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Single Event (single + event)
Selected AbstractsOrganophosphorus pesticides in storm-water runoff from southern California (USA)ENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 8 2004Kenneth Schiff Abstract Large quantities of the organophosphorus (OP) pesticides diazinon and chlorpyrifos are applied to California (USA) watersheds every year, but few data are available on the sources of OP pesticides in urban watersheds. The goal of this study was to characterize diazinon and chlorpyrifos concentrations from different land uses indicative of source categories in urban southern California watersheds. This characterization included analysis of 128 runoff samples from eight different land uses over five storm events. Diazinon was consistently detected (93% of samples) during this study, whereas chlorpyrifos was not consistently detected (12% of samples). The mixed agricultural land use had the highest flow weighted mean (FWM) concentration of diazinon (4,076 ng/L), which exceeded the next-highest land-use categories (commercial and residential) by one to two orders of magnitude (324,99 ng/L, respectively). Open space had the lowest concentration of diazinon (<20 ng/L). Concentrations of diazinon at replicate land-use sites and during replicate storm events at the same site were highly variable. The difference in diazinon FWM concentrations among replicate sites ranged from 1.5-fold to 45-fold. The difference in diazinon FWM concentrations among storms at the same site ranged from 1.25-fold to 30-fold. Part of this variability is a response to the temporal patterns observed within a storm event. The majority of land-use site-events had peak concentrations before peak flow indicating a first-flush effect, but this was not always a predictable temporal trend. The first-flush effect was rarely evident in terms of mass loadings because flows can range orders of magnitude during a single event in highly impervious urban watersheds. Flow variability thus overwhelms the variability in diazinon concentrations attributable to the first-flush effect. [source] Epilepsy Can Be Diagnosed When the First Two Seizures Occur on the Same DayEPILEPSIA, Issue 9 2000Peter Camfield Summary: Purpose: Experts have suggested that when the first two (or more) unprovoked seizures occur on the same day, they should be considered as a single event and the diagnosis of epilepsy await a further seizure. We have studied the subsequent clinical course of children with their first two seizures on the same day ("same day" group) compared with children with their first two seizures separated by more than one day ("different day" group). Method: The Nova Scotia childhood epilepsy database documented all newly diagnosed children with epilepsy from 1977 to 1985 with follow-up in 1990 and 1991. Epilepsy was defined as two or more unprovoked seizures regardless of the interval between seizures provided that consciousness fully returned between seizures. All patients had their first seizure between the ages of 1 month and 16 years. Seizure types were restricted to partial, generalized tonic-clonic, and partial with secondary generalization. Results: Of the 490 children with partial or generalized tonic-clonic seizures and follow-up of more than 2 years, 70 had their first two or more seizures on the same day and 420 had their first two seizures on different days. Eighty percent (56 of 70) of the "same day" group subsequently had one or more further seizures with (n = 14) or without (n = 42) medication; 80.9% (340 of 420) of the "different day" group had one or more further seizures with (n = 115) or without (n = 225) medication. Seizure types were nearly identical. Cause was the same (except for fewer idiopathic "genetic" cases in the "same day" group: 1 of 70 vs. 42 of 420; p = 0.02). Rates of mental handicap and previous febrile seizures were the same. Children in the "same day" group were younger on average (60 vs. 84 months; p = 0.001) and were somewhat more likely to have neurological impairment. Outcome after 7 years average follow-up was the same: 58% of the "same day" group and 56% of the "different day" group were in remission. Conclusion: If two or more unprovoked seizures (with normal consciousness between) occur on the same day, the child appears to have epilepsy and will have a clinical course identical to that of the child with a longer time interval between the first two seizures. [source] The Birth of the CAP Die Geburt der GAP La naissance de la PACEUROCHOICES, Issue 2 2008David R. Stead Summary The Birth of the CAP Fifty years ago, a Conference was held at Stresa which could be said to be the single event that most appropriately marks the birth of the CAP. Although five policy objectives had been written into the 1957 Treaty of Rome, these have been widely criticised for being vague and contradictory, and the Treaty contained very few stipulations on the specific policy instruments to be adopted. The Stresa Conference made important, but incomplete, progress towards finalising the policy framework. Most notably, it was generally agreed to avoid a level of price support that created unwanted commodity surpluses and inhibited structural adjustment. But these good intentions, and the positive ,European spirit' of the Conference, began to unravel as soon as the fraught decisions were taken on the details of unifying the protectionist agricultural policies of six different countries. In particular, the decision to fix the initial level of common cereals prices at the upper end of the national spread set an unsatisfactory reference point for other support prices; and an attempt to introduce a genuine common structural policy was rejected. At the turn of the 1970s, the CAP was clearly unbalanced and protectionist, but the Community's first fully-fledged common policy had been constructed. Il y a cinquante ans, s'est tenue à Stresa une Conférence qui pourrait être considérée comme l'évènement unique qui marque le mieux la naissance de la PAC. Bien que cinq objectifs pour l'action publique aient été inscrits dans le Traité de Rome en 1957, leur caractère imprécis et contradictoire a fait l'objet de nombreuses critiques et le Traité ne comportait que de très rares indications sur les instruments de politique à adopter. La Conférence de Stresa a permis de réaliser des progrès importants mais incomplets dans la définition du cadre de l'action publique. Intéressant à noter, il a généralement été convenu d'éviter un niveau de soutien des prix qui engendrerait des surplus excessifs de produits de base et empêcherait l'ajustement structurel. Mais ces bonnes intentions, ainsi que l'esprit "européen" positif de la Conférence, ont commencéà se dissoudre dès que des décisions problématiques furent prises sur le détail de l'uniformisation des politiques agricoles protectionnistes de six pays différents. En particulier, la décision consistant à fixer le niveau initial des prix communs des céréales à la borne supérieur du spectre des prix nationaux a constitué un point de référence peu satisfaisant pour les autres prix de soutien; et la tentative d'introduire une vraie politique commune des structures a avorté. Au tournant des années soixante dix, la PAC était nettement déséquilibrée et protectionniste, mais la première politique complètement commune de la Communautéétait en place. Vor 50 Jahren fand in Stresa eine Konferenz statt, bei welcher es sich wohl um das einzige Ereignis handelt, welches am zutreffendsten als Geburtstag der GAP betrachtet werden kann. Obgleich die politische Zielsetzung bereits 1957 in den Römischen Verträgen festgelegt worden war, standen diese wegen ihrer vagen Formulierung und Widersprüchlichkeit häufig im Kreuzfeuer der Kritik. Die Verträge enthielten nur sehr wenige konkrete Vereinbarungen im Hinblick auf die einzuführenden politischen Instrumente. Durch die Konferenz in Stresa konnten wichtige, jedoch unvollständige, Fortschritte bei der Ausarbeitung der politischen Rahmenbedingungen erzielt werden. Vor allem gab es den allgemeinen Konsens, dass es aufgrund der Preisstützung nicht zu unerwünschten Überschüssen bei Agrarprodukten und zu einer Hemmung der Strukturanpassungen kommen dürfe. Diese guten Absichten und die "europäische Gesinnung" der Konferenz schwanden jedoch, als die bedeutsamen Entscheidungen hinsichtlich der Einzelheiten für die Vereinheitlichung der protektionistischen Agrarpolitiken der sechs verschiedenen Länder getroffen wurden. Insbesondere die Entscheidung, das Anfangsniveau der gemeinsamen Preise für Getreide an der oberen Grenze der nationalen Preisspannen festzumachen, legte einen unbefriedigenden Referenzpunkt für die übrigen Stützpreise fest. Der Vorschlag, eine originär gemeinsame Strukturpolitik einzuführen, wurde abgelehnt. Um 1970 war die GAP eindeutig unausgewogen und protektionistisch; der Entwurf der ersten vollständigen gemeinsamen Politik der Gemeinschaft war jedoch abgeschlossen. [source] Cortical locations of maximal spindle activity: magnetoencephalography (MEG) studyJOURNAL OF SLEEP RESEARCH, Issue 2 2009VALENTINA GUMENYUK Summary The aim of this study was to determine the main cortical regions related to maximal spindle activity of sleep stage 2 in healthy individual subjects during a brief morning nap using magnetoencephalography (MEG). Eight volunteers (mean age: 26.1 ± 8.7, six women) all right handed, free of any medical psychiatric or sleep disorders were studied. Whole-head 148-channel MEG and a conventional polysomnography montage (EEG; C3, C4, O1 and O2 scalp electrodes and EOG, EMG and ECG electrodes) were used for data collection. Sleep MEG/EEG spindles were visually identified during 15 min of stage 2 sleep for each participant. The distribution of brain activity corresponding to each spindle was calculated using a combination of independent component analysis and a current source density technique superimposed upon individual MRIs. The absolute maximum of spindle activation was localized to frontal, temporal and parietal lobes. However, the most common cortical regions for maximal source spindle activity were precentral and/or postcentral areas across all individuals. The present study suggests that maximal spindle activity localized to these two regions may represent a single event for two types of spindle frequency: slow (at 12 Hz) and fast (at 14 Hz) within global thalamocortical coherence. [source] Personal view: victim blaming as management strategy for the gastroenterologist , a game theoretical approachALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 10 2005A. Sonnenberg Summary Background :,A multitude of digestive diseases elude simple management strategies. Rather than admit failure of disease management, a gastroenterologist could resort to blaming patients for their own medical conditions. Blaming the patient constitutes an easy exit strategy for otherwise unsolvable disease conditions. Aim :,To shed light on the problem of patient blaming in gastroenterology and provide means for its resolution. Methods :,The interaction between physician and patient can be formulated in terms of a non-zero-sum game between two adversaries. The outcomes associated with two behavioural strategies available to both adversaries are arranged in a two-by-two game matrix. Results :,Blaming the patient is characterized by the general game pattern of the ,prisoner's dilemma'. If the physician,patient interaction is restricted to one single event, patient blaming represents the management strategy of choice with the highest expected payoff under all foreseeable circumstances. If there is a high probability for repeated physician,patient interactions, however, a physician admitting and a patient accepting the limits of medical performance yield a dominant strategy. Conclusion :,Only for single physician,patient encounters does a non-cooperative strategy of blaming one's adversary for a poor medical outcome yield the highest expected outcome. In the long run, the strategy of shifting blame becomes unproductive for both sides alike. [source] Unapocalyptic Theology: History and Eschatology in Balthasar's Theo-DramaMODERN THEOLOGY, Issue 2 2001Steffen Lösel In this essay, I evaluate the claim that Hans Urs von Balthasar's interpretation of trinitarian doctrine undermines the importance of history for the Christian God. Where other critics argue that the very distinction between immanent and economic Trinity robs the economy of salvation of theological significance, I contend that the underlying problem lies in how Balthasar restricts the theo-drama to an event between heaven and earth on the cross of Golgotha. Through this limitation of God's active involvement in history to a single event, Balthasar's theo-drama becomes an "unapocalyptic theology", which devalues God's salvific history with the world and the biblical expectation of an eschatological end of history. Furthermore, Balthasar underplays the messianic-political dimension of the Christian concept of salvation and thereby cements the status quo of a yet unredeemed world. [source] A survival analysis for recurrent events in psychiatric researchBIPOLAR DISORDERS, Issue 2 2004Christopher Baethge Objectives:, Time to first recurrence, as analyzed by the Kaplan,Meier (KM) survival analysis, is a commonly applied statistical method in psychiatric research. However, many psychiatric disorders are characterized not by a single event, but rather by recurrent events, such as multiple affective episodes. This study aims to demonstrate a method of survival analysis that takes multiple recurrences into account. Methods:, We examined data on sex differences in a sample of 181 patients undergoing prophylactic treatment with lithium or carbamazepine (serum level assayed) for bipolar disorder (ICD-10). The classical KM method was compared with an approach developed by Peña, Strawderman and Hollander (PSH) that uses recurrent event data to estimate survival function. Results:, The results obtained with the multiple events method differed considerably from those acquired using the standard KM analysis. When taking recurrent event data into account, the probability of remaining well was lower and survival times were longer. In addition, whereas the standard KM analysis indicated that male patients had a higher likelihood of remaining well, the alternative method revealed that both sexes were similarly likely to remain well. Conclusions:, Survival analysis techniques that take recurrent events into account are potentially important instruments for the study of psychiatric conditions characterized by multiple recurrences. In many cases, the standard KM analysis appears to provide only a rough approximation of the course of illness. [source] Experiences of loss and chronic sorrow in persons with severe chronic illnessJOURNAL OF CLINICAL NURSING, Issue 3a 2007Gerd Ahlström PhD Aims and objectives., The aims of the present study were to describe losses narrated by persons afflicted with severe chronic physical illness and to identify the concomitant occurrence of chronic sorrow. Background., Reactions connected with repeated losses are referred to in the literature as chronic sorrow, which has recently been described in conjunction with chronic illness. Design., A qualitative study with an abductive approach of analysis, including both inductive and deductive interpretations. Method., The study is based on 30 persons of working age with average disease duration of 18 years. The average age was 51 years. All of the persons had personal assistance for at least three months because of considerable need for help in daily life due to physical disability. Each person was interviewed twice. There was also an independent assessment of the deductive results concerning chronic sorrow. Results., The inductive findings show that all persons had experienced repeated physical, emotional and social losses. Most common were ,Loss of bodily function', ,Loss of relationship', ,Loss of autonomous life' and ,Loss of the life imagined'. ,Loss of identity' included the loss of human worth, dignity and a changed self-image. In addition, the deductive findings suggest that chronic sorrow exists in the study population. Sixteen of 30 participating subjects were assessed by both assessors to be in a state of chronic sorrow and there was an especially high agreement with respect to one criterion of chronic sorrow ,Loss experience, ongoing or single event' (28 of 30 subjects). Conclusions., This study shows that persons with severe chronic illness often experience recurring losses. These experiences are consistent with the phenomenon of chronic sorrow. Relevance to clinical practice., Knowledge of the existence of chronic sorrow in persons with chronic illness will enable nurses to support these persons in a more sensitive and appropriate way. [source] The role of reflection in the library and information sector: a systematic reviewHEALTH INFORMATION & LIBRARIES JOURNAL, Issue 3 2007Maria J Grant Objectives:,To systematically review published literature on the role of reflection in the library and information science sector. To identify examples of good practice and to investigate the reported contribution, if any, of reflection by library and information workers as part of their professional practice. Methods:,Free text searches (reflective or reflection* or reflexion*) were conducted for English language papers on the Library and Information Science Abstracts (lisa) bibliographic database in two phases; in March 2004 for literature dating from 1969 to 2003 and between 2004 and 2006 in January 2006. Thirteen papers met the inclusion criteria and were coded and analysed using thematic analysis. Results:,Two categories of reflection exist: analytical and non-analytical. These focus on events in the recent and distant past. Non-analytical reflective accounts generally adopt a retrospective tone in reporting on multiple events over a number of decades. In contrast, analytical accounts of reflection focused on single events and attempt to understand the relationship between past experiences and how this might impact on future practice. Conclusion:,From the examples of reflective practice identified, greatest personal and professional benefit is reported when time is given to considering the implications of past events on future practice, that is, analytical reflection. [source] The occurrence of intra-operative hypotension varies between hospitals: observational analysis of more than 147,000 anaesthesiaACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 8 2009P. TAFFÉ Background: Hypotension, a common intra-operative incident, bears an important potential for morbidity. It is most often manageable and sometimes preventable, which renders its study important. Therefore, we aimed at examining hospital variations in the occurrence of intra-operative hypotension and its predictors. As secondary endpoints, we determined to what extent hypotension relates to the risk of post-operative incidents and death. Methods: We used the Anaesthesia Databank Switzerland, built on routinely and prospectively collected data on all anaesthesias in 21 hospitals. The three outcomes were assessed using multi-level logistic regression models. Results: Among 147,573 anaesthesias, hypotension ranged from 0.6% to 5.2% in participating hospitals, and from 0.3% up to 12% in different surgical specialties. Most (73.4%) were minor single events. Age, ASA status, combined general and regional anaesthesia techniques, duration of surgery and hospitalization were significantly associated with hypotension. Although significantly associated, the emergency status of the surgery had a weaker effect. Hospitals' odds ratios for hypotension varied between 0.12 and 2.50 (P,0.001), even after adjusting for patient and anaesthesia factors, and for type of surgery. At least one post-operative incident occurred in 9.7% of the procedures, including 0.03% deaths. Intra-operative hypotension was associated with a higher risk of post-operative incidents and death. Conclusion: Wide variations remain in the occurrence of hypotension among hospitals after adjustment for risk factors. Although differential reporting from hospitals may exist, variations in anaesthesia techniques and blood pressure maintenance may also have contributed. Intra-operative hypotension is associated with morbidities and sometimes death, and constant vigilance must thus be advocated. [source] An overview of inherently safer design,PROCESS SAFETY PROGRESS, Issue 2 2006Dennis C. Hendershot Inherently safer product and process design represents a fundamentally different approach to safety in the manufacture and use of chemicals. The designer is challenged to identify ways to eliminate or significantly reduce hazards, rather than to develop add-on protective systems and procedures. In the chemical process industries, risk management layers of protection are classified as inherent, passive, active, and procedural. Inherently safer design focuses on eliminating hazards, or minimizing them significantly, to reduce the potential consequence to people, the environment, property, and business. Inherently safer design is considered to be the most robust way of dealing with process risk and can be considered to be a subset of green chemistry and green engineering. It focuses on safety hazards,the immediate impacts of single events such as fires, explosions, and short-term toxic impacts. Many of the strategies of inherently safer design are not specific to the chemical industry, but apply to a broad range of technologies. Strategies for identifying inherently safer options are discussed, with examples. However, for most facilities, a complete risk management program will include features from all categories of layers of protection. Also, the designer must be aware that all processes and materials have multiple hazards and that there can be conflicts among the risks associated with different alternatives. Design alternatives that reduce or eliminate one hazard may create or increase the magnitude of others. Recognition and understanding of these conflicts will enable the designer to make intelligent decisions to optimize the design. © 2006 American Institute of Chemical Engineers Process Saf Prog, 2006 [source] | ||||||||||