361 research outputs found

    Organizing and Disseminating Information About Creativity: Journal of CreativeBehavior 2002 In Summary

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    This Master’s project contains an analysis of articles from the Journal of Creative Behavior, 2002. This was the final chapter in a five-year initiative previously analyzed by Bowman-Jones (1999); Moynihan (2001); Noetzel/Schlau (2003); and Carr (2003) for the Journal of Creative Behavior 1998, 1999, 2000 and 2001 respectively. Established schema supplied by Feist and Runco (1993) was the structure for data analysis. Data were collected across five domains: Structural Characteristics; Authorship Patterns; Research Methods; Populations Studied; and Issues in Title and Focus. Data were then examined within the journal. An analysis was then conducted across four years of the journal while the Journal of Creative Behavior 2000 was excluded since it was unavailable for review. In addition to the reports on the data analysis, this project contains figures and tables illustrating the findings, project history and significance, rationale and guiding questions and methods and procedures. Key learnings and recommendations conclude the project. The appendices include coding criteria, concept paper, CBIR annotations, article worksheets and raw data as well as a copy of the Feist and Runco article. Findings from the qualitative analysis of the Journal of Creative Behavior for the calendar year 2002 are listed below: • The total number of articles (16) per year of the JCB was the same throughout all four years of the JCB studied. Of those 16 articles for the JCB 2002, 14 were empirical while only 2 were non-empirical. • The number of female authors was one more than the number of male authors for the JCB 2002 which was quite an increase in female authors from the previous years of the JCB studied in which there were always more male authors. • University students were the most studied population for the JCB 2002 as well as across all four years studied of the JCB. • Longitudinal studies were missing across all four years of the JCB studied while laboratory studies, field studies, archival studies, and meta-analytic studies were rarely used. • The most popular issues addressed by the JCB 2002 were personality and creative behavior. • Ten categories were never studied during any of the four years of the JCB reviewed, including developmental processes, emotion, freewill/will, humor, intelligence and creativity, intuition-thought processes, intuition-nature and role, neurobiological

    Exploring the Limits of Brady v. Maryland: Criminal Discovery as a Due Process Right in Access to Police Investigations and State Crime Laboratories

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    Why not criminal discovery? This question has been posited by legal scholars and learned jurists alike since the liberalization of discovery methods under the modern codes of civil procedure. As inexact as the term criminal discovery may be and, according to its critics, as inapplicable as discovery may be in the criminal context, there is little doubt that the current trend is the expansion of that which is discoverable by either side prior to a criminal trial. In fact, criminal discovery has developed into something more than a problem of procedure to be resolved by the individual jurisdictions in piecemeal fashion. In the framework of the prosecutor\u27s duty to disclose evidence favorable to the defense, it has achieved constitutional proportions

    Peak expiratory flow rate shows a gender-specific association with vitamin D deficiency

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    Context: To our knowledge, no previous studies examined the longitudinal relationship between vitamin D status and pulmonary function in a population-based sample of older persons. Objective: Our objective was to examine the cross-sectional as well as the longitudinal relationship between vitamin D status and peak expiratory flow rate (PEFR) in a representative sample of the Dutch older population. Design, Setting, and Participants: Participants included men and women in the Longitudinal Aging Study Amsterdam, an ongoing cohort study in older people. Main Outcome Measure: PEFR was measured using the mini-Wright peak flow meter. Results: Men with serum 25-hydroxyvitamin D (25-OHD) levels below 10 ng/ml (25 nmol/liter) had a significantly lower PEFR in the cross-sectional analyses, and men with serum 25-OHD levels below 20 ng/ml (50 nmol/liter) had a significantly lower PEFR in the longitudinal analyses as compared with men with serum 25-OHD levels above 30 ng/ml (75 nmol/liter) (cross-sectional: β = -47.0, P = 0.01 for serum 25-OHD<10 ng/ml; longitudinal: β = -45.0, P<0.01 for serum 25-OHD<10 ng/ml; and β = -20.2, P = 0.03 for serum 25-OHD = 10-20 ng/ml in the fully adjusted models). Physical performance (β = -32.5, P = 0.08 for serum 25-OHD<10 ng/ml) and grip strength (β = -40.0, P = 0.03 for serum 25-OHD <10 ng/ml) partly mediated the cross-sectional associations but not the longitudinal associations. In women, statistically significant associations between 25-OHD and PEFR were observed in the cross-sectional analyses after adjustment for age and season of blood collection but not in the fully adjusted models or in the longitudinal analyses. Conclusions: A strong relationship between serum 25-OHD and PEFR was observed in older men, both in the cross-sectional as well as longitudinal analyses, but not in older women. The association in men could partly be explained by physical performance and muscle strength. Copyright © 2012 by The Endocrine Society

    A METHOD OF COMPLEX CALCULATION OF RATIONAL STRUCTURAL PARAMETERS OF RAILWAY HUMPS

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    The article deals with a method of complex calculation of rational structural parameters of humps at classification yards. Unlike existing methods, this method allows an implementation of the technology of guided gravity regulation of the cut speed by applying a special layout and profile arrangement. The authors believe that it will decrease the maintenance costs to refund damaged car and cargo, costs on electricity needed for the cut speed regulation and some extra charges due to demurrages caused by waiting for breaking-up at arrival yards

    Dual therapy strategies for COPD: the scientific rationale for LAMA + LABA

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    Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity, mortality, and health care expenditure worldwide. Relaxation of airway smooth muscle with inhaled bronchodilators is the cornerstone of treatment for stable COPD, with inhaled corticosteroids reserved for those with a history of exacerbations. Tiotropium has occupied center stage in COPD treatment for over 10 years and improves lung function, quality of life, exercise endurance, and reduces the risk of COPD exacerbation. Long-acting β2-agonists (LABAs) improve lung function, reduce dynamic hyperinflation, increase exercise tolerance, health-related quality of life, and reduce acute exacerbation of COPD. The combination of long-acting muscarinic antagonists (LAMAs) and LABAs is thought to leverage different pathways to induce bronchodilation using submaximal drug doses, increasing the benefits and minimizing receptor-specific side effects. Umeclidinium/vilanterol is the first combination of LAMA/LABA to be approved for use in stable COPD in USA and Europe. Additionally, indacaterol/glycopyrronium and aclidinium/formoterol have been approved in Europe and in numerous locations outside USA. Several other agents are in the late stages of development, most of which offer once-daily dosing. The benefits of new LAMA/LABA combinations include improved pulmonary function, dyspnea, and health-related quality of life, and in some cases, reduced exacerbations. These evolving treatments will provide new opportunities and challenges in the management of COPD

    A retrospective study of two populations to test a simple rule for spirometry

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    Abstract Background Chronic lung disease is common and often under-diagnosed. Methods To test a simple rule for conducting spirometry we reviewed spirograms from two populations, occupational medicine evaluations (OME) conducted by Saint Louis and Wake Forest Universities at 3 sites (n = 3260, mean age 64.14 years, 95 % CI 58.94–69.34, 97 % men) and conducted by Wake Forest University preop clinic (POC) at one site (n = 845, mean age 62.10 years, 95 % CI 50.46–73.74, 57 % men). This retrospective review of database information that the first author collected prospectively identified rates, types, sensitivity, specificity and positive and negative predictive value for lung function abnormalities and associated mortality rate found when conducting spirometry based on the 20/40 rule (≥20 years of smoking in those aged ≥ 40 years) in the OME population. To determine the reproducibility of the 20/40 rule for conducting spirometry, the rule was applied to the POC population. Results A lung function abnormality was found in 74 % of the OME population and 67 % of the POC population. Sensitivity of the rule was 85 % for an obstructive pattern and 77 % for any abnormality on spirometry. Positive and negative predictive values of the rule for a spirometric abnormality were 74 and 55 %, respectively. Patients with an obstructive pattern were at greater risk of coronary heart disease (odds ratio (OR) 1.39 [confidence interval (CI) 1.00–1.93] vs. normal) and death (hazard ratio (HR) 1.53, 95 % CI 1.20–1.84) than subjects with normal spirometry. Restricted spirometry patterns were also associated with greater risk of coronary disease (odds ratio (OR) 1.7 [CI 1.23–2.35]) and death (Hazard ratio 1.40, 95 % CI 1.08–1.72). Conclusions Smokers (≥ 20 pack years) age ≥ 40 years are at an increased risk for lung function abnormalities and those abnormalities are associated with greater presence of coronary heart disease and increased all-cause mortality. Use of the 20/40 rule could provide a simple method to enhance selection of candidates for spirometry evaluation in the primary care setting

    Long-acting inhaled therapy (beta-agonists, anticholinergics and steroids) for COPD: a network meta-analysis.

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    BACKGROUND: Pharmacological therapy for chronic obstructive pulmonary disease (COPD) is aimed at relieving symptoms, improving quality of life and preventing or treating exacerbations.Treatment tends to begin with one inhaler, and additional therapies are introduced as necessary. For persistent or worsening symptoms, long-acting inhaled therapies taken once or twice daily are preferred over short-acting inhalers. Several Cochrane reviews have looked at the risks and benefits of specific long-acting inhaled therapies compared with placebo or other treatments. However for patients and clinicians, it is important to understand the merits of these treatments relative to each other, and whether a particular class of inhaled therapies is more beneficial than the others. OBJECTIVES: To assess the efficacy of treatment options for patients whose chronic obstructive pulmonary disease cannot be controlled by short-acting therapies alone. The review will not look at combination therapies usually considered later in the course of the disease.As part of this network meta-analysis, we will address the following issues.1. How does long-term efficacy compare between different pharmacological treatments for COPD?2. Are there limitations in the current evidence base that may compromise the conclusions drawn by this network meta-analysis? If so, what are the implications for future research? SEARCH METHODS: We identified randomised controlled trials (RCTs) in existing Cochrane reviews by searching the Cochrane Database of Systematic Reviews (CDSR). In addition, we ran a comprehensive citation search on the Cochrane Airways Group Register of trials (CAGR) and checked manufacturer websites and reference lists of other reviews. The most recent searches were conducted in September 2013. SELECTION CRITERIA: We included parallel-group RCTs of at least 6 months' duration recruiting people with COPD. Studies were included if they compared any of the following treatments versus any other: long-acting beta2-agonists (LABAs; formoterol, indacaterol, salmeterol); long-acting muscarinic antagonists (LAMAs; aclidinium, glycopyrronium, tiotropium); inhaled corticosteroids (ICSs; budesonide, fluticasone, mometasone); combination long-acting beta2-agonist (LABA) and inhaled corticosteroid (LABA/ICS) (formoterol/budesonide, formoterol/mometasone, salmeterol/fluticasone); and placebo. DATA COLLECTION AND ANALYSIS: We conducted a network meta-analysis using Markov chain Monte Carlo methods for two efficacy outcomes: St George's Respiratory Questionnaire (SGRQ) total score and trough forced expiratory volume in one second (FEV1). We modelled the relative effectiveness of any two treatments as a function of each treatment relative to the reference treatment (placebo). We assumed that treatment effects were similar within treatment classes (LAMA, LABA, ICS, LABA/ICS). We present estimates of class effects, variability between treatments within each class and individual treatment effects compared with every other.To justify the analyses, we assessed the trials for clinical and methodological transitivity across comparisons. We tested the robustness of our analyses by performing sensitivity analyses for lack of blinding and by considering six- and 12-month data separately. MAIN RESULTS: We identified 71 RCTs randomly assigning 73,062 people with COPD to 184 treatment arms of interest. Trials were similar with regards to methodology, inclusion and exclusion criteria and key baseline characteristics. Participants were more often male, aged in their mid sixties, with FEV1 predicted normal between 40% and 50% and with substantial smoking histories (40+ pack-years). The risk of bias was generally low, although missing information made it hard to judge risk of selection bias and selective outcome reporting. Fixed effects were used for SGRQ analyses, and random effects for Trough FEV1 analyses, based on model fit statistics and deviance information criteria (DIC). SGRQ SGRQ data were available in 42 studies (n = 54,613). At six months, 39 pairwise comparisons were made between 18 treatments in 25 studies (n = 27,024). Combination LABA/ICS was the highest ranked intervention, with a mean improvement over placebo of -3.89 units at six months (95% credible interval (CrI) -4.70 to -2.97) and -3.60 at 12 months (95% CrI -4.63 to -2.34). LAMAs and LABAs were ranked second and third at six months, with mean differences of -2.63 (95% CrI -3.53 to -1.97) and -2.29 (95% CrI -3.18 to -1.53), respectively. Inhaled corticosteroids were ranked fourth (MD -2.00, 95% CrI -3.06 to -0.87). Class differences between LABA, LAMA and ICS were less prominent at 12 months. Indacaterol and aclidinium were ranked somewhat higher than other members of their classes, and formoterol 12 mcg, budesonide 400 mcg and formoterol/mometasone combination were ranked lower within their classes. There was considerable overlap in credible intervals and rankings for both classes and individual treatments. Trough FEV1 Trough FEV1 data were available in 46 studies (n = 47,409). At six months, 41 pairwise comparisons were made between 20 treatments in 31 studies (n = 29,271). As for SGRQ, combination LABA/ICS was the highest ranked class, with a mean improvement over placebo of 133.3 mL at six months (95% CrI 100.6 to 164.0) and slightly less at 12 months (mean difference (MD) 100, 95% CrI 55.5 to 140.1). LAMAs (MD 103.5, 95% CrI 81.8 to 124.9) and LABAs (MD 99.4, 95% CrI 72.0 to 127.8) showed roughly equivalent results at six months, and ICSs were the fourth ranked class (MD 65.4, 95% CrI 33.1 to 96.9). As with SGRQ, initial differences between classes were not so prominent at 12 months. Indacaterol and salmeterol/fluticasone were ranked slightly better than others in their class, and formoterol 12, aclidinium, budesonide and formoterol/budesonide combination were ranked lower within their classes. All credible intervals for individual rankings were wide. AUTHORS' CONCLUSIONS: This network meta-analysis compares four different classes of long-acting inhalers for people with COPD who need more than short-acting bronchodilators. Quality of life and lung function were improved most on combination inhalers (LABA and ICS) and least on ICS alone at 6 and at 12 months. Overall LAMA and LABA inhalers had similar effects, particularly at 12 months. The network has demonstrated the benefit of ICS when added to LABA for these outcomes in participants who largely had an FEV1 that was less than 50% predicted, but the additional expense of combination inhalers and any potential for increased adverse events (which has been established by other reviews) require consideration. Our findings are in keeping with current National Institute for Health and Care Excellence (NICE) guidelines

    КОМПЕТЕНТНІСНИЙ ПІДХІД У СТВОРЕННІ СТАНДАРТУ ВИЩОЇ ОСВІТИ СПЕЦІАЛЬНОСТІ “ФАРМАЦІЯ”

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    Creating of new generation industry standards for higher pharmaceutical education based on the competency approach is a necessary step towards a modern specialist training required in practical pharmacy. Besides the working group according to the order of Ministry of Health of Ukraine from 06.11.2015 № 733, general experts in pharmacy were involved in the standard developing and their opinion is an integral component in the state standard creation that would meet all European requirements. General pharmacy experts were interviewed in order to find out graduates’ general and professional competences and its results were implemented to standard of higher education in specialty “Pharmacy”. Створення галузевих стандартів вищої фармацевтичної освіти нового покоління на основі компетентнісного підходу є необхідним етапом на шляху підготовки сучасного фахівця, якого потребує практична фармація.До роботи над стандартом, крім робочої групи, визначеної наказом МОЗ України від 06.11.2015 р. № 733, були залучені фахівці практичної фармації, чия думка є невід’ємним компонентом при створенні державного стандарту, що відповідав би усім європейським вимогам. Проведено соціологічне опитування фахівців практичної фармації щодо загальних та професійних компетентностей випускника, результати якого впроваджено до стандарту вищої освіти спеціальності “Фармація”

    Clarity of Microstamped Identifiers as a Function of Primer Hardness and Type of Firearm Action

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    The transfer of microstamped identifiers to the primers of fired cartridges was examined using a stereomicroscope and scanning electron microscope (SEM). The identifiers were placed on the firing pins of three different 9mm handguns, namely, a Sig Sauer, a Taurus, and a Hi-Point. Ten different brands of ammunition were fired from each handgun, 100 rounds being fired using each brand for a total of 1000 rounds fired per handgun. The quality of the markings was evaluated using a simple observation rubric. These results were compared to Vickers hardness values obtained from the ammunition primers and are discussed in light of the types of actions of firearms used
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