196,039 research outputs found

    Pediatric spinal cord injury

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    Sustaining a Spinal Cord Injury (SCI) alters every aspect of a person s life significantly and irreversibly. Since SCI of traumatic etiology predominately occurs in young adult males, most research has focused on this group. Other demographic groups, such as children and women, have received much less attention. A SCI striking a child or adolescent, i.e. pediatric SCI (pedSCI), presents unique challenges due to ongoing physical and psycho-social development. As long as knowledge about pedSCI remains incomplete, effective targeting of high risk groups and situations for purposes of prevention is impossible. Additionally, the organization of care and rehabilitation for pedSCI requires a solid understanding of the scope of the problem.Aims: The overall aim of this thesis is to define the incidence, management and consequences of SCI during childhood and adolescence in Sweden (Study I, II) and Europe (Study III) and, furthermore, to explore psychosocial factors of importance for rehabilitation from the patient perspective in persons who have sustained SCI during early and mid adolescence (11-15 years) (Study IV).In Study I, a method of identifying pedSCI using population registers is described. Population registers offer a practical initial source for identification of a study population, although the number of false positives exceeds 70%. Subsequently, further refinement and quality control is necessary in order to verify a true cohort. Such further verification proved to be both time-consuming and tedious.In Study II, data from population registers, County Habilitation Centers and several informal sources were used to estimate the incidence of pedSCI in Sweden during the years 1985-1996 among children aged 0-15 years. Contacts with treating hospitals, reviews of medical records and/or personal interviews were used to verify primary data. In total, 92 cases were thus identified. The incidence was found to be 4.6 cases/million children/year. When excluding prehospital fatalities, the incidence was 2.4. The main cause of injury overall was traffic accidents. Among surviving adolescents, sports-related injuries were as common a cause as traffic accidents. The survivors were treated in 18 different hospitals. We conclude that pedSCI is rare in Sweden. This is likely to be a benefit of the systematic injury prevention programs that have been implemented in Sweden. On the other hand, care of these patients was found to be very fractionated and unsystematized.In Study III, a short semi-structured questionnaire was sent to respondents working with SCI in 19 countries in Europe. PedSCI was reported rare throughout Europe. Only in Portugal and Sweden had the incidence of pedSCI previously been determined. The reported incidence estimates varied considerably, from about 0.9 cases/million children/year to about 23 cases/million children/year. The management differed depending on differences in the division of labor between pediatric and adult health care providers and on the local organization of health care.In Study IV, twenty-four of the 28 persons who had sustained a SCI in early-to-mid-adolescence in Sweden during 1985-1996 participated in the study. Semi-structured interviews were made an average of 10 years post injury. Narratives were analyzed qualitatively according to content analysis. Parents and peers were found to have played an important role in helping the persons cope with their injury. Parents frequently acted as advocates in interactions with health care providers, as supporters and as containers of sorrow, frustration and anger. Peers acted as promoters of activity and identity development. Health care providers were fairly often perceived as not sufficiently facilitating the involvement of this network. Rehabilitation professionals might be encouraged to increase their knowledge of adolescence medicine in order to better meet the specific needs and demands of persons in this age group. It is further suggested that parents and peers be considered important partners in the joint rehabilitation effort.List of scientific papersI. Augutis M, Malker H, Levi R (2003). "Pediatric spinal cord injury in Sweden; how to identify a cohort of rare events." Spinal Cord 41(6): 337-46. https://doi.org/10.1038/sj.sc.3101456 II. Augutis M, Levi R (2003). "Pediatric spinal cord injury in Sweden: incidence, etiology and outcome." Spinal Cord 41(6): 328-36. https://doi.org/10.1038/sj.sc.3101478 III. Augutis M, Abel R, Levi R (2006). "Pediatric spinal cord injury in a subset of European countries." Spinal Cord 44(2): 106-12. https://doi.org/10.1038/sj.sc.3101793 IV. Augutis M, Levi R, Asplund K, Berg-Kelly K (2007). "Psychosocial aspects of traumatic spinal cord injury with onset during adolescence - a qualitative study." The Journal of Spinal Cord Injury Medicine. [Accepted] https://pubmed.ncbi.nlm.nih.gov/17874688 </p

    Dr. Duane M. Jackson, Morehouse College, July 2011

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    This video is a conversation with Dr. Duane M. Jackson. Dr. Jackson talks about his paper, "Recall and the Serial Position Effect: The Role of Primacy and Recency on Accounting Students' Performance." Jackie Daniel, AUC Woodruff Library, is the interviewer

    "Reflections on the subject of Emigration from Europe with a view to Settlement in the United States" By M. Carey.

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    "Reflections on the subject of Emigration from Europe with a view to Settlement in the United States: containing bried sketches of the moral and political character of those states. By M. Carey, member of the American philosophical, and of the American Antiquarian Society, and author of The Olive Branch, Cindiciae Hibernicae, essays on banking, on political economy, and on internal improvement. To which are now added the English editor's comments on the subject; together with Important Advice to Emigrants, and Cautions Against Impositions Practiced in the Outports

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Dr. Glendon Swarthout

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    Hosted by Roger M. Busfield, MSU Assistant Professor of Speech and Theater, Meet the Author is designed to introduce a general audience to a contemporary author and their work through in-depth interviews. This episode features a conversation between Dr. Glendon Swarthout, prolific author and English professor at MSU, and assistant professors Sam S. Baskett and Theodore B. Strandness

    Simulation of thermal plant optimization and hydraulic aspects of thermal distribution loops for large campuses

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    Following an introduction, the author describes Texas A&M University and its utilities system. After that, the author presents how to construct simulation models for chilled water and heating hot water distribution systems. The simulation model was used in a $2.3 million Ross Street chilled water pipe replacement project at Texas A&M University. A second project conducted at the University of Texas at San Antonio was used as an example to demonstrate how to identify and design an optimal distribution system by using a simulation model. The author found that the minor losses of these closed loop thermal distribution systems are significantly higher than potable water distribution systems. In the second part of the report, the author presents the latest development of software called the Plant Optimization Program, which can simulate cogeneration plant operation, estimate its operation cost and provide optimized operation suggestions. The author also developed detailed simulation models for a gas turbine and heat recovery steam generator and identified significant potential savings. Finally, the author also used a steam turbine as an example to present a multi-regression method on constructing simulation models by using basic statistics and optimization algorithms. This report presents a survey of the author??s working experience at the Energy Systems Laboratory (ESL) at Texas A&M University during the period of January 2002 through March 2004. The purpose of the above work was to allow the author to become familiar with the practice of engineering. The result is that the author knows how to complete a project from start to finish and understands how both technical and nontechnical aspects of a project need to be considered in order to ensure a quality deliverable and bring a project to successful completion. This report concludes that the objectives of the internship were successfully accomplished and that the requirements for the degree of Degree of Engineering have been satisfied

    Intern experience at CH���M Hill, Inc.: an internship report

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    Includes author's vita"Submitted to the College of Engineering of Texas A&M University in partial fulfillment of the requirement for the degree of Doctor of Engineering."Includes bibliographical referencesA review of the author's internship experience with CH���M HILL, Inc. during the period September 1975 through May 1976 is presented. During this nine month internship the author worked as an Engineer II in the Industrial Processes discipline of this large consulting engineering firm... The author's prime responsibility was as one of three lead design engineers on the design of a large wastewater treatment facility for a pulp mill in Hoquiam, Washington owned by ITT Rayonier Inc. The work generally consisted of the design of individual treatment units and associated piping and pumping. The purpose of the project was to provide wastewater treatment capabilities that would satisfy the effluent limitations (standards) imposed upon the mill by the State of Washington Department of Ecology and the U.S. Environmental Protection Agency. The author's assignment also entailed necessary interaction with the project manager and other CH���M HILL design engineers and support staff members, the client's representatives, and representatives of two other consulting engineering firms working on the project. Thus, the internship position at CH���M HILL provided considerable experience coordinating the author's work with the work of other engineers, guiding the design and administrative efforts of a support staff, and interacting regularly with the client and other consulting firms. This broad exposure to a variety of engineering and organizational problems provided a valuable educational experience

    Transition to turbulence in a qblique shock-wave/boundary-layer interaction at M=15

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    Direct numerical simulations are carried out for different forcing techniques to trigger transition during the interaction between an oblique shock-wave and a laminar boundary-layer at M = 1.5. Three forcing methods are used: a) forcing of oblique unstable modes, whose shape and behaviour are determined by the local linear stability theory, b) broadband free-stream acoustic disturbances, and c) a cold plasma flow control device. While the oblique-mode breakdown is dominant for low-amplitude forcing, long streaky structures drive the transition process in a high-amplitude disturbance environment. LES are also performed on the experimental setup by the Institute of Theoretical and Applied Mechanics (ITAM) from Novosibirsk State University with cold plasma actuation. As well as the disturbance type, the effect of Reynolds number and forcing amplitude will be investigated

    Letter from Cedrick M. Shimo to the Office of Redress Administration, June 4, 1991

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    A letter from Cedrick M. Shimo to the Office of Redress Administration arguing that John Y. Udaka is entitled to a redress payment.These materials are from box 73 and 74 of the Frank Chin Papers. The Frank Chin Papers contain personal and professional correspondence between Frank Chin and Michi Weglyn relating to particular projects on which either author was working as well as files related to the Day of Remembrance Tribute to Michi Weglyn

    The construction of Karen Karnak: The multi-author-function

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    This thesis is situated within the comparatively recent developments of Web 2.0 and the emergence of interactive WikiMedia, and explores the mode of authorship within a Read/Write culture compared to that of a Read/Only tradition. The hypothesis of this study is that the role of the audience has become merged with the author, and as such, represents new functions and attributes, distinct from a more conventional concept of authorship, in which the roles of audience and author are more separate. Read/Write and participatory culture, as defined by this study, is focused on collaboration, and includes the influences of D.I.Y. culture, Open-Source practices and the production of text by multiple authors. Multi-authorship presents a re-thinking of several concepts which support the notion of the individual author, since the focus of multi-authorship is not on attribution and ownership of a finished text, but on the continued malleability of a text. Modes of multi-authorship, demonstrated in the use of the pseudonyms Alan Smithee and Karen Eliot, represent declarative authors whose names signify multiple origins, whilst concurrently indicating a distinct body of work. The function of these names form an important context to this study, since primary research involves the construction of an experimental mode of multi-authorship utilising WikiMedia technology and the interaction of thirty nine participants, who are invited to create a body of work under the collective pseudonym Karen Karnak. The data generated by this experiment is analysed using aspects of Michel Foucault's author-function to identify and determine power structures inherent in the WikiMedia context. The interplay of power structures, including concepts such as identity, ownership and the body of work, affect the resulting mode of authorship and contribute to the construction of Karen Karnak, suggesting further areas of research into the emerging multi-author
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