Journal articles on the topic 'Missed thrust'
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Laipert, Frank E., and James M. Longuski. "Automated Missed-Thrust Propellant Margin Analysis for Low-Thrust Trajectories." Journal of Spacecraft and Rockets 52, no. 4 (July 2015): 1135–43. http://dx.doi.org/10.2514/1.a33264.
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Rubinsztejn, Ari, Carrie Grace Sandel, Rohan Sood, and Frank E. Laipert. "Designing trajectories resilient to missed thrust events using expected thrust fraction." Aerospace Science and Technology 115 (August 2021): 106780. http://dx.doi.org/10.1016/j.ast.2021.106780.
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Rubinsztejn, Ari, Rohan Sood, and Frank E. Laipert. "Neural network optimal control in astrodynamics: Application to the missed thrust problem." Acta Astronautica 176 (November 2020): 192–203. http://dx.doi.org/10.1016/j.actaastro.2020.05.027.
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Allio, Lorenzo. "On the Smartness of Smart Regulation – A Brief Comment on the Future Reform Agenda." European Journal of Risk Regulation 2, no. 1 (March 2011): 19–20. http://dx.doi.org/10.1017/s1867299x00000581.
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We live at a time where Smart is better than Better, and Better was not Smart enough. This is not a dull pun. It actually reflects the status in which regulatory reform finds itself nowadays. To many observers, the switch from Better to Smart just reflects the attempt to instil renewed commitment and faith in an agenda, which in some (European) countries has maybe exhausted its thrust. The European Commission also admits candidly that the choice of the new term largely serves as a refreshing slogan. But limiting it to a branding change, with little consideration of its content, would be a mistake in appreciation. And a missed opportunity. We do need “Smart Regulation” – and not only in the Commission. Above all, we need smart regulators.
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Devi, Gayatri. "Dentistry as a prospective career choice in India." Bioinformation 16, no. 12 (December 31, 2020): 1134–38. http://dx.doi.org/10.6026/973206300161134.
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Career choice is a complex decision in a student’s life. The opportunity to participate in dental education in many countries, especially in the developing ones, is limited to a small percentage of the community. There is a wide range of options for students to choose as a career in general family, gender, personal interest; outcome expectancies can affect the decision in choosing it. Many studies showed that many individuals find themselves in occupations not really knowing why they made that particular decision. The changing nature of the dental workforce and the need to retain the services of future members has made it important to understand why current dental students have chosen dentistry as their career. However, the choice of dentistry becomes forceful at times by peer pressure, cultural thrust or inability to procure medicine. It is of interest to evaluate dentistry as a prospective career choice in India. The participants answered a questionnaire based online survey and the results were collected and analysed statistically. Analyses of data from the survey shows that majority (36.72%) of students had chosen dentistry as a career choice having missed entry or selection into medicine.
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Pait, T. Glenn, and Matthew Helton. "The crippled brain that prolonged the Civil War: General Joseph Hooker’s concussions at Chancellorsville." Neurosurgical Focus 53, no. 3 (September 2022): E4. http://dx.doi.org/10.3171/2022.6.focus22210.
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President Lincoln appointed General Joseph Hooker to command the Army of the Potomac in January 1863. In April 1863, Hooker had 130,000 men compared to the Confederate Army’s 60,000. The Union forces had more food, clothing, and ammunition. On a decisive day of the Chancellorsville campaign, as Hooker stood on his headquarters porch, a cannonball struck the pillar against which he was leaning. He was hurled to the floor, stunned and senseless. Unconsciousness followed a lucid interval, requiring rest, when another cannonball struck near him. Half of the army was not thrust into battle, resulting in retreat, because Hooker was not capable of commanding. Hooker’s army missed the opportune time to attack; the order was never received because Hooker suffered a traumatic brain injury. Under current military protocol, Hooker would not be allowed to return to participation. During this crucial period a reporter stated, “the precious hour passed, while our army was without a head.” The Chancellorsville campaign resulted in Union retreat. Hooker’s disabling traumatic brain injury prevented him from giving orders and changing the battle’s outcome. Had the general not sustained a concussion, the Civil War probably would have ended earlier.
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Rn, Arun Kishore, Yuvaraj Babu K, and Gayatri Devi R. "Assessing the Reason for Choosing Dentistry as a Career: A Survey Among First-Year Dental College Students." ECS Transactions 107, no. 1 (April 24, 2022): 14739–54. http://dx.doi.org/10.1149/10701.14739ecst.
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Career choice is a complex decision in our life. The opportunity to participate in dental education in many countries, especially in the developing ones, is limited to a small percentage of the community. Choosing dentistry as a career option may be due to various reasons, influences like economical status, financial status, social status, and many more. Students also try to make a career choice while studying itself. Meanwhile, choosing dentistry as a job should be accomplished with more precise considerations because changing this job is rarely possible. The changing nature of the dental workforce and the need to retain the services of future members has made it important to understand why current dental students have chosen dentistry as their career. However, the choice of dentistry becomes forceful at times by peer pressure, cultural thrust, or inability to procure medicine. Questions distributed through an online survey were answered by the participants and the results are collected and analyzed statistically. From the results obtained and analyzed the various reasons for choosing dentistry as a carrier was understood. The main reason for choosing dentistry as a career is because majority (42.97%) missed MBBS as their first career choice.
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Devi, Gayatri. "Dentistry as a prospective career choice in India." Bioinformation 16, no. 12 (December 31, 2020): 1134–38. http://dx.doi.org/10.6026/973206300161134.
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Career choice is a complex decision in a student’s life. The opportunity to participate in dental education in many countries, especially in the developing ones, is limited to a small percentage of the community. There is a wide range of options for students to choose as a career in general family, gender, personal interest; outcome expectancies can affect the decision in choosing it. Many studies showed that many individuals find themselves in occupations not really knowing why they made that particular decision. The changing nature of the dental workforce and the need to retain the services of future members has made it important to understand why current dental students have chosen dentistry as their career. However, the choice of dentistry becomes forceful at times by peer pressure, cultural thrust or inability to procure medicine. It is of interest to evaluate dentistry as a prospective career choice in India. The participants answered a questionnaire based online survey and the results were collected and analysed statistically. Analyses of data from the survey shows that majority (36.72%) of students had chosen dentistry as a career choice having missed entry or selection into medicine.
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Gupte, Novy, and Sapna Pradhan. "Pharmacovigilance: Perspectives in India." Journal of Medical Academics 3, no. 2 (2020): 59–62. http://dx.doi.org/10.5005/jp-journals-10070-0062.
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ABSTRACT Background Adverse drug reactions are a significant burden on the health system across the world. Paradoxically, a considerable chunk of ADRs is missed or not reported on account of avoidable reasons, resulting in bottlenecks in carrying out the proper management. This problem is much more evident in India and other resource-limited communities than in the prosperous countries of the West. Aim and objective To provide a state-of-the-art update on pharmacovigilance with special reference to perspectives in India and make appropriate recommendations for improving ADR reporting. Design The contents are based on a review of English medical literature augmented with the author's first-hand experience in the field over the past more than a decade. Results Well-organized pharmacovigilance started in India with the launching of the Pharmacovigilance Programme of India in 2010. Despite it making a perceptible improvement in ADR reporting, high underreporting of ADRs still prevails. The yet greater thrust on inculcating awareness comprising knowledge attitudes and practices among the healthcare professionals is likely to lead to further improvement in ADR reporting, resulting in augmentation of the safe use of drugs. Conclusion Pharmacovigilance, a mandatory drug safety activity, needs to be propagated with yet greater vigor among healthcare professionals in India. How to cite this article Gupte N, Pradhan S. Pharmacovigilance: Perspectives in India. J Med Acad 2020;3(2):59–62.
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Telli, Hilal. "The Validity and Reliability of Provocation Tests in the Diagnosis of Sacroiliac Joint Dysfunction." January 2018 1, no. 21;1 (July 15, 2018): E367—E376. http://dx.doi.org/10.36076/ppj.2018.4.e367.
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Background: Although sacroiliac joint dysfunction (SIJD) is generally regarded as a source of lumbar pain, its anatomical position and the absence of a diagnostic ‘gold standard’ lead to difficulties at examination and differential diagnosis. However, since sacroiliac (SI) joint blocks only provide information about pathologies of joint origin and since SIJD developing secondary to pathologies in structures around the joint can be missed. Provocation and palpation tests also need to be used in diagnosis. Objectives: The purpose of this study was to examine the reliability of clinical examination and provocation tests used in the diagnosis of SIJD. Study Design: Retrospective analysis of prospectively collected data. Setting: Outpatient physical medicine and rehabilitation clinic. Methods: One hundred and seventeen patients presenting with lumbar and/or leg pain and diagnosed with SIJD through clinical evaluation were included in the study. Range of lumbar joint movement, pain location and specific tests used in the diagnosis of SIJD were evaluated. Positivity in 3 out of 6 provocation tests was adopted as the criterion. Results: 75.2% of patients were female and 24.8% were male. Mean age was 46.41 ± 10.45 years. A higher level of females was determined in ender distribution. SIJD was determined on the right in 52.6% of patients and on the left in 47.4%. When SI joint provocation tests were analyzed individually, the highest positivity, in 91.4% patients diagnosed with SIJD, was in the FABER test. The lowest positivity, in 56.4% of patients, was determined in the Ganslen test. The same patients were assessed by the same clinician at 2 different times. In these data, the simple consistence, kappa and PABAK coefficient values of all tests were close to 1 and indicating good agreement. The thigh thrust (POSH) and sacral thrust tests exhibited very good agreement with a kappa coefficient of 0.90 and a PABAK coefficient of 0.92, while the FABER test exhibited good agreement with a kappa coefficient of 0.78 and a PABAK coefficient of 0.92. Limitation: Agreement between different observers was not evaluated, and also no comparison was performed with SI joint injection, regarded as a widely used diagnostic technique. Conclusion: The anatomical position of the SI joint and the lack of a diagnostic ‘gold standard’ make the examination and diagnosis of SIJD difficult. Most SI joint clinical tests have limited reliability and validity on their own, while a multitest regimen consisting of SI joint pain provocation tests is a reliable method, and these tests can be used instead of unnecessary invasive diagnostic SI joint procedures. Key words: Dysfunction, lumbar, sacroiliac joint, provocation test, sacroiliac joint pain, pain pattern
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Shishkov, Y. "Another Missed Opportunity." World Economy and International Relations, no. 8 (2010): 3–9. http://dx.doi.org/10.20542/0131-2227-2010-8-3-9.
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The article is devoted to the analysis of difficulties in implementation of several international agreements on averting the environmental and, first of all, climatic threat in the modern world. Business and governments of countries having environmentally dirty industry reluctantly support international agreements on greenhouse gases emission limitation as far as it impairs their competitiveness, they lose market outlets and incomings, while the state budgets find tax proceeding missing.
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DIXON, BRUCE K. "Reflux Threat to Upper Airway Might Be Missed." Internal Medicine News 40, no. 10 (May 2007): 46. http://dx.doi.org/10.1016/s1097-8690(07)70612-1.
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Ortega, Arturo, Joseph Praful Tomy, Jonathan Shek, Stephane Paboeuf, and David Ingram. "An Inter-Comparison of Dynamic, Fully Coupled, Electro-Mechanical, Models of Tidal Turbines." Energies 13, no. 20 (October 15, 2020): 5389. http://dx.doi.org/10.3390/en13205389.
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Production of electricity using hydrokinetic tidal turbines has many challenges that must be overcome to ensure reliable, economic and practical solutions. Kinetic energy from flowing water is converted to electricity by a system comprising diverse mechanical and electrical components from the rotor blades up to the electricity grid. To date these have often been modelled using simulations of independent systems, lacking bi-directional, real-time, coupling. This approach leads to critical effects being missed. Turbulence in the flow, results in large velocity fluctuations around the blades, causing rapid variation in the shaft torque and generator speed, and consequently in the voltage seen by the power electronics and so compromising the export power quality. Conversely, grid frequency and voltage changes can also cause the generator speed to change, resulting in changes to the shaft speed and torque and consequently changes to the hydrodynamics acting on the blades. Clearly, fully integrated, bi-directional, models are needed. Here we present two fully coupled models which use different approaches to model the hydrodynamics of rotor blades. The first model uses the Blade Element Momentum Theory (BEMT), resulting in an efficient tool for turbine designers. The second model also uses BEMT, combines this with an actuator line model of the blades coupled to an unsteady computational fluid dynamics simulation by OpenFOAM (CFD/BEMT). Each model is coupled to an OpenModelica model of the electro-mechanical system by an energy balance to compute the shaft speed. Each coupled system simulates the performance of a 1.2 m diameter, three-bladed horizontal axis tidal turbine tested in the University of Edinburgh FloWave Ocean Energy Research Facility. The turbulent flow around the blades and the mechanical-electrical variables during the stable period of operation are analysed. Time series and tabulated average values of thrust, torque, power, and rotational speed, as well as, electrical variables of generator power, electromagnetic torque, voltage and current are presented for the coupled system simulation. The relationship between the mechanical and electrical variables and the results from both tidal turbine approaches are discussed. Our comparison shows that while the BEMT model provides an effective design tool (leading to slightly more conservative designs), the CFD/BEMT simulations show the turbulence influence in the mechanical and electrical variables which can be especially important in assessing an additional source of stresses in the whole electro-mechanical system (though at an increased computational cost).
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Charudattan, Raghavan. "A Reflection on My Research in Weed Biological Control: Using What We Have Learned for Future Applications." Weed Technology 24, no. 2 (June 2010): 208–17. http://dx.doi.org/10.1614/wt-d-09-00012.1.
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When I began my foray into the field of biological control of weeds in 1971, the concept of deliberately using pathogens to control weeds was novel and untested and met with skepticism and resistance. Soon, a worldwide network of plant pathologists, weed scientists, microbial technologists, formulation specialists, and regulatory personnel came together to study, develop, and apply pathogens in safe and effective ways of control of a variety of weeds in crops and natural areas. Several new weed–pathogen systems were studied; a few dozen products and pathogens were brought to use, albeit on a very small scale compared to conventional weed-control products; and along the way, some valuable lessons were learned in phytopathology and weed ecology. A seminal body of information was published on the etiology and epidemiology of several diseases of weeds, many new pathogens were discovered and described, and methods were developed for mass production, formulation, and storage of pathogens. Numerous pathogen-produced herbicidal metabolites were discovered and characterized. Protocols were developed, tested, and applied for safe importation and release of exotic pathogens and for registration of microbial herbicides. Spectacular success was achieved with some pathogens used as classical biocontrol agents, and a new class of herbicide, the bioherbicides, came on the scene. Yet some key opportunities were missed. Notably, weed biocontrol research remained largely preoccupied with agent or product development and deployment while great strides were made during this period in phytopathology to understand the genetic–molecular basis of virulence, host range, host specificity, host response to infection, cell death, and pathogen population structure. Nevertheless, the accomplishments in the field of weed biocontrol by pathogens are truly significant. Certainly, we are poised to apply the knowledge gained toward discovery and development of additional weed-control pathogens, but increased effort should be directed also at using pathogen genes, gene products, and genetic mechanisms for weed control. An investment in the latter could help us gain insights into genetically programmed host–pathogen interactions that may be exploited to kill weeds, restrain weed growth, or knock out traits for invasiveness. In our continuing struggle to manage weeds, biocontrol with pathogens should remain a major thrust. Here I present perceptions I have gained from the work that my students, postdoctoral and technical associates, colleagues, and I have done with several weed–pathogen systems.
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Smith, Jessica G., Karen H. Morin, Leigh E. Wallace, and Eileen T. Lake. "Association of the Nurse Work Environment, Collective Efficacy, and Missed Care." Western Journal of Nursing Research 40, no. 6 (October 5, 2017): 779–98. http://dx.doi.org/10.1177/0193945917734159.
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Missed nursing care is a significant threat to quality patient care. Promoting collective efficacy within nurse work environments could decrease missed care. The purpose was to understand how missed care is associated with nurse work environments and collective efficacy of hospital staff nurses. A cross-sectional, convenience sample was obtained through online surveys from registered nurses working at five southwestern U.S. hospitals. Descriptive, correlational, regression, and path analyses were conducted ( N = 233). The percentage of nurses who reported that at least one care activity was missed frequently or always was 94%. Mouth care (36.0% of nurses) and ambulation (35.3%) were missed frequently or always. Nurse work environments and collective efficacy were moderately, positively correlated. Nurse work environments and collective efficacy were associated with less missed care (χ2 = 10.714, p = .0054). Fostering collective efficacy in the nurse work environment could reduce missed care and improve patient outcomes.
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Wong, Cynthia. "Missed Massive Pulmonary Embolism and the Hidden Threat of a Distal Deep Vein Thrombosis." Journal of Investigative Medicine High Impact Case Reports 6 (January 2018): 232470961775411. http://dx.doi.org/10.1177/2324709617754117.
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Hennefeld, Maggie. "Affect Theory in the Throat of Laughter." Feminist Media Histories 7, no. 2 (2021): 110–44. http://dx.doi.org/10.1525/fmh.2021.7.2.110.
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Is Laughter an affect? And what would it mean for feminist theory to conceive of it as such? This article pursues laughter as an affect that bridges the gap between feminist comedy studies and feminist affect theory. Laughter has widely missed the mark of feminist theory’s sourcing of collective activist potential and intellectual invigoration in the exploration of affect. Likewise, affect has not been a central concern for humor scholars. But what about those feminist laughing affects that do not assume their own affirmative value or knowable effects? They provoke disproportionate, off-cue, and unstable instances of laughter wherein nervous excess consumes the laughing subject and threatens to transform into something else entirely. The feminist killjoy, the laughing hysteric, and the humorless capitalist all choke on their laughs, though each in different ways. Their unrealized laughter, this article argues, opens the floodgates for its transmutation into a new collective body politics.
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Wilson, Fred. "Laws and Other Worlds:A Response to Martin." Dialogue 28, no. 2 (1989): 329–34. http://dx.doi.org/10.1017/s001221730001581x.
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Robert Martin, in his review of myLaws and Other Worlds, has grasped the thrust of much of the argument. I would like to respond to three specific points that he makes, and to add a couple of more general comments that will bring out some other aspects of the structure of the argument that he misses, to try to show why I think the sort of enterprise the book attempts is worthwhile, more important than Martin's own pragmatic tendencies will perhaps allow.
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Saleh, Mohammed Abaye Deen, Abdul Wadud Chowdhury, Pratyay Hasan, Syed Rezwan Kabir, Khyrun Nahar, KMN Sabah, Mohammad Gaffar Amin, and Kazi Nazrul Islam. "Atrial Infarct: An Easily Missed Reality with Hidden Threat A case report with Review of Literature." Cardiovascular Journal 8, no. 1 (August 28, 2015): 65–68. http://dx.doi.org/10.3329/cardio.v8i1.24777.
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Atrial infarction is a very rare diagnosis. Though available literature suggests, the condition per se may have been not so rare. Over the past few decades, atrial infarction have been reported several times, even some case series have been reported, but there is no consensus on the diagnosis of this condition, and its true importance also has not been understood completely. Previous works have shown that this condition is associated with several serious complications; hence recognition of this condition in early period is important, which is at the same time not so easy due to subtlety of the known features and less availability of information. We report a case of 70 year old Muslim, Bengali, male suffering from acute coronary syndrome, in whom, right atrial infarction was recognized by electrographic features, which is very rarely diagnosed with confidence in ante-mortem patients. Since, in Bangladesh, post-mortem autopsy to find out causes behind cardiac death is not done routinely and in the light of possibility of serious life-threatening complications, ante-mortem diagnosis of atrial infarction is necessary. So, Cardiologists should be aware of this uncommon condition.Cardiovasc. j. 2015; 8(1): 65-68
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A.S, Aa Bambang, and Idealisa Fitriana. "Cyberterrorism: Suatu Tantangan Komunikasi Asimetris bagi Ketahanan Nasional." InterKomunika 2, no. 1 (June 11, 2017): 1. http://dx.doi.org/10.33376/ik.v2i1.12.
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Cyberterrorism merupakan aktivitas dan/atau metode yang digunakan oleh sejumlah jaringan atau kelompok teroris. Tidak dapat dipungkiri bahwa dunia maya dan kemajuan teknologi mudah menjadi wadah bagi mereka dalam melakukan aksinya. Dalam mewujudkan ketahanan nasional, diperlukan penanggulangan yang menyeluruh atas ancaman penyalahgunaan teknologi informasi dan komunikasi (cyber threat/asymmetric threat untuk kepentingan aksi teror.Cyberterrorism constitutes an activity and/or a method used by any linkages or terrorism groups. It is almost undeniable for cyber realm and technology development could become such media to do their acts. To make a kind of national resilience into the real one, it is necessary to form counter-measures as a whole over the misused of communication and information technology, yet its threat (cyber threat/asymmetric threat for terrorism purposes.
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Castelfranchi, Cristiano, and Marco Guerini. "Is it a promise or a threat?" Pragmatics and Cognition 15, no. 2 (June 12, 2007): 277–311. http://dx.doi.org/10.1075/pc.15.2.05cas.
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In this paper we analyse the concepts of Promise (P) and Threat (T) and their inter-relations. Our objective is to study the uses of P and T in persuasion and to shed some light on related concepts such as requesting, ordering, giving prizes, punishing, etc. First, we show that some Ps and Ts are used for persuasion and some are conditional in nature. Using general definitions of P and T (along with the concepts of speech act and social commitment) and a broad notion of persuasion, four different typologies of P and T are introduced. They are distinguished on their conditional/non-conditional dimension and on their influencing/non-influencing aim. We then focus on Conditional Influencing Ps and Ts (CIPs and CITs) used in persuasion. CIPs and CITs are incentive-based influencing actions rooted on dependence and power relations. Moreover, in the CIP and CIT classes the concepts of threat and promise are closely connected: the CIP is always (though often covertly) accompanied by a CIT (“if you do not do your homework I will not take you to the cinema”), and vice versa. Next, we discuss the issue of why CIPs and CITs are credible. We also identify — beyond their surface, rhetorical form — a deeper difference: a ‘substantial’ threat consisting in a choice between two losses compared with a ‘substantial’ promise where the choice is between a gain and a missed-gain. In the article we present a pre-formal model as a basis for a computational treatment of these concepts.
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Salerno, Monica, Francesco Sessa, Amalia Piscopo, Angelo Montana, Marco Torrisi, Federico Patanè, Paolo Murabito, Giovanni Li Volti, and Cristoforo Pomara. "No Autopsies on COVID-19 Deaths: A Missed Opportunity and the Lockdown of Science." Journal of Clinical Medicine 9, no. 5 (May 14, 2020): 1472. http://dx.doi.org/10.3390/jcm9051472.
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Background: The current outbreak of COVID-19 infection, which started in Wuhan, Hubei province, China, in December 2019, is an ongoing challenge and a significant threat to public health requiring surveillance, prompt diagnosis, and research efforts to understand a new, emergent, and unknown pathogen and to develop effective therapies. Despite the increasing number of published studies on COVID-19, in all the examined studies the lack of a well-defined pathophysiology of death among patients who died following COVID-19 infection is evident. Autopsy should be considered mandatory to define the exact cause of death, thus providing useful clinical and epidemiologic information as well as pathophysiological insights to further provide therapeutic tools. Methods: A literature review was performed on PubMed database, using the key terms: “COVID-19”, “nCov 19”, and “Sars Cov 2”. 9709 articles were retrieved; by excluding all duplicated articles, additional criteria were then applied: articles or abstracts in English and articles containing one of the following words: “death”, “died”, “comorbidity”, “cause of death”, “biopsy”, “autopsy”, or “pathological”. Results: A total of 50 articles met the inclusion criteria. However, only 7 of these studies reported autopsy-based data. Discussion: The analysis of the main data from the selected studies concerns the complete analysis of 12,954 patients, of whom 2269 died (with a mortality rate of 17.52%). Laboratory confirmation of COVID-19 infection was obtained in all cases and comorbidities were fully reported in 46 studies. The most common comorbidities were: cardiovascular diseases (hypertension and coronary artery disease), metabolic disorders (diabetes, overweight, or obesity), respiratory disorders (chronic obstructive pulmonary disease), and cancer. The most common reported complications were: acute respiratory distress syndrome (ARDS), acute kidney injury, cardiac injury, liver insufficiency, and septic shock. Only 7 papers reported histological investigations. Nevertheless, only two complete autopsies are described and the cause of death was listed as COVID-19 in only one of them. The lack of postmortem investigation did not allow a definition of the exact cause of death to determine the pathways of this infection. Based on the few histopathological findings reported in the analyzed studies, it seems to be a clear alteration of the coagulation system: frequently prothrombotic activity with consequent thromboembolism was described in COVID-19 patients. As a scientific community, we are called on to face this global threat, and to defeat it with all the available tools necessary. Despite the improvement and reinforcement of any method of study in every field of medicine and science, encouraging the autopsy practice as a tool of investigation could also therefore, help physicians to define an effective treatment to reduce mortality.
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Madeira, Geoffrey, Daniel Chicavel, Alcides Munguambe, José Langa, and Ana Mocumbi. "Streptococcal pharyngitis in children with painful throat: missed opportunities for rheumatic heart disease prevention in endemic area of Africa." Cardiovascular Diagnosis and Therapy 7, no. 4 (August 2017): 421–23. http://dx.doi.org/10.21037/cdt.2017.05.07.
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Capaccione, Kathleen, and Mary Salvatore. "DANGEROUS FOREIGN BODY NOT TO BE MISSED BY THE THORACIC RADIOLOGIST: THE SERIOUS HEALTH THREAT OF BBQ BRUSH BRISTLES." Chest 158, no. 4 (October 2020): A1401. http://dx.doi.org/10.1016/j.chest.2020.08.1268.
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Atreya, Alok, Shiva Pandit, Samata Nepal, Jun Bajracharya, and Deepak Shrestha. "Futile Sexual Homicide in Nepal: A Case Report." Journal of Nepal Medical Association 59, no. 243 (November 15, 2021): 1174–76. http://dx.doi.org/10.31729/jnma.6057.
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Although cases of sexual offenses are not uncommon in children, they present to the Emergency Department seeking treatment for a medical cause. Sometimes the history of abuse is missed by the treating clinicians who are only focused upon the presenting complaint and not upon the underlying cause. Furthermore, the lack of reporting of sexual abuse in medical literatures makes them a rarity in the Nepalese scenario. We present an uncommon case of a child where the perpetrator who tried to silence her during the sexual intercourse made a futile attempt to kill her cutting her throat with a sickle.
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Félix, Fernando, Oscar Vázcones, Ruby Centeno, and Juan Romero. "Tough life: the case of a young coastal common bottlenose dolphin repeatedly entangled." Latin American Journal of Aquatic Mammals 13, no. 1-2 (February 21, 2019): 9–14. http://dx.doi.org/10.5597/00243.
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We report the case of a young coastal bottlenose dolphin (Tursiops truncatus) hooked and entangled in artisanal fishing gear on two occasions in a period of six months. In both occasions the animal managed to get rid of the gear by itself. The case occurred in the inner estuary of Gulf of Guayaquil, Ecuador. The animal survived both events, but scars remained in various parts of the body and missed fluke tips. Photographs of the individual after the events allowed to evaluate the healing process. This case demonstrated that longlines represents a threat for this population.
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Muktafi, Muktafi. "Penciptaan Setan untuk Kebaikan Manusia." ISLAMICA: Jurnal Studi Keislaman 6, no. 2 (January 23, 2014): 277. http://dx.doi.org/10.15642/islamica.2012.6.2.277-284.
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<p>In Arabic Satan means an enemy, one who is distant, misled, burnt, disowned from the grace of God and displaced from His mercy. He is so distant that he cannot any longer hear and know the truth. He is so arrogant that he became the victim of his own attitude. In the Qur’an the word Satan is always mentioned in its concrete from (ma’rifah) which means that the existence and threat of the Satan is true and real. This also means that Satan is created solely to mischief man on his earthly life and mislead him from the grace of God. Different views however have been expressed to the extent that the creation of the Satan may also be understood as an indication of God’s mercy upon His creation especially human being. If it is not because of Satan, human being would not be able to distinguish between good and vice. And it is exactly because of Satan that human being –upon his success to avoid his deceive- may be raised to the higher status as human being. This paper is concerned with this controversy and with the logical implication that emerges thereof. It is ultimately about tracing the Qur’anic and prophetic notion of what Satan is, and what it means to be human.</p>
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Zhang, Jicun, Xueping Song, Jiawei Feng, and Jiyou Fei. "X-Ray Image Recognition Based on Improved Mask R-CNN Algorithm." Mathematical Problems in Engineering 2021 (September 6, 2021): 1–14. http://dx.doi.org/10.1155/2021/6544325.
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It is an important part of security inspection to carry out security and safety screening with X-ray scanners. Computer vision plays an important role in detection, recognition, and location analysis in intelligent manufacturing. The object detection algorithm is an important part of the intelligent X-ray machine. Existing threat object detection algorithms in X-ray images have low detection precision and are prone to missed and false detection. In order to increase the precision, a new improved Mask R-CNN algorithm is proposed in this paper. In the feature extraction network, an enhancement path is added to fuse the features of the lower layer into the higher layer, which reduces the loss of feature information. By adding an edge detection module, the training effect of the sample model can be improved without accurate labeling. The distance, overlap rate, and scale difference between objects and region proposals are solved using DIoU to improve the stability of the region proposal’s regression, thus improving the accuracy of object detection; SoftNMS algorithm is used to overcome the problem of missed detection when the objects to be detected overlap each other. The experimental results indicate that the mean Average Precision (mAP) of the improved algorithm is 9.32% higher than that of the Mask R-CNN algorithm, especially for knife and portable batteries, which are small in size, simple in shape, and easy to be mistakenly detected, and the Average Precision (AP) is increased by 13.41% and 15.92%, respectively. The results of the study have important implications for the practical application of threat object detection in X-ray images.
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Jacobson, Sheldon H. "Using Risk-Based Security to Quantify the Number of Firearms Missed at Airport Security Checkpoints." INFORMS Journal on Applied Analytics 50, no. 3 (May 2020): 190–96. http://dx.doi.org/10.1287/inte.2020.1037.
Full textAbstract:
The Transportation Security Administration (TSA) is responsible for protecting the nation's air transportation system. Risk-based security is a paradigm for aligning security resources (i.e., personnel, technology, and time) with security risks. PreCheck is one approach that the TSA uses to implement this strategy. Given that passengers enrolled in PreCheck undergo background checks and fingerprinting, they experience expedited screening at airport security checkpoints, with standard screening lanes dedicated to passengers not enrolled in PreCheck. This difference can favorably impact the TSA’s ability to detect threat items like firearms. This paper uses publicly available data on firearm detection, number of passengers screened, and the fraction of passenger screenings in PreCheck lanes to estimate the number of firearms missed at airport security checkpoints in the United States. To achieve this, it defines risky firearms as firearms carried by passengers not enrolled in PreCheck and assumes that only standard screening lanes are where such firearms are brought to checkpoints. Under this assumption, the number of risky firearms missed in the recent past is estimated, given more current risky firearm detection rates. This analysis suggests that increasing the number of PreCheck passenger screenings may reduce the number of undetected risky firearms passing through security checkpoints.
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Schaeffer, Pamela. "A Compromised Press Delivers Not-So-Hot News." Theology Today 59, no. 3 (October 2002): 384–95. http://dx.doi.org/10.1177/004057360205900304.
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Economic shifts in the field of journalism have eroded commitment to principles basic to the integrity of the profession, principles that are also at the heart of Christian ethics: truth-telling and justice, suspicion of privilege, compassion, and support for people who are poor and weak. This declining commitment is exemplified by three major stories missed or downplayed by the press in recent years—the scandal of sexual abuse of minors by Catholic priests, the financial improprieties that underlay the downfall of Enron, and the threat to national security posed by the growth of radical Islam and other international forces fomenting anger against the United States.
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Thng, C., E. Blackledge, R. McIver, L. Watchirs Smith, and A. McNulty. "Private sex workers’ engagement with sexual health services: an online survey." Sexual Health 15, no. 1 (2018): 93. http://dx.doi.org/10.1071/sh16243.
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This study examined where private sex workers (PSW) present for sexual health services, disclosure, services received, and their satisfaction with care. An online anonymous survey was conducted via SurveyMonkey (surveymonkey.com). Among the 53 participants, 42% attended a sexual health clinic, 24% attended a general practitioner (GP) and 34% attended both. Participants attending GPs were less likely to be offered a throat swab and opportunities for cervical screening, contraception and vaccination were often missed in both service models. Participants attending GPs were less likely to disclose sex work and were less satisfied. Better awareness of the sexual health needs of PSWs is important in GP services.
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Leong, W. L., Y. Lim, and A. T. H. Sla. "Palatopharyngeal wall Perforation during Glidescope® Intubation." Anaesthesia and Intensive Care 36, no. 6 (November 2008): 870–74. http://dx.doi.org/10.1177/0310057x0803600620.
Full textAbstract:
We report a case of palatopharyngeal wall perforation during intubation with a GlideScope® laryngoscope. The likely mechanism was advancing and rotating the endotracheal tube against a taut palatopharyngeal fold. This was missed during the initial laryngoscopy, because there is a potential blind-spot in the oropharynx when attention is focused on the GlideScope® monitor. Fortunately, there were no sequelae other than minor bleeding and a mild sore throat and no surgical intervention was necessary. The use of unnecessary force during the endotracheal tube insertion, the use of too large a laryngoscope blade and the use of a rigid stylet could possibly also have been contributory factors to this complication.
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Hochberg, Irit, Sharon Orshalimy, and Elad Yom-Tov. "Real-World Evidence on the Effect of Missing an Oral Contraceptive Dose: Analysis of Internet Search Engine Queries." Journal of Medical Internet Research 22, no. 9 (September 15, 2020): e20632. http://dx.doi.org/10.2196/20632.
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Background Oral contraceptives (OCs) are a unique chronic medication with which a memory slip may result in a threat that could change a person’s life course. Subjective concerns of missed OC doses among women have been addressed infrequently. Anonymized queries to internet search engines provide unique access to concerns and information gaps faced by a large number of internet users. Objective We aimed to quantitate the frequency of queries by women seeking information in an internet search engine, after missing one or more doses of an OC; their further queries on emergency contraception, abortion, and miscarriage; and their rate of reporting a pregnancy timed to the cycle of missing an OC. Methods We extracted all English-language queries submitted to Bing in the United States during 2018, which mentioned a missed OC and subsequent queries of the same users on miscarriage, abortion, emergency contraceptives, and week of pregnancy. Results We identified 26,395 Bing users in the United States who queried about missing OC pills and the fraction that further queried about miscarriage, abortion, emergency contraceptive, and week of pregnancy. Users under the age of 30 years who asked about forgetting an OC dose were more likely to ask about abortion (1.5 times) and emergency contraception (1.7 times) (P<.001 for both), while users at ages of 30-34 years were more likely to query about pregnancy (2.1 times) and miscarriage (5.4 times) (P<.001 for both). Conclusions Our data indicate that many women missing a dose of OC might not have received sufficient information from their health care providers or chose to obtain it online. Queries about abortion and miscarriage peaking in the subsequent days indicate a common worry of possible pregnancy. These results reinforce the importance of providing comprehensive written information on missed pills when prescribing an OC.
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Shallcross, Laura J., Simon J. Howard, Tom Fowler, and Sally C. Davies. "Tackling the threat of antimicrobial resistance: from policy to sustainable action." Philosophical Transactions of the Royal Society B: Biological Sciences 370, no. 1670 (June 5, 2015): 20140082. http://dx.doi.org/10.1098/rstb.2014.0082.
Full textAbstract:
Antibiotics underpin all of modern medicine, from routine major surgery through to caesarean sections and modern cancer therapies. These drugs have revolutionized how we practice medicine, but we are in a constant evolutionary battle to evade microbial resistance and this has become a major global public health problem. We have overused and misused these essential medicines both in the human and animal health sectors and this threatens the effectiveness of antimicrobials for future generations. We can only address the threat of antimicrobial resistance (AMR) through international collaboration across human and animal health sectors integrating social, economic and behavioural factors. Our global organizations are rising to the challenge with the recent World Health Assembly resolution on AMR and development of the Global Action plan but we must act now to avoid a return to a pre-antibiotic era.
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Loomba, Priya, Vickie Knight, and Anna McNulty. "What would be missed if we didn’t screen men who have sex with men for oral chlamydia trachomatis? A cross-sectional study." Sexual Health 13, no. 2 (2016): 196. http://dx.doi.org/10.1071/sh15209.
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Background This study aimed to describe oropharyngeal chlamydia (OCT) in gay and bisexually active men (GBM) attending a large urban sexual health clinic in Sydney and determine what proportion of cases would be missed if screening was not routine. Methods: Retrospective data were extracted for all GBM with a positive OCT result between 1 October 2012 and 31 April 2014. The control group consisted of patients who had a negative OCT result on their first visit during the study period, and each patient was only counted once. Results: A total of 74 of 2920 GBM (0.03, 95% CI: 0.02–0.03) were diagnosed with OCT. The 2920 GBM had a total of 11 226 OCT tests performed, demonstrating OCT test positivity of 0.006 (95% CI: 0.005–0.008). A total of 62 sexually transmissible infections (STIs) were diagnosed at other sites: 34 rectal chlamydia (CT), 12 throat gonorrohea (GC), 7 urine CT, 7 rectal GC, 1 infectious syphilis and 1 non-gonoccal urethritis (NGU) case. Of the 74 OCT cases, 56 (0.76, 95% CI: 0.64–0.85) were treated with Azithromycin; 51 (69%) as part of standard treatment for their STI co-infection (34 rectal CT, 12 throat GC, 7 urine CT, 7 rectal GC, 1 NGU case) and a further five (7%) were treated as contacts. The remaining 18 people (0.24, 95% CI: 0.15–0.36) would not have been treated unless they were tested specifically for OCT. Conclusion: Overall, two-thirds of the OCT cases received appropriate treatment and only a small number of cases would have been missed had routine screening not been performed. With an extremely low overall test positivity of 0.6%, screening for OCT at our service adds little to population level health control.
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Aykanat, Verna M., and Jon M. Graham. "Role of playback videolaryngoscope footage in improved patient care." Anaesthesia and Intensive Care 47, no. 4 (July 2019): 389–91. http://dx.doi.org/10.1177/0310057x19861115.
Full textAbstract:
Despite the frequency of videolaryngoscope use, to the authors’ knowledge, there are no publications exploring the role of playback video recording in real time to improve patient care. We present a patient with a difficult airway complicated by trauma during GlideScope® (Verathon Inc., Bothell, WA, USA) intubation. The injury was not recognised by any of the anaesthetic staff observing the intubation, and was only identified when playback video footage was viewed. This provided the opportunity for early ear, nose and throat surgical review prior to extubation. Airway trauma can be missed by the anaesthetist. Reviewing video playback footage at an appropriate time during the case may enable more timely recognition of airway injuries and, ultimately, improved patient care.
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Olson, Craig A. "Strikes, Strike Penalties, and Arbitration in Six States." ILR Review 39, no. 4 (July 1986): 539–51. http://dx.doi.org/10.1177/001979398603900407.
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This paper examines the frequency of public sector strikes through 1980 in six states that have different public policies toward such strikes. From the results of cross-sectional and time series analyses, the author concludes that well-enforced penalties against participants in illegal strikes (in New York) and the threat of firings in response to strikes (Wisconsin) appear to have reduced strike frequency, whereas poorly enforced prohibitions against public sector strikes (Ohio) had no effect, and the legalization of public sector strikes (Pennsylvania) increased strike frequency. Policies affecting the rescheduling of school days missed because of teacher strikes significantly affected the probability of teacher strikes. The results also suggest, less strongly, that interest arbitration decreased strike frequency.
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Preuveneers, Davy, and Wouter Joosen. "Sharing Machine Learning Models as Indicators of Compromise for Cyber Threat Intelligence." Journal of Cybersecurity and Privacy 1, no. 1 (February 26, 2021): 140–63. http://dx.doi.org/10.3390/jcp1010008.
Full textAbstract:
Cyber threat intelligence (CTI) sharing is the collaborative effort of sharing information about cyber attacks to help organizations gain a better understanding of threats and proactively defend their systems and networks from cyber attacks. The challenge that we address is the fact that traditional indicators of compromise (IoC) may not always capture the breath or essence of a cyber security threat or attack campaign, possibly leading to false alert fatigue and missed detections with security analysts. To tackle this concern, we designed and evaluated a CTI solution that complements the attribute and tagging based sharing of indicators of compromise with machine learning (ML) models for collaborative threat detection. We implemented our solution on top of MISP, TheHive, and Cortex—three state-of-practice open source CTI sharing and incident response platforms—to incrementally improve the accuracy of these ML models, i.e., reduce the false positives and false negatives with shared counter-evidence, as well as ascertain the robustness of these models against ML attacks. However, the ML models can be attacked as well by adversaries that aim to evade detection. To protect the models and to maintain confidentiality and trust in the shared threat intelligence, we extend our previous research to offer fine-grained access to CP-ABE encrypted machine learning models and related artifacts to authorized parties. Our evaluation demonstrates the practical feasibility of the ML model based threat intelligence sharing, including the ability of accounting for indicators of adversarial ML threats.
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Wang, Chia-Yu, Ting-Chung Huang, and Yih-Min Wu. "Using LSTM Neural Networks for Onsite Earthquake Early Warning." Seismological Research Letters 93, no. 2A (January 5, 2022): 814–26. http://dx.doi.org/10.1785/0220210197.
Full textAbstract:
Abstract Onsite earthquake early warning (EEW) systems determine possible destructive S waves solely from initial P waves and issue alarms before heavy shaking begins. Onsite EEW plays a crucial role in filling in the blank of the blind zone near the epicenter, which often suffers the most from disastrous ground shaking. Previous studies suggest that the peak P-wave displacement amplitude (Pd) may serve as a possible indicator of destructive earthquakes. However, the attempt to use a single indicator with fixed thresholds suffers from inevitable errors because the diversity in travel paths and site effects for different stations introduces complex nonlinearities. In addition, the short warning time poses a threat to the validity of EEW. To conquer the aforementioned problems, this study presents a deep learning approach employing long short-term memory (LSTM) neural networks, which can produce a highly nonlinear neural network and derive an alert probability at every time step. The proposed LSTM neural network is then tested with two major earthquake events and one moderate earthquake event that occurred recently in Taiwan, yielding the results of a missed alarm rate of 0% and a false alarm rate of 2.01%. This study demonstrates promising outcomes in both missed alarms and false alarms reduction. Moreover, the proposed model provides an adequate warning time for emergency response.
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Rosenberg, Paul, Warren McIsaac, Donald MacIntosh, and Michael Kroll. "Diagnosing streptococcal pharyngitis in the emergency department: Is a sore throat score approach better than rapid streptococcal antigen testing?" CJEM 4, no. 03 (May 2002): 178–84. http://dx.doi.org/10.1017/s1481803500006357.
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ABSTRACTBackground:Reducing the number of unnecessary antibiotic prescriptions given for common respiratory infections has been recommended as a way to limit bacterial resistance. This study assessed the validity of a clinical sore throat score in 2 community emergency departments (EDs) and its impact on antibiotic prescribing. We also attempted to improve on this approach by using a rapid streptococcal antigen test.Methods:A total of 126 patients with new upper respiratory tract infections accompanied by sore throat were assessed by a physician. Pharyngeal swabs were obtained for a rapid test and throat culture, and information was gathered to determine the sore throat score. The sensitivity and specificity of the score approach were compared with usual physician care based on the rapid test results.Results:Of the 126 cases of new upper respiratory infections with sore throat, physicians who followed their usual care routine, guided by the rapid test results, prescribed antibiotics for 46 patients. Of the 46 prescriptions, 18 were given to patients with culture-negative results for group A streptococcal (GAS) pharyngitis. Use of the sore throat score would not have reduced the number of prescriptions but would have missed only 1 patient with a positive culture result (p< 0.05). The rapid test was not as sensitive as throat culture.Conclusions:An explicit clinical score approach to the management of GAS pharyngitis is valid in a community ED setting and could improve the pattern of antibiotic prescribing. While the addition of a rapid streptococcal antigen test significantly decreased the sensitivity of detecting GAS infections, a combined approach consisting of the clinical score and throat culture for patients with negative results on the rapid test would decrease antibiotic prescribing and telephone follow-up without decreasing the sensitivity of detecting GAS infection.
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Johnson, James, and Dana R. Villa. "Public Sphere, Postmodernism and Polemic." American Political Science Review 88, no. 2 (June 1994): 427–33. http://dx.doi.org/10.2307/2944714.
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Theories of the public sphere, as standardly formulated, aim to specify the minimal, necessary conditions for a discursive realm free of coercion or manipulation. In his article in this Review in September 1992, Dana Villa urged us to reconsider this standard account. He argued that when read in light of postmodernist theory, Hannah Arendt provides the basis for a revised conception of the public sphere that privileges plurality and difference over consensus. Jim Johnson suggests that Villa's analysis is a thinly veiled polemic against critical theory. Johnson argues that, as critique, Villa's argument is neither decisive nor encompassing, and that as polemic it blinds Villa to potentially fruitful disagreements with critical theorists. Villa replies that Johnson misses the synthetic thrust of the original article because he identified public realm theory too narrowly with Habermas. Thus, he misconstrues the dialogue Villa sought to facilitate between Arendt and postmodernism.
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Wenger, Katharina J., Elke Hattingen, and Luciana Porto. "Magnetic Resonance Imaging as the Primary Imaging Modality in Children Presenting with Inflammatory Nontraumatic Atlantoaxial Rotatory Subluxation." Children 8, no. 5 (April 23, 2021): 329. http://dx.doi.org/10.3390/children8050329.
Full textAbstract:
Inflammatory nontraumatic atlantoaxial rotatory subluxation (AAS) in children is an often-missed diagnosis, especially in the early stages of disease. Abscess formation and spinal cord compression are serious risks that call for immediate surgical attention. Neither radiographs nor non-enhanced computed tomography (CT) images sufficiently indicate inflammatory processes. Magnetic resonance imaging (MRI) allows a thorough evaluation of paraspinal soft tissues, joints, and ligaments. In addition, it can show evidence of vertebral distraction and spinal cord compression. After conducting a scoping review of the literature, along with scientific and practical considerations, we outlined a standardized pediatric MRI protocol for suspected inflammatory nontraumatic AAS. We recommend contrast-enhanced MRI as the primary diagnostic imaging modality in children with signs of torticollis in combination with nasopharyngeal inflammatory or ear nose and throat (ENT) surgical history.
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Nsanze, H., K. Dawson, A. S. Ameen, and N. Mustafa. "Group A streptococcal antigen detection in school children." Eastern Mediterranean Health Journal 4, no. 2 (March 15, 1998): 260–64. http://dx.doi.org/10.26719/1998.4.2.260.
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The objective of the study was to determine the correlation between group A streptococcal antigen detected from throat swabs with the culture results. A total of 1457 children had two swabs taken simultaneously, and culture and antigen detection were performed. There was a good correlation between antigen detection and isolation rates. In all, 225 strains of group A streptococcus were isolated;53 [57.6%] were from the 92 children with high antigen positivity, 68 [55.7%] were from the 122 children with medium antigen positivity and 77 [25.4%] were from 303 children with low antigen positivity;only 27 [2.9%] were from the 940 children with no antigen detected. We postulate that those who are antigen-positive, culture-negative carry the organisms in their throats, but they may be missed on culture because of the small number carried
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Egboh, Stella-Maris C., Bolaji I. Otike-Odibi, Dasetima D. Altraide, and Abimbola T. O. Awopeju. "A case of dengue fever in a health worker in university of Port-Harcourt teaching hospital." International Journal of Research in Medical Sciences 6, no. 8 (July 25, 2018): 2827. http://dx.doi.org/10.18203/2320-6012.ijrms20183278.
Full textAbstract:
Dengue fever is a mosquito borne disease which can easily be missed or misdiagnosed in early stages as a result of poor surveillance, similarity with other febrile illness and unavailability of PCR necessary for its diagnosis. We hereby report a 44year old female nurse living around a bushy and swampy environment, who presented to university of Port-Harcourt teaching hospital (UPTH) with high grade fever of 1week duration, also developed joint pains, passage of coke colored urine, sensor neural deafness, hyperglycemia and petechial hemorrhage while on admission. Patient continued to have persistent fever despite having completed her anti-malaria and antibiotics, viral studies were subsequently done for her and she was found to have dengue virus. Patient was conservatively managed and discharged for follow-up in medical outpatient and Ear nose and throat clinic.
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Gucma, Maciej. "New threat to global transport. GNSS Receiver Spoofing." Archives of Transport 35, no. 3 (September 30, 2015): 7–14. http://dx.doi.org/10.5604/08669546.1185170.
Full textAbstract:
Transport and logistics in XXI century relies on the several technical systems for assuring safe and reliable operations. One of widely used systems are satellite positioning systems, used to monitoring transport means and cargo itself. Reliability of the whole transport chain is often combined with singular reliability of satellite monitoring system. Possible threats to precise positioning of any vehicle is GNSS (Global Navigation Satellite System) deliberate interference. So called spoofing interference can mislead receiver in transport objective for reporting entirely wrong position and timing. To fight with this phenomena’s antispoofing techniques are developed. This paper will provide a review of late researches in field of GNSS anti-spoofing on the side of receiver. GNSS receiver vulnerabilities for a spoofer (device) attack will be presented as well as anti-spoofing algorithms. Possible limitation, costs as well as countermeasures methods will be shown thoroughly. Some of recent trends in anti-spoofing techniques in the world will be outlined up to date.
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Labonté, Katherine, Sébastien Tremblay, and François Vachon. "Effects of a Warning on Interruption Recovery in Dynamic Settings." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 60, no. 1 (September 2016): 1304–8. http://dx.doi.org/10.1177/1541931213601302.
Full textAbstract:
Operators working in extreme environments are often confronted with task interruptions. These interruptions tend to impair performance, which can represent a threat to public safety. Most of the tools designed to aid task resumption in such dynamic contexts are post-interruption solutions consisting of providing information about missed events once the interruption is over. The goal of the present study is to test whether a pre-interruption solution consisting of warning operators of an impending interruption can also facilitate interruption recovery. We employed a microworld simulating above-water warfare and compared primary task recovery following an interruption that could either be notified (8 s before it takes place) or not. Results revealed enhanced post-interruption decision accuracy and speed when providing foreknowledge of the imminent interruption. These findings suggest that a pre-interruption warning, which has already proven effective in static contexts, can also support interruption recovery in dynamic settings.
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Ottersen, Trygve, Steven J. Hoffman, and Gaëlle Groux. "Ebola Again Shows the International Health Regulations Are Broken." American Journal of Law & Medicine 42, no. 2-3 (May 2016): 356–92. http://dx.doi.org/10.1177/0098858816658273.
Full textAbstract:
Epidemics are among the greatest threats to humanity, and the International Health Regulations are the world's key legal instrument for addressing this threat. Since their revision in 2005, the IHR have faced two big tests: the 2009 H1N1 influenza pandemic and the 2014 Ebola epidemic in West Africa. Both exposed major shortcomings of the IHR, and both offered profound lessons for the future.The objective of this Article is twofold. First, we seek to compare the lessons learned from H1N1 and Ebola for reforming the IHR in order to test the hypothesis that they are similar. Second, we seek to examine the barriers to implementing these lessons and to identify strategies for overcoming those barriers.We find that the lessons from H1N1 and Ebola are indeed similar, and that opportunities to act on lessons from H1N1 were woefully missed. We identify many political barriers to global collective action and implementation of lessons for the IHR. On that basis, we describe strategies to overcome these barriers, which will hopefully be deployed now to reform the IHR before the policy window following Ebola closes, and before the inevitable next epidemic comes. The emerging threat of the Zika virus underscores that we have no time to waste.
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Hempenstall, Allison, Erin Howell, Katherine Kang, Ken W. T. Chau, Amylou Browne, Ella Kris, Hylda Wapau, et al. "Echocardiographic Screening Detects a Significant Burden of Rheumatic Heart Disease in Australian Torres Strait Islander Children and Missed Opportunities for its Prevention." American Journal of Tropical Medicine and Hygiene 104, no. 4 (April 7, 2021): 1211–14. http://dx.doi.org/10.4269/ajtmh.20-0846.
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ABSTRACTRheumatic heart disease (RHD) is almost entirely preventable, but its incidence in indigenous Australians remains one of the highest in the world. A community-based echocardiogram screening program of 862 Torres Strait Islander children identified 25 (2.9%) new cases of RHD. Among these 25 children, 5/7 (71%) prior acute rheumatic fever presentations had not been recognized. There was a history of microbiologically confirmed group A Streptococcus infection in 17/25 (68%) children with RHD compared with 9/25 (36%) controls (odds ratio [OR] [95% CI]: 3.78 [1.17–12.19], P = 0.03). This was more likely to be a skin swab (16/25 [64%] cases versus 6/25 [24%] controls) than a throat swab (1/25 [4%] cases versus 3/25 [12%] controls) (OR [95% CI]: 5.33 [1.51–18.90] [P = 0.01]), supporting a role for skin infection in RHD pathogenesis. Household crowding and unemployment were common in the cohort, emphasizing the need for prioritizing strategies that address the social determinants of health.
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Wulandari, Rini. "Pertanggungjawaban Pidana terhadap Pelaku Abortus Provocatus Criminalis (Tindak Pidana Aborsi)." JURNAL RECHTENS 8, no. 2 (December 31, 2019): 199–208. http://dx.doi.org/10.36835/rechtens.v8i2.534.
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Abortion is abortion, the release of the results of conception or fertilization prematurely. Unintentional fetal loss usually occurs in young pregnancies (one to three months). Sometimes a woman's pregnancy can die on its own without an act or intentional act. This is often referred to as "miscarriage" or spontaneous abortion. This often happens to motherswho are still pregnant, due to an unintentional and desirable result or because of an illness.If abortion due to rape is made an exception as a medical reason, then the criteria used as an exception must be absolutely clear and firm, so that it is not misused by irresponsible persons, consequently abortion is rife. Regarding the threat of criminal sanctions for perpetrators of provocatus abortion, in the criminal law (KUHP) it is formulated that there is a criminal threat for those who make an abortion. The Criminal Code does not care about the background or reasons for the abortion.Keywords : abortion, medical reason, criminal law
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Lai, Kenneth, Juliet Laycock, Adam Bates, and Julian Hamann. "Sino-orbital foreign body caused by a slingshot injury in a young boy." BMJ Case Reports 15, no. 9 (September 2022): e251214. http://dx.doi.org/10.1136/bcr-2022-251214.
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Slingshots or hand catapults, historically used as a military or hunting weapon, are common toys among children and young teenagers. Their use can be dangerous as a strike to the eye or orbit can result in significant injuries including blindness. We describe a rare case of a sino-orbital foreign body caused by a slingshot injury in a young boy. The case was managed by a multidisciplinary team involving ear, nose and throat, ophthalmology and paediatrics, and the foreign body of a metal ball bearing was removed using an endoscopic transnasal approach. Although the patient made a good recovery, the case highlights the danger of slingshot devices misused by children.