The marine aquarium industry has great potential to generate jobs in low-income coastal communities creating incentives for the maintenance of a healthy coral reef, if effectively managed. In the absence of current monitoring or legislation to govern the trade, baseline information regarding the species, number and source location of animals ...

Both type I and type V hyperlipoproteinemia are characterized by severe hypertriglyceridemia due to an increase in chylomicrons. Type I hyperlipoproteinemia is caused by a decisive abnormality of the lipoprotein lipase (LPL)- apolipoprotein C-II system, whereas the cause of type V hyperlipoproteinemia is more complicated and more closely related to ...

Subalpine meadows in the Dongling Mountains (located at E115º26'-115º40', N40º00'-40º05') of Beijing, China are important for tourism and the provision of ecosystem services. However, because of poor management serious degradation has occurred on these subalpine meadows. The aim of this paper is to present a quantitative analysis of effects of ...

The Jamaica Bay portion of Gateway National Recreation Area, located next to highly urbanized New York City, faces many challenges to preserve and protect its natural, cultural, and recreational resources. To aid in the management of the park resources, detailed estuarine shoreline analyses of Jamaica Bay were undertaken using imagery ...

Propolis is a resinous substance produced by honeybees as defense against intruders. It has relevant therapeutic properties that have been used since ancient times. Nowadays, propolis is of increasing importance as a therapeutic, alone or included in many medicines and homeopathic products or in cosmetics. Propolis is produced worldwide and ...

OBJECTIVE:: To describe collaborative efforts to develop best practice operational guidelines for immunization information systems (IIS) and discuss awareness, acceptance, and utilization of the guidelines by the IIS community. DESIGN:: Business analysis and facilitation techniques were used to support collaboration among IIS stakeholders who analyzed existing practices, brainstormed new approaches, ...

Medical Education 2011:45: 939-945 CONTEXT  Conflict management has been identified as an essential competence for surgeons as they work in operating room (OR) teams; however, the optimal approach is unclear. Social science research offers two alternatives, the first of which recommends that task-related conflict be managed using problem-solving techniques while ...

The article by Schneider and Chesky in this issue of MPPA presents an interesting look at how social support affects performance anxiety. Performance anxiety is one of the most discussed topics in performing arts medicine, in part because it is a multifaceted phenomenon with medical, psychological, and academic/financial aspects. This ...

Private domestic gardens contribute substantially to the biodiversity of urban areas and benefit human health and well-being. We previously reported a study of 267 gardens across five cities in the United Kingdom in which variation in geographical and climatic factors had little bearing on the richness, diversity and composition of ...

Previous research with the Australian Morbidity and Treatment Survey (1990-1991) showed significant differences in general practitioner characteristics and patient mix of male and female GPs. Even after adjusting for these, it was seen that male and female GPs managed different types of medical conditions. The proportion of female GPs increased ...

Relations of two types of trust by entrepreneurs with the entrepreneurs' preference to remain an incubator tenant were examined using questionnaire data from 67 owners of companies in 6 Turkish incubators. As hypothesized, trust in incubator management had a positive and unique relation with preference to remain an incubator tenant. ...

The purpose of this article is to highlight the importance of professional indemnity to protect an individual's healthcare practice. Healthcare professionals should ensure that they have appropriate indemnity to cover all their professional activities. This may be arranged through their employer, professional organisation or by private arrangement, or a combination ...

In this article, we introduce China's major forest types and discuss the historical development of forest management in China, including actions taken over the last decade toward achieving SMF. Major challenges are identified, and a strategy for SFM implementation in China is presented. China's forests consist of a wide variety ...

During the 21st century, people with skin of color will account for a large portion of the US population. According to race projections from the US Census Bureau, persons of African American, Hispanic, Asian and Native American descent will make up nearly half of the total US population by the ...

The use of alternative therapies is becoming more popular in the recent times especially due to the increasing cost, distrust and limitations of modern western medical care. There is a universal trend toward naturalness and herbal medicine is now being modernized and being accepted by people who would not have ...

In recent years so-called Complementary and Alternative Medicine (CAM) practices have made significant political and professional advances particularly in the United Kingdom (UK): osteopathy and chiropractic were granted statutory self-regulation in the 1990s effectively giving them more professional autonomy and independence than health care professions supplementary to medicine; the practice ...

The pathway to wisdom is a crooked one. Doctors have many opportunities to become wiser, and may do so in different ways and to different degrees. We suggest several means to facilitate their passage. There remains an additional key step. Seeking wisdom should become embedded in the culture of medicine. ...

Chinese herbs are thought to be effective for type A H1N1 influenza. Series of Chinese herbs have been authorized recommended by the Chinese government, and until now a number of clinical trials of Chinese herbs for H1N1 influenza have been conducted. However, there is no critically appraised evidence such as ...

Coverage with evidence development (CED), rather than quality-adjusted-life-year (QALY) thresholds, offers the best way forward in balancing evidence-based policy for new oncology products with the needs of developers, payers, physicians and patients.

OBJECTIVE: To compare present values of expected income streams for 5 distinct veterinary medical career tracks. DESIGN: Present value model. SAMPLE POPULATION: AVMA survey data. PROCEDURES: Present values of expected income streams (net of debt repayment) were created and ranked. Sensitivity to each independent variable was assessed. RESULTS: Career present ...

AIM OF THE STUDY: This study investigates the trade of animals for medicinal purposes in Natal metropolitan area, northeastern Brazil, to document which animal species are used, how and for what purposes. This study also discusses the implications of the use of zootherapeutics for wildlife conservation. MATERIALS AND METHODS: Based ...

Modern business science has many tools that can be of great value to radiologists and their practices. One of the most important and underused is long-term planning. Part of the problem has been the pace of change. Making a 5-year plan makes sense only if your develop robust scenarios of ...

Statements of extinction will always be uncertain because of imperfect detection of species in the wild. Two errors can be made when declaring a species extinct. Extinction can be declared prematurely, with a resulting loss of protection and management intervention. Alternatively, limited conservation resources can be wasted attempting to protect ...

The field of diagnostics has unprecedented opportunities to contribute to the practice of medicine in the era of targeted therapy and personalized healthcare. Rather than simply providing information regarding the presence and classification of disease, innovative molecular diagnostic tests will directly inform patient-management decisions, such as which targeted therapies to ...

THE OBJECTIVE: To assess in vitro the cariogenic and erosive potentials of Brazilian liquid oral paediatric medicines. SETTING: Twenty-three paediatric medicines available on the Brazilian market were evaluated. The sample consisted of antihistamines, antitussives, bronchodilators and mucolytics. MAIN OUTCOME MEASURES: Duplicates of each bottle were analyzed for sugar concentration using ...

The science of spatial fisheries management, which combines ecology, oceanography, and economics, has matured significantly. As a result, there have been recent advances in exploiting spatially explicit data to develop spatially explicit management policies, such as networks of marine protected areas (MPAs). However, when data are sparse, spatially explicit policies ...

The conservation of biodiversity poses an exceptionally difficult problem in that it needs to be effective in a context of double uncertainty: scientific (i.e., how to conserve biodiversity) and normative (i.e., which biodiversity to conserve and why). Although adaptive management offers a promising approach to overcome scientific uncertainty, normative uncertainty ...

Abstract We developed GBA Manager, an online software that facilitates the Graph-Based Algorithm (GBA) we proposed in our earlier work. GBA identifies the low-complexity regions (LCR) of protein sequences. GBA exploits a similarity matrix, such as BLOSUM62, to compute the complexity of the subsequences of the input protein sequence. It ...

A lay-led, community-based intervention, the Chronic Disease Self-Management Course (CDSMC) is effective for a range of long-term health conditions (e.g. arthritis, heart disease). However, the perceived value and experience of the CDSMC for people with Multiple Sclerosis (MS) has not been examined. The present qualitative study addressed this omission. Ten ...

The second survey deals with risk stratification in subjects, either adults or children, with ventricular preexcitation and no symptoms in their history. Current European electrophysiological practice is still variable among different centres. Although invasive stratification is still part of the practical management of asymptomatic subjects, a not negligible proportion of ...

There are differing opinions as to the value of and acceptable valuation methods for valuing, a medical practice when it is acquired by a hospital or health system. This article discusses regulatory concerns, the interrelationship between physician compensation and practice value, why marginally profitable or unprofitable practices may still have ...

Agriculture is the major land use at a global scale. In addition to food production, multifunctionality of landscapes, including values and ecosystem services like biodiversity, recreation and culture, is now focus for management. This study explores how a scenario approach, involving different stakeholders, may help to improve landscape management for ...

Understanding how much it costs to provide a service is a basic premise of any business. In addition, healthcare is in need of improved processes to provide and increase value to the patient. This can be accomplished by the application of principles called Six Sigma and Lean Management. Today's medical ...

Sediment mantling the floor of Sydney estuary contains a wide range of chemicals at highly elevated concentrations over extensive areas. Appropriate sediment management decisions are urgently required to prevent further degradation of sediment quality and to minimize resulting adverse ecological effects. The objective of the present work was to provide ...

The acceptance and use of either surrogate end points (SEPs) or efficient clinical end points are associated with greater and more rapid availability of new medicines as compared with disease situations for which clinical end points are inefficient or no surrogates exist. This review of the history of the development, ...

AIM OF THE STUDY: In this study, we aim to document the use of animal species in traditional medicine and healing practices in the semi-arid region of Northeastern Brazil. While widespread and of great importance to large population that has limited access to contemporary medicine, such practices are poorly understood ...

The European Transparency Directive requires that pricing and reimbursement decisions must be taken in a transparent, objective and verifiable way with respect of strict timelines. The Belgian competent authority integrated on January 1st, 2002 Evidence-Based Medicine (EBM) principles in the reimbursement evaluation. The present work describes the procedures and investigates ...

Antioxidant capacity of food has come to be shown in terms of oxygen radical absorbance capacity (ORAC) mainly on vegetables or fruit. However, the evaluation of Kampo in terms of ORAC has not yet been accomplished. It is important that such an investigation is also conducted for Kampo medicine. We ...

In order to prove a key result for their development (Lemma 2), Taubman and Thie need the assumption that the upper boundary of the convex hull of the channel coding probability-redundancy characteristic is sufficiently dense. Since a floor value for the density level for which the claim to hold is ...

In this study, the authors developed a dual-concern (i.e., maintenance and performance) model of human resources (HR) management. The authors identified commonly examined HR practices that apply to the middle manager level and classified them into the maintenance- and performance-oriented HR subsystems. The authors found support for the 2-factor model ...

Fire-dependent pine forests in the Caribbean Basin cover extensive areas in the coastal plain of the Caribbean Sea and Gulf of Mexico and on several islands in the Bahamas Archipelago, Cuba, Hispaniola, and the Honduran Bay islands. These forests are high in conservation value but, unfortunately, remain mostly unprotected. Moreover, ...

In the face of the recent institutional breakdown of trust in business, managers are losing legitimacy. To regain public trust, management needs to become a true profession in much the way medicine and law have, argue Khurana and Nohria of Harvard Business School. True professions have codes, and the meaning ...

'Multiple imputation for correcting verification bias' by Harel O, Zhou XH (Statistics in Medicine 2006; 25:3769-3786) and 'Rejoinder to Multiple imputation for correcting verification bias' (Statistics in Medicine 2007; 26:3047-3050). A calculation error in the breast cancer example using diaphanography data presented in our paper was recently brought to our ...

We've all heard the expression "laughter is the best medicine." Over the years, scientific evidence has corroborated the therapeutic value of laughter, which has been shown to lower BP and heart rate, improve lung capacity, improve memory and alertness, reduce pain, aid digestion, and lower levels of stress hormones.But during ...

ED managers and consultants who have used documentation templates to augment their coding and billing activities say such systems enable EDs to collect all the revenue they are entitled to. Such tools, they say, offer several advantages: The more robust products understand what third-parties require to obtain optimal reimbursement. The ...

We report experimental evidence of antisymmetric solitons in a mode-locked fiber laser with a strong dispersion map. A dispersion-managed soliton breathes as it traverses the dispersion map, and the antisymmetric dispersion-managed soliton can be considered a tightly bound soliton pair with pi phase difference between the component solitons. The antisymmetric ...

BACKGROUND: The determination of thyroid volume (TV) is required for the management of thyroid diseases. Since two-dimensional ultrasonography (2D-US) has become the accepted method for the assessment of TV (2D-US-TV), we verified whether it accurately assesses postsurgical measured TV (PS-TV). METHODS: In 92 patients who underwent total thyroidectomy by conventional ...

The lack of a particular use associated with abandoned farmland provides real opportunities with respect to the various land-use pressures occurring in productive territories. These environments remain generally poorly known and, because of this, require in-depth studies on the feasibility of management options, on biological as well as social grounds. ...

Measurement of antibodies to Ostertagia ostertagi in bulk tank milk (BTM) has value as a diagnostic indicator for potential production losses and anthelmintic treatment responses in dairy herds. Most of the recent data on O. ostertagi antibodies in milk have been generated in Belgium and Canada; the purpose of this ...

Although there are a few national schemes for accreditation/certification of toxicologic pathologists (e.g., in Japan and the United Kingdom), a global recognition system for bench toxicologic pathologists is missing, as are universal standards defining their core competencies. This paper summarizes basic means regarding how proficiency in toxicologic pathology is acquired, ...