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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. 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...

  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. 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

  8. 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.

  9. 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.

  10. 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 ...

  11. 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 ...

  12. 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.

  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. 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...

  15. 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

  16. 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.

  17. 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.

  18. 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.

  19. 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…

  20. 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

  1. 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

  2. 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 ...

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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

  9. 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.

  10. 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…

  11. 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...

  12. 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.

  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. 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.

  15. 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 ...

  16. 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...

  17. 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.

  18. 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

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. [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.

  4. 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.

  5. 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.

  6. 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.

  7. 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...

  8. 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.

  9. 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.

  10. 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.)

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  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. 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).

  17. 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

  18. 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

  19. 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.)

  20. 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)

  1. 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

  2. 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

  3. 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.

  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. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. [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.

  13. 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.

  14. 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

  15. 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

  16. 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.

  17. 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.

  18. 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

  19. 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

  20. [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.

  1. 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.

  2. 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

  3. 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.

  4. 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

  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. 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...

  7. 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 ...

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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...

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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

  18. 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

  19. 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

  20. 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.

  1. 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).

  2. 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.

  3. 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

  4. 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

  5. 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.

  6. 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.

  7. 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.

  8. 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…

  9. 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…

  10. 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.

  11. 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)

  12. 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…

  13. 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

  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. 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.

  16. 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.

  17. [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.

  18. 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.

  19. 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.

  20. 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.

  1. 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

  2. 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

  3. 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 ...

  4. 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%).

  5. 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 ...

  6. 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.

  7. "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.

  8. "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.

  9. 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...

  10. 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.

  11. 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.

  12. 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

  13. 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

  14. 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...

  15. 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

  16. 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...

  17. 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

  18. 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 ...

  19. 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, ...

  20. 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, ...

  1. 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 ...

  2. 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 ...

  3. 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 %.

  4. 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...

  5. 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)

  6. 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)

  7. 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.

  8. 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.

  9. 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 ...

  10. 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)

  11. 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.

  12. 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

  13. 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.

  14. 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.

  15. [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

  16. 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

  17. 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 ...

  18. The Hanford Emergency Dosimetry System; Le Systeme de Dosimetrie pour les Cas d'Urgence a Hanford; 0421 0418 0421 0422 0414 ; El Sistema Dosimetrico de Hanford para Casos de Urgencia

    Energy Technology Data Exchange (ETDEWEB)

    Larson, H. V.; Keene, A. R. [Radiation Protection Operation, Hanford Laboratories, General Electric Company, Hanford Atomic Products Operation, Richland, WA (United States)

    1965-06-15

    content, multinuclide analysis of body excreta, whole-body counting and contaminated wound detection. Hanford Criticality Dosimeters placed throughout the installation in readily accessible areas are removed and evaluated. These dosimeters contain the same elemental foils as the film dosimeter and provide a secondary means of estimating dose to individuals. (author) [French] Hanford constitute un important complexe industriel atomique comprenant.des reacteurs, des usines de fabrication de combustible, des installations de separation chimique et des laboratoires de recherche. En plus du programme de surveillance et de controle des doses d'irradiation recues par le personnel, on y a mis au point un systeme de dosimetrie pour les cas d'urgence destine a evaluer rapidement les doses elevees, identifier et controler les travailleurs, avertir le personnel et organiser des,stations de controle du personnel en cas d'accident, evaluer les expositions externes, evaluer les charges corporelles de matieres radioactives, detecter et controler la contamination radioactive du milieu et estimer rapidement le degre d'exposition a titre d'indication pour les equipes de secours et le personnel medical. Le systeme repose avant tout sur le dosimetre a film de Hanford que portent toutes les personnes se trouvant dans les zones surveillees. Cet appareil permet d'identifier sans douete possible le porteur et le film peut etre analyse en moins de 90 min. Par ailleurs, on peut traiter separement, et simultanement, les autres elements du dosimetre pour determiner le spectre et la dose des neutrons dans cinq bandes d'energie ainsi que pour obtenir une premiere evaluation de la dose de neutrons de collision unique de l'ordre de quelques rads a plusieurs milliers de rads. La bande de detection gamma s'etend de 20 mr a 1500 r pour les elements constitutifs du film et de 10 a 10 000 r pour les barres de fluor recouvertes de tantale. Le systeme prevoit aussi l'education du personnel, la formation d

  19. 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

  20. 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.

  1. 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.

  2. 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)

  3. 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.

  4. 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, ...

  5. 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.

  6. 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.

  7. 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.

  8. 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

  9. 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'.

  10. 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...

  11. 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.)

  12. 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.

  13. 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 ...

  14. 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.

  15. 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.)

  16. 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

  17. 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).

  18. 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.

  19. 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 ...

  20. 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

  1. 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.

  2. Work under urgency and emergency and its relation with the health of nursing professionals El trabajo en urgencia y emergencia y su relación con la salud de los profesionales de enfermería O trabalho em urgência e emergência e a relação com a saúde das profissionais de enfermagem

    Directory of Open Access Journals (Sweden)

    Daiane Dal Pai

    2008-06-01

    Full Text Available The study aimed at understanding work under urgent and emergency conditions and its connection with the health of nursing professionals, who work at an urgency and emergency state service. Descriptive qualitative case study carried out at a state service in Porto Alegre, RS. The collection of data included the analysis of documents from the Institution, the observation of the work dynamics, and the performance of semi-structured interviews with the nursing professionals. The data were submitted to content analysis. One could understand that the health of the nursing professionals is constituted from a working dynamics which is sometimes harmful because it results from an organizational context that carries marks of a state health system with many gaps, however, that allows the meaning of work to be an essential element for the ability to keep the balance and not getting sick in view of the work demands.El estudio tuvo por objetivo comprender el trabajo en urgencia y emergencia y su relación con la salud de los profesionales de enfermería, que trabajan en un servicio público de emergencia. Se trata de un estudio de caso, cualitativo descriptivo, realizado en un servicio público de Porto Alegre RS. La recolección de los datos incluyó el análisis de documentos de la institución, la observación en la dinámica del servicio y entrevistas semi-estructuradas con profesionales de enfermería. Los datos fueron procesados a través del método de análisis de contenido. Fue posible comprender que la salud de las profesionales de enfermería se constituye a partir de una dinámica de trabajo, que a veces daña la salud, producto de un contexto organizacional marcado por un sistema público de salud con muchos vacíos, sin embargo permite que el trabajo sea realizado como elemento fundamental, manteniendo así el equilibrio y no permitiendo la enfermedad frente a las exigencias laborales.O estudo objetivou compreender o trabalho em urgência e

  3. Prescription errors in a primary care university unit: urgency of pharmaceutical care in Mexico Erros de prescrição no Centro de Saúde de uma Universidade: urgência de implementar Atenção Farmacêutica no México

    Directory of Open Access Journals (Sweden)

    Miriam Zavaleta-Bustos

    2008-03-01

    Full Text Available The purpose of this study was to assess prescription rationality and most common prescription errors at the primary care clinic of a Mexican university.A retrospective drug utilization review of indication-prescription type was carried out. A random sample of 370 medical records of patients assisted over a year period, were reviewed. Prescription appropriateness was evaluated according to the variables: indication, dosage regimen, administration route, contraindications, interactions, medication duplicity, unnecessary or missing medications. Prescriptions were rated as appropriate (no prescription errors found or inappropriate (at least one prescription error found. The benefit-risk ratio was calculated for each prescription. This study revealed a 58% of inappropriate prescriptions in the Mexican primary care university clinic, mostly due to errors on dosage regimen and innapropiate drug selection. As a result of chi2 analysis, it was found that the pharmacotherapeutic variables chosen for the prescription assessment in this study, were determinant in prescription appropriateness rating. Nimesulide, ciprofloxacin, ranitidine, ketorolac and paracetamol were the most prescribed drugs as well as the most common cause of errors found. The prescription error rate revealed by this study addresses the need for strategies to improve prescription's quality. Introducing pharmacists as a key part of health care team is a mean proposed to prevent medication errors and to solve the urgency of pharmaceutical care implementation in all primary care facilities in Mexico.O objetivo deste trabalho foi avaliar a racionalidade das prescrições como também os erros mais comuns nas prescrições emitidas pelo Centro de Saúde de uma Universidade no México. Foi realizado um estudo retrospectivo de utilização de medicamentos que requeria prescrição médica. 370 expedientes médicos foram aleatoriamente selecionados e revisados, obtendo uma mostra estat

  4. Intérêts de la description des variantes vasculaires avant chirurgie hépatique pancréatique et rénale

    OpenAIRE

    Leloup , Sarah Smahel

    2015-01-01

    Non disponible / Not available; Une imagerie complète associant au moins un scanner multi-phasique et une IRM doit être réalisée avant toute chirurgie hépatique (pour carcinome hépato-cellulaire ou métastasectomie hépatique), transplantation hépatique, duodéno-pancréatectomie céphalique, et avant toute greffe rénale. Elle n’a plus seulement pour but de fournir des éléments de caractérisation lésionnelle, elle devient à la base du bilan de résécabilité des lésions et d’opérabilité des patients...

  5. Implication des vésicules extracellulaires des cellules initiatrices tumorales dans l’augmentation de la perméabilité vasculaire du glioblastome

    OpenAIRE

    Treps , Lucas

    2015-01-01

    Brain microvessels are characterized by specific structure and organization within the neurovascular unit. Through highly selective endothelial junctions, the blood-brain barrier (BBB) controls exchanges of cells, fluids, plasmatic proteins and metabolites between blood and the cerebral compartment. VE-cadherin, a transmembrane protein of endothelial junctions, is of most importance in the vascular integrity. Indeed, its destabilization leads to BBB weakening and also breaking in some patholo...

  6. {gamma}-irradiation-induced oxidative stress and aging of cultured endothelial cells; Stress oxydant et vieillissement vasculaire in vitro etude apres irradiation {gamma} de cellules endotheliales

    Energy Technology Data Exchange (ETDEWEB)

    Van Uye, A.; Agay, D.; Drouet, M.; Chancerelle, Y.; Mathieu, J.; Kergonou, J.F.; Mestries, J.C.

    1995-12-31

    The aim of this work was to study aging of cultured vascular cells. In order to induce an oxidative stress, which is known to participate in aging process, we apply {gamma}-induced peroxidation and is revealed by indirect immunofluorescence. (author). 6 refs.

  7. Pulmonary Vascular Defects in Congenital Diaphragmatic Hernia : the quest for early factors and intervention : Pulmonale vasculaire defecten in congenitale hernia diafragmatica : de zoektocht naar vroege factoren en interventie

    NARCIS (Netherlands)

    D.S. Mous (Daphne)

    2017-01-01

    markdownabstractCongenital diaphragmatic hernia (CDH) is a severe anomaly characterized by a diaphragmatic defect, lung hypoplasia and pulmonary hypertension. The associated pulmonary abnormalities are responsible for the high morbidity and mortality among patients with this disease. Vasodilator

  8. 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...

  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. 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

  11. 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.)

  12. Art of urgency. Contributions to the Critical Debate of the Spanish Civil War Propaganda art.

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Gamonal Torres

    2016-06-01

    Full Text Available The concept «arte de urgencia» defined, during the Spanish Civil War propaganda art, the artistic practice of agit-prop of Leninist inspiration. This article provides a critical review of the debate held by the artists and writers to the dissatisfaction produced by this type of art. Authors of Marxist affiliation or linked to the Spanish Popular Front positions, took part in the debate about Realism and the modern meanings of agitation (poster, photomontage, typography. This discussion took place in some important press and literary ambience, reflects a common concern to the artistic environments of the European left-wing parties and it had also a general objection from the anarchist positions.

  13. Perfect timing: urgency, not driving situations, influence the best timing to activate warnings.

    Science.gov (United States)

    Werneke, Julia; Kleen, Andro; Vollrath, Mark

    2014-03-01

    The aim of the study was to investigate the influence of different driving scenarios (urban, rural, highway) on the timing required by drivers from a two-stage warning system, based on car-to-car communication. Car-to-car communication systems are designed to inform drivers of potential hazards at an early stage, before they are visible to them. Here, questions arise as to how drivers acknowledge early warnings and when they should be informed (first stage) and warned (second stage). Hence, optimum timing for presenting the information was tested. A psychophysical method was used to establish the optimum timing in three driving scenarios at different speed limits (urban: 50 km/h, rural: 100 km/h, highway: 130 km/h). A total of 24 participants (11 female, 13 male; M = 29.1 years, SD = 11.6 years) participated in the study. The results showed that the optimum timing did not differ among the three scenarios.The first and second stages should ultimately be presented at different timings at each speed limit (first stage: 26.5 s, second stage: 12.1 s before a potential hazard). The results showed that well-selected timing for activating information and warning is crucial for the acceptance of these systems. Appropriate timing for presenting the information and warning can be derived for these systems. The findings will be integrated in further development of assistance systems based on car-to-x technology within the Car2X-Safety project of the Niedersächsisches Forschungszentrum Fahrzeugtechnik in Germany.This study was also supported by Chalmers University of Technology in Sweden.

  14. 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 ...

  15. 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.

  16. Predictors of persistence of preoperative urgency incontinence in women following pelvic organ prolapse repair

    Directory of Open Access Journals (Sweden)

    Ching-Chung Liang

    2015-12-01

    Conclusion: For women with identified preoperative risk factors, including MCC 60 months, preoperative counseling should consist of a discussion about persistent UUI symptoms following TVM repair and the development of de novo stress urinary incontinence.

  17. 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.

  18. 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...

  19. Preventing Rape of the Observatory: Thoughts on the Urgency of Preserving Historic Astronomical Artifacts

    Science.gov (United States)

    Bell, T. E.

    2005-12-01

    "What good is this century-old monster refractor? Sell it and use the money to buy a brand new go-to reflector useful for teaching students and advancing astronomy." So argues logic that is endangering an increasing number of university observatories around the U.S. (if not the rest of the world), even up to the Yerkes Observatory and its 40-inch Clark, world's largest refractor by the acknowledged world's best lens-makers. While most non-historians readily accept the value of preserving our cultural heritage in rare and precious documents (such as the Declaration of Independence), artifacts (such as Stradivarius violins), and institutions (such as the birthplaces of U.S. Presidents), they tend not to think of astronomical observatories as part of cultural heritage-with a result that history is crumbling apace to the wrecking ball. In early October, the Antique Telescope Society convened a special 60-minute session discussing philosophical why's and practical how's of preserving astronomical assets (including historically significant telescopes, observatory buildings, auxiliary equipment used to make observations or calculate results, and libraries of books and papers). This paper will summarize the discussion's key insights - including the assessing and assigning of value to old vs. new telescopes, and the roles of politics, funding and fund-raising, publicity (positive and negative), education, use as a form of preservation, innovative solutions by private collectors (including "half-way houses" for homeless instruments), restoration vs. renovation, special problems facing very large telescopes, and lessons learned from both failures and success.

  20. Evaluations of Molecular Nuclear Medicine in pediatric urgencies; Evaluaciones de Medicina Nuclear Molecular en urgencias pediatricas

    Energy Technology Data Exchange (ETDEWEB)

    Martinez-Duncker R, C [Departamento de Medicina Nuclear Molecular, Hospital Infantil de Mexico, Mexico D.F. (Mexico)

    2000-07-01

    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)

  1. The urgency of surgical decompression in acute central cord injuries with spondylosis and without instability.

    Science.gov (United States)

    Lenehan, Brian; Fisher, Charles G; Vaccaro, Alex; Fehlings, Michael; Aarabi, Bizhan; Dvorak, Marcel F

    2010-10-01

    Systematic review, ambispective analysis of observational data. To make recommendations as to whether or not urgent surgical decompression is ever indicated as the optimal treatment for enhancing neurologic recovery in a patient with acute central cord injury without fracture or instability. There are currently no standards regarding the role and timing of decompression in acute traumatic central cord syndrome. In the setting of TCCS without spinal column instability, much controversy exists. We have performed a thorough literature search based on the following question: "Is there a role for urgent (within 24 hours from injury to surgery) surgical decompression in acute central cord syndrome without fracture or instability specifically to enhance neurologic recovery?" Data including patient demographics, mechanism of injury, comorbidities, neurologic status, and surgical treatment was analyzed from a multicenter STSG observational database. Outcome measured included ASIA Motor Score, ASIA Grade, Functional Independence Measure (FIM) Score, SF-36, Sphincter Disturbance, and Ambulatory status. Measures were recorded on admission, discharge, 6 months and 1 year. At 12-month follow-up, early surgery resulted in a 6.31 point greater improvement in total motor score than did the late surgery group, with a P = 0.0358. At 6-month follow-up, early surgery result in higher chance of improvement in ASIA Grade than late surgery, with an odds ratio = 3.39, while at 12-month follow-up early surgery resulted in a higher chance of improvement in ASIA Grade, with an odds ratio of 2.81. Patients who were operated on within 24 hours had 7.79 U more improvement in FIM Total Score than late surgery at 6 month follow-up, with P = 0.0474. The consensus of experts following review of relevant and examination of observational dataset concluded that it is reasonable and safe to consider early surgical decompression in patients with profound neurologic deficit (ASIA = C) and persistent spinal cord compression due to developmental cervical spinal canal stenosis without fracture or instability. Those with less severe deficit (ASIA = D) can be treated with initial observation with surgery potentially at a later date depending on the extent and temporal profile of the patients neurologic recovery.

  2. Interpret the Event, Transsform the Life: the Lack of Urgency to Hermeneutical Communism

    Directory of Open Access Journals (Sweden)

    Malfred Gerig

    2018-05-01

    Full Text Available This article intends to discuss the proposal of hermeneutical Communism by Gianni Vattimo and Santiago Zabala. In order to do this, the relationship between the draft realization of Marxian philosophy and the philosophy of Martin Heidegger is examined, following the impressions supported by the authors, who suggest that they are united by the project of the weakening of metaphysics. Likewise, the relationship between Marx and Hegel is analyzed as well, with the intention of provide new insights to Marx anti-metaphysical, and then attempt to imagine the history and the events from there.

  3. PROBLEM OF OPTIMIZATION OF ENTERPRISE FINANCIAL STREAMS: URGENCY UNDER ECONOMIC CRISIS CONDITIONS

    Directory of Open Access Journals (Sweden)

    J. E. Gorbach

    2011-01-01

    Full Text Available The paper considers a problem of structural optimization of financial streams in the economic activities of the enterprises. The authors describe a general process of enterprise capital structure optimization while breaking it in stages and consider the most interesting financial stream theories. The paper presents for the first time «Combined optimization model». In order to develop the model the most commonly applied methods have been used, namely: an optimization  method on the basis of an average capital price, an optimization method on the basis of financial leverage effect and an optimization method on the basis of the average managing subject price. Alternative calculations of optimum structure of financial stream sources on the basis of the proposed «combined model» have been presented in corresponding tables. The authors also use for the first time such concepts as «a break-even point» and «a safety zone» in respect of enterprise financial streams while using a graphic method.

  4. The urgency of the course «Information and communication technologies in education»

    OpenAIRE

    Екатерина Михайловна Гулидова

    2010-01-01

    In article the expediency of education of students to discipline «Information and communication technologies in formation» is discussed. The comparative analysis of curriculums is resulted. Making maintenances of education are allocated.

  5. 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

  6. A Sense of Urgency: Transforming the Literate Identities of Students Who Struggle with Learning to Read

    Science.gov (United States)

    Harmon, Melinda R.

    2013-01-01

    This Grounded Theory study explored the identity development of four current and two former Reading Recovery students. The study focused on the interactions between self-efficacy, self-regulation and identity as students participated in the Reading Recovery intervention to capture change over time in the identity development of students who…

  7. The Political Sense of Urgency for Educational Leadership Preparation Programs to Show Impact Data

    Science.gov (United States)

    Storey, Valerie; Asadoorian, Malcolm O., III

    2014-01-01

    Higher education today is confronted with increasing marketization and aggressive regulation of the public sector. In an attempt to address these challenging issues, public universities are undergoing unprecedented change, particularly Colleges of Education. Redesigning educational leadership preparation programs, working in partnership with local…

  8. 'A Sense of Urgency': The EU, EU Member States and the Recognition of the Palestinian State

    DEFF Research Database (Denmark)

    Martins, Bruno Oliveira

    2015-01-01

    In the aftermath of the July-August 2014 war in Gaza, the Swedish government officially recognized the State of Palestine. This decision triggered a cascade of resolutions adopted in national parliaments of European Union member states and, eventually, led to the adoption of a European Parliament...

  9. Un programme de formation en médecine d'urgence vise à freiner l ...

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

    29 avr. 2016 ... Dave MacKinnon fait une démonstration sur la confection d'un plâtre devant des médecins résidents à Addis-Abeba. Depuis trente ans, 4 000 médecins ont quitté l'Éthiopie pour se spécialiser à l'étranger. Malheureusement, très peu d'entre eux y sont retournés pour pratiquer dans leur domaine de ...

  10. Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review.

    Science.gov (United States)

    Greer, Joy A; Smith, Ariana L; Arya, Lily A

    2012-06-01

    The objective of this study is to evaluate the effectiveness of existing physiotherapy modalities for the treatment of urge urinary incontinence (UUI). A systematic review was performed for primary studies of physiotherapy techniques for UUI published in English between 1996 and August 2010 in major electronic databases. Only randomized clinical trials that reported outcomes separately for women with UUI were included. Outcomes assessed were reduction in UUI, urinary frequency, and nocturia. Data from 13 full-text trials including the modalities of pelvic floor muscles exercises with or without biofeedback, vaginal electrical stimulation, magnetic stimulation, and vaginal cones were analyzed. The methodologic quality of these trials was fair. Significant improvement in UUI was reported for all physiotherapy techniques except vaginal cone therapy. There are insufficient data to determine if pelvic physiotherapy improves urinary frequency or nocturia. Evidence suggests that physiotherapy techniques may be beneficial for the treatment of UUI.

  11. 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.

  12. The Urgency to Mitigate the Spread of Hepatitis C in Pakistan Through Blood Transfusion Reform

    Science.gov (United States)

    Alaei, Kamiar; Sarwar, Mohammad; Alaei, Arash

    2018-01-01

    Blood transfusions are contributing to a higher rate of hepatitis C virus (HCV) in Pakistan. Half of all blood transfusions in Pakistan are not screened for hepatitis C, hepatitis B or HIV. Family members donate blood that is likely not tested due to social stigma attached to HCV. Paid donations are also quite common in the country, especially by people who inject drugs (PWID), which increases the population’s exposure to HCV. Most of the population utilizes the private sector for their health needs; this sector has lax regulation due to the lack of oversight by the government or any other regulatory body. In addition, groups who are at most need for blood transfusions, such as hemophiliacs and those with thalassemia, have a higher rate of hepatitis C. This fact reinforces the need for blood transfusion reform in Pakistan, which includes improving oversight, upgrading infrastructure and promoting health literacy through cultural norms, according to the World Health Organization (WHO) recommendations. The lessons learned in Pakistan can be adapted to countries facing similar issues. PMID:29524949

  13. Integrating ecological knowledge, public perception and urgency of action into invasive species management.

    Science.gov (United States)

    Caplat, Paul; Coutts, Shaun R

    2011-11-01

    Recently Prévot-Julliard and colleagues presented a concept paper on biological conservation strategies using exotic species as a case study. They emphasized the difficulty of integrating conservation into a broad picture that accounts for public perception as well as scientific knowledge. We support this general call for better integration of society in conservation research, but we believe that the original framework might misguide conservation practices if wrongly interpreted. Our objective is to complement their paper and correct a few misleading points, by showing that (1) for regions of high endemicity "reservation" may be the best conservation practice, and does not prevent public participation, (2) aiming for broad societal agreement is valuable, but in some cases risky, and always complex, and (3) calling a harmful invasive species harmful shouldn't be an issue. The Australian context provides us with many cases of the labeling of exotic species as harmful or not, using inputs from scientists, industry, and the public. Integration of social and scientific points of view can only improve conservation on the ground if it allows managers to use the ecological, economic and social impacts of exotic species to prioritize conservation actions in an operative way.

  14. [Echographic approach to soft tissue musculoskeletal pathologies in urgency: traumatic calf lesions].

    Science.gov (United States)

    Russo, A; Zaottini, A

    2011-01-01

    Ultrasound is the first step imaging investigation for the evaluation of muscle injuries and pathologies, even better than MRI for repairing processes study and rehabilitation program's assessment. The key sign of a muscular tear is hematoma, whose formation is lasting between 2 and 48 hours from injury. US supports the analysis of its evolving patterns, early detecting complications such as cystic lesions or myositis ossificans too. It also provides dynamic details of muscle fibers, tendons and aponeurosis, that all of the other instrumental investigation can't offer.

  15. Border dimension of Chilean foreign policies: Immobility and urgency of new dynamics

    Directory of Open Access Journals (Sweden)

    Cristian Ovando Santana

    2011-07-01

    Full Text Available The following article draws the priorities of border public policy that define the Chilean foreign policy. Through a theoretical framework from the rational–reflective approach of International Relations, we argue that despite of the increasing openness, internationalization of the country, and the emergence of new actors and subnational initiatives; the views and options between the actors of this new area and the definitions of foreign policy not always match. We propose the need to establish mechanisms that settle the positions among regional social–political actors, intermediate agencies and the central level.

  16. B-type natriuretic peptide in hypertensive crises: Diagnostic use in hypertensive urgencies and emergencies

    Directory of Open Access Journals (Sweden)

    Sameh El Maraghi

    2013-04-01

    Conclusion: During hypertensive crises BNP blood level determination could have a role as a diagnostic tool for the screening of HE and its evaluation is very useful in patients admitted with acute and rapid elevation of BP to limit target organ damage.

  17. FLORESTAN FERNANDES AND THE CRISIS OF CAPITAL: THE URGENCY OF EDUCATION AND TRAINING OF CRITICAL CONSCIOUSNESS

    Directory of Open Access Journals (Sweden)

    Maria Orlanda Pinassi

    2014-12-01

    Full Text Available Education and training of effectively critique and revolutionary consciousness can only be won from the reality of the struggles against capital, experience emanating from the sharpness of the contradictions of the present. It is the critique of mass social movements, critical of union movements and political parties who dare to break the rules imposed by the “public thing” that bothers the capital. Is this criticism, which combines theory and practice, which has been criminalized, repressed, raped by capital, in the presence of a very current way of becoming more intolerant and more like the authoritarian military regime democracy.

  18. The Urgency Of Ijtihad By Judges In Effort Law Invention At The Religion Court In Indonesia

    Directory of Open Access Journals (Sweden)

    Kiljamilawati

    2015-08-01

    Full Text Available The presence of renewals in Islamic law resulting in the emergence of various changes in the social order of Muslims either in relation to ideology political social cultural and so on. It later brings new challenges that must be answered and therefore ijtihad must be continuously made to find a solution to the various problems of new law which is required by Muslims. The type of research is a normative-juridical and empirical research. Normative research is trying to examine the problem of law invention by the judge in the Religion Courts with a case approach. Ijtihad has a very urgent role in efforts to carry out duties as law enforcer and justice by digging follow and understand the legal values that live and develop in the peoples and accommodate the developments of Islamic law. The method of ijtihad by judges in the Religion Court use maqashid al-sharia and maslahah and istihsan method. At the practical level so characteristic inherent in the religion courts persists then should any verdict must include argument of Islamic law sources.

  19. The Urgency of Proportionality Principle in Mudarabah Agreement on the Indonesian Islamic Banking

    Directory of Open Access Journals (Sweden)

    Muhammad Sjaiful

    2015-08-01

    Full Text Available The presence of Islamic banking institutions in Indonesia, is the need for the Muslims in Indonesia, to ensure their financial transactions based on sharia. One of practice sharia agreement that took place in Islamic banking in Indonesia, namely agreements financial transactions using the mudaraba. This paper aims to examine the application of the principle of proportionality to the mudaraba agreement practices in Islamic banking in Indonesia. This study can contribute as a scientific reference for the reconstruction of the mudaraba agreement to keep the principle of proportionality in accordance with Islamic principles. To achieve the intended purpose of the study, the research method used is a normative legal research methods, with a source of primary legal materials mudarabah written agreements contained in the Islamic banking in Indonesia. Also the secondary law in the form of literature and other scientific papers which contain legal doctrine and opinion of an expert on sharia agreement, particularly on the mudaraba agreement. The results showed that the application of the principle proporsioalitas in mudaraba agreement in Indonesian Islamic banking has not been going according to standards set by the sharia frame because in fact some of the clauses contained in mudarabah impressed provide opportunities for the shahibul maal (the Islamic banks to disassociate ourselves from loss financial occur in the future, which is as if the financial loss was only covered by mudharib (businesses man, so that it deviates from the spirit of the principle of proportionality which should be the basis of the establishment of the nomenclature of the mudaraba agreement.

  20. 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.

  1. 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...

  2. 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

  3. 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.

  4. Operative characteristic of the myocardial perfusion of repose in the evaluation of the thoracic pain in urgencies

    International Nuclear Information System (INIS)

    Merlano, Sonia; Murgueitio, Ramon; Rodriguez, Edgard; Carvajal, Andres; Suarez, Martin

    2000-01-01

    Conventional emergency department testing strategies for patients with chest pain often provide equivocal diagnosis of coronary artery disease. This study was conducted in order to determine the sensitivity, specificity, positive predictive value (PPV) negative predictive value (NPV) and negative likelihood ratio (LR-) of the myocardial perfusion imaging with single photon emission computed tomography (SPECT) imaging at rest

  5. Systèmes locaux d'alerte précoce et de réponse aux urgences ...

    African Journals Online (AJOL)

    Le régime démocratique laisse souffler le vent qui fait apparaitre aux élus locaux et aux services déconcentrés de l'État un nouvel élan et d'état d'esprit soumis désormais entre les injonctions du DNPGCCA, les attentes des populations vulnérables, à l'empilement des missions d'évaluations sans suite concrètes en termes ...

  6. The Fierce Urgency of Now: Diffusion of Innovation as a Mechanism to Integrate Social Justice in Counselor Education

    Science.gov (United States)

    Ratts, Manivong J.; Wood, Chris

    2011-01-01

    The authors present diffusion of innovation theory (Rogers, 2003) as a framework for integrating social justice into counselor education. An overview of diffusion theory is provided along with how the tenets of diffusion of innovation can be used to alleviate fears and anxieties that come with adopting an innovation such as social justice in…

  7. The urgency for optimization and harmonization of thyroid hormone analyses and their interpretation in developmental and reproductive toxicology studies.

    Science.gov (United States)

    Beekhuijzen, Manon; Schneider, Steffen; Barraclough, Narinder; Hallmark, Nina; Hoberman, Alan; Lordi, Sheri; Moxon, Mary; Perks, Deborah; Piersma, Aldert H; Makris, Susan L

    2018-05-02

    In recent years several OECD test guidelines have been updated and some will be updated shortly with the requirement to measure thyroid hormone levels in the blood of mammalian laboratory species. There is, however, an imperative need for clarification and guidance regarding the collection, assessment, and interpretation of thyroid hormone data for regulatory toxicology and risk assessment. Clarification and guidance is needed for 1) timing and methods of blood collection, 2) standardization and validation of the analytical methods, 3) triggers for additional measurements, 4) the need for T4 measurements in postnatal day (PND) 4 pups, and 5) the interpretation of changes in thyroid hormone levels regarding adversity. Discussions on these topics have already been initiated, and involve expert scientists from a number of international multisector organizations. This paper provides an overview of existing issues, current activities and recommendations for moving forward. Copyright © 2018 Elsevier Inc. All rights reserved.

  8. A 'sense of urgency': The EU, the EU member states and the recognition of the Palestinian state

    OpenAIRE

    Martins, Bruno Oliveira

    2015-01-01

    In the aftermath of the July-August 2014 war in Gaza, the Swedish government officially recognized the State of Palestine. This decision triggered a cascade of resolutions adopted in national parliaments of European Union member states and, eventually, led to the adoption of a European Parliament resolution supporting in principle the recognition of Palestinian statehood. Understood collectively, these efforts constitute a multifaceted European attempt to break with the status quo of the Isra...

  9. FUEGO — Fire Urgency Estimator in Geosynchronous Orbit — A Proposed Early-Warning Fire Detection System

    Directory of Open Access Journals (Sweden)

    Scott Stephens

    2013-10-01

    Full Text Available Current and planned wildfire detection systems are impressive but lack both sensitivity and rapid response times. A small telescope with modern detectors and significant computing capacity in geosynchronous orbit can detect small (12 m2 fires on the surface of the earth, cover most of the western United States (under conditions of moderately clear skies every few minutes or so, and attain very good signal-to-noise ratio against Poisson fluctuations in a second. Hence, these favorable statistical significances have initiated a study of how such a satellite could operate and reject the large number of expected systematic false alarms from a number of sources. Here we present both studies of the backgrounds in Geostationary Operational Environmental Satellites (GOES 15 data and studies that probe the sensitivity of a fire detection satellite in geosynchronous orbit. We suggest a number of algorithms that can help reduce false alarms, and show efficacy on a few. Early detection and response would be of true value in the United States and other nations, as wildland fires continue to severely stress resource managers, policy makers, and the public, particularly in the western US. Here, we propose the framework for a geosynchronous satellite with modern imaging detectors, software, and algorithms able to detect heat from early and small fires, and yield minute-scale detection times.

  10. Urgency for sustainable development in coastal urban areas with reference to weather pattern, land use, and water quality.

    Science.gov (United States)

    Sheela, A M; Letha, J; Swarnalatha, K; Baiju, K V; Sankar, Divya

    2014-05-01

    Water pollution is one of the most critical problems affecting mankind. Weather pattern and land use of catchment area have significant role in quality of water bodies. Due to climate change, there is frequent variation in weather pattern all over the world. There is also rapid change in land use due to increase in population and urbanization. The study was carried out to analyze the effect of change in weather pattern during the monsoon periods of 2008 and 2012 on water quality of a tropical coastal lake system. The nature and extent of variation in different water quality parameters namely electrical conductivity (EC), magnesium (Mg), sodium (Na), chloride (Cl), sulphate (SO4), turbidity, Secchi disk depth, biochemical oxygen demand (BOD), phosphate (PO4), calcium (Ca), and water temperature as well as the effect of various land use activities in the lake basin on water quality have also been studied. There is significant reduction in precipitation, EC, Mg, Na, Cl, SO4, turbidity, and Secchi disk depths whereas a significant rise in the BOD, PO4, Ca, and water temperature were observed in 2012. This significant reduction in electrical conductivity during 2012 revealed that because of less precipitation, the lake was separated from the sea by the sandbar during most of the monsoon period and thereby interrupted the natural flushing process. This caused the accumulation of organic matter including phosphate and thereby resulting reduction in clarity and chlorophyll-a (algae) in the lake. The unsustainable development activities of Thiruvanathapuram city are mainly responsible for the degradation of water bodies. The lack of maintenance and augmentation activities namely replacement of old pipes and periodical cleaning of pipe lines of the old sewer system in the city results in the bypass of sewage into water bodies. Because of the existence of the old sewerage system, no effort has been taken by the individual establishment/house of the city to provide their own treatment system for sewage and sullage and the untreated wastes are discharged into these old sewer pipes and ultimately the wastes reach the water bodies. In this context, decentralized treatment of sewage, sullage, and garbage by individual houses/establishments/hotels/hospitals is a better option for the developing countries. With the rapid developmental activities, and due to the variation of precipitation due to climate change, it is highly essential to provide proper waste treatment/augmentation facilities in urban lake system because a slight variation in the weather pattern can result in serious implications in the already polluted water bodies.

  11. The problem of nationalism and patriotism in the works of I.A. Ilyin and its urgency in modern Russia

    Directory of Open Access Journals (Sweden)

    E. V. Fedorova

    2015-01-01

    Full Text Available The article presents an analysis of the nationalism and patriotism phenomena in the system of normative and legal views of Russian philosopher, specialist in studying of law and state I.A. Ilyin. The author considers his characteristic of nationalism and patriotism in general, their specific nature and peculiarities in Russia, as well as analyzes their condition in post-Soviet period of its development and possibility of using I.A. Ilyin’s views and ideas on this issue as a source of spiritual, moral and national revival of modern Russian society.

  12. DIRECT ELECTION OF THE HEAD OF REGIONAL URGENCY (DESCRIPTION OF THE IMPLEMENTATION OF THE THREE AUTONOMOUS REGIONS ACT

    Directory of Open Access Journals (Sweden)

    Abdul Rahman

    2013-07-01

    Full Text Available A variety of problem and the political turmoil in some regions election last time appears in the event of a State feedback control Centre to the area. In the new order era regional chief election controversy cannot be released from the intervention Center. Usually the battle's political elite in Jakarta imposes to the area. When the issue blew up in the area, Settlement is the effort, he brought the case to Jakarta. In accordance with the implementation, the Hall of the Central Government has a dominant power in the determination of the head region. Legislative involvement only in the process of being formalistic. It is seen clearly in Article 15 and 16 regarding the appointment of the head region, where only the legislative vote and the results presented at least two names for approval and/or designation from President to Governor, and Minister of the Interior for Regent and Mayor. The aegis of the Centre to all and sundry, who has strong access to the Centre, he will be the winner, either for political affairs, economy, law even though. The most votes is not a legislative guarantee of choice became the head of the area. The Center has the absolute power to determine the opposite although sound support. Conflicts often occur, regional Centre but ended with the defeat of the area

  13. Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation

    Directory of Open Access Journals (Sweden)

    Regiane de Paula

    2014-09-01

    Full Text Available Objective: To understand the social representations of patients and professionals working in the field of tuberculosis, on the reasons for seeking diagnosis and treatment in the emergency room and not in the primary health care units called Unidades Básicas de Saúde (UBS or in the health program Programa de Saúde da Família near their residence. Methods: The survey was conducted in the health services in the municipalities of São Paulo and Guarulhos, Brazil, in hospitals and UBS. We interviewed 20 patients and 20 employees of these units, using the Collective Subject Discourse methodology to analyze their statements. The question presented to the users was: "Why did you seek the urgent emergency hospital and not the UBS to see if you had tuberculosis?" For professionals it was asked: "Why do you think the patient seeks diagnosis in the hospital and not in the UBS?" Results: As a result, two categories were found: (A the cultural patterns; and (B faults of the basic network. Conclusion: Analysis of the two explanatory dimensions show that the actions triggered by the health services should take into account the cultural patterns present in the social imaginary of the population; the health staff should receive training on specific knowledge of tuberculosis; there is a necessity of hiring human resources for the UBS and more inputs for programming.

  14. Commentary on Foubert, Godin, & Tatum (2010): The Evolution of Sexual Violence Prevention and the Urgency for Effectiveness

    Science.gov (United States)

    Tharp, Andra Teten; DeGue, Sarah; Lang, Karen; Valle, Linda Anne; Massetti, Greta; Holt, Melissa; Matjasko, Jennifer

    2011-01-01

    Foubert, Godin, and Tatum describe qualitative effects among college men of The Men's Program, a one-session sexual violence prevention program. This article and the program it describes are representative of many sexual violence prevention programs that are in practice and provide an opportunity for a brief discussion of the development and…

  15. Point-of-care G6PD diagnostics for Plasmodium vivax malaria is a clinical and public health urgency.

    Science.gov (United States)

    Baird, J Kevin

    2015-12-14

    Malaria caused by Plasmodium vivax threatens over 2 billion people globally and sickens tens of millions annually. Recent clinical evidence discredits the long-held notion of this infection as intrinsically benign revealing an often threatening course associated with mortality. Most acute attacks by this species derive from latent forms in the human liver called hypnozoites. Radical cure for P. vivax malaria includes therapy aimed both at the acute attack (blood schizontocidal) and against future attacks (hypnozoitocidal). The only hypnozoitocide available is primaquine, a drug causing life-threatening acute hemolytic anemia in patients with the inherited blood disorder glucose-6-phosphate dehydrogenase (G6PD) deficiency. This disorder affects 400 million people worldwide, at an average prevalence of 8 % in malaria-endemic nations. In the absence of certain knowledge regarding the G6PD status of patients infected by P. vivax, providers must choose between the risk of harm caused by primaquine and that caused by the parasite by withholding therapy. Resolving this dilemma requires the availability of point-of-care G6PD diagnostics practical for use in the impoverished rural tropics where the vast majority of malaria patients seek care.

  16. Point-of-care G6PD diagnostics for Plasmodium vivax malaria is a clinical and public health urgency

    OpenAIRE

    Baird, J. Kevin

    2015-01-01

    Malaria caused by Plasmodium vivax threatens over 2 billion people globally and sickens tens of millions annually. Recent clinical evidence discredits the long-held notion of this infection as intrinsically benign revealing an often threatening course associated with mortality. Most acute attacks by this species derive from latent forms in the human liver called hypnozoites. Radical cure for P. vivax malaria includes therapy aimed both at the acute attack (blood schizontocidal) and against fu...

  17. Associated factors to repeated consultations to the urgencies service for asthma in pediatric patient: Implications for an educational program

    International Nuclear Information System (INIS)

    Rodriguez Martinez, Carlos; Sossa, Monica Patricia

    2004-01-01

    Bronchial asthma is one of the most frequent respiratory diseases in childhood. Recurrent emergency department visits for asthma produce anxiety and high costs for the system of health and for the family. It is important to know the factors related to these recurrent emergency department visits to assist the targeting of appropriate future interventions aimed at reducing this avoidable presentation. The objective of the present study was to identify factors associated with recurrent emergency department visits for asthma in children liable to be modified by means of an education program. Data obtained from a survey of parents of 146 pediatric patients with asthma attending an asthma clinic and educational program were examined. Parents completed an asthma knowledge and attitudes questionnaire that also included other socio demographic and illness-related variables, including the number of consultations to emergency department by their children asthma in the previous 6 months. Of the 146 asthmatic patients enrolled, 41 (28.1%) consulted repeatedly to the emergency department for asthma. After controlling for age of the patient, educational level of the parents, and functional severity of the disease, we found that parents who reported that they attended to emergency room because asthma attacks of their children were severe enough to go elsewhere (OR, 4.57; CL95%, 1.76- 11.85; P = 0.002), parents who reported that asthma medications should be administered only in symptomatic moments (OR 278, CL 95%, 1.05 - 7.33, P = 0.038 and parents that did not recognize the fact that asthma attacks can be avoided if medications are administered when there are no symptoms (between asthma attacks) (OR 2.61; CL95%; 1.03 - 7.02; p = 0,045), had a greater probability to attend rapidly the emergency room because of asthma of their children. The fact that parents of asthmatic patients have thought that asthma medications should be administered only in symptomatic patients, that they hadn't recognized that asthma attacks can be avoided if medications are administered when there is no symptoms (between asthma attacks and severity of asthma exacerbations, were independent risk factors for recurrent emergency room visits for asthma. In asthma educational program that includes an explanation and discussion about the chronic nature of asthma, and an explanation about the importance of the long-term administration of the asthma even though in the moments when there is no symptoms and that includes a self-management written plan, is probably that reduce the number of attendances for asthma in pediatric patients. Later studies are needed to corroborate this hypothesis

  18. Epidemiological profile of care for violence in public urgency and emergency services in Brazilian capital, Viva 2014.

    Science.gov (United States)

    Souto, Rayone Moreira Costa Veloso; Barufaldi, Laura Augusta; Nico, Lucélia Silva; Freitas, Mariana Gonçalves de

    2017-09-01

    Injuries and deaths resulting from violence constitute a major public health problem in Brazil. The article aims to describe the profile of calls for violence in emergency departments and emergency Brazilian capitals. This is a descriptive study of Violence and Accident Surveillance System (VIVA), carried out in public emergencies Brazilian cities, from September to November 2014, a total of 4406 calls for aggression. We considered the following categories of analysis: 1) sociodemographic characteristics (gender, age, race / skin color, education, place of residence, vulnerability, alcohol intake); 2) Event feature (probable author, nature and means of aggression); and characteristics of care (getting to the hospital, prior service, evolution). Of the total calls for violence (n = 4406), the highest prevalence was among young people 20-39 years (50.2%), male, black and low education. As for the event characteristics it stands out that 87.8% were physical assaults; 46.3% cut/laceration and 13.7% involved a firearm. The results point to the need to strengthen intersectoral actions to expand the network of care and protection.

  19. Management of a radiological emergency. Organization and operation; Gestion d'une urgence radiologique. Organisation et fonctionnement

    Energy Technology Data Exchange (ETDEWEB)

    Dubiau, Ph. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Clamart (France)

    2007-07-15

    After a recall of potential radiological emergency situations and their associated risks, this article describes the organization in France of the crisis management and its operation at the national and international scale: 1 - Nuclear or radiological emergency situations and their associated risks: inventory of ionising radiation sources, accidental situations, hazards; 2 - crisis organization in situation of radiological or nuclear emergency: organization at the local scale, organization at the national scale; 3 - management of emergency situations: accident at a facility, action circle, radiological emergency situations outside nuclear facilities, international management of crisis, situations that do not require the implementation of an emergency plan. (J.S.)

  20. Systèmes locaux d'alerte précoce et de réponse aux urgences ...

    African Journals Online (AJOL)

    SARAH

    30 janv. 2015 ... initiative which contributes in improving the performance of the early warning system and response to .... types de structures locales demeurent une action qui va ... un appui accru aux organisations non gouvernementales.

  1. 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.

  2. 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) ...

  3. 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.

  4. 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

  5. A video-game group intervention: Experiences and perceptions of adults with chronic stroke and their therapists: Intervention de groupe à l'aide de jeux vidéo : Expériences et perceptions d'adultes en phase chronique d'un accident vasculaire cérébral et de leurs ergothérapeutes.

    Science.gov (United States)

    Rand, Debbie; Givon, Noa; Avrech Bar, Michal

    2018-04-01

    Ongoing physical activity is important for maintaining the functional level of individuals with chronic stroke. Video games in a group setting might be a cost-effective way for providing mobility and preventing physical inactivity. This study explores the experiences and perceptions of individuals with chronic stroke who participated in a novel community-based video-game group intervention and their therapists. A qualitative study, nested in a randomized controlled trial, was conducted using semistructured interviews with eight individuals with chronic stroke (four men and four women) ages 29 to 69 and a focus group of their three occupational therapists, following a video-game intervention. Data were analyzed using content analysis. Three main categories were identified by the study participants: (a) using video games, (b) the group/team experience, and (c) intervention outcomes/evolving understandings following the intervention. Playing video games was perceived not as treatment but as a motivating tool to facilitate whole-body movement. Therefore, this intervention might be suitable to be used in the community for ongoing intervention.

  6. N.6 report realized for the economical Affairs Commission on the law project, adopted by the National Assembly after urgency declaration, relative to the energy sector

    International Nuclear Information System (INIS)

    Poniatowski, L.

    2006-10-01

    This law project concerns the organization of the french energy sector and the definition of the public utilities. After a presentation of the juridical environment of the european energy sector, the author shows, in the framework of the world energy situation, that the evolution of the juridical aspects of Gaz de France answers a real necessity. He then presents the initial law project dispositions, the modifications of the National Assembly and the amendment of the commission. (A.L.B.)

  7. Analyses d'accidents : une nécessité pour les analyses de danger et l'intervention en situation d'urgence ?

    OpenAIRE

    Pineau , Jean-Philippe; Abiven , Françoise; Lechaudel , Jean-François; Mavrothalassitis , Guy

    1993-01-01

    Lors d'accidents industriels mettant en jeu des explosions, des incendies ou des émissions de produits toxiques ou inflammables dans l'environnement, les effets à prendre en compte s'expriment en termes d'impulsions de pression, de projections de débris, de flux thermiques et de rejets de produits toxiques dans l'air, les eaux et les sols. Dans sa première partie, le présent article présente les conclusions consécutives à l'analyse de différents types d'accidents survenus en France et met en ...

  8. A sense of urgency: Evaluating the link between clinical trial development time and the accrual performance of cancer therapy evaluation program (NCI-CTEP) sponsored studies.

    Science.gov (United States)

    Cheng, Steven K; Dietrich, Mary S; Dilts, David M

    2010-11-15

    Postactivation barriers to oncology clinical trial accruals are well documented; however, potential barriers prior to trial opening are not. We investigate one such barrier: trial development time. National Cancer Institute Cancer Therapy Evaluation Program (CTEP)-sponsored trials for all therapeutic, nonpediatric phase I, I/II, II, and III studies activated between 2000 and 2004 were investigated for an 8-year period (n = 419). Successful trials were those achieving 100% of minimum accrual goal. Time to open a study was the calendar time from initial CTEP submission to trial activation. Multivariate logistic regression analysis was used to calculate unadjusted and adjusted odds ratios (OR), controlling for study phase and size of expected accruals. Among the CTEP-approved oncology trials, 37.9% (n = 221) failed to attain the minimum accrual goals, with 70.8% (n = 14) of phase III trials resulting in poor accrual. A total of 16,474 patients (42.5% of accruals) accrued to those studies were unable to achieve the projected minimum accrual goal. Trials requiring less than 12 months of development were significantly more likely to achieve accrual goals (OR, 2.15; 95% confidence interval, 1.29-3.57, P = 0.003) than trials with the median development times of 12 to 18 months. Trials requiring a development time of greater than 24 months were significantly less likely to achieve accrual goals (OR, 0.40; 95% confidence interval, 0.20-0.78; P = 0.011) than trials with the median development time. A large percentage of oncology clinical trials do not achieve minimum projected accruals. Trial development time appears to be one important predictor of the likelihood of successfully achieving the minimum accrual goals. ©2010 AACR.

  9. Law project adopted by the National Assembly, after urgency declaration, of the program relative to the sustainable management of radioactive materials and wastes

    International Nuclear Information System (INIS)

    2006-01-01

    The document presents the different articles of the law project dealing with the terminology, the radioactive wastes storage and disposal, the safety and the transport, the financing, the liabilities, the control and the sanctions. (A.L.B.)

  10. Earth in the balance. Ecology and the human spirit; Urgence Planete Terre. L'esprit humain face a la crise ecologique

    Energy Technology Data Exchange (ETDEWEB)

    Al Gore

    2007-07-01

    This book is the translation of the original American edition 'earth in the balance'. When Earth in the Balance first came out, it caused quite a stir and for good reason. It convincingly makes the case that a crisis of epidemic proportions is nearly upon us and that if the world does not get its act together soon and agree to some kind of 'Global Marshall Plan' to protect the environment, we're all up a polluted creek without a paddle. Myriad plagues are upon us, but the worst include the loss of biodiversity, the depletion of the ozone layer, the slash-and-burn destruction of rain forests, and the onset of global warming. None of this is new, of course, nor was it new in 1992. But most environmentalists will still get a giddy feeling reading such a call to action as written by a prominent politician. The book is arranged into three sections: the first describes the plagues; the second looks at how we got ourselves into this mess; and the final chapters present ways out. Gore gets his points across in a serviceable way, though he could have benefited from a firmer editor's hand; at times the analogies are arcane and the pacing is odd kind of like a Gore speech that climaxes at weird points and then sinks just as the audience is about to clap. Still, at the end you understand what's been said. Gore believes that if we apply some American ingenuity, the twin engines of democracy and capitalism can be rigged to help us stabilize world population growth, spread social justice, boost education levels, create environmentally appropriate technologies, and negotiate international agreements to bring us back from the brink. For example, a worldwide shift to clean, renewable energy sources would create huge economic opportunities for companies large and small to design, build, and maintain solar panels, wind turbines, fuel cells, and other eco friendly innovations.

  11. Bill asserting the national commitment for the environment (declared urgency), text from the commission of economy, sustainable development and town and country planning

    International Nuclear Information System (INIS)

    2009-07-01

    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 the text of the bill as prepared by the Commission of economy, sustainable development and town and country planning. (J.S.)

  12. Bill, adopted by the Senate after urgency declaration, asserting the national commitment for the environment, transmitted by M. Prime Minister to M. President of the House of Commons

    International Nuclear Information System (INIS)

    2009-10-01

    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 the text of the bill adopted in first lecture by the Senate and transmitted by the Prime Minister to the President of the House of Commons. (J.S.)

  13. The right to energy is a social, economical and environmental emergency; Le droit a l'energie est une urgence sociale, economique et environnementale

    Energy Technology Data Exchange (ETDEWEB)

    Coulon, Pierre-Jean

    2010-09-15

    2 billion people on the planet do not have access to energy. This energy deficiency has an impact on health, infant mortality, life expectancy, education, and women's emancipation and it slows development. Following the Copenhagen summit, in a financial crisis context that heavily impacted the world economies, energy issues demand real political commitment, because solutions exist. They include awareness-building, responsibility and commitment of society, because a better accessibility for the populations can't be achieve without the beneficiaries. [French] 2 milliards d'individus n'ont pas acces a l'energie sur la planete. Impact sur la sante, sur la mortalite infantile, sur l'esperance de vie, sur l'education, sur l'emancipation des femmes a cette situation de carence energetique est un frein au developpement. Au lendemain du Sommet de Copenhague, dans un contexte de crise financiere qui a impacte lourdement l'economie mondiale, les questions energetiques necessites une reelle volonte politique, car des solutions existent. Celles-ci passent notamment par la sensibilisation, la responsabilisation et l'implication de la societe civile, car permettre une meilleure accessibilite des populations ne peut pas se faire sans les beneficiaires eux-memes.

  14. Problematic of the implantation of quality control in the radiodiagnostic service of a hospital with more than 5000 beds with a urgency service

    International Nuclear Information System (INIS)

    Castell, A.; Lizuain, M.C.; Cinos, C.; Linero, D.

    1992-01-01

    The quality control of the x-ray equipment is not normal in the Hospitals. This technique has very difficulties. In this report we show the methodology in order to implant the quality control in radiodiagnostic service : data acquisition and format of communication

  15. The Urgency of Visual Media Literacy in Our Post-9/11 World: Reading Images of Muslim Women in the Print News Media

    Science.gov (United States)

    Watt, Diane Patricia

    2012-01-01

    A decade after the 9/11 attacks, educators concerned with social justice issues are faced with the question of how media representations powerfully constitute the subjectivities of teachers and students. The roles of Muslim women in society are often narrowly construed and projected via media cultures--an unofficial curriculum of the everyday much…

  16. [Requests for emergency appointments with dermatologists in private practice in France: the ETude Urgences en DErmatologie libérale (ET.U.DE) study].

    Science.gov (United States)

    Penso-Assathiany, D; Bourdon-Lanoy, E; Derancourt, C; Roujeau, J-C; Bastuji-Garin, S

    2007-01-01

    Requests for emergency appointments are fairly common in private dermatologic practice in France. To our knowledge the frequency and reasons for such requests have not yet been evaluated. The primary objective of our study was to provide a quantitative and qualitative evaluation of such requests and to assess the underlying reasons. The secondary aim was to investigate for an association between emergency requests where response was justified within 48 hours and the symptoms reported by patients in order to establish a predictive score for the validity of requests. The study took place during one week in April 2004. Forty French dermatologists took part on a voluntary basis. They deliberately reduced their ongoing schedule to accommodate patients seeking an urgent appointment. We collected data regarding the normal professional activity of each dermatologist, reasons for appointments, symptoms, diagnosis and evaluation of the degree of emergency by the attending dermatologist. Univariate and multivariate analyses were performed and a score was attributed based on the results for the variables used in the logistic regression model. The mean number of patients seen at emergency appointments during the study week doubled in comparison with a normal period. During the week, 613 patients phoned and all questionnaires were completed for 538 (88%) patients. The most common reasons for requesting an appointment were: rash, eczema, pruritus, tumour modification, localized lesion and allergy. The most frequent diagnoses were: eczema, bacterial and viral infection, atopic dermatitis, mycosis and naevus. The dermatologists considered that the consultations were justified within 48 hours for one third of patients. In the multivariate analysis, factors significantly associated with a justified request were of a general medical rather than a dermatological nature: enlarged cysts, blisters, insomnia, impaired activity, onset or aggravation within the previous 7 days, inability to work. The score showed good specificity but poor sensitivity and discriminative value. These results suggest that requests for emergency appointments are more frequent than previously suspected (14% of all requests). Physicians considered that emergency appointments within 48 hours were justified for one third of patients. The reasons for consultation and the resulting diagnoses were similar to those seen in emergency hospital consultations. The criteria on which the need for emergency consultation was based were not for the most part dermatologic. The scoring system we established was not sensitive enough to allow reliable pre-selection of patients requiring emergency consultation by telephone.

  17. Europe and the Peak Oil, an emergency situation; Le Pic Petrolier et l'Europe, une situation d'urgence

    Energy Technology Data Exchange (ETDEWEB)

    Durand, B.

    2011-07-01

    The author shows why, in the coming years, severe oil supply difficulties will emerge in countries like France and the majority of European countries which do not possess significant oil resources on their land. He also highlights the risks for the European Union if no action is undertaken in front of this perspective. He discusses the British example as the United Kingdom has been the first country to use fossil fuels in an industrial way, and also possessed important quantities of oil and natural gas in the Northern Sea. He discusses the various data concerning the Peak Oil, and outlines the rapid decrease of available oil quantities on the international market. He highlights the difficult situation which will soon face Europe, and that measures must me implemented in emergency

  18. Idiopathic pulmonary fibrosis with complication of severe respiratory failure, right heart failure, and steroid induced diabetes – qualification for lung transplantation as a matter of urgency

    Directory of Open Access Journals (Sweden)

    Beata P. Kraśnicka-Sokół

    2016-09-01

    Full Text Available A 62-year-old woman 146 cm tall and weighing 50 kg, due to idiopathic pulmonary fibrosis, was firstly approved for lung transplantation according to the planned mode. Due to the low height of the patient there were difficulties in the selection of the donor and prolonged waiting time for the surgery. Rapid progression of pulmonary hypertension and steroid-induced diabetes forced us to change the mode of the procedure to urgent. The description of the case shows the difficulties in therapy and choosing the appropriate time for lung transplantation. In this case, the collaboration of specialists from various fields in the decision on transplant is noteworthy.

  19. Urgency of Capacity Building in Local Finance Management on Decentralization Era (The Dynamic of Parking Taxes Management at Banguntapan District, Bantul Region DI Yogyakarta Province

    Directory of Open Access Journals (Sweden)

    Bambang Sunaryo

    2014-12-01

    Full Text Available Capacity building of local finance management becomes important on decentralizations era. Empirically this research is aim to show that the parking tax management at glance seen as an administrative- procedural policy domain cannot release from phenomena on the existence of problematic pathology for regional financial management. District of Bantul Banguntapan characteristic as its suburbs form the main attraction in the selection of research because of the general locus in sub-urban area, began to metamorphose into a parking tax revenues from regions that contribute to the area though not as big financial contribution income tax parking tax in urban areas. The Banguntapan sub district was chosen as analysis unit in this research to represent the issue of parking tax management in sub urban area of Bantul. This was due to the characteristic of Bantul area as sub urban area that can be seen from the characteristics of sub urban in Banguntapan sub district. Moreover, the Banguntapan sub district is the only area in Bantul which has a parking tax subject that the cost is self-assessment and flat thus the dynamic of local finance managing problems can be observed and in-depth analysed in Banguntapan sub district to seek the comparison of those 2 parking tax collection systems.

  20. The Urgency of the Regulation of Certification as an Attempt to Optimize the Human Resources in Developing Indonesia’s Sharia Insurance

    Directory of Open Access Journals (Sweden)

    lastuti abubakar Gani

    2016-04-01

    Full Text Available Objectives - The development of Islamic insurance in Indonesia contributed to economic growth in 2014. The principle of mutual cooperation and tabarru contract is a characteristic of Islamic insurance. The Opportunity to increase the role of Islamic insurance as an economic entity is done by utilizing various aspects of human resource readiness. Human Resource are required to have a comprehensive understanding of Islamic insurance in order to create compliance with Islamic principles for product and services offered.It can provide legal protection against the Takaful participants. Issues to be examined is how the readiness of the relevant regulatory certification and how Regulatory model certification appropriate human resources in order to develop Islamic insurance in Indonesia.              Methods -The method used is a normative juridical that through the efforts of an inventory of rules and descriptive analytical. To obtain the appropriate regulatory models, a legal comparison method is employed.Results - Based on the research results, the regulation of certification is required and should include the human resources, starting from a selling agent to the management as a decision maker. This regulation will push the entire human resources involved in the Islamic insurance industry to has the capacity and capability in providing services to the public, and to ensure and guarantee that the services offered comply with Islamic principles. Association of Islamic Insurance Indonesia was initiated concerning certification provisions, but has not been followed by a strong regulations readiness as a legal basis.Conclusion -Therefore we need a comprehensive regulation and it must be issued by Indonesian Financial Services Authority.

  1. World-viewing Dialogues on Precarious Life: The Urgency of a New Existential, Spiritual, and Ethical Language in the Search for Meaning in Vulnerable life.

    NARCIS (Netherlands)

    Anbeek, C.W.

    2017-01-01

    In the last sixty years the West-European religious landscape has changed radically. People, and also religious and humanist communities, in a post-secular world are challenged to develop a new existential, ethical and spiritual language that fits to their global and pluralistic surroundings. This

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

    OpenAIRE

    Wolz, Ines; Hilker, Ines; Granero, Roser; Jim?nez-Murcia, Susana; Gearhardt, Ashley N.; Dieguez, Carlos; Casanueva, Felipe F.; Crujeiras, Ana B.; Mench?n, Jos? M.; Fern?ndez-Aranda, Fernando

    2016-01-01

    Objectives: 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. Methods: 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...

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

    OpenAIRE

    Ines eWolz; Ines eWolz; Ines eHilker; Roser eGranero; Roser eGranero; Susana eJiménez-Murcia; Susana eJiménez-Murcia; Susana eJiménez-Murcia; Ashley Nicole Gearhardt; Carlos eDieguez; Carlos eDieguez; Felipe F Casanueva; Felipe F Casanueva; Ana B Crujeiras; Ana B Crujeiras

    2016-01-01

    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 positiv...

  4. Mental health care reforms in Asia: the urgency of now: building a recovery-oriented, community mental health service in china.

    Science.gov (United States)

    Tse, Samson; Ran, Mao-Sheng; Huang, Yueqin; Zhu, Shimin

    2013-07-01

    For the first time in history, China has a mental health legal framework. People in China can now expect a better life and more accessible, better-quality health care services for their loved ones. Development of a community mental health service (CMHS) is at a crossroads. In this new column on mental health reforms in Asia, the authors review the current state of the CMHS in China and propose four strategic directions for future development: building on the strengths of the "686 Project," the 2004 initiative that launched China's mental health reform; improving professional skills of the mental health workforce, especially for a recovery approach; empowering families and caregivers to support individuals with severe mental illness; and using information and communications technology to promote self-help and reduce the stigma associated with psychiatric disorders.

  5. 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 ...

  6. Risque d'urgence neurologique grave et curable parmi les enfants présentant une crise d'épilepsie en contexte fébrile : un exemple d'utilisation des dossiers médicaux informatisés des urgences pour la recherche clinique

    OpenAIRE

    Guedj , Romain

    2017-01-01

    Febrile seizures (FS) affect 2% to 5% of children aged 6 months to 5 years of age. Although FS are usually benign, they are associated with serious treatable neurological emergencies. Nowadays, three factors are used to evaluate this risk: the age of the child, whether the FS is simple or complex and the features of the clinical exam. The performance of a lumbar puncture and an emergent neuroimaging are required in order to rule out these emergencies. However, a lumbar puncture is painful and...

  7. N.6 report realized for the economical Affairs Commission on the law project, adopted by the National Assembly after urgency declaration, relative to the energy sector; N.6 rapport fait au nom de la commission des Affaires economiques sur le projet de loi, adopte par l'Assemblee Nationale apres declaration d'urgence, relatif au secteur de l'energie

    Energy Technology Data Exchange (ETDEWEB)

    Poniatowski, L

    2006-10-15

    This law project concerns the organization of the french energy sector and the definition of the public utilities. After a presentation of the juridical environment of the european energy sector, the author shows, in the framework of the world energy situation, that the evolution of the juridical aspects of Gaz de France answers a real necessity. He then presents the initial law project dispositions, the modifications of the National Assembly and the amendment of the commission. (A.L.B.)

  8. Project of law, adopted by the Senate after urgency declaration, relative to the energy markets and to the energy public utilities; Projet de loi adopte par le Senat apres declaration d'urgence relatif aux marches energetiques et au service public de l'energie

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-10-01

    This project of law treats of: 1 - the right of access to natural gas distribution networks (transit contracts, eligible clients and market opening, acknowledged suppliers, diversification of supplies, denial of contract, derogations); 2 - the transparency and regulation of the natural gas sector (prices and commercial conditions, transport and storage informations, organisation of the regulation authority); 3 - the natural gas public utility (organisation, obligations, supplies warranty and security, national observatory); 4 - the natural gas transport and distribution (network management, expertises and controls, maintenance); 5 - the underground storage (mining law, storage concession, exploitation); 6 - the controls and sanctions; 7 - the dispositions relative to the electric public utility (costs, taxes and contributions, overruns, regulation authority). (J.S.)

  9. Law project adopted by the National Assembly, after urgency declaration, of the program relative to the sustainable management of radioactive materials and wastes; Projet de loi adopte par l'Assemblee Nationale, apres declaration d'urgence, de programme relatif a la gestion durable des matieres et des dechets radioactifs

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    The document presents the different articles of the law project dealing with the terminology, the radioactive wastes storage and disposal, the safety and the transport, the financing, the liabilities, the control and the sanctions. (A.L.B.)

  10. Law project modified by the Senate after urgency declaration relative to the electric and gas public utilities and to the power and gas companies; Projet de loi modifie par le Senat apres declaration d'urgence relatif au service public de l'electricite et du gaz et aux entreprises electriques et gazieres

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    This document is the modifications made by the French Senate after the first reading of the law project adopted by the House of Commons and relative to the change of status of the power and gas public utilities in the framework of the deregulation of European energy markets. This law changes the juridical status of the two state monopolies Electricite de France (EdF) and Gaz de France (GdF) into two anonymous companies and creates two additional companies for the management of the power and gas networks. It ensures also the transposition of the European directives from June 26, 2003 (2003/54/CE and 2003/55/CE). It contains some proper dispositions and modifies various existing French laws, in particular the law no. 46-628 from April 8, 1946 about the electricity and gas nationalization and the law no. 2000-108 from February 10, 2000 relative to the modernization and development of the electric public utility. The document lists the modifications made by the Senate article by article. (J.S.)

  11. N.6 report realized for the economical Affairs Commission on the law project, adopted by the National Assembly after urgency declaration, relative to the energy sector; N.6 rapport fait au nom de la commission des Affaires economiques sur le projet de loi, adopte par l'Assemblee Nationale apres declaration d'urgence, relatif au secteur de l'energie

    Energy Technology Data Exchange (ETDEWEB)

    Poniatowski, L

    2006-10-15

    This law project concerns the organization of the french energy sector and the definition of the public utilities. After a presentation of the juridical environment of the european energy sector, the author shows, in the framework of the world energy situation, that the evolution of the juridical aspects of Gaz de France answers a real necessity. He then presents the initial law project dispositions, the modifications of the National Assembly and the amendment of the commission. (A.L.B.)

  12. Gas emergency management - safety and reliability of supply - remote management of distribution system through computer assisted dispatching of emergency events; Gestion des urgences - securite et fiabilite de la distribution du gaz gestion des urgences a l'aide d'un systeme informatique integre

    Energy Technology Data Exchange (ETDEWEB)

    Bettin, B.; Clava, R.; Pisino, F. [italgas, Torino (Italy); Guerra, M. [A.M.G.A., (Italy)

    2000-07-01

    Gas distribution companies have long since paid great attention to improving the quality and safety of the gas supply service to the consumer. In particular the management of gas emergencies has always been a responsibility taken seriously by all sectors of the gas industry. Over the last few years, however, the concept and practices in risk management have been changing rapidly. This has involved gas companies in an on-going attempt to successfully define and establish clear computer assisted risk management practices. Risk management is the systematic use of management policy, procedures and means, with the aim to protect employees, the public, the environment and properties at an acceptable cost. This paper has the purpose of presenting: - the computer software of gas emergency management in use at Italgas S.p.A. for testing the performance of gas distribution networks on a 'real-time' basis and therefore selecting effective action for solving any emergency that may occur; - the integrated system, implemented by A.M.G.A. (Azienda Mediterranea Gas e Acqua S.p.A. - Genova), for real-time management of gas and water network emergencies (reported by customers or by tele-alarm systems), their location, and the dispatching of operative crews. (authors)

  13. Bill asserting the national commitment for the environment (declared urgency), text from the commission of economy, sustainable development and town and country planning; Projet de Loi portant engagement national pour l'environnement (urgence declaree), Texte de la Commission de L'Economie, du Developpement Durable et de L'Amenagement du Territoire

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-15

    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 the text of the bill as prepared by the Commission of economy, sustainable development and town and country planning. (J.S.)

  14. Notice made on behalf of the Commission of economic affairs about the bill, adopted by the Senate after urgency declaration, asserting the national commitment for the environment (no. 1965); Avis fait Au nom de la Commission des Affaires Economiques sur le projet de loi, adopte par le Senat, apres declaration d'urgence, portant engagement national pour l'environnement (no. 1965)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-04-15

    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 recalls first the objectives of the bill adopted by the Senate, then it presents the proposals of the rapporteurs of the French House of Commons, followed by the auditions of the Junior Ministers in charge of ecology, accommodation and urbanism, energy, sustainable development, green technologies and climate. Finally, each article of the bill is described, and examined by the deputies. (J.S.)

  15. Law project modified by the Senate of energy orientation. (urgency declared). The Senate modified, in a first reading, the law project, adopted by the National Assembly in first reading after urgency declaration, concerning: see the numbers: national assembly (12. legisl.): 1586, 1597 and T.A. 302. Senate: 328 and 330 (2003-2004)

    International Nuclear Information System (INIS)

    2004-06-01

    This law project concerns the national energy policy, the energy demand control, the renewable energies, the equilibrium and the quality of the transport and distribution networks of electric power, taxation and financial incentives. (A.L.B.)

  16. 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 ...

  17. 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 ...

  18. 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 ...

  19. 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

  20. 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 ...

  1. 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 ...

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. Caracterização dos acidentes de trânsito assistidos por um serviço de atendimento móvel de urgência Characterization of traffic accidents attended by a mobile urgency care service

    Directory of Open Access Journals (Sweden)

    Andréa Tayse de Lima Gomes

    2016-04-01

    Full Text Available Objetivo: Caracterizar os acidentes de trânsito assistidos pelo serviço de atendimento móvel de urgência do Rio Grande do Norte. Métodos: Pesquisa descritiva, exploratória, com abordagem quantitativa, realizada em um Serviço de Atendimento Móvel de Urgência. Resultados: A amostra foi composta por 1.353 fichas de atendimento de janeiro a junho de 2014. Destacou-se o sexo masculino (78,0%, com idade entre 25 e 34 anos (29,9%. O maior número foi no final de semana (53,9%, à noite (25,9% e o tipo de colisão mais recorrente foi queda de moto (35,8%. As escoriações foram as lesões mais frequentes (28,7% e o politraumatismo ocorreu em 34,1% das vítimas. Conclusão: Ressalta-se a importância da educação permanente dos profissionais de saúde, pois, quanto mais rápido e qualificado for o primeiro atendimento, maiores serão as chances de um bom prognóstico.

  9. Síndrome de burnout em profissionais do serviço de atendimento móvel de urgência Burnout Syndrome in urgency mobile service professionals

    Directory of Open Access Journals (Sweden)

    Laiana Maria Luz

    2017-01-01

    Full Text Available Objetivo: analisar a prevalência da Síndrome de Burnout em profissionais do Serviço de Atendimento Móvel de Urgência. Métodos: pesquisa descritiva, transversal e quantitativa, da qual participaram 32 profissionais. Os dados foram coletados por meio do Inventário Maslach de Burnout e analisados no SPSS for Windows. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa sob CAAE n° 0040.0.045.000-11. Resultados: para a equipe como um todo, houve escores altos para Desgaste Emocional (28,1% Despersonalização (21,9% e Incompetência Profissional (28,1% (escore reverso. Na equipe médica, o Desgaste Emocional e Despersonalização foram maiores quando comparado a equipe de enfermagem; e em Incompetência Profissional os escores foram mais elevados para os técnicos de enfermagem. Conclusão: a produção de maior conhecimento sobre a temática pode contribuir no cotidiano destes profissionais, visto que a síndrome manifestou-se entre os profissionais do presente estudo. Descritores: Saúde do Trabalhador, Esgotamento Profissional, Serviços Médicos de Emergência.

  10. Estado nutricional e evolução de cirurgias ortopédicas de urgência em idosos Nutritional status and evolution of orthopedic urgency surgery in the elderly

    Directory of Open Access Journals (Sweden)

    Fernanda de Jesus Aguiar

    2011-01-01

    Full Text Available OBJETIVO: Foram avaliados pacientes de ambos os sexos, de idade superior a 60 anos de idade admitidos no Instituto de Ortopedia e Traumatologia Godoy Moreira do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo para submeter-se a artroplastias de quadril em caráter emergencial (fratura de quadril. MÉTODOS: A avaliação nutricional incorporou dados sobre peso atual e referido de seis meses antes da condição atual, o índice de risco nutricional e exames complementares. Para as variáveis categóricas foram elaboradas tabelas contingência, analisadas através de teste de qui quadrado. Quando possível foi utilizado o teste t de Student para amostras não pareadas e para os casos em que a normalidade não foi observada foi utilizada análise não paramétrica (Mann Whiney. Foram analisadas, como co-variáveis as condições de: mortalidade, infecções, re-internações e complicações (soma das três anteriores. Foram analisados trinta e oito pacientes maiores de 60 anos, sendo 15 homens e 23 mulheres, com média de idade de 79,21 (DP 9,12, variando de 60 a 94 (mediana de 81 anos. RESULTADOS: Não foram encontradas associações entre idade, peso, NRI, hemoglobina, albumina, IDL e handgrip e as co-variáveis estudadas. Observou-se forte relação do número de doenças prévias com mortalidade (p=0,0012, infecção (p=0,002 e complicações (p=0,0305, mas não com re-internação (p=0,640, Também foi encontrada relação entre o tempo de internação e infecção durante a internação (p=0,0016. CONCLUSÕES: Pudemos observar que parâmetros referentes a número de doenças, tempo de internação e funcionalidade medida através das atividades básicas da vida diária tiveram poder de prever complicações como a mortalidade, re-internações e mesmo infecções, podem ser úteis na avaliação pré-operatória de idosos de alta fragilidade com quadro de fraturas de quadril. Nivel de Evidência II, estudo prognóstico.OBJECTIVE: We assessed patients of both sexes, aged over 60 years of age admitted to the Institute of Orthopedics and Traumatology Godoy Moreira, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, for emergency hip arthroplasty (hip fracture. METHODS: The nutritional assessment included data on current weight and reported weight six months before the current condition, the index of nutritional risk, and complementary exams. For the categorical variables, contingency tables were compiled, which were analyzed by the chi square test. Where possible, the Student t test was used for unpaired samples, and in cases in which normality was not observed, the nonparametric (Mann Whiney test was used. The following conditions were analyzed as co-variables: mortality, infections, re-admissions and complications (sum of the previous three. Thirty-eight patients aged over 60 years were analyzed: 15 men and 23 women, with a mean age of 79.21 (SD 9.12, and ages ranging from 60 to 94 (median 81 years. RESULTS: No associations were found between age, weight, NRI, hemoglobin, albumin, IDL and handgrip and the co-variables. A strong relationship was observed between the number of previous diseases with mortality (p = 0.0012, infection (p = 0.002 and complications (p = 0.0305 but not with readmission (p = 0.640. A link was also found between hospitalization time and infection during hospitalization (p = 0.0016. CONCLUSIONS: It is observed that parameters related to number of diseases, hospitalization time and functionality, measured through the ability to carry out basic activities of daily living, were capable of predicting complications such as mortality, readmissions and even re-infection, and may be useful in the preoperative evaluation of highly fragile elderly patients with hip fractures. estudo prognósticoI Level of Evidence: Level II, prognostic studies.

  11. Law project modified by the Senate of energy orientation. (urgency declared). The Senate modified, in a first reading, the law project, adopted by the National Assembly in first reading after urgency declaration, concerning: see the numbers: national assembly (12. legisl.): 1586, 1597 and T.A. 302. Senate: 328 and 330 (2003-2004); Projet de loi modifie par le Senat d'orientation sur l'energie. (Urgence declaree). Le Senat a modifie, en premiere lecture, le projet de loi, adopte par l'Assemblee nationale en premiere lecture apres declaration d'urgence, dont la teneur suit: voir les numeros: Assemblee nationale (12. legisl.): 1586, 1597 et T.A. 302. Senat: 328 et 330 (2003-2004)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-06-01

    This law project concerns the national energy policy, the energy demand control, the renewable energies, the equilibrium and the quality of the transport and distribution networks of electric power, taxation and financial incentives. (A.L.B.)

  12. Report realized on behalf of the economic affairs, the environment and the territory commission on the law project, after urgency declaration, of the program relative to the sustainable management of materials and radioactive wastes

    International Nuclear Information System (INIS)

    Birraux, C.

    2006-03-01

    In 1991 the France decided to intensify its researches in the high activity radioactive wastes management domain. The law of the 30 December 1991 relative to the radioactive wastes management, decided that a period of 15 years would be devoted to the research of very long dated solutions. Taking into account these researches, a law project has been composed. After a recall of the today situation of radioactive materials and wastes in France and the knowledge since 1991, this document presents the law project. (A.L.B.)

  13. Emergency gas operation strategy and system establishment for large-scale disaster; Strategie d'operation en urgence et construction de systemes pour parer aux desastres de grande importance

    Energy Technology Data Exchange (ETDEWEB)

    Toshihira, Hara [Tokyo Gas Co., Ltd (Japan); Yoshihisa, Shimizu [Tokyo Gas Co., Ltd (Japan); Takashi, Imagawa [Toho Gas Co., Ltd (Japan)

    2000-07-01

    Japan's gas companies have wide-ranging experience of earthquakes and other disasters and have for long put the lessons learned from these disasters to good use through regular reviews of their emergency gas operation strategies. However, the Great Hanshin Earthquake disaster of January 1995 made them acutely aware of the need for a more radical review of this strategy. Japan's big gas companies are currently devoting maximum resources to reviewing their emergency strategies and constructing the sorts of systems needed to deal with major disasters. In the first half of the present paper, we discuss the experience of Toho Gas, which has just finished work on a comprehensive group of systems, and explain the 'thinking behind the systems'. In the second half of the paper, we discuss some of the ways in which Tokyo Gas has been endeavoring to further refine and enhance its systems and introduce the reader to the latest emergency strategy support systems in the shape of the 'sub-center concept, training system construction, and damage estimation systems'. These should also make useful references for gas companies from other countries. (authors)

  14. Birth control necessary to limit family size in tribal couples with aberrant heterosis of G-6-PD deficiency and sickle cell disorders in India: an urgency of creating awareness and imparting genetic counseling.

    Science.gov (United States)

    Balgir, R S

    2010-06-01

    (i) To study the outcome of ignorance and lack of awareness about sickle cell disease and G-6-PD deficiency among Dhelki Kharia tribal families of Orissa, and (ii) to study the reproductive output in relation to clinical genetics and patho-physiological implications. A random genetic study of screening for hemoglobinopathies and G-6-PD deficiency among Dhelki Kharia tribal community in Sundargarh district of Orissa was carried out for intervention during the year 2000-2004. A total of 81 Dhelki Kharia families were screened and six families with double heterozygosity for above genetic anomalies were encountered. About 2-3 ml. intravenous blood samples were collected in EDTA by disposable syringes and needles after taking informed consent from each individual in the presence of a doctor and community leaders and sent to laboratory at Bhubaneswar for hematological investigations. Analysis was carried out following the standard procedures after cross checking for quality control. There were 12 (about 52%) children out of 23 who were either suffering from sickle cell trait or disease in concurrence with G-6-PD deficiency in hemizygous/heterozygous/homozygous condition in Dhelki Kharia tribal community of Orissa. There were on an average 3.83 number of surviving (range 2-6) children per mother in families of G-6-PD deficiency and sickle cell disorders. The average number of children (3.83) born (range 2-6 children) per mother to carrier/affected mother was much higher than the average for India (2.73). It is very difficult to maintain the normal health of an affected child with aberrant anomalies due to exorbitant cost of treatment, frequent transfusions and huge involvement of economy. One of the implications of aberrant heterosis is its adverse affects on routine individual physiology and hard activities. It is suggested to limit the family size in carrier couples to avoid aberrant heterosis of hereditary hemolytic disorders in their offsprings.

  15. Report made on behalf of the commission of economic affairs, of environment and of territory about the project of law, adopted by the Senate after urgency declaration (no. 326), relative to the energy markets and to the energy public utility

    International Nuclear Information System (INIS)

    Gonnot, F.M.

    2002-11-01

    This report concerns the transposition into French law of the directive 98/30/CE adopted by the European parliament and council on June 22, 1998, and concerning the common rules for the home natural gas market. In an introductory part, the report recalls first the principle and implementation of the regulation of the natural gas market (commission of energy regulation, role of the energy minister), and then explains its impact for the end-consumer and the conditions of the adaptation of the gas distribution network to this structure change (reinforcement of market contestableness, Gaz de France monopoly, competition between infrastructures, problem of investments coordination). The main part of the document concerns the works of the commission about the project of law adopted by the Senate, and the examination of its different articles: access to the natural gas networks, transparency and regulation of the natural gas sector, the gas public utility, the transport and distribution of natural gas, the underground storage, the control and sanctions, and the dispositions relative to the public electric utility. (J.S.)

  16. L’introduction de la médecine moderne dans le monde arabe The introduction of modern medicine in the Arab world: between time of urgency and time of learning (19th-20th centuries

    Directory of Open Access Journals (Sweden)

    Sylvia Chiffoleau

    2012-06-01

    Full Text Available L’État, colonial ou autochtone, a joué un rôle majeur dans le processus d’occidentalisation du temps au XIXe siècle. Le champ de la santé permet de suivre le processus par lequel de nouveaux dispositifs (École de médecine, dispensaires, campagnes de vaccination et de lutte contre les épidémies introduisent non seulement un nouveau temps compté par l’horloge, la régularité des horaires de rendez-vous, mais aussi, de façon plus abstraite, l’idée de prévention et l’ébauche d’un souci de soi qui permet de se projeter dans l’avenir pour préserver sa santé.The State, whether colonial or native, has played a key role in the process of westernization of time in the 19th century. The field of health allows us to observe the process through which new institutions like schools of medicine, clinics, vaccination campaigns and campaigns against epidemics introduce a new counted time and the regularity of schedules for appointments. In a more abstract way, it introduces the idea of prevention and a first idea of self care that allows the individual to project himself into the future, in order to preserve his health.

  17. [The transfer from Strasbourg, and the primary ten years (1872-1882) of the "Ecole supérieure de pharmacie" of Nancy. An example of the difficulty of creating an university structure almost from nothing and in urgency].

    Science.gov (United States)

    Labrude, Pierre; Strohl, Stéphanie

    2007-05-01

    The conclusion of the war conducted by France in 1870 was the annexation of Alsace and Moselle to the German Empire. The question of the becoming of the University of Strasbourg was put a long time before the Francfort treaty.... After many discussions, the transfer of the Faculty of medicine and of the School of pharmacy to Nancy was decided on October 1st 1872. First bound to the faculty, the school became independent in 1876. It suffered some difficult years because of the terms of the transfer decree, of the retirement of two of its four professors, of the ministerial decision to keep free the chairs for some time in order to save money, and of the difficulties of the recruitment of new professors. The paper describes successively the difficulties of the choice of Nancy for the transfer, the situation of the schools of Strasbourg and Nancy in the year 1870, the text of the decree, the beginning of the teachings and the difficulties encountered with the chairs of pharmacy and natural history, and finally the pharmacy students come in Nancy during the early years. Some thoughts on this transfer and on the difficulties occured during these years precede the conclusion.

  18. Report realized by the commission of the economical Affairs on the law project, adopted by the National Assembly after urgency declaration, of the program relative to the sustainable management of the radioactive materials and wastes

    International Nuclear Information System (INIS)

    Revol, H.

    2006-01-01

    In the framework of a sustainable development and of the nuclear energy development, the France decided by the law of the 30 December 1991, to study three axis or researches: the radioactive wastes transmutation, their deep underground disposal and their storage during ten years. Today, after evaluation of the researches results a law project on the sustainable management of the radioactive materials and wastes, has been prepared. This document is the approval of the law project and presents some amendments. (A.L.B.)

  19. Urgence et activité débordée dans le grand commerce Emergency and overflow activity in mass retailing Urgencia y actividad desbordada en el comercio masivo

    Directory of Open Access Journals (Sweden)

    Julien Choquet

    2012-12-01

    Full Text Available Le grand commerce est un secteur d’activité où la performance économique se mesure à l’échelle des volumes de marchandise distribuée. Derrière cet indicateur se cachent des politiques de gestion des ressources humaines largement déterminées par les questions de productivité du travail. En effet, ces entreprises commerciales ont à résoudre une équation majeure consistant à placer la bonne quantité de personnel au bon endroit et au bon moment, du fait de la forte irrégularité des affluences de la clientèle dans leurs points de vente. L’usage du temps de travail acheté constitue donc une variable fondamentale dans la maîtrise des coûts de production. Les solutions choisies ne sont pas sans incidences sur les conditions temporelles d’exécution du travail des salariés dans les magasins. Leur activité oscille entre intensité et débordement, ce qui impacte fortement leur manière d’appréhender leurs tâches, leurs relations avec la clientèle et leur capacité à vivre sereinement leur travail.Mass retail is a sector where economic performance tends to be measured by the volume of goods distributed – an indicator built upon human resource management policies that are largely rooted in the productivity of labour. Commercial companies are constantly seeking to move large numbers of staff members to the right place at the right time, a complicated exercise given customers’ irregular presence at points of sale. The way that companies use the working time that they have purchased therefore constitutes a key variable in controlling production costs. The solutions they choose will affect the temporal conditions determining employees’ in-store execution of tasks. Such activities tend to fluctuate between intensity and overflow. In turn, this strongly affects how staff members apprehend tasks; relations with customers; and their sense of serenity at work.El comercio masivo es un sector de actividad cuyos resultados económicos se miden en función de los volúmenes de mercancías distribuidas. Detrás de ese indicador se ocultan políticas de gestión de los recursos humanos que en gran medida vienen determinadas por factores que tienen que ver con la productividad del trabajo. Efectivamente, esas empresas comerciales deben resolver una ecuación esencial que consiste en colocar la cantidad correcta de personal en el lugar correcto y en el momento justo, dada la gran irregularidad de la afluencia de clientes a sus puntos de venta ; de tal modo que el uso del tiempo de trabajo que compran constituye una variable fundamental en el control de sus costos de producción. Ahora bien, las soluciones que eligen tienen una fuerte incidencia en las condiciones de ejecución del trabajo de los asalariados en las tiendas en lo que concierne a la gestión del tiempo, pues la actividad de ese personal oscila entre intensidad y desbordamiento, lo cual tiene un fuerte impacto en su forma de aprehender sus tareas, sus relaciones con la clientela y su capacidad para vivir su trabajo con serenidad.

  20. Notice made on behalf of the Commission of economic affairs about the bill, adopted by the Senate after urgency declaration, asserting the national commitment for the environment (no. 1965)

    International Nuclear Information System (INIS)

    2010-04-01

    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 recalls first the objectives of the bill adopted by the Senate, then it presents the proposals of the rapporteurs of the French House of Commons, followed by the auditions of the Junior Ministers in charge of ecology, accommodation and urbanism, energy, sustainable development, green technologies and climate. Finally, each article of the bill is described, and examined by the deputies. (J.S.)

  1. Management of a radiological emergency. Experience feedback and post-accident management; Gestion d'une urgence radiologique. Retour d'experience et gestion post-accidentelle

    Energy Technology Data Exchange (ETDEWEB)

    Dubiau, Ph. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Clamart (France)

    2007-07-15

    In France, the organization of crisis situations and the management of radiological emergency situations are regularly tested through simulation exercises for a continuous improvement. Past severe accidents represent experience feedback resources of prime importance which have led to deep changes in crisis organizations. However, the management of the post-accident phase is still the object of considerations and reflections between the public authorities and the intervening parties. This document presents, first, the nuclear crisis exercises organized in France, then, the experience feedback of past accidents and exercises, and finally, the main aspects to consider for the post-accident management of such events: 1 - Crisis exercises: objectives, types (local, national and international exercises), principles and progress, limits; 2 - Experience feedback: real crises (major accidents, other recent accidental situations or incidents), crisis exercises (experience feedback organization, improvements); 3 - post-accident management: environmental contamination and people exposure, management of contaminated territories, management of populations (additional protection, living conditions, medical-psychological follow up), indemnification, organization during the post-accident phase; 4 - conclusion and perspectives. (J.S.)

  2. Populations protection and territories management in nuclear emergency and post-accident situation; Protection des populations et gestion des territoires en situation d'urgence nucleaire et post-accidentelle

    Energy Technology Data Exchange (ETDEWEB)

    Bourrel, M.; Calmon, Ph.; Calvez, M.; Chambrette, V.; Champion, D.; Devin, P.; Godino, O.; Lombard, J.; Rzepka, J.P.; Schneider, Th.; Verhaeghe, B.; Cogez, E.; Kayser, O.; Guenon, C.; Jourdain, J.R.; Bouchot, E.; Murith, Ch.; Lochard, J.; Cluchier, A.; Vandecasteele, Ch.; Pectorin, X.; Dubiau, Ph.; Gerphagnon, O.; Roche, H.; Cessac, B.; Cochard, A.; Machenaud, G.; Jourdain, J.R.; Pirard, Ph.; Leger, M.; Bouchot, E.; Demet, M.; Charre, J.P.; Poumadere, M.; Cogez, E.

    2010-07-01

    This document gathers the slides of the available presentations given during these conference days. Twenty seven presentations out of 29 are assembled in the document and deal with: 1 - radiological and dosimetric consequences in nuclear accident situation: impact on the safety approach and protection stakes (E. Cogez); 2 - organisation of public authorities in case of emergency and in post-event situation (in case of nuclear accident or radiological terror attack in France and abroad), (O. Kayser); 3 - ORSEC plan and 'nuclear' particular intervention plan (PPI), (C. Guenon); 4 - thyroid protection by stable iodine ingestion: European perspective (J.R. Jourdain); 5 - preventive distribution of stable iodine: presentation of the 2009/2010 public information campaign (E. Bouchot); 6 - 2009/2010 iodine campaign: presentation and status (O. Godino); 7 - populations protection in emergency and post-accident situation in Switzerland (C. Murith); 8 - CIPR's recommendations on the management of emergency and post-accident situations (J. Lochard); 9 - nuclear exercises in France - status and perspectives (B. Verhaeghe); 10 - the accidental rejection of uranium at the Socatri plant: lessons learnt from crisis management (D. Champion); 11 - IRE's radiological accident of August 22, 2008 (C. Vandecasteele); 12 - presentation of the CEA's crisis national organisation: coordination centre in case of crisis, technical teams, intervention means (X. Pectorin); 13 - coordination and realisation of environmental radioactivity measurement programs, exploitation and presentation of results: status of IRSN's actions and perspectives (P. Dubiau); 14 - M2IRAGE - measurements management in the framework of geographically-assisted radiological interventions in the environment (O. Gerphagnon and H. Roche); 15 - post-accident management of a nuclear accident - the CODIRPA works (I. Mehl-Auget); 16 - nuclear post-accident: new challenges of crisis expertise (D. Champion); 17 - aid guidebooks for the management of post-accident consequences: agricultural activities and exit of the emergency stage (B. Cessac); 18 - presentation of the operational means of the GIE Groupe Intra (A. Cochard); 19 - synthetical presentation of the studies of post-accident management conditions in the milk industry (G. Machenaud); 20 - reconstruction of doses received by exposed populations (J.R. Jourdain); 21 - organisation of the health monitoring of populations after a radiological accident - presentation taken from the recommendations of the Codirpa's working group 'health stakes' (P. Pirard); 22 - losses indemnification in case of nuclear accident (M. Leger); 23 - post nuclear accident communication - reflections of the Codirpa's working group 'communication' (E. Bouchot); 24 - the ANCCLI's permanent group 'territories - post-accident' (M. Demet); 25 - experience feedback from the local information commission (CLI) 'Marcoule-Gard' in the management of a post-accident situation (J.P. Charre); 26 - commitment of intervening parties in the preparation to accident and post-accident situations: European experiences (T. Schneider); 27 - socio-cognitive exposure and risk assessment - the radio waves case (M. Poumadere). (J.S.)

  3. Riscos de acidentes com materiais perfurocortantes no setor de urgência de um hospital público Risks of accidents with needlestick materials at the urgency sector of a public hospital

    Directory of Open Access Journals (Sweden)

    Francisca Francineide Andrade da Silva

    2016-10-01

    Full Text Available Objetivo: Conhecer os fatores de risco relacionados aos acidentes com material perfurocortante presente no trabalho dos técnicos de enfermagem do setor de atendimento de urgência de um hospital público. Método:Trata-se de um estudo descritivo, de abordagem qualitativa realizado com 14 profissionais. Os dados foram obtidos por meio de entrevistas semi-estruturadas, no período de julho a setembro de 2010 e analisados seguindo a análise temática categorial. Resultados: As categorias emergidas dos discursos dos entrevistados foram: situações de urgências e emergências, adesão aos Equipamentos de Proteção Individual, Descuido e armazenamento inadequado do material perfurocortante. Conclusão: Observou-se que as condições de trabalho no setor de urgência necessitam ser revistas, a fim de oferecer um ambiente adequado para minimizar os riscos ocupacionais durante o desenvolvimento dos procedimentos de enfermagem. Descritores: Saúde do trabalhador, riscos ocupacionais, fatores de risco.

  4. Development of emergency response training program based on human factors; Developpement d'un programme de formation pour la reaction aux situations d'urgences base sur les facteurs humains

    Energy Technology Data Exchange (ETDEWEB)

    Nakata, Y. [Osaka Gas Co., Ltd. (Japan)

    2000-07-01

    A training program has been developed at Osaka Gas Co., Ltd. to improve personal response to emergency situations by enabling plant shift chiefs to understand the unique human behavioral patterns that appear during emergencies. The program provides comprehensive and systematic training consisting of lectures and seminars based on a Human Factor Handbook, simulation training, and feedback training. The program can also be applied to all areas of the process industry. (author)

  5. Text adopted no. 302. Little law, constitution of the 4 October 1958 twelve legislature ordinary session of 2003-2004. Law project adopted by the National Assembly in first reading, after urgency declaration of energy orientation

    International Nuclear Information System (INIS)

    2004-06-01

    This law project concerns the french national energy policy. It presents the government policy on four main axis: the energy independence with the energy supply safety, the environment quality with the fight against the greenhouse effect, the energy prices and the social aspects with the energy supply for all french people. By a presentation of the articles it provides information on the energy demand control, the renewable energies and the financial assistance. (A.L.B.)

  6. Text adopted no. 302. Little law, constitution of the 4 October 1958 twelve legislature ordinary session of 2003-2004. Law project adopted by the National Assembly in first reading, after urgency declaration of energy orientation; Texte adopte no. 302. Petite loi, constitution du 4 octobre 1958 douzieme legislature session ordinaire de 2003-2004. Projet de loi adopte par l'Assemblee Nationale en premiere lecture, apres declaration d'urgence, d'orientation sur l'energie

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-06-01

    This law project concerns the french national energy policy. It presents the government policy on four main axis: the energy independence with the energy supply safety, the environment quality with the fight against the greenhouse effect, the energy prices and the social aspects with the energy supply for all french people. By a presentation of the articles it provides information on the energy demand control, the renewable energies and the financial assistance. (A.L.B.)

  7. Report realized by the commission of the economical Affairs on the law project, adopted by the National Assembly after urgency declaration, of the program relative to the sustainable management of the radioactive materials and wastes; Rapport fait au nom de la commission des Affaires economiques sur le projet de loi, adopte par l'Assemblee Nationale apres declaration d'urgence, de programme relatif a la gestion durable des matieres et des dechets radioactifs

    Energy Technology Data Exchange (ETDEWEB)

    Revol, H

    2006-07-01

    In the framework of a sustainable development and of the nuclear energy development, the France decided by the law of the 30 December 1991, to study three axis or researches: the radioactive wastes transmutation, their deep underground disposal and their storage during ten years. Today, after evaluation of the researches results a law project on the sustainable management of the radioactive materials and wastes, has been prepared. This document is the approval of the law project and presents some amendments. (A.L.B.)

  8. N.7 notice presented for the Finances Commission, of the budget control and the economical accounts of the Nation on the law project, adopted by the National Assembly after urgency declaration, relative to the energy sector; N.7 avis presente au nom de la commission des Finances, du controle budgetaire et des comptes economiques de la Nation sur le projet de loi, adopte par l'Assemblee Nationale apres declaration d'urgence, relatif au secteur de l'energie

    Energy Technology Data Exchange (ETDEWEB)

    Marini, Ph

    2006-10-15

    This law project concerns the privatization of Gaz de France and the new control of the State on this society. It underlines the necessity of a financial independence of the Commission of the Energy regulation (CRE). (A.L.B.)

  9. Bill, adopted by the Senate after urgency declaration, asserting the national commitment for the environment, transmitted by M. Prime Minister to M. President of the House of Commons; Projet de loi adopte par le Senat apres declaration d'urgence, portant engagement national pour l'environnement transmis par M. le Premier Ministre a M. le President de l'Assemblee Nationale

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-10-15

    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 the text of the bill adopted in first lecture by the Senate and transmitted by the Prime Minister to the President of the House of Commons. (J.S.)

  10. Report realized on behalf of the economic affairs, the environment and the territory commission on the law project, after urgency declaration, of the program relative to the sustainable management of materials and radioactive wastes; Rapport fait au nom de la commission des affaires economiques, de l'environnement et du territoire sur le projet de loi, apres declaration d'urgence, de programme relatif a la gestion des matieres et des dechets radioactifs (n. 2977)

    Energy Technology Data Exchange (ETDEWEB)

    Birraux, C

    2006-03-15

    In 1991 the France decided to intensify its researches in the high activity radioactive wastes management domain. The law of the 30 December 1991 relative to the radioactive wastes management, decided that a period of 15 years would be devoted to the research of very long dated solutions. Taking into account these researches, a law project has been composed. After a recall of the today situation of radioactive materials and wastes in France and the knowledge since 1991, this document presents the law project. (A.L.B.)

  11. 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

  12. 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 ...

  13. 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: ...

  14. 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...

  15. 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...

  16. 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 ...

  17. 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 ...

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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 ...

  3. 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.

  4. 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 ...

  5. 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 ...

  6. 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 ...

  7. 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 ...

  8. 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.

  9. 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 ...

  10. 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 ...

  11. 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 ...

  12. Report realized on behalf of the economic affairs, the environment and the territory commission, on the law project modified by the Senate, after urgency declaration (n. 3121), of program relative to the sustainable management of the radioactive materials and wastes; Rapport fait au nom de la commission des affaires economiques, de l'environnement et du territoire sur le projet de loi, modifie par le Senat, apres declaration d'urgence (n. 3121), de programme relatif a la gestion durable des matieres et des dechets radioactifs

    Energy Technology Data Exchange (ETDEWEB)

    Birraux, C

    2006-06-15

    This report presents and discusses the modifications realized by the Senate on the law project relative to the sustainable management of the radioactive materials and wastes. It details then the different articles in three main chapters: the national policy for the sustainable radioactive materials and wastes, the organization and the financing of the sustainable management of radioactive materials and wastes, the control and the penalties. (A.L.B.)

  13. Report made on behalf of the commission of economic affairs, of environment and of territory about the project of law, adopted by the Senate after urgency declaration (no. 326), relative to the energy markets and to the energy public utility; Rapport fait au nom de la commission des affaires economiques, de l'environnement et du territoire sur le projet de loi, adopte par le Senat apres declaration d'urgence (no. 326), relatif aux marches energetiques et au service public de l'energie

    Energy Technology Data Exchange (ETDEWEB)

    Gonnot, F.M

    2002-11-01

    This report concerns the transposition into French law of the directive 98/30/CE adopted by the European parliament and council on June 22, 1998, and concerning the common rules for the home natural gas market. In an introductory part, the report recalls first the principle and implementation of the regulation of the natural gas market (commission of energy regulation, role of the energy minister), and then explains its impact for the end-consumer and the conditions of the adaptation of the gas distribution network to this structure change (reinforcement of market contestableness, Gaz de France monopoly, competition between infrastructures, problem of investments coordination). The main part of the document concerns the works of the commission about the project of law adopted by the Senate, and the examination of its different articles: access to the natural gas networks, transparency and regulation of the natural gas sector, the gas public utility, the transport and distribution of natural gas, the underground storage, the control and sanctions, and the dispositions relative to the public electric utility. (J.S.)

  14. 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

  15. Análise epidemiológica das causas externas em unidades de urgência e emergência em Cuiabá/Mato Grosso Epidemiological analysis of external causes at urgency and emergency services in Cuiabá/Mato Grosso

    Directory of Open Access Journals (Sweden)

    Ligia Regina de Oliveira

    2008-09-01

    Full Text Available OBJETIVO: Apesar da importância das causas externas como problema de saúde pública, pouco se conhece sobre a demanda de serviços de urgência e emergência. Este estudo tem como objetivo caracterizar a morbidade por causas externas em unidades de urgência e emergência do município de Cuiabá/MT. MÉTODO: Trata-se de um estudo transversal e descritivo. Foram analisadas 3.786 vítimas de causas externas atendidas pelas cinco unidades de urgência e emergência da Secretaria Municipal de Saúde de Cuiabá/MT, no período de 1 de maio a 30 de junho de 2005. RESULTADOS: Aproximadamente 88% dos atendimentos se referiam a vítimas de acidentes, 9% corresponderam a agressões e 2% a lesões autoprovocadas. Os acidentes de transportes representaram 22% dos atendimentos, sendo os motociclistas as principais vítimas (49%; as quedas foram as causas mais freqüentes no grupo de outras causas externas de traumatismos acidentais. A prevalência em homens superou a de mulheres. A maior parte das vítimas era menor de 40 anos (79%. No entanto, a análise por tipo de causa externa apresenta resultados diferentes segundo sexo e faixa etária. Cerca da metade dos eventos ocorreu em casa e, em sua maioria, as vítimas receberam alta após o atendimento, sendo que a taxa de mortalidade foi baixa (0,4%. CONCLUSÃO: Os resultados revelam a importância da análise sistemática dos dados referentes às vítimas de acidentes e violência atendidas em unidades de urgência e emergência, como complemento às informações sobre mortalidade e morbidade hospitalar visando o monitoramento dessas causas.OBJECTIVE: Despite the importance of external causes as a public health problem, little is known about the demand for emergency services. This study aims to characterize the morbidity due to external causes in emergency units of Cuiabá/MT. METHOD: This is a cross-sectional and descriptive study. We analyzed 3,786 victims of external causes seen at five emergency units of Cuiabá/MT Health Department in the period from May 1 to June 30, 2005. RESULTS: Approximately 88% of cases involved victims of accidents, 9% were victims of assault, and 2% were victims of self-injury. Transportation accidents accounted for 22% of cases, whose main victims were motorcyclists (49%; falls were the most frequent causes in the group of other external causes of accidental injuries. The prevalence in men surpassed that of women. Most of the victims were younger than 40 years (79%. However, the analysis by type of external cause presents different results by gender and age. Nearly half of the events occurred at home, most of the victims were discharged after treatment, and the mortality rate was low (0.4%. CONCLUSION: The results show the importance of the systematic analysis of data on victims of accidents and violence seen at emergency services, to add information on hospital mortality and morbidity aimed at the surveillance of these causes.

  16. Gestion de crise et aide internationale après le séisme du 12 janvier à Port-au-Prince Haïti, toujours dans l’urgence ! (Témoignage Crisis Management and International Aid after Earthquake of January 12 in Port-au-Prince Haiti, always in a Hurry! (Testimony

    Directory of Open Access Journals (Sweden)

    Jean-Philippe Pierre

    2012-01-01

    Full Text Available Dans le cadre de l’intervention qui a été déclenchée pour venir en aide aux sinistrés du tremblement de terre en Haïti le 12 janvier dernier, la France a envoyé des moyens importants. Le déploiement de ces moyens comme celui de ceux envoyés par le reste de la communauté internationale s’est déroulé sur un territoire ravagé. En plus des difficultés liées aux destructions, il a été relativement difficile d’avoir une vision globale de la situation. L’absence quasi totale de moyens de communication sur place et l’interprétation faite par certains médias internationaux, d’évènements anodins ont également contribué à compliquer cette situation.  Aujourd’hui, on énumère les actions et les projets mais qu’en est-il de la situation sur le terrain ?As part of the intervention was triggered to help victims of earthquake in Haiti on January 12 this year, France sent substantial resources. The deployment of these resources such as those sent by the rest of the international community took place on a ravaged territory. In addition to difficulties related to destruction, it was relatively difficult to obtain an overview of the situation. The almost total absence of means of communication on site and the interpretation made by some international media, benign events also helped to complicate the situation. Today, it lists the actions and projects, but what about the situation on the ground?

  17. Reforma psiquiátrica brasileira: conhecimentos dos profissionais de saúde do serviço de atendimento móvel de urgência Reforma psiquiátrica brasileña: conocimientos de los profesionales de salud del servicio móvil de urgencia Brazilian psychiatric reform: knowledges of health professional of mobile service of urgency

    Directory of Open Access Journals (Sweden)

    Diego Bonfada

    2013-06-01

    Full Text Available Objetivou-se identificar os conhecimentos dos profissionais de saúde do Serviço de Atendimento Móvel de Urgência de Natal sobre a Reforma Psiquiátrica brasileira. As informações foram coletadas por meio de entrevistas semiestruturadas realizadas com 24 profissionais de saúde lotados na instituição. As entrevistas foram transcritas e submetidas à técnica da análise temática, que revelou três categorias de análise: internação do sujeito em crise como demanda social e familiar; Reforma Psiquiátrica: legislação e realidade no SAMU-Natal; e Reforma Psiquiátrica brasileira como promotora de desospitalização. Os profissionais demonstraram compreensões deturpadas e reducionistas da Reforma Psiquiátrica brasileira e, em sua maioria, não deram credibilidade ao atual modelo de atenção à saúde mental pautado no tratamento psicossocial, remetendo suas falas à necessidade de internamento dos pacientes psiquiátricos. Nesse sentido, percebemos que o modelo hospitalocêntrico e excludente concebido pela psiquiatria clássica ainda permanece vivo no ideário desses profissionais como referência para a assistência às urgências psiquiátricas.El objetivo es identificar los conocimientos de los profesionales del Servicio de Atención Móvil de Urgencia de Natal sobre la Reforma Psiquiátrica brasileña. La información fue recogida a través de entrevistas semiestructuradas con 24 profesionales de la institución. Las entrevistas fueron transcritas y sometidas a la técnica de análisis temático, que reveló tres categorías de análisis: admisión del sujeto en crisis como demanda social y familiar; Reforma Psiquiátrica: legislación y la realidad del SAMU-Natal; y Reforma Psiquiátrica de Brasil como un promotor de la desinstitucionalización. Los profesionales mostraron comprensión errónea y reduccionista de la Reforma Psiquiátrica brasileña y no dieron crédito al modelo de atención en salud mental dirigido al tratamiento psicosocial, sus líneas de referencia a la necesidad de hospitalización para los pacientes psiquiátricos. El modelo centrado en los hospitales y diseñado por la psiquiatría clásica exclusiva sigue vivo en las ideas de estos profesionales como una referencia a la atención de urgencias psiquiátricas.Objective is to identify the knowledge of health professionals of Service of Mobile Emergency of Natal on the Brazilian Psychiatric Reform. Information was collected through semi-structured interviews with 24 health professionals stationed at the institution. The interviews were transcribed and submitted to the technique of thematic analysis revealed three categories of analysis: admission of the subject in crisis as social and family demands; Psychiatric Reform: legislation and reality in the SAMU-Natal, and the Brazilian Psychiatric Reform as a promoter of deinstitutionalization. The professionals showed misleading and reductionist understandings of the Brazilian Psychiatric Reform and, mostly, did not give credence to the current model of mental health care in guided psychosocial treatment, his lines referring to the need for hospitalization of psychiatric patients. In this sense, we realize that the hospital-centered model designed by classical psychiatry is still alive in the ideas of these professionals as a reference to the psychiatric emergency care.

  18. 7. april 2005 inter-departmental directive on the actions of public authority in case of event leading to an emergency radiological situation (1); Directive interministerielle du 7 avril 2005 sur l'action des pouvoirs publics en cas d'evenement entrainant une situation d'urgence radiologique (1)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    This directive concerns the management of a nuclear crisis. A correct information of Public Authorities is necessary at every level in order that actions to be lead can be in agreement with the situation. The protection of person, possessions and environment is the priority objective of Publics Authorities. This imperative is taken into account by the modalities exposed in the present directive, that determines the frame of the Public Authorities organization as well as the arrangements to take by Authorities in case of nuclear event. (N.C.)

  19. Stopping the greenhouse effect - recommendations submitted by the Bundestag Enquete Commission. - Why nuclear energy cannot solve the global-warming problem - on the urgency of a low-risk, efficient future energy economy. - The latest cancer statistics of the Hiroshima/Nagasaki A-bomb survivors - a higher radiation risk at dose rates below 50cGy (rad) - consequences for radiation protection

    International Nuclear Information System (INIS)

    Bach, W.; Kohler, S.; Koehnlein, W.

    1991-01-01

    The report compiles three contributions two of which discuss the issues of global warming, trace gases and ozone depletion. The measures proposed by a German enquete commision to stop the greenhouse effect, i.e. utilization of renewable energy sources, nuclear phaseout because nuclear power is not supposed to solve the global-warming problem, are described. The third contribution gives the latest cancer statistics of the Hiroshima/Nagasaki a-bomb survivors while taking into account the higher radiation risk due to low dose rates. (DG) [de

  20. An Auxiliary Gas Supply to Improve Safety During Aborted Dives with the Canadian Underwater Mine Countermeasures Apparatus (CUMA) (Un Systeme Auxiliaire D’approvisionnement en gaz Augmente la Securite des Plongeurs Utilisant L’appareil Canadien de Deminage Sous-marin (ACDSM) lors des Remontees D’urgence)

    Science.gov (United States)

    2010-11-01

    monitoring of dive and life support data; by Dr. David Sawatzky and LCdr. Debbie Pestell for medical support; by PO1 Stormr Olson and PO1 Charles Trombley... analysis against PiO2. Data were acquired using a custom application developed in Labview (National Instruments Corp., Austin, TX) and HP Basic...to the gas analysis instruments. The sample flow was kept constant using mass flow controllers (Model 5850E, 0-1.0 L/min STPD2 air, Brooks, Hatfield

  1. Report on the days on 'population protection and land management in a nuclear emergency and post-accidental situation'; Compte rendu des journees -protection des populations et gestion des territoires en situation d'urgence nucleaire et post-accidentelle-

    Energy Technology Data Exchange (ETDEWEB)

    Chambrette, V.; Foulquier, L. [Institut de Radioprotection et de Surete Nucleaire - IRSN, 92 - Clamart (France)

    2010-10-15

    This document proposes a synthesis of interventions and contributions proposed during two days about the issues of protection of population and land management in a nuclear emergency and post-accidental situation. The four sessions dealt with the following issues: 1. protection challenges and doctrine; 2. lessons learnt from exercises and actual situations; 3. for a better preparedness to post-accidental management; 4. society facing a nuclear crisis

  2. Vztah stresové inkontinence moči či urgence k defektu předního kompartmentu před jeho operačním řešením a po něm

    Czech Academy of Sciences Publication Activity Database

    Martan, A.; Švabík, K.; Mašata, J.; Haddad El, R.; Pavlíková, Markéta

    2010-01-01

    Roč. 75, č. 2 (2010), s. 118-125 ISSN 1210-7832 Grant - others:GA MZd(CZ) NR9216 Institutional research plan: CEZ:AV0Z10300504 Keywords : inkontinence moči u žen * chirurgie pánevního dna * prolaps pánevních orgánů * transperineální ultrazvukové vyšetření Subject RIV: BB - Applied Statistics, Operational Research

  3. 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.

  4. 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 ...

  5. 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.

  6. 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...

  7. 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 ...

  8. 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 ...

  9. 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.

  10. 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 ...

  11. 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.

  12. 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.

  13. 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

  14. 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

  15. [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.

  16. 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...

  17. 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...

  18. 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...

  19. 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

  20. 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.

  1. 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...

  2. 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...

  3. 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...

  4. 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)

  5. 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…

  6. 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.

  7. 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.

  8. 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.

  9. 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...

  10. 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...

  11. 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...

  12. 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

  13. 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.….

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  18. 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.

  19. Opinion presented on behalf of the French Republic constitutional laws, legislation and general administration Commission on the articles 26 and 86 of the bill project adopted by the Senate (No. 1965), after emergency declaration, for a national commitment for the environment; Avis Presente au nom de la Commission des Lois constitutionnelles, de la Legislation et de l'Administration Generale de la Republique sur les articles 26 et 86 a 95 du Projet de Loi, adopte par le Senat (n. 1965), apres declaration d'urgence, portant engagement national pour l'environnement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    This report outlines the need of a commitment of all public actors in the struggle against climate change (presentation of threat associated with global warming, of the French policy, and of the important role of local authorities), the need to promote the taking into account of the environment and of public participation in the decision process (expertise and consultation procedures, needed improvements, arrangements in the bill project), how to simplify public inquiries (different types of public inquiries, procedure inquiry deficiencies, projected reform). Then, the report comments the different bill articles and chapters: Energy and climate (reduction of energy consumption and greenhouse gas emission prevention), Governance (reform of impact studies, reform of public inquiries, arrangements related to information and consultation)

  20. 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 ...

  1. 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.

  2. 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.

  3. 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...

  4. 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 ...

  5. 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...

  6. 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.

  7. 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

  8. 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 ...

  9. 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...

  10. 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 ...

  11. 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.

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  18. 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.

  19. 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

  20. 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

  1. 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 ...

  2. 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.

  3. 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...

  4. 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.

  5. 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.

  6. 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...

  7. 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 ...

  8. 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...

  9. 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...

  10. 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 ( ...

  11. 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

  12. 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 ...

  13. 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

  14. 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

  15. 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.

  16. 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

  17. 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...

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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

  3. 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.

  4. 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.

  5. [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.

  6. 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.

  7. 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.

  8. 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

  9. 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

  10. ['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.

  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. 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.

  13. Study of a case of essential hypoproteinaemia using the isotopes {sup 131}I and {sup 15}N; Etude a l'aide des isotopes {sup 131}I et {sup 15}N d'un cas d'hypoproteinemie essentielle

    Energy Technology Data Exchange (ETDEWEB)

    Dubert, A.; Coursaget, J.; Fallot, P.; Royer, P. [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires; Hopital des Enfants Malades, 75 - Paris (France)

    1959-07-01

    Hypoproteinaemia both human and experimental has been studied with the help of nuclear labelling. A comparative study has been made of the fate of serum proteins labelled by an endogenous path after administration of nitrogen-15 glycine and also of serum albumin labelled by exogenous path using iodine-131. We have determined the biological period of the serum albumin and serum globulins and also the magnitude of the vascular and extravascular pools of serum albumin. In this way it has been possible to measure the speed of replacement of plasma proteins. A presentation of results taken from both clinical observation and experiment leads to a discussion on the pathogenic mechanism of hypoproteinaemia. (author) [French] Les hypoproteinemies humaine et experimentale ont ete explorees a l'aide d'indicateurs nucleaires. Une etude comparative du devenir des proteines seriques marquees par voie endogene, apres administration de glycocolle-{sup 15}N et de l'albumine serique marquee par voie exogene a l'iode-131 a ete realisee. On a determine la periode biologique de la serumalbumine et des globulines seriques ainsi que la grandeur des 'pools' vasculaire et extravasculaire de la serumalbumine. Il a ete ainsi possible d'evaluer la vitesse de renouvellement des proteines plasmatiques. La confrontation des resultats tires de l'observation clinique et de l'experimentation conduit a une discussion sur le mecanisme pathogenique de l'hypoproteinemie. (auteur)

  14. Study of a case of essential hypoproteinaemia using the isotopes {sup 131}I and {sup 15}N; Etude a l'aide des isotopes {sup 131}I et {sup 15}N d'un cas d'hypoproteinemie essentielle

    Energy Technology Data Exchange (ETDEWEB)

    Dubert, A; Coursaget, J; Fallot, P; Royer, P [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires; Hopital des Enfants Malades, 75 - Paris (France)

    1959-07-01

    Hypoproteinaemia both human and experimental has been studied with the help of nuclear labelling. A comparative study has been made of the fate of serum proteins labelled by an endogenous path after administration of nitrogen-15 glycine and also of serum albumin labelled by exogenous path using iodine-131. We have determined the biological period of the serum albumin and serum globulins and also the magnitude of the vascular and extravascular pools of serum albumin. In this way it has been possible to measure the speed of replacement of plasma proteins. A presentation of results taken from both clinical observation and experiment leads to a discussion on the pathogenic mechanism of hypoproteinaemia. (author) [French] Les hypoproteinemies humaine et experimentale ont ete explorees a l'aide d'indicateurs nucleaires. Une etude comparative du devenir des proteines seriques marquees par voie endogene, apres administration de glycocolle-{sup 15}N et de l'albumine serique marquee par voie exogene a l'iode-131 a ete realisee. On a determine la periode biologique de la serumalbumine et des globulines seriques ainsi que la grandeur des 'pools' vasculaire et extravasculaire de la serumalbumine. Il a ete ainsi possible d'evaluer la vitesse de renouvellement des proteines plasmatiques. La confrontation des resultats tires de l'observation clinique et de l'experimentation conduit a une discussion sur le mecanisme pathogenique de l'hypoproteinemie. (auteur)

  15. 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.

  16. 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.

  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. 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

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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

  4. 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 ...

  5. 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…

  6. South of Sahara | Page 72 | IDRC - International Development ...

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

    Read more about Crise du virus Ebola : Améliorer la communication scientifique et le journalisme local en période d'urgence et après une éclosion. Language French. Read more about Soutien organisationnel de la phase 2 de l'ITT - Ethiopian Development Research Institute. Language French. Read more about Soutien ...

  7. Working-Class Jobs and New Parents' Mental Health

    Science.gov (United States)

    Perry-Jenkins, Maureen; Smith, JuliAnna Z.; Goldberg, Abbie E.; Logan, Jade

    2011-01-01

    Little research has explored linkages between work conditions and mental health in working-class employed parents. The current study aims to address this gap, employing hierarchical linear modeling techniques to examine how levels of and changes in job autonomy, job urgency, supervisor support, and coworker support predicted parents' depressive…

  8. 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

  9. Towards cosmopolitan middle-range theorizing: A metamorphosis in the practice of social theory?

    DEFF Research Database (Denmark)

    Blok, Anders

    2015-01-01

    , spurred as it is by the urgency of responding to the global risks of climate change via reworking key categories of social theory. More strongly than existing notions of world risk society and second modernity, his new concept of metamorphosis (‘Verwandlung’) captures the way contemporary social upheavals...

  10. Horticulture take-home messages. Grower Day Summary: 2011 International HLB Meeting, Orlando, Florida

    Science.gov (United States)

    The 2nd International Research Conference on Huanglongbing covered 3 full days, with 400 participants from 20 countries. There were 75 oral presentations, 96 posters, and I took 20 pages of notes. Urgency of HLB as a threat to citrus production and the engine of substantial grower investment has fu...

  11. Balance Pedagogy as a Methodological Base for Integrative-Differentiated Teaching of Rural Students

    Science.gov (United States)

    Kalimullin, Aydar M.; Korshunova, Olga V.; Koinova-Zoellner, Julia

    2016-01-01

    The urgency of the issue stated in the article is stipulated by the contemporary requirements to rural schoolchildren education, i.e. rise in its availability, quality and degree of specialization. The Federal State Education Standards have set an urgent, but at the same time challenging task to reach not only subject but also meta-subject and…

  12. Testing the Flat World Thesis: Using a Public Dataset to Engage Students in the Global Inequality Debate

    Science.gov (United States)

    Arabandi, Bhavani; Sweet, Stephen; Swords, Alicia

    2014-01-01

    We present a learning module to engage students in the global inequality debate using Google Public Data World Development Indicators. Goals of this article are to articulate the importance and urgency of teaching global issues to American students; situate the central debate in the globalization literature, paying particular attention to global…

  13. Biology and Water Pollution Control.

    Science.gov (United States)

    Warren, Charles E.

    Within this text, the reader is attuned to the role biology can and should play in combating the alarming increase in water pollution. Both the urgency of the problem and the biological techniques that are being developed to cope with the water pollution crisis are scrutinized; what is and is not known about the problem is explained; past,…

  14. SUICIDE AMONG UNIVERSITY STUDENTS IN KENYA: CAUSES ...

    African Journals Online (AJOL)

    Suicide is against the law in Kenya. The existence of suicide phenomena in the society is a major issue that needs to be looked into with a lot of concern, and creating effective preventative measure is a matter of urgency. Knowledge concerning suicide is largely limited. The majority of people in the society treat suicide ...

  15. 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

  16. 77 FR 6804 - Advisory Committee for Reproductive Health Drugs; Notice of Meeting

    Science.gov (United States)

    2012-02-09

    ... symptoms of urge urinary incontinence, urgency, and urinary frequency. Mirabegron is a beta-3- adrenoceptor (AR) agonist and is a new molecular entity. The benefit/ risk discussion will focus on the adequacy of... benefits and risks of mirabegron (YM178), under new drug application (NDA) 202611, submitted by Astellas...

  17. 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

  18. Youth and the City: Reflective Photography as a Tool of Urban Voice

    Science.gov (United States)

    Gerodimos, Roman

    2018-01-01

    Young people's engagement with urban public space has been facing a number of obstacles that reflect a lack of understanding of their needs, values and priorities. The emergence of digital devices and social media as integral elements of youth culture adds further urgency to the need to understand how young people themselves visually articulate…

  19. Promoting Enterprise Success within Team Based Entities in Hierarchical Organizations: A Study of Business Systems Modernization (BSM) Initiatives at Defense Supply Center Richmond (DSCR)

    Science.gov (United States)

    2006-12-01

    described above, does not begin with a vision. Rather, it begins with an embryo dependent upon a sense of urgency for change. The cultural change is...and controls more of our destiny seems to believe that we are just resistant to change. Someone needs to understand that we are asking more and more

  20. Eco-Theatre and New Media: Devising toward Transnational Balance

    Science.gov (United States)

    Glazier, Marnie J.

    2012-01-01

    This dissertation seeks to address the pivotal ecological and technological realities of the twenty-first century, currently giving rise to new patterns of existence and new paradigms of human inquiry. This study will ask how technological innovation and environmental urgency have altered the ways in which human beings think, and thus perceive the…

  1. Pedagogical Management of University Students' Communication Ability Development

    Science.gov (United States)

    Anatolievna, Spirchagova Tatiana; Munirovna, Nasyrova Albina; Kasimovna, Vakhitova Dilyara; Mirzayanovna, Sadrieva Liliya; Anatolievna, Brodskaya Tatiana

    2017-01-01

    The development of social interaction forms emphasizes urgency and importance of the topic. The purpose of the study is to find out peculiarities of pedagogical management of university students' communication ability development. The leading approach to the research was the narrative approach which allows considering pedagogical management of…

  2. The Multi-Dimensional Nature of Emergency Communications Management

    Science.gov (United States)

    Staman, E. Michael; Katsouros, Mark; Hach, Richard

    2009-01-01

    Within an incredibly short period--perhaps less than twenty-four months--the need for emergency preparedness has risen to a higher level of urgency than at any other time in the history of academe. Large or small, public or private, higher education institutions are seriously considering the dual problems of notification and communications…

  3. Foreign Cultural Policy in the Interbellum: The Italian Dante Alighieri Society and the British Council Contesting the Mediterranean

    NARCIS (Netherlands)

    van Kessel, T.

    2016-01-01

    This book considers the growing awareness in the wake of World War I that culture could play an effective political role in international relations. Tamara van Kessel shows how the British created the British Council in support of those cultural aims, which took on particular urgency in light of the

  4. 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

  5. Body mass index, chronological age and hormonal status are better predictors of biological skin age than arm skin autofluorescence in healthy women who have never smoked

    NARCIS (Netherlands)

    Randag, A. C.; Graaff, R.; Dreise, M. M.; Vierkoetter, A.; Werker, P. M. N.; Stenekes, M. W.

    Background As life expectancy is increasing and healthy ageing becomes more and more important, skin ageing is a growing topic of interest from both a medical and a commercial point of view. The urgency to unravel the causes of skin ageing is rising. However, there is a lack of objective, simple,

  6. Intellectual Transformation and Budgetary Savings through Academic Reorganization

    Science.gov (United States)

    Capaldi, Elizabeth D.

    2009-01-01

    When times are good, there is little urgency to evaluate fundamental assumptions, as investments can be made in new projects and structures while the old continue. Constrained resources do not allow this luxury. The current economic crisis and associated budget woes in universities requires individuals to be open to more radical and rapid change…

  7. Pedagogical Support Components of Students' Social Adaptation

    Science.gov (United States)

    Vlasova, Vera K.; Simonova, Galina I.; Soleymani, Nassim

    2016-01-01

    The urgency of the problem stated in the article is caused by the need of pedagogical support of students' social adaptation on the basis of systematicity, which is achieved if we correctly define the components of the process. The aim of the article is to determine the pedagogical support components of students' social adaptation. The leading…

  8. Measuring Customer Satisfaction: Practices of Leading Military and Commercial Service Organizations

    Science.gov (United States)

    1994-09-01

    Satisfaction and Its Determinants .................................. 2-10 4-A. UCS Customer Relationship Management Strategies...urgency (61 :ix) An integral part of UCS’s quality program is its cus, ner relationship management program. Figure 4-A shows how the customer impacts...scale in five broad areas: planning, financial management , program management , schedule, and working relationships . Internal customer satisfaction is

  9. Exposing Color Blindness/Grounding Color Consciousness: Challenges for Teacher Education

    Science.gov (United States)

    Ullucci, Kerri; Battey, Dan

    2011-01-01

    As teacher educators we have been struck by the consistency, urgency, and frequency in which students employ color-blind perspectives. This orientation has negative consequences in K-12 settings. In this manuscript, we lay out the multiple meanings of color blindness, drawing from legal, educational, and social science traditions, and offer…

  10. How to Be Bullish on Marketing Child Care in a Challenging Economy.

    Science.gov (United States)

    Wassom, Julie

    1992-01-01

    Discusses factors to consider when developing marketing strategies for building enrollment in child care programs. Factors are (1) focus on a market; (2) the impression of the service that is created in customers' minds; (3) the urgency of the advertising message; (4) perceived value of the service; and (5) cost effectiveness. (SM)

  11. 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…

  12. The Reciprocal Organization of Constructive Activity in Drug Addiction

    Science.gov (United States)

    Akhmetzyanova, Anna I.; Nikishina, Vera B.; Klyueva, Nadezhda V.; Petrash, Ekaterina A.

    2016-01-01

    The urgency of the problem stated in the article is caused by the fact that modern scientific studies show that sustainable neuro-associative connections with the object of addiction arise at chemical addiction. The aim of this study is to examine the features of the reciprocal organization of constructive activities in drug addiction. Study of…

  13. 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.

  14. 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

  15. 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

  16. 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

  17. 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

  18. Evaluation Methods Basis of Strategy Development Effectiveness of the Enterprise

    Science.gov (United States)

    Zotova, Anna S.; Kandrashina, Elena A.; Ivliev, Andrey D.; Charaeva, Marina V.

    2016-01-01

    The urgency to study the problem is caused by the necessity to make management decisions in terms of reducing goods life cycle, reducing profitability of production, increasing speed of technological progress. In this context, this article aims to identify and elaborate the tools for integrated diagnostic of strategy efficiency, taking into…

  19. 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…

  20. The Structure of the Managerial System of Higher Education's Development

    Science.gov (United States)

    Levina, Elena Y.; Kutuev, Ruslan A.; Balakhnina, Lidia V.; Tumarov, Konstantin B.; Chudnovskiy, Alexey D.; Shagiev, ?ulat V.

    2016-01-01

    The research urgency is caused by necessity of planning regulation of higher education development at all levels of management. The purpose of this article is to develop the structure of a control system of higher education development, the Foundation of which is understanding of the quality of higher education as factor for development of the…

  1. The plural wells of the right to food

    NARCIS (Netherlands)

    mr.dr. Bart F.W. Wernaart

    2010-01-01

    The right to adequate food is by no means a tranquil possession with one single undisputed content. It has been addressed uncountable times with the utmost of urgency. Being one of the prerequisites for a humane life with at least a right to a minimum of existence, this right is embedded in the

  2. Developing the Pedagogical Culture of Parents by Means of Social Partnership with a Supplementary Education Institution

    Science.gov (United States)

    Zakirova, Venera G.; Nikitina, Ekaterina L.

    2016-01-01

    The urgency of the research is due to the current requirements to develop the pedagogical culture of parents, which can help them to be successful parents, to effectively interact with their children avoiding family upbringing mistakes. In this respect, the article aims to identify the conditions for development of the pedagogical culture of…

  3. The Role of Global Understanding within Multicultural Teacher Education for Culturally Isolated and Threatened Students.

    Science.gov (United States)

    Gordon, June A.

    The role of international and comparative education in teacher education must be informed by the needs of American students which include overcoming cultural parochialism due to racial and cultural isolation and inadequate schooling. The urgency of economic and cultural survival for certain groups such as African-American, Appalachian, and Latino…

  4. The Evidence Base for How Learning Happens: A Consensus on Social, Emotional, and Academic Development

    Science.gov (United States)

    Jones, Stephanie M.; Kahn, Jennifer

    2018-01-01

    The Aspen Institute's National Commission on Social, Emotional, and Academic Development united a broad alliance of leaders to speak with a unified voice about the urgency of integrating social and emotional development into the fabric of K-12 education. The commission convened a group of scientists, researchers, and academics across disparate…

  5. College Costs, Prices and the Great Recession. Lumina Issue Papers

    Science.gov (United States)

    Johnson, Nate

    2014-01-01

    As states and families begin to recover from the effects of the Great Recession, some of the urgency about college affordability may start to ease. The most recent "Trends in College Pricing" report shows tuition rising more slowly than in recent years (Baum and Ma 2013). Growth in Pell grant applications is also expected to slow as…

  6. The disarmament agenda of the international community in 1994 and beyond. Statements of the Secretary-General

    International Nuclear Information System (INIS)

    Boutros Ghali, B.

    1994-04-01

    The document comprises two statements of the Secretary-General delivered in January 1994, conveys present thinking on possible approaches to be taken in the light of the events of the past year and views on a number of specific tasks that the international community must now carry out with a sense of urgency.

  7. Conflict Humanitarian and Natural Knowledge: The Way to Exit from It

    Science.gov (United States)

    Masalimova, Alfiya R.; Benin, Vladislav L.

    2016-01-01

    The urgency of the problem, which is developed in the article enclosed in an emerged reducing tendency, and sometimes a complete rejection of importance of the humanities knowledge at the current stage of scientific development. The article shows that in the context of the overestimation the role of natural and technical education by modern…

  8. 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.

  9. 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...

  10. 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...

  11. How Language Learners Can Improve Their Emotional Functioning: Important Psychological and Psychospiritual Theories

    Science.gov (United States)

    Oxford, Rebecca L.

    2015-01-01

    Emotion is "the primary human motive" (MacIntyre, 2002, p. 61). The human brain is an emotional brain, creating relationships among thought, emotion, and motivation in a complex dynamic system (Dörnyei, 2009). Emotion "functions as an amplifier, providing the intensity, urgency, and energy to propel our behavior" in…

  12. Practical Recommendations to Improve the Quality of Training and Methodical Support of Professional Teacher Education

    Science.gov (United States)

    Grebennikov, Valery V.; Grudtsina, Ludmila Yu.; Marchuk, Nikolay N.; Sangadgiev, Badma V.; Kudyashev, Nail K.

    2016-01-01

    The research urgency is caused by the transition to the knowledge society and new demands for training and methodical provision of professional pedagogical education. The purpose of this paper is to develop practical recommendations to improve the quality of training and methodical support of professional pedagogical education. The leading…

  13. 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...

  14. 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...

  15. Organizational and Pedagogical Conditions for the Development of Professional Competencies in the Technical Students' Individual Work through the Example of Studying the Discipline "Hydraulics and Fluid Mechanics"

    Science.gov (United States)

    Guseinova, Elena E.

    2018-01-01

    The urgency of the given problem is caused by the necessity to develop an innovative education system capable of producing highly qualified specialists with a wide range of social and professional activities and broad-based abilities ready for individual operating innovative activities. The article is intended to searching for the ways of…

  16. 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

  17. Multicultural Standardization and Validation of TEMAS, a Thematic Apperception Test.

    Science.gov (United States)

    Costantino, Giuseppe; Malgady, Robert G.

    Mental health clinical services research has emphasized the urgency of developing new psychometric instruments for non-biased psychological assessment of minority and non-minority children of diverse cultural groups in the United States. Background multicultural standardization and validation information is presented for Tell-Me-A-Story (TEMAS)--a…

  18. 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

  19. 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

  20. Approach to Classifying "Design" Drugs and New Potentially Dangerous Chemical Substances, with a Brief Review of the Problem

    Science.gov (United States)

    Asadullin, Azat R.; Galeeva, Elena Kh.; Achmetova, Elvina A.; Nikolaev, Ivan V.

    2016-01-01

    The urgency of this study has become vivid in the light of the growing problem of prevalence and use of new synthetic drug types. Lately there has been a tendency of expanding the range of psychologically active substances (PAS) used by addicts with the purpose of their illegal taking. The aim of this research is an attempt of systematizing and…