Relevant bibliographies by topics / Paediatrics not elsewhere classified

Academic literature on the topic 'Paediatrics not elsewhere classified'

Author: Grafiati
Published: 10 December 2022
Last updated: 19 February 2023

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Journal articles on the topic "Paediatrics not elsewhere classified"

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Buttera, M., A. Clavenna, E. Maselli, L. Tansini, MP Canevini, and M. Bonati. "P19 Drug use in adolescents attending the emergency department for mental health problems." Archives of Disease in Childhood 104, no. 6 (May 17, 2019): e25.1-e25. http://dx.doi.org/10.1136/archdischild-2019-esdppp.58.

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BackgroundScant evidence is available regarding the pharmacological management of acute episodes of mental disorders in children and adolescents attending emergency departments (ED). In this regard, we performed a retrospective study with the aim to evaluate the pattern of psychotropic drug use in an ED of a large hospital.MethodsA retrospective chart review of adolescents (13–17 years) visited in the ED of San Paolo University Hospital in Milan for a mental disorder between January and June 2018 was conducted. In particular, information concerning age, gender, type of mental disorder, psychotropic drugs administered in the ED and outcome of the visit were extracted and analysed, using an anonymous patient code.ResultsA total of 1,298 adolescents 13–17 years old were visited during the observation period, 56 (4%) of whom had a diagnosis of mental disorder (35 females and 21 males).The most common disorder was predominant psychomotor disturbance (International Classification of Diseases 9 (ICD9) revision code 308.2; 12 patients), followed by anxiety disorder in conditions classified elsewhere (293.84, 8 patients) and anxiety states (300.0, 7 patients).Ten adolescents were hospitalised, while 16 (29%) received a psychotropic drug in the ED: 14 patients received a benzodiapine (8 delorazepam, 3 lorazepam), and 2 an antipsychotic drug (risperidone+olanzapine; promazine). Five out of 12 adolescents with psychomotor disturbance received a psychotropic drug (3 delorazepam, 1 lorazepam, 1 risperidone+olanzapine).Although no randomized controlled trial has evaluated the safety and effectiveness of benzodiazepines in the paediatric population, delorazepam was identified as the first choice pharmacological treatment for agitation in children and adolescents in a local protocol.ConclusionNearly all children received drugs for which no controlled trials have been performed in the paediatric population and for which the appropriateness is debatable. More evidence is needed to guide the pharmacological management of acute episodes of mental disorders.Disclosure(s)Nothing to disclose
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Brown, Tiffany A., Pamela K. Keel, and Ruth H. Striegel. "Feeding and Eating Conditions Not Elsewhere Classified (NEC) inDSM-5." Psychiatric Annals 42, no. 11 (November 1, 2012): 421–25. http://dx.doi.org/10.3928/00485713-20121105-08.

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Pyarejan, Karamath S., and Ravisankar Muthiah. "Clinical profile and risk factors of enuresis in children." International Journal of Contemporary Pediatrics 7, no. 3 (February 25, 2020): 546. http://dx.doi.org/10.18203/2349-3291.ijcp20200568.

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Background: Enuresis is a common problem in children and its incidence is multifactorial in nature. The aim of this study is to assess the etiological risk-factors in enuresis in the study population and also to compare the risk factors in enuresis subgroups.Methods: A total of 51 patients with enuresis presenting to the department of paediatrics, Institute of Social Paediatrics, Govt. Stanley Hospital, Chennai were included in the study. All children were sub classified as primary/secondary and the primary enuretics were sub classified into monosymptomatic/non monosymptomatic depending on the symptoms. The data was analyzed and the results presented.Results: Enuresis was common in boys. Statistically significant difference in the incidence of disorder between primary and secondary enuretic children was seen in relation to presence of storage symptoms (p=0.04), cystitis (p=0.013) sleep disordered breathing (p=0.0001) and low-income status (p=0.04). No statistically significant difference between into monosymptomatic nocturnal enuresis (MNE) and non-monosymptomatic nocturnal enuresis (NMNE) children was observed in terms of gender, difficulty in arousal, specific gravity, spina bifida, low bladder capacity and family history (p>0.05).Conclusions: The findings of the study reported that risk factors related to the incidence is similar in both primary and secondary enuresis. MNE and NMNE have no differences in the presentation and probably represent the spectrum of a same disorder.
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Tibout, Pauline, Natasha Ferguson, Guillaume St-Laurent, Judith Rondeau-Legault, David Simonyan, and Valérie Larouche. "RETROSPECTIVE STUDY OF THE RADIOLOGICAL FINDINGS OF THE MEDIASTINUM AFTER END-OF-TREATMENT FOR A MEDIASTINAL LYMPHOMATOUS MASS IN PEDIATRIC ONCOLOGY." Paediatrics & Child Health 23, suppl_1 (May 18, 2018): e43-e43. http://dx.doi.org/10.1093/pch/pxy054.111.

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Abstract BACKGROUND Reactive thymic hyperplasia, or rebound thymus, is a well-known phenomenon following chemotherapy. While rebound thymus has been described after treatment for many different malignancy, it has been more often noted after treatment for lymphomas. In children and adolescents in which the primary lymphoma was located in the mediastinum, a mediastinal mass, such as a reactive thymic hyperplasia, can be misdiagnosed as a tumor relapse. It can be difficult for the clinician to differentiate between a tumor relapse and a reactive thymic hyperplasia, which may cause unnecessary additional imaging and invasive diagnostic procedures as well as anxiety for the patient and his family. OBJECTIVES The main objective was to measure the incidence of reactive thymic hyperplasia following treatment for a paediatric mediastinal lymphoma. The secondary objectives were to describe the radiologic findings which may help differentiate thymic hyperplasia and tumor relapse and to analyse if the finding of a mediastinal mass changed the clinical management. DESIGN/METHODS We conducted a retrospective cohort study. The consent for reviewing medical files was obtained from the institutional ethics board. We obtained data from the archives at the Centre mère-enfant Soleil, CHU de Québec. The medical and radiologic files of 72 paediatric patients which completed two years of follow-up after the treatment for mediastinal lymphoma were reviewed. The radiologic imaging reports were analysed and the patients were classified depending if they developed a mediastinal mass during follow-up or not. If a mass was developed, its characteristics were described to differentiate between a tumor relapse and a thymic hyperplasia. Statistical analyses were performed using SAS 9.4 Statistical Software (Institute SAS, Cary, NC, USA). Descriptive analysis includes mean ± standard deviation, range and median, interquartile range for continuous variables, and frequency and percentage for categorical. Bivariate tests were used to compare the rebound thymic hyperplasia group with the group without this problem. RESULTS The patients were followed for a mean of 27.7 ± 28.0 months (95% CI 21.1–34.2) and a median of 12.6 months. Of seventy-two patients reviewed, thirty-nine (54.2%) developed a mediastinal mass at follow-up. Of them, three had a mediastinal relapse of their tumor. One patient had a lymphoma relapse located elsewhere than the mediastinum and a benign rebound mediastinal mass. Thirty-five out of the 72 patients (48.6%, 95% CI 37.3%-60%) developed a benign mediastinal mass and were diagnosed with having rebound thymic hyperplasia. Of those thirty-five patients, twelve were investigated with additional imaging, and one had a mediastinal biopsy showing true thymic hyperplasia. The other twenty-three were followed-up according to the clinician, with no modification to their follow-up because of the mediastinal mass. These results are shown in Table 2. The majority of the rebound thymic hyperplasia were a mass of triangular shape, with well-defined margins and homogenous density. It remained unchanged or minimized at follow-up, but it was noted that three patients had an augmentation of the hyperplasia at follow-up, while remaining disease-free. The age <14 years old was a risk factor in our population (Hazard Ratio (HR) 1.95, p=.0491). CONCLUSION Reactive thymic hyperplasia is a common phenomenon showed in half of our cohort of patients. Some radiological findings, including triangular shape, well defined margins and mild homogenous enhancement, oriented towards a rebound thymic hyperplasia. Additional imaging study should be limited to patients whose rebound mass or symptoms make the clinician suspect a tumor relapse. A prospective cohort study with standardized care should be conducted to better characterize the rebound thymic hyperplasia and help the clinician approach a mediastinal mass at follow-up.
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Burdman, Ilja, and Bjoern B. Burckhardt. "Prorenin and active renin levels in paediatrics: a bioanalytical review." Clinical Chemistry and Laboratory Medicine (CCLM) 59, no. 2 (August 19, 2020): 275–85. http://dx.doi.org/10.1515/cclm-2020-0857.

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Abstract As part of the extended renin-angiotensin-aldosterone system, active renin and its precursor prorenin have been an area of research interest for decades. Although several studies showed a correlation with disease, other studies found no significant association, e.g. attributed to limited sample size or pharmacological effects of antihypertensive drugs. Since the measurement of both proteins has typically been carried out in adult populations, the data in paediatrics is limited. This review aimed to collate the current data on plasma renin and prorenin levels in children and compare the levels of healthy vs. the diseased state. A literature search using Medline resulted in 213 publications of which 15 studies were classified as relevant. In the extant studies in the literature, an age-dependent decline of renin plasma concentration was observed in newborns compared to adolescents. For children with cardiovascular disease, five studies were identified that provide limited insight into the pathophysiological regulation of renin. In general, sample handling is still a crucial step, which might particularly affect measured active renin concentrations due to conformational changes of its precursor prorenin. A reliable assessment for prorenin levels in the maturating population is yet not possible due to the low number of available publications. Three different approaches to quantify prorenin were found and raise the question on the comparability of these methods. The review emphazised several weaknesses and highlights the need for an accurate procedure to determine levels of active renin as well as prorenin in its closed and open form.
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Louis, David N., Pieter Wesseling, Werner Paulus, Caterina Giannini, Tracy T. Batchelor, J. Gregory Cairncross, David Capper, et al. "cIMPACT-NOW update 1: Not Otherwise Specified (NOS) and Not Elsewhere Classified (NEC)." Acta Neuropathologica 135, no. 3 (January 25, 2018): 481–84. http://dx.doi.org/10.1007/s00401-018-1808-0.

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2015 Program Committee, BRASS. "From Committees of RUSA: BRASS Program: Not Elsewhere Classified: Researching New and Niche Industries." Reference & User Services Quarterly 55, no. 2 (December 16, 2015): 156. http://dx.doi.org/10.5860/rusq.55n2.156.

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The Business Research and Services Section (BRASS) 2015 program was directed to business research professionals who may be stymied by researcher requests related to newer or niche industries. In a stimulating ninety-minute session, two top research professionals informed, confronted and engaged their American Library Association (ALA) audience with their well-paced array of smart search strategies and sources designed to meet industry challenges. The presentation was effective in identifying research workaround strategies and tying real industry problems with practical, on-the-job solutions.The material provided here and the bibliography of sources may serve as additional resources for emerging industry queries of library users. The BRASS program presentation is available via this ALA conference website (http://alaac15.ala.org/node/28603).
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Burford, C., R. Laxton, Z. Sidhu, M. Aizpurua, A. King, I. Bodi, K. Ashkan, and S. Al-Sarraj. "ATRX immunohistochemistry can help refine ‘not elsewhere classified’ categorisation for grade II/III gliomas." British Journal of Neurosurgery 33, no. 5 (April 24, 2019): 536–40. http://dx.doi.org/10.1080/02688697.2019.1600657.

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Dakskobler, Igor, Andrej Martinčič, and Daniel Rojšek. "Phytosociological Analysis Of Communities With Adiantum Capillusveneris In The Foothills Of The Julian Alps (Western Slovenia)." Hacquetia 13, no. 2 (December 1, 2014): 235–58. http://dx.doi.org/10.2478/hacq-2014-0016.

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Abstract We conducted a phytosociological study of the communities hosting the rare and endangered fern Adiantum capillus-veneris in the foothills of the Julian Alps, in Karst and in Istria. Based on a comparison with similar communities elsewhere in the southern Alps (northern Italy) we classified most of the recorded stands into the syntaxa Eucladio-Adiantetum eucladietosum and -cratoneuretosum commutati. Releves from the southern Julian Alps, located in comparatively slightly colder and moister local climate and the dolomite bedrock are classified into the new subassociation -hymenostylietosum recurvirostri subass. nova. Stands with the abundant occurrence of the liverwort Conocephalum conicum, are classified in to the new subassociation -conocephaletosum conici subass. nova. Stands in conglomerate rock shelters along the Soča at Solkan are classified into the new association Phyteumato columnae-Adiantetum ass. nova, a community of transitional character between the classes Adiantetea capilli-veneris and Asplenietea trichomanis.
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Garanča, Biruta. "THE STRUCTURE OF MACHINERY BUILDING IN LATGALE AND PERSPECTIVES OF ITS DEVELOPMENT." Latgale National Economy Research 1, no. 1 (June 30, 2009): 53. http://dx.doi.org/10.17770/lner2009vol1.1.1761.

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The financial facility of development of machinery building in Latgale is expected in manufacturing of electrical and optical equipment and in production of metal and metal ware. At present the proportion of production of leading machinery and equipment non-classified elsewhere, as well as of production of transport means has a tendency to reduce and also they have lesser probability to manage the financial crisis.
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Dissertations / Theses on the topic "Paediatrics not elsewhere classified"

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Thompson, Andrew Paul. "Whanau/family meetings in the paediatric intensive care unit: content, process, and family satisfaction : a thesis presented in fulfilment of the requirements for the degree of Master of Philosophy, Social Work, Massey University, Auckland, New Zealand." Massey University, 2009. http://hdl.handle.net/10179/1102.

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Family Meetings occur frequently in the Paediatric Intensive Care Unit (PICU) yet little data existed to guide clinicians in the conduct of these meetings. The medical team is required to deliver complex medical information and navigate complex decision-making with a traumatised family during a meeting. The objectives of this study were to describe the content and process of 15 whanau/family meetings in the PICU, identify family meeting characteristics and patient and family attributes that influence family satisfaction and recommend guidelines for health professionals working in the PICU. The study was conducted in a PICU in a university-affiliated children’s hospital in New Zealand (NZ). The process and content of 15 family meetings were analysed using a coding framework previously developed through a qualitative study of family meetings in the adult intensive care unit (Curtis, 2002a). A questionnaire providing a quantitative assessment of family satisfaction drawn from the same study was administered to 30 family members. Demographic data for the study were collected from the patient’s hospital record and these were combined with data relating to the meeting recording and transcript to identify family meeting characteristics and attributes that might influence family satisfaction. The content and process of family meetings in the PICU were described using a framework detailing 28 codes from the six domains: introductions, informational exchange, discussions of the future, decisions, discussions about death and dying, and closings. A comparison of family meeting characteristics and patient and family attributes revealed that longer meetings (40 minutes plus) were associated with lower family satisfaction and should therefore prompt clinicians to consider whether there are unresolved conflicts, difficulties or misunderstandings between the medical team and the family. Recommendations are proposed to guide health professionals in family meetings in the PICU. This is the first study to record and code the content of family meetings in the PICU. The findings from this study will assist clinicians in their meetings with families. The description of the family meeting content will also provide a foundation for future communication training and research in the health environment.
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Sochting, Sven. "The effects of operating conditions on the hydrodynamic lubricant film thickness at the piston-ring/cylinder liner interface of a firing diesel engine." Thesis, University of Central Lancashire, 2009. http://clok.uclan.ac.uk/21027/.

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Conventional investigations into the performance of piston-rings in internal combustion engines are performed at relatively low speeds and consider only steady state operation conditions. Loss of power in internal combustion (IC) engines is becoming an increasing issue when they are operated at high engine speeds. This project is directed at developing technology to establish whether this phenomenon is influenced by a lubricant related effect. In a normal operating environment automotive engines typically operate under transient operating conditions. These rapid changes in operation conditions may influence the thickness of the hydrodynamic film which lubricates the interfaces between the piston-ring and liner. During this project two capacitance methods were employed in a fired compression ignition engine, an amplitude modulated (AM) system originally developed by Grice and a new "high speed" capacitance technique based on a frequency modulated principle. The first part of this thesis is concerned with the development and implementation of a new apparatus suitable for measuring the thickness and extent of the hydrodynamic oil film which lubricates the piston-rings and liner. The nature of the working principle of the high speed capacitance measurement system required the design, manufacture, assembly and commissioning of a novel dynamic calibration apparatus. The new system can also be used for static calibration (AM system) of capacitance based distance measuring systems. It uses a manufacturer calibrated closed loop controlled piezo-actuator to present a target relative to the sensor face. Some previous investigations concluded a stable oil film thickness. However, this work shows that there are cyclic variations of the oil film thickness OFT on a stroke to stroke and cycle to cycle basis. A series of measurements was conducted under various fixed speed load points. The effects of using lubricants of different viscosity on the minimum (OFT) between liner and piston ring have been little studied and this work shows that it was possible to speciate measurements of different lubricants. This thesis also describes a measurement of the oil film thickness during abrupt changes in engine operating conditions.
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(9840359), Vanessa Tilbrook. "Real time to real life: Puppet simulation in health care." Thesis, 2017. https://figshare.com/articles/thesis/Real_time_to_real_life_Puppet_simulation_in_health_care/13444796.

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Puppets are used as a medium for learning and teaching, a way to communicate with children and for the purpose of play. Whilst the use of puppets with children in health care is well documented, especially with regards to play therapists and psychologists, little is understood about how nurses use puppets in their practice. Nurses are primarily the ones who engage and deliver clinical and medical care to the sick child in the hospital environment. Hence, effective communication strategies such as puppets could have a positive impact for the child. Understanding the experiences of nurses using puppets in the context of health care delivery including education potentially has merit as there is little known about this phenomenon. The purpose of this study is to explore the paediatric nurse clinicians’ and nurse educators’ experience of integrating puppet simulation in their practice, when they are the operator of the puppet. A descriptive phenomenological approach was adopted to guide this study as it was considered an appropriate design to elicit rich descriptions of the lived experience from the participants themselves. The results from this research identified that as wearers of the puppets both paediatric nurse clinicians and nurse educators were able to maximise learner engagement. The paediatric nurse clinicians perceived that the puppets provided a fun learning experience and reduced fear and anxiety for the child. The puppets not only helped to playfully facilitate communication with children but also to playfully communicate and engage learning and teaching. Understanding the perceptions of paediatric nurse clinicians and nurse educators experience provides an understanding of factors that both enhance and detract from implementing puppets in practice. Such information can be used to guide health care professionals who may wish to use the medium of puppets in their practice.
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(9785117), John Callanan. "Activating parents in early intervention: The role of relationship in functional and family gains." Thesis, 2021. https://figshare.com/articles/thesis/Activating_parents_in_early_intervention_The_role_of_relationship_in_functional_and_family_gains/16807915.

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Including parents of children with a disability in early intervention programs has been widely advocated by multiple health professional disciplines. Within these interventions a substantial body of research supports the positive influence of the parent-child relationship on developmental outcomes. Programs that upskill parents, reflect family context and focus on increased participation in broader community and social settings are now considered best practice. Such programs have good face validity, with recent studies showing parents strongly endorsing the sharing of skills and strategies, allowing them to extend the child’s learning to multiple situations including within the family and wider community. Despite this evidence, successful widespread implementation of relationally-based programs has been difficult to achieve. Working directly with parents can include challenges beyond simply introducing strategies and having them apply these outside therapy sessions. It requires therapists to work in a context where parents may be struggling with feelings of incompetence and experiencing high levels of individual and relational stress that are often associated with parenting a child with a disability. Developing therapy goals that reflect family imperatives can also present challenges as therapists and parents may be driven by objectives derived from developmental checklists rather than contextual, family-prioitised goals. This thesis investigated the efficacy of a manualised program designed by the candidate (PCRI-EI; parent child relationally informed – early intervention) in addressing these challenges in an early childhood development clinic that delivers multidisciplinary services to children with disabilities. A preliminary case study showed promising changes for the family, in reduced stress and improved sense of competency for the parents, as well as positive impacts on functional outcomes for the child. Parents reported improvements in family engagement in community activities as well as in their own ability to more broadly understand their child’s challenges. A subsequent qualitative study investigated the experience of therapists as they made the transition to a relationally-based practice. Feedback from therapists indicated the systematic approach embedded in the protocol combined with reflective supervision built their competence and confidence in working collaboratively with families. At the same time, they reported being better able to generate therapeutic goals that preferenced family context and priorities over therapist-driven developmental aims. Changes in parents’ stress, psychological well-being and sense of competence, was investigated in a third study. Findings showed notable reductions in stress levels over time particularly those generated by parents’ conceptualisation of their child as difficult. Increased parental wellbeing and sense of competency were also reported. These changes were consistent across diagnostic categories. The final component of the thesis investigated impacts of PCRI-EI on the child’s functional capacity. Significant and marked increases in functioning were observed across time. The gains did not differ by diagnosis and parental feedback indicated family context was prioritised and valued. These improvements were generalised throughout social, community and educational settings. Taken together these findings indicate that through the combination of a manualised therapy model and ongoing reflective supervision, PCRI-EI supports the implementation of relationally-based, family-centred practices. PCRI-EI appears to provide the how-to component. The absence of which seems to have inhibited the widespread adoption of such programs in early intervention. Given the exploratory nature of the thesis these conclusions require further investigation. Nonetheless, they suggest successfully engaging parents in early intervention requires a systematic approach embedded in the practices of the organisation. The role of the therapist in supporting parents build the skills to work in this context is critical. Achieving that change in therapists’ capacity involves a similarly methodical approach that integrates professional development, reflective supervision and an appreciation of the professional identity challenges the changed way of working may present. This combination of factors does not appear to have been addressed in previous investigations around establishing relationally-based practices in early childhood interventions.
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(13108657), Robert McClure. "The nature of coping and emotional intelligence: An empirical study with the nursing profession." Thesis, 2005. https://figshare.com/articles/thesis/The_nature_of_coping_and_emotional_intelligence_An_empirical_study_with_the_nursing_profession/20327460.

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 This thesis used a homogeneous sample of 116 professional nurses to empirically test the theoretical proposition that transactional coping and emotional intelligence are different constructs. Using that same sample, the research also empirically tested the theory that professional nurses' emotional work response behaviours require emotional intelligent ability (McQueen 2004; Molter 2001). Other research questions were related to testing relationships between emotional work, emotional intelligence, coping and the outcome variables of job satisfaction and health and well-being.  

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(9797765), Sheeana Gangadoo. "Exploring the potential to improve the gut microbiome of broiler chickens using selenium nanoparticle supplements." Thesis, 2020. https://figshare.com/articles/thesis/Exploring_the_potential_to_improve_the_gut_microbiome_of_broiler_chickens_using_selenium_nanoparticle_supplements/13410473.

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The poultry industry has rapidly grown in the last few years with a focus in improving growth and productivity of broiler chickens, with performance assessed on measures such as feed conversion ratio, body weight gain and good immunity. The incorporation of antibiotics and feed additives in poultry diets, have been implemented for years to ensure the maintenance of poultry health with a focus on the control and reduction of zoonotic pathogens. In the last few years, however, key issues surrounding the antimicrobial resistance of antibiotics have urged for alternative supplementations. Nanoparticles (NPs) of silver and other metals have been heavily used in the poultry industry to improve the growth and performance of birds. Whilst successful, metal NPs exhibited higher toxicity at the higher surface to volume ratio, especially with the use of silver. This study proposes the use of NPs of essential metals and natural compounds to safely deliver nutrients, resulting in positive impacts on health and productivity with little to no toxic effects. Selenium is an essential mineral, required for the proper functioning of the immunity and is an important element in the first cell line of defence in the body. The work described in this thesis explores the ability of selenium NPs to improve the health and growth of broiler chickens by modulating their gut microbiome and metabolome, without the toxic effects observed with silver. Selenium NPs were synthesised using a simple chemical reduction method and a full characterisation was performed, assessing the physicochemical properties of the NP. Selenium NPs were then compared in an animal trial against two commonly used selenium additives in the poultry industry, sodium selenite (inorganic selenium) and selenomethionine (organic selenium). The performance of the birds was assessed based on body weight gain, the gut microbial composition and metabolite production. The toxicity of NPs was further investigated by quantifying selenium concentration in various tissues, along with a detailed histopathological assessment. Results show selenium NPs completely altered the gut microbial ecology at high concentration, with a strong correlation observed between Faecalibacterium prausnitzii abundance and increasing concentration of selenium NPs. Selenium NPs additionally increased villus height/crypt ratio associated with enhanced absorption in the small intestine and an overall increase of healthy colonic metabolites. Finally, an in vitro study demonstrated the ability of selenium NPs to reduce emerging pathogenic Enterococcus cecorum species. This thesis demonstrates the prospective ability of selenium NPs as alternatives to antibiotics and bulk supplementation, resulting in an improvement of health and performance of broiler chickens in the poultry industry.
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(5930270), Mehdi Shishehbor. "Numerical Investigation on the Mechanical Properties of Neat Cellulose Nanocrystal." Thesis, 2020.

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Nature has evolved efficient strategies to make materials with hierarchical internal structure that often exhibit exceptional mechanical properties. One such example is found in cellulose, which has achieved a high order of functionality and mechanical properties through a hierarchical structure with an exceptional control from the atomic level all the way to the macroscopic level. Cellulose is present in a wide variety of living species (trees, plants, algae, bacteria, tunicates), and provides the base reinforcement structure used by organisms for high mechanical strength, high strength-to-weight ratio, and high toughness. Additionally, being the most abundant organic substance on earth, cellulose has been used by our society as an engineering material for thousands of years, and are prolific within our society, as demonstrated by the enormity of the world-wide industries in cellulose derivatives, paper/packaging, textiles, and forest products.

More recently, a new class of cellulose base particles are being extracted from plants/trees, cellulose nanocrystals (CNCs), which are spindle-shaped nano-sized particles (3 ̶ 20 nm in width and 50 ̶ 500 nm in length) that are distinct from the more traditional cellulose materials currently used (e.g. molecular cellulose and wood pulp). They offer a new combination of particle morphology, properties and chemical functionalities that enable CNCs for use in applications that were once thought impossible for cellulosic materials.

CNCs have shown utility in many engineering applications, for example, biomedical, nanocomposites, barrier/separation membranes and cementitious materials. To gain greater insight as to how best use CNCs in various engineering application areas, a comprehensive understanding of the mechanics of CNCs is needed. The characterization of the mechanical properties of nanomaterials via experimental testing has always been challenging due to their small size, resulting in large uncertainties related to testing near sensitivity limits of a given technique, the same is true when characterizing CNCs. For CNCs, to help offset limitations in experimental testing, numerical modeling has been useful in predicting the mechanical properties of CNCs. We present a continuum-based structural model to study the mechanical behavior of cellulose nanocrystals (CNCs), and analyze the effect of bonded and non-bonded interactions on the mechanical properties under various loading conditions. In particular, this model assumes the uncoupling between the bonded and nonbonded interactions and their behavior is obtained from atomistic simulations.

For large deformations and when there is interaction and dynamics of many particles involved, continuum models could become as expensive as MD simulations. In addition, it has been shown that traditional material models in the continuum mechanics context, cannot model all the mechanical properties of CNC, especially for large deformation. To overcome these setbacks and to be able to model real size of CNC, 50-1000 nm, and/or to increase the number of particles involved in the simulation, a so called ‘‘coarse-grained’’ (CG) model for mechanical and interfacial properties of CNC is proposed. The proposed CG model is based on both mechanical properties and crystal-crystal interactions. Parametrization of the model is carried out in comparison with all-atom (AA) molecular dynamics and experimental results of some specific mechanical and interfacial tests.

Subsequently, verification is done with other tests. Finally, we analyze the effect of interface properties on the mechanical performance of CNC-based materials including, bending of a CNC bundle, tensile load and fracture in bioinspired structure of CNCs such as staggered brick-and-mortar and Bouligand structures of interest.
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(9782003), Cheryl Bookallil. "Second-chance education evaluating the outcomes and costs of university-based enabling programs." Thesis, 2014. https://figshare.com/articles/thesis/Second-chance_education_evaluating_the_outcomes_and_costs_of_university-based_enabling_programs/16436757.

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Despite universities receiving specific Commonwealth Government funding in order to offer Enabling education free to participants, these programs are not part of the Australian Qualifications Framework (AQF) and there has been no systematic evaluation of outcomes. The purpose of this study was to examine Enabling programs offered by Central Queensland University and investigate their cost effectiveness as a conduit to undergraduate programs and university qualifications. Mises (1949) theory of Praxeology formed the basis for examining outcomes from eleven consecutive years of archival data in this case study. Enrolments in Enabling programs, completions, articulations from Enabling to undergraduate study and undergraduate successes have all been quantified and costed in terms of the Commonwealth funding received.

Aim one was to quantify the value-added to the university in terms of undergraduate enrolments and to the students in terms of their human capital accumulation according to Becker's (1964) theory. Aim two was to evaluate outcomes in terms of meeting the dual goals of equity and efficiency. Equity was defined by the notion of inclusion, based upon the principle of personal agency as espoused by Sen (2009), and measured by access and completion of a higher education award (Marginson 2011). Efficiency was measured by access to, and completion of, university qualifications consistent with the Australian Government's definition of an Enabling program (Higher Education Support Act 2012 p. 302). This duality of definitions allowed for comparisons between the possible number of successes as indicated by enrolments in Enabling programs and actual outcomes demonstrating a leakage in the public funding bucket (Okun 1975).

The provision of specific Commonwealth funding appears to have precipitated an escalation in enrolments but completions and articulations experienced a sustained decline meaning costs of successful outcomes increased. Statistical analysis demonstrated that increasing access by distance education did not increase equity or efficiency as measured in terms of completions and articulations. Logistic regression suggests that it is not student demographics but the program structure and/or mode of study chosen for Enabling that are the strongest predictors of completion, articulation and undergraduate success.
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9

(9840005), Lorraine Thompson. "Coaching for clinical nurse leaders: A mixed methods study." Thesis, 2017. https://figshare.com/articles/thesis/Coaching_for_clinical_nurse_leaders_A_mixed_methods_study/13444781.

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This inquiry examined coaching as an approach for supporting and professionally developing clinical nurse leaders within their roles. An explanatory sequential mixed methods design was considered appropriate for this study consisting of a quantitative phase at the outset, followed by a qualitative phase.
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(9805346), Eleanor Horton. "A Foucauldian gaze in nursing: A critique of the politics of difference in nursing." Thesis, 2014. https://figshare.com/articles/thesis/A_Foucauldian_gaze_in_nursing_A_critique_of_the_politics_of_difference_in_nursing/13437812.

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"In 1982, when questioned about his intellectual ability, French philosopher Michel Foucault replied: I don’t feel it is necessary to know exactly what I am. The main interest in life and work is to become someone else you were not in the beginning. If you knew when you began a book, what you would say in the end, do you think you would have the courage to write it? (Martin, Gutman & Hutton, 1988, p. 9) This thesis presents a post-structuralist gaze at the politics of difference in nursing from the perspectives of Foucault and Jacques Derrida, with the aim of presenting a new text that challenges the maintenance of the status quo of nursing. The thesis will use nursing as a discipline to examine subjectivity of the self through the conceptual lens of Foucault and Derrida and those factors that influence the politics of difference in nursing, such as ‘othering’, neoliberalism, managerialism and globalisation. Until nursing moves beyond binary thinking and considers a new politics of difference, the generation of new knowledge will endorse the philosophical thinking of the Enlightenment project and fail to progress nursing beyond this and into the post-structuralist ethos. Moreover: This post-structuralist approach to the politics of knowledge challenges the individual who is rational and coherent and has a rational and coherent story about themselves and society (Horton, 2013, p. 24)."

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Books on the topic "Paediatrics not elsewhere classified"

1

Britain, Great. Miscellaneous Manufacturing Not Elsewhere Classified. Stationery Office Books, 1996.

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Britain, Great. Manufacture of Electrical Equipment Not Elsewhere Classified. Stationery Office Books, 1996.

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Office, Central Statistical. Manufacture of Domestic Appliances Not Elsewhere Classified. Stationery Office Books, 1996.

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Britain, Great. Manufacture of Other Transport Equipment Not Elsewhere Classified. Stationery Office Books, 1996.

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Grant, Jon E., and Marc N. Potenza. Overview of the Impulse Control Disorders Not Elsewhere Classified and Limitations of Knowledge. Edited by Jon E. Grant and Marc N. Potenza. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195389715.013.0012.

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Several disorders have been classified together in the American Psychiatric Association’s Diagnostic and Statistical Manual (4th ed.; DSM-IV) as impulse control disorders not elsewhere classified. These impulse control disorders have been grouped together based on perceived similarities in clinical presentation and hypothesized similarities in pathophysiologies. The question exists whether these disorders belong together or whether they should be categorized elsewhere. Examination of the family of impulse control disorders generates questions regarding the distinct nature of each disorder: whether each is unique or whether they represent variations of each other or other psychiatric disorders. Neurobiology may cut across disorders, and identifying important intermediary phenotypes will be important in understanding impulse control disorders and related entities. The distress of patients with impulse control disorders highlights the importance of examining these disorders. More comprehensive information has significant potential for advancing prevention and treatment strategies for those who suffer from disorders characterized by impaired impulse control.
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Group, Research, and The Agricultural Chemicals Not Elsewhere Classified Research Group. The 2000-2005 World Outlook for Agricultural Chemicals Not Elsewhere Classified (Strategic Planning Series). 2nd ed. Icon Group International, 2000.

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Group, Research, and The Space Vehicle Equipment Not Elsewhere Classified Research Group. The 2000-2005 World Outlook for Space Vehicle Equipment Not Elsewhere Classified (Strategic Planning Series). 2nd ed. Icon Group International, 2000.

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Canada. Occupational Analysis and Classification Systems Division., ed. Canadian classification and dictionary of occupations, occupations in major groups: 91, transport equipment operating, 93, material handling, 95, other crafts and equipment operating, 99, occupations not elsewhere classified. [Ottawa]: Employment and Immigration Canada, 1986.

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Mataix-Cols, David, and Odile A. van den Heuvel. Neuroanatomy of Obsessive Compulsive and Related Disorders. Edited by Gail Steketee. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195376210.013.0027.

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Obsessive-compulsive disorder (OCD) shares features and often co-occurs with other anxiety disorders, as well as with other psychiatric conditions classified elsewhere in the Diagnostic and Statistical Manual (DSM-IV), the so-called “OCD spectrum disorders.” Neurobiologically, it is unclear how all these disorders relate to one another. The picture is further complicated by the clinical heterogeneity of OCD. This chapter will review the literature on the common and distinct neural correlates of OCD vis-à-vis other anxiety and “OCD spectrum” disorders. Furthermore, the question of whether partially distinct neural systems subserve the different symptom dimensions of OCD will be examined. Particular attention will be paid to hoarding, which is emerging as a distinct entity from OCD. Finally, new insights from cognitive and affective neuroscience will be reviewed before concluding with a summary and recommendations for future research.
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Watson, Francis. A Gospel of the Eleven. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198814801.003.0010.

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A perceived inadequacy in existing post-resurrection narratives seems to have inspired the second-century author of the Epistula Apostolorum to compose a comprehensive post-resurrection dialogue. In this—after securing with some difficulty their acceptance that he is truly alive—Jesus answers his disciples’ wide-ranging questions mainly about issues of eschatology and mission. Also present in this text are retrospective summaries of his descent from the heavenly world and his earthly career. While this important though neglected text may usefully be classified with works in a similar format, from Nag Hammadi and elsewhere, its primary affinities are with the traditions of Jesus’ earthly career reflected in Matthew, Luke, and especially John. In particular, the Johannine account of Easter Day and its aftermath provides the author not so much with a normative exemplar as with a source that he exploits freely and critically to develop his proto-orthodox theological agenda.
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Book chapters on the topic "Paediatrics not elsewhere classified"

1

Reid, William H. "Psychotic Disorders Not Elsewhere Classified." In The Treatment of Psychiatric Disorders, 200–203. Routledge, 2018. http://dx.doi.org/10.4324/9781315825908-20.

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Wicoff, James S. "Speech Disorders Not Elsewhere Classified." In The Treatment of Psychiatric Disorders, 41. Routledge, 2018. http://dx.doi.org/10.4324/9781315825908-9.

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Reid, William H. "Impulse Control Disorders Not Elsewhere Classified." In The Treatment of Psychiatric Disorders, 314–20. Routledge, 2018. http://dx.doi.org/10.4324/9781315825908-28.

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"Commodities and transactions not classified elsewhere in the SITC." In International trade statistics yearbook 2012, Volume II, 421–24. UN, 2014. http://dx.doi.org/10.18356/931bb080-en.

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"Commodities and transactions not classified elsewhere in the SITC." In International trade statistics yearbook 2013, Volume II: trade by commodity, 421–23. UN, 2014. http://dx.doi.org/10.18356/077e9000-en.

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"Commodities and transactions not classified elsewhere in SITC (SITC Section 9)." In International Trade Statistics Yearbook (Ser. G), 421–24. UN, 2015. http://dx.doi.org/10.18356/3866a019-en.

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"Commodities and transactions not classified elsewhere in SITC (SITC Section 9)." In International Trade Statistics Yearbook (Ser. G), 283–85. UN, 2019. http://dx.doi.org/10.18356/e4cdf10c-en.

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"Commodities and transactions not classified elsewhere in SITC (SITC Section 9)." In International Trade Statistics Yearbook 2016, Volume II, 421–23. UN, 2018. http://dx.doi.org/10.18356/427326e2-en.

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"Commodities and transactions not classified elsewhere in SITC (SITC Section 9)." In International Trade Statistics Yearbook (Ser. G), 281–83. UN, 2020. http://dx.doi.org/10.18356/d7dd1d94-en.

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"Psychotic disorders not elsewhere classified (including mania and depression with psychotic features)." In Clinical Child Neuropsychiatry, 268–73. Cambridge University Press, 1995. http://dx.doi.org/10.1017/cbo9780511570094.012.

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Conference papers on the topic "Paediatrics not elsewhere classified"

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Shibutani, Tadahiro, Tetsu Tsuruga, Qiang Yu, and Masaki Shiratori. "Interface Strength Between Sub-Micron Thin Films in Opening and Sliding Delamination Modes." In ASME 2002 International Mechanical Engineering Congress and Exposition. ASMEDC, 2002. http://dx.doi.org/10.1115/imece2002-39631.

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Delamination between thin films is classified into two types: opening mode and sliding mode. Corresponding to each mode, there is the interface strength between thin films. This paper aims to evaluate interface strength between the sub-micron thin films for opening mode and sliding mode, respectively. We already developed the evaluation method of interface fracture toughness for opening mode on the basis of fracture mechanics concept elsewhere. Moreover, the evaluation method of sliding mode is proposed and the interface strength between thin films for an advanced LSI is evaluated as the fracture toughness by using both methods. In both modes, the stress singularity appears in the vicinity of the edge of interface and governs the delamination. The criterion of crack initiation for each mode is evaluated as the interface toughness. The fracture toughness at the edge of interface in sliding mode is lower than that in opening mode.
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Stillwell, Ashlynn S., and Michael E. Webber. "Feasibility of Wind Power for Brackish Groundwater Desalination: A Case Study of the Energy-Water Nexus in Texas." In ASME 2010 4th International Conference on Energy Sustainability. ASMEDC, 2010. http://dx.doi.org/10.1115/es2010-90158.

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With dwindling water supplies and the impacts of climate change, many cities are turning to water sources previously considered unusable. One such source for inland cities is brackish groundwater. With prolonged drought throughout Texas, cities such as El Paso, Lubbock, and San Antonio are desalinating brackish groundwater to supplement existing water sources. Similar projects are under consideration elsewhere in Texas. While brackish groundwater contains fewer total dissolved solids than seawater, desalination of brackish groundwater is still an energy-intensive process. Brackish water desalination using reverse osmosis, the most common desalination membrane treatment process, consumes 20 to 40 times more energy than traditional surface water treatment using local water sources. This additional energy consumption leads to increased carbon emissions when using fossil fuel-generated electricity. As a result of concern over greenhouse gas emissions from additional energy consumption, some desalination plants are powered by wind-generated electricity. West Texas is a prime area for desalination of brackish groundwater using wind power, since both wind and brackish groundwater resources are abundant in the area. Most of the Texas Panhandle and Plains region has wind resource potential classified as Class 3 or higher. Additionally, brackish groundwater is found at depths less than 150 m in most of west Texas. This combination of wind and brackish groundwater resources presents opportunities for the production of alternative drinking water supplies without severe carbon emissions. Additionally, since membrane treatment is not required to operate continuously, desalination matches well with variable wind power. Implementing a brackish groundwater desalination project using wind-generated electricity requires economic feasibility, in addition to the geographic availability of the two resources. Using capital and operating cost data for wind turbines and desalination membranes, we conducted a thermoeconomic analysis for three parameters: 1) transmission and transport, 2) geographic proximity, and 3) aquifer volume. Our first parameter analyzes the cost effectiveness of tradeoffs between building infrastructure to transmit wind-generated electricity to the desalination facility versus pipelines to transport brackish groundwater to the wind turbines. Secondly, we estimate the maximum distance between the wind turbines and brackish groundwater at which desalination using wind power remains economically feasible. Finally, we estimate the minimum available brackish aquifer volume necessary to make such a project profitable. Our analysis illustrates a potential drinking water option for Texas (and other parts of the world with similar conditions) using renewable energy to treat previously unusable water. Harnessing these two resources in an economically efficient manner may help reduce future strain on the energy-water nexus.
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Marchenko, Nataliya. "Navigation in the Russian Arctic: Sea Ice Caused Difficulties and Accidents." In ASME 2013 32nd International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/omae2013-10546.

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The 5 Russian Arctic Seas have common features, but differ significantly from each other in the sea ice regime and navigation specifics. Navigation in the Arctic is a big challenge, especially during the winter season. However, it is necessary, due to limited natural resources elsewhere on Earth that may be easier for exploitation. Therefore sea ice is an important issue for future development. We foresee that the Arctic may become ice free in summer as a result of global warming and even light yachts will be able to pass through the Eastern Passage. There have been several such examples in the last years. But sea ice is an inherent feature of Arctic Seas in winter, it is permanently immanent for the Central Arctic Basin. That is why it is important to get appropriate knowledge about sea ice properties and operations in ice conditions. Four seas, the Kara, Laptev, East Siberian, and Chukchi have been examined in the book “Russian Arctic Seas. Navigation Condition and Accidents”, Marchenko, 2012 [1]. The book is devoted to the eastern sector of the Arctic, with a description of the seas and accidents caused by heavy ice conditions. The traditional physical-geographical characteristics, information about the navigation conditions and the main sea routes and reports on accidents that occurred in the 20th century have reviewed. An additional investigation has been performed for more recent accidents and for the Barents Sea. Considerable attention has been paid to problems associated with sea ice caused by the present development of the Arctic. Sea ice can significantly affect shipping, drilling, and the construction and operation of platforms and handling terminals. Sea ice is present in the main part of the east Arctic Sea most of the year. The Barents Sea, which is strongly influenced and warmed by the North Atlantic Current, has a natural environment that is dramatically different from those of the other Arctic seas. The main difficulties with the Barents Sea are produced by icing and storms and in the north icebergs. The ice jet is the most dangerous phenomenon in the main straits along the Northern Sea Route and in Chukchi Seas. The accidents in the Arctic Sea have been classified, described and connected with weather and ice conditions. Behaviour of the crew is taken into consideration. The following types of the ice-induced accidents are distinguished: forced drift, forced overwintering, shipwreck, and serious damage to the hull in which the crew, sometimes with the help of other crews, could still save the ship. The main reasons for shipwrecks and damages are hits of ice floes (often in rather calm ice conditions), ice nipping (compression) and drift. Such investigation is important for safety in the Arctic.
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