Constitutional Law - Search and Seizure - Brief Investigational Stops - Drug Courier Profiles

The United States Supreme Court has held that drug courier profiles may be utilized by law enforcement agents to demonstrate that a reasonable suspicion of criminal activity exists in order to justify their brief investigative stop of an individual for questioning within Constitutional parameters. United States v. Sokolow, _ U.S. -, 109 S. Ct. 1581 (1989)

A user's guide to CEPXS/ONELD Version 1. 1

This is the user's guide to CEPXS/ONELD Version 1.1, a code package for coupled electron-photon transport in one-dimensional slab geometry. The code package consists of the multigroup cross-section generating code, CEPXS; the preprocessor code, PRE1D; the discrete ordinates code, ONELD; and the postprocessor code, POST1D. In Version 1.1, new features have been implemented through several new keywords. Since Version 1.0 keywords are still applicable, this document should be considered as an addendum to the Version 1.0 User's Guide. 5 refs

Systematic Revision of Elaphoglossum (Dryopteridaceae) in French Polynesia, with the Description of Three New Species

Species descriptions and a key for the nine species of Elaphoglossum (Dryopteridaceae) in French Polynesia are provided. Three new species are described: E. austromarquesense from the southern Marquesas Islands, E. florencei from Raiatea and Moorea, and E. meyeri from Rapa. Each species is illustrated by a line drawing of the habit, and spore images using a scanning electron microscope. Images of scales, one of the most important diagnostic characters in the genus, are also included. © 2008 The Linnean Society of London

Phase-space finite element methods applied to the first-order form of the transport equation

The application of the finite element method to the first-order form of the neutron transport equation is reviewed. The general theoretical foundation of the finite element application is summarized, including a derivation of the weak form, a discussion of the treatment of all boundary conditions as natural boundary conditions and a few remarks concerning convergence. Results of the 1-D application are presented including a description of the discontinuous phase-space finite elements. The 2-D application is discussed and its application to the classic ray effect problem is examined. It is concluded that the finite element method does alleviate the ray effect but at the considerable expense of computational time and memory requirements. To address this concern, a new `segmentation' scheme for the 2-D application is described. This scheme yields satisfactory results for the ray effect problem while reducing the computational cost by nearly an order of magnitude. Finally a few remarks are presented concerning the time-dependent application and the paper concludes with some general comments concerning the overall application of the finite element method to the first-order equation and comparison with alternative methods.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/24572/1/0000854.pd

DRG coding practice: a nationwide hospital survey in Thailand

<p>Abstract</p> <p>Background</p> <p>Diagnosis Related Group (DRG) payment is preferred by healthcare reform in various countries but its implementation in resource-limited countries has not been fully explored.</p> <p>Objectives</p> <p>This study was aimed (1) to compare the characteristics of hospitals in Thailand that were audited with those that were not and (2) to develop a simplified scale to measure hospital coding practice.</p> <p>Methods</p> <p>A questionnaire survey was conducted of 920 hospitals in the Summary and Coding Audit Database (SCAD hospitals, all of which were audited in 2008 because of suspicious reports of possible DRG miscoding); the questionnaire also included 390 non-SCAD hospitals. The questionnaire asked about general demographics of the hospitals, hospital coding structure and process, and also included a set of 63 opinion-oriented items on the current hospital coding practice. Descriptive statistics and exploratory factor analysis (EFA) were used for data analysis.</p> <p>Results</p> <p>SCAD and Non-SCAD hospitals were different in many aspects, especially the number of medical statisticians, experience of medical statisticians and physicians, as well as number of certified coders. Factor analysis revealed a simplified 3-factor, 20-item model to assess hospital coding practice and classify hospital intention.</p> <p>Conclusion</p> <p>Hospital providers should not be assumed capable of producing high quality DRG codes, especially in resource-limited settings.</p

Oncolytic Viruses: Do They Have a Role in Anti-Cancer Therapy?

Oncolytic viruses are replication competent, tumor selective and lyse cancer cells. Their potential for anti-cancer therapy is based upon the concept that selective intratumoral replication will produce a potent anti-tumor effect and possibly bystander or remote cell killing, whilst minimizing normal tissue toxicity. Viruses may be naturally oncolytic or be engineered for oncolytic activity, and possess a host of different mechanisms to provide tumor selectivity. Clinical use of live replicating viruses is associated with a unique set of safety issues. Clinical experience has so far provided evidence of limited efficacy and a favourable toxicity profile. The interaction with the host immune system is complex. An anti-viral immune response may limit efficacy by rapidly clearing the virus. However, virally-induced cell lysis releases tumor associated antigens in a ‘dangerous’ context, and limited evidence suggests that this can lead to the generation of a specific anti-tumor immune response. Combination therapy with chemotherapy or radiotherapy represents a promising avenue for ongoing translation of oncolytic viruses into clinical practice. Obstacles to therapy include highly effective non-specific host mechanisms to clear virus following systemic delivery, immune-mediated clearance, and intratumoral barriers limiting virus spread. A number of novel strategies are now under investigation to overcome these barriers. This review provides an overview of the potential role of oncolytic viruses, highlighting recent progress towards developing effective therapy and asks if they are a realistic therapeutic option at this stage

Do coder characteristics influence validity of ICD-10 hospital discharge data?

<p>Abstract</p> <p>Background</p> <p>Administrative data are widely used to study health systems and make important health policy decisions. Yet little is known about the influence of coder characteristics on administrative data validity in these studies. Our goal was to describe the relationship between several measures of validity in coded hospital discharge data and 1) coders' volume of coding (≥13,000 vs. <13,000 records), 2) coders' employment status (full- vs. part-time), and 3) hospital type.</p> <p>Methods</p> <p>This descriptive study examined 6 indicators of face validity in ICD-10 coded discharge records from 4 hospitals in Calgary, Canada between April 2002 and March 2007. Specifically, mean number of coded diagnoses, procedures, complications, Z-codes, and codes ending in 8 or 9 were compared by coding volume and employment status, as well as hospital type. The mean number of diagnoses was also compared across coder characteristics for 6 major conditions of varying complexity. Next, kappa statistics were computed to assess agreement between discharge data and linked chart data reabstracted by nursing chart reviewers. Kappas were compared across coder characteristics.</p> <p>Results</p> <p>422,618 discharge records were coded by 59 coders during the study period. The mean number of diagnoses per record decreased from 5.2 in 2002/2003 to 3.9 in 2006/2007, while the number of records coded annually increased from 69,613 to 102,842. Coders at the tertiary hospital coded the most diagnoses (5.0 compared with 3.9 and 3.8 at other sites). There was no variation by coder or site characteristics for any other face validity indicator. The mean number of diagnoses increased from 1.5 to 7.9 with increasing complexity of the major diagnosis, but did not vary with coder characteristics. Agreement (kappa) between coded data and chart review did not show any consistent pattern with respect to coder characteristics.</p> <p>Conclusions</p> <p>This large study suggests that coder characteristics do not influence the validity of hospital discharge data. Other jurisdictions might benefit from implementing similar employment programs to ours, e.g.: a requirement for a 2-year college training program, a single management structure across sites, and rotation of coders between sites. Limitations include few coder characteristics available for study due to privacy concerns.</p

Synthesis and biochemical studies of 17-substituted androst-3-enes and 3,4-epoxyandrostanes as aromatase inhibitors

http://www.sciencedirect.com/science/article/B6TC9-4T0WJXG-2/2/58305e64e3c068f352293a693f168db

Anticancer Gene Transfer for Cancer Gene Therapy

Gene therapy vectors are among the treatments currently used to treat malignant tumors. Gene therapy vectors use a specific therapeutic transgene that causes death in cancer cells. In early attempts at gene therapy, therapeutic transgenes were driven by non-specific vectors which induced toxicity to normal cells in addition to the cancer cells. Recently, novel cancer specific viral vectors have been developed that target cancer cells leaving normal cells unharmed. Here we review such cancer specific gene therapy systems currently used in the treatment of cancer and discuss the major challenges and future directions in this field