNITY 24 Micheli du Crest  022 382-68-16 / 022 382-33-11 CLINIQUE OPHTALMOLOGIQUE 22 Alcide Jentzer  022 382-84-00 HOPITAL DE LA TOUR  Meyrin  022 719-61-11 URGENCES ADULTES  Meyrin  022 719-66-80  URGENCES : AMBULANCE (GENEVE ET VAUD) : 144 FIRE BRIGADE CERN 767-44-44  FIRE BRIGADE 118 POLICE 117 CENTRE ANTI-POISON 24H/24H  01-251-51-510 APPEL D'URGENCE EUROPEEN 112 FRANCE PATIENT NOT FIT TO BE MOVED: Call your family doctor (ou­or 15) PATIENT CAN BE MOVED: HOPITAL DE ST. JULIEN  Rue Amédée VIII de Savoie&a...

  13. [Lower urinary tract symptoms in women and impact on quality of life. Results of the application of the King's Health Questionnaire].

    Science.gov (United States)

    Espuña Pons, M; Puig Clota, M

    2006-01-01

    The self-assessment of quality of life (QoL) of women with urinary symptoms may help in selecting the best treatment in each case. Epidemiologic, observational, cross-sectional and multicentric study of 674 women who underwent to a gynecology unit with symptoms suggesting Overactive Bladder, with or without urinary incontinence (UI). All women fill out the King's Health Questionnaire. Sociodemographic data and a complete register of urinary symptoms and the degree of afectation which caused, were also collected. Most frequent symptoms were "frequency" (612 women-90.8%), followed by "urgency" (562-83.4%), "nocturia" (543-80.6%) and "stres UI" (535-79.4%). Symptoms of "frecuency", "nocturia", "urgency" and "urgency UI" were more frequent in women aged 65 or under 65 years and that of "stress UI", in women over 65 years (79.8% vs 77.9%). 210 women did not fill out all the KHQ dimensions, mainly "Personal Limitations", "Personal Relationship", "Social limitations" and "Incontinence Impact". Global KHQ score was38.3 (SD=19.2). Higher scores (worse QoL) corresponded to "Incontinence Impact", "Severity Measures", "Personal Limitations" and "Role Limitations". Variables associated to global KHQ score were (multiple linear regression): age, BMI, urgency UI, UI in sexual intercourse, frequent urinary infections. QoL impact in women with urinary symptoms is important. The symptoms with higher association with QoL are: UI in sexual intercourse, urgency UI and frequent urinary infections.

  14. Internal Delorme's Procedure for Treating ODS Associated With Impaired Anal Continence.

    Science.gov (United States)

    Liu, Weicheng; Sturiale, Alessandro; Fabiani, Bernardina; Giani, Iacopo; Menconi, Claudia; Naldini, Gabriele

    2017-12-01

    The aim of this study was to evaluate the medium-term outcomes of internal Delorme's procedure for treating obstructed defecation syndrome (ODS) patients with impaired anal continence. In a retrospective study, 41 ODS patients who underwent internal Delorme's procedure between 2011 and 2015 were divided into 3 subgroups according to their associated symptoms of impaired continence, as urgency, passive fecal incontinence and both, before study. Then the patients' preoperative statuses, perioperative complications, and postoperative outcomes were investigated and collected from standardized questionnaires, including Altomare ODS score, Fecal Incontinence Severity Index (FISI), Patient Assessment of Constipation-Quality of Life Questionnaire (PAC-QoL), and Fecal Incontinence Quality of Life Scale (FIQLS). All results with a 2-tailed P ODS score, FISI, PAC-QoL, and FIQLS in all patients when comparing scores from before the operation with those at the final follow-up. Similar results were also observed in both the urgency subgroup and passive fecal incontinence subgroup, but there were no statistically significant improvements ( P > .05) in Altomare ODS score, FISI, PAC-QoL, or FIQLS in the urgency and passive fecal incontinence subgroups. Anorectal manometry showed the mean value of anal resting pressure increased 20%. Additionally, no major complications occurred. Internal Delorme's procedure is effective without major morbidity for treating ODS associated with urgency or passive fecal incontinence, but it may be less effective for treating ODS associated with both urgency and passive fecal incontinence.

  15. Impulsivity-related traits distinguish women with co-occurring bulimia nervosa in a psychiatric sample.

    Science.gov (United States)

    Reas, Deborah L; Pedersen, Geir; Rø, Øyvind

    2016-12-01

    This study investigated impulsivity-related personality traits using the Revised NEO Personality Inventory (NEO PI-R) in women diagnosed with co-occurring bulmia nervosa and borderline personality disorder (BN-BPD), borderline personality disorder (BPD no-BN), or major depressive disorder (MDD-only). The sample included 672 adult female admissions to a psychiatric day hospital treatment program. The NEO PI-R facets of impulsiveness (N5), excitement-seeking (E5), self-discipline (C5), and deliberation (C6) provided a proxy assessment of impulsivity-related traits tapping negative urgency, sensation-seeking, lack of perseverance, and lack of premeditation/planning. After adjusting for age, BN-BPD displayed significantly higher levels of negative urgency and lack of premeditation than BPD without co-occurring BN. Women with BN-BPD also had significantly higher levels of impulsivity traits than MDD across domains, except for lack of perseverance. Impulsivity-related traits of negative urgency and lack of premeditation significantly differentiated women with versus without co-occurring BN among women with borderline personality disorder. Lower levels of impulsivity-related traits in women with MDD indicated that effects were not simply attributable to any form of psychopathology. Of the impulsivity traits, negative urgency demonstrated the strongest effect, providing further evidence of the important relationship between negative urgency and the expression of bulimic symptomology. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:1093-1096). © 2016 Wiley Periodicals, Inc.

  16. Emergency measures and treatment in the event of accidental aver exposure to radiation or of radioactive contamination; Mesures d'urgence et traitement en cas de surexposition accidentelle aux rayonnements ou en cas de contamination radioactive

    Energy Technology Data Exchange (ETDEWEB)

    Jammet, H [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

    1960-07-01

    In the first part the author presents an overall view of emergency measures to be applied in the case of internal or external radioactive contamination. He states in particular, in these two cases, the methods by which it is possible to eliminate the contaminating radioactive substances from the organism. The author then considers the therapeutic methods to be adopted in the case of an accident of overexposure to radiation, distinguishing between the case of a partial irradiation and that of an acute total irradiation. There will be essentially three methods used depending on the physical measures carried out (irradiation, conditions, estimation of the dose received) and of the clinical data collected: particular treatments, treatment for helping the organism during its return to normal activity, temporary or permanent replacement of the organs affected. (author) [French] L'auteur presente, en une premiere partie, une vue d'ensemble des mesures d'urgence a appliquer en cas de contamination radioactive externe ou interne. Il fait etat en particulier, dans ces deux cas, des methodes permettant de debarrasser l'organisme des substances radioactives contaminantes. L'auteur envisage, ensuite, la therapeutique a adopter lors d'un accident de surexposition aux rayonnements, distinguant le cas d'une irradiation partielle et celui d'une irradiation totale aigue. Trois traitements seront essentiellement mis en oeuvre en fonction des mesures physiques effectuees (conditions d'irradiation, evaluation de la dose recue) et des donnees cliniques recueillies: traitements specifiques, traitement de soutien de l'organisme preparant la restauration, suppleance temporaire ou definitive d'organes defaillants. (auteur)

  17. Thailand: gas import review takes on urgency

    International Nuclear Information System (INIS)

    Hayes, D.

    1992-01-01

    The potential market for natural gas imports in Thailand as a result of the downgrading of gas reserves in the Nan Phong field is examined. Proposed pipelines, plans for gas-fired power plants, and the effects that the downgrading has had on Thailand's long-term plans for the development of gas utilisation are discussed. (UK)

  18. Urgences diabetiques a lome : aspects epidemiologique et ...

    African Journals Online (AJOL)

    Le diabète était de type I dans 37 cas (40%) et de type II dans 55 cas (60%). ... The diabetes was of type 1in 37 cases (40%) and of type 2 in 55 cases (60%). ... Emergencies diabetics were represented by the ketoacidosis coma in 66 cases ...

  19. Urgency of changing paradigms in radiation hygiene

    International Nuclear Information System (INIS)

    Kudritskij, Yu.K.; Karpov, V.I.; Georgievskij, A.B.

    1991-01-01

    A problem has been raised on the necessity to substitute the linear-nonthreshold hypothesis as a paradigm of radiation hygiene for the hypothesis of the biological effectiveness of ionizing irradiations. A comparison of the methodological substantiation for both hypotheses and a conception of 'acceptable risk' has been carried out. It is suggested that the possibility of theoretical substantiation of safety standards for the radiational factor on the basis of adatational hypothesis be acknowledged instead of the linear - nonthreshold conception which has lost its historic significance

  20. Urgency Competence of Media Literacy for Archivist

    Directory of Open Access Journals (Sweden)

    Agus Santoso

    2016-07-01

    Full Text Available The study of media literacy has been conducted by the earlier scientists. That research uses population that have different characteristics to each other. So this studies of media literacy have various models or patterns. This models or patterns of media literacies will be used as basic data to the next study that generated will usually be the basis for the further research. Basically, the model of media literacy generated by some researchers only can be applied in the population which become objects of research. To day, the archives faced many challenges due to the presence of information technology, so that the competence of media literacy as one of the important competencies to have. Through this competency, archivist are expected to manage archives organization effectively and efficiently. This paper uses a descriptive method to describe how media literacy becomes important for archives.

  1. Emergency situations; Les situations d'urgence

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    The nuclear activities are exercised so as to prevent the accidents. They are subjected to a rule whom application is controlled by the Asn. The risk of grave accident is so limited to a very low level of probability. He cannot be however completely pushed aside. The expression ' radiological emergency situation ' indicates a situation which ensues from an incident or of an accident risking to lead to an emission of radioactive materials or a level of radioactivity susceptible to strike a blow at the public health. The term ' nuclear crisis ' is used for the events which can lead to a radiological emergency situation on a nuclear basic installation or during a transport of radioactive materials. The preparation and the management of emergency situations, that they are of natural, accidental or terrorist origin, became a major concern of our society. We propose you of to know more about it in this file. (N.C.)

  2. Le poin: Mondialisation, Agro-industries, Globalisation des Modes alimentaires et Nouveaux Enjeux Sanitaires : L’Agriculture Biologique, peut-elle être, une solution du problème [Globalization, Agri-industries, food globalization and sanitary new challenges : Organic agriculture, can it be a solution

    Directory of Open Access Journals (Sweden)

    Hassini TSAKI

    2016-06-01

    Full Text Available Les nutritionnistes, épidémiologistes, chercheurs de biologie, médecins, agrobiologistes et autres compétences de vocations connexes demeurent, aujourd’hui et pour une plus juste définition et diagnostic de ces phénomènes liés à la nutrition et santé publique, dans la nécessité pour une meilleure approche d’intégration des informations, de privilégier l’établissement d’une synthèse collégiale sur les différents aspects d’incidences de nos nouveaux modes alimentaires en relation avec les nombreuses et nouvelles maladies chroniques en développement dans nos sociétés modernes (obésité, maladies cardio-vasculaires, diabète, hypertension artérielle, cancers, etc.….

  3. DUNDRUM-2: Prospective validation of a structured professional judgment instrument assessing priority for admission from the waiting list for a Forensic Mental Health Hospital.

    LENUS (Irish Health Repository)

    Flynn, Grainne

    2011-07-03

    Abstract Background The criteria for deciding who should be admitted first from a waiting list to a forensic secure hospital are not necessarily the same as those for assessing need. Criteria were drafted qualitatively and tested in a prospective \\'real life\\' observational study over a 6-month period. Methods A researcher rated all those presented at the weekly referrals meeting using the DUNDRUM-1 triage security scale and the DUNDRUM-2 triage urgency scale. The key outcome measure was whether or not the individual was admitted. Results Inter-rater reliability and internal consistency for the DUNDRUM-2 were acceptable. The DUNDRUM-1 triage security score and the DUNDRUM-2 triage urgency score correlated r = 0.663. At the time of admission, after a mean of 23.9 (SD35.9) days on the waiting list, those admitted had higher scores on the DUNDRUM-2 triage urgency scale than those not admitted, with no significant difference between locations (remand or sentenced prisoners, less secure hospitals) at the time of admission. Those admitted also had higher DUNDRUM-1 triage security scores. At baseline the receiver operating characteristic area under the curve for a combined score was the best predictor of admission while at the time of admission the DUNDRUM-2 triage urgency score had the largest AUC (0.912, 95% CI 0.838 to 0.986). Conclusions The triage urgency items and scale add predictive power to the decision to admit. This is particularly true in maintaining equitability between those referred from different locations.

  4. Are there economic benefit in Laparoscopiy cholecystectomy use

    International Nuclear Information System (INIS)

    Montano, D.; Polnitsky, J.; Pisano, A.

    2003-01-01

    The authors present 107 cholecystectomies performed in CRAMI during 1999 for gallstone disease.52 were laparoscopic cholecystectomies and 55 open cholecystectomies, 24 in the urgency.The length of stay was 1.04 days for the laparoscopic cholecystectomies and 3.06 and 4.04 for open cholecystectomies in coordinated and urgency procedures.Less than 1/5 of analgesic and antibiotic were needed in laparoscopic cholecystectomies

  5. Assessing outcomes to determine whether symptoms related to hypertension justify renal artery stenting.

    Science.gov (United States)

    Modrall, J Gregory; Rosero, Eric B; Timaran, Carlos H; Anthony, Thomas; Chung, Jayer; Valentine, R James; Trimmer, Clayton

    2012-02-01

    The goal of the study was to determine the blood pressure (BP) response to renal artery stenting (RAS) for patients with hypertension urgency, hypertension emergency, and angina with congestive heart failure (angina/congestive heart failure [CHF]). Patients who underwent RAS for hypertension emergencies (n = 13), hypertension urgencies (n = 25), and angina/CHF (n = 14) were included in the analysis. By convention, hypertension urgency was defined by a sustained systolic BP ≥ 180 mm Hg or diastolic BP ≥ 120 mm Hg, while the definition of hypertension emergency required the same BP parameters plus hypertension-related symptoms prompting hospitalization. Patient-specific response to RAS was defined according to modified American Heart Association reporting guidelines. The study cohort of 52 patients had a median age of 66 years (interquartile range 58-72). The BP response to RAS varied significantly according to the indication for RAS. Hypertension emergency provided the highest BP response rate (85%), while the response rate was significantly lower for hypertension urgency (52%) and angina/CHF (7%; P = .03). Only 1 of 14 patients with angina/CHF was a BP responder. Multivariate analysis showed that hypertension urgency or emergency were not independent predictors of BP response to RAS. Instead, the only independent predictor of a favorable BP response was the number of preoperative antihypertensive medications (odds ratio 7.5; 95% confidence interval 2.5-22.9; P = .0004), which is another indicator of the severity of hypertension. Angina/CHF was an independent predictor of failure to respond to RAS (odds ratio 118.6; 95% confidence interval 2.8-999.9; P = .013). Hypertension urgency and emergency are clinical manifestations of severe hypertension, but the number of preoperative antihypertensive medications proved to be a better predictor of a favorable BP response to RAS. In contrast, angina/CHF was a predictor of failure to respond to stenting, providing further

  6. Mesenteric lymphadenopathy in patient with Yersinia enterocolitica infection. A differential diagnosis to abdominal lymphoma; Mesenteriale Lymphadenopathie bei Infektion mit Yersinia enterocolitica. Eine Differentialdiagnose zum abdominalen Lymphom

    Energy Technology Data Exchange (ETDEWEB)

    Trommer, G.; Koesling, S. [Leipzig Univ. (Germany). Klinik und Poliklinik fuer Diagnostische Radiologie; Bewer, A. [Leipzig Univ. (Germany). Klinik fuer Allgemein-, Thorax- und onkologische Chirurgie

    1998-01-01

    We report a case of previously undiagnosed Yersinia enterocolitica infection in a 46-year old woman. She consulted her physician because of continual weight loss and physical lassitude. A leucocytosis was found. Sonography revealed an excessive enlargement of abdominal lymph nodes. A malignant lymphoma was suspected and the patient underwent a staging by CT. There the disease was limited on mesenteric and retroperitoneal lymph nodes. Bone marrow biopsy and CT-guided lymph node biopsy did not confirm a systemic lymphatic disease. The patient did not undergo a special therapy. After six months, CT showed a clear regression of enlarged lymph nodes. Finally, a previous Yersinia enterocolitica infection of immunotype 03 could be proved serologically. At this time, the patient had no complaints. Diagnostic and differential diagnosis of benign abdominal lymph node enlargement are discussed based on literature. (orig.) [Deutsch] Berichtet wird der Fall einer klinisch inapperenten Yersinia-enterocolitica-Infektion bei einer 46jaehrigen Patientin, die aufgrund stetigen Gewichtsverlustes und koerperlicher Abgeschlagenheit den Hausarzt konsultierte. Dieser diagnostizierte eine Leukozytose. Die daraufhin durchgefuehrte Sonographie ergab eine massive abdominale Lymphknotenvergroesserung. Unter dem Verdacht eines malignen Lymphoms erfolgte eine computertomographische Ausbreitungsdiagnostik, die die Erkrankung auf mesenteriale und retroperitoneale Lymphknoten beschraenkt zeigte. Knochenmarkbiopsie und CT-gestuetzte Lymphknotenpunktion ergaben keinen Hinweis auf eine lymphatische Systemerkrankung. Ohne Therapie zeigte eine CT-Kontrolle nach 6 Monaten eine deutliche Regredienz der Lymphknotenschwellung. Bei der Erregersuche konnte serologisch eine zurueckliegende Infektion mit Yersinia enterocolitica, Serotyp 03, nachgewiesen werden. Zu diesem Zeitpunkt war die Patientin beschwerdefrei. Anhand der Literatur werden Diagnostik und Differentialdiagnose benigner abdominaler

  7. PANDANGAN BUNG KARNO TENTANG PANCASILA DAN PENDIDIKAN

    Directory of Open Access Journals (Sweden)

    Dwi Siswoyo

    2013-05-01

    Kata Kunci: nasionalisme, pendidikan nasional BUNG KARNO’S VIEW ON PANCASILA AND EDUCATION Abstract: This study was aimed at finding out Bung Karno’s essential view on Pancasila and education. This historical research method examined the philosophical works of Bung Karno. The data were analyzed using the hermeneutic dialectic approach to pick out the meaning horizon fusion on Pancasila and the development of the Indonesian national education. The findings showed a snapshot view of the urgency of nationalism in building the nation and the urgency of Pancasila as the country’s basic philosophy including Indonesia's national philosophy of education, as well as the urgency of the national education in building the nation’s character. The development of the national education was carried out through the ‘eclectic-incorporative-harmonious-dynamic’ approach. Keywords: nationalism, national education

  8. Immuunstromale corneale ulceratie na een oogoperatie bij patiënten met collageen-vasculaire auto-immuunaandoeningen

    NARCIS (Netherlands)

    van der Meulen, I. J. E.; van Rooij, J.; Hazes, J. W. M.; van Cleynenbreugel, H.; Geerards, A. J. M.; Remeyer, L.

    2007-01-01

    Two women aged 78 and 74 years respectively, both with dry eyes due to underlying auto-immune disorders, presented after uncomplicated cataract surgery with immunostromal corneal ulceration. Intensive topical lubrication combined with systemic immunosuppressants were necessary to control the corneal

  9. Do emotion regulation difficulties when upset influence the association between dietary restraint and weight gain among college students?

    Science.gov (United States)

    Hunt, Tyler K; Forbush, Kelsie T; Hagan, Kelsey E; Chapa, Danielle A N

    2017-07-01

    Obesity is a significant public health concern that affects more than one-fifth of adolescents aged 12-19 in the United States. Theoretical models suggest that prolonged dietary restraint leads to binge-eating behaviors, which in turn increases individuals' risk for weight gain or obesity. Results from the literature indicate a potential role for negative urgency (the tendency to act rashly when distressed) as a mediating variable that explains the link between dietary restraint and binge-eating episodes. The current study tested short-term, prospective longitudinal associations among dietary restraint, binge eating, negative urgency, and weight gain among college students - a population at increased risk for the development of overweight and obesity. We hypothesized that dietary restraint and weight gain would be mediated by negative urgency and binge eating, but only among participants with overweight and obesity. College students (N = 227) completed the Eating Pathology Symptoms Inventory, UPPS-P Impulsivity Scale, and self-reported weight and height to calculate body mass index. Results showed that the association between dietary restraint and weight gain was mediated by negative urgency and binge eating, but only among participants with overweight and obesity. Our findings indicated that negative urgency might represent a mechanism that explains why dietary restraint leads to future binge-eating episodes and weight gain among college students with overweight and obesity. Results suggest that future treatment and prevention programs for overweight and obesity may benefit from incorporating strategies to improve emotion regulation as a way to reduce binge eating and to prevent additional weight gain among 'at-risk' populations. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Impact of solifenacin on resource utilization, work productivity and health utility in overactive bladder patients switching from tolterodine ER.

    Science.gov (United States)

    Zinner, Norman; Noe, Les; Rasouliyan, Lawrence; Marshall, Thomas; Seifeldin, Raafat

    2008-06-01

    Assess changes in resource utilization, work and activity impairment, and health utility among OAB patients continuing to have urgency symptoms with tolterodine ER 4 mg and willing to try solifenacin 5/10 mg. This was an open-label, non-comparative, flexible-dosing, multicenter, 12-week study assessing the efficacy and safety of solifenacin 5/10 mg/day. Patients receiving tolterodine ER 4 mg/day for >/=4 weeks but continuing to experience residual urgency symptoms (>/=3 urgency episodes/24 h) were enrolled into the study. After a 14-day washout, patients began treatment with solifenacin 5 mg/day with dosing adjustments allowed at Weeks 4 and 8. Outcomes were assessed using the Work Productivity and Activity Impairment Questionnaire - Specific Health Problem (WPAI-SHP), Health Utilities Index (HUI), and a resource utilization questionnaire administered at Pre-Washout and Week 12. Patients (n=440) reported significantly fewer physician office visits (pwork time missed (p=0.0017), less impairment while working (pwork impairment (pwork productivity, activity participation, and reduced medical care use in OAB patients who continued to have urgency symptoms with tolterodine ER 4 mg/day and wished to switch to solifenacin 5/10 mg. This was an open-label, non-comparative study; therefore, further research is needed to confirm these results.

  11. Which dimensions of impulsivity are related to problematic practice of physical exercise?

    Science.gov (United States)

    Kotbagi, Gayatri; Morvan, Yannick; Romo, Lucia; Kern, Laurence

    2017-06-01

    Background and aims Problematic practice of physical exercise (PPPE) has been suggested to be a behavioral addiction. Impulsivity represents a core dimension of behavioral addictions. However, little is known about impulsivity facets in PPPE. The aim of this study was to investigate the role of impulsivity facets in PPPE. Methods A total of 684 students (between 18 and 25 years) took part in this study and filled up a battery of questionnaire, which consisted of following measures - Global Physical Activity Questionnaire, Exercise Dependence Scale - Revised, and the UPPS Impulsive Behavior Scale. Multiple regression analyses were utilized to investigate the predictive role of each impulsivity facet in PPPE. Results Age, the total level of physical activity per day, sex (male), negative urgency, and sensation seeking were found to be significant predictors of PPPE. A categorical analysis of PPPE revealed that negative urgency, positive urgency, and sensation seeking were significantly higher in the dependent category of PPPE. Discussion and conclusions Associations to negative urgency and sensation seeking might indicate that PPPE serves to regulate or alleviate negative affect or aversive emotional states. Thus, PPPE could be conceptualized as a short-term coping strategy dedicated to relieving negative affective states, like other maladaptive behaviors such as binge eating, binge drinking, or compulsive buying.

  12. Examination of the heterogeneity in PTSD and impulsivity facets: A latent profile analysis.

    Science.gov (United States)

    Contractor, Ateka A; Caldas, Stephanie; Weiss, Nicole H; Armour, Cherie

    2018-04-15

    The experience of traumatizing events and resulting posttraumatic stress disorder (PTSD) symptomology relates to a range of impulsive behaviors. While both PTSD and impulsivity are heterogeneous and multidimensional constructs, no research has used person-centered approaches to examine subgroups of individuals based on these response endorsements. Hence, our study examined PTSD-impulsivity typologies and their construct validity in two samples: university students ( n = 412) and community participants recruited through Amazon's MTurk ( n = 346). Measures included the Stressful Life Events Screening Questionnaire (PTEs), PTSD Checklist for DSM-5 (PTSD severity), UPPS Impulsive Behavior Scale (negative urgency, lack of premeditation, lack of perseverance, sensation seeking). Dimensions of Anger Reaction Scale (anger), and the Patient Health Questionnaire-9 (depression). For both samples, results of latent profile analyses indicated a best-fitting 3-class solution: High, Moderate, and Low PTSD-Negative Urgency. Negative urgency was the most distinguishing impulsivity facet. Anger and depression severity significantly predicted membership in the more severe symptomatology classes. Thus, individuals can be meaningfully categorized into three subgroups based on PTSD and impulsivity item endorsements. We provide some preliminary evidence for a negative urgency subtype of PTSD characterized by greater depression and anger regulation difficulties; and underscore addressing emotional regulation skills for these subgroup members.

  13. Emergency measures and treatment in the event of accidental aver exposure to radiation or of radioactive contamination; Mesures d'urgence et traitement en cas de surexposition accidentelle aux rayonnements ou en cas de contamination radioactive

    Energy Technology Data Exchange (ETDEWEB)

    Jammet, H. [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

    1960-07-01

    In the first part the author presents an overall view of emergency measures to be applied in the case of internal or external radioactive contamination. He states in particular, in these two cases, the methods by which it is possible to eliminate the contaminating radioactive substances from the organism. The author then considers the therapeutic methods to be adopted in the case of an accident of overexposure to radiation, distinguishing between the case of a partial irradiation and that of an acute total irradiation. There will be essentially three methods used depending on the physical measures carried out (irradiation, conditions, estimation of the dose received) and of the clinical data collected: particular treatments, treatment for helping the organism during its return to normal activity, temporary or permanent replacement of the organs affected. (author) [French] L'auteur presente, en une premiere partie, une vue d'ensemble des mesures d'urgence a appliquer en cas de contamination radioactive externe ou interne. Il fait etat en particulier, dans ces deux cas, des methodes permettant de debarrasser l'organisme des substances radioactives contaminantes. L'auteur envisage, ensuite, la therapeutique a adopter lors d'un accident de surexposition aux rayonnements, distinguant le cas d'une irradiation partielle et celui d'une irradiation totale aigue. Trois traitements seront essentiellement mis en oeuvre en fonction des mesures physiques effectuees (conditions d'irradiation, evaluation de la dose recue) et des donnees cliniques recueillies: traitements specifiques, traitement de soutien de l'organisme preparant la restauration, suppleance temporaire ou definitive d'organes defaillants. (auteur)

  14. Integrative pathway knowledge bases as a tool for systems molecular medicine.

    Science.gov (United States)

    Liang, Mingyu

    2007-08-20

    There exists a sense of urgency to begin to generate a cohesive assembly of biomedical knowledge as the pace of knowledge accumulation accelerates. The urgency is in part driven by the emergence of systems molecular medicine that emphasizes the combination of systems analysis and molecular dissection in the future of medical practice and research. A potentially powerful approach is to build integrative pathway knowledge bases that link organ systems function with molecules.

  15. Preparing for War Moscow Facing an Arc of Crisis

    Science.gov (United States)

    2016-12-01

    reflect on Russian strategy making and the emer- gency measures being implemented by the Russian leadership. It suggests that the sense of urgency in...The war in Ukraine and Russia’s intervention in Syria, combined with its extensive program of exercising for war, lends policy urgency to this...Secretary General Anders Fogh Rasmus- sen called an “arc of crisis” around the alliance,5 an arc that also includes serious challenges such as Islamic

  16. Stress and decision making: the role of impulsive personality

    OpenAIRE

    Wise, Richard Julian

    2017-01-01

    Stress, gender, and impulsive personality traits are each associated with altered decision making, but no studies have yet examined interactions between all of these factors. Impulsive personality can be parsed into five subtypes, consisting of Negative Urgency, the tendency to act rashly in the face of extreme negative emotion; Positive Urgency, the tendency to act rashly in the face of strong positive emotion; Lack of Premeditation, the tendency to insufficiently consider actions prior to t...

  17. The impact of overactive bladder on mental health, work productivity and health-related quality of life in the UK and Sweden: results from EpiLUTS.

    Science.gov (United States)

    Coyne, Karin S; Sexton, Chris C; Kopp, Zoe S; Ebel-Bitoun, Caty; Milsom, Ian; Chapple, Chris

    2011-11-01

    • To examine the prevalence and burden of overactive bladder (OAB) with bother in the UK and Sweden compared to OAB without bother and no/minimal OAB/lower urinary tract (LUTS) symptoms, respectively. • A cross-sectional population-representative survey was conducted via the Internet in the UK, Sweden and USA. • Participants rated the frequency and bother of OAB and LUTS. Patient outcomes included the Overactive Bladder Questionnaire Short Form, Patient Perception of Bladder Condition, Short Form-12, Hospital Anxiety and Depression Scale-Anxiety and Hospital Anxiety and Depression Scale-Depression, as well as questions about treatment seeking and work productivity. • OAB was defined as urgency at least sometimes or the presence of urinary urgency incontinence. Three subgroups were compared: no/minimal symptoms, OAB without bother and OAB with bother. • Analyses were conducted by gender and country using general linear and logistic regression models to examine bothersome OAB and treatment seeking. • Survey response was 59.2%; 10,000 people (4724 men and 5276 women) participated. • The prevalence of OAB with bother at least 'somewhat' was 10.9% and 14.6% for men in the UK and Sweden, and 22.5% and 33.7% for women in the UK and Sweden, respectively. • Men and women with bothersome OAB were significantly more likely to seek treatment, report the lowest levels of health-related quality of life and work productivity and the highest levels of anxiety and depression compared to those with no/minimal symptoms and OAB without bother. • Greater symptom severity of urgency, urgency urinary incontinence, frequency, nocturia, and increasing levels of anxiety were strongly predictive of OAB bother in both men and women. • Predictors of treatment seeking included frequency, bother as a result of urgency, and lower levels of depressive symptoms in men, and frequency, nocturia and urgency in women. • OAB is common in the UK and Sweden, and women are more

  18. Set Up for Failure: The Use of US Security Force Assistance to Prepare Foreign Security Forces for Traditional Combat Operations

    Science.gov (United States)

    2017-05-17

    troops. 69 Ibid., 129. 29 to resist. This is a tension with respect to traditional combat operations; where urgency is high, the preservation...or peace prior to December 1941.”83 MacArthur was known to have a sense of his own infallibility, was confident that he could solve any problem...mind, that end-state changed, and neither army was afforded the time to reach that new end-state. The notion of urgency potentially requiring the

  19. Urgensi Pengaturangreen Banking dalam Kredit Perbankan di Indonesia

    OpenAIRE

    Radyati, Ajeng

    2014-01-01

    Urgency Green Banking credit arrangements that provide legal certainty in Indonesia. This paper aims to assess the urgency of the credit arrangement green banking in the Indonesian banking law in order to provide legal certainty in Indonesia. This paper is based on research that uses a normative approach and the conceptual approach of the statute approach. The results showed that Bank Indonesia as bank supervisors need to issue rules that are forced to socialize on green banking arrangements ...

  20. How Triage Nurses Use Discretion: a Literature Review

    Directory of Open Access Journals (Sweden)

    Lars Emil Fagernes Johannessen

    2016-02-01

    Full Text Available Discretion is quintessential for professional work. This review aims to understand how nurses use discretion when they perform urgency assessments in emergency departments with formalised triage systems—systems that are intended to reduce nurses’ use of discretion. Because little research has dealt explicitly with this topic, this review addresses the discretionary aspects of triage by reinterpreting qualitative studies of how triage nurses perform urgency assessments. The review shows (a how inexhaustive guidelines and a hectic work environment are factors that necessitate nurses’ use of discretion and (b how nurses reason within this discretionary space by relying on their experience and intuition, judging patients according to criteria such as appropriateness and believability, and creating urgency ratings together with their patients. The review also offers a synthesis of the findings’ discretionary aspects and suggests a new interactionist dimension of discretion.Keywords: Triage, discretion, emergency department, meta-ethnography, review, decision-making

  1. Assessing the role of impulsivity in smoking & non-smoking disordered gamblers.

    Science.gov (United States)

    Boothby, Célina A; Kim, Hyoun S; Romanow, Nicole K; Hodgins, David C; McGrath, Daniel S

    2017-07-01

    Co-morbidity with other addictive behaviors is common in disordered gambling (DG). In particular, tobacco dependence has been found to be among the most prevalent disorders co-morbid with DG. While the extant literature has firmly established the co-occurrence of DG and smoking, there is a paucity of research examining factors that differentiate DGs who smoke from those who do not. To address this empirical gap, the current study tested whether dimensions of trait impulsivity as measured by the UPPS-P Impulsive Behavior Scale (positive urgency, negative urgency, lack of premeditation, lack of perseverance, and sensation seeking), discriminated between non-DGs and DGs based on their present smoking status: non-smoker, occasional smoker, and daily smoker. To this end, 564 community gamblers were recruited through a crowdsourcing platform (Amazon's Mechanical Turk) and completed an online survey, assessing problem gambling severity, tobacco use, and trait impulsivity. MANOVA analyses revealed significant main effects for both gambling severity and smoking status groups. Importantly, a significant gambling by smoking interaction was also found. Pairwise comparisons revealed that DGs who were daily smokers scored higher on negative urgency than those who smoked occasionally or not all. Furthermore, among non-DGs, smoking status failed to discriminate between mean scores on negative urgency. No other significant interaction effects were found for the remaining UPPS-P impulsivity facets. Results suggest that individual components of trait impulsivity, and more specifically negative urgency, successfully differentiate DGs who do not smoke, or just smoke occasionally, from DGs who smoke daily. These findings suggest that the degree of trait impulsivity may potentially distinguish between DGs and DGs who are dually addicted to other substances such as tobacco. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. A Population-based Survey of the Prevalence, Potential Risk Factors, and Symptom-specific Bother of Lower Urinary Tract Symptoms in Adult Chinese Women.

    Science.gov (United States)

    Zhang, Lei; Zhu, Lan; Xu, Tao; Lang, Jinghe; Li, Zhaoai; Gong, Jian; Liu, Qing; Liu, Xiaochun

    2015-07-01

    Epidemiological studies of lower urinary tract symptoms (LUTS) are few in China, and none has been conducted nationwide. To estimate the prevalence and potential risk factors of LUTS and the bother they impose on adult women in China. This is the second analysis of a population-based cross-sectional survey on urinary incontinence conducted between February and July 2006 in six regions of China. Cluster samples were randomly selected for interviews. No intervention was implemented. A modified Chinese Bristol Female Lower Urinary Tract Symptoms questionnaire was administered. The participants were asked about the presence of individual LUTS and rated their symptom bother. Descriptive statistics, χ(2) tests, receiver operating characteristic curves, and multivariate logistic regressions were used for data analysis. A total of 18 992 respondents (94.96%) were included. The prevalence of any LUTS, storage symptoms, or voiding symptoms was 55.5%, 53.9%, and 12.9%, respectively, and increased with age. Nocturia was the most common symptom (23.4%), followed by urgency (23.3%) and stress urinary incontinence (SUI; 18.9%). Nocturia was most frequently rated as bothersome (93.0%) but was generally minor (80.5%). Urgency and urgency urinary incontinence (UUI) were most frequently reported as severe (11.5% and 10.8%) or moderate (18.5% and 16.8%) bothers. Any LUTS were more prevalent in urban women (57.1% vs 53.9%). Multiple factors increased the odds of bother and individual LUTS, and older age and coexisting pelvic organ prolapse were strong predictors (pfactors influenced bother and individual LUTS. The prevalence of lower urinary tract symptoms is high and increases with age in adult women in China. Urgency and urgency urinary incontinence were most frequently regarded as severe or moderate bothers and should be targeted for medical intervention. Copyright © 2014 European Association of Urology. Published by Elsevier B.V. All rights reserved.

  3. What is the most bothersome lower urinary tract symptom? Individual- and population-level perspectives for both men and women.

    Science.gov (United States)

    Agarwal, Arnav; Eryuzlu, Leyla N; Cartwright, Rufus; Thorlund, Kristian; Tammela, Teuvo L J; Guyatt, Gordon H; Auvinen, Anssi; Tikkinen, Kari A O

    2014-06-01

    No study has compared the bothersomeness of all lower urinary tract symptoms (LUTS) using a population-based sample of adults. Despite this lack of evidence, investigators have often cited their LUTS of interest as the "most bothersome" or "one of the most bothersome." To compare the population- and individual-level burden of LUTS in men and women. In this population-based cross-sectional study, questionnaires were mailed to 6000 individuals (18-79 yr of age) randomly identified from the Finnish Population Register. The validated Danish Prostatic Symptom Score questionnaire was used for assessment of bother of 12 different LUTS. The age-standardized prevalence of at least moderate bother was calculated for each symptom (population-level burden). Among symptomatic individuals, the proportion of affected individuals with at least moderate bother was calculated for each symptom (individual-level bother). A total of 3727 individuals (62.4%) participated (53.7% female). The LUTS with the greatest population-level burden were urgency (7.9% with at least moderate bother), stress urinary incontinence (SUI) (6.5%), nocturia (6.0%), postmicturition dribble (5.8%), and urgency urinary incontinence (UUI) (5.0%). Burden from incontinence symptoms was higher in women than men, and the opposite was true for voiding and postmicturition symptoms. At the individual level, UUI was the most bothersome for both genders. Although the response proportion was high, approximately a third did not participate. Both men and women with UUI report moderate or major bother more frequently than individuals with other LUTS. At the population level, the most prevalent bothersome symptoms are urgency, SUI, and nocturia. Urinary urgency was the most common troubling symptom in a large population-based study; however, for individuals, urgency incontinence was the most likely to be rated as bothersome. Copyright © 2014 European Association of Urology. All rights reserved.

  4. Effectiveness of Retropubic Tension-Free Vaginal Tape and Transobturator Inside-Out Tape Procedures in Women With Overactive Bladder and Stress Urinary Incontinence

    Directory of Open Access Journals (Sweden)

    Ji-Yeon Han

    2013-09-01

    Full Text Available Purpose We compared the effectiveness of the retropubic tension-free vaginal tape (TVT and the transobturator inside-out tape (TVT-O in treating symptoms of overactive bladder (OAB in women with stress urinary incontinence (SUI. Methods Women with urodynamic SUI and OAB (mean urgency episodes ≥1 and frequency ≥8/24 hours on a 3-day voiding diary were assigned to the TVT or TVT-O group. Preoperative measures were based on a urodynamic study, 3-day voiding diary, the Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTSSF, and the urgency perception scale (UPS. At 12 postoperative months, the 3-day voiding diary, symptoms questionnaire, patient satisfaction, and standing stress test were assessed. The primary endpoint was change in the number of urgency episodes/24 hours from baseline to 12 months. Results In this group of 132 women, 42 received TVT and 90 received TVT-O. The mean urgency episodes/24 hours decreased from 6.3±5.5 to 1.6±3.2 in the TVT group and from 5.1±4.4 to 1.8±3.0 in the TVT-O group. The mean percent change was significantly greater after TVT than after TVT-O (73% vs. 60%, P=0.049. All subscales of BFLUTSSF and UPS were significantly improved using either method, with significantly greater improvement seen in the quality of life (QoL domain after TVT (P=0.002. There were no significant differences in the cure and satisfaction rates between the two groups. Conclusions Intervention with the TVT or the TVT-O significantly improved symptoms of OAB in women with SUI and OAB. Urgency and QoL significantly improved after TVT compared with that after TVT-O.

  5. Effectiveness of Retropubic Tension-Free Vaginal Tape and Transobturator Inside-Out Tape Procedures in Women With Overactive Bladder and Stress Urinary Incontinence

    Science.gov (United States)

    Han, Ji-Yeon; Choo, Myung-Soo; Lee, Young-Suk; Seo, Ju Tae; Kim, Jang Hwan; Kim, Young Ho

    2013-01-01

    Purpose We compared the effectiveness of the retropubic tension-free vaginal tape (TVT) and the transobturator inside-out tape (TVT-O) in treating symptoms of overactive bladder (OAB) in women with stress urinary incontinence (SUI). Methods Women with urodynamic SUI and OAB (mean urgency episodes ≥1 and frequency ≥8/24 hours on a 3-day voiding diary) were assigned to the TVT or TVT-O group. Preoperative measures were based on a urodynamic study, 3-day voiding diary, the Bristol Female Lower Urinary Tract Symptoms questionnaire (BFLUTSSF), and the urgency perception scale (UPS). At 12 postoperative months, the 3-day voiding diary, symptoms questionnaire, patient satisfaction, and standing stress test were assessed. The primary endpoint was change in the number of urgency episodes/24 hours from baseline to 12 months. Results In this group of 132 women, 42 received TVT and 90 received TVT-O. The mean urgency episodes/24 hours decreased from 6.3±5.5 to 1.6±3.2 in the TVT group and from 5.1±4.4 to 1.8±3.0 in the TVT-O group. The mean percent change was significantly greater after TVT than after TVT-O (73% vs. 60%, P=0.049). All subscales of BFLUTSSF and UPS were significantly improved using either method, with significantly greater improvement seen in the quality of life (QoL) domain after TVT (P=0.002). There were no significant differences in the cure and satisfaction rates between the two groups. Conclusions Intervention with the TVT or the TVT-O significantly improved symptoms of OAB in women with SUI and OAB. Urgency and QoL significantly improved after TVT compared with that after TVT-O. PMID:24143294

  6. Impulsivity in men with prescription of benzodiazepines and methadone in prison.

    Science.gov (United States)

    Moreno-Ramos, Luis; Fernández-Serrano, María José; Pérez-García, Miguel; Verdejo-García, Antonio

    2016-06-14

    Benzodiazepines and methadone use has been associated with various neuropsychological impairments. However, to the best of our knowledge, no studies have been carried out on the effect of these substances (either separately or combined) on impulsive personality, including studies in prisoners. The aim of this study is to examine the impulsive personality of a sample of 134 male prisoners using the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (Torrubia, Avila, Molto, & Caseras, 2001) and the UPPS-P Scale (Cyders et al., 2007). Some of these were methadone users, methadone and benzodiazepines users, polydrug users in abstinence and non-dependent drug users. The results showed that drug users have greater sensitivity to reward, positive urgency, negative urgency and sensation seeking than non-dependent users. Methadone users showed more sensitivity to punishment and lack of perseverance with respect to other users. No differences were found between methadone+benzodiazepines users and other groups. The secondary aim is to examine which impulsive personality dimensions are related to the two motivational systems proposed by Gray (BIS-BAS) using exploratory factor analysis. Results showed two different components. One component was defined by the subscales sensitivity to reinforcement, positive urgency, negative urgency and sensation seeking. The second component was defined by the subscales sensitivity to punishment, lack of perseverance and lack of premeditation.

  7. Mid-term follow-up of the TVT-Secur midurethral sling for primary stress incontinence.

    Science.gov (United States)

    Angleitner-Flotzinger, Johannes; Aigmueller, Thomas

    2014-09-01

    The TVT-Secur was introduced in 2006 as a less invasive alternative to retropubic and transobturator suburethral slings. This retrospective cohort study evaluated objective and subjective results in a series of 158 consecutive patients as well as complications and the reoperation rate after TVT-Secur procedure. Between November 2006 and June 2010 a total of 158 patients underwent a TVT-Secur procedure at a single institution. All patients underwent preoperative urodynamic testing. All patients were invited for follow-up including physical examination, urodynamic studies and subjective evaluation. A total of 96 patients (61%) were available for follow-up with a mean follow-up of 29.8 months (range 5-50, median 30). At follow-up, eight (8%) of 96 patients had reoperations for stress incontinence. There were no reoperations for bleeding/hematoma, tape erosions or obstructed micturition and there were no tape erosions or exposures. 29 patients (30%) had a negative cough stress test and 44 patients (46%) subjectively considered themselves "cured". Nine of 43 patients (21%) without urgency symptoms preoperatively developed de novo urgency; 24 of 35 patients (69%) with preoperative urgency complaints were free of urgency symptoms. At 2.4 years, the TVT-Secur appears to have a low adverse events profile but inferior results compared with traditional midurethral slings. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  8. An investigation of two dimensions of impulsivity as predictors of loss-of-control eating severity and frequency.

    Science.gov (United States)

    Espel, Hallie M; Muratore, Alexandra F; Lowe, Michael R

    2017-10-01

    Loss-of-control (LOC) eating episodes represent one form of dysregulated eating common to full- and sub-threshold eating disorders. Extensive evidence suggests that impulsivity, particularly in the context of negative affect and/or depression, may play an important etiological role in the development and maintenance of LOC eating. However, most prior studies have considered LOC eating as a dichotomous rather than dimensional construct, and few studies have considered the interaction of multiple dimensions of impulsivity while also accounting for the role of depressive symptoms. The present study examined the independent and interacting effects of two facets of impulsivity-response inhibition and negative urgency-on LOC eating episode severity and frequency among college women (N = 102). Depressive symptom severity was included as a covariate. Results indicated that greater negative urgency was associated with greater LOC severity; this effect was moderated by response inhibition, such that the effect of urgency was particularly pronounced for individuals with higher response inhibition capacity. Negative urgency was the only significant predictor of LOC frequency. Depression had no significant effect on either LOC severity or frequency (ps ≥ 0.16). Results support the importance of considering multiple facets of impulsivity in predicting LOC eating behavior, and further indicate that factors influencing subjective severity and frequency of LOC may be distinct. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. The urgency of pharmaceutical anthropology: a multilevel perspective

    NARCIS (Netherlands)

    van der Geest, S.

    2011-01-01

    The anthropology of medicines is an intriguing study field: medicines constitute a nexus of social and cultural processes including knowledge, symbols and beliefs, politics, profit-making, trust and conflict. In dealings with medicines culture and society are caught red-handed as it were. But

  10. Les traumatismes du diaphragme en urgence clinique et ...

    African Journals Online (AJOL)

    The male predominance was clean with a sex ratio of 5. The middle age ... The exam clinic and the x-ray standard of the thorax permit the diagnosis. ... La coupole droite était lésée dans 45,2% des cas et dans 54,8% la lésion était à gauche.

  11. Evaluations of Molecular Nuclear Medicine in pediatric urgencies

    International Nuclear Information System (INIS)

    Martinez-Duncker R, C.

    2000-01-01

    Several diagnostic procedures of Molecular Nuclear Medicine are considered in first choice in clinical evaluation of patients with different illnesses. So, the gammagraphy is the diagnostic form more sensitive to detect alterations of the perfusion on organs and systems such as bones, heart, brain, lungs or kidneys. Also is possible to identify, localize, evaluate the activity of inflammatory processes such as cellulitis, arthritis, osteomyelitis, the abscesses and several primary or metastatic tumours before each other diagnostic technique. In this work is treated about the importance of treatments with radioactive materials have been an important reappearance in last years since with the present capacity to localize specifically intracellular processes (for example, synthesis of DNA) new gateways are opened to research which in coming years would be of great utility. (Author)

  12. Contemporary Urban Media Art – Images of Urgency

    DEFF Research Database (Denmark)

    Toft, Tanya Søndergaard

    . Under the themes ‘intensity’, ‘intelligence’ and ‘immersion’ the dissertation examines some of the ways in which our experience is affected by ubiquitous technological mediation, especially in hi-tech urban contexts, and simultaneously how artistic interventions work towards a critical understanding......The dissertation examinesfrom a combined academic and curatorial perspective how urban media art – media aesthetic art forms situated in the urban context – may be considered contemporary in the understanding of art that departs from, responds to and co-exists with ‘time’ and temporal experience...... and exploitation of this new condition in our technological reality. I suggest that urban media art – as sensible constructions of temporal emergency images situated in the urban environment – potentially interfere with the temporal experiences we are offered in our communicative context. Based on this, we can...

  13. Infectious abdominal emergencies; Urgences abdominales d`origine infectieuse

    Energy Technology Data Exchange (ETDEWEB)

    Porcel, A.; Arrive, L.; Mehdi, M.; Monnier-Cholley, L.; Ayadi, K.; Tubiana, J.M. [Centre Hospitalier Universitaire Saint-Antoine, 75 - Paris (France)

    1996-12-31

    Infectious disease is a common cause of acute abdomen. The diagnosis is based on clinical examination and basic laboratory tests. However, medical imaging routinely performed according to the clinical findings is frequently useful. Hepatic and splenic abscesses are correctly demonstrated by ultrasonography and computed tomography. Ultrasonography is the reference standard for the diagnosis of acute cholecystitis. The US examination is also performed for the diagnosis of appendicitis and its complications. Ultrasonography and barium enema are commonly performed for the evaluation of sigmoid diverticulitis. Computed tomography is the reference standard to determine medical or surgical procedures. (authors). 20 refs., 15 figs.

  14. Procrastination as a Self-Regulation Failure: The Role of Impulsivity and Intrusive Thoughts.

    Science.gov (United States)

    Rebetez, Marie My Lien; Rochat, Lucien; Barsics, Catherine; Van der Linden, Martial

    2018-02-01

    Procrastination has been described as the quintessence of self-regulatory failure. This study examines the relationships between this self-regulatory failure and other manifestations of self-regulation problems, namely impulsivity and intrusive thoughts. One hundred and forty-one participants completed questionnaires assessing procrastination, impulsivity (in particular, the urgency and lack of perseverance dimensions), and intrusive thoughts (i.e., rumination and daydreaming). Main results show that urgency mediated the association between rumination and procrastination, whereas rumination did not mediate the relation between urgency and procrastination. Lack of perseverance mediated the association between daydreaming and procrastination, and daydreaming mediated the relation between lack of perseverance and procrastination. This study highlights the role of impulsivity and intrusive thoughts in procrastination, specifies the links between these self-regulation problems, and provides insights into their (potential) underlying mechanisms. It also opens interesting prospects for management strategies for implementing targeted psychological interventions to reduce impulsive manifestations and/or thought control difficulties accompanying procrastination.

  15. Urinary bladder dose-response relationships for patient-reported genitourinary morbidity domains following prostate cancer radiotherapy.

    Science.gov (United States)

    Thor, Maria; Olsson, Caroline; Oh, Jung Hun; Petersen, Stine Elleberg; Alsadius, David; Bentzen, Lise; Pettersson, Niclas; Muren, Ludvig Paul; Høyer, Morten; Steineck, Gunnar; Deasy, Joseph O

    2016-04-01

    Radiotherapy (RT) induced genitourinary (GU) morbidity is typically assessed by physicians as single symptoms or aggregated scores including symptoms from various domains. Here we apply a method to group patient-reported GU symptoms after RT for localized prostate cancer based on their interplay, and study how these relate to urinary bladder dose. Data were taken from two Scandinavian studies (N=207/276) including men treated with external-beam RT (EBRT) to 78/70Gy (2Gy/fraction; median time-to-follow-up: 3.6-6.4y). Within and across cohorts, bladder dose-volume parameters were tested as predictors for GU symptom domains identified from two study-specific questionnaires (35 questions on frequency, incontinence, obstruction, pain, urgency, and sensory symptoms) using univariate and multivariate logistic regression analysis (MVA) with 10-fold cross-validation. Performance was evaluated using Area Under the Receiver Operating Characteristic Curve (Az). For the identified Incontinence (2-5 symptoms), Obstruction (3-5 symptoms), and Urgency (2-7 symptoms) domains, MVA demonstrated that bladder doses close to the prescription doses were the strongest predictors for Obstruction (Az: 0.53-0.57) and Urgency (Az: 0.60). For Obstruction, performance increased for the across cohort analysis (Az: 0.61-0.64). Our identified patient-reported GU symptom domains suggest that high urinary bladder doses, and increased focus on both obstruction and urgency is likely to further add to the understanding of GU tract RT responses. Published by Elsevier Ireland Ltd.

  16. A study of automated self-assessment in a primary care student health centre setting.

    Science.gov (United States)

    Poote, Aimee E; French, David P; Dale, Jeremy; Powell, John

    2014-04-01

    We evaluated the advice given by a prototype self-assessment triage system in a university student health centre. Students attending the health centre with a new problem used the automated self-assessment system prior to a face-to-face consultation with the general practitioner (GP). The system's rating of urgency was available to the GP, and following the consultation, the GP recorded their own rating of the urgency of the patient's presentation. Full data were available for 154 of the 207 consultations. Perfect agreement, where both the GP and the self-assessment system selected the same category of advice, occurred in 39% of consultations. The association between the GP assessment and the self-assessment rankings of urgency was low but significant (rho = 0.19, P = 0.016). The self-assessment system tended to be risk averse compared to the GP assessments, with advice for more urgent level of care seeking being recommended in 86 consultations (56%) and less urgent advice in only 8 (5%). This difference in assessment of urgency was significant (P self-assessment system was more risk averse than the GPs, which resulted in a high proportion of patients being triaged as needing emergency or immediate care, the self-assessment system successfully identified a proportion of patients who were felt by the GP to have a self-limiting condition that did not need a consultation. In its prototype form, the self-assessment system was not a replacement for clinician assessment and further refinement is necessary.

  17. Implementation of a bridge management system in the municipal environment

    CSIR Research Space (South Africa)

    Nordengen, Paul A

    2006-10-01

    Full Text Available on the urgency rating (U) allocated by the inspector. During an optimisation procedure, the estimated cost of repair for each defect is compared with the relevancy of the defect to determine a benefit-cost ratio. In the case of limited budgets, maximum benefits... of the defect with regard to the serviceability of the bridge and the safety of the user (pedestrian, cyclist, motorist, and passenger). U is the urgency to carry out the remedial work to repair the defect. This rating considers possible future events...

  18. Orthotopic ureterocele masquerading as a bladder tumor in a woman with pelvic pain

    Directory of Open Access Journals (Sweden)

    David D. Thiel

    2005-12-01

    Full Text Available Single system orthotopic ureteroceles often present in adulthood are associated with characteristic radiographic findings. We present the case of a 54 year old woman with 8 months of urgency/frequency and pelvic pain that has the cystoscopic appearance of a bladder tumor. Cystoscopic images, radiographs and intraoperative photos demonstrate the work-up, evaluation, and treatment of this unique single system orthotopic ureterocele containing a calculus. This patient demonstrates the need for cystoscopy accompanied by upper tract imaging in patients with new onset pelvic pain, urgency/frequency, and frequent urinary tract infections.

  19. A preliminary study on related factors of mental health in nuclear power plant operators

    International Nuclear Information System (INIS)

    Dai Tingting; Liu Yulong; Li Yuan; Liao Haihong; Qiu Mengyue; Bian Huahui; Chen Weibo; Liu Chunfeng

    2012-01-01

    Objective: To explore the status of nuclear power plant operators in mental health and its correlation with emotional stability, liveliness, anxiety and urgency. Methods: 255 male operators were randomly selected from three nuclear power bases, meanwhile 61 undergraduates were used as control group. The mental health and neurobehavioral evaluation system of Chinese nuclear power plant operators was developed by Second Affiliated Hospital of Soochow University, which was used to assess mental health of the subjects. The scores of mental health personality factors were recorded, together with four main personality factors including emotional stability, liveliness, anxiety and urgency. Results: The score of lie was lower than 8 which showed all inspected groups were normal. 1.57% (4/255) operators had psychological disorders, 3.92% (10/255) had poor mental health, 27.84% (71/255) had general mental health, 66.7% (170/255) had excellent mental health, whereas 9.84% (6/61) for control group had psychological disorders. Obvious difference was observed in the final scores between the nuclear power plant operators and control group. The former gained higher scores on mental health,emotional stability,and lower scores on anxiety and urgency (t=3.437, 4.423, -2.493, -2.093, P<0.05). Both groups aged over 27 years and with length of service over 5 years were awarded higher scores on mental health, emotional stability (t=2.585, 2.349; t=2.606, 2.947, P<0.05), lower scores on anxiety and urgency (t=-3.407, -2.138; t=- 2.941, -2.256, P<0.05). The mental health was positively correlated with emotional stability and liveliness (r=0.721, 0.650, P<0.05), but negatively correlated with anxiety and urgency (r=-0.809, -0.693, P<0.05). Conclusions: The majority of nuclear power plant operators had excellent psychological quality, but some factors should be paid more attention, such as different ages and length of service time. (authors)

  20. Bill (declared urgency) asserting the national commitment for the environment; Projet de Loi (urgence declaree), portant engagement national pour l'environnement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-01-15

    The bill asserting the French national commitment for the environment (also named 'Grenelle 2') is considered as the juridical tool-box of the French environmental policy. It confirms, strengthens, and concretizes the objectives defined by the Grenelle 1 law. The main dispositions of the bill concern the following domains: settlement and urbanism with the improvement of the energy efficiency, energy conservation and life-cycle of buildings; transports with the development of sustainable transportation systems; energy with the creation of regional climate, air and energy schemes with the aim of developing renewable energies (with some restrictions concerning wind power) and reducing CO{sub 2} emissions; biodiversity with the creation of ecological pathways between protected areas for the migration of flora and fauna species; environment and waste management with the reinforcement of measures for the abatement of environmental pollutant effects. Among the numerous dispositions involving more than 20 codes (urbanism, environment, buildings etc..) one concerns the progressive implementation of a 'carbon price' index taking into account the greenhouse gas emission costs during the whole life cycle of a product, another one concerns the monitoring of indoor air quality in public buildings. This document is made of three parts. Part 1 is the exposition of the intentions of each article of the bill, part 2 is the bill itself and part 3 is the impact study of the bill in terms of economical, social and environmental impact. (J.S.)

  1. Brief report: personality correlates of susceptibility to peer influence in adolescence.

    Science.gov (United States)

    Stautz, Kaidy; Cooper, Andrew

    2014-06-01

    Adolescents show a heightened susceptibility to peer influence compared to adults. Individual differences in this susceptibility exist, yet there has been little effort to link these with broader personality processes. Reward sensitivity and impulsive behaviour are also heightened in adolescence and could affect the tendency to be influenced by peers. This study examined associations between self-reported resistance to peer influence, facets of reward sensitivity and impulsivity, and subjective social status in a sample of 269 British sixth form students (mean age 16.79). Multiple regression analyses showed that negative and positive urgency were significantly negatively associated with resistance to peer influence. The relationship between negative urgency and resistance was moderated by subjective social status, such that individuals reporting low status showed a stronger negative relationship. Results suggest that a susceptibility to peer influence is linked with a tendency to act impulsively when in heightened emotional states. Adolescents high in negative urgency who feel lower in their social hierarchy may be particularly vulnerable. Copyright © 2014 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

  2. Biofeedback as a first-line treatment for overactive bladder syndrome refractory to standard urotherapy in children.

    Science.gov (United States)

    Ebiloglu, Turgay; Kaya, Engin; Köprü, Burak; Topuz, Bahadır; Irkilata, Hasan Cem; Kibar, Yusuf

    2016-10-01

    Overactive bladder syndrome (OAB) and dysfunctional voiding (DV) are subgroups of lower urinary tract dysfunction (LUTD). Standard urotherapy is the first-line treatment option of OAB in children. The aim was to investigate the use of biofeedback as a first-line treatment option in OAB refractory to standard urotherapy, and determine the factors affecting efficacy. Between 2005 and 2015, we retrospectively analyzed a total of 136 hospital records of children with OAB who had not previously used any anticholinergics and were refractory to standard urotherapy. Patients with urgency and/or urge incontinence and/or making holding maneuvers to suppress urgency were defined as having OAB symptoms, and resolution of these complaints was defined as successful biofeedback therapy. Seventy-three of 136 OAB patients' urgency recovered by biofeedback therapy with the success rate of 53% (p biofeedback therapies, respectively (p Biofeedback can be thought of as the first-line treatment option when standard urotherapy fails in children with OAB. Copyright © 2016 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

  3. Prudent layperson definition of an emergent pediatric medical condition.

    Science.gov (United States)

    Huang, Craig J; Poirier, Michael P; Cantwell, John R; Ermis, Peter R; Isaacman, Daniel J

    2006-03-01

    This study was designed to assess how well parents rated pediatric medical conditions based on their perceived degree of urgency so as to determine if the "Prudent Layperson Standard'' is reasonable. A self-administered, supervised survey was given to a convenience sample of 340 caregivers in the emergency department of an urban children's hospital. Respondents were asked to rank the urgency of 15 scenarios. A caregiver response within 1 point of the physician score was considered concordant with medical opinion. A 2-week-old infant with a rectal temperature of 103.7 degrees F was the only emergent scenario underestimated by caregivers. A 1 1/2-yr-old child with an upper respiratory tract infection, a 7-year-old child with ringworm, an 8-month-old infant with a simple forehead contusion, and a 4-year-old child with conjunctivitis were the non-urgent scenarios overestimated by caregivers. Laypeople are able to identify cases constructed to represent obvious pediatric medical emergencies. Several patient subgroups frequently overestimate medical urgency.

  4. Reducing time delays in the management of ischemic stroke patients in Northern Italy.

    Science.gov (United States)

    Vidale, Simone; Arnaboldi, Marco; Bezzi, Giacomo; Bono, Giorgio; Grampa, Giampiero; Guidotti, Mario; Perrone, Patrizia; Salmaggi, Andrea; Zarcone, Davide; Zoli, Alberto; Agostoni, Elio

    2016-07-15

    Thrombolysis represents the best therapy for ischemic stroke but the main limitation of its administration is time. The avoidable delay is a concept reflecting the effectiveness of management pathway. For this reason, we projected a study concerning the detection of main delays with following introduction of corrective factors. In this paper we describe the results after these corrections. Consecutive patients admitted for ischemic stroke during a 3-months period to 35 hospitals of a macro-area of Northern Italy were enrolled. Each time of management was registered, identifying three main intervals: pre-hospital, in-hospital and total times. Previous corrective interventions were: 1.increasing of population awareness to use the Emergency Medical Service (EMS); 2.pre-notification of Emergency Department; 3.use of high urgency codes; 4.use of standardised operational algorithm. Statistical analysis was conducted using time-to-event analysis and Cox proportional hazard regression. 1084 patients were enrolled. EMS was alerted for 56.3% of subjects, mainly in females and severe strokes (ptimes were 113 and 105min, while total time was 240. High urgency codes at transport contributed to reduce pre-hospital and in-hospital time (p<0.05). EMS use and high urgency codes promoted thrombolysis. Treatment within 4.5hours from symptom onset was performed in 14% of patients more than the first phase of study. The implementation of an organizational system based on EMS and concomitant high urgency codes use was effective to reduce avoidable delay and to increase thrombolysis. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  5. The unique effects of angry and depressive rumination on eating-disorder psychopathology and the mediating role of impulsivity.

    Science.gov (United States)

    Wang, Shirley B; Borders, Ashley

    2018-04-01

    Negative affect and maladaptive emotion regulation strategies are associated with eating-disorder (ED) psychopathology. Depressive rumination is a maladaptive cognitive style associated with the onset, maintenance, and severity of ED psychopathology among both clinical and nonclinical samples. However, although anger is also strongly associated with ED behaviors, the associations between angry rumination and ED psychopathology, as well as mechanisms of the relationships between rumination and ED psychopathology, remain largely unknown. The current study sought to examine the unique influences of trait depressive and angry rumination on ED psychopathology and whether trait negative urgency (i.e., responding rashly to negative affect) mediated these relationships. Study 1 sampled undergraduate students (N = 119) cross-sectionally and longitudinally (five months), and Study 2 sampled patients with eating disorders (N = 85). All participants completed questionnaires assessing angry rumination, depressive rumination, ED psychopathology, and negative urgency. Angry rumination had consistent indirect effects on ED psychopathology via negative urgency among both clinical and nonclinical samples. However, there was mixed support for the influence of depressive rumination: whereas depressive rumination showed total and indirect effects on ED psychopathology in Study 1 cross-sectional analyses, no total or indirect effects emerged in Study 1 longitudinal analyses or in Study 2. Associations between depressive rumination and ED psychopathology may reflect the strong overlap between angry and depressive rumination. Interventions targeting angry rumination and negative urgency may enhance prevention and treatment of disordered eating across eating disorder diagnosis and severity. Copyright © 2018 Elsevier Ltd. All rights reserved.

  6. Composition en acide alphalinolénique des esters de cholestérol plasmatiques : un marqueur de consommation chez l’homme

    Directory of Open Access Journals (Sweden)

    Combe Nicole

    2002-07-01

    Full Text Available Le lien existant entre qualité et quantité des acides gras de l’alimentation, et santé est de plus en plus évident et défini, comme l’indique la revue des travaux plus spécifiquement consacrés aux implications dans le risque de maladies cardiovasculaires (MCV (cf. premier exposé de ce dossier. Néanmoins, si un grand nombre d’études épidémiologiques ou d’intervention ont permis d’aboutir à un consensus qui s’est traduit, en France, par la publication en 2001 des Apports Nutritionnels Conseillés [1], un débat perdure au sein de la communauté scientifique internationale sur les meilleurs apports en acides gras monoinsaturés versus poly-insaturés [2, 3]. Les études récentes de Rudel et al. [4-6] indiquent en effet que des singes nourris avec un régime très enrichi en acide oléique (18:1n-9 : 24% de l’apport énergétique développent une athérosclérose des artères coronaires qui pourrait être en relation avec l’accumulation subséquente d’oléate de cholestérol dans les LDL aux dépens du linoléate de cholestérol. Par ailleurs, eu égard aux effets bénéfiques reconnus à l’acide alphalinolénique (18:3n-3 vis-à-vis des risques d’infarctus du myocarde, de cardiopathie ischémique [7-9] et d’accident vasculaire cérébral [10, 11], le niveau de 18:3n-3 dans les esters de cholestérol (EC du plasma apparaît comme un bon indicateur de protection. En effet, l’étude conduite par Sandker et al. [12], sur deux groupes d’hommes âgés, issus des cohortes crétoises (Seven Countries Study et hollandaises (Zutphen Study, a permis de faire émerger l’intérêt de ce marqueur biologique. En moyenne, le pourcentage de 18:3n-3 mesuré dans les EC plasmatiques des Crétois était significativement plus élevé comparé à celui des Hollandais (0,9% vs 0,32% des acides gras, dont la cohorte présentait un taux de mortalité coronarienne 5 fois plus grand que celui de la cohorte crétoise. En outre, l

  7. Dracontiasis en Colombia una Historia

    Directory of Open Access Journals (Sweden)

    Hugo Armando Sotomayor Tribin

    1994-03-01

    Full Text Available

    La dracontiasis o dracunculosis causada por la infección del tejido conectivo y subcutáneo por el gusano Dracunculus medinensis ha sido básicamente un problema médico durante años en el subcontinente Indio y en Africa occidental aunque con focos importantes en Uganda, Pakistán, Irán, Yemen y Arabia, de donde, en esta última nación de la localidad de Medina ha tomado el nombre la especie (1. Fue conocida por líderes religiosos, políticos y médicos como Moisés, Plutarco, Galeno y Avicena (2.

    Las larvas maduran en el cuerpo de crustáceos del género Ciclops que viven en aguas frescas. Al tomar esas aguas ricas en larvas, el hombre se infecta. Las larvas penetran en la pared intestinal, y migran a tejidos retroperitoneales donde permanecen de ocho a doce meses hasta madurar y desde allí, entonces, la hembra migra a los tejidos subcutáneos de las extremidades para descargar sus larvas.

    La hembra mide hasta un metro de largo y tiene dos milímetros de grosor. La presencia de los gusanos en los tejidos profundos usualmente no causa efectos, aunque su viaje a la piel puede acompañarse de reacciones de hipersensibilidad. Las úlceras del pie y las piernas limitan la movilidad y hacen pensar en el diagnóstico que se confirma por la irrupción del gusano.

    Aunque en la literatura médica colombiana no están descritos casos de dracontiasis ésta sí alcanzó a ser un problema en algunas islas del Caribe (3,2...

  8. The efficacy of education in emergency-urgency: a review

    Directory of Open Access Journals (Sweden)

    Cristina Cunsolo

    2008-12-01

    Full Text Available After a course of Basic Lift Support, Nurses and Doctors skills retention decline if not used over time. Studies have suggest that methods need to be evaluated and refined to improve practice. A more detailed assessment toll is needed to determine the effectiveness of an educational intervention in providing the best skill acquisition and retention attainable. This review of literature examines factors that enhance retention of knowledge and skill during and after resuscitation training. In order to identify educational strategies that will optimize current practices and suggest the application of the experiential theory of learning to Basic Life Support. The review was undertaken using PUBMED, EMBASE and EBM Reviews – Cochrane Central Register of Controlled Trials. Additional references were also reviewed from the bibliographies and from citation searches on key articles. Those published that identified strategies to enhance the acquisition or retention of cardiopulmonary resuscitation skill and knowledge were included in the review. Review showed that templates should be introduced for research or evaluation of educational interventions designed to improve resuscitation performance. Resuscitation training should be based on in-hospital scenarios and current evidence-based guidelines. Video instruction and new technologies has been shown to improve competence in resuscitation. The research findings suggest the need for an evaluation of the use and effects of cognitive instructional strategies and new technologies in CPR training courses on transfer ok skill and knowledge to practice.

  9. Evaluation de Ia pratique transfusionnelle en urgence obstetricale et ...

    African Journals Online (AJOL)

    La collecte des donnees a ere faite par une technique d' observation directe et de revue documentaire. Sur cette periode, la frequence de la transfusion dans le service etait de 11,08 % par rapport a 1' ensemble des malades hospitalisees. Le delai moyen d' obtention des produits sanguins labiles etait de 2 h 46 minutes.

  10. les urgences urologiques au centre hospitalier de louga, senegal

    African Journals Online (AJOL)

    Ibrahima Diabaté

    1 juin 2010 ... (n = 1) ce qui a conduit respectivement à une reprise de l'hémostase et à un débridement de tous les tissus nécrotiques. Toutes les études sur les complications de la circoncision [11,12] ont montré que l'hémorragie et l'infection sont au premier plan, suivies par d'autres complications parfois plus graves.

  11. Mitigation gambles: uncertainty, urgency and the last gamble possible

    Science.gov (United States)

    Shue, Henry

    2018-05-01

    A rejection by current generations of more ambitious mitigation of carbon emissions inflicts on future generations inherently objectionable risks about which they have no choice. Any gains through savings from less ambitious mitigation, which are relatively minor, would accrue to current generations, and all losses, which are relatively major, would fall on future generations. This mitigation gamble is especially unjustifiable because it imposes a risk of unlimited losses until carbon emissions cease. Ultimate physical collapses remain possible. Much more ominous is prior social collapse from political struggles over conflicting responses to threatened physical collapse. The two most plausible objections to the thesis that less ambitious mitigation is unjustifiable rely, respectively, on the claim that negative emissions will allow a later recovery from a temporary overshoot in emissions and on the claim that ambitious mitigation is incompatible with poverty alleviation that depends on inexpensive fossil fuels. Neither objection stands up. Reliance on negative emissions later instead of ambitious mitigation now permits the passing of tipping points for irreversible change meanwhile, and non-carbon energy is rapidly becoming price competitive in developing countries like India that are committed to poverty alleviation. This article is part of the themed issue `The Paris Agreement: understanding the physical and social challenges for a warming world of 1.5°C above pre-industrial levels'.

  12. Les urgences urologiques au centre hospitalier de Louga, Senegal ...

    African Journals Online (AJOL)

    Urological emergencies at the hospital of Louga, Senegal: Epidemiologic features and evaluation of the management. Abstract ... The managements were: installation of a urethral catheter (n = 255), extraction of urinary bladder clot (n = 06), medical treatment (n = 82) and surgical treatment (n = 152). During surgery, 170 ...

  13. Mitigation gambles: uncertainty, urgency and the last gamble possible.

    Science.gov (United States)

    Shue, Henry

    2018-05-13

    A rejection by current generations of more ambitious mitigation of carbon emissions inflicts on future generations inherently objectionable risks about which they have no choice. Any gains through savings from less ambitious mitigation, which are relatively minor, would accrue to current generations, and all losses, which are relatively major, would fall on future generations. This mitigation gamble is especially unjustifiable because it imposes a risk of unlimited losses until carbon emissions cease. Ultimate physical collapses remain possible. Much more ominous is prior social collapse from political struggles over conflicting responses to threatened physical collapse. The two most plausible objections to the thesis that less ambitious mitigation is unjustifiable rely, respectively, on the claim that negative emissions will allow a later recovery from a temporary overshoot in emissions and on the claim that ambitious mitigation is incompatible with poverty alleviation that depends on inexpensive fossil fuels. Neither objection stands up. Reliance on negative emissions later instead of ambitious mitigation now permits the passing of tipping points for irreversible change meanwhile, and non-carbon energy is rapidly becoming price competitive in developing countries like India that are committed to poverty alleviation.This article is part of the themed issue 'The Paris Agreement: understanding the physical and social challenges for a warming world of 1.5°C above pre-industrial levels'. © 2018 The Author(s).

  14. Moving forward with urgency following the IEF 2008 | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2011-05-10

    May 10, 2011 ... IEF 2008 was “a watershed moment in the evolution of the programming [for IDRC],” Dr Charron said. IDRC was able to witness both the impact of its investment in ecohealth research for development, along with some of the challenges. Some of these include the need for more persuasive arguments for ...

  15. The relationship between the UPPS-P impulsive personality traits and substance use psychotherapy outcomes: A meta-analysis.

    Science.gov (United States)

    Hershberger, Alexandra R; Um, Miji; Cyders, Melissa A

    2017-09-01

    Although impulsive personality traits have been well implicated in substance use disorder (SUD) risk, little work has established how specific impulsive personality traits influence and are influenced by SUD psychotherapy outcomes. The purpose of this meta-analysis was to quantitatively review existing work to examine 1) how impulsive personality traits affect SUD psychotherapy outcomes and 2) reductions in impulsive personality traits during SUD psychotherapy. Studies were identified by conducting a comprehensive review of the literature. For aim one (k=6), significant effects were found for lack of premeditation (g=0.60, SE=0.30, 95% CI 0.01-1.20; z=1.99, p=0.05) and negative urgency (g=0.55, SE=0.17, 95% CI 0.22-0.88, z=3.30, p=0.001), with trait scores related to poorer SUD psychotherapy outcomes. For aim two (k=10), decreases in sensation seeking (g=-0.10, SE=0.05, 95% CI -0.20 to 0.004; z=-1.88, p=0.02) and negative urgency (g=-0.25, SE=0.14, 95% CI -0.53 to 0.03; z=-1.75, p=0.03) during SUD psychotherapy were significant. Overall, our quantitative synthesis suggests that lack of premeditation and negative urgency are related to poorer SUD psychotherapy outcomes. Although negative urgency and sensation seeking are decreasing during SUD psychotherapy, the magnitude of the change is quite small. Overall, we suggest that the measurement and targeting of impulsive personality traits in psychotherapy has strong potential to improve clinical outcomes across SUDs and a wide range of clinical problems and disorders. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. [Self-referrals at Emergency Care Access Points and triage by General Practitioner Cooperatives].

    Science.gov (United States)

    Smits, M; Rutten, M; Schepers, L; Giesen, P

    2017-01-01

    There is a trend for General Practitioner Cooperatives (GPCs) to co-locate with emergency departments (EDs) of hospitals at Emergency Care Access Points (ECAPs), where the GPCs generally conduct triage and treat a large part of self-referrals who would have gone to the ED by themselves in the past. We have examined patient and care characteristics of self-referrals at ECAPs where triage was conducted by GPCs, also to determine the percentage of self-referrals being referred to the ED. Retrospective cross-sectional observational study. Descriptive analyses of routine registration data from self-referrals of five ECAPs (n = 20.451). Patient age, gender, arrival time, urgency, diagnosis and referral were analysed. Of the self-referrals, 57.9% was male and the mean age was 32.7 years. The number of self-referrals per hour was highest during weekends, particularly between 11 a.m. and 5 p.m. On weekdays, there was a peak between 5 and 9 p.m. Self-referrals were mostly assigned a low-urgency grade (35.7% - U4 or U5) or a mid-urgency grade (49% - U3). Almost half of the self-referrals had trauma of the locomotor system (28%) or the skin (27.3%). In total, 23% of the patients was referred to the ED. Self-referred patients at GPCs are typically young, male and have low- to mid-urgency trauma-related problems. Many self-referrals present themselves on weekend days or early weekday evenings. Over three quarters of these patients can be treated by the GPCs, without referral to the ED. This reduces the workload at the ED.

  17. A Non-Invasive Bladder Sensory Test Supports a Role for Dysmenorrhea Increasing Bladder Noxious Mechanosensitivity

    Science.gov (United States)

    TU, Frank F.; EPSTEIN, Aliza E.; POZOLO, Kristen E.; SEXTON, Debra L.; MELNYK, Alexandra I.; HELLMAN, Kevin M.

    2012-01-01

    Objective Catheterization to measure bladder sensitivity is aversive and hinders human participation in visceral sensory research. Therefore, we sought to characterize the reliability of sonographically-estimated female bladder sensory thresholds. To demonstrate this technique’s usefulness, we examined the effects of self-reported dysmenorrhea on bladder pain thresholds. Methods Bladder sensory threshold volumes were determined during provoked natural diuresis in 49 healthy women (mean age 24 ± 8) using three-dimensional ultrasound. Cystometric thresholds (Vfs – first sensation, Vfu – first urge, Vmt – maximum tolerance) were quantified and related to bladder urgency and pain. We estimated reliability (one-week retest and interrater). Self-reported menstrual pain was examined in relationship to bladder pain, urgency and volume thresholds. Results Average bladder sensory thresholds (mLs) were Vfs (160±100), Vfu (310±130), and Vmt (500±180). Interrater reliability ranged from 0.97–0.99. One-week retest reliability was Vmt = 0.76 (95% CI 0.64–0.88), Vfs = 0.62 (95% CI 0.44–0.80), and Vfu = 0.63, (95% CI 0.47–0.80). Bladder filling rate correlated with all thresholds (r = 0.53–0.64, p dysmenorrhea pain had increased bladder pain and urgency at Vfs and increased pain at Vfu (p’s dysmenorrhea pain was unrelated to bladder capacity. Discussion Sonographic estimates of bladder sensory thresholds were reproducible and reliable. In these healthy volunteers, dysmenorrhea was associated with increased bladder pain and urgency during filling but unrelated to capacity. Plausibly, dysmenorrhea sufferers may exhibit enhanced visceral mechanosensitivity, increasing their risk to develop chronic bladder pain syndromes. PMID:23370073

  18. Do we need a new definition of the overactive bladder syndrome? ICI-RS 2013.

    Science.gov (United States)

    Drake, Marcus J

    2014-06-01

    Overactive bladder syndrome (OAB) has a symptom-based definition. Following a presentation of issues, the definition was subjected to expert discussion at the International Consultation on Incontinence Research Society to identify key issues. OAB is a widely used term; it is a pragmatic approach to categorizing a recognized group of patients, and is understood by the patients, however, expert opinion suggested several issues for which additional evidence should be sought. Naming an organ (bladder) in the condition may suggest underlying mechanism, when contributory aspects may lie outside the bladder. No severity thresholds are set, which can cause uncertainty. Urgency is prominent in the definition, but may not be prominent in patients whose adaptive behavior reduces their propensity to urgency. OAB can co-exist with other common conditions, such as benign prostate enlargement (BPE), stress incontinence or nocturnal polyuria. Consensus led by the International Continence Society can be attempted for aspects such as "fear of leakage." To develop a new definition, more substantive evidence is needed for key elements, and until such evidence is available, full redefinition is not appropriate. Thus, the medical profession should accept constructive compromise and work supportively. The ICI-RS proposes that the terminology is slightly rephrased as: "overactive bladder syndrome (OAB) is characterized by urinary urgency, with or without urgency urinary incontinence, usually with increased daytime frequency and nocturia, if there is no proven infection or other obvious pathology." More substantive changes would require additional scientific evidence. Strengths, limitations, and practicalities of the definition of OAB were discussed at the ICIRS meeting 2013. Following a presentation of issues, the definition was subjected to expert discussion. © 2014 Wiley Periodicals, Inc.

  19. The impact of the Lisbon Football Derby on the profile of emergency department admissions.

    Science.gov (United States)

    Almeida, André; Eusébio, Mónica; Almeida, Jaime; Boattini, Matteo

    2014-01-01

    Variations in emergency department admissions have been reported to happen as a result of major sports events. The work presented assessed changes in volume and urgency level of visits to a major Emergency Department in Lisbon during and after the city's football derby. Volume of attendances and patient urgency level, according to the Manchester Triage System, were retrospectively analyzed for the 2008-2011 period. Data regarding 24-hour periods starting 45 minutes before kick-off was collected, along with data from similar periods on the corresponding weekdays in the previous years, to be used as controls. Data samples were organized according to time frame (during and after the match), urgency level, and paired accordingly. A total of 14 relevant periods (7 match and 7 non-match) were analyzed, corresponding to a total of 5861 admissions. During the match time frame, a 20.6% reduction (p = 0.06) in the total number of attendances was found when compared to non-match days. MTS urgency level sub-analysis only showed a statistically significant reduction (26.5%; p = 0.05) in less urgent admissions (triage levels green-blue). Compared to controls, post-match time frames showed a global increase in admissions (5.6%; p = 0.45), significant only when considering less urgent ones (18.9%; p = 0.05). A decrease in the total number of emergency department attendances occurred during the matches, followed by a subsequent increase in the following hours. These variations only reached significance among visits triaged green-blue. During major sports events an overall decrease in emergency department admissions seems to take place, especially due to a drop in visits associated with less severe conditions.

  20. The effect of health and dental insurance on US children's dental care utilization for urgent and non-urgent dental problems - 2008.

    Science.gov (United States)

    Naavaal, Shillpa; Barker, Laurie K; Griffin, Susan O

    2017-12-01

    We examined the association between utilization of care for a dental problem (utilization-DP) and parent-reported dental problem (DP) urgency among children with DP by type of health care insurance coverage. We used weighted 2008 National Health Interview Survey data from 2,834 children, aged 2-17 years with at least one DP within the 6 months preceding survey. Explanatory variables were selected based on Andersen's model of healthcare utilization. Need was considered urgent if DP included toothache, bleeding gums, broken or missing teeth, broken or missing filling, or decayed teeth and otherwise as non-urgent. The primary enabling variable, insurance, had four categories: none, private health no dental coverage (PHND), private health and dental (PHD), or Medicaid/State Children's Health Insurance Program (SCHIP). Predisposing variables included sociodemographic characteristics. We used bivariate and multivariate analyses to identify explanatory variables' association with utilization-DP. Using logistic regression, we obtained adjusted estimates of utilization-DP by urgency for each insurance category. In bivariate analyses, utilization-DP was associated with both insurance and urgency. In multivariate analyses, the difference in percent utilizing care for an urgent versus non-urgent DP among children covered by Medicaid/SCHIP was 32 percentage points; PHD, 25 percentage points; PHND, 12 percentage points; and no insurance, 14 percentage points. The difference in utilization by DP urgency was higher for children with Medicaid/SCHIP compared with either PHND or uninsured children. Expansion of Medicaid/SCHIP may permit children to receive care for urgent DPs who otherwise may not, due to lack of dental insurance. © 2016 American Association of Public Health Dentistry.

  1. Acute complications of the ileum jejunum lymphoma

    International Nuclear Information System (INIS)

    Gonzalez, D.; Ruso, L.; Rodriguez, G.; Plazzotta, C.; Rondan, M.; Balboa, O.; Di Leoni, F.

    2004-01-01

    Small intestine lymphoma is a entity whose incidence fluctuates between 1 and 4% of all malignant tumors of digestive tract.Its usual clinical presentation is in the form of acute abdominal symptomatology thus determining that the surgeon generally comes across them in urgency services.The surgical treatment is established under these circumstances,oftentimes lacking and established etiologic diagnosis,Anatomy-pathologic confirmation renders possible setting up adjuvant treatment on the basis of chemo and radio therapy.There follows a retrospective analysis of six clinical cases which had the appearance of acute abdominal symptomatology and were subject to urgency surgery, there being no complications nor operative mortality

  2. A designated centre for people with disabilities operated by RehabCare, Longford

    LENUS (Irish Health Repository)

    Davoren, Mary

    2015-01-01

    Patients admitted to a secure forensic hospital are at risk of a long hospital stay. Forensic hospital beds are a scarce and expensive resource and ability to identify the factors predicting length of stay at time of admission would be beneficial. The DUNDRUM-1 triage security scale and DUNDRUM-2 triage urgency scale are designed to assess need for therapeutic security and urgency of that need while the HCR-20 predicts risk of violence. We hypothesized that items on the DUNDRUM-1 and DUNDRUM-2 scales, rated at the time of pre-admission assessment, would predict length of stay in a medium secure forensic hospital setting.

  3. A designated centre for people with disabilities operated by Brothers of Charity Services Clare, Clare

    LENUS (Irish Health Repository)

    Davoren, Mary

    2015-01-01

    Patients admitted to a secure forensic hospital are at risk of a long hospital stay. Forensic hospital beds are a scarce and expensive resource and ability to identify the factors predicting length of stay at time of admission would be beneficial. The DUNDRUM-1 triage security scale and DUNDRUM-2 triage urgency scale are designed to assess need for therapeutic security and urgency of that need while the HCR-20 predicts risk of violence. We hypothesized that items on the DUNDRUM-1 and DUNDRUM-2 scales, rated at the time of pre-admission assessment, would predict length of stay in a medium secure forensic hospital setting.

  4. The Controversy Of Stabilization Of Advanced Protection In Antecedent Quality

    Directory of Open Access Journals (Sweden)

    Gilberto Ferreira Marchetti Filho

    2016-12-01

    Full Text Available The preliminary injunction deals with the immediate concession of the executive effects of the final provision. According to the current CPC, in cases of urgency, the initial request for previous protection may be superficial, dealing only with the situation of urgency, without discussing all the matters at issue. Subsequently, the initial petition may be added, to complete all the matter to be discussed. If the defendant does not demonstrate his nonconformity regarding the approval, its effects will be stabilized. After the deadline, it becomes final. There are several problems arising from this legal novelty, which are the object of the present.

  5. A New Health Care Prevention Agenda: Sustainable Food Procurement and Agricultural Policy.

    Science.gov (United States)

    Harvie, Jamie; Mikkelsen, Leslie; Shak, Linda

    2009-07-01

    Health care leaders are broadening their awareness to include the need to address the food system as a means to individual, public, and global health, above and beyond basic nutritional factors. Key voices from the health care sector have begun to engage in market transformation and are aggregating to articulate the urgency for engagement in food and agricultural policy. Systemic transformation requires a range of policies that complement one another and address various aspects of the food system. Health care involvement in policy and advocacy is vital to solve the expanding ecological health crises facing our nation and globe and will require an urgency that may be unprecedented.

  6. Factors affecting length of stay in forensic hospital setting: need for therapeutic security and course of admission.

    LENUS (Irish Health Repository)

    Davoren, Mary

    2015-01-01

    Patients admitted to a secure forensic hospital are at risk of a long hospital stay. Forensic hospital beds are a scarce and expensive resource and ability to identify the factors predicting length of stay at time of admission would be beneficial. The DUNDRUM-1 triage security scale and DUNDRUM-2 triage urgency scale are designed to assess need for therapeutic security and urgency of that need while the HCR-20 predicts risk of violence. We hypothesized that items on the DUNDRUM-1 and DUNDRUM-2 scales, rated at the time of pre-admission assessment, would predict length of stay in a medium secure forensic hospital setting.

  7. General practice cooperatives: long waiting times for home visits due to long distances?

    Science.gov (United States)

    Giesen, Paul; van Lin, Nieke; Mokkink, Henk; van den Bosch, Wil; Grol, Richard

    2007-02-12

    The introduction of large-scale out-of-hours GP cooperatives has led to questions about increased distances between the GP cooperatives and the homes of patients and the increasing waiting times for home visits in urgent cases. We studied the relationship between the patient's waiting time for a home visit and the distance to the GP cooperative. Further, we investigated if other factors (traffic intensity, home visit intensity, time of day, and degree of urgency) influenced waiting times. Cross-sectional study at four GP cooperatives. We used variance analysis to calculate waiting times for various categories of traffic intensity, home visit intensity, time of day, and degree of urgency. We used multiple logistic regression analysis to calculate to what degree these factors affected the ability to meet targets in urgent cases. The average waiting time for 5827 consultations was 30.5 min. Traffic intensity, home visit intensity, time of day and urgency of the complaint all seemed to affect waiting times significantly. A total of 88.7% of all patients were seen within 1 hour. In the case of life-threatening complaints (U1), 68.8% of the patients were seen within 15 min, and 95.6% of those with acute complaints (U2) were seen within 1 hour. For patients with life-threatening complaints (U1) the percentage of visits that met the time target of 15 minutes decreased from 86.5% (less than 2.5 km) to 16.7% (equals or more than 20 km). Although home visits waiting times increase with increasing distance from the GP cooperative, it appears that traffic intensity, home visit intensity, and urgency also influence waiting times. For patients with life-threatening complaints waiting times increase sharply with the distance.

  8. The process of implementation of emergency care units in Brazil.

    Science.gov (United States)

    O'Dwyer, Gisele; Konder, Mariana Teixeira; Reciputti, Luciano Pereira; Lopes, Mônica Guimarães Macau; Agostinho, Danielle Fernandes; Alves, Gabriel Farias

    2017-12-11

    To analyze the process of implementation of emergency care units in Brazil. We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficulties, and state coordination capacity. We have used the theoretical framework of the analysis of the strategic conduct of the Giddens theory of structuration. Emergency care units have been implemented after 2007, initially in the Southeast region, and 446 emergency care units were present in all Brazilian regions in 2016. Currently, 620 emergency care units are under construction, which indicates expectation of expansion. Federal funding was a strong driver for the implementation. The states have planned their emergency care units, but the existence of direct negotiation between municipalities and the Union has contributed with the significant number of emergency care units that have been built but that do not work. In relation to the urgency network, there is tension with the hospital because of the lack of beds in the country, which generates hospitalizations in the emergency care unit. The management of emergency care units is predominantly municipal, and most of the emergency care units are located outside the capitals and classified as Size III. The main challenges identified were: under-funding and difficulty in recruiting physicians. The emergency care unit has the merit of having technological resources and being architecturally differentiated, but it will only succeed within an urgency network. Federal induction has generated contradictory responses, since not all states consider the emergency care unit a priority. The strengthening of the state management has been identified as a challenge for the implementation of the urgency network.

  9. The Romanian legislative framework for protection of terrestrial and freshwater vertebrate tetrapodes potentially affected by activities for exploitation of wind-resources

    Directory of Open Access Journals (Sweden)

    TÖRÖK Zsolt

    2008-10-01

    Full Text Available The Romanian legislation nominates for variosus conservative statuses the following terrestrial or freshwater tetrapode species which should be included in the analyses of teh studies on the potential negative impact of wind-turbines and related infrastructures or activities: 11 species of amphibians, 16 species of reptiles, 273 species of birds and 38 species of mammals that have “strictly protected species” status (according to ActNo. 13 / 1993, which enforces the Bern Convention on conservation of wildlife; 7 species of amphibians, 5 species ofreptiles, 94 species of birds and 31 species of mammals that have “protected species” status (according to the same ActNo. 13 / 1993; 6 species of amphibians, 5 species of reptiles, 54 species of mammals of which protection needs designaton of Special Areas of Conservation (Governmental Urgency Ordinance No. 57 / 2007; 11 species of amphibians, 18 species of reptiles, 48 species of mammals having “Species of Community Interest that need strictprotection” status (Governmental Urgency Ordinance No. 57 / 2007; 6 species of amphibians, 5 species of reptiles, 67 species of birds and 6 species of mammals that have “Species of National Interest that need strict protection” status (Governmental Urgency Ordinance No. 57 / 2007. At least 122 species of birds are nominated among the species of which protection needs designaton of Special Protection Areas (Governmental Urgency Ordinance No. 57 / 2007, 112migratory waterbird species are protected by Act No. 89 / 2000, 20 migratory birds are considered as being treathened on European level (Act no. 13 / 1998 and 267 species have “unfavourable status on European level” (Act no. 13 / 1998. All 30 bat species are protected by Act No. 90 / 2000, and 25 species are also nominated in Act No. 13 / 1993 (that enforces the Bonn Convention on migratory species.

  10. The process of implementation of emergency care units in Brazil

    Directory of Open Access Journals (Sweden)

    Gisele O'Dwyer

    2017-12-01

    Full Text Available ABSTRACT OBJECTIVE To analyze the process of implementation of emergency care units in Brazil. METHODS We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficulties, and state coordination capacity. We have used the theoretical framework of the analysis of the strategic conduct of the Giddens theory of structuration. RESULTS Emergency care units have been implemented after 2007, initially in the Southeast region, and 446 emergency care units were present in all Brazilian regions in 2016. Currently, 620 emergency care units are under construction, which indicates expectation of expansion. Federal funding was a strong driver for the implementation. The states have planned their emergency care units, but the existence of direct negotiation between municipalities and the Union has contributed with the significant number of emergency care units that have been built but that do not work. In relation to the urgency network, there is tension with the hospital because of the lack of beds in the country, which generates hospitalizations in the emergency care unit. The management of emergency care units is predominantly municipal, and most of the emergency care units are located outside the capitals and classified as Size III. The main challenges identified were: under-funding and difficulty in recruiting physicians. CONCLUSIONS The emergency care unit has the merit of having technological resources and being architecturally differentiated, but it will only succeed within an urgency network. Federal induction has generated contradictory responses, since not all states consider the emergency care unit a priority. The strengthening of the state management has been identified as a challenge for the implementation of the

  11. Dose-Effect Relationships for Individual Pelvic Floor Muscles and Anorectal Complaints After Prostate Radiotherapy

    International Nuclear Information System (INIS)

    Smeenk, Robert Jan; Hoffmann, Aswin L.; Hopman, Wim P.M.; Lin, Emile N.J. Th. van; Kaanders, Johannes H.A.M.

    2012-01-01

    Purpose: To delineate the individual pelvic floor muscles considered to be involved in anorectal toxicity and to investigate dose-effect relationships for fecal incontinence-related complaints after prostate radiotherapy (RT). Methods and Materials: In 48 patients treated for localized prostate cancer, the internal anal sphincter (IAS) muscle, the external anal sphincter (EAS) muscle, the puborectalis muscle (PRM), and the levator ani muscles (LAM) in addition to the anal wall (Awall) and rectal wall (Rwall) were retrospectively delineated on planning computed tomography scans. Dose parameters were obtained and compared between patients with and without fecal urgency, incontinence, and frequency. Dose-effect curves were constructed. Finally, the effect of an endorectal balloon, which was applied in 28 patients, was investigated. Results: The total volume of the pelvic floor muscles together was about three times that of the Awall. The PRM was exposed to the highest RT dose, whereas the EAS received the lowest dose. Several anal and rectal dose parameters, as well as doses to all separate pelvic floor muscles, were associated with urgency, while incontinence was associated mainly with doses to the EAS and PRM. Based on the dose-effect curves, the following constraints regarding mean doses could be deduced to reduce the risk of urgency: ≤30 Gy to the IAS; ≤10 Gy to the EAS; ≤50 Gy to the PRM; and ≤40 Gy to the LAM. No dose-effect relationships for frequency were observed. Patients treated with an endorectal balloon reported significantly less urgency and incontinence, while their treatment plans showed significantly lower doses to the Awall, Rwall, and all pelvic floor muscles. Conclusions: Incontinence-related complaints show specific dose-effect relationships to individual pelvic floor muscles. Dose constraints for each muscle can be identified for RT planning. When only the Awall is delineated, substantial components of the continence apparatus are

  12. Dose-effect relationships for individual pelvic floor muscles and anorectal complaints after prostate radiotherapy.

    Science.gov (United States)

    Smeenk, Robert Jan; Hoffmann, Aswin L; Hopman, Wim P M; van Lin, Emile N J Th; Kaanders, Johannes H A M

    2012-06-01

    To delineate the individual pelvic floor muscles considered to be involved in anorectal toxicity and to investigate dose-effect relationships for fecal incontinence-related complaints after prostate radiotherapy (RT). In 48 patients treated for localized prostate cancer, the internal anal sphincter (IAS) muscle, the external anal sphincter (EAS) muscle, the puborectalis muscle (PRM), and the levator ani muscles (LAM) in addition to the anal wall (Awall) and rectal wall (Rwall) were retrospectively delineated on planning computed tomography scans. Dose parameters were obtained and compared between patients with and without fecal urgency, incontinence, and frequency. Dose-effect curves were constructed. Finally, the effect of an endorectal balloon, which was applied in 28 patients, was investigated. The total volume of the pelvic floor muscles together was about three times that of the Awall. The PRM was exposed to the highest RT dose, whereas the EAS received the lowest dose. Several anal and rectal dose parameters, as well as doses to all separate pelvic floor muscles, were associated with urgency, while incontinence was associated mainly with doses to the EAS and PRM. Based on the dose-effect curves, the following constraints regarding mean doses could be deduced to reduce the risk of urgency: ≤ 30 Gy to the IAS; ≤ 10 Gy to the EAS; ≤ 50 Gy to the PRM; and ≤ 40 Gy to the LAM. No dose-effect relationships for frequency were observed. Patients treated with an endorectal balloon reported significantly less urgency and incontinence, while their treatment plans showed significantly lower doses to the Awall, Rwall, and all pelvic floor muscles. Incontinence-related complaints show specific dose-effect relationships to individual pelvic floor muscles. Dose constraints for each muscle can be identified for RT planning. When only the Awall is delineated, substantial components of the continence apparatus are excluded. Copyright © 2012 Elsevier Inc. All rights

  13. Differences in Radiation Dosimetry and Anorectal Function Testing Imply That Anorectal Symptoms May Arise From Different Anatomic Substrates

    International Nuclear Information System (INIS)

    Smeenk, Robert Jan; Hopman, Wim P.M.; Hoffmann, Aswin L.; Lin, Emile N.J.Th. van; Kaanders, Johannes H.A.M.

    2012-01-01

    Purpose: To explore the influence of functional changes and dosimetric parameters on specific incontinence-related anorectal complaints after prostate external beam radiotherapy and to estimate dose–effect relations for the anal wall and rectal wall. Methods and Materials: Sixty patients, irradiated for localized prostate cancer, underwent anorectal manometry and barostat measurements to evaluate anal pressures, rectal capacity, and rectal sensory functions. In addition, 30 untreated men were analyzed as a control group. In 36 irradiated patients, the anal wall and rectal wall were retrospectively delineated on planning computed tomography scans, and dosimetric parameters were retrieved from the treatment plans. Functional and dosimetric parameters were compared between patients with and without complaints, focusing on urgency, incontinence, and frequency. Results: After external beam radiotherapy, reduced anal pressures and tolerated rectal volumes were observed, irrespective of complaints. Patients with urgency and/or incontinence showed significantly lower anal resting pressures (mean 38 and 39 vs. 49 and 50 mm Hg) and lower tolerated rectal pressures (mean 28 and 28 vs. 33 and 34 mm Hg), compared to patients without these complaints. In patients with frequency, almost all rectal parameters were reduced. Several dosimetric parameters to the anal wall and rectal wall were predictive for urgency (e.g., anal D mean >38Gy), whereas some anal wall parameters correlated to incontinence and no dose–effect relation for frequency was found. Conclusions: Anorectal function deteriorates after external beam radiotherapy. Different incontinence-related complaints show specific anorectal dysfunctions, suggesting different anatomic and pathophysiologic substrates: urgency and incontinence seem to originate from both anal wall and rectal wall, whereas frequency seems associated with rectal wall dysfunction. Also, dose–effect relations differed between these complaints

  14. Assessment of Department of Defense Reinvention Laboratories

    National Research Council Canada - National Science Library

    Gosnell, James

    1997-01-01

    .... Key leadership practices instrumental to successfully achieving reinvention goals include creating total commitment and a sense of urgency, communicating a vision, establishing clear goals and plan...

  15. Grounds acquittance from civil liability of the carrier for breach of contract of carriage passengers and baggage

    Directory of Open Access Journals (Sweden)

    Ганна Олександрівна Уразова

    2017-03-01

    Firstly, the concept of «emergency» covered by the concept of «force majeure» because the urgency is one of the signs of the latter. Secondly, when the legislator uses the concept of «emergency», or does not use it, the conditions of release the air carrier from civil liability of are urgency and inevitability of the circumstances. This actually shows the identification of the concept of «emergency» and the concept of «force majeure». Thirdly, the contents of the analyzed concepts form the fact that usually has the same origin. Prevalence of technical challenges faced by carriers themselves is not the factor that indicates the presence or absence of «emergency».

  16. Knowledge Value Added (KVA) Methodology as a Tool for Measuring the Utilization of Knowledge Assets Aboard Marine Corps Installations

    National Research Council Canada - National Science Library

    LaRocca, Scott

    2008-01-01

    .... The compelling urgency to ensure the Corps achieves optimal performance from its limited resources is supported by protracted global commitments, increasing labor and technology costs, and lawmaker...

  17. [Winter surveillance of cold exposure effects on health among the homeless population in the Paris area: data from the Coordinated Health Surveillance of Emergency Department network (Organisation de la surveillance coordonnée des urgences [Oscour(®)])].

    Science.gov (United States)

    Rouquette, A; Mandereau-Bruno, L; Baffert, E; Laaidi, K; Josseran, L; Isnard, H

    2011-12-01

    A program for helping homeless individuals in winter is implemented from November 1(st) to March 31(st) each year in France. Its aim is to prevent morbidity and mortality in this population during cold spells and periods of severe cold. A health surveillance system of the homeless population in the Paris area has been proposed to evaluate the effectiveness of the program and to alert decision-makers if an unusual increase in cold-weather effects is observed. The goal of this study was the creation of an indicator for the proposed surveillance system based on emergency department activity in the Paris area (Oscour(®) Network - Organisation de la surveillance coordonnée des urgences). The winter 2007-2008 computer medical files of 11 emergency departments in the Paris area were examined to confirm diagnosis and ascertain patient-homelessness for each patient visit which was selected from the Oscour(®) database by the patient chief-complaint or diagnosis code referring to hypothermia or frostbites. The proposed indicator is based on the maximization of three criteria: the positive predictive value, the proportion of people identified as being homeless and the number of emergency department visits. A Shewhart control chart was applied to the indicator for the four winters between 2005 and 2009 in the Paris area. Values beyond the statistical threshold would indicate a need for an adjustment to the program strategy. Two hundred and sixteen medical files were analyzed. An indicator was created, "number of emergency department visits of 15 to 69-years-old persons with chief-complaint or diagnosis code referring to hypothermia". It had a positive predictive value estimated near 85 % and identified 61.7 % people as being homeless. In the winter of 2008-2009, the statistical threshold was reached in December during the first cold spell, and again at the beginning of January during a period of severe cold. Our results support the use of this health indicator

  18. Parental Attitudes Toward Advanced Behavior Guidance Techniques Used in Pediatric Dentistry.

    Science.gov (United States)

    Patel, Monica; McTigue, Dennis J; Thikkurissy, Sarat; Fields, Henry W

    2016-01-01

    To re-examine parental attitudes toward advanced behavior management techniques in pediatric dentistry and determine whether cost, urgency, and amount of treatment influence parental preferences. Parents viewed previously validated videotaped clinical vignettes of four advanced behavior guidance techniques: (1) passive immobilization; (2) active immobilization; (3) general anesthesia; and (4) oral sedation. The study was conducted in a children's hospital dental clinic and a suburban private pediatric dentistry office. Parents rated overall acceptance of the techniques, and acceptance under specified conditions using an anchored visual analogue scale. One hundred five parents completed the survey; 55 from the children's hospital and 50 from private practice. Oral sedation was rated as the most acceptable technique, followed by general anesthesia, active immobilization, and passive immobilization. As urgency, convenience, and previous experience increased, parental acceptance of the technique increased. As cost of treatment increased, parental acceptance decreased. Ratings between the children's hospital group and private practice group differed, as did the demographic variables of insurance, income, and race. The hierarchy of parental acceptance of advanced behavior guidance techniques is changing with increasing approval of pharmacological management and decreasing approval of physical management. The health care delivery system, urgency, convenience, previous experience, and cost all influence parental acceptance.

  19. Short-term results of changes in existing and de novo lower urinary tract symptoms after robot-assisted laparoscopic uterosacral ligament suspension and sacrocolpopexy.

    Science.gov (United States)

    Kurdoglu, Mertihan; Unlu, Serdar; Antonetti-Elford, Megan; Kurdoglu, Zehra; Kilic, Gokhan S

    2018-03-06

    This study presents short-term outcomes related to changes in existing and de novo lower urinary tract symptoms (LUTS), pelvic pain, and bowel function following robot-assisted laparoscopic uterosacral ligament suspension (RALUSLS) and sacrocolpopexy (RALSC). Observational data for RALUSLS (n = 23) and RALSC (n = 25) collected between August 2014 and March 2016 from a single institute (The University of Texas Medical Branch) were evaluated retrospectively. Patient characteristics, concomitant procedures, and the occurrence of lower urinary tract, pelvic pain, and bowel symptoms were compared between patients undergoing RALUSLS and RALSC. There was no significant difference in background characteristics between the 2 groups, except for parity, which was high in the RALUSLS group. In the RALUSLS group, patients experienced significant resolution of urinary urgency (P .05), although newly appearing urinary urgency or frequency and stress or urge incontinence were more common after RALSC. Mixed incontinence and pelvic pain improved significantly in patients after RALUSLS or RALSC. In RALUSLS patients, urgency, frequency, and urge incontinence also improved, whereas additional improvement in nocturia and dyspareunia was evident only in RALSC patients. De novo LUTS developing after these procedures, especially after RALSC, necessitate careful patient consultation prior to surgery. © 2018 John Wiley & Sons Australia, Ltd.

  20. A prospective study of the influence of the UPPS model of impulsivity on the co-occurrence of bulimic symptoms and non-suicidal self-injury.

    Science.gov (United States)

    Peterson, Claire M; Fischer, Sarah

    2012-12-01

    Individuals with bulimia nervosa (BN) often report co-morbid symptoms of non suicidal self-injury (NSSI). This study examined the influence of (lack of) perseverance, (lack of) premeditation, sensation seeking, and negative urgency (the tendency to act rashly when experiencing negative affect) on these two behavior patterns. We hypothesized that negative urgency influences vulnerability to multiple maladaptive behavior patterns, thus influencing the co-occurrence of NSSI and BN symptoms. 489 young adult women completed baseline assessments, and 209 completed an eight month follow-up assessment. Structural equation modeling was used to examine the influence of four personality pathways to impulsive behavior simultaneously on both behaviors at baseline, and the incremental predictive utility of traits on both behaviors at eight month follow up. Additionally, we examined the influence of NSSI at baseline on symptoms of BN at follow up, and symptoms of BN at baseline on NSSI at follow up. Negative urgency accounted for significant variance in NSSI and eating pathology. Baseline (lack of) perseverance contributed significantly to binge eating frequency at follow-up, when accounting for baseline symptoms. NSSI at baseline was associated with increased purging at follow-up. Individual differences in impulsivity appear to influence both NSSI and eating pathology. Copyright © 2012 Elsevier Ltd. All rights reserved.

  1. Another Look at Impulsivity: A Meta- Analytic Review Comparing Specific Dispositions to Rash Action in their Relationship to Bulimic Symptoms

    Science.gov (United States)

    Fischer, Sarah; Smith, Gregory T.; Cyders, Melissa A.

    2008-01-01

    Recent advances in personality theory indicate that there are distinct constructs that dispose individuals to rash action and risky behavior, as opposed to one broad trait of impulsivity. Two are emotion based, two represent deficits in conscientiousness, and one is sensation seeking. Previous studies of impulsivity and its relationship to bulimia nervosa have yielded mixed findings. The authors applied this advance in personality theory to the study of bulimia nervosa (BN) to test the hypothesis that the emotion-based disposition of negative urgency (the tendency to act rashly when distressed) relates most strongly to BN symptoms. A meta analysis of 50 articles indicated the following. Negative urgency had by far the largest effect size (weighted r = .38), followed by sensation seeking (weighted r = .16); lack of planning (weighted r = .16) and lack of persistence (weighted r = .08). Methodological moderators of the effect of distinct traits on BN symptoms were the use of scales that precisely measured one construct as opposed to general impulsivity scales that measured several constructs, clinical vs. non-clinical samples, and whether or not the personality scale was translated from its original language or not. Negative urgency appears especially important for BN; more broadly, researchers should consider the role of emotion-based dispositions to rash acts in their risk theories. PMID:18848741

  2. Dysfunctional decision-making in pathological gambling: pattern specificity and the role of impulsivity.

    Science.gov (United States)

    Kräplin, Anja; Dshemuchadse, Maja; Behrendt, Silke; Scherbaum, Stefan; Goschke, Thomas; Bühringer, Gerhard

    2014-03-30

    Dysfunctional decision-making in individuals with pathological gambling (PGs) may result from dominating reward-driven processes, indicated by higher impulsivity. In the current study we examined (1) if PGs show specific decision-making impairments related to dominating reward-driven processes rather than to strategic planning deficits and (2) whether these impairments are related to impulsivity. Nineteen PGs according to DSM-IV and 19 matched control subjects undertook the Cambridge Gambling Task (CGT) to assess decision-making. The delay discounting paradigm (DDP) as well as the UPPS Impulsive Behavior Scale (measuring urgency, premeditation, perseverance and sensation seeking) were administered as multidimensional measures of impulsivity. Results revealed that (1) PGs exhibited higher risk seeking and an immediate reward focus in the CGT and, in contrast, comparable strategic planning to the control group. (2) Decision-making impairments were related to more severe delay discounting and, specifically, to increased urgency and less premeditation. Our findings suggest (1) the necessity to disentangle decision-making components in order to improve etiological models of PGs, and (2) that urgency and premeditation are specifically related to disadvantageous decision-making and should be tackled in intervention strategies focusing on emotion tolerance and control strategies. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  3. A multidimensional approach of impulsivity in adult attention deficit hyperactivity disorder.

    Science.gov (United States)

    Lopez, Régis; Dauvilliers, Yves; Jaussent, Isabelle; Billieux, Joël; Bayard, Sophie

    2015-06-30

    We aimed to compare adult patients with attention deficit hyperactivity disorder (ADHD) and matched controls on four dimensions of impulsivity (urgency, lack of premeditation, lack of perseverance, and sensation seeking) and to examine the association between impulsivity and ADHD symptoms. The study was conducted on 219 participants: 72 adult ADHD patients and 147 aged and gender matched controls. All participants completed questionnaires measuring the various facets of impulsivity (UPPS Impulsive Behavior Scale), ADHD and depressive symptoms severity. Patients were also assessed for ADHD subtypes, mood disorders, and addictive behaviors. ADHD patients exhibited higher urgency, lower premeditation and lower perseverance in comparison to controls. Lack of perseverance showed the strongest association with ADHD (area under curve=0.95). Patients with combined inattentive and hyperactive/impulsive subtypes reported more frequently substance abuse problems and had higher scores on urgency and sensation seeking dimensions of impulsivity than those with predominantly inattentive subtype. We report for the first time a multidimensional evaluation of impulsivity in adult ADHD patients. The UPPS Impulsive Behavior Scale may constitute a useful screening tool for ADHD in adults and may help to further understanding the psychological mechanisms underlying the differences between the ADHD subgroups. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  4. The influence of impulsiveness on binge eating and problem gambling: A prospective study of gender differences in Canadian adults.

    Science.gov (United States)

    Farstad, Sarah M; von Ranson, Kristin M; Hodgins, David C; El-Guebaly, Nady; Casey, David M; Schopflocher, Don P

    2015-09-01

    This study investigated the degree to which facets of impulsiveness predicted future binge eating and problem gambling, 2 theorized forms of behavioral addiction. Participants were 596 women and 406 men from 4 age cohorts randomly recruited from a Canadian province. Participants completed self-report measures of 3 facets of impulsiveness (negative urgency, sensation seeking, lack of persistence), binge-eating frequency, and problem-gambling symptoms. Impulsiveness was assessed at baseline, and assessments of binge eating and problem gambling were followed up after 3 years. Weighted data were analyzed using zero-inflated negative binomial and Poisson regression models. We found evidence of transdiagnostic and disorder-specific predictors of binge eating and problem gambling. Negative urgency emerged as a common predictor of binge eating and problem gambling among women and men. There were disorder-specific personality traits identified among men only: High lack-of-persistence scores predicted binge eating and high sensation-seeking scores predicted problem gambling. Among women, younger age predicted binge eating and older age predicted problem gambling. Thus, there are gender differences in facets of impulsiveness that longitudinally predict binge eating and problem gambling, suggesting that treatments for these behaviors should consider gender-specific personality and demographic traits in addition to the common personality trait of negative urgency. (c) 2015 APA, all rights reserved).

  5. Evaluation du risque d’accident vasculaire cérébral à l’aide de la logique floue.

    OpenAIRE

    BENCHERIF, Farah Nezha

    2015-01-01

    Ce projet s’inscrit dans le cadre d’une stratégie de prévention-santé publique par le suivi et l’évaluation du risque, une approche d’intelligence artificielle basée sur la logique floue a été mise en œuvre ,dans ce cadre une application informatique d’aide au diagnostique baptisée « eRisk » : « evaluation of eRisk » a été réalisée et évaluée à partir de données préexistantes ainsi que l’avis expert du médecin , les résultats encourageants ainsi obtenus sont une ébauche vers la...

  6. Are lower urinary tract symptoms in children associated with urinary symptoms in their mothers?

    Science.gov (United States)

    Sampaio, Ariane S; Fraga, Luis Gustavo A; Salomão, Bruno A; Oliveira, Júlia B; Seixas, Camila L; Veiga, Maria Luiza; Netto, José Murillo B; Barroso, Ubirajara

    2017-06-01

    The association between parents who suffered daytime incontinence as children and children who are incontinence has been reported. However, the association of lower urinary tract (LUT) dysfunction in children and urinary symptoms in mothers has not been studied. To test the hypothesis that the children of mothers with lower urinary tract symptoms (LUTS) are more likely to have urinary symptoms. A cross-sectional multicenter study was conducted in two cities in Brazil. Children/adolescents of 5-17 years of age and their mothers were interviewed. Children with neurological problems, previously detected urinary tract abnormalities or who refused to sign the informed consent or assent form were excluded. The DVSS questionnaire was used to evaluate the presence of LUTS in the children and the ICIQ-OAB questionnaire was used to evaluate their mothers. Constipation in the children was investigated using the ROME III criteria. A total of 827 mother-child pairs were included, with 414 of the children (50.06%) being male. Mean age was 9.1 ± 2.9 years for the children and 35.9 ± 6.5 years for the mothers. Urinary symptoms (occurring at least once or twice a week) were present in 315 children (38.1%), incontinence in 114 (13.8%) and urinary urgency in 141 (17%). Of the mothers, 378 (45.7%) had at least one LUTS, with 103 (12.5%) having incontinence and 153 (18.5%) urgency. According to the DVSS, the overall prevalence of LUT dysfunction was 9.1%. The children's DVSS scores were significantly associated with the mothers' ICIQ-OAB scores (p urinary symptoms were 2.5 times more likely to have a child with LUT dysfunction (95%CI: 1.52-4.17; p factors of the presence of LUT dysfunction in the child. Children of mothers with incontinence and urinary urgency were also more likely to have incontinence and urgency. Mothers with typical symptoms of overactive bladder are more likely to have a child with LUT dysfunction. This correlation is also positive for the isolated symptoms

  7. 76 FR 32993 - Toward Innovative Spectrum-Sharing Technologies: A Technical Workshop on Coordinating Federal...

    Science.gov (United States)

    2011-06-07

    .../WSRD/ . Background: The dramatic rise of radio frequency-based applications has sparked a new sense of urgency among federal users, commercial service providers, equipment developers, and spectrum management...

  8. La construction de l’urgence au travail et ses effets suivant les statuts hiérarchiques : le cas des mécaniciens et des agents de maîtrise dans le secteur aérien Effects of working under pressure for different hierarchical statuses. Example of mechanical vs. control personnel in the airliner business La construcción de la urgencia en el trabajo y sus efectos según las posiciones jerárquicas: el caso de los mecánicos y de los supervisores en el sector aéreo

    Directory of Open Access Journals (Sweden)

    Denis Monneuse

    2012-12-01

    Full Text Available Travailler dans l’urgence est devenu un impératif catégorique pour nombre de salariés. Cet impératif se double d’une injonction paradoxale : il faut que le travail soit « vite fait, bien fait ». Comment la légitimation de l’urgence est-elle construite ? Dans quelle mesure les salariés intériorisent-ils cette logique managériale ? Quelles différences note-t-on suivant leur statut hiérarchique ? Cet article vise à rendre compte d’une enquête menée au sein d’un centre de maintenance d’une compagnie aérienne. Au-delà de l’observation des différentes formes que prend le travail dans l’urgence, ce sont les arrangements différenciés et marqués socialement entre les mécaniciens, d’un côté, et les managers de proximité, de l’autre, que nous analysons. Cela nous a conduit à repérer divers mécanismes de défense utilisés par les salariés ainsi qu’à discuter l’intérêt et les limites d’un dispositif original mis en place par la direction : un « bureau des pleurs managérial ».Working under pressure has become a categorical imperative for many employees, especially since it is generally coupled with the contradictory requirement that a quick job be done well. The question then becomes how time pressure is legitimised; to what extent employees internalise these managerial models; and whether their perceptions change depending on their hierarchical status. The article presents results from a research study carried out in an airline company’s maintenance centre. In addition to its analysis of the different forms of working under pressure, it also looks at how mechanics and their immediate managers adapt to this kind of regime, and whether any such differentiated arrangements vary along social lines. What appears are a number of defence mechanisms developed by employees. The discussion also covers the strengths and weaknesses of an unusual scheme set up by one company, involving a

  9. Introductory remarks: diabetes care in America - "a sense of urgency".

    Science.gov (United States)

    Davidson, Jaime A

    2006-01-01

    To review the status of diabetes care in America and present questions to be addressed in the current consensus conference. Data from recent studies are reviewed, and trends in diabetes care are summarized in an effort to improve interventional strategies and future results. The diabetes epidemic is worsening; more than 20 million Americans have diabetes. Another 42 million Americans have pre-diabetes. Diabetes care in America has deteriorated during the past decade, with fewer patients at target hemoglobin A1c levels. New diabetes-related therapies and technologies are available, but clinicians often fail to intervene early and aggressively to achieve good glycemic control and help avoid complications. Moreover, many patients do not receive education and training in diabetes self-management. Several questions must be addressed in order to develop recommendations for implementing more aggressive treatment strategies in patients with diabetes. Substantial clinical and financial benefits can be gained through better control of diabetes. Finding ways to meet this challenge must be a priority.

  10. Burnout syndrome in nursing professionals from urgency and emergency services

    Directory of Open Access Journals (Sweden)

    Nytale Lindsay Cardoso Portela

    2015-07-01

    Full Text Available Objetivo: Analisar como os estudos científicos descrevem a síndrome de Burnout em profissionais de enfermagem de serviços de urgência e emergência. Métodos: Revisão integrativa de literatura realizada através das bases de dados BDENF, IBECS, LILACS, MEDLINE e SciELO, por meio dos descritores: esgotamento profissional and enfermagem. Das 3087 publicações selecionadas pelos descritores, apenas 11 artigos atenderam os critérios de inclusão e exclusão. Resultados: Dentre os artigos selecionados, 07 tratavam do estresse; 04 falavam da qualidade de vida e lazer; 01 abordava sobre os sintomas somáticos associados ao Burnout e 03 detalhavam sobre a síndrome de Burnout, abordando os fatores preditores e as dimensões sintomatológicas de acordo com o Maslach Burnout Inventory. Conclusão: Esse estudo é importante para que população, profissionais e gestores adquiram conhecimento acerca da síndrome, podendo contribuir para o desenvolvimento de estratégias de enfrentamento, que irão minimizar os riscos de desencadeamento do Burnout. Descritores: Esgotamento profissional, Enfermagem, Síndrome.

  11. Burnout syndrome in nursing professionals from urgency and emergency services

    OpenAIRE

    Portela, Nytale Lindsay Cardoso; Pedrosa, Aliny de Oliveira; Cunha, Juliane Danielly Santos; Monte, Luma Ravena Soares; Gomes, Raimundo Nonato Silva; Lago, Eliana Campêlo

    2015-01-01

    Objetivo: Analisar como os estudos científicos descrevem a síndrome de Burnout em profissionais de enfermagem de serviços de urgência e emergência. Métodos: Revisão integrativa de literatura realizada através das bases de dados BDENF, IBECS, LILACS, MEDLINE e SciELO, por meio dos descritores: esgotamento profissional and enfermagem. Das 3087 publicações selecionadas pelos descritores, apenas 11 artigos atenderam os critérios de inclusão e exclusão. Resultados: Dentre os artigos selecionados, ...

  12. Bill (declared urgency) asserting the national commitment for the environment

    International Nuclear Information System (INIS)

    2009-01-01

    The bill asserting the French national commitment for the environment (also named 'Grenelle 2') is considered as the juridical tool-box of the French environmental policy. It confirms, strengthens, and concretizes the objectives defined by the Grenelle 1 law. The main dispositions of the bill concern the following domains: settlement and urbanism with the improvement of the energy efficiency, energy conservation and life-cycle of buildings; transports with the development of sustainable transportation systems; energy with the creation of regional climate, air and energy schemes with the aim of developing renewable energies (with some restrictions concerning wind power) and reducing CO 2 emissions; biodiversity with the creation of ecological pathways between protected areas for the migration of flora and fauna species; environment and waste management with the reinforcement of measures for the abatement of environmental pollutant effects. Among the numerous dispositions involving more than 20 codes (urbanism, environment, buildings etc..) one concerns the progressive implementation of a 'carbon price' index taking into account the greenhouse gas emission costs during the whole life cycle of a product, another one concerns the monitoring of indoor air quality in public buildings. This document is made of three parts. Part 1 is the exposition of the intentions of each article of the bill, part 2 is the bill itself and part 3 is the impact study of the bill in terms of economical, social and environmental impact. (J.S.)

  13. The Urgency for Peace in Teachings of John Paul II

    Directory of Open Access Journals (Sweden)

    Jerzy Lewandowski

    2014-04-01

    Full Text Available Peace has always been a topic of great importance. Its presence is desired by all nations and societies. It brings the world together in unity. John Paul II considered peace to be an integral part in creation of an independent and healthy society. Papal encyclicals and messages, intended to present the response of the teaching Church to problems that arise from time to time, often dwell on the principles that advocate peace. Since freedom and peace are in many cases a privilege for many nations, the mentioned pope commits himself to speak about the cruelty and evilness of wars and national conflicts. Pope John Paul II denounces intolerance as denial of freedom for many people, and consequently a great threat to peace. The pope teaches that peace has its roots in the family. Yet, in many societies, the family is deprived of the utmost importance that it certainly deserves. Without the adequate means for a decent livelihood, families can experience hardship in committing themselves to promote solidarity and a proper social fabric worthy of human dignity. For John Paul II, a nation’s freedom and peace are safeguarded and promoted through particular attention and a much-devoted effort by strong and healthy families.

  14. Soft Skill: Its Urgency and Development at Islamic Higher Education

    Directory of Open Access Journals (Sweden)

    Ahmad Sabri

    2014-11-01

    Full Text Available The success of a person in a career work is not only determined by his or her technical capability, but also the non-technical skills which is so called ‘soft-skills’.  It is an attitude which is exemplified among the cognitive and values in the interaction with people around. Several identified falures in the community’s life indicate that many Islamic university graduates suffered from lack of ability to build  harmonious relationship with the environment.  Therefore, it is a high time for this institution to consistently instil some types of soft-skills on the parts of the students.  The current study shares the urgent needs for developing students’ soft-skills for Islamic colleges and universities. The paper ends up with several conclusions while promoting some commitments to be held by the faculty development including: the identification of soft-skills that have already existed in the students’ minds and which need to be developed, the exploration of soft skills attributes for the next 5 years based on the inspiration or opinion of the stake holders and alumnaes, the setting of action plan for academic and non-cademic agendas, acting out the planned activities, as well as the sustainable blue-print of valid soft-skills. Copyright © 2014 by Al-Ta'lim All right reserved

  15. Urgency to treat patients with chronic hepatitis C in Asia.

    Science.gov (United States)

    Kao, Jia-Horng; Ahn, Sang Hoon; Chien, Rong-Nan; Cho, Mong; Chuang, Wan-Long; Jeong, Sook-Hyang; Liu, Chen-Hua; Paik, Seung-Woon

    2017-05-01

    Chronic hepatitis C (CHC) infection poses a global healthcare burden, being associated with serious complications if untreated. The prevalence of hepatitis C virus (HCV) infection is highest in areas of Central, South, and East Asia; over 50% of HCV patients worldwide live in the region, where HCV genotypes 1b, 2, 3, and 6 are the most prevalent. Treatment outcomes for chronic hepatitis C vary by ethnicity, and Asian patients achieve higher sustained virologic response rates following interferon (IFN)-based therapy than non-Asians. However, low efficacy, poor safety profile, and subcutaneous administration limit the use of IFN-based therapies. Superior virologic outcomes have been observed with different classes of direct-acting antivirals (DAAs) alone or in combination, and several all-oral DAA regimens are available in Asia. These regimens have shown excellent efficacy and favorable tolerability in clinical trials, yet there is a need for further studies of DAAs in a real world context, particularly in Asia. Furthermore, IFN-free treatment may not be accessible for many patients in the region, and IFN-based regimens remain an option in some countries. There is a need to improve current clinical practices for HCV management in Asia, including effective screening, disease awareness, and prevention programs, and to further understand the cost-effectiveness of IFN-free regimens. The evolution of potent treatments makes HCV eradication a possibility that should be available to all patients. However, access to these therapies in Asian countries has been slow, primarily because of economic barriers that continue to present a hurdle to optimal treatment. © 2016 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

  16. Discriminating evidence accumulation from urgency signals in speeded decision making

    NARCIS (Netherlands)

    Hawkins, G.E.; Wagenmakers, E.-J.; Ratcliff, R.; Brown, S.D.

    2015-01-01

    The dominant theoretical paradigm in explaining decision making throughout both neuroscience and cognitive science is known as “evidence accumulation”—the core idea being that decisions are reached by a gradual accumulation of noisy information. Although this notion has been supported by hundreds of

  17. 47 CFR 80.319 - Radiotelegraph distress call and message transmission procedure.

    Science.gov (United States)

    2010-10-01

    ...) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Distress, Alarm, Urgency and Safety Procedures § 80.319 Radiotelegraph distress call and message...

  18. Religieus erfgoed, belangen en maatschappelijke actoren

    NARCIS (Netherlands)

    Doevendans, C.H.; Groot, de A.; Linskens, B.; Jongmans, Lydia; Linskens, Brigitte; Groot, Arie de

    2008-01-01

    De problematiek van het behoud en (her)gebruik van kerkgebouwen is uiterst actueel en ondervindt toenemende aandacht. Geleidelijk aan ontstaat een 'sense of urgency', zowel binnen als buiten de kerken.

  19. Kosovo: Unfinished Business

    National Research Council Canada - National Science Library

    Lerardi, Heather J

    2005-01-01

    .... Simultaneously, the United Nations Mission in Kosovo (UNMIK), which has provided provisional civil authority since 1999, has not demonstrated adequate resolve to complete its mission with any sense of urgency...

  20. Download this PDF file

    African Journals Online (AJOL)

    the Treatment of Female Stress Urinary Incontinence. - Preliminary Experience ... incontinence and one patient with de-novo urgency/urge incontinence. Complications included ..... tension on the sling are all factors impeding normal voiding.

  1. Influents locaux face à une situation d'urgence: une analyse selon l'hypothèse d'une éruption du volcan Cotopaxi (Equateur

    Directory of Open Access Journals (Sweden)

    1991-01-01

    Full Text Available En raison de leur statut social, leur fonction, leur savoir ou leur personnalité, certains individus exercent, en temps normal, une influence volontaire ou involontaire sur les collectivités locales, à l'échelle du village, du quartier ou de l'entreprise. Lorsqu'un problème grave et inhabituel se présente, ces individus, que les auteurs nomment ici 'influents locaux' (autorités politiques, prêtres, enseignants, médecins, etc., ont un rôle fondamental à jouer vis-à-vis de leur communauté qui ne manque pas de les solliciter pour obtenir des informations sur ce qu'il se passe et sur ce qu'il convient de faire. C'est notamment le cas durant le court laps de temps - jours, et surtout heures, minutes - qui précède une catastrophe naturelle prévisible. Dans ce contexte et, s'appuyant sur une enquête réalisée en 1989, l'article considère le cas des influents locaux des provinces du Pichincha et du Cotopaxi (Equateur, les plus menacées par le volcan Cotopaxi. En dépit de contrastes régionaux et catégoriels notables, peu d'entre eux seraient aptes à affronter une situation d'urgence. Plus grave encore, est l'attitude que ceux-ci sont susceptibles d'adopter en pareille occasion. Sans une préparation préalable spécifique, les influents locaux de la région du Cotopaxi pourraient être à la fois sources d'erreurs et de conflits potentiels lourds de conséquences pour la population si le volcan se manifestait de nouveau. 'INFLUENTES LOCALES' FRENTE A UNA EMERGENCIA: UN ANÁLISIS EN LA HIPÓTESIS DE UNA ERUPCIÓN DEL VOLCÁN COTOPAXI (ECUADOR. Debido a su posición social, su función, su saber o su personalidad, ciertas personas ejercen habitualmente una influencia voluntaria o involuntaria sobre las colectividades locales, a nivel de los pueblos, de los barrios o de las empresas. Cuando ocurre un problema grave e inhabitual, estas personas, que los autores del artículo llaman 'influyentes locales' (autoridades políticas, p

  2. 76 FR 11569 - Hazardous Materials: Enhanced Enforcement Authority Procedures

    Science.gov (United States)

    2011-03-02

    ..., providing the industry a greater sense of the parameters within which agents may exercise this authority... be expanded to include packages consigned for medical use because the urgency of these deliveries is...

  3. Effects of Femtosecond Terawatt Laser Pulses on Materials Similar to Porcine Skin

    National Research Council Canada - National Science Library

    Kumru, Semih S; Noojin, Gary D; Rockwell, Benjamin A

    2004-01-01

    As the laser technology advances and the availability of high power femtosecond pulsed laser systems increase, the urgency to have damage thresholds and ED50 data on these new laser systems becomes...

  4. 47 CFR 80.310 - Watch required by voluntary vessels.

    Science.gov (United States)

    2010-10-01

    ... Section 80.310 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Ship Station Safety...] Distress, Alarm, Urgency and Safety Procedures ...

  5. Bothersome lower urinary symptoms during pregnancy

    African Journals Online (AJOL)

    Administrator

    Results: Storage phase symptoms (nocturia, urgency, daytime frequency and painful bladder) were common ... (hesitancy, straining to pass urine and interrupted stream) were also found. ..... mixed sample and found that more white women.

  6. Developing priority criteria for magnetic resonance imaging: results from the Western Canada Waiting List project

    International Nuclear Information System (INIS)

    Hadorn, D.C.

    2002-01-01

    The Western Canada Waiting List (WCWL) Project is a federally funded partnership of 19 organizations, including medical associations, health authorities, ministries of health and research organizations, that was created to develop tools to assist in assessing the relative urgency and priority of patients on waiting lists. The WCWL panel on magnetic resonance imaging (MRI) was 1 of 5 panels constituted under this project. The panel developed and tested a set of standardized clinical criteria for setting priorities among patients awaiting MRI. The criteria were applied to 407 patients in the 4 western provinces. Regression analysis was used to determine the set of criteria weights that collectively best predicted clinicians' overall ratings of patients' urgency for MRI. Reliability was assessed using clinicians' ratings of 6 hypothetical paper cases. The resulting weighted criteria accounted for about two-fifths of the observed variance in overall urgency ratings (R 2 = 39.9%). The panel then modified the criteria on the basis of regression results and clinical judgment. Most of the revised criteria items showed poor inter-rater reliability, but test-retest reliability (over a 2-month interval) was relatively good. Criteria items requiring probability judgments were a challenge for clinicians. Further development and testing of the tool appears warranted, although considerable question remains concerning the utility of priority criteria for MRI and other diagnostic services. (author)

  7. Impulsivity as a mechanism linking child abuse and neglect with substance use in adolescence and adulthood.

    Science.gov (United States)

    Oshri, Assaf; Kogan, Steve M; Kwon, Josephine A; Wickrama, K A S; Vanderbroek, Lauren; Palmer, Abraham A; MacKillop, James

    2018-05-01

    Emerging developmental perspectives suggest that adverse rearing environments promote neurocognitive adaptations that heighten impulsivity and increase vulnerability to risky behavior. Although studies document links between harsh rearing environments and impulsive behavior on substance use, the developmental hypothesis that impulsivity acts as mechanism linking adverse rearing environments to downstream substance use remains to be investigated. The present study investigated the role of impulsivity in linking child abuse and neglect with adult substance use using data from (a) a longitudinal sample of youth (Study 1, N = 9,421) and (b) a cross-sectional sample of adults (Study 2, N = 1,011). In Study 1, the links between child abuse and neglect and young adult smoking and marijuana use were mediated by increases in adolescent impulsivity. In Study 2, indirect links between child abuse and neglect and substance use were evidenced via delayed reward discounting and impulsivity traits. Among impulsivity subcomponents, robust indirect effects connecting childhood experiences to cigarette use emerged for negative urgency. Negative urgency, positive urgency, and sensation seeking mediated the effect of child abuse and neglect on cannabis and alcohol use. Results suggest that child abuse and neglect increases risk for substance use in part, due to effects on impulsivity. Individuals with adverse childhood experiences may benefit from substance use preventive intervention programs that target impulsive behaviors.

  8. 76 FR 35169 - Validation of Merchant Mariners' Vital Information and Issuance of Coast Guard Merchant Mariner's...

    Science.gov (United States)

    2011-06-16

    ... locations around the nation before publication of the interim rule. Given the urgency at the time, the Coast... rule because new security requirements make sense in today's world. The Coast Guard thanks the...

  9. 77 FR 41937 - Airworthiness Directives; Cessna Aircraft Company Airplanes

    Science.gov (United States)

    2012-07-17

    ... in the current supplied by the cabin altitude logic module. The over-current module senses the spike... for this proposed AD, we considered the degree of urgency associated with the subject unsafe condition...

  10. Residents' numeric inputting error in computerized physician order entry prescription.

    Science.gov (United States)

    Wu, Xue; Wu, Changxu; Zhang, Kan; Wei, Dong

    2016-04-01

    Computerized physician order entry (CPOE) system with embedded clinical decision support (CDS) can significantly reduce certain types of prescription error. However, prescription errors still occur. Various factors such as the numeric inputting methods in human computer interaction (HCI) produce different error rates and types, but has received relatively little attention. This study aimed to examine the effects of numeric inputting methods and urgency levels on numeric inputting errors of prescription, as well as categorize the types of errors. Thirty residents participated in four prescribing tasks in which two factors were manipulated: numeric inputting methods (numeric row in the main keyboard vs. numeric keypad) and urgency levels (urgent situation vs. non-urgent situation). Multiple aspects of participants' prescribing behavior were measured in sober prescribing situations. The results revealed that in urgent situations, participants were prone to make mistakes when using the numeric row in the main keyboard. With control of performance in the sober prescribing situation, the effects of the input methods disappeared, and urgency was found to play a significant role in the generalized linear model. Most errors were either omission or substitution types, but the proportion of transposition and intrusion error types were significantly higher than that of the previous research. Among numbers 3, 8, and 9, which were the less common digits used in prescription, the error rate was higher, which was a great risk to patient safety. Urgency played a more important role in CPOE numeric typing error-making than typing skills and typing habits. It was recommended that inputting with the numeric keypad had lower error rates in urgent situation. An alternative design could consider increasing the sensitivity of the keys with lower frequency of occurrence and decimals. To improve the usability of CPOE, numeric keyboard design and error detection could benefit from spatial

  11. Diarrheal Diseases - Acute and Chronic

    Science.gov (United States)

    ... include abdominal cramps fever, nausea, vomiting, fatigue and urgency. Chronic diarrhea can be accompanied by weight loss, ... bloating, abdominal pain relieved with defecation and a sense of incomplete evacuation. Risk Factors Exposure to infectious ...

  12. 76 FR 30842 - General Services Administration Acquisition Regulation; Rewrite of Part 570; Acquiring Leasehold...

    Science.gov (United States)

    2011-05-27

    ... concur. Execution and delivery in the legal sense are both necessary elements to effectuate the contract... cases of unusual and compelling urgency (FAR 6.303-2), provide as much time as reasonably possible under...

  13. Bladder Retraining

    Science.gov (United States)

    ... Gifts & Estate Planning Donor Stock Transfer Instructions IC Charity in Combined Federal Campaign ICA Resources for Donors ... floor dysfuction. How Long Does It Take to Work? If urinary urgency and frequency are your only ...

  14. Climate change : preliminary observations on geoengineering science, federal efforts, and governance issues : testimony before the Committee on Science and Technology, House of Representatives.

    Science.gov (United States)

    2010-03-18

    Key scientific assessments have underscored the urgency of reducing emissions of carbon dioxide to help mitigate potentially negative effects of climate change; however, many countries with significant greenhouse gas emissions, including the United S...

  15. Tamsulosin

    Science.gov (United States)

    Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or ... emptying), painful urination, and urinary frequency and urgency. Tamsulosin is in a class of medications called alpha ...

  16. Setting priorities for reducing risk and advancing patient safety.

    Science.gov (United States)

    Gaffey, Ann D

    2016-04-01

    We set priorities every day in both our personal and professional lives. Some decisions are easy, while others require much more thought, participation, and resources. The difficult or less appealing priorities may not be popular, may receive push-back, and may be resource intensive. Whether personal or professional, the urgency that accompanies true priorities becomes a driving force. It is that urgency to ensure our patients' safety that brings many of us to work each day. This is not easy work. It requires us to be knowledgeable about the enterprise we are working in and to have the professional skills and competence to facilitate setting the priorities that allow our organizations to minimize risk and maximize value. © 2016 American Society for Healthcare Risk Management of the American Hospital Association.

  17. Articulations between self-care and ecosophy: the teachers’ training issue

    Directory of Open Access Journals (Sweden)

    Isabel Gomes Ayres

    2018-02-01

    Full Text Available In this article, we covered Michel Foucault and Félix Guattari papers in order to try to articulate the “self-care” (Foucault and "Ecosophy" (Guattari philosophical concepts and then, to discuss how these concepts can build up a thought on the teachers’ training, as well as, suggesting a training itself which is called “Ecosophic". Between 1981 and 1982, Foucault spoke about the urgency of rebuilding a “self” ethic as a possible confrontation against dissymmetric power relationships. Later, in 1989, Guattari, also referenced this urgency against a multifaceted crisis that deteriorated in the physical environment, social relations and subjectivities of the entire planet. Foucault and Guattari have developed these criticisms for about three decades and we believe their writings may contribute to place the current spotlight.

  18. Risk factor profile in retinal detachment

    Directory of Open Access Journals (Sweden)

    Azad Raj

    1988-01-01

    Full Text Available 150 cases of retinal detachment comprising 50 patients each of bilateral retinal detachment, unilateral retinal detachment without any retinal lesions in the fellow eve and unilateral retinal detachment with retinal lesions in the fellow eye were studied and the various associated risk factors were statistically analysed. The findings are discussed in relation to their aetiological and prognostic significance in the different types of retinal detachment. Based on these observations certain guidelines are offered which may be of value in decision making, in prophylactic detachment surgery. Tractional breaks in the superior temporal quadrant especially when symptomatic. mandate prophylactic treatment. Urgency is enhanced it′ the patient is aphakic. Associated myopia adds to the urgency. The higher incidence of initial right e′ e involvement in all groups suggests a vascular original possibly ischaemic.

  19. Pandemic Influenza: Domestic Preparedness Efforts

    National Research Council Canada - National Science Library

    Lister, Sarah A

    2005-01-01

    .... Though influenza pandemics occur with some regularity, and the United States has been involved in specific planning efforts since the early 1990s, the H5N1 situation has created a sense of urgency...

  20. Predictive factors from videourodynamic study for delayed urinary continence after laparoscopic radical prostatectomy

    Directory of Open Access Journals (Sweden)

    Kuan-Tang Huang

    2015-03-01

    Conclusion: Preoperative small bladder capacity at FS, large prostate, and BOO are predicting factors of SUI at 6 months after LRP. Baseline DO and BOO did not have an impact on postoperative urgency or UUI.

  1. Professional Education: Key to Transformation

    National Research Council Canada - National Science Library

    Reoyo, Paul

    2002-01-01

    The Army, as an institution must face up to the new challenges of the 21st century and transform professional education with the same urgency and energy it is applying to develop the Objective Force...

  2. Assessment of lower urinary tract function in children before and ...

    African Journals Online (AJOL)

    ; therefore, accurate deter- mination and differentiation between the first desire to void, normal desire to void, strong desire to void, and urgency were not possible. Small capacity, low bladder compliance, has been described after sympathetic ...

  3. Ambulance Services of Lagos State, Nigeria

    African Journals Online (AJOL)

    Nous avons revu le nombre et le type des urgences ... system and make recommendations for further improvement. SUBJECTS ... the majority of the cases that were seen with road traffic accident ... Departments (ED), the control rooms and.

  4. Efficient healthcare logistics with a human touch

    NARCIS (Netherlands)

    van de Vrugt, Noëlle Maria

    2016-01-01

    Despite the long experienced urgency of rapidly increasing healthcare expenditures, there is still a large potential to improve hospitals' logistical efficiency. Operations Research (OR) methodologies may support healthcare professionals in making better decisions concerning planning and capacity

  5. Effects of acute psychological stress on placebo and nocebo responses in a clinically relevant model of visceroception.

    Science.gov (United States)

    Roderigo, Till; Benson, Sven; Schöls, Margarita; Hetkamp, Madeleine; Schedlowski, Manfred; Enck, Paul; Elsenbruch, Sigrid

    2017-08-01

    There is evidence to suggest a role of emotions in placebo and nocebo effects, but whether acute psychological stress changes the magnitude of placebo or nocebo responses has not been tested. In a clinically relevant model of visceroception, we assessed effects of acute psychological stress on changes in urgency and pain in response to positive or negative treatment suggestions. In 120 healthy volunteers, perceived urge-to-defecate and pain in response to individually calibrated rectal distensions were measured with visual analogue scales during a BASELINE. Participants then underwent the Trier Social Stress Test (N = 60) or a simple cognitive task (control, N = 60) and were randomized to positive (placebo), negative (nocebo), or neutral treatment information regarding intravenous administration of saline. The series of distensions was repeated, and changes in visual analogue scales from BASELINE to TEST were compared between groups using analysis of covariance and planned post hoc tests. Treatment information emerged as a main factor (P effects for both urgency and pain. Effects for urgency were modulated by stress (interaction effect: P stressed groups. For pain, effects of stress emerged for nocebo responses, which were only evident in stressed groups (P = 0.009). This is the first experimental study supporting effects of acute psychological stress on placebo and nocebo responses in visceroception. Results call for mechanistic as well as patient studies to assess how psychological stress shapes patients' treatment expectations and thereby affects health outcomes.

  6. [Physiotherapy and neurogenic lower urinary tract dysfunction in multiple sclerosis patients: a randomized controlled trial].

    Science.gov (United States)

    Gaspard, L; Tombal, B; Opsomer, R-J; Castille, Y; Van Pesch, V; Detrembleur, C

    2014-09-01

    This randomized controlled trial compare the efficacy of pelvic floor muscle training vs. transcutaneous posterior tibial nerve stimulation. Inclusion criteria were EDSS scoreurinary tract symptoms. Exclusion criteria were multiple sclerosis relapse during the study, active urinary tract infection and pregnancy. The primary outcome was quality of life (SF-Qualiveen questionnaire). Secondary outcomes included overactive bladder (USP questionnaire) score and frequency of urgency episodes (3-day bladder diary). Sample size was calculated after 18 patients were included. Data analysis was blinded. Each patient received 9 sessions of 30 minutes weekly. Patients were randomized in pelvic floor muscles exercises with biofeedback group (muscle endurance and relaxation) or transcutaneous posterior tibial nerve stimulation group (rectangular alternative biphasic current with low frequency). A total of 31 patients were included. No difference appeared between groups for quality of life, overactive bladder and frequency of urgency episodes (respectively P=0.197, P=0.532 et P=0.788). These parameters were significantly improved in pelvic floor muscle training group (n=16) (respectively P=0.004, P=0.002 et P=0.006) and in transcutaneous posterior tibial nerve stimulation group (n=15) (respectively P=0.001, P=0.001 et P=0.031). Pelvic floor muscle training and transcutaneous posterior tibial nerve stimulation improved in the same way symptoms related to urgency in MS patients with mild disability. 2. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  7. Does impulsivity predict outcome in treatment for binge eating disorder? A multimodal investigation.

    Science.gov (United States)

    Manasse, Stephanie M; Espel, Hallie M; Schumacher, Leah M; Kerrigan, Stephanie G; Zhang, Fengqing; Forman, Evan M; Juarascio, Adrienne S

    2016-10-01

    Multiple dimensions of impulsivity (e.g., affect-driven impulsivity, impulsive inhibition - both general and food-specific, and impulsive decision-making) are associated with binge eating pathology cross-sectionally, yet the literature on whether impulsivity predicts treatment outcome is limited. The present pilot study explored impulsivity-related predictors of 20-week outcome in a small open trial (n = 17) of a novel treatment for binge eating disorder. Overall, dimensions of impulsivity related to emotions (i.e., negative urgency) and food cues emerged as predictors of treatment outcomes (i.e., binge eating frequency and global eating pathology as measured by the Eating Disorders Examination), while more general measures of impulsivity were statistically unrelated to global eating pathology or binge frequency. Specifically, those with higher levels of negative urgency at baseline experienced slower and less pronounced benefit from treatment, and those with higher food-specific impulsivity had more severe global eating pathology at baseline that was consistent at post-treatment and follow-up. These preliminary findings suggest that patients high in negative urgency and with poor response inhibition to food cues may benefit from augmentation of existing treatments to achieve optimal outcomes. Future research will benefit from replication with a larger sample, parsing out the role of different dimensions of impulsivity in treatment outcome for eating disorders, and identifying how treatment can be improved to accommodate higher levels of baseline impulsivity. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Urodynamics in a community-dwelling population of females 80 years or older: which motive? Which diagnosis?

    Directory of Open Access Journals (Sweden)

    Françoise A. Valentini

    2010-04-01

    Full Text Available PURPOSE: To determine why community-dwelling women aged 80 years or over were referred for urodynamic evaluation despite their advanced age and which urodynamic diagnosis was made. MATERIALS AND METHODS: One hundred consecutive females (80-93 years were referred to our urodynamics outpatient clinic for evaluation of lower urinary tract symptoms (LUTS between 2005 and 2008. Clinical evaluation comprised of a previous history of LUTS, previous medical history of neurological disease or dementia, pelvic floor dysfunction or prior pelvic surgery. Exclusion criteria were complete retention and severe dementia involving failure to understand simple instructions. Assessed items were results of uroflows (free flow and intubated flow, cystometry and urethral pressure profilometry, and final urodynamic diagnosis. RESULTS: The main complaint evoked by the patients was incontinence (65.0% of which 61.5% was "complicated" and urgency was reported by 70.0%. Interpretable free flow at arrival was very low (44.0%. Prevalence of detrusor overactivity was high, found in 45 patients of whom 16 had detrusor hyperactivity with impaired detrusor contractility. Detrusor overactivity and urgency were strongly associated (p = 0.004. Twenty-five patients had intrinsic sphincteric deficiency alone and 15 detrusor underactivity. CONCLUSION: In this particular community-dwelling with an elderly female population, urodynamics is easily feasible. Incontinence, mainly "complicated" is the more frequent complaint and urgency the more frequent symptom. Urodynamic diagnosis underlines the high incidence of detrusor overactivity as well as impaired detrusor function.

  9. Correlation between overactive bladder symptom score and neuropsychological parameters in Alzheimer’s disease patients with lower urinary tract symptom

    Science.gov (United States)

    Jung, Ha Bum; Choi, Don Kyoung; Lee, Seong Ho; Cho, Sung Tae; Na, Hae Ri; Park, Moon Ho

    2017-01-01

    ABSTRACT Purpose To examine an association between the overactive bladder symptom score (OABSS) and neuropsychological parameters. Moreover, we investigate the factors that affect each item in the questionnaire. Materials and Methods A total of 376 patients (males: 184; females: 192) with probable Alzheimer’s disease (AD) were recruited. Cognitive testing was conducted using the Mini Mental Status Examination (MMSE), Clinical Dementia Rating (CDR) scale, Global Deterioration Scale (GDS), and Barthel Activities of Daily Living (ADL). Lower urinary tract symptom (LUTS) was assessed using OABSS and voiding diary. Results The prevalence of overactive bladder (OAB) (defined as OABSS ≥3 with an urgency score of ≥2) in patients with AD was 72.6%. Among the OAB subjects, the most common severity of symptom was moderate (72.6%), followed by mild (21.2%), and severe (5.8%). It was found that OABSS had a very high correlation with aging (r=0.75; p<0.001). When compared with neuropsychological parameters, it was found that OABSS was highly correlated with the CDR scores (r=0.446; p<0.001). However, no significant correlation was found between the changes in OABSS scores and those in other neuropsychological parameters. Based on the individual symptom scores, urgency incontinence was highly correlated with the CDR scores (r=0.43; p<0.001). Conclusions OABSS is a useful tool in assessing AD patients with LUTS. There was a consistent positive association between OABSS severity, including urgency incontinence, and CDR scores. PMID:27802001

  10. Dutch guideline for the management of hypertensive crisis -- 2010 revision.

    Science.gov (United States)

    van den Born, B J H; Beutler, J J; Gaillard, C A J M; de Gooijer, A; van den Meiracker, A H; Kroon, A A

    2011-05-01

    Hypertensive crises are divided into hypertensive urgencies and emergencies. Together they form a heterogeneous group of acute hypertensive disorders depending on the presence or type of target organs involved. Despite better treatment options for hypertension, hypertensive crisis and its associated complications remain relatively common. In the Netherlands the number of patients starting renal replacement therapy because of 'malignant hypertension' has increased in the past two decades. In 2003, the first Dutch guideline on hypertensive crisis was released to allow a standardised evidence-based approach for patients presenting with a hypertensive crisis. In this paper we give an overview of the current management of hypertensive crisis and discuss several important changes incorporated in the 2010 revision. These changes include a modification in terminology replacing 'malignant hypertension' with 'hypertensive crisis with retinopathy and reclassification of hypertensive crisis with retinopathy under hypertensive emergencies instead of urgencies. With regard to the treatment of hypertensive emergencies, nicardipine instead of nitroprusside or labetalol is favoured for the management of perioperative hypertension, whereas labetalol has become the drug of choice for the treatment of hypertension associated with pre-eclampsia. For the treatment of hypertensive urgencies, oral administration of nifedipine retard instead of captopril is recommended as first-line therapy. In addition, a section on the management of hypertensive emergencies according to the type of target organ involved has been added. Efforts to increase the awareness and treatment of hypertension in the population at large may lower the incidence of hypertensive crisis and its complications.

  11. Multi-Objective Emergency Material Vehicle Dispatching and Routing under Dynamic Constraints in an Earthquake Disaster Environment

    Directory of Open Access Journals (Sweden)

    Jincheng Jiang

    2017-05-01

    Full Text Available Emergency material vehicle dispatching and routing (EMVDR is an important task in emergency relief after large-scale earthquake disasters. However, EMVDR is subject to dynamic disaster environment, with uncertainty surrounding elements such as the transportation network and relief materials. Accurate and dynamic emergency material dispatching and routing is difficult. This paper proposes an effective and efficient multi-objective multi-dynamic-constraint emergency material vehicle dispatching and routing model. Considering travel time, road capacity, and material supply and demand, the proposed EMVDR model is to deliver emergency materials from multiple emergency material depositories to multiple disaster points while satisfying the objectives of maximizing transport efficiency and minimizing the difference of material urgency degrees among multiple disaster points at any one time. Furthermore, a continuous-time dynamic network flow method is developed to solve this complicated model. The collected data from Ludian earthquake were used to conduct our experiments in the post-quake and the results demonstrate that: (1 the EMVDR model adapts to the dynamic disaster environment very well; (2 considering the difference of material urgency degree, the material loss ratio is −10.7%, but the variance of urgency degree decreases from 2.39 to 0.37; (3 the EMVDR model shows good performance in time and space, which allows for decisions to be made nearly in real time. This paper can provide spatial decision-making support for emergency material relief in large-scale earthquake disasters.

  12. Moral Hazard of Ukraine’s External Debt Increase under Economy Dollarization

    Directory of Open Access Journals (Sweden)

    Zoryana Lutsyshyn

    2012-01-01

    Full Text Available The article provides overview of Ukraine's international debt currency structure, urgency thereof as well as mutual interaction with internal dollarization processes in the country. Determinative analysis of «moral hazard» definition has been conducted.

  13. Biofuels and sustainability in Africa

    CSIR Research Space (South Africa)

    Amigun, B

    2011-10-01

    Full Text Available The combined effects of climate change, the continued volatility of fuel prices, the recent food crisis and global economic turbulence have triggered a sense of urgency among policymakers, industries and development practitioners to find sustainable...

  14. Predicting delay to treatment of urinary incontinence among urban community-dwelling women in China

    Directory of Open Access Journals (Sweden)

    Chen Wu

    2015-03-01

    Conclusion: Women who were older, had lower subjective UI severity, and who reported only stress or urgency UI tended to delay treatment longer; such patients should be targeted for health education and intervention regarding UI in urban communities.

  15. Lean management in het NKI-AVL: processen afslanken om harder te kunnen groeien

    NARCIS (Netherlands)

    van Lent, W.A.M.; Schoo, Hans; van Harten, Willem H.; Benders, Jos; Rouppe van der Voort, Marc

    2009-01-01

    Efficiencyverbetering is een lastig thema in een organisatie waarmee het relatief goed gaat en waar dus geen vanzelfsprekende sense of urgency voor efficiencyverbetering bestaat. Daarom is gekozen voor een verbeteringsstrategie die uitgaat van incrementele verbeteringen. Vanwege de sterk

  16. 48 CFR 511.603 - Procedures.

    Science.gov (United States)

    2010-10-01

    ... symbol from the DoD Master Urgency List and may only do so when GSA is acting as the procuring agent for... follow all the provisions of the Defense Priorities and Allocations System regulation (15 CFR part 700...

  17. Biodefense Research Supporting the DoD: A New Strategic Vision

    National Research Council Canada - National Science Library

    Martinez, Coleen K

    2007-01-01

    .... In the post-September 11, 2001 (9/11) environment, however, the scope of potential threats has increased immeasurably, relative funding for the DoD has decreased, urgency to field solutions has skyrocketed, the FDA has provided a way...

  18. Urgency of increasing the quantity and quality of student creativity program

    Science.gov (United States)

    Sarmini; Prasetya, Ketut; Nadiroh, Ulin

    2018-01-01

    Student creativity is very important to improve the quality and quantity. The purpose of this paper is to identify the quality and quantity of the Student Creativity Program. The method in this research is exploratory study. The subjects taken are the leaders of deans and vice deans at the State University of Surabaya. Data collection techniques used are kusioner. The result of this research is creativity program in student is very important. Not only improve the quality and quantity of creativity, but also affect the image of the institution. It is necessary to have written rules on the regulations on the Student Creativity Program and to take a comprehensive and comprehensive approach, and to organize the budget is the main thing.

  19. Refractory epilepsy in children with brain tumors. The urgency of neurosurgery.

    Science.gov (United States)

    Bernardino, Marília Rosa Abtibol; Funayama, Carolina; Hamad, Ana Paula Andrade; Machado, Hélio; Sakamoto, Américo; Thome, Ursula; Terra, Vera Cristina; Santos, Antonio Carlos Dos

    2016-12-01

    In order to verify indications for surgery, 27 patients with refractory epileptic seizures and brain tumor, aged up to 19 years at the time of surgery, were studied between 1996 and 2013 and followed up for at least one year. The mean interval between the onset of seizures and the diagnosis of the tumor was 3.6 years, and from diagnosis to the surgery, 18 months. The location of the tumor was in the temporal lobe in 16, with ganglioglioma and dysembryoplastic neuroepithelial tumors being the most frequent. Among the patients, 92.5% and 90.4% were seizure-free in the first and fifth year after surgery, respectively. Twelve of 16 children were successful in becoming drug-free, with complete withdrawal by 3.2 years. Surgery proved to be potentially curative and safe in these cases, suggesting that the tumor diagnosis and surgery cannot be postponed.

  20. Refractory epilepsy in children with brain tumors. The urgency of neurosurgery

    OpenAIRE

    Bernardino, Marília Rosa Abtibol; Funayama, Carolina; Hamad, Ana Paula Andrade; Machado, Hélio; Sakamoto, Américo; Thome, Ursula; Terra, Vera Cristina; Santos, Antonio Carlos dos; Serafani, Luciano Nader; Calixto, Nathalia Cunha; Silva, Huria Shalom Monturil de Carvalho

    2016-01-01

    ABSTRACT In order to verify indications for surgery, 27 patients with refractory epileptic seizures and brain tumor, aged up to 19 years at the time of surgery, were studied between 1996 and 2013 and followed up for at least one year. The mean interval between the onset of seizures and the diagnosis of the tumor was 3.6 years, and from diagnosis to the surgery, 18 months. The location of the tumor was in the temporal lobe in 16, with ganglioglioma and dysembryoplastic neuroepithelial tumors b...

  1. The Rothko Chapel Paintings and the Urgency of the Transcendent Experience

    NARCIS (Netherlands)

    Stoker, W.

    2008-01-01

    Since the Romantic period, painters have no longer made use of traditional Christian iconography to express religious transcendence. Taking their cue from Schleiermacher's Reden Über die Religion, painters have sought for new, personal ways to express religious transcendence. One example is Caspar

  2. The fierce urgency of now: a proactive, pervasive content awareness tool

    Energy Technology Data Exchange (ETDEWEB)

    Powell, James E [Los Alamos National Laboratory; Collins, Linn M [Los Alamos National Laboratory; Martinez, Mark L B [Los Alamos National Laboratory

    2009-01-01

    Information awareness is distinct from explicit infonnation seeking, such as searching. We describe an information awareness tool that supports text composition by providing awareness of relevant content and references proactively and non-intrusively. As a user composes text, the tool automatically searches mUltiple sources, retrieves results, and displays links to the results. The tool has been implemented using Web 2.0 and Digital Library 2.0 technologies, and is flexible and highly configurable.

  3. Attachment and physiological reactivity to infant crying in young adulthood: dissociation between experiential and physiological arousal in insecure adoptees.

    Science.gov (United States)

    Schoenmaker, Christie; Huffmeijer, Renske; van IJzendoorn, Marinus H; Bakermans-Kranenburg, Marian J; van den Dries, Linda; Linting, Mariëlle; van der Voort, Anja; Juffer, Femmie

    2015-02-01

    The associations between attachment representations of adopted young adults and their experiential and physiological arousal to infant crying were examined. Attachment representations were assessed with the Attachment Script Assessment (ASA), and the young adults listened to infant cries, during which ratings of cry perception were collected and physiological reactivity was measured. Secure adoptees showed a well-integrated response to infant distress: heart-rate increases and respiratory sinus arrhythmia (RSA) withdrawal were coupled with heightened perception of urgency in these individuals. In insecure adoptees RSA withdrawal was absent, and a combination of lowered perceived urgency and heightened sympathetic arousal was found, reflecting a deactivating style of emotional reactivity. Overall, our findings support the idea that internal working models of attachment explain individual differences in the way attachment-related information is processed. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Juventude e participação social: concepções que orientam ações e políticas para os jovens brasileiros

    Directory of Open Access Journals (Sweden)

    Aldimara Catarina Brito Delabona Boutin

    2016-01-01

    Full Text Available Abstract : From documentary and bibliographic research, the article presents considerations about the concepts of youth advocated by some non-governmental organizations (NGOs that propose to develop actions with young people. From the historical and dialectical materialism and considering the urgency of ref lection on these concepts in the design and strengthening of ideologies that legitimize the capitalist system initially presents a ref lection on the youth issue on the agenda of international organizations and the inf luence thereof on the definition of public policies for youth. Later analyzes the prevailing conceptions in projects of some NGOs who work with youth. In conclusion: the concepts advocated by international organizations are present in the analyzed NGOs and youth participation can raise awareness of the urgency of overcoming capitalism and lead to a process of emancipation.

  5. Diagnostic and therapeutic approach to the hypertensive crisis.

    Science.gov (United States)

    Arbe, Guillermo; Pastor, Irene; Franco, Jonathan

    2018-04-23

    High blood pressure is a problem with elevated prevalence in the world population. The acute forms of presentation are "hypertensive crises," which represent a frequent cause for emergency room and primary care consultations. Hypertensive crises are divided into hypertensive emergencies and hypertensive urgencies, depending on whether or not there is acute damage to the target organ, respectively. Each situation has a different prognosis and treatment. More specifically, hypertensive emergencies are potentially serious and usually require rapid reductions in blood pressure, whereas hypertensive urgencies can be treated as outpatients by reducing blood pressure in hours or days. A significant number of patients who consult medical professionals regarding a hypertensive crisis do not have a prior diagnosis of hypertension; therefore, it is important to periodically monitor blood pressure levels in the community. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  6. Psychological Factors and Alcohol Use in Problematic Mobile Phone Use in the Spanish Population.

    Science.gov (United States)

    De-Sola, José; Talledo, Hernán; Rubio, Gabriel; de Fonseca, Fernando Rodríguez

    2017-01-01

    This research aims to study the existing relationships among the factors of state anxiety, depression, impulsivity, and alcohol consumption regarding problematic mobile phone use, as assessed by the Mobile Phone Problem Use Scale. The study was conducted among 1,126 participants recruited among the general Spanish population, aged 16-65 years, by assessing the predictive value of these variables regarding this problematic use. Initially tobacco use was also considered being subsequently refused because of the low internal consistency of the scale used. In general terms, the results show that this problematic use is mainly related to state anxiety and impulsivity, through the dimensions of Positive and Negative Urgency. Considering its predictive value, multiple regression analysis reveals that state anxiety, positive and negative urgency, and alcohol consumption may predict problematic mobile phone use, ruling out the influence of depression.

  7. Gérer les grandes crises sanitaires, écologiques, politiques et économiques

    CERN Document Server

    Crocq, P L; Vraie, B

    2009-01-01

    Crises internationales, politiques, sociales, financières, économiques, pandémies, catastrophes, attentats, prises d'otages, et, plus couramment, crises dans l'entreprise... Chacune se déroule sous stress pour le dirigeant, les cadres, la population. Comment gérer ce stress et surtout prendre les bonnes décisions ? Trois experts ont mis en commun leur expérience pour élaborer ce manuel pratique des conduites à tenir, depuis l'instauration d'une culture de crise en amont jusqu'au débriefing psychologique de fin de crise. Un livre qui s'adresse à tous ceux qui, responsables de collectivités publiques ou privées, ont ou auront à affronter des situations d'urgence. Un livre clé pour se préparer à affronter l'urgence, l'imprévisible et même l'inimaginable.

  8. Psychological Factors and Alcohol Use in Problematic Mobile Phone Use in the Spanish Population

    Science.gov (United States)

    De-Sola, José; Talledo, Hernán; Rubio, Gabriel; de Fonseca, Fernando Rodríguez

    2017-01-01

    This research aims to study the existing relationships among the factors of state anxiety, depression, impulsivity, and alcohol consumption regarding problematic mobile phone use, as assessed by the Mobile Phone Problem Use Scale. The study was conducted among 1,126 participants recruited among the general Spanish population, aged 16–65 years, by assessing the predictive value of these variables regarding this problematic use. Initially tobacco use was also considered being subsequently refused because of the low internal consistency of the scale used. In general terms, the results show that this problematic use is mainly related to state anxiety and impulsivity, through the dimensions of Positive and Negative Urgency. Considering its predictive value, multiple regression analysis reveals that state anxiety, positive and negative urgency, and alcohol consumption may predict problematic mobile phone use, ruling out the influence of depression. PMID:28217101

  9. Vaginal Atrophy

    Science.gov (United States)

    ... urinary signs and symptoms: Vaginal dryness Vaginal burning Vaginal discharge Genital itching Burning with urination Urgency with urination ... others). Also make an appointment if you have vaginal symptoms, such as unusual ... burning or soreness. Causes Genitourinary syndrome of menopause ( ...

  10. A violência contra a mulher atendida em unidade de urgência: uma contribuição da enfermagem La violencia contra la mujer atendida en unidad de urgencia: una contribuición de la enfermería The violence against woman who is attended in an unit of urgency: a nursing contribution

    Directory of Open Access Journals (Sweden)

    Claudete Ferreira de Souza Monteiro

    2006-08-01

    las mujeres que usaban los servicios médicos de emergencia, pero con elevada taza de subnotificación cuanto el tipo de agresor (89% y causas de la violencia sin registro (80%. CONCLUSIONES: Se concluye que los registros de violencia habían sido mayores en los casos donde las mujeres habían presentado marcas físicas; era expresivo el número de subnotificación de agresores. Finalmente, es conveniente que los profesionales que cuidan de las mujeres víctimas de la violencia doméstica sean entrenados para identificar, acoger y registrar correctamente los casos de violencia.INTRODUCTION: The violence in the present time has behaved as a serious problem of public health, and the urgency services have constituted itself as a door of entrance for attacked women. Therefore, it was objectified, with the present work, to raise the cases of violence against the woman who is attended in a unit of urgency in the year of 2004. METHOD: Quantitative, descriptive, retrospective study, carried through in Teresina (Piauí - Brazil, the Emergency Medical Service of the Getúlio Vargas Hospital, with population sample of 100 cases selected for systematic sampling, having for instrument a form with closed questions. RESULTS: The violence presented high dimension among the using women of the emergency medical services, but with raised tax of under notification about the type of aggressor (89% and causes of the violence without register (80%. CONCLUSIONS: It is concluded that the violence registers had been bigger in the cases where the women had presented physical marks; the number of under notification of aggressors was expressive. Finally, it is convenient that the professionals who take care of to women victims of the domestic violence are trained to correctly identify, receive and register the violence cases.

  11. The long-term concerns post cochlear implantation as experienced ...

    African Journals Online (AJOL)

    quality of life of families with children who have a hearing loss or who are fitted with cochlear implants. .... term going into the work force with a severe disability will he be .... balance between professional caution and urgency of treatment.

  12. The International Biological Programme

    African Journals Online (AJOL)

    1971-11-20

    Nov 20, 1971 ... mined by the beneficial changes which may be brought about in the quality as ... proportion of the human population, thus there is a special urgency to ... a primitive subsistence economy way of life to a completely urbanized ...

  13. FRANCHISING IN CULTURE

    OpenAIRE

    M. Sitnitskiy

    2013-01-01

    The urgency of franchise relations in the sphere of culture in Ukraine is grounded, the author definition of “franchise in culture” as an economic category is proposed and the main advantages and disadvantages of franchising in culture are systematized.

  14. Setting international standards for the management of public health pesticides

    NARCIS (Netherlands)

    Berg, van den H.; Yadav, R.S.; Zaim, M.

    2015-01-01

    Recent developments have highlighted the urgency of sound management of public health pesticides in vector-borne–disease–endemic countries. Major shortcomings are evident in national-level management practices throughout the pesticide life cycle from production to disposal; these shortcomings will

  15. Téléchargez Comment rédiger un exposé de politique

    International Development Research Centre (IDRC) Digital Library (Canada)

    Francine Bouchard

    Utilisez le pouvoir de persuasion. • Répondez à la question suivante : « quelle est pour moi la valeur de ce document ? » • Décrivez l'urgence de la situation. • Parlez de bienfaits et d'avantages. 9 ...

  16. A psychology literature study on modality related issues for multimodal presentation in crisis management

    NARCIS (Netherlands)

    Cao, Y.

    2008-01-01

    The motivation of this psychology literature study is to obtain modality related guidelines for real-time information presentation in crisis management environment. The crisis management task is usually companied by time urgency, risk, uncertainty, and high information density. Decision makers

  17. Accumulation by Conservation

    NARCIS (Netherlands)

    Büscher, Bram; Fletcher, Robert

    2015-01-01

    Following the financial crisis and its aftermath, it is clear that the inherent contradictions of capitalist accumulation have become even more intense and plunged the global economy into unprecedented turmoil and urgency. Governments, business leaders and other elite agents are frantically

  18. Accumulation by Conservation

    NARCIS (Netherlands)

    Büscher, Bram; Fletcher, Robert

    2014-01-01

    Following the financial crisis and its aftermath, it is clear that the inherent contradictions of capitalist accumulation have become even more intense and plunged the global economy into unprecedented turmoil and urgency. Governments, business leaders and other elite agents are frantically

  19. Interstitial Cystitis Association

    Science.gov (United States)

    ... needing to go often) and urgency (feeling a strong need to go). IC can affect anyone. More than 12 million people in the US have IC: Women : 3 to 8 million Men : 1 to 4 million Children : prevalence data are ...

  20. 47 CFR 80.313 - Frequencies for use in distress.

    Science.gov (United States)

    2010-10-01

    ... 80.313 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Distress, Alarm, Urgency and Safety Procedures § 80.313 Frequencies for use in distress. The frequencies specified in the...

  1. Ethical, legal and social aspects of the approach in Sudan

    NARCIS (Netherlands)

    El Sayed, Badria B.; Malcolm, Colin A.; Babiker, Ahmed; Malik, Elfatih M.; El Tayeb, Mohammed A. H.; Saeed, Nageeb S.; Nugud, Abdel Hameed D.; Knols, Bart G. J.

    2009-01-01

    The global malaria situation, especially in Africa, and the problems frequently encountered in chemical control of vectors such as insecticide resistance, emphasize the urgency of research, development and implementation of new vector control technologies that are applicable at regional and local

  2. High effective silica fume alkali activator

    Indian Academy of Sciences (India)

    Unknown

    Abstract. Growing demands on the engineering properties of cement based materials and the urgency to decrease unsuitable ecologic impact of Portland cement manufacturing represent significant motivation for the development of new cement corresponding to these aspects. One category represents prospective alkali.

  3. In the shadow of time : A case study of flexibility behaviors in an inter-organizational project

    NARCIS (Netherlands)

    Ligthart, H.D.; Oerlemans, L.A.G.; Noorderhaven, N.G.

    2016-01-01

    We use a longitudinal examination of the production of a complex vessel to develop theory concerning operational flexibility behaviors within interorganizational projects. We find that operational flexibility behaviors are enabled by trust between project participants and sense of urgency, and by

  4. NHG-standaard 'Incontinentie voor urine bij vrouwen'

    NARCIS (Netherlands)

    Damen-van Beek, Z; Teunissen, D; Dekker, J H; Lagro-Janssen, A L M; Berghmans, L C M; Uijen, J H J M; Mientjes, G H C; Wiersma, Tj

    2016-01-01

    - The Dutch College of General Practitioners' (NHG) practice guideline 'Urinary incontinence in women' provides guidelines for diagnosis and management of stress, urgency and mixed urinary incontinence in adult women.- General practitioners (GPs) should be alert to signals for urinary incontinence

  5. Dutch guideline for the management of hypertensive crisis -- 2010 revision

    NARCIS (Netherlands)

    van den Born, B. J. H.; Beutler, J. J.; Gaillard, C. A. J. M.; de Gooijer, A.; van den Meiracker, A. H.; Kroon, A. A.

    2011-01-01

    Hypertensive crises are divided into hypertensive urgencies and emergencies. Together they form a heterogeneous group of acute hypertensive disorders depending on the presence or type of target organs involved. Despite better treatment options for hypertension, hypertensive crisis and its associated

  6. It extended for come into force the Electric Energy Whole Sale Market regulation and annexes

    International Nuclear Information System (INIS)

    2003-01-01

    It has seen seen the deadline set by the decree no. 86 March 5, 2003 for entry into force of the Regulation of wholesale power market and the desirability to adapt the wording of its provisions and for reasons of urgency.

  7. It extended for come into force the Electric Energy Whole Sale Market regulation and annexes; Prorrogase la entrada en vigencia del Reglamento del Mercado Mayorista de Energia Electrica con sus Anexos

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-06-10

    It has seen seen the deadline set by the decree no. 86 March 5, 2003 for entry into force of the Regulation of wholesale power market and the desirability to adapt the wording of its provisions and for reasons of urgency.

  8. Towards multidisciplinary support tools for innovation tasks

    NARCIS (Netherlands)

    Wits, Wessel Willems; Bakker, H.M.; Chechurin, L.S.

    2012-01-01

    This paper highlights the imperative need for innovation and characterizes a promising support tool to stimulate this process. The importance of innovation for both a global economy and specifically for engineering education is discussed. Additionally, the urgency for multidisciplinary skills for

  9. The cost-effectiveness of solifenacin vs fesoterodine, oxybutynin immediate-release, propiverine, tolterodine extended-release and tolterodine immediate-release in the treatment of patients with overactive bladder in the UK National Health Service.

    Science.gov (United States)

    Cardozo, Linda; Thorpe, Andrew; Warner, Juliet; Sidhu, Manpreet

    2010-08-01

    To assess the cost-effectiveness of solifenacin vs other antimuscarinic strategies commonly used in UK clinical practice, based on the results of a recent published review. Overactive bladder (OAB) syndrome is characterized by symptoms of urgency, frequency, incontinence and nocturia. Pharmacological treatment comprises oral antimuscarinic agents, which are divided into older-generation treatments, including oxybutynin, and new-generation treatments, comprising solifenacin, tolterodine, darifenacin and fesoterodine. The latter have reduced central nervous system penetration and have better selectivity for the M3 subclass of acetylcholine receptors, resulting in improved tolerability. A recent systematic review and meta-analysis of the efficacy and safety of antimuscarinics provided an opportunity for an economic evaluation of these agents using a rigorous assessment of efficacy. A cost-utility analysis was undertaken using a 1-year decision-tree model. Treatment success was defined separately for urgency, frequency and incontinence, with efficacy data taken from the recent review. Treatment persistence rates were taken from the Information Management System database. Utility values for the calculation of quality-adjusted life-years (QALYs) were taken from published sources. The analysis included costs directly associated with treatment for OAB, i.e. antimuscarinic therapy, consultations with general practitioners, and outpatient contacts. Resource use was based on expert opinion. Costs were reported at 2007/2008 prices. Extensive deterministic and probabilistic analyses were conducted to test the robustness of the base-case results. Solifenacin was associated with the highest QALY gains (per 1000 patients) for all three outcomes of interest, i.e. urgency (712.3), frequency (723.1) and incontinence (695.0). Solifenacin was dominant relative to fesoterodine, tolterodine extended-release (ER) and tolterodine immediate-release (IR), and cost-effective relative to

  10. Impact of solifenacin on quality of life, medical care use, work productivity, and health utility in the elderly: an exploratory subgroup analysis.

    Science.gov (United States)

    Zinner, Norman; Noe, Les; Rasouliyan, Lawrence; Marshall, Thomas; Runken, M Christopher; Seifeldin, Raafat

    2009-12-01

    Overactive bladder (OAB) is a common problem among the elderly and a financial burden to society. The prevalence of OAB increases with age and affects > or = 25% of people aged > or = 65 years. The goal of this exploratory subgroup analysis of the VESIcare Efficacy and Research Study US (VERSUS) was to assess changes in health-related quality of life (HRQoL), medical care resource utilization, work and activity impairment, and health utility among elderly patients with OAB who continued to have urgency symptoms with tolterodine and were willing to try solifenacin. This was a 12-week, multicenter, prospective, open-label, noncomparative, flexible-dosing study designed to assess the efficacy and tolerability of solifenacin. Patients who received tolterodine 4 mg/d for > or = 4 weeks but continued to experience urgency symptoms (> or = 3 urgency episodes/24 hours) were enrolled. This exploratory analysis describes results from 2 elderly cohorts (patients 65 to 74 years and > or = 75 years of age). After a washout period of > or = 14 days, patients began treatment with solifenacin 5 mg/d with dosing adjustments allowed at week 4 (to 10 mg/d) and at week 8 (back to 5 mg/d for patients whose dose was increased to 10 mg/d at week 4). Outcomes were assessed using the OAB-q (a questionnaire specific to OAB and HRQoL), the Work Productivity and Activity Impairment-Specific Health Problem index, the Medical Care Use Index, and the Health Utilities Index Mark 2 and Mark 3 (HUI2/3), administered at the prewashout and week-12 visits. The subgroup analysis included 108 patients 65 to 74 years of age and 86 patients > or = 75 years of age. Patients in both age groups experienced significant improvement in HRQoL (P working reported significantly less impairment related to OAB while working during solifenacin treatment than during tolterodine treatment (P work productivity, activity participation, and reduced medical care resource utilization in these elderly subjects with OAB who

  11. Efficacy and safety of solifenacin plus tamsulosin OCAS in men with voiding and storage lower urinary tract symptoms: results from a phase 2, dose-finding study (SATURN).

    Science.gov (United States)

    Van Kerrebroeck, Philip; Haab, François; Angulo, Javier C; Vik, Viktor; Katona, Ferenc; Garcia-Hernandez, Alberto; Klaver, Monique; Traudtner, Klaudia; Oelke, Matthias

    2013-09-01

    Storage symptoms are often undertreated in men with lower urinary tract symptoms (LUTS). To evaluate the combination of an antimuscarinic (solifenacin) with an α-blocker (tamsulosin) versus tamsulosin alone in the treatment of men with LUTS. A double-blind, 12-wk, phase 2 study in 937 men with LUTS (≥ 3 mo, total International Prostate Symptom Score [IPSS] ≥ 13, and maximum urinary flow rate 4.0-15.0 ml/s). Eight treatment groups: tamsulosin oral controlled absorption system (OCAS) 0.4 mg; solifenacin 3, 6, or 9 mg; solifenacin 3, 6 or 9 mg plus tamsulosin OCAS 0.4 mg; or placebo. The primary efficacy end point was change from baseline in total IPSS. Secondary end points included micturition diary and quality-of-life (QoL) parameters. Post hoc subgroup analyses were performed by severity of baseline storage symptoms, with statistical comparisons presented only for tamsulosin OCAS alone versus combination therapy, due to the small sample size of the solifenacin monotherapy and placebo subgroups. Combination therapy was associated with significant improvements in micturition frequency and voided volume versus tamsulosin OCAS alone in the total study population; improvements in total IPSS were not significant. Statistically significant improvements in urgency episodes, micturition frequency, total urgency score, voided volume, IPSS storage subscore, IPSS-QoL index, and Patient Perception of Bladder Condition were observed in a subpopulation of men with two or more urgency episodes per 24h (Patient Perception of Intensity of Urgency Scale grade 3 or 4) and eight or more micturitions per 24h at baseline (storage symptoms subgroup) with combination therapy versus tamsulosin OCAS alone (p ≤ 0.05 for the dose-response slope, all variables). Combination therapy was well tolerated, and adverse events were consistent with the safety profiles of both compounds. Solifenacin plus tamsulosin OCAS did not significantly improve IPSS in the total study population but offered

  12. Public Relations in Contemporary India: Current Demands and Strategy.

    Science.gov (United States)

    Singh, Raveena

    2000-01-01

    Discusses India's new direction and the persistent and insistent demand for public relations. Explains the strategic plan of the professional body in running the gauntlet in this new milieu and the pertinaciousness and urgency of the challenges ahead for public relations. (SC)

  13. High content screening in neurodegenerative diseases

    NARCIS (Netherlands)

    Jain, S.; van Kesteren, R.E.; Heutink, P.

    2012-01-01

    The functional annotation of genomes, construction of molecular networks and novel drug target identification, are important challenges that need to be addressed as a matter of great urgency. Multiple complementary 'omics' approaches have provided clues as to the genetic risk factors and pathogenic

  14. Identification of a coumarin based antihistamine as an anti filoviral entry inhibitor

    Science.gov (United States)

    2017-06-20

    for the prevention and treatment of filovirus infection in humans. The recent 2013-2015 West African Ebola epidemic underscores the urgency to develop...Statement A: Approved for public release; distribution is unlimited. 1. Introduction Filoviruses are single-stranded, negative- sense RNA viruses with

  15. Grassland-cropping rotations: An avenue for agricultural diversification to reconcile high production with environmental quality

    Science.gov (United States)

    A need to increase agricultural production across the world to ensure continued food security appears to be at odds with the urgency to reduce the negative environmental impacts of intensive agriculture. Around the world, intensification has been associated with massive simplification and uniformity...

  16. A complex systems methodology to transition management

    NARCIS (Netherlands)

    Alkemade, F.; Frenken, K.; Hekkert, M.P.; Schwoon, M.

    2009-01-01

    There is a general sense of urgency that major technological transitions are required for sustainable development. Such transitions are best perceived as involving multiple transition steps along a transition path. Due to the path dependent and irreversible nature of innovation in complex

  17. FRANCHISING IN CULTURE

    Directory of Open Access Journals (Sweden)

    M. Sitnitskiy

    2013-03-01

    Full Text Available The urgency of franchise relations in the sphere of culture in Ukraine is grounded, the author definition of “franchise in culture” as an economic category is proposed and the main advantages and disadvantages of franchising in culture are systematized.

  18. A Platform for Simulating Language Evolution

    Science.gov (United States)

    Vogel, Carl; Woods, Justin

    A platform for conducting experiments in the simulation of natural language evolution is presented. The system is paramaterized for independent specification of important features like: number of agents, communication attempt frequency, agent short term memory capacity, communicative urgency, etc. Representative experiments are demonstrated.

  19. Marine Invasive Species Management: Adapting in the Arctic

    DEFF Research Database (Denmark)

    Kaiser, Brooks

    2014-01-01

    The rapid pace of climate change and increased human disturbance of ecosystems in the Arctic is bringing urgency to concern over non-native species introductions and their potential threats to the marine environment and its economic productivity, where before environmental conditions served...

  20. The liberation through art: a view on Indian aesthetics

    Directory of Open Access Journals (Sweden)

    Gisele Cardoso de Lemos

    2015-04-01

    Full Text Available This text reflects on the urgency to develop works that contemplate the Indian art in dialogue with spirituality, in Latin America, through India’s own theoretical sources.Keywords: aesthetics; India; Nāţyaśāstra; mokśa.

  1. Non-surgical interventions for late rectal problems (proctopathy) of radiotherapy in people who have received radiotherapy to the pelvis

    NARCIS (Netherlands)

    van de Wetering, Fleur T.; Verleye, Leen; Andreyev, H. Jervoise N.; Maher, Jane; Vlayen, Joan; Pieters, Bradley R.; van Tienhoven, Geertjan; Scholten, Rob J.P.M.

    2016-01-01

    Background: This is an update of a Cochrane review first published in 2002, and previously updated in 2007. Late radiation rectal problems (proctopathy) include bleeding, pain, faecal urgency, and incontinence and may develop after pelvic radiotherapy treatment for cancer. Objectives: To assess the

  2. Modeling Heterogeneous Fishing Fleet in an Ecosystem Based Management Context

    DEFF Research Database (Denmark)

    Hutniczak, Barbara

    The rapid pace of climate change and increased human disturbance of ecosystems in the Arctic is bringing urgency to concern over non-native species introductions and their potential threats to the marine environment and its economic productivity, where before environmental conditions served...

  3. Poised for growth

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Reid; Cohn, Lisa

    2009-07-01

    Utilities needing to meet Renewable Portfolio Standards (RPS) in 27 US states, federal support for solar energy expected in the near future and the new administration's sense of urgency about combating climate change revive the CSP industry in the US. (orig.)

  4. Urinary incontinence after surgery for pelvic organ prolapse

    NARCIS (Netherlands)

    Lensen, E.J.M.; Withagen, M.I.J.; Kluivers, K.B.; Milani, A.L.; Vierhout, M.E.

    2013-01-01

    AIMS: This study focused on the changes in urinary incontinence (UI) rates pre- and postoperatively and identified risk factors which predict the presence of symptoms of urgency urinary incontinence (UUI) or stress urinary incontinence (SUI) after surgery for pelvic organ prolapse (POP) without

  5. History of Military Psychology at the U. S. Naval Submarine Medical Research Laboratory

    Science.gov (United States)

    1979-10-23

    the first nuclear submarine, were gigantic increases in the environmental demands imposed upon the submarine crewmembers. Some of these changes had to...urgency for an empirical determination of the maximum duration a submarine could remain submerged before debilitative symptoms appeared in significant

  6. Severity, not type, is the main predictor of decreased quality of life in elderly women with urinary incontinence : a population-based study as part of a randomized controlled trial in primary care

    NARCIS (Netherlands)

    Barentsen, J.A.; Visser, Els; Hofstetter, H.; Maris, A.M.; Dekker, J.H.; de Bock, G.H.

    2012-01-01

    Background: Urinary incontinence negatively influences the lives of 25-50% of elderly women, mostly due to feelings of shame and being limited in activities and social interactions. This study explores whether differences exist between types of urinary incontinence (stress, urgency or mixed) and

  7. Obstetric anaesthesia: Is there anything new under the sun? | Dyer ...

    African Journals Online (AJOL)

    Recent years have seen considerable sophistication in the practice of obstetric anaesthesia in the developed world. Important areas include regional anaesthesia in labour, regional anaesthesia for caesarean section (CS), categorization of the urgency of CS, and clearer definition of fetal indications for CS.

  8. Los físicos preparan la nueva "web"

    CERN Multimedia

    Rivera, Alicia

    2001-01-01

    Physicists need to develop in the next five years a system with computing and data transmission capacity several times greater than the Internet. To face this urgency, they are preparing the "Grid", an efficient, easy to use system that links computers (2 pages)

  9. Troubles musculo-squelettiques chez les téléopérateurs des centres d’urgence 911, des contraintes physiques aux contraintes psychosociales Musculoskeletal disorders in 911 emergency call centre agents, from physical constraints to psychosocial constraints Lesiones músculo esqueléticas en tele-operadores de centros de urgencia 911, de las dificultades físicas à las dificultades psico-sociales

    Directory of Open Access Journals (Sweden)

    Georges Toulouse

    2009-11-01

    Full Text Available À la demande de l’Association paritaire pour la santé et sécurité du travail secteur « affaires municipales » du Québec (APSAM, une programmation de recherche thématique a été élaborée dans le but d’intervenir pour réduire la prévalence des troubles musculo-squelettiques et de santé psychologique affectant les téléopérateurs des centres d’urgence 911. Cet article présente une première étude dont l’objectif est de décrire la prévalence et d’identifier les problématiques sous-jacentes à la présence de troubles musculo-squelettiques. La méthodologie adoptée comporte l’administration de questionnaires, la réalisation d’observations et d’entrevues ouvertes dans cinq centres d’urgence 911. Les résultats montrent des taux de prévalence de troubles musculo-squelettiques beaucoup plus élevés que ceux d’un échantillon représentatif de travailleurs et travailleuses québécois. L’analyse des résultats statistiques à la lumière des observations et des entrevues ouvertes a permis de préciser les problématiques sous-jacentes afin de développer un projet d’intervention.At the request of the Association paritaire pour la santé et sécurité du travail secteur “affaires municipales” du Québec (APSAM, joint sector-based occupational health and safety association, municipal affairs, a thematic research program was developed so that action could be taken to reduce the prevalence of musculoskeletal and psychological health disorders affecting 911 emergency call centre agents. This article presents an initial study whose objective was to describe the prevalence of musculoskeletal disorders and to identify their underlying issues. The adopted methodology involved the administration of questionnaires, observations, and open-ended interviews in five 911 emergency call centres. The results show musculoskeletal disorder prevalence rates much higher than those of a representative sample of Qu

  10. Virtually ‘in the heat of the moment’: insula activation in safe sex negotiation among risky men

    Science.gov (United States)

    Xue, Feng; Droutman, Vita; Barkley-Levenson, Emily; Melrose, A James; Miller, Lynn C; Monterosso, John R; Bechara, Antoine; Appleby, Paul R; Christensen, John L; Godoy, Carlos G; Read, Stephen J

    2018-01-01

    Abstract HIV is most prevalent among men who have sex with men (MSM), and although most MSM use condoms consistently during casual sex, some take risks. To better understand the psychology of those risky decisions, we examined neural correlates of playing a virtual sexual ‘hook up’ game in an functional magnetic resonance imaging scanner in MSM who had, in the past 90 days, been sexually risky (N = 76) or safe (N = 31). We found that during potentially risky sexual choices, previously risky MSM had more right insula activity than previously safe MSM. Real-life sexual risk was related to trait positive and negative urgency. Insula activity that differentiated risky and safe MSM was related to trait positive and negative urgency. Future work should further examine if, and to what extent, insula activation during safe sex negotiation drives MSM’s rash risky sexual decision-making. PMID:29149326

  11. Impulsivity as a mediator in the relationship between problem solving and suicidal ideation.

    Science.gov (United States)

    Gonzalez, Vivian M; Neander, Lucía L

    2018-03-15

    This study examined whether three facets of impulsivity previously shown to be associated with suicidal ideation and attempts (negative urgency, lack of premeditation, and lack of perseverance) help to account for the established association between problem solving deficits and suicidal ideation. Emerging adult college student drinkers with a history of at least passive suicidal ideation (N = 387) completed measures of problem solving, impulsivity, and suicidal ideation. A path analysis was conducted to examine the mediating role of impulsivity variables in the association between problem solving (rational problem solving, positive and negative problem orientation, and avoidance style) and suicidal ideation. Direct and indirect associations through impulsivity, particularly negative urgency, were found between problem solving and severity of suicidal ideation. Interventions aimed at teaching problem solving skills, as well as self-efficacy and optimism for solving life problems, may help to reduce impulsivity and suicidal ideation. © 2018 Wiley Periodicals, Inc.

  12. The Theory of Planned Behavior and E-cig Use: Impulsive Personality, E-cig Attitudes, and E-cig Use.

    Science.gov (United States)

    Hershberger, Alexandra; Connors, Miranda; Um, Miji; Cyders, Melissa A

    2018-04-01

    The current paper applied the Theory of Planned Behavior (TPB; Ajzen & Fishbein, 1988) to understand how impulsive personality traits and attitudes concerning e-cig use relate to the likelihood of electronic cigarette (e-cig) use. Seven hundred and fourteen participants (Mean age = 34.04, SD = 10.89, 48.6% female) completed cross-sectional measures of e-cig use attitudes (CEAC) and the Short UPPS-P Impulsive Behavior Scale. A structural path analysis suggested that urgency and deficits in conscientiousness were significantly related to e-cig attitudes (CFI = 0.99, TLI = 0.99, RMSEA = 0.02; urgency: β = 0.32, p = .001; deficits in conscientiousness: β = -0.48, p E-cig attitude scores were significantly higher for e-cig users than non-users, β = 0.85, p e-cig use. Findings provide initial support for a model in which impulsive traits are related to e-cig use through positive e-cig attitudes.

  13. Bidirectional Relations of Impulsive Personality and Alcohol Use Across Three Waves of Data Collection.

    Science.gov (United States)

    Kaiser, Alison J; Davis, Heather A; Milich, Richard; Smith, Gregory T; Charnigo, Richard

    2018-06-11

    To explore the bidirectional relations between alcohol use and three impulsive personality traits, to advance understanding of risk processes. 525 college students (mean age = 18.95 years) recruited in August 2008 and 2009 and followed up annually for three years. Personality and past/current substance use were assessed. T2 sensation seeking mediated the predictive relationship between T1 and T3 alcohol use, and T2 alcohol use mediated the predictive relationship between T1 and T3 sensation seeking. In addition, T2 alcohol problems mediated the predictive relationship between T1 alcohol use and T3 negative urgency. Findings support a bidirectional relationship between sensation seeking and alcohol use, and drinking anticipates drinking problems, which predict increases in negative urgency. For some individuals, there appears to be an ongoing process of increased risk in the form of increases in both drinking and high-risk personality traits.

  14. Alcohol use, depressive symptoms, and impulsivity as risk factors for suicide proneness among college students.

    Science.gov (United States)

    Dvorak, Robert D; Lamis, Dorian A; Malone, Patrick S

    2013-07-01

    Alcohol use, depression, and suicide are significant public health problems, particularly among college students. Impulsivity is associated with all of these factors. Additionally, impulsivity increases the effects of negative mood and alcohol use on maladaptive behavior. The current cross-sectional study examined the association between the four-factor model of impulsivity (urgency, (lack of) perseverance, (lack of) premeditation, and sensation seeking), depressive symptoms, and alcohol use as predictors of suicide proneness among college students. Participants (n=1100) completed online assessments of demographics, impulsivity, depressive symptoms, and suicide proneness. All predictors were positively related to suicide proneness. The relation between depressive symptoms and suicide proneness was moderated by (lack of) perseverance, alcohol use, and joint interactions of urgency×alcohol use and sensation seeking×alcohol use. Despite some paradoxical findings regarding the depressive symptoms-suicide proneness relation when only one risk factor was elevated, the average level of suicide proneness increased as risk factors increased. This cross-sectional self-report data comes from a non-clinical sample of college students from a homogeneous background, limiting generalizability and causal predictions. Overall, these findings indicate that the association between depressive symptoms and suicide proneness varies considerably by different facets of impulsivity and alcohol use. The results suggest that clinical risk-assessments should weigh two forms of impulsivity (urgency and sensation seeking) as particularly vital in the presence of heavy alcohol use. These findings highlight the importance of considering and exploring moderators of the mood-suicide relationship. Copyright © 2013 Elsevier B.V. All rights reserved.

  15. Bladder base/trigone injection is safe and as effective as bladder body injection of onabotulinumtoxinA for idiopathic detrusor overactivity refractory to antimuscarinics.

    Science.gov (United States)

    Kuo, Hann-Chorng

    2011-09-01

    The purpose of this study was to evaluate the efficacy and safety of onabotulinumtoxinA injections at bladder base/trigone and compare with injections at bladder body or bladder body/trigone for the treatment of idiopathic detrusor overactivity (IDO) refractory to antimuscarinics. A single blind, randomized, paralleled, actively controlled trial was performed in patients with urodynamically proven IDO who failed antimuscarinic therapy. Patients were randomly assigned to receive intravesical injections of 100 U of onabotulinumtoxinA into three different bladder sites. All treatments were evaluated by voiding diary variables, urgency severity score, urodynamic studies, and patient perception of bladder condition. Long-term success rates over 12 months were also determined. Among the patients, 37 were randomized to injections in the bladder body, 35 into the bladder body/trigone, and 33 into the bladder base/trigone. Successful results were reported in 76 (72%) patients at 3 months: 26 (70%) in the bladder body group, 26 (74%) in the bladder body/trigone group, and 24 (73%) in the bladder base/trigone group. There were no significant differences in success rates, changes in urgency and urgency incontinence episodes, urodynamic variables, or long-term success rates among the three subgroups. The incidence of adverse events was similar among three groups. No vesicoureteral reflux was noted in all patients with or without involving trigone injection. Intravesical onabotulinumtoxinA injection is an effective treatment for IDO regardless of the bladder injection site. Bladder base/trigone injection is as safe and effective as bladder body injections with or without trigone involvement. Copyright © 2011 Wiley-Liss, Inc.

  16. Impulsivity and Gambling Type Among Treatment-Seeking Disordered Gamblers: An Explorative Study.

    Science.gov (United States)

    Lutri, Vittorio; Soldini, Emiliano; Ronzitti, Silvia; Smith, Neil; Clerici, Massimo; Blaszczynski, Alex; Bowden-Jones, Henrietta

    2018-03-03

    Several studies have found that certain traits of impulsivity are associated with gambling disorder, and influence its severity. Furthermore, it has been suggested that some forms of gambling, particularly electronic gambling machines, are particularly widespread among pathological gamblers. In the present, exploratory study, we aim to clarify the role played by impulsivity in influencing the choice of specific gambling activities, by examining the relation between individual dimensions of impulsivity, and the choice of specific gambling activities in a clinical population. 100 consecutively admitted pathological gamblers at the National Problem Gambling Clinic in London (UK) in 2014 were administered the UPPS-P and BIS-11 impulsivity questionnaires, the Problem Gambling Severity Index, and underwent a structured interview concerning their gambling activities in the month and year prior to assessment. The correlation between individual gambling activities and impulsivity dimensions was analyzed both at a bivariate level, and using logistic regression. We found a significant correlation between Negative Urgency, Motor impulsivity and low-stakes machine gambling on multivariate analysis. Negative urgency (i.e. the tendency to act impulsively in response to negative affect), and Motor impulsivity (a tendency to rash action and restlessness) might be mediating factors in the choice of electronic gambling machines, particularly among patients whose gambling is escape-oriented. Structural and situational characteristics of gambling machines, particularly the widespread availability of low-stakes-rather than high-stakes-gaming machines, might concur to the choice of this form of gambling among individuals who present higher negative urgency and restlessness.

  17. Multimedia system for creation, transmission and consultation of medical examination records

    International Nuclear Information System (INIS)

    Le Rest, C.; Fortineau, J.; Bernier, M.; Guillo, P.; Cavarec, M.

    1997-01-01

    Achieving an urgency examination requires a rapid transmission of the results to the examiner. An efficient method of their communication could be achieved by producing a multimedia record consisting of images, comments and voiced utterances. We have retained for illustration the case of pulmonary scintigraphy in the diagnosis of pulmonary emboli. Following the acquisition the images are transferred to a PC (under Interfile format). These are displayed on the screen in association with anatomic schemes. In order to present all the elements important for interpretation, a series of tools was developed. Thus, to single out the anomalies the editor is provided with arrows to which verbal comments can be associated. Subsequently, he enters up its record. The interpreted examination is transferred to the examiner's PC via an ATM network. The consultant may then investigate the multimedia record by displaying images and comments and listening to the comments and conclusion of the isotope investigator. A prototype is already operational and its evaluation phase is to start. This stage refers to the quality of transmitted information. A quest among examiners will then allow to evaluate whether the examination reading out and the comprehension of the isotope investigators' conclusions are easier. The speed of transmission will be compared with the current routine (based on manuscript records) and its practical impact in case of urgency circumstances will be assessed. The technical facilities utilized by us allow an easy generalization of the approach to other image-based medical examinations performed in case of urgency

  18. Multimedia system for creation, transmission and consultation of medical examination records; Systeme multimedia de creation, transmission and compte-rendu d`examens medicaux

    Energy Technology Data Exchange (ETDEWEB)

    Le Rest, C. [Service de Medecine Nucleaire, CHU 29609 Brest (France); Fortineau, J.; Bernier, M. [SEI IRESTE 44087 Nantes (France); Guillo, P.; Cavarec, M. [Service de Medecine Nucleaire, CHU 29609 Brest (France)

    1997-12-31

    Achieving an urgency examination requires a rapid transmission of the results to the examiner. An efficient method of their communication could be achieved by producing a multimedia record consisting of images, comments and voiced utterances. We have retained for illustration the case of pulmonary scintigraphy in the diagnosis of pulmonary emboli. Following the acquisition the images are transferred to a PC (under Interfile format). These are displayed on the screen in association with anatomic schemes. In order to present all the elements important for interpretation, a series of tools was developed. Thus, to single out the anomalies the editor is provided with arrows to which verbal comments can be associated. Subsequently, he enters up its record. The interpreted examination is transferred to the examiner`s PC via an ATM network. The consultant may then investigate the multimedia record by displaying images and comments and listening to the comments and conclusion of the isotope investigator. A prototype is already operational and its evaluation phase is to start. This stage refers to the quality of transmitted information. A quest among examiners will then allow to evaluate whether the examination reading out and the comprehension of the isotope investigators` conclusions are easier. The speed of transmission will be compared with the current routine (based on manuscript records) and its practical impact in case of urgency circumstances will be assessed. The technical facilities utilized by us allow an easy generalization of the approach to other image-based medical examinations performed in case of urgency

  19. Formation and maintenance of the territorial balance in the conditions of high-rise construction in the city

    Science.gov (United States)

    Kisel, Tatiana

    2018-03-01

    High-rise construction results in the need of planning of infrastructure facilities, taking into account the increase in loading, as high-rise construction allows to place considerably bigger number of residents in the limited territory. For this purpose it is necessary to estimate the required and actual level of providing the population with each particular type of the facilities of social infrastructure. The compliance of required and actual level of providing can be characterized as the territorial balance, while the discrepancy acts as the territorial imbalance. The article is devoted to the development of such instruments of planning of urban development, which will allow to create the qualitative urban environment, founded on the territorial balances. Namely, it is devoted to the calculation of level of providing the population with the facilities of social infrastructure, to the determination of level of the imbalance in absolute and relative units and also to the ranging of imbalances on urgency of their elimination. The size of the imbalance is of great importance for planning and realization of managerial influences from the executive authorities, operating the city development. In order to determine the urgency of realization of actions for the construction of facilities of social infrastructure it is offered to range the imbalances according to their size, having determined the deviation size from balance, which is so insignificant that it does not demand any managerial influences (it can be characterized as balance) and also the groups of the imbalances, differing in urgency of managerial influences, directed to the decrease and elimination of the revealed imbalance.

  20. Descriptors of sensation confirm the multidimensional nature of desire to void.

    Science.gov (United States)

    Das, Rebekah; Buckley, Jonathan D; Williams, Marie T

    2015-02-01

    To collect and categorize descriptors of "desire to void" sensation, determine the reliability of descriptor categories and assess whether descriptor categories discriminate between people with and without symptoms of overactive bladder. This observational, repeated measures study involved 64 Australian volunteers (47 female), aged 50 years or more, with and without symptoms of overactive bladder. Descriptors of desire to void sensation were derived from a structured interview (conducted on two occasions, 1 week apart). Descriptors were recorded verbatim and categorized in a three-stage process. Overactive bladder status was determined by the Overactive Bladder Awareness Tool and the Overactive Bladder Symptom Score. McNemar's test assessed the reliability of descriptors volunteered between two occasions and Partial Least Squares Regression determined whether language categories discriminated according to overactive bladder status. Post hoc Chi squared analysis and relative risk calculation determined the size and direction of overactive bladder prediction. Thirteen language categories (Urgency, Fullness, Pressure, Tickle/tingle, Pain/ache, Heavy, Normal, Intense, Sudden, Annoying, Uncomfortable, Anxiety, and Unique somatic) encapsulated 344 descriptors of sensation. Descriptor categories were stable between two interviews. The categories "Urgency" and "Fullness" predicted overactive bladder status. Participants who volunteered "Urgency" descriptors were twice as likely to have overactive bladder and participants who volunteered "Fullness" descriptors were almost three times as likely not to have overactive bladder. The sensation of desire to void is reliably described over sessions separated by a week, the language used reflects multiple dimensions of sensation, and can predict overactive bladder status. © 2013 Wiley Periodicals, Inc.

  1. Overcoming the Gap between Diversity Recruitment Research and Practice

    Science.gov (United States)

    Bocanegra, Joel O.

    2012-01-01

    The profession of school psychology has repeatedly advocated for increasing the diversity of its membership. However, the production of diversity recruitment research has not coalesced with the urgency espoused by organizations governing school psychology. This gap between official organizational position and production of literature has…

  2. Tsunesaburo Makiguchi and Mikhail Bakhtin in Dialogue: Pedagogy for a Spatial Literacy of Ecological Selfhood

    Science.gov (United States)

    Goulah, Jason

    2009-01-01

    This article considers the philosophies of unknown Japanese educator Tsunesaburo Makiguchi (1871-1944) and his Russian contemporary Mikhail Bakhtin (1895-1975) as an Asian-Pacific pedagogical foundation for addressing the fierce urgency of human-induced environmental destruction and global climate shock. Specifically, the author compares…

  3. Inquiry Teaching in High School Chemistry Classrooms: The Role of Knowledge and Beliefs

    Science.gov (United States)

    Roehrig, Gillian H.; Luft, Julie A.

    2004-01-01

    The call for implementation of inquiry-based teaching in secondary classrooms has taken on a new sense of urgency, hence several instructions models are developed to assists teachers in implementing inquiry in their classrooms. The role of knowledge and beliefs in inquiry teaching are examined.

  4. Role of demonstration projects in innovation: transition to sustainable energy and transport

    DEFF Research Database (Denmark)

    Klitkou, Antje; Coenen, Lars; Andersen, Per Dannemand

    2013-01-01

    from road transport, and climate changes caused by greenhouse gas emissions, all these crises have contributed to a sense of urgency in political statements on the need for transition towards a sustainable society. Politicians have developed different types of instruments to achieve a development...

  5. Fertility preservation in young women with breast cancer

    DEFF Research Database (Denmark)

    Klemp, Jennifer R; Kim, S Samuel; Andersen, Claus Yding

    2012-01-01

    When a young woman is diagnosed with breast cancer, there is often a sense of urgency by the patient and her providers to initiate treatment. This article provides guidelines for incorporating the discussion of fertility preservation with newly diagnosed young women with breast cancer....

  6. Learning from Leisure: Developing Nature Connectedness in Outdoor Education

    Science.gov (United States)

    Cosgriff, Marg

    2011-01-01

    The "greening" of outdoor education has received increasing attention from educators in Aotearoa-New Zealand and internationally. Given contemporary global concerns about the scale of environmental issues and the associated recognition that educating for sustainability is a matter of urgency, the continuing exploration of pedagogies…

  7. Industry's energy specialists find strength in numbers

    Energy Technology Data Exchange (ETDEWEB)

    Bell, K W

    1978-09-08

    While national energy conservation measures have lost the urgency they assumed during the oil crisis, they remain just as valid. Energy managers' groups offer industry a way of achieving significant savings, but they do need support from Government, the energy supply industries and other organisations.

  8. Adoption of irrigation water policies to guarantee water supply: A choice experiment

    NARCIS (Netherlands)

    Alcon, F.; Tapsuwan, S.; Brouwer, R.; de Miguel, M.D.

    2014-01-01

    More efficient and sustainable use of water is increasingly becoming an urgency in drought prone parts of the world. In particular, in water scarce regions such as the Mediterranean, water supply is expected to become more uncertain because of climate change. Consequently, pro-active policy

  9. National security risks? Uncertainty, austerity and other logics of risk in the UK government’s National Security Strategy

    NARCIS (Netherlands)

    Hammerstad, A.; Boas, I.J.C.

    2015-01-01

    Risk scholars within Security Studies have argued that the concept of security has gone through a fundamental transformation away from a threat-based conceptualisation of defence, urgency
    and exceptionality to one of preparedness, precautions and prevention of future risks, some of which are

  10. Non-surgical interventions for late rectal problems (proctopathy) of radiotherapy in people who have received radiotherapy to the pelvis

    NARCIS (Netherlands)

    van de Wetering, Fleur T.; Verleye, Leen; Andreyev, H. Jervoise N.; Maher, Jane; Vlayen, Joan; Pieters, Bradley R.; van Tienhoven, Geertjan; Scholten, Rob J. P. M.

    2016-01-01

    This is an update of a Cochrane review first published in 2002, and previously updated in 2007. Late radiation rectal problems (proctopathy) include bleeding, pain, faecal urgency, and incontinence and may develop after pelvic radiotherapy treatment for cancer. To assess the effectiveness and safety

  11. 25 CFR 171.100 - What are some of the terms I should know for this part?

    Science.gov (United States)

    2010-04-01

    ... number means either your Social Security Number or your Employer Identification Number. Temporarily non...). Urgency means a situation that we have determined may adversely impact our irrigation facilities..., compact, or other legal document, or by specialized engineering studies. Water user (see Customer). We, us...

  12. Customer First? The Relationship between Advisors and Consumers of Financial Products

    NARCIS (Netherlands)

    A. Vlam (Anita)

    2011-01-01

    textabstractCustomer First is an important issue of the recently introduced banking code in the Netherlands. It mainly concerns customer satisfaction and it is aimed at regaining trust of customers. Interestingly, the code does not address the urgency of improving customers’ financial literacy and

  13. An/Aesthetics : A Lecture-Performance

    NARCIS (Netherlands)

    Garcia, Luis-Manuel; LaBelle, Brandon

    2014-01-01

    What is an experience? Seemingly numb due to the overload of information, stimuli, and sensory possibilities that characterize our contemporary world, where experiences are packaged, sold, and consumed, the question of “aesthetics” emerges with ever greater urgency today. What is good and beautiful,

  14. Methods of Labor Economy Increasing in Educational Organization

    Science.gov (United States)

    Dorozhkin, Evgenij M.; Krotov, Yakov E.; Tkacheva, Oksana N.; Kruchkov, Konstantin V.; Korotaev, Ivan S.

    2016-01-01

    The urgency of problem under investigation due to fact that increasing demand of the information technology infrastructure development in current conditions of educational institutions functioning, including formation of the information-educational environment point of view. Offered organizational and economic model of constructing processes for…

  15. PANDAS with Catatonia: A Case Report

    Science.gov (United States)

    Elia, Josephine; Dell, Mary Lynn; Friedman, David F.; Zimmerman, Robert A.; Balamuth, Naomi; Ahmed, Asim A.; Pati, Susmita

    2005-01-01

    This is a report of an 11-year-old, prepubertal boy with acute-onset urinary urgency and frequency, obsessions and compulsions related to urination, severe mood lability, inattention, impulsivity, hyperactivity, and intermittent periods of immobilization. Fever, cough, otitis, and sinusitis preceded neuropsychiatric symptoms. Antistreptolysin O…

  16. WAJM 28(3)FINAL6cd.pmd

    African Journals Online (AJOL)

    daddy

    This was mainly secondary to the road traffic accident (RTA). Malignant neoplasms were the second most common ... (1.9%) had external carotid artery ligation. Eleven patients. (10.4%) received blood transfusion. ... ORL, Otorhinolaryngology; RTA, Road Traffic Accident. RÉSUMÉ. CONTEXTE: Epistaxis est une urgence ...

  17. The Contradictions of High-Stakes Accountability "Success": A Case Study of Focused Leadership and Performance Agency

    Science.gov (United States)

    Black, William R.

    2008-01-01

    This article seeks to advance the discussion of the availability of contemporary notions of school leadership for school leaders working within high-stakes accountability reform environment that produce discourses of urgency and legitimize practices of performance that implicitly favour centralized, neo-Tayloristic managerial approaches. Drawing…

  18. House Price Risk and Sub-District House Price Dynamics : The Case of Amsterdam

    NARCIS (Netherlands)

    Teye, A.L.; de Haan, J.; Elsinga, M.G.

    2016-01-01

    The recent Global Financial Crisis has lent even greater urgency to the need for households to understand the risks and dynamics of the residential property market better. This paper uses a rich dataset on individual residential property transactions between 1995 and 2014 in Amsterdam to study the

  19. Untethered Operations: Rapid Mobility and Forward Basing Are Keys to Airpower’s Success in the Antiaccess/Area-Denial Environment

    Science.gov (United States)

    2015-06-01

    modern airfield damage repair capability is currently targeted for the Pacific theater. Given the urgency of the resurgent Russian threat, additional...DC, where he worked with the US Sen - ate on Air Force priorities and programs. General Spacy is a graduate of Squadron Officer School, Marine Corps

  20. 47 CFR 80.331 - Bridge-to-bridge communication procedure.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Bridge-to-bridge communication procedure. 80..., Alarm, Urgency and Safety Procedures § 80.331 Bridge-to-bridge communication procedure. (a) Vessels subject to the Bridge-to-Bridge Act transmitting on the designated navigational frequency must conduct...

  1. 27 Segmentation par logique floue pour l'estimation du nombre de ...

    African Journals Online (AJOL)

    bagui kossan olivier

    Le diagnostic rapide est par conséquent, une urgence médicale car, le ... Vision Allied Technology, avec un capteur de MT9P031 de Micron / Aptina), avec ..... [4] - O. K. BAGUI, J. T. ZOUEU, C. WÄHLBY, Automatic malaria diagnosis by the ...

  2. More about ... Nuclear medicine

    African Journals Online (AJOL)

    Thyroid scintigraphy. In neonates with hypothyroidism detected on neonatal screening and confirmed by subsequent testing, a radionuclide thyroid scan should be performed as soon as possible. It must be undertaken in all nuclear medicine departments as a matter of urgency. Any delay in treatment should be avoided.

  3. If post-normal science is the solution, what is the problem? The politics of activist environmental science

    NARCIS (Netherlands)

    Wesselink, A.; Hoppe, Robertus

    2011-01-01

    Post-normal science (PNS) is presented by its proponents as a new way of doing science that deals with uncertainties, value diversity or antagonism, and high decision stakes and urgency, with the ultimate goal of remedying the pathologies of the global industrial system for which, according to

  4. A consistent causality-based view on a timed process algebra including urgent interactions

    NARCIS (Netherlands)

    Katoen, Joost P.; Latella, Diego; Langerak, Romanus; Brinksma, Hendrik; Bolognesi, Tommaso

    1998-01-01

    This paper discusses a timed variant of a process algebra akin to LOTOS, baptized UPA, in a causality-based setting. Two timed features are incorporated—a delay function which constrains the occurrence time of atomic actions and an urgency operator that forces (local or synchronized) actions to

  5. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women

    NARCIS (Netherlands)

    Herderschee, Roselien; Hay-Smith, E. Jean C.; Herbison, G. Peter; Roovers, Jan Paul; Heineman, Maas Jan

    2011-01-01

    Pelvic floor muscle training (PFMT) is an effective treatment for stress urinary incontinence in women. Whilst most of the PFMT trials have been done in women with stress urinary incontinence, there is also some trial evidence that PFMT is effective for urgency urinary incontinence and mixed urinary

  6. Motivations for Self-Injury, Affect, and Impulsivity: A Comparison of Individuals with Current Self-Injury to Individuals with a History of Self-Injury

    Science.gov (United States)

    Taylor, Julia; Peterson, Claire M.; Fischer, Sarah

    2012-01-01

    Individuals who report nonsuicidal self-injury (NSSI) are characterized by the tendency to act rashly while experiencing distress (negative urgency), the tendency to act without thinking, and endorsement of both social and affect regulation motives for the behavior. However, very little research has identified characteristics that distinguish…

  7. You're invited - RSVP! : The role of tailoring in incentivising people to delve into their pension situation

    NARCIS (Netherlands)

    Dinkova, M.|info:eu-repo/dai/nl/412424363; Elling, S.K.|info:eu-repo/dai/nl/29688104X; Kalwij, A.S.|info:eu-repo/dai/nl/090663497; Lentz, L.R.|info:eu-repo/dai/nl/074712470

    2018-01-01

    Many people lack motivation to process pension information, as they do not feel the urgency to delve into their pension situation. This attitude may prevent them from taking informed pension decisions. This paper assesses whether offering tailored pension information based on age and gender is a way

  8. Effectors as Tools in Disease Resistance Breeding Against Biotrophic, Hemibiotrophic, and Necrotrophic Plant Pathogens

    NARCIS (Netherlands)

    Vleeshouwers, V.G.A.A.; Oliver, R.P.

    2014-01-01

    One of most important challenges in plant breeding is improving resistance to the plethora of pathogens that threaten our crops. The ever-growing world population, changing pathogen populations, and fungicide resistance issues have increased the urgency of this task. In addition to a vital inflow of

  9. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women: shortened version of a Cochrane systematic review

    NARCIS (Netherlands)

    Herderschee, Roselien; Hay-Smith, E. C. Jean; Herbison, G. Peter; Roovers, Jan Paul; Heineman, Maas Jan

    2013-01-01

    Feedback and biofeedback (BF) are common adjuncts to pelvic floor muscle training (PFMT) for women with stress, urgency, and mixed urinary incontinence (UI). An up to date systematic review of adjunctive feedback or BF was needed to guide practice and further research. To determine whether feedback

  10. 47 CFR 80.333 - Stations in the maritime mobile-satellite service.

    Science.gov (United States)

    2010-10-01

    ... SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Distress, Alarm, Urgency and Safety Procedures § 80.333 Stations in the maritime mobile-satellite service. The... 47 Telecommunication 5 2010-10-01 2010-10-01 false Stations in the maritime mobile-satellite...

  11. 47 CFR 80.301 - Watch requirements.

    Science.gov (United States)

    2010-10-01

    ... Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Coast Station Safety Watches § 80.301 Watch...) Except for distress, urgency or safety messages, coast stations must not transmit on 2182 kHz during the...

  12. Pharmacological intervention in frailty and sarcopenia: report by the International Conference on Frailty and Sarcopenia Research Task Force

    Science.gov (United States)

    Sarcopenia and frailty often co-exist and both have physical function impairment as a core component. Yet despite the urgency of the problem, the development of pharmaceutical therapies for sarcopenia and frailty has lagged, in part because of the lack of consensus definitions for the two conditions...

  13. The Russian ecological exception: systems and actors from 1917 to the present day

    International Nuclear Information System (INIS)

    Moor-Stahl, J.; Allaman, J.

    1999-01-01

    This book describes and analyzes the environmental policies developed in Russia during the 20. century. The tragic accident of Tchernobyl has shown the urgency of developing an ecological policy. Despite its internal socio-economical problems, Russia tries to reconsider his relationship with the natural environment. (J.S.)

  14. Assessment as a Strategic Weapon.

    Science.gov (United States)

    Alfred, Richard L.

    2000-01-01

    Sets forth eight rules for using assessment to allow community colleges to create a distinctive image: create a "brand identity," differentiate the institution from competitors, big picture goals, total institution performance, priority assigned to stakeholders, measuring intangible benefits, continuous customer touch, and urgency for action.…

  15. Regional economic integration in sub-Saharan Africa

    NARCIS (Netherlands)

    Konings, P.J.J.; Meilink, H.A.

    1998-01-01

    The issue of regional integration has acquired a new relevance and urgency in Africa due to wide-reaching national and global changes. African leaders' commitment to regional economic integration was clearly expressed during the June 1991 OAU summit meeting in Abuja, Nigeria. On that occasion, they

  16. Vallor, Shannon. Technology and the Virtues

    DEFF Research Database (Denmark)

    Friis, Jan Kyrre Berg

    2017-01-01

    Technology and the Virtues is the first analysis of emerging technologies and the role of virtue ethics in an attempt to make us understand the urgency of immediate moral transformation. It is written by phenomenologist and philosopher Shannon Vallor, a William J. Rewak Professor at Santa Clara...

  17. Trapped between institutions and politics : The role of politics and social dynamics in institutional performance for flood defense management in Jakarta, Indonesia

    NARCIS (Netherlands)

    Simanjuntak, I.; Frantzeskaki, N.; Enserink, B.; Ravesteijn, W.

    2011-01-01

    Flood defense management in Jakarta is a critical governmental activity given that Jakarta is a low-lying delta metropolis and trade center which relies on its safety for the continuity of the economic activities. Despite the urgency for action flood defense policy implementation was a lengthy and

  18. Sustainable (Re)Construction : The Potential of the Renovation Market

    NARCIS (Netherlands)

    Usanov, A.; Chivot, E.

    2013-01-01

    The Sustainable Urban (Re)Construction Briefing argues that renovation is going to play an increasingly important role in the overall construction market – for several reasons. One of them is the urgency of climate change mitigation. Europe has a large stock of buildings, which together contribute

  19. Danto, history, and the tragedy of human existence

    NARCIS (Netherlands)

    Ankersmit, FR

    2003-01-01

    Philosophy of history is the Cinderella of contemporary philosophy. Philosophers rarely believe that the issues dealt with by philosophers of history are matters of any great theoretical interest or urgency. In their view philosophy of history rarely goes beyond the question of how results that have

  20. Unstable Foundations: Assets Markets, Inflation Targets, and Canada's 2011 Policy Choices

    OpenAIRE

    David Laidler; Robin Banerjee

    2008-01-01

    As a 2011 deadline approaches for reform or renewal of the Bank of Canada's inflation-targeting program, questions arise about how the Bank's responsibilities for ensuring the financial system's stability are exercised under such a regime. The current financial crisis underlines the urgency of these issues.

  1. Emerging profiles for cultured meat; ethics through and as design

    NARCIS (Netherlands)

    Weele, van der C.; Driessen, C.P.G.

    2013-01-01

    The development of cultured meat has gained urgency through the increasing problems associated with meat, but what it might become is still open in many respects. In existing debates, two main moral profiles can be distinguished. Vegetarians and vegans who embrace cultured meat emphasize how it

  2. Bepaling van het locatiespecifieke ecologische risico van bodemverontreiniging: een opzet voor een beoordelingssystematiek

    NARCIS (Netherlands)

    Zwart D de; Rutgers M; Notenboom J; Laboratorium voor

    1999-01-01

    Assessment of site-specific ecological risks of soil contamination can be used for determining the urgency of remediation and remediation goals, for spatial planning of land use at a site, and for developing measures to cope with soil contamination within a soil management system. This report

  3. 47 CFR 80.320 - Radiotelephone distress call and message transmission procedure.

    Science.gov (United States)

    2010-10-01

    ... by its call sign or name, to permit direction-finding stations to determine its position. This... 47 Telecommunication 5 2010-10-01 2010-10-01 false Radiotelephone distress call and message... Procedures Distress, Alarm, Urgency and Safety Procedures § 80.320 Radiotelephone distress call and message...

  4. DESIGN PROBLEMS OF THE BUILDINGS FOUNDATIONS AND STRUCTURES CONSTRUCTED IN DENSE URBAN AREAS

    OpenAIRE

    O. Yu. Prokopov; M. V. Prokopova

    2007-01-01

    The urgency of methodical provision of planning of foundations for buildings erected next to existing ones is сonsidered. It is based on studying the causes of extension of deformations of structures in conditions of dense city building system. Some recommendations providing safety of buildings are given.

  5. Learning through creativity

    NARCIS (Netherlands)

    Kommers, Petrus A.M.

    2013-01-01

    The many efforts to make higher education more effective for to-morrow's economy and society seem to fail as there is an ever-growing urgency to measure its short-term "effectiveness". As the clarity of measuring "objectively" and the need to convince skeptic policy makers dominate didactic

  6. Beyond the School: Exploring a Systemic Approach to School Turnaround. Policy and Practice Brief

    Science.gov (United States)

    Knudson, Joel; Shambaugh, Larisa; O'Day, Jennifer

    2011-01-01

    Educators have long grappled with the challenge presented by chronically underperforming schools. Environments that consistently fail to prepare students for higher levels of education threaten opportunities for high school graduation, postsecondary education, and career success. The U.S. Department of Education reinforced the urgency of reversing…

  7. New directions and challenges for the O ampersand M committee

    International Nuclear Information System (INIS)

    Pelletier, J.P.

    1996-01-01

    In the second half of the decade of the nineties, the imperative of finding new ways to improve efficiency while maintaining safety is taking on a new urgency. The looming deregulation of the electric industry and the expected competition in the power production business fuels this urgency. The recently completed ASME research in the area of Risk-Based Inservice Testing offers the Operations and Maintenance (O ampersand M) Committee an opportunity to meet this challenge. This opportunity, however, offers its own challenges. New ways of thinking about inservice testing and new technical skills will be needed to successfully incorporate this technology into Code documents. It will not be adequate to rely solely on incorporation of risk-based methods into the Code to meet this challenge. A thorough self assessment of what O ampersand M does, how it is done, and the value added will help assure that the directions which are pursued do, indeed, meet the challenge ahead

  8. Prevalence and risk factors of urinary incontinence in Chinese women: a population-based study.

    Science.gov (United States)

    Ge, Jing; Yang, Peng; Zhang, Yi; Li, Xinyu; Wang, Quanyi; Lu, Yongxian

    2015-03-01

    To estimate the current prevalence rate of urinary incontinence (UI) and to identify risk factors in Chinese women, we conducted a population-based survey in 3058 women in Beijing, China, in 2009. The prevalence rate of UI was estimated to be 22.1%, with stress UI (12.9%) being more prevalent than urgency UI (1.7%) and mixed UI (7.5%). The prevalence rates of UI, urgency UI, and mixed UI increased with age, with the highest recorded in participants aged ≥70 years. However, stress UI was most commonly seen in participants aged 50 to 69 years. Risk factors for UI included aging, lower education background, older age of menarche, menstrual disorder, pregnancy history, episiotomy, chronic pelvic pain, gynecological disease, other chronic diseases, constipation, fecal incontinence, lower daily water intake, and frequency of high protein intake. UI is a common disorder in Chinese women, and many risk factors are able to affect the development of UI. © 2011 APJPH.

  9. Individual differences in the relationship between ovarian hormones and emotional eating across the menstrual cycle: a role for personality?

    Science.gov (United States)

    Racine, Sarah E; Keel, Pamela K; Burt, S Alexandra; Sisk, Cheryl L; Neale, Michael; Boker, Steven; Klump, Kelly L

    2013-04-01

    Within-person changes in estradiol and progesterone predict changes in binge eating tendencies across the menstrual cycle. However, all women have menstrual-cycle fluctuations in hormones, but few experience binge eating. Personality traits may be critical individual difference factors that influence who will engage in emotional eating in the presence of a vulnerable hormonal environment. Women (N=239) provided self-reports of emotional eating and saliva samples for hormone measurement for 45 consecutive days. Negative urgency and negative emotionality were measured once and were examined as moderators of hormone-emotional eating associations. Consistent with prior research, within-person changes in the interaction between estradiol and progesterone predicted emotional eating. Neither negative urgency nor negative emotionality interacted with changes in estradiol and progesterone to predict changes in emotional eating. Additional factors, other than the two personality traits examined, may account for individual differences in within-person associations between hormones and emotional eating. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Virtually 'in the heat of the moment': insula activation in safe sex negotiation among risky men.

    Science.gov (United States)

    Smith, Benjamin J; Xue, Feng; Droutman, Vita; Barkley-Levenson, Emily; Melrose, A James; Miller, Lynn C; Monterosso, John R; Bechara, Antoine; Appleby, Paul R; Christensen, John L; Godoy, Carlos G; Read, Stephen J

    2018-01-01

    HIV is most prevalent among men who have sex with men (MSM), and although most MSM use condoms consistently during casual sex, some take risks. To better understand the psychology of those risky decisions, we examined neural correlates of playing a virtual sexual 'hook up' game in an functional magnetic resonance imaging scanner in MSM who had, in the past 90 days, been sexually risky (N = 76) or safe (N = 31). We found that during potentially risky sexual choices, previously risky MSM had more right insula activity than previously safe MSM. Real-life sexual risk was related to trait positive and negative urgency. Insula activity that differentiated risky and safe MSM was related to trait positive and negative urgency. Future work should further examine if, and to what extent, insula activation during safe sex negotiation drives MSM's rash risky sexual decision-making. © The Author (2017). Published by Oxford University Press.

  11. New directions and challenges for the O&M committee

    Energy Technology Data Exchange (ETDEWEB)

    Pelletier, J.P.

    1996-12-01

    In the second half of the decade of the nineties, the imperative of finding new ways to improve efficiency while maintaining safety is taking on a new urgency. The looming deregulation of the electric industry and the expected competition in the power production business fuels this urgency. The recently completed ASME research in the area of Risk-Based Inservice Testing offers the Operations and Maintenance (O&M) Committee an opportunity to meet this challenge. This opportunity, however, offers its own challenges. New ways of thinking about inservice testing and new technical skills will be needed to successfully incorporate this technology into Code documents. It will not be adequate to rely solely on incorporation of risk-based methods into the Code to meet this challenge. A thorough self assessment of what O&M does, how it is done, and the value added will help assure that the directions which are pursued do, indeed, meet the challenge ahead.

  12. Information from the MEDICAL SERVICE

    CERN Document Server

    HR Department

    2008-01-01

    (The English version will be available next week). L’infirmerie du CERN (bâtiment 57-Rdc) est ouverte de 8h00 à 17h30, tous les jours ouvrables. La période de 12h30 à 13h30 est réservée uniquement aux urgences, afin de respecter un moment de pause pour les infirmières. Le service médical délivre des soins de premier secours et ne peut en aucun cas se substituer au médecin traitant. Une liste de médecins, dentistes et d’autres professionnels de santé du pays de Gex et de Meyrin est disponible sur la page web du service médical et mise à jour régulièrement : http://sc-me.web.cern.ch/sc-me/ En cas d’urgence sur le site du CERN, appeler en priorité le 74444.

  13. Predicting impulsive self-injurious behavior in a sample of adult women.

    Science.gov (United States)

    Black, Emma B; Mildred, Helen

    2013-01-01

    Different types of self-injury have been classified as reflecting impulsive and compulsive characteristics (article by Simeon and Favazza [Self-injurious Behaviors: Assessment and Treatment {pp 1-28}. Washington, DC: American Psychiatric Publishing, Inc, 2001]). The current research used a prospective design to evaluate whether there is a progression between these different types of self-injurious behaviors (SIB) over time. Support was found for a progression from compulsive SIB (including hair pulling, nail-biting, skin picking, scratching, and preventing wounds from healing) to impulsive SIB (including cutting, burning, carving, pin sticking, and punching) in a group of adult women (N = 106). Other factors hypothesized to be linked to this outcome were disordered eating, age, and personality facets of impulsivity (specifically, urgency and lack of perseverance). Of these variables, only urgency positively predicted impulsive SIB at the study's conclusion. These findings are discussed, limitations of the study are noted, and directions for future research are outlined.

  14. Fahr Syndrome Unknown Complication: Overactive Bladder

    Directory of Open Access Journals (Sweden)

    Devrim Tuglu

    2014-01-01

    Full Text Available A 38-year-old male patient was admitted to our outpatient department because of frequency and urgency incontinence. During evaluation it was detected that the patient was suffering from frequency which was progressive for one year, feeling of incontinence, and urgency incontinence. There was no urologic pathology detected in patient’s medical and family history. Neurologic consultation was requested due to his history of boredom, reluctance to do business, balance disorders, and recession for about 3 years. Brain computerized tomography (CT scan revealed that amorphous calcifications were detected in the bilaterally centrum semiovale, basal ganglia, capsula interna, thalami, mesencephalon, pons and bulbus, and the bilateral cerebellar hemispheres. We have detected spontaneous neurogenic detrusor overactivity without sphincter dyssynergia after evaluating the voiding diary, cystometry, and pressure flow study. We consider the detrusor overactivity which occurred one year after the start of the neurological symptoms as the suprapontine inhibition and damage in the axonal pathways in the Fahr syndrome.

  15. INTERFERON BETA-1A TREATMENT IN HTLV-1-ASSOCIATED MYELOPATHY/TROPICAL SPASTIC PARAPARESIS: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Graça Maria de Castro Viana

    2014-09-01

    Full Text Available Here a young patient (< 21 years of age with a history of infective dermatitis is described. The patient was diagnosed with myelopathy associated with HTLV-1/tropical spastic paraparesis and treated with interferon beta-1a. The disease was clinically established as HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP, and laboratory tests confirmed the presence of antibodies to HTLV-1 in the cerebrospinal fluid (CSF. Mumps, cytomegalovirus, Epstein-Barr virus, schistosomiasis, herpes virus 1 and 2, rubella, measles, varicella-zoster toxoplasmosis, hepatitis, HIV, and syphilis were excluded by serology. The patient was diagnosed with neurogenic bladder and presented with nocturia, urinary urgency, paresthesia of the lower left limb, a marked reduction of muscle strength in the lower limbs, and a slight reduction in upper limb strength. During the fourth week of treatment with interferon beta-1a, urinary urgency and paresthesia disappeared and clinical motor skills improved.

  16. Prevalence of burnout syndrome among nurses in urgency and emergency hospital system

    Directory of Open Access Journals (Sweden)

    Maria de Oliveira Ferreira Filha

    2014-12-01

    Full Text Available Objetivo: investigar a prevalência de Burnout entre enfermeiros de hospitais de urgência e emergência no Estado da Paraíba. Método: trata-se de uma pesquisa descritiva, transversal, quantitativa realizada em seis hospitais especializados no atendimento às urgências e emergências no estado. A amostra foi constituída por 110 enfermeiros. Utilizou-se como instrumento o Maslach Burnout Inventory. Os dados foram analisados com o auxílio do SPSS-Statistical Package for the Social Sciences na versão 18.0. Resultados: os resultados apontaram 65,3% de jovens (20 – 30 anos, 54,5% em situação de múltiplo emprego, 49,1% com carga horaria semanal de trabalho de 20 a 44 horas, 82,7% com prevalência de Burnout, sendo 59,1% em nível moderado e 23,6% em nível grave. Conclusão: conclui-se que os enfermeiros apresentaram expressivo nível de adoecimento em virtude do contato diuturno com elementos estressores do trabalho.

  17. Développer la médecine d'urgence en Éthiopie | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    18 sept. 2014 ... Depuis 2010, l'Université d'Addis-Abeba et l'Université de Toronto s'emploient ensemble à répondre aux besoins du pays en matière de formation et de recherche par l'intermédiaire de la Toronto-Addis Ababa Academic Collaboration in Emergency Medicine (TAAAC‑EM). De 2012 à 2014, le CRDI a ...

  18. Adaptation, interaction and urgency : a complex evolutionary economic geography approach to leisure

    NARCIS (Netherlands)

    Meekes, Jasper F.; Buda, Dorina M.; de Roo, Gert

    2017-01-01

    Local and regional governments in western European peripheral areas aim to spur leisure-led regional development. We explore planning for leisure by applying an evolutionary economic geography (EEG) approach from a complexity perspective. We identify conditions which enable and constrain leisure

  19. Le cromlech Hegieder 7 (compte-rendu de fouille de sauvetage d'urgence.

    Directory of Open Access Journals (Sweden)

    Jacques Blot

    1994-01-01

    Full Text Available Este círculo de piedras, de 5 metros de diámetro, a 820 m. de altitud, estaba formado por bloques de pudinga, de diferentes tamaños, dispuesto sin orden visible. En el centro, un montón irregular de piedras recubría unos pedazos de carbón de leña, pero como siempre, no había huesos calcinados. Este monumento, datado de la Edad del Bronce Final confirma la aparición en este momento en el País Vasco, de la incineración en este tipo de estructura. Sin embargo, se notará lo descuidado de su arquitectura, en comparación con sus contemporáneos.

  20. Prevalence of burnout syndrome among nurses in urgency and emergency hospital system

    OpenAIRE

    Dantas, Tatiana Rodrigues da Silva; Carreiro, Bruno Oliveira; Pascoal, Francilene Figueirêdo da Silva; Moraes, Marina Nascimento de; Cordeiro, Renata Cavalcanti; Filha, Maria de Oliveira Ferreira

    2014-01-01

    Objetivo: investigar a prevalência de Burnout entre enfermeiros de hospitais de urgência e emergência no Estado da Paraíba. Método: trata-se de uma pesquisa descritiva, transversal, quantitativa realizada em seis hospitais especializados no atendimento às urgências e emergências no estado. A amostra foi constituída por 110 enfermeiros. Utilizou-se como instrumento o Maslach Burnout Inventory. Os dados foram analisados com o auxílio do SPSS-Statistical Package for the Social Sciences na versão...