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Requiring
Terms modified by Requiring Selected AbstractsRequiring suspended drunk drivers to install alcohol interlocks to reinstate their licenses: effective?ADDICTION, Issue 8 2010Robert B. Voas ABSTRACT Aims To evaluate a new method being used by some states for motivating interlock installation by requiring it as a prerequisite to reinstatement of the driver's license. Design The driving records of Florida DWI offenders convicted between July 2002 and June 2008 were analyzed to determine the proportion of offenders subject to the interlock requirement who installed interlocks. Setting Most driving-while-impaired (DWI) offenders succeed in avoiding state laws requiring the installation of a vehicle alcohol interlock. Participants A total of 82 318 Florida DWI offenders. Findings Due to long periods of complete suspension when no driving was permitted and the failure to complete all the requirements imposed by the court, only 21 377 of the 82 318 offenders studied qualified for reinstatement, but 93% of those who qualified did install interlocks to be reinstated. Conclusions Because of the lengthy license suspensions and other barriers that the offenders face in qualifying for reinstatement, it is not clear that requiring a period on the interlock as a prerequisite to reinstating will greatly increase the current installment rate. [source] Requiring ,independent' statistical analyses for industry sponsored trials?PHARMACEUTICAL STATISTICS: THE JOURNAL OF APPLIED STATISTICS IN THE PHARMACEUTICAL INDUSTRY, Issue 1 2006Frank W. Rockhold No abstract is available for this article. [source] Performance comparison of MPI and OpenMP on shared memory multiprocessorsCONCURRENCY AND COMPUTATION: PRACTICE & EXPERIENCE, Issue 1 2006Géraud Krawezik Abstract When using a shared memory multiprocessor, the programmer faces the issue of selecting the portable programming model which will provide the best performance. Even if they restricts their choice to the standard programming environments (MPI and OpenMP), they have to select a programming approach among MPI and the variety of OpenMP programming styles. To help the programmer in their decision, we compare MPI with three OpenMP programming styles (loop level, loop level with large parallel sections, SPMD) using a subset of the NAS benchmark (CG, MG, FT, LU), two dataset sizes (A and B), and two shared memory multiprocessors (IBM SP3 NightHawk II, SGI Origin 3800). We have developed the first SPMD OpenMP version of the NAS benchmark and gathered other OpenMP versions from independent sources (PBN, SDSC and RWCP). Experimental results demonstrate that OpenMP provides competitive performance compared with MPI for a large set of experimental conditions. Not surprisingly, the two best OpenMP versions are those requiring the strongest programming effort. MPI still provides the best performance under some conditions. We present breakdowns of the execution times and measurements of hardware performance counters to explain the performance differences. Copyright © 2005 John Wiley & Sons, Ltd. [source] Parent and caretaker knowledge about avulsion of permanent teethDENTAL TRAUMATOLOGY, Issue 2 2009Marconi Eduardo Sousa Maciel Santos Tooth avulsion, the most severe dentoalveolar lesion, is a dental emergency. The prognosis of avulsed teeth significantly depends on prompt and efficient action at the site of the accident, thus requiring that parents or caretakers be knowledgeable about the correct management of this situation. The objective of the present study was to assess the level of knowledge of parents or caretakers concerning the management of tooth avulsion and to investigate the association between level of knowledge and schooling, monthly family income and age. We interviewed 107 parents or caretakers using a 12-item questionnaire comprising objective questions whose answers received a score from 0 to 3. The results show that 99% of those interviewed would immediately seek professional help; however, 71% did not know what avulsion was. Only 3% would use milk as storage medium and 16% would attempt replantation of the avulsed tooth. The distribution of final means for the overall level of parent or caretaker knowledge was 44.63% for score 3, 15.88% for score 2, 17.99% for score 1 and 21.47% for score 0, showing a low level of knowledge concerning tooth avulsion. Schooling, monthly family income and age were not associated with the knowledge scores for any of the 12 questions. The level of parent and caretaker knowledge concerning the management of tooth avulsion is low, without association with age, schooling and monthly family income. [source] Using Farmers' Preferences to Assess Development Policy: A Case Study of UgandaDEVELOPMENT POLICY REVIEW, Issue 3 2010Philip A. S. James As part of ongoing economic reforms, the Ugandan government implemented the Plan for the Modernisation of Agriculture (PMA) targeted at reducing rural poverty. This article demonstrates the application of a stated preference method using a choice experiment conducted in 9 sub-counties to assess farmers' preferences for adaptation options and identify areas of the PMA requiring reform to improve its effectiveness. This research shows the importance of microfinance, agricultural extension systems and basic education in farmers' adaptation decisions, and highlights a crucial need to improve local engagement in decision-making. A potentially problematic contradiction between farmers' preferences and some interventions proposed under the PMA is identified. [source] Alcohol Septal Ablation in a Young Patient after Aortic Valve ReplacementECHOCARDIOGRAPHY, Issue 3 2009Fadi G. Hage M.D. A 38-year-old male presented with heart failure symptoms and was diagnosed with aortic valve endocarditis and underlying aortic stenosis in the absence of concentric hypertrophy or bicuspid aortic valve and underwent aortic valve replacement but continued to have symptoms which were then attributed to hypertrophic cardiomyopathy with dynamic left ventricular outflow tract obstruction. He was determined to be unsuitable for myomectomy and underwent successful alcohol septal ablation using transthoracic echocardiographic Doppler and continuous wave velocity monitoring without requiring to cross the aortic valve or to perform transatrial septostomy and left ventricular pressure monitoring. When crossing the aortic valve is a relative or absolute contraindication like in our index case, continuous Doppler velocity recording is a safe and effective alternative approach to monitor the outflow gradient while performing alcohol septal ablation. [source] Atmospheric molding of ionic copolymer MALDI-TOF/MS arrays: A new tool for protein identification/profilingELECTROPHORESIS, Issue 24 2006Alexander Muck Abstract An atmospheric molding protocol has been used to prepare an ionic methacrylate-based copolymer sample support chips for MALDI (pMALDI)-MS by targeting selected groups of various monomers copolymerized during molding, namely, carboxy, sulfo, dimethylalkyamino, and trimethylalkylammonium groups. The new disposable array chips provide analyte-oriented enhancement of protein adsorption to the modified substrates without requiring complicated surface coating or derivatization. The MALDI-MS performance of the new ionic copolymer chips was evaluated for lysozyme, ,-lactoglobulin,A, trypsinogen and carbonic anhydrase,I using washing with solutions prepared in pH or ionic strength steps. On cationic chips, the proteins are washed out at pH lower than their pI values, and on anionic chips at pH higher than their pI values. The ability of the microfabricated pMALDI chip set to selectively adsorb different proteins from real samples and to significantly increase their MS-signal was documented for the transmembrane photosystem,I protein complex from the green alga Chlamydomonas reinhardtii. The proteins were almost exclusively adsorbed according to calculated pI values and grand average of hydropathy (GRAVY) indexes. The new disposable chips reduce manipulation times and increase measurement sensitivity for real-world proteomic samples. The simple atmospheric molding procedure enables additional proteomic operations to be incorporated on disposable MALDI-MS integrated platforms. [source] Development of equine upper airway fluid mechanics model for Thoroughbred racehorsesEQUINE VETERINARY JOURNAL, Issue 3 2008V. RAKESH Summary Reason for performing study: Computational fluid dynamics (CFD) models provide the means to evaluate airflow in the upper airways without requiring in vivo experiments. Hypothesis: The physiological conditions of a Thoroughbred racehorse's upper airway during exercise could be simulated. Methods: Computed tomography scanned images of a 3-year-old intact male Thoroughbred racehorse cadaver were used to simulate in vivo geometry. Airway pressure traces from a live Thoroughbred horse, during exercise was used to set the boundary condition. Fluid-flow equations were solved for turbulent flow in the airway during inspiratory and expiratory phases. The wall pressure turbulent kinetic energy and velocity distributions were studied at different cross-sections along the airway. This provided insight into the general flow pattern and helped identify regions susceptible to dynamic collapse. Results: The airflow velocity and static tracheal pressure were comparable to data of horses exercising on a high-speed treadmill reported in recent literature. The cross-sectional area of the fully dilated rima glottidis was 7% greater than the trachea. During inspiration, the area of highest turbulence (i.e. kinetic energy) was in the larynx, the rostral aspect of the nasopharynx was subjected to the most negative wall pressure and the highest airflow velocity is more caudal on the ventral aspect of the nasopharynx (i.e. the soft palate). During exhalation, the area of highest turbulence was in the rostral and mid-nasopharynx, the maximum positive pressure was observed at the caudal aspect of the soft palate and the highest airflow velocity at the front of the nasopharynx. Conclusions and clinical relevance: In the equine upper airway collapsible area, the floor of the rostral aspect of the nasopharynx is subjected to the most significant collapsing pressure with high average turbulent kinetic during inhalation, which may lead to palatal instability and explain the high prevalence of dorsal displacement of the soft palate (DDSP) in racehorses. Maximal abduction of the arytenoid cartilage may not be needed for optimal performance, since the trachea cross-sectional area is 7% smaller than the rima glottidis. [source] TEM-fast small-loop soundings to map underground tunnels and galleries connecting the rock-hewn churches of Lalibela, EthiopiaGEOARCHAEOLOGY: AN INTERNATIONAL JOURNAL, Issue 5 2005Gaetano Ranieri As one of the first attempts to utilize the technique for intrasite archaeological prospection, a series of coincident square-loop TEM-fast geophysical surveys were carried out over the compounds of the largest of the rock-hewn churches of Lalibela,Bete Maryam and Bete Amannuel,in North Ethiopia. Archaeologists have long believed that the different churches within each group were connected by underground tunnels. The aim of this survey was to identify, delineate, and map these underground channels and galleries. A total of 33 sounding surveys were conducted, the majority of which used a 3-m-side square loop. The survey traverses explored around the sides of the churches where underground connections to the other churches are possible. The results of the surveys, which are presented in terms of resistivity and depth pseudosections, clearly depict the presence of anomalies that could be associated with cavities, whose orientation suggests the presence of connecting galleries between the different churches. Whether these cavities were actually connecting galleries with religious implications or designed to be used as drainage paths remains a subject requiring further study involving additional geophysical investigations and physical excavation. © 2005 Wiley Periodicals, Inc. [source] Intracranial haemorrhage in patients with congenital haemostatic defectsHAEMOPHILIA, Issue 5 2008P. MISHRA Summary., We investigated 52 of 457 patients with congenital factor deficiencies with 57 episodes of intracranial haemorrhage (ICH) between 1998 and 2007. There were 38 severe haemophiliacs, 6 with factor XIII deficiency, 5 with factor X deficiency, 2 factor V-deficient patients, and 1 with type 3 von Willebrand disease (VWD). The median age was 8 years (range 1 month,22 years). Most patients were below 15 years of age (86.5%). All patients with factor X deficiency were between 1 and 5 months of age. ICH was the primary bleeding episode leading to detection of factor deficiency in 19.2% (five patients with severe haemophilia and all patients with factor X deficiency). Trauma caused bleeding in 66%. None of the patients with factor X deficiency had history of prior trauma. Surgery was performed in five patients with subdural haematomas, all of whom survived. Conservative factor replacement with 100% correction for 3 days followed by 50,60% correction for 7 days was possible in 60% patients. Seizures requiring prolonged therapy were noted in eight patients. Death was recorded in 15 patients (29%). Inadequate therapy in the form of delay or insufficient replacement was noted in 7/15 deaths. ICH was seen in 11.3% of all patients with coagulation factor deficiencies. Factor X deficiency presented with ICH at an earlier age. Inadequate replacement therapy including delayed treatment caused nearly 50% of all deaths. Most patients can be managed satisfactorily with adequate replacement therapy alone, with surgery being reserved for those with worsening neurological conditions. [source] Management of acquired von Willebrand's sryndrome in a patient requiring major surgeryHAEMOPHILIA, Issue 6 2005J. M. Maddox Summary., We present the case of a patient with acquired von Willebrand's syndrome and a monoclonal gammopathy of undetermined significance who required cystectomy for relapsed transitional cell carcinoma (TCC) of the bladder. We demonstrated that infused von Willebrand factor (VWF) containing factor VIII concentrates had an unacceptably short half-life, but that this was significantly prolonged following combined therapy with plasma exchange and intravenous immunoglobulin (IVIgG). This approach was successfully utilized peri-operatively, with the total surgical blood loss less than would be expected even for a haemostatically normal patient. Trough VWF antigen and Ristocetin co-factor activity levels fell on the second postoperative day and we therefore administered further IVIgG. Levels again fell on the fifth postoperative day with the development of a Staphylococcus aureus septicaemia. At this point bleeding occurred from a surgical drain site requiring ,factor VIII inhibitor bypass activity' to secure haemostasis while further plasma exchange and IVIgG were administered. Now 5 years later, there is no evidence of recurrence of the TCC or progression of the monoclonal gammopathy. [source] The Diabetes Continuity of Care Scale: the development and initial evaluation of a questionnaire that measures continuity of care from the patient perspective,HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2004Lisa R. Dolovich PharmD MSc Abstract The purpose of the present study was to develop and pilot test a questionnaire to assess continuity of care from the perspective of patients with diabetes. Seven patient and two healthcare-provider focus groups were conducted. These focus groups generated 777 potential items. This number was reduced to 56 items after item reduction, face validity testing and readability analysis, and to 47 items after a preliminary factor analysis. Readability was assessed as requiring 7,8 years of schooling. Sixty adult patients with diabetes completed the draft Diabetes Continuity of Care Scale (DCCS) at a single point in time to assess the validity of the instrument. Patients completed the draft DCCS again 2 weeks later to assess test,retest reliability. A provisional factor analysis and grouping according to clinical sense yielded five domains: access and getting care, care by doctor, care by other healthcare professionals, communication between healthcare professionals, and self-care. The internal consistency (Cronbach's alpha) for the whole scale was 0.89. The test,retest reliability was r = 0.73. The DCCS total score was moderately correlated with some of the measures used to establish construct validity. The DCCS could differentiate between patients who did and did not achieve specific process and clinical indicators of good diabetes care (e.g. Hba1c tested within 6 months). The development of the DCCS was centred on the patient's perspective and revealed that the patient perspective regarding continuity of care extends beyond the concept of seeing one doctor. Initial testing of this instrument demonstrates that it has promise as a reliable and valid measure in this area. [source] A Self-Report Measure of Clinicians' Orientation toward Integrative MedicineHEALTH SERVICES RESEARCH, Issue 5p1 2005An-Fu Hsiao Objective. Patients in the U.S. often turn to complementary and alternative medicine (CAM) and may use it concurrently with conventional medicine to treat illness and promote wellness. However, clinicians vary in their openness to the merging of treatment paradigms. Because integration of CAM with conventional medicine can have important implications for health care, we developed a survey instrument to assess clinicians' orientation toward integrative medicine. Study Setting. A convenience sample of 294 acupuncturists, chiropractors, primary care physicians, and physician acupuncturists in academic and community settings in California. Data Collection Methods. We used a qualitative analysis of structured interviews to develop a conceptual model of integrative medicine at the provider level. Based on this conceptual model, we developed a 30-item survey (IM-30) to assess five domains of clinicians' orientation toward integrative medicine: openness, readiness to refer, learning from alternate paradigms, patient-centered care, and safety of integration. Principal Findings. Two hundred and two clinicians (69 percent response rate) returned the survey. The internal consistency reliability for the 30-item total scale and the five subscales ranged from 0.71 to 0.90. Item-scale correlations for the five subscales were higher for the hypothesized subscale than other subscales 75 percent or more of the time. Construct validity was supported by the association of the IM-30 total scale score (0,100 possible range, with a higher score indicative of greater orientation toward integrative medicine) with hypothesized constructs: physician acupuncturists scored higher than physicians (71 versus 50, p<.001), dual-trained practitioners scored higher than single-trained practitioners (71 versus 62, p<.001), and practitioners' self-perceived "integrativeness" was significantly correlated (r=0.60, p<.001) with the IM-30 total score. Conclusion. This study provides support for the reliability and validity of the IM-30 as a measure of clinicians' orientation toward integrative medicine. The IM-30 survey, which we estimate as requiring 5 minutes to complete, can be administered to both conventional and CAM clinicians. [source] Early change in bilirubin levels is an important prognostic factor in severe alcoholic hepatitis treated with prednisoloneHEPATOLOGY, Issue 6 2003Philippe Mathurin M.D. Early identification of patients with severe (discriminant function ,32) biopsy-proven alcoholic hepatitis (AH) who are not responding to corticosteroids would be clinically relevant. Our goal was to develop simple criteria that will help physicians to promptly identify nonresponders to corticosteroids. A total of 238 patients were included. We used 6 months survival as an end point because of the rule requiring 6 months for listing alcoholic patients for transplantation. Overall survival at 1 and 6 months was 85% ± 2.3% and 64.3% ± 3.3%, respectively. An early change in bilirubin levels (ECBL) at 7 days (defined as bilirubin level at 7 days lower than bilirubin level on the first day of treatment) was observed in 73% of patients. At 7 days, in patients with ECBL, bilirubin decreased (84 ± 75 ,mol/L [4.94 ± 4.40 mg/dL]), whereas it increased in patients without ECBL (76.5 ± 77 ,mol/L [4.50 ± 4.54 mg/dL], P < .0001). Ninety-five percent of patients with ECBL continued to have improved liver function during treatment. At 6 months, survival of patients with ECBL was significantly higher than that of patients without ECBL, 82.8% ± 3.3% versus 23% ± 5.8%, P < .0001. On multivariate analysis, ECBL, discriminant function and creatinine were independent prognostic variables, and ECBL had the most important prognostic value. In conclusion, ECBL is a very simple predictive factor for identifying nonresponders. A recommendation to discontinue corticosteroids after 7 days in patients without ECBL, suggested by our results, awaits additional confirmation. [source] Handling of biliary complications following laparoscopic cholecystectomy in the setting of Tripoli Central HospitalHPB, Issue 3 2002A Elhamel Background Laparoscopic cholecystectomy (LC) has an increased incidence of bile duct injury and bile leak when compared with open cholecystectomy. This study reviews management of these complications in a general hospital setting. Data collected from patients diagnosed and treated in one surgical unit for biliary complications after LC between 1992 and 1996 were analysed. Method A total of 14 patients were examined. Diagnosis was defined mainly by Endoscopic retrograde cholangiopancreatography (ERCP) and undetected choledocholitiasis was discovered in association with two of these complications. 43% of patients presented after LC with early postoperative bile leak or jaundice due to partial or complete bile duct excision or slippage of clips from the cystic duct. 57% presented with late biliary strictures. Thirteen patients were treated surgically, with biliary reconstruction (11 patients), direct repair (one) and cystic duct ligation in combination with clearance of bile duct from large multiple stones (one). One patient, who had clip displacement from cystic duct in combination with misplaced clip on right hepatic duct, was treated elsewhere. Postoperatively, one patient developed anastomotic leak and another died from sequellaie of bile duct transection requiring staged operations. Conclusions It is concluded that, in an environment similar to that where the authors had to work, LC should be performed in hospitals with facility to perform ERCP or when access for this technique is available in a nearby institution. Early recognition and immediate management of biliary injuries is dependent on individual resources and circumstances but, if required, consultation with colleagues or referral of patients with suspected or established biliary complications should not be delayed. [source] Hepatocellular carcinoma in Sydney South West: late symptomatic presentation and poor outcome for mostINTERNAL MEDICINE JOURNAL, Issue 8 2007L. Gellert Abstract Background: Hepatocellular cancer (HCC) is a serious complication of cirrhosis and chronic hepatitis B infection. The aim of the study was to determine the characteristics of patients with HCC presenting within the South West Sydney area, including an analysis of the rates and benefits of hepatocellular surveillance. Methods: Data from patients with HCC presenting to Liverpool and Bankstown Hospitals from July 1993 to June 2003 were analysed retrospectively, predominantly from hospital records. Results: Of the 151 HCC patients, 41% were Asian born. Most of the patients required an interpreter. Chronic viral hepatitis infection was present in 91 patients, of whom only 7% had previously received antiviral therapy. Alcohol alone was considered responsible in 31 patients. Cirrhosis could be documented in 58% of patients. Most of the patients (75%) presented symptomatically. The median survival was 5.1 months. When HCC was detected by surveillance, the tumours were slightly but not significantly more likely to be operable and the patients tended to be offered some form of active treatment more frequently. Multivariate analysis identified detection by surveillance, lower Child,Pugh score, smaller tumour size and eligibility for some form of treatment to be associated with a more favourable outcome. Conclusion: We observed low rates of surveillance for HCC, low recognition of cirrhosis before development of HCC and low rates of prior treatment of viral hepatitis. The poor outcome of HCC in the small group who had some sort of community surveillance is also a concern requiring further investigation. [source] Traffic flow continuum modeling by hypersingular boundary integral equationsINTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN ENGINEERING, Issue 1 2010Luis M. Romero Abstract The quantity of data necessary in order to study traffic in dense urban areas through a traffic network, and the large volume of information that is provided as a result, causes managerial difficulties for the said model. A study of this kind is expensive and complex, with many sources of error connected to each step carried out. A simplification like the continuous medium is a reasonable approximation and, for certain dimensions of the actual problem, may be an alternative to be kept in mind. The hypotheses of the continuous model introduce errors comparable to those associated with geometric inaccuracies in the transport network, with the grouping of hundreds of streets in one same type of link and therefore having the same functional characteristics, with the centralization of all journey departure points and destinations in discrete centroids and with the uncertainty produced by a huge origin/destination matrix that is quickly phased out, etc. In the course of this work, a new model for characterizing traffic in dense network cities as a continuous medium, the diffusion,advection model, is put forward. The model is approached by means of the boundary element method, which has the fundamental characteristic of only requiring the contour of the problem to be discretized, thereby reducing the complexity and need for information into one order versus other more widespread methods, such as finite differences and the finite element method. On the other hand, the boundary elements method tends to give a more complex mathematical formulation. In order to validate the proposed technique, three examples in their fullest form are resolved with a known analytic solution. Copyright © 2009 John Wiley & Sons, Ltd. [source] An audit of antibiotics usage and their effect on MRSA infection or colonisation following percutaneous endoscopic gastrostomy in a district general hospitalINTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Issue 6 2004O.A. Ogundipe Summary Percutaneous endoscopic gastrostomy (PEG) has become a widely practised procedure to maintain long-term nutrition in patients with a variety of medical conditions. Incidence of infection and the usage of prophylactic antibiotic continue to remain an area of debate. Guidelines in gastroenterology on antibiotic prophylaxis published by the British Society of Gastroenterology recommend the use of prophylactic antibiotic prior to placement of PEG tube (1). There has been an alarming rise in the incidence of MRSA, which has jumped from a reported 2% in 1992 to about 42% in 2001 in England & Wales. Use of antibiotic may lead to emergence of MRSA in debilitated patients requiring PEG feeding. This audit addresses some of the problems encountered in a small district general hospital. [source] Petri net model of protocol conversion for CTF service: its universal coupling criteria and property analysisINTERNATIONAL JOURNAL OF COMMUNICATION SYSTEMS, Issue 5 2007Xiaomin Zhu Abstract Protocol conversion is a critical issue requiring much research attention. In this paper, the protocol conversion methodology proposed originally by Green is extended with the Petri nets theory to study application layer protocol conversion among more than two interfaces. The click-to-fax (CTF) service based on the Internet intelligent network (IIN) model is taken as an example to illustrate the extended part. A two-step Petri net modelling method is proposed, which is easier compared to constructing the overall model directly in just one step. Universal coupling criteria of Petri net model of protocol conversion (PNPC) are abstracted. The PNPC of CTF service is analysed using analytical techniques of Petri nets, which are proved to be effective in finding and eliminating potential bugs. The necessity of the concept of service layer is also emphasized. Copyright © 2006 John Wiley & Sons, Ltd. [source] Splenectomy in a case of splenic vein thrombosis unmasks essential thrombocythemiaINTERNATIONAL JOURNAL OF LABORATORY HEMATOLOGY, Issue 2 2002R. DAS We report a patient with splenic vein thrombosis (SVT) in whom splenectomy resulted in the unmasking of essential thrombocythemia (ET). He had portal hypertension with haematemesis, resulting in anaemia requiring repeated blood transfusions. Investigations revealed SVT. Following splenectomy, he suffered a transient ischaemic attack episode, associated with persistent thrombocytosis (> 2000 × 109/l). Other myeloproliferative disorders were excluded and a diagnosis of ET was established. He responded to hydroxyurea but, due to financial constraints, he discontinued treatment and subsequently relapsed. The association of ET with SVT is rare and the diagnosis of ET was missed initially as the platelet count was normal prior to splenectomy. [source] University-to-industry knowledge transfer: literature review and unanswered questionsINTERNATIONAL JOURNAL OF MANAGEMENT REVIEWS, Issue 4 2001Ajay K. Agrawal This paper reviews the economic literature concerning university-to-industry knowledge transfer. Papers on this topic are divided into four categories. Research in the ,firm characteristics' category focuses directly on company issues, such as internal organization, resource allocation, and partnerships. In contrast, research in the ,university characteristics' stream pays little attention to the firms that commercialize inventions, but rather focuses on issues relating to the university, such as licensing strategies, incentives for professors to patent, and policies such as taking equity in return for intellectual property. The ,geography in terms of localized spillovers' stream of research considers the spatial relationship between firms and universities relative to performance in terms of knowledge transfer success. Finally, the ,channels of knowledge transfer, literature examines the relative importance of various transfer pathways between universities and firms, such as publications, patents, and consulting. Each of these research streams is discussed and key papers are described highlighting important methodologies and results. Finally, an outline of topics requiring further research in each of the four categories is offered. [source] Improving the K6 short scale to predict serious emotional disturbance in adolescents in the USAINTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue S1 2010Jennifer Greif Green Abstract Effective screening for emotional and behavioral disorders among youth requires brief screening scales with good validity to identify youth requiring further evaluation and to estimate prevalence of target disorders in populations of interest such as schools or neighborhoods. This paper examines the psychometric properties of a very short (six-item) screening scale, the K6, to assess serious emotional disturbance (SED) among youth. The K6, which is made up of symptoms of depression and anxiety, has been shown in previous research to be a strong predictor of serious mental illness (SMI) in adults, but no information is available on the ability of the scale to screen for SED among youth. The current report examines the K6 as a screen for SED in a national survey of US adolescents, the National Comorbidity Survey Replication Adolescent Supplement (NCS-A). The K6 is shown to provide fairly good prediction of SED [area under curve (AUC) = 0.74] that is somewhat higher for internalizing (AUC = 0.80) than behavior (AUC = 0.75) disorders. Based on this result, we augmented the K6 with questions about symptoms of behavior disorders. This improved prediction of SED (from AUC = 0.74 to AUC = 0.83) as well as of SED associated with pure behavior disorders (from AUC = 0.53 to AUC = 0.78). These results show that although the symptoms of depression and anxiety in the K6 are sufficient to detect SMI among adults, high rates of behavior disorders among adolescents require indicators of behavior disorders to be added to the K6 to screen adequately for adolescent SED. Copyright © 2010 John Wiley & Sons, Ltd. [source] Large-scale ecology and hydrology: an introductory perspective from the editors of the Journal of Applied EcologyJOURNAL OF APPLIED ECOLOGY, Issue 2000S.J. Ormerod 1. Five key features characterize large-scale factors in ecology: (a) they incorporate some of the most major of all ecological phenomena , the ranges of organisms, patterns of diversity, variations in ecosystem character and environmental processes such as climate, biogeochemical cycles, dispersal and migration; (b) they involve interactions across scales through both top-down and bottom-up processes; (c) they are multifaceted, and hence require an interdisciplinary perspective; (d) they reflect the cumulative effects of anthropogenic change across all scales, and so have direct relevance to environmental management; (e) they invariably exceed the range of classical ecological experiments, and so require alternative approaches to hypothesis testing. 2. Against this background, a recent research initiative on large-scale ecology and hydrology was funded jointly by the Natural Environment Research Council (NERC) and the Scottish Executive Rural Affairs Department (SERAD). Outputs from this programme are reported in this special issue of the Journal of Applied Ecology, and they illustrate some of the ecological research that is currently in progress in the UK at large spatio-temporal scales. 3. The spatial scales investigated in the papers range from hectares to whole continents, and much of the work reported here involves modelling. Although the model outputs are intrinsically valuable, several authors express the need for improved validation and testing. We suggest that this is an area requiring much development, and will need considerable innovation due to the difficulties at the scales involved (see 1d). Possible methods include: model applications to new circumstances; large-scale environmental manipulations; large-scale surveys that mimic experimental protocols; support from process studies at smaller scales. These alternatives are not mutually exclusive, and all can allow robust hypothesis testing. 4. Much of the work reported here is interdisciplinary linking, for example, geographical, mathematical, hydrological, hydrochemical and ecological concepts (see 1c). We suggest that even stronger links between environmental disciplines will further aid large-scale ecological research. 5. Most important in the context of the Journal of Applied Ecology, the work reported in this issue reveals that large-scale ecology already has applied value. Sectors benefiting include the conservation of biodiversity, the control of invasive species, and the management of land and water resources. 6. Large-scale issues continue to affect many applied ecologists, with roughly 30,40% of papers published in the Journal of Applied Ecology typically confronting such problems. This special issue adds to the growing body of seminal contributions that will add impetus to further large-scale work. Moreover, occurring in a period when other areas of biology are increasingly reductionist, this collection illustrates that, at least with respect to large-scale environmental problems, ecology still holds centre ground. [source] Controlling western corn rootworm larvae with entomopathogenic nematodes: effect of application techniques on plant-scale efficacyJOURNAL OF APPLIED ENTOMOLOGY, Issue 5 2010S. Toepfer Abstract The three larval instars of western corn rootworm (Diabrotica virgifera virgifera LeConte, Coleoptera: Chrysomelidae) feed on the roots of maize, Zea mays (L.). The effects of six application techniques on the plant-scale efficacy of the entomopathogenic nematode species, Heterorhabditis bacteriophora Poinar (Rhabditida: Heterorhabditidae), in controlling D. v. virgifera populations were assessed in seven field plot experiments in southern Hungary between 2004 and 2007. Approximately 230 000 nematodes were applied per row metre using four different stream spray techniques; or, alternatively 400 000 nematodes per square metre using two different flat spray techniques. Nematode efficacy was assessed by comparing the number of emerging adult D. v. virgifera, and root damage between treatments and untreated controls. All tested nematode application techniques reduced D. v. virgifera density by at least 50% (on average across fields and years). The highest reduction in D. v. virgifera density was 68% and occurred when nematodes were applied into the soil together with maize sowing using a fluid solid stream. Rainfall, the day before application likely increased the control efficacy of H. bacteriophora. Using the 0.00,3.00 node injury damage rating scale, we estimated that potential root damage was prevented by 25,79% when H. bacteriophora was applied. Although, H. bacteriophora can effectively be applied with all of the techniques tested, for optimum performance and minimum costs, it is suggested that the nematodes be applied as follows: (i) as a stream requiring 8,10 times less volume of water than flat sprays, or as a granule requiring no water, and (ii) into the soil when sowing maize, requiring less water than soil surface sprays and avoiding the destruction of nematodes by UV radiation and additional machinery use. [source] Development of flame retardancy properties of new halogen-free phosphorous doped SiO2 thin films on fabricsJOURNAL OF APPLIED POLYMER SCIENCE, Issue 6 2007Aysun Cireli Abstract In this study, flame retardancy properties of fabrics treated with phosphorous (P) doped and undoped SiO2 thin films were developed by sol,gel technique. As to this aim, P-doped and undoped SiO2 film were coated on cotton fabric from the solutions prepared from P, Si-based precursors, solvent, and chelating agent at low temperature in air using sol,gel technique. To determine solution characteristics, which affect thin film structure, turbidity, pH values, and rheological properties of the prepared solutions were measured using a turbidimeter, a pH meter, and a rheometer machines before coating process. The thermal, structural, and microstructural characterization of the coating were done using differential thermal analysis/thermograviometry, fourier transform infrared spectroscopy, X-ray diffractometry, and scanning electron microscopy. In addition, tensile strength, wash fastness, flame retandancy, and lightness properties of the coated fabrics were determined. To compensate the slight loss of tensile strength of samples, which occurred at the treated fabrics with P-doped Si-based solutions, the cotton fabrics were coated with polyurethane films during second step. In conclusion, the flame retardant cotton fabric with durability of washing as halogen-free without requiring after treatment with formaldehyde was fabricated using sol,gel processing for the first time. Moreover the cotton fabrics, which were treated with P-doped Si-based solutions and then coated with polyurethane at second step, still has got nonflammable property. © 2007 Wiley Periodicals, Inc. J Appl Polym Sci, 2007 [source] "The Outside Is the Result of an Inside": Some Sources of One of Modernism's Most Persistent DoctrinesJOURNAL OF ARCHITECTURAL EDUCATION, Issue 1 2002THOMAS L. SCHUMACHER One of the most pervasive doctrines of composition for modernism was the necessary correspondence between the interior and the exterior as expressed in Le Corbusier's maxim, "The outside is the result of an inside." Many Modern movement architects interpreted this maxim as requiring that both "space" and "program" be expressed on the exterior of their buildings. Although Modern movement architects and theorists themselves wrote little on this subject, a number of earlier writings, including some nineteenth- and twentieth-century books by traditionalists, reveal the academic roots of these precepts. This paper traces the development of these ideas. [source] Phylogeography of cave pseudoscorpions in southern AustraliaJOURNAL OF BIOGEOGRAPHY, Issue 6 2007T. A. Moulds Abstract Aim, To investigate molecular phylogenetic divergence and historical biogeography of the cave-dwelling pseudoscorpion genus Protochelifer. Location, Caves and nearby epigean habitats in southern Australia were sampled from western Victoria, Naracoorte Caves, Flinders Ranges, Kangaroo Island, Nullarbor Plain and south-west Western Australia. Methods, Allozyme electrophoresis (57 individuals) and a 569-base-pair section of the mtDNA COI gene (22 individuals) were used to reconstruct phylogenetic relationships among four cave species and three epigean species from 13 locations. Results, Phylogenetic reconstruction using the allozyme and mtDNA sequence data revealed a similar topology, showing recent speciation of several Protochelifer populations in caves from Naracoorte to the Nullarbor Plain. Naracoorte Caves contained a single species, Protochelifer naracoortensis, found in four separate caves, while all other cave species appear to be restricted to single caves. Main conclusions, At a local scale, as indicated by the four Naracoorte caves, dispersal is thought to occur via micro- and mesocaverns, and possibly by phoresy using insect or bat vectors. With current data we are unable to determine if cavernicolous species of Protochelifer have arisen from a single cave colonization event followed by phoretic dispersal on bats to other caves, or multiple cave-invasion events from independent epigean ancestors. Genetic heterogeneity among Protochelifer populations from Nullarbor caves suggest that P. cavernarum, the only species presently recorded from this region, is likely to constitute a species complex requiring further study to fully resolve its relationships. [source] Immediate Clinical Outcome after Prolonged Periods of Brain Protection: Retrospective Comparison of Hypothermic Circulatory Arrest, Retrograde, and Antegrade PerfusionJOURNAL OF CARDIAC SURGERY, Issue 5 2009Anil Z. Apaydin M.D. Methods: Between 1993 and 2006, 339 patients underwent proximal aortic operations using a period of cerebral protection. Among these, 161 patients (mean age of 55 ± 12 years) who required cerebral protection longer than 25 minutes were included in the analysis. Ascending aorta with or without root was replaced in all patients. In addition, total arch replacement was performed in 36 patients. All patients were cooled to rectal temperature of 16 °C. Hypothermic circulatory arrest without adjunctive perfusion was used in 48 patients. Retrograde or antegrade cerebral perfusion was added in 94 and 19 patients, respectively. The mean duration of total cerebral protection was 42 ± 17 minutes. Results: Overall mortality was 15.5% (25/161) and did not differ among the perfusion groups. There was no difference in the incidence of overall neurological events, temporary neurological dysfunction, or major stroke among the groups. Multivariate analysis revealed that transfusion of >3 units of blood (p < 0.03) was an incremental risk factor for mortality. History of hypertension (p < 0.03), coexisting systemic diseases (p < 0.005), and transfusion of >3 units of blood (p < 0.04) were predictors of temporary neurological dysfunction. Conclusion: In proximal aortic operations requiring prolonged periods of cerebral protection, the mortality and neurological morbidity are not determined by the type of cerebral protection method only. Factors like hypertension and diabetes may play a role in the development of temporary neurological dysfunction. [source] Mode of Induction of Ventricular Tachycardia and Prognosis in Patients with Coronary Disease: The Multicenter UnSustained Tachycardia Trial (MUSTT)JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 8 2009JONATHAN P. PICCINI M.D. Introduction: Programmed stimulation is an important prognostic tool in the evaluation of patients with an ejection fraction ,40% after myocardial infarction. Many believe that ventricular tachycardia (VT) requiring 3 ventricular extrastimuli (VES) for induction is less likely to occur spontaneously and has less predictive value. However, it is unknown whether the mode of VT induction is associated with long-term prognosis. Methods and Results: We analyzed a cohort of 371 patients enrolled in MUSTT who had inducible monomorphic VT and who were not treated with antiarrhythmic drugs or an implantable cardioverter defibrillator during the trial. Patients in whom sustained VT was induced with 1 or 2 VES or burst pacing (single VES n = 15, double VES n = 127, burst n = 7, total n = 149) were compared with those in whom VT was induced with 3 VES (n = 222). Compared with the others, patients requiring 3 VES were closer to their most recent myocardial infarction (17 vs 51 months, P = 0.035) and showed a trend toward a lower ejection fraction (26% vs 30%, P = 0.057). VT requiring 3 VES had a shorter cycle length (240 vs 260 ms, P < 0.001). Despite these findings, there was no difference in the incidence of arrhythmic death or cardiac arrest (HR 1.02; 95% CI 0.69-1.51) or all-cause mortality (HR 1.03; 95% CI 0.76-1.39) according to the mode of induction in adjusted analyses. Conclusions: The prognostic significance of VT induced by 3 VES is similar to that of VT induced by 1 or 2 VES, or burst pacing, in patients with coronary disease and abnormal LV function. [source] Inhibition of prolidase activity by nickel causes decreased growth of proline auxotrophic CHO cells,JOURNAL OF CELLULAR BIOCHEMISTRY, Issue 6 2005Wojciech Miltyk Abstract Occupational exposure to nickel has been epidemiologically linked to increased cancer risk in the respiratory tract. Nickel-induced cell transformation is associated with both genotoxic and epigenetic mechanisms that are poorly understood. Prolidase [E.C.3.4.13.9] is a cytosolic Mn(II)-activated metalloproteinase that specifically hydrolyzes imidodipeptides with C-terminal proline or hydroxyproline and plays an important role in the recycling of proline for protein synthesis and cell growth. Prolidase also provides free proline as substrate for proline oxidase, whose gene is activated by p53 during apoptosis. The inhibition of prolidase activity by nickel has not yet been studied. We first showed that Ni(II) chloride specifically inhibited prolidase activity in CHO-K1 cells in situ. This interpretation was possible because CHO-K1 cells are proline auxotrophs requiring added free proline or proline released from added Gly-Pro by prolidase. In a dose-dependent fashion, Ni(II) inhibited growth on Gly-Pro but did not inhibit growth on proline, thereby showing inhibition of prolidase in situ in the absence of nonspecific toxicity. Studies using cell-free extracts showed that Ni(II) inhibited prolidase activity when present during prolidase activation with Mn(II) or during incubation with Gly-Pro. In kinetic studies, we found that Ni(II) inhibition of prolidase varied with respect to Mn(II) concentration. Analysis of these data suggested that increasing concentrations of Mn(II) stabilized the enzyme protein against Ni(II) inhibition. Because prolidase is an important enzyme in collagen metabolism, inhibition of the enzyme activity by nickel could alter the metabolism of collagen and other matrix proteins, and thereby alter cell,matrix and cell,cell interactions involved in gene expression, genomic stability, cellular differentiation, and cell proliferation. Published 2005 Wiley-Liss, Inc. [source] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||