Distinctions between levels one and two are based on the degree to which an
organization is reactive and disorganized (level one) versus purposeful and proactive
(level two). At level three, the practice is performed regularly, consistently across staff
members, and has been performed enough that the organization has gained a certain
level of proficiency at it. At level four, the organization has committed to tracking the
practice for purposes of better understanding how to improve performance. The
organization is monitoring the quality of the practice.
For example, in the case of a multinational corporation, it might be reason-
able to assume a high degree of control and coordination in the administration
of the cluster of subnets of the corporation’s intranet. The administrators of
this intranet might very well be able to design and manage the whole network
of event servers deployed on their subnets, and thus it might be a good idea to
adopt a hierarchical architecture within the intranet. Of course, the intranet
would connect to other networks outside of the inﬂuence of the administrators.
The probiotic bacteria must be viable to affect the
health, but the non-viable bacteria could also affect the immunological status of the
host. It is believed that the arrival of probiotic bacteria with food to different parts of
intestine can increase probiotic bacteria adherence and the rate of colonization. Food
products may contain many forms of probiotic bacteria, including culture concentrate
that is added to a food (dried or deep-freeze form), the fermented or non-fermented
food products, and dietary supplements in the form of drug products-powder,
capsules or tablet.
In my presidential address, I summarized our past and present status,
and focused on a proposal for our future. You may read the full
text, entitled “Strategies and Goals: The Future of the International
Gynecologic Cancer Society” in the December 2010 issue of our
International Journal of Gynecological Cancer. At the IGCS website,
you may view a webcast of my address as well as those of many
of the presenters from our 13th Biennial Meeting.
Current practice guidelines for ventilatory management advocate protective lung strategies
to prevent volutrauma, barotrauma, atelectrauma and biotrauma (3-5). The principles are to
use low tidal volumes (Vt) (5-6 ml/kg ideal body weight), maintenance of low mean airway
pressures ≤ 30 cmH2O, judicious use of positive end-expiratory pressure (PEEP) with Δ
pressure ≤ 18 cmH2O, higher respiratory rates and permissive hypercapnia.
The prominence of private health insurance has been buttressed by government interventions
directed at PHI markets in several OECD health systems, although the effectiveness of policies aimed at
increasing market size and fostering outcome quality has differed widely. Australia, Ireland, the
Netherlands, Germany, Switzerland and the United States have promoted and maintained a large and
viable private health insurance market because policy makers have concluded that mixed public-private
coverage systems can better deliver desired health policy and social outcomes.
Overweight and obesity in the United States among adults
and children has increased significantly over the last two
decades. Those following typical American eating and
activity patterns are likely to be consuming diets in excess
of their energy requirements. However, caloric intake is
only one side of the energy balance equation. Caloric
expenditure needs to be in balance with caloric intake to
maintain body weight and must exceed caloric intake to
achieve weight loss (see tables 3 and 4).
Chronic lymphocytic leukemia (CLL) follows an extremely variable course with
survival ranging from months to decades. Recently, there has been major progress in
the identification of molecular and cellular markers that may predict the tendency for
disease progression in CLL patients. In particular, the mutational profile of Ig genes
and some cytogenetic abnormalities have been found to be important predictors of
prognosis in CLL. However, this progress has raised new questions about the biology,
prognosis and management of the disease, some of which are addressed here. ...
The Affordable Care Act increases insurance company accountability by supporting States’
review of premium increases, setting standards for the amount of premiums spent on benefits
versus overhead (i.e., medical loss ratios), and posting insurance price information for
transparency. A Small Business Health Care Tax Credit, reinsurance for early retirees, and
premium assistance for uninsured people with pre-existing conditions have already provided
targeted relief for millions of insured and uninsured Americans, and these changes are making a
Although at that point, the challenges of a potential Pandemic Influenza were not being considered, this risk is now also being addressed by the training. Avian Influenza has continued its march across Europe and remains a serious threat (Revill 2007; Shaikh 2007). In this survey, 91% of senior living (SL) and long term care (LTC) administrators felt ill-prepared to deal with public health emergencies and BT threats. Eighty percent of the respondents reported that their LTC communities did not have any training (either educational or exercise based) for their workforce in this area.
Vernon Benignus reported having received remuneration for employment and
consultancy from a commercial entity or other organization with an interest re-
lated to the subject of air pollution. He also reported having provided an expert
opinion or testimony for a commercial entity or other organization as part of a
regulatory, legislative or judicial process. He equally stated having held an office
or other position, paid or unpaid, where he was expected to represent interests or
defend a position related to the subject of air pollution.
The Basics of Social Marketing is one
of several social marketing resources
available for public health professionals
from Turning Point, and the Turning Point
Social Marketing National Excellence
Collaborative, funded by The Robert
Wood Johnson Foundation. It is intended
as a stand-alone tool to help you apply
effective social marketing to your public
health programs and practices. It may be
integrated with other social marketing
resources, many of which are available
free of charge.
The continuity style deliberately sets out to make the camera, camerawork and editing invisible or,
at the very least, unobtrusive. The events on screen seem to take place within a world of their own.
They look as though they have simply been captured by some kind of unseen observer, who just
happened to be watching and recording the action from convenient and suitable positions or
angles. This is the key to the continuity style; its ability to tell a story whilst at the same time hiding
the storytelling mechanisms themselves. ...
Gonadotropin releasing hormone receptor (GnRHR) is secreted from hypothalamus and
delivered to the anterior pituitary via the hypophyseal portal circulation where it binds to
the GnRHR on the surface of gonadotropes triggering the synthesis and secretion of the
gonadotropins, follicle stimulating hormone (FSH) and luteinizing hormone (LH). In the
female, LH stimulates the production of androgens by the thecal cells that surround the
growing ovarian follicle.
Europeans have also constituted an important migrant group with significant relationships with their
home countries. Historically, Greeks, Portuguese, Spanish and Turkish are known to have close trans-
national communities abroad. A large amount of funds are remitted to Portugal, while Greek and Turkish
migrants send money from Germany and have established a banking system that allows for remittances to
be more institutionalized.
The nonholonomic nature of the car-like robot is related to the assump-
tion that the robot wheels roll without slipping. This implies the presence of
a nonintegrable set of rst-order dierential constraints on the conguration
variables. While these nonholonomic constraints reduce the instantaneous mo-
tions that the robot can perform, they still allow global controllability in the
conguration space. This unique feature leads to some challenging problems
in the synthesis of feedback controllers, which parallel the new research issues
arising in nonholonomic motion planning.
The sense of feeling can effectively be used to enforce virtual artistic activities
like virtual sculpting or modeling. In this paper, we describe how a virtual sculpture system
has been extended with haptical feedback. In practice, we use the scalar ﬁeld deﬁning the
implicit surface being modeled to efﬁciently compute several type of force feedback. We
present a method for combining these forces differently depending whether the user is just
touching his artwork or editing it by adding virtual matter.
Every organization should make sure that its board members know
and understand what it expects from them as not-for-profit directors.
It is not enough to put people on a board and expect them to do the
right thing. Even if they have previous board experience, they need
to know how things are done in this particular organization and the
extent to which they will be expected to participate in operating
activities in addition to their governance role.
The benefits and risks inherent to food technology and food safety in Europe
have brought these topics to the centre of public interest in the recent years.
The challenge for the future is to maintain the food sector competitive and
innovative at a global level, while increasing the safety of production
processes along the food chain. Therefore research priorities have to be
developed at the European level which integrate these requirements into a
long term perspective.
The main objective of any in vitro fertilization (IVF) unit is to provide good service for their patients. Although this can be interpreted in several ways, it is usually perceived as achieving a live birth (1). One of the most important factors contributing to this outcome is the performance of the IVF laboratory responsible for the creation of embryos from patients’ gametes. The viability of the embryos created and transferred into the woman’s uterus is a major determinant in establishing a successful pregnancy. ...