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She had been a successful artist, doing work she loved, but now she felt like a failure. How would her family pay their bills? What would the future hold?
If only God would somehow The Story of Polaroid. Weegee documented better than any other photographer the crime, grit, Lire plus CHF Writing the Very Short Story par John Dufresne An engaging and frank guide to writing the very short story, full of sound advice, exemplary models, and provocative exercises. The history of fiction has been dominated by the novel and the short story. But now a brave new genre has emerged: When sexy fellow paparazzo Tad entices her in front of the lens, her voyeuristic tendencies turn exhibitionistic, to both their delight.
Coming in front of the camera is more exciting than Michelle ever imagined…. A steamy short story about lust and photography from a legendary erotica heavy-hitter. Lire plus CHF 4. An Incredible Beefburger Journey par Tracey Hamilton Flash, the beefburger, escapes from a burger store and sets off on an adventure to find his friends in the hope that they too are still alive.
His adventure north finds him firstly having to deal with street cleaners, local dogs and dangerous farmers fields. He then rescues a female beefburger and they pair up but the road trip is not smooth with many ups and downs. They find themselves in a Lire plus CHF 2.
Flash A Novel par Jim Miller "'This remarkable novel is nothing less than a secret history of southern California-a radical past that might yet redeem our future. As Jack searches for the truth about I. Flash A Novel par Michael Cadnum When two teenage brothers bungle a bank robbery, their attempt to hide the evidence is witnessed—aurally—by Terrence, a legally blind neighbor. Terrence tells his girlfriend, Nina, and her brother, who then disappears with a handgun.
Nina is afraid of what he might do to the brothers. But she also has every reason to fear what the brothers will do to Terrence. The hourly average solar irradiation is calculated at different combinations of tilt angle and orientation angle with the help of horizontal surface radiation data of Jodhpur Rajasthan, India. The hourly average solar irradiance is calculated for three cases: It is concluded that monthly collected solar radiation produces better result as compared to bimonthly, seasonally, half-yearly and yearly collected solar radiation.
The profit obtained for monthly varying angle has 4. Erosion of Northern Reservoir Shores: An Analysis and Application of Pertinent Literature,. Society of Economic Paleontologists and Eagleson A study. A year-old woman with chronic bronchitis and diabetes mellitus presented with a high fever, abdominal pain, and diarrhea.
Physical examination revealed rales, and her chest radiograph showed a homogeneous density in the left lung. In the second case, a year-old man with diabetes mellitus was treated for pneumonia at another hospital. The Legionella urinary antigen test was positive. Neither of the patients had been hospitalized or travelled within the previous month. Both patients used hot water storage tanks heated by solar energy; both also used an electrical device in the bathroom to heat the water when solar energy alone was insufficient.
The hot water samples from the residences of both patients were positive for L. These cases show that domestic hot water systems heated by solar energy must be considered a possible source of community-acquired LD. Pertinent plasma indicators of the ability of chickens to synthesize and store lipids. Excessive deposition of body fat is detrimental to production efficiency. The aim of this study was to provide plasma indicators of chickens' ability to store fat.
From 3 to 9 wk of age, chickens from 2 experimental lines exhibiting a 2. The diets contained 80 vs. Cellulose was used to dilute energy in the high-fat diet. At 9 wk of age, the body composition was analyzed and blood samples were collected. A metabolome-wide approach based on proton nuclear magnetic resonance spectroscopy was associated with conventional measurements of plasma parameters.
A metabolomics approach showed that betaine, glutamine, and histidine were the most discriminating metabolites between groups. An evaluation of some pertinent parameters that influence the dosimetric performance of synthetic diamond detectors. Although the near-tissue equivalence of diamond allows the direct measurement of dose for clinical applications without the need for energy-corrections, it is often cited that diamond detectors require pre-irradiation, a procedure necessary to stabilize the response or sensitivity of a diamond detector before dose measurements.
In addition it has been pointed out that the relative dose measured with a diamond detector requires dose rate dependence correction and that the angular dependence of a detector could be due to its mechanical design or to the intrinsic angular sensitivity of the detection process.
While the cause of instability of response has not been meticulously investigated, the issue of dose rate dependence correction is uncertain as some studies ignored it but reported good results. The aims of this study were therefore to investigate, in particular 1 the major cause of the unstable response of diamond detectors requiring pre-irradiation; 2 the influence of dose rate dependence correction in relative dose measurements; and 3 the angular dependence of the diamond detectors. Ionization chambers were used for comparative measurements.
Through systematic investigations, the major cause of the unstable response of diamond detectors requiring the recommended pre-irradiation step was isolated and attributed to the presence and effects of ambient light. Without corrections based on dose rate dependence, the relative differences between depth-doses measured with the diamond detectors and a Markus chamber for exposures to 7 and 14 MeV electron beams were within 2.
In addition, the angular response of the CVD diamond detector was shown to be comparable with that of a cylindrical chamber. This study concludes that once the responses of the diamond detectors have been stabilised and they are properly shielded from ambient light, pre-irradiation prior to each measurement is not required. Also, the relative dose measured with the diamond detectors do not require dose rate dependence corrections as the required correction is only marginal and could have no dosimetric significance. Proposed physiologic functions of boron in plants pertinent to animal and human metabolism.
Boron has been recognized since as an essential micronutrient element for higher plants. Over the years, many roles for boron in plants have been proposed, including functions in sugar transport, cell wall synthesis and lignification, cell wall structure, carbohydrate metabolism, RNA metabolism, respiration, indole acetic acid metabolism, phenol metabolism and membrane transport. However, the mechanism of boron involvement in each case remains unclear. Recent work has focused on two major plant-cell components: In both, boron could play a structural role by bridging hydroxyl groups.
In membranes, it could also be involved in ion transport and redox reactions by stimulating enzymes like nicotinamide adenine dinucleotide and reduced NADH oxidase. There is a very narrow window between the levels of boron required by and toxic to plants.
The mechanisms of boron toxicity are also unknown. In vitro studies show that boron inhibits the manganese-dependent allantoate amidohydrolase, and foliar application of manganese prior to application of boron eliminates allantoic acid accumulation in leaves. Interaction between borate and divalent cations like manganese may alter metabolic pathways, which could explain why higher concentrations of boron can be toxic to plants.
The pertinence of oral health indicators in nutritional studies in the elderly. Studies concerning the more appropriate criteria for evaluating oral health in relation to nutrition in the elderly vary greatly. There is a need to identify the most relevant criteria for classifying dental indicators of mastication in nutritional studies, so these indicators may be considered for epidemiological and clinical purposes. The aim of this study was to explore the associations between nutritional deficit and measures of oral health in a group of elderly. A convenience sample of independent elderly aged 65 years or more attending two primary care clinics in Beirut, Lebanon was selected.
The oral examinations recorded decayed, missing and filled teeth DMFT , the prosthetic status and the number of functional units FU. The sample was composed of women mean age: They were allocated to two groups: We present the results of our measurements of the electron emission properties of selected insulating and conducting materials used on the International Space Station ISS.
Utah State University USU has performed measurements of the electron-, ion-, and photon-induced electron emission properties of conductors for a few years, and has recently extended our capabilities to measure electron yields of insulators, allowing us to significantly expand current spacecraft material charging databases. These ISS materials data are used here to illustrate our various insulator measurement techniques that include: These incident electron energies induce unity total yield at the transition between yields greater than and less than one with either negative or positive charging, respectively.
The crossover energies are very important in determining both the polarity and magnitude of spacecraft surface potentials. Radiofrequency Radiation and Teratogenesis: A flight investigation was made to assess the potential operational problems of jet transports in the transonic cruise range. In this study a large multiengine jet airplane having geometric characteristics fairly representative of the jet transport was used; however, in order to ensure general applicability of the results, the aerodynamic characteristics of the test airplane were varied to simulate a variety of jet- transport airplanes.
Some of the specific areas investigated include: The results presented include pilots' evaluation of the various problem areas and specific recommendations for possible improvement of jet-transport operations in the cruising speed range. Nuclear energy plays a vital role in supporting electrical needs and fulfilling commitments to reduce greenhouse gas emissions. Research is a continuing necessity to improve the predictive capabilities of fuel behaviour in order to reduce costs and to meet increasingly stringent safety requirements by the regulator.
Moreover, a renewed interest in nuclear energy has given rise to a "nuclear renaissance" and the necessity to design the next generation of reactors. In support of this goal, significant research efforts have been dedicated to the advancement of numerical modelling and computational tools in simulating various physical and chemical phenomena associated with nuclear fuel behaviour.
This undertaking in effect is collecting the experience and observations of a past generation of nuclear engineers and scientists in a meaningful way for future design purposes. There is an increasing desire to integrate thermodynamic computations directly into multi-physics nuclear fuel performance and safety codes. A new equilibrium thermodynamic solver is being developed with this matter as a primary objective. This solver is intended to provide thermodynamic material properties and boundary conditions for continuum transport calculations.
There are several concerns with the use of existing commercial thermodynamic codes: The development of this software in this research is aimed at addressing all of these concerns. The approach taken in this work exploits fundamental principles of equilibrium thermodynamics to simplify the numerical optimization equations. In brief, the chemical potentials of all species and phases in the system are constrained by estimates of the chemical potentials of the system components at each iterative step, and the objective is to minimize the residuals of the mass balance equations.
Several numerical advantages are achieved through this simplification. In particular, computational expense is reduced and the rate of convergence is enhanced. Furthermore, the software has demonstrated the ability to solve systems involving as many as component elements. Reviews of Pertinent Literature in Shock. Diffusion Chambers in Rabbits: Bioeffects of Radiofrequency Radiation: Similar effects were observed when lenses were warmed to Because of the immaturity of the neonates, the Purkinje cell layer was not clearly displayed. Monitoring costs in the ICU: Attempts to determine costs in the intensive care unit ICU were not successful until now, as they failed to detect differences of costs between patients.
Based on the results of the European ICUs studies and on the descriptions of the activities of care in the ICU, we gathered and analysed the relevant literature concerning the monitoring of costs in the ICU. The aim was to formulate a methodology, from an economic perspective, in which future research may be framed. A bottom-up microcosting methodology will enable to distinguish costs between patients. The resulting information will at the same time support the decision-making of top management and be ready to include in the financial system of the hospital.
In contrast with other scoring instruments, the nursing activities score NAS covers all nursing activities.
The objective of this study was to provide a primer on the environmental effects that can affect the durability of nuclear power plant concrete structures. As concrete ages, changes in its properties will occur as a result of continuing microstructural changes i. These changes do not have to be detrimental to the point that concrete will not be able to meet its performance requirements. Contained in this report is a discussion on concrete durability and the relationship between durability and performance, a review of the historical perspective related to concrete and longevity, a description of the basic materials that comprise reinforced concrete, and information on the environmental factors that can affect the performance of nuclear power plant concrete structures.
Commentary is provided on the importance of an aging management program. Efficacy and safety data of subsequent entry biologics pertinent to nephrology practice: Subsequent entry biologics SEBs may soon be a reality in Canadian nephrology practice. Understanding the worldwide experience with these agents will be valuable to Canadian clinicians.
To compare the efficacy and safety data between SEBs used in nephrology practice and their reference biologic. Adult patients with chronic kidney disease CKD. Our systematic review follows the process outlined by Cochrane Reviews. For efficacy data, all randomized controlled trials RCTs , quasi-RCTs and observational trials in nephrology practice were included. For safety data, case series, case reports, review articles in nephrology practice and pharmacovigilance programs were included as well.
Only epoetin SEBs trials were published in the literature. Ten studies involving three different epoetin SEBs epoetin zeta, HX and epoetin theta were included. The mean epoetin dose used did not differ significantly between the SEBs and the reference product. For epoetin zeta and epoetin theta, the mean hemoglobin levels achieved in the studies were similar between the SEBs and the reference epoetin. The HX studies reported a mean absolute change in hemoglobin within the predefined equivalence margin, when compared with the reference biologic. In terms of safety data, 2 cases of pure-red-cell aplasia were linked to the subcutaneous administration of HX Otherwise, the rate of adverse drug reactions was similar when epoetin SEBs were compared with the reference biologic.
Our analysis is limited by the paucity of information available on SEB use in nephrology with the exception of epoetin SEBs.
Buy Flash Épreuve écrite 2: Tests d'aptitude Concours Infirmier (French Edition): Read Kindle Store Reviews - www.farmersmarketmusic.com Epreuve Ecrite 2: Tests d'aptitude, Concours infirmier on www.farmersmarketmusic.com *FREE* shipping on There is a newer edition of this item: Concours infirmier (French Edition) Start reading Flash Épreuve écrite 2 on your Kindle in under a minute.
Little clinical difference was found between epoetin SEBs and the reference product. Although not deemed clinically important, the financial implication of a possible dose difference between epoetin zeta and reference product should be considered in pharmacoeconomic studies. Ongoing trials are expected to address the risk of pure-red-cell aplasia with HX Celtic Languages and Sociolinguistics: The present and future situation of the Celtic languages is intrinsically interesting.
Two are moribund, while the other four possess varying degrees of strength and institutional support. From the weakest to the strongest, however, there are pressing concerns about stability and maintenance, to say nothing of possible revitalisation. For many years, mathematics has been conceived as abstract, a product of western values and divorced from people's everyday lives. This has contributed to the fact that rural and economically disadvantaged communities fail to see the link between school mathematics and their real world experiences.
Nonetheless, it goes without question that…. To analyse the opinions of physicians on the appropriateness of research into the relationships between doctors and pharmaceutical industry, and to evaluate the usefulness of email survey in this research. Survey via email of authors of papers published in Spanish medical journals in The relationships between doctors and the industry was measured by asking doctors what they had received from industry during last year, the value in euro, and the number of visits from industry representatives.
The response rate was A total of Mean value of gifts received was euro , euro. By sex, women apparently received more drug samples, and men more payments for consulting or enrolling patients in trials. Doctors practicing in hospitals seemed to receive more gifts than primary care doctors, particularly trips or lunch. Number of visits of industry representatives from 5 to 10 weekly was associated with more gifts to doctors.
The vast majority of doctors agree with the appropriateness of researching into the relationships between doctors and the pharmaceutical industry. Relationships between physicians and industry appear to be intensive, as seen in other studies. Response rate was low, but the simplicity and speed of the method are valuable advantages. Recent theoretical developments and experimental studies pertinent to vortex flow aerodynamics - With a view towards design.
A review is presented of recent progress in a research program directed towards the development of an improved vortex-flow technology base. It is pointed out that separation induced vortex-flows from the leading and side edges play an important role in the high angle-of-attack aerodynamic characteristics of a wide range of modern aircraft. In the analysis and design of high-speed aircraft, a detailed knowledge of this type of separation is required, particularly with regard to critical wind loads and the stability and performance at various off-design conditions.
A description of analytical methods is presented. The theoretical methods employed are divided into two classes which are dependent upon the underlying aerodynamic assumptions. One conical flow method is considered along with three different nonconical flow methods. Comparisons are conducted between the described methods and available aerodynamic data. Attention is also given to a vortex flow drag study and a vortex flow wing design using suction analogy.
Geologic factors pertinent to the proposed A. Wiley Hydroelectric Project No. The proposed dam would impound a narrow reservoir as deep as 85 feet in a free-flowing reach of the river that extends from the upper reach of water impounded by the Bliss Dam to the foot of the Lower Salmon Falls Dam, nearly 8 miles farther upstream. The proposed dam would be built in three sections: Right and left are to be understood in the sense of looking downstream. A year later, on August 26, , the company applied to FERC for a license to construct the project.
On October 8, , as explained in a letter by William W. Lindsay, Director of the Office of Electric Power Regulation, the company was given 90 days to correct certain deficiencies in the application. Because several of the deficiencies identified by Mr. Lindsay pertain to geologic aspects of the project, his letter is attached to this report as Appendix A.
Hereafter in this report, the deficiencies listed by Mr. Lindsay are identified by the numerical entries in his letter. The Idaho Power Company is referred to as the applicant. This study evaluated a professional development intervention that stemmed from a university-district partnership and was developed through participatory action research.
Digital game-based instruction is a relatively new phenomenon in the world of education. Teachers hold the key to unlock the world of DGBL within the classroom. Within the classroom a teacher is much like an artist with a blank canvas and typically artistic freedom is granted. What is taught, the curriculum, is generally mandated by local,…. A batch adsorption study on bentonite clay Pertinence to transport modeling? Bentonite clay is often used as a component of engineered barriers for the isolation of high-level toxic wastes.
This swelling clay is used for its physical impermeability, self-healing but also for its chemical properties, mostly a high cation exchange capacity CEC. The adsorbed cations being temporarily immobilized, this should slow down the release of cations from the waste to the surrounding environment. In order to assess the performance of the engineered barrier, the partitioning of solutes between the liquid and solid phases needs to be quantified for use in transport models.
The usual method for characterizing the adsorption is through batch adsorption experiments on dispersed suspensions of the solid, yielding an adsorption isotherm adsorbed concentration vs.
This isotherm however should be a function of various environmental variables e. We present results from a study of the adsorption of cesium, strontium, cadmium and lead on dispersed suspensions of the standard BX bentonite. Through a wide range of experimental parameters pH, ionic strength, reaction time, reactor open or closed to the atmosphere, study of a range of cations of differing properties , we seek a mechanistic interpretation of the results instead of an empirical determination of adsorption parameters.
Depending on the mechanisms that control the adsorption in different experimental ranges, we discuss the degree to which the partitioning coefficient Kd obtained in the lab can be extrapolated to a transport model through compacted bentonite in a natural environment. Both orbital and thermal evolution of recently discovered super-Earths terrestrial planets whit mass exceeding that of Earth depends critically on the rheological properties of their mantle.
The key observations are: In addition, a review of existing studies also shows that the ionic solids with B2 CsCl structure have larger diffusion coefficients than their B1 counter parts.
Furthermore, if metallization transition occurs in any of these materials, delocalized electrons will further weaken the material. The inferred low viscosity of super-Earths implies a large tidal dissipation and relatively rapid orbital evolution. Also such a rheological properties likely promote a layered mantle convection that enhances a weak deep mantle and retards the thermal evolution. Price, Journal of Chemical Physics , Allen, Science , Karato, Physics of Earth and Planetary Interiors 55, Field instrumentation, monitoring of drilled shafts for landslide stabilization and development of pertinent design method.
The design method for using a single row, spaced drilled shafts, socketed into a firm rock strata, to stabilize: The soil arching due to the presence of spaced: A pertinent tool to assess beta-blockers toxicity. Among increasingly used pharmaceutical products, beta-blockers have been commonly reported at low concentrations in rivers and littoral waters of Europe and North America. Little is known about the toxicity of these chemicals in freshwater ecosystems while their presence may lead to chronic pollution.
Hence, in this study the acute toxicity of 3 beta-blockers: Some were indicative of potential alterations in biofilm algae photosynthetic efficiency , and others in biofilm bacteria peptidase activity, bacterial mortality. Propranolol was the most toxic beta-blocker, mostly affecting the algal photosynthetic process. Metoprolol was particularly toxic for bacteria. Atenolol was the least toxic of the three tested beta-blockers.
Higher toxicity of metoprolol and propranolol might be due to better absorption within biofilms of these two chemicals. Since beta-blockers are mainly found in mixtures in rivers, their differential toxicity could have potential relevant consequences on the interactions between algae and bacteria within river biofilms. There has been much debate over the years regarding the need for flight simulator motion for airline-pilot training and evaluation.
From the intuitive perspective there is the dictum, The airplane moves, so the simulator must move but intui A pertinent approach to solve nonlinear fuzzy integro-differential equations. Fuzzy integro-differential equations is one of the important parts of fuzzy analysis theory that holds theoretical as well as applicable values in analytical dynamics and so an appropriate computational algorithm to solve them is in essence. In this article, we use parametric forms of fuzzy numbers and suggest an applicable approach for solving nonlinear fuzzy integro-differential equations using homotopy perturbation method.
A clear and detailed description of the proposed method is provided. Our main objective is to illustrate that the construction of appropriate convex homotopy in a proper way leads to highly accurate solutions with less computational work. The efficiency of the approximation technique is expressed via stability and convergence analysis so as to guarantee the efficiency and performance of the methodology.
Numerical examples are demonstrated to verify the convergence and it reveals the validity of the presented numerical technique. Numerical results are tabulated and examined by comparing the obtained approximate solutions with the known exact solutions. Graphical representations of the exact and acquired approximate fuzzy solutions clarify the accuracy of the approach.
The pertinence of Sutton's law to exposure science: Lessons from unconventional shale gas drilling. Sutton's Law urges the medical practitioner to utilize the test that goes directly to the problem. When applied to exposure science, Sutton's Law would argue that the major emphasis should be on techniques that directly measure exposure in or close to the human, animal or ecosystem receptors of concern.
Exposure science largely and appropriately violates Sutton's Law by estimating exposure based on information on emissions or measurements obtained at a distance from the receptors of concern. I suggest four criteria to help determine whether Sutton's law should be violated for an innovative technology, and explore these criteria in relation to potential human exposure resulting from unconventional gas drilling UGD: For UGD, the complexity of the technology including many possible release points at different time periods; the existence of three variable mixtures of chemical and physical agents as well as possible unknown reactants; the demonstrated large variation in releases from site to site; and deficiencies in transparency and regulatory oversight, all suggest that studies of the potential health impact of UGD should follow Sutton's Law.
This includes the use of techniques that more directly measure exposure close to or within the receptors of concern, such as biological markers or through community-based citizen science.
Understanding the implications of Sutton's Law could help focus scientific and regulatory efforts on effective approaches to evaluate the potential health and ecosystem implications of new and evolving technologies. This experimental program was divided into two parts. The first part evaluated stress corrosion cracking in T87 aluminum and 5Al Both uniform height double cantilever beam and surface flawed specimens were tested in environments normally encountered during the fabrication and operation of pressure vessels in spacecraft and booster systems.
The second part studied compatibility of material-environment combinations suitable for high energy upper stage propulsion systems. Surface flawed specimens having thicknesses representative of minimum gage fuel and oxidizer tanks were tested. Aluminum alloy in the T87 and T6E46 condition was tested in fluorine, a fluorine-oxygen mixture, and methane. Results were evaluated using modified linear elastic fracture mechanics parameters. Instruction in academic institutions and academic laboratories, excluding information that involves research Leaching of wood preservative components and their mobility in the environment: Preservative-treated wood is an economical, durable, and aesthetically pleasing building material; therefore, it is a natural choice for construction projects in our National Forests, National Parks, and other public lands.
However, we need to ensure that the chemicals used in treated wood do not pose a threat to people or the environment. The purpose of this report is Written Expression, Civilization, Literature, Media. Language class activities are outlined, including a class project to develop a detective story, a study of political advertising, creative story-writing, and the viewing of Italian television films about France.
Besoins langagiers et pratiques d'ecriture Language Needs and Writing Practice. A writing exercise consisting of a description of an automobile accident was carried out by two groups, one consisting of skilled workers, the other of professionals. The results were compared in terms of clarity, length, grammar, vocabulary, and tone. Pratique d'apprentissage en ligne aux etudes superieures Online Learning for Higher Education. Online learning requires new approaches to teaching and learning. At the University of Montreal, 28 graduate students in education and adult students specializing in educational technology attended an experimental distance education course.
Preorganized bis-zinc phosphodiester cleavage catalysts possessing natural ligands: Two preorganized bis-zinc receptors 2 and 3 were synthesized wherein the metals were ligated with ligands present in natural phosphodiesterases: The intrametallic distance is near 4. With only two imidazoles 2 , the zinc binding affinities were not high enough to achieve cooperativity.
The preorganization of 3 was achieved using a "steric gearing" strategy. The enhancement was fold for cooperation between the two metals relative to a mono-metallic analogue 5. However, there was no observable enhancement in the hydrolysis of RNA using 3 relative to 5. Therefore, we conclude that placing two zinc atoms that are ligated with natural ligands at the appropriate distance for catalysis is not sufficient to enhance the cleavage of RNA, but is successful for activated RNA substrate mimics.
Twenty five years ago, Mott's law was established in order to describe electrical transport in disordered insulators at low temperature. In this review, we briefly summarize the different theoretical steps involved in the rigourous derivation of Mott's law. We stress upon the fact that Mott's law gives the mean conductance of an ensemble of macroscopic samples as long as electron-electron interactions remain negligible.
We then study what happens when at least one of the key assumptions of Mott's law no longer holds. We first focus on systems whose size — at least in one dimension — is not macroscopic: Eventually, we try to gather different works dealing with electron-electron interactions. It is now established that interactions generally produce a stronger divergence for the electrical resistance than the one predicted by Mott's law at the lowest temperatures.
But the exact shape of this divergence, as well as its interpretation, remain debated. We try to make a link between Efros and Shklovskii 's work and their famous "Coulomb gap" and a more recent work about granular media. In this latter work, the size of the grains is the key parameter for the shape of the divergence of the resistance at low temperature.
We suggest this could indicate a way for a model accounting for the different shapes of divergence of the electrical resistance at the lowest temperatures. Furthermore this framework of granular media allows us to deal with non linear regime: Rethinking the ethical approach to health information management through narration: The increased complexity of health information management sows the seeds of inequalities between health care stakeholders involved in the production and use of health information.
Patients may thus be more vulnerable to use of their data without their consent and breaches in confidentiality. Health care providers can also be the victims of a health information system that they do not fully master. Yet, despite its possible drawbacks, the management of health information is indispensable for advancing science, medical care and public health. Therefore, the central question addressed by this paper is how to manage health information ethically? This ethical theory has the merit of helping to harmonise self-esteem and solicitude amongst patients and healthcare providers, and at the same time provides an ethics of justice in public health.
Morphological changes of hepatocytes were observed by pathological Hematoxylin and eosin staining, the dynamic expressions of liver and serum IGF-IR were quantitatively analyzed by an enzyme-linked immunosorbent assay. The fragments of IGF-IR gene were amplified by reverse transcription-polymerase chain reaction, and confirmed by sequencing. We have articles on the implications of health system organizational structures.
Three of these are international articles at the level of the national health system 1 from China and systematic local health interventions 1 from Canada and 1 from Netherlands. Inside the United States, where there are more family physicians, there is less obesity, and designation as a Patient Centered Medical Home is related to increased rates of colorectal cancer screening. Review articles on common clinical topics discuss treatments that are changing acne in pregnancy or lack consensus distal radial fractures. We have articles on making life easier in the office, such as for predicting Vitamin D levels, osteoporosis, and pre-diabetes in normal weight adults.
There are articles to raise awareness of the "newest" testing or treatments, that is, auditory brainstem implants. We also provide "thought" pieces, in this case about the terminology we are using to extend our concept of patient-centered medical homes. Defining the lateral limits of the endoscopic endonasal transtuberculum transplanum approach: OBJECTIVE The extended endoscopic endonasal transtuberculum transplanum approach is currently used for the surgical treatment of selected midline anterior skull base lesions.
Nevertheless, the possibility of accessing the lateral aspects of the planum sphenoidale could represent a limitation for such an approach. To the authors' knowledge, a clear definition of the eventual anatomical boundaries has not been delineated. Hence, the present study aimed to detail and quantify the maximum amount of bone removal over the planum sphenoidale required via the endonasal pathway to achieve the most lateral extension of such a corridor and to evaluate the relative surgical freedom. The laboratory rehearsals were run as follows: A conventional subfrontal bilateral approach was used to evaluate, from above, the bone removal from the planum sphenoidale and the lateral limit of the endonasal route.
RESULTS The endoscopic endonasal transtuberculum transplanum approach was extended at its maximum lateral aspect in the lateral portion of the anterior skull base, removing the bone above the optic prominence, that is, the medial portion of the lesser sphenoid wing, including the anterior clinoid process.
As expected, a greater bone removal volume was obtained compared with the approach when bone removal is limited to the medial optocarotid recess average Emphasized in this paper are the deformation processes and rheologies of rocks at high temperatures and high effective pressures, conditions that are presumably appropriate to the lower crust and upper mantle in continental collision zones. Much recent progress has been made in understanding the flexure of the oceanic lithosphere using rock-mechanics-based yield criteria for the inelastic deformations at the top and base. At mid-plate depths, stresses are likely to be supported elastically because bending strains and elastic stresses are low.
The collisional tectonic regime, however, is far more complex because very large permanent strains are sustained at mid-plate depths and this requires us to include the broad transition between brittle and ductile flow. Moreover, important changes in the ductile flow mechanisms occur at the intermediate temperatures found at mid-plate depths. Two specific contributions of laboratory rock rheology research are considered in this paper.
First, the high-temperature steady-state flow mechanisms and rheology of mafic and ultramafic rocks are reviewed with special emphasis on olivine and crystalline rocks. Rock strength decreases very markedly with increases in temperature and it is the onset of flow by high temperature ductile mechanisms that defines the base of the lithosphere. The thickness of the continental lithosphere can therefore be defined by the depth to a particular isotherm Tc above which at geologic strain rates the high-temperature ductile strength falls below some arbitrary strength isobar e.
For olivine Tc is about ?? C but for other crustal silicates, Tc may be as low as ?? C, suggesting that substantial decoupling may take place within thick continental crust and that strength may increase with depth at the Moho, as suggested by a number of workers on independent grounds. Put another way, the Moho is a rheological discontinuity. A second class of laboratory observations pertains to the general phenomenon of ductile faulting in which ductile strains are localized into shear zones.
Ductile faults have been produced in experiments of five different rock types and is generally expressed as strain softening in constant-strain-rate tests or as an accelerating-creep-rate stage at constant differential stress. A number of physical mechanisms have been identified that may be responsible for ductile faulting, including the onset of dynamic recrystallization, phase changes, hydrothermal alteration and hydrolytic weakening. Microscopic evidence for these processes as well as larger-scale geological and geophysical observations suggest that ductile faulting in the middle to lower crust and upper mantle may greatly influence the distribution and magnitudes of differential stresses and the style of deformation in the overlying upper continental lithosphere.
Critique of the Literature on Bioeffects of Radiofrequency Radiation. Psychophysiological Effects of Aging: Developing a Functional Age Index for Pilots: A Survey of the Pertinent Literature. Field instrumentation, monitoring of drilled shafts for landslide stabilization and development of pertinent design method: The use of a row of spaced drilled shafts to stabilize unstable slopes along the highways offers many advantages compared to other slope stabilization techniques. Some of these advantages may include: Proton pump inhibitors PPI are widely prescribed for unrecognized indications, at high a dose and for a long duration, in spite of side effects and numerous drug interactions.
In , the HAS French Health Authority published recommendations of good prescription but the latter are poorly respected. In this context of over prescription and additional cost for the society, we performed a professional practice evaluation of on the model of the Deming wheel.
The objective of this work was to optimize the relevance of the prescriptions of the IPP in two services of internal medicine and geriatrics through an evaluation of the professional practices. All PPI prescriptions introduced in outpatient visits or during hospitalization were analyzed. Data collection was prospective, over two periods of 2 months and included first phase , then patients second phase.
An assessment grid of PPI prescriptions was completed by physicians regarding the active substance, the dose, the duration and the indication of the prescription. The relevance of the prescription corresponded to PPI with a conformed indication and duration and to the prescriptions no recommended stopped. Following the first period of data collection, information was given to medical students and physicians on the relevance of their prescriptions with regard to the current recommendations and informative flyers were offered with the aim of improving the practices before the second period of evaluation second phase.
The main indication of the PPI was the prevention of peptic ulcers in a context of associated drug estimated at risk. An improvement of the global relevance of prescription was observed after awareness of the physicians: Abstract In order to quantify radiation risks at exposure scenarios relevant for radiation protection, often extrapolation of data obtained at high doses and high dose rates down to low doses and low dose rates is needed.
This paper provides an overview of dose rates and doses typically used or present in those studies, and compares them with doses and dose rates typical of those received by the A-bomb survivors in Japan. Health and well-being in old age: The demographic and societal changes of the past decades, such as longevity and improvements in public health, have created new and often very distinct realities for men and women.
However, these diversities have only marginally and fragmentally been the topic of research endeavours. There is a growing awareness of the societal phenomenon 'feminization of old age', yet the topic and its psychosocial and health-related consequences have not attracted the scientific interest they deserve.
Due to scientific neglects and limitations, state of the art research in the field of gender, health and ageing is still sketchy and often contradictory. In the present article, the complex pattern of roles and values that define what is thought of as 'masculine' and 'feminine' and its significant impact on health-related lifestyles will be examined. Based on current research, we try to give answers to questions such as: The inclusion of gender as a social reality in the broadest sense is therefore an absolute prerequisite for gaining valid information.
Gender has played only a marginal role in the hitherto existing geriatric and gerontological research and practice. Therefore, a gender-fair approach in research and practice is indicated, i. Gender mainstreaming entails on the one hand horizontal justice denoting equal treatment and benefits for equal needs of men and women and on the other hand vertical justice indicating differential treatment and benefits for differential needs of the 2 sexes. A Pertinent Setting in Times of Austerity. In most European countries, immigrants do not systematically learn about the host countries' healthcare system when arriving.
This study investigated how newly arrived immigrants perceived the information they received about the Danish healthcare system. Immigrants attending a language school in Copenhagen in received…. Geohydrology of the northern Louisiana salt-dome basin pertinent to the storage of radioactive wastes; a progress report. Salt domes in northern Louisiana are being considered as possible storage sites for nuclear wastes. The domes are in an area that received regional sedimentation through early Tertiary Eocene time with lesser amounts of Quaternary deposits.
The Cretaceous-Tertiary accumulation is a few thousand feet thick; the major sands are regional aquifers that extend far beyond the boundaries of the salt-dome basin. Because of multiple aquifers, structural deformation, and variations in the hydraulic characteristics of cap rock, the ground-water hydrology around a salt dome may be highly complex. The Sparta Sand is the most productive and heavily used regional aquifer.
It is either penetrated by or overlies most of the domes. A fluid entering the Sparta flow system would move toward one of the pumping centers, all at or near municipalities that pump from the Sparta. Movement could be toward surface drainage where local geologic and hydrologic conditions permit leakage to the surface or to a surficial aquifer. Acute and Stress-related Injuries of Bone and Cartilage: Bone or cartilage, or both, are frequently injured related to either a single episode of trauma or repetitive overuse. The resulting structural damage is varied, governed by the complex macroscopic and microscopic composition of these tissues.
Furthermore, the biomechanical properties of both cartilage and bone are not uniform, influenced by the precise age and activity level of the person and the specific anatomic location within the skeleton. Of the various histologic components that are found in cartilage and bone, the collagen fibers and bundles are most influential in transmitting the forces that are applied to them, explaining in large part the location and direction of the resulting internal stresses that develop within these tissues.
Therefore, thorough knowledge of the anatomy, physiology, and biomechanics of normal bone and cartilage serves as a prerequisite to a full understanding of both the manner in which these tissues adapt to physiologic stresses and the patterns of tissue failure that develop under abnormal conditions.
Such knowledge forms the basis for more accurate assessment of the diverse imaging features that are encountered following acute traumatic and stress-related injuries to the skeleton. The first epidemiological studies on multiple sclerosis MS around the world pictured a north to south latitudinal gradient that led to the first genetic and environmental pathogenic hypothesis. MS incidence seems to be increasing during the past 20 years based on recent data from prospective studies performed in Europe, America and Asia. This phenomenon could be explained by a better case ascertainment as well as a change in causal factors.
The few prospective studies in our area together with the increase in the disease in other regions, justifies an epidemiological MS project in order to describe the incidence and temporal trends of MS. A prospective multicenter MS registry has been established according to the actual requirements of an epidemiological surveillance system. Case definition is based on the fulfillment of the McDonald diagnostic criteria. The registry setting is the geographical area of Cataluna northeastern Spain , using a wide network of hospitals specialized in MS management.
Recent epidemiological studies have described an increase in MS incidence. In order to contrast this finding in our area, we consider appropriate to set up a population based registry. Benzil fluorescence and phosphorescence emissions: The relative intensity RI of the phosphorescence and fluorescence from the relaxed trans-planar geometry of benzil has been studied as a function of pressure and temperature in supercritical carbon dioxide SC-CO 2.
The nature of the variation of RI with pressure and temperature is similar to that of the kinematic viscosity KV with the two said parameters. The experimental results have been interpreted in terms of microheterogeneity of the supercritical fluid SCF. The major purpose of this study was to create a path analysis model of academic success in a group of university students, which included the variables of academic confidence and psychological capital with a mediator variable--academic coping.
The plastic-flow behavior which controls the formation of bulk residual stresses during final heat treatment of powder-metallurgy PM , nickel-base superalloys was quantified using conventional isothermal stress-relaxation SR tests and a novel approach which simulates concurrent temperature and strain transients during cooling following solution treatment.
In turn, this information is used to program the ram-displacement- vs-time profile to impose a constant plastic strain rate during cooling. The magnitude of the effect of concurrent deformation during cooling on gamma-prime precipitation was also quantified experimentally and theoretically.
Manganese and silicon activities were obtained by using the present data and the previously determined MnO and SiO2 activities of the slag. Quadratic multi-coefficient regression equations were developed for activity coefficients of manganese and silicon. The conclusions of this work are: Does hyperbaric oxygen have a cancer-causing or -promoting effect? A review of the pertinent literature. We reviewed all known published reports or studies related to a possible cancer-causing or growth-enhancing effect by hyperbaric oxygen.
Published articles were retrieved using Medline searches for the period Additional references were obtained from bibliographies included in those articles discovered in the computer search. Also, hyperbaric medicine text books and the published proceedings of international hyperbaric conferences were visually searched. Studies and reports discovered in this fashion and related to the topic were included in the review. Twenty-four references were found: Three clinical reports suggested a positive cancer growth enhancement, whereas 10 clinical reports showed no cancer growth enhancement.
Two animal studies suggested a positive cancer-enhancing effect, and 10 animal studies showed no such effect. The report that included both animals and humans is counted in both groups.