In September 2008, an outbreak of aseptic meningitis caused by echovirus 30 occurred in Ota City, Gunma. Among the 26 people hospitalized, 17 were members of a high school baseball club. The attack rate within the club was as high as 40%. The other 9 patients were either their families ...

BACKGROUND: The goal of this study was to develop and validate low-fidelity exercises for basic surgical skills training and assessment. METHODS: Five low-fidelity exercises were developed and administered to 40 participants. Participants were classified as novice or proficient based on level of training. Objective metrics were used for scoring. The ...

We describe a laboratory exercise developed for a cell biology course for second-year undergraduate biology majors. It was designed to introduce undergraduates to the basic molecular biology techniques of Western blotting and immunodetection coupled with the technique of tissue printing in detecting the presence, relative abundance, and distribution of ribulose-1,5-bisphosphate ...

This essay focuses on the ways in which works by Robert Chambers, Charles Darwin, and George Eliot encouraged readers to imagine the future as contingent. But where Chambers alludes to Charles Babbage's computational engine and the period's life insurance industry to hint at the role of contingency in natural history, ...

This brief report describes the development and first year of use of an Internet-based screener for Cannabis users. Two versions of the Check Your Cannabis screener were compared, one linked to an already established harm reduction website for young Cannabis users (as an exercise called "Check how I compare with ...

BACKGROUND: Although the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires healthcare organizations to demonstrate disaster preparedness through the use of disaster exercises, the evaluation of pediatric preparations is often lacking. Our investigation identified, described, and assessed pediatric victim involvement in healthcare organizations' disaster drills and exercises using data ...

BACKGROUND: Anesthesiologists and certified registered nurse anesthetists (CRNAs) must acquire the skills to recognize and manage a variety of acute intraoperative emergencies. A simulation-based assessment provides a useful and efficient means to evaluate these skills. In this study, we evaluated and compared the performance of board-certified anesthesiologists and CRNAs managing ...

The aim of the study was to describe the subjective ratings of the course 'Training of the student's own voice and speech', from a student-centred perspective. A questionnaire was completed after each of the six individual sessions. Six speech and language pathology (SLP) students rated how they perceived the practical ...

This article discusses the issues of morbidity and mortality associated with deep sedation and general anesthesia specifically in the dental office-based setting for patients with special needs (PSN). A focused review of a particular environment and patient population was challenging as it was difficult to identify articles that discuss the ...

Exercise-associated hyponatremia is hyponatremia occurring during or up to 24 hours after prolonged exertion. In its more severe form, it manifests as cerebral and pulmonary edema. There have now been multiple reports of its occurring in a wilderness setting. It can now be considered the most important medical problem of ...

Health educators are frequently called on to facilitate community preparedness planning. One planning tool is community-wide tabletop exercises. Tabletop exercises can improve the preparedness of public health system agencies to address disaster by bringing together individuals representing organizations with different roles and perspectives in specific disasters. Thus, they have the ...

This article reviews the types and effectiveness of marine mammal mitigation measures used during some naval activities worldwide. The three main standard methods used to mitigate the potential impacts of naval sonar sound on marine mammals are (1) time/area planning (of exercises/active sonar use) to avoid marine mammals; (2) implementation ...

AIM: To examine the readiness of our hospital for the potential pandemic threat of avian influenza, we developed and implemented simulation case scenarios in our hospital. METHODS: Two volunteers, who assumed the identity of 'actual' patients, were trained to simulate acute respiratory symptoms following a visit to an avian influenza-affected ...

Simulation exercises are considered a very valuable tool for testing contingency plans established for the control and eradication of rapid spreading animal diseases such as foot and mouth disease, classical swine fever and avian influenza. An inter-Nordic simulation exercise was conducted in 2005 with the objective of testing the national ...

Exercise Triple Serpent, the Surgeon General's biennia clinical conference, was held on 24-26 June 08. Several areas of DMS activity were covered during the course of the conference ranging from operations, through research and clinical development to the forthcoming DMS structural change. This paper provides a commentary on the principle ...

A 14 session, structured, mindfulness skills group utilizing short (10 min) practices was undertaken by clinical psychologists in training as a voluntary lunchtime activity. The present study was a preliminary investigation into whether a short course of brief mindfulness exercises could facilitate the development of personal understandings of mindfulness without ...

There is limited experience of both operational and financial impacts that adoption of UK pandemic influenza infection control guidance will have on the use of personal protective equipment (PPE), patients and staff. We attempted to assess these issues from a live exercise in a hospital in north-west England. During this ...

There exists a derived negative right to procreative freedom, including a right to in vitro fertilisation (IVF) and to the exercise of selective techniques such as preimplantation genetic diagnosis. This is an extensive freedom, including not only the right to the exercise of a responsible parenthood, but also, in rare ...

Zinc as a marker element in the viscera of suspected metal phosphide poisoning has been studied during the present work. Neutron activation analysis (NAA) has been employed to detect and quantify the concentration of zinc in the viscera/stomach portion. The methodology has been developed on simulated and real life viscera ...

The North American Immune Tolerance Registry (NAITR) began in 1992 as a project of the ISTH Factor VIII/IX Subcommittee with the goal of further determining immune tolerance induction (ITI) practices in Canada and the United States. This retrospective registry study, published in 2002, was limited in its capacity to provide ...

BACKGROUND: Exercise referral schemes are widespread across England. National guidance emphasises the need to engage groups that are disadvantaged. AIM: To examine the influence of socioeconomic deprivation on referral to, and use of, exercise referral schemes. DESIGN OF STUDY: Cross-sectional analysis of patients referred by general practices to exercise referral ...

We radiologists are free to choose DCBE or CTC when patients are referred to us for colonic examination. The studies reported during 2007 have confirmed that CTC is more accurate, preferred by patients, with a shorter room time, fewer complications, lower radiation exposure, and reveals therapeutically significant extracolonic lesions in ...

Postoperative splinting is common after carpal tunnel release, despite a lack of scientific evidence supporting its value. The purpose of this study was to characterize postoperative splinting regimens among hand surgeons and to identify trends in splint use after this procedure. Questionnaires were mailed to members of the American Society ...

This report describes preliminary results from the BANGEX 5 field exercise which occurred at the China Lake Test Range JCIF facility 3 - 5 June, 2008. The goal of this research is to improve our forces ability to detect improvised explosive devices (IEDs) from aircraft. Considerable progress has been made ...

The importance of biodiversity as natural capital for economic development and sustaining human welfare is well documented. Nevertheless, resource degradation rates and persistent deterioration of human welfare in developing countries is increasingly worrisome. Developing effective monitoring and evaluation schemes and measuring biodiversity loss continue to pose unique challenges, particularly when ...

Fallout radionuclides (FRNs) such as (210)Pb and (137)Cs have been widely used to assess soil erosion and sedimentation processes. It is of major importance to obtain accurate analytical results of FRNs by gamma analysis before any data treatment through conversion model and to allow subsequent comparison of erosion and sedimentation ...

Contemporary experimental research has emphasised the role of centrally generated signals arising from premotor areas in voluntary muscular force perception. It is therefore generally accepted that judgements of force are based on a central sense, known as the sense of effort, rather than on a sense of intra-muscular tension. Interestingly, ...

Although the examination of bullet and primer striae patterns is still a very important task in forensic ballistics, a fundamental explanation or theoretical model for reasoning about the (ir)reproducibility of the observed marks is still non-existing. More specifically, it is still unclear which ammunition production or firing condition parameters may ...

INTRODUCTION: Medical errors are known to occur even in a controlled setting with adequate resources. The few studies on mass-casualty events and disaster exercises suggest errors may be amplified in these situations. We hypothesized that both the documentation and medical care provided during a pediatric disaster drill would be substandard ...

This paper reports the results obtained during an intercomparison exercise for the determination of radionuclides in a sediment sample collected from the bank of the Dudvah River. The intercomparison exercise was performed in the context of the programme "Harmonisation of techniques and methodologies for measuring radioactivity in the environment" with ...

Although most hospitals have an emergency department disaster plan, most never have been implemented in a true disaster or been tested objectively. Computer simulation may be a useful tool to predict emergency department patient flow during a disaster. The aim of this study was to compare the accuracy of a ...

Natural and man-made disasters are unpredictable but certainly will include children as victims. Increasingly, knowledge of pediatric disaster preparedness is required of emergency and primary care practitioners. A complete pediatric disaster plan comprises the following elements: appropriate personnel and equipment, disaster- and venue-specific training, and family preparedness. Disaster preparedness exercises ...

Currently, there is no widely available method to evaluate an emergency department disaster plan. Creation of a standardized patient database and the use of a virtual, live exercise may lead to a standardized and reproducible method that can be used to evaluate a disaster plan. A virtual, live exercise was ...

By the end of the 19th century, the subject of internal secretion and the consequences of its perturbations had been explored in considerable depth but with little clear understanding. Despite the anatomic delineation of the majority of the glands and tissues that comprised the gross endocrine system, the cellular basis ...

There is currently much interest in ascribing outcomes to Masters (M) level programmes. It is particularly difficult to define M level outcomes in bioinformatics for students on non-specialist programmes. An approach is described that attempts to discriminate undergraduate from M level in a data-mining exercise. Differentiation of level is based ...

Appreciative Inquiry is a revolution in the way we look at our organizations, a holistic approach that begins with the health of the organization, understanding what we do well and building on our strengths, rather than focusing on our problems. Early in 2006, BC Electronic Library Network conducted an Appreciative ...

A brief introductory exercise in the use of on-line databases to examine fungal genes and their products is described. Fungal genes make particularly good teaching models owing to their relatively simple eukaryotic structure and wide range of homologues in higher organisms including humans. An evaluation of students' reactions to the ...

The paper describes the main results of the international EMRAS model testing exercise for radionuclide transport in watershed-river and estuarine systems. The exercises included the following scenarios: multi-point source of (3)H discharge into the Loire River (France), radioactive contamination of the Dnieper-Southern Boug estuary (Ukraine), remobilisation of radionuclide contamination from ...

Accusport analyzers were used to generate lactate performance curves in an investigative laboratory activity emphasizing the importance of reliable instrumentation. Both the calibration and testing phases of the exercise provided students with a hands-on opportunity to use laboratory-grade instrumentation while allowing for meaningful connections to be made between data collection ...

The purpose of the study was to study the circumstances and incidence rates of fatal accidents in inspection obligated and non-inspection obligated Danish fishing vessels to identify areas for prevention. Information about the fatalities came from maritime authority reports, including vessel disaster reports, post mortem reports, maritime inquiries and police ...

PURPOSE OF REVIEW: There is correlation between quality of bystander cardiopulmonary resuscitation and patient survival. Recent developments in defibrillator technology enable recording of cardiopulmonary resuscitation quality, and have shown quality of professional cardiopulmonary resuscitation far from guidelines' levels for factors such as chest compression depth and rate, ventilation rate, and ...

This article will present the differences among noise maps of Lden and Lnight levels produced following the EU Interim methods and those produced following other national methods used in the EU MS. Lden and Lnight are the two indicators required by the European Environmental Noise Directive (200249EC) defined at the ...

The procedures from the standards ISO 1996-2 and DIN 45681 as well as the two procedures (TNR and PR) from ISO 7779 are compared. In the first section, characteristic features of the procedures (e.g. signal analysis parameters, degree of automation and characteristics of the prominent discrete tone analysis) are compared. ...

Simulated disease outbreaks are vital tools for preparing administrative and functional responses to emergencies. Three aquatic emergency response exercises conducted in Australia are summarised. The prinicipal lesson learned from these exercises was the need for coordination, improved communication and a whole-of-government approach. An enhanced understanding of the legislative instruments required ...

Recent discovery of low concentrations of bromacil in drinking water prompted the State of Hawaii to examine the leaching behavior of bromacil in pineapple fields. This study is a follow up to earlier work on bromacil concentrations in soil profiles in a pineapple field in central Oahu, Hawaii. Soil samples ...

CONTEXT: Measurement of circulating 25-hydroxy-vitamin D [25(OH)D]) is the accepted clinical indicator of vitamin D status. However, between-laboratory differences in measurement of this analyte exist, which may confound clinical care. OBJECTIVES: We investigated the current agreement of 25(OH)D measurement in clinical laboratories and explored the possibility that simple calibration would ...

BACKGROUND: Several studies have addressed the issue of manpower needs in pediatric surgery. The number of training programs has multiplied dramatically over the past decade. The distribution of surgeons is more significant than the absolute change in numbers--are major metropolitan areas seeing a more dramatic increase than less populated areas? ...

BACKGROUND: This article presents evidence-based clinical recommendations for use of pit-and-fissure sealants developed by an expert panel convened by the American Dental Association Council on Scientific Affairs. The panel addressed the following clinical questions: Under what circumstances should sealants be placed to prevent caries? Does placing sealants over early (noncavitated) ...

Detectors to scan for illicit nuclear material began to be installed at various screening locations in 2002. On the sites considered, each vehicle drives slowly by radiation detectors that scan for neutron and gamma radiation, resulting in a time series profile. One performance limitation is that naturally occurring radioactive materials ...

For more than 15 years, European Union (EU) laboratories monitoring environmental radioactivity have been obliged to participate in measurement comparisons organised by the European Commission. After a short review of comparisons conducted during the 1990s, the approach of IRMM organising these comparisons since 2003 is presented. It relies on the ...