patients, doctor-patient, physician, trust, care, health, communication, practice, profession.
The goals of medicine as a profession dedicated to healing and caring of the sick in a dignified manner depend very much on a stable and trusting doctor-patient relationship.
In the last decade, rapid changes in the healthcare delivery system and socio-political climate have resulted in considerable strain on this relationship.
These are: one, a greater need for effective communication between physicians and patients; and two, a rapidly rising demand from patients for autonomy and self-determinism in medical decision making.
Such a model of decision making enables patients to take greater responsibility for their own health(8) and has been shown to result in positive health outcomes(9,10).
Haley http://www.iom.edu/iom/iomhome.nsf/WFiles/Haley/$file/Haley.pdf
mercury, brain, Control, disease, vaccine, Inhibition, amalgams, exposure, EDTA.
Exposure of neuroblastoma cells to 10-9 molar mercury increases Tau phosphorylation and secretion of betaamyloid.
Amyloid plaque formation is the "diagnostic hallmark" of Alzheimer's disease.
Exposure of cultured neurons to 10-7 to 10-10 molar mercury rapidly causes the stripping of tubulin from the neurofibrils forming the neurite processes leading to the formation of neurofibillary tangles, a "diagnostic hallmark" of Alzheimer's disease.
Some with extensive amalgams had levels 8 times or higher than controls.
Thimerosal inhibits both tubulin and actin viability, plus the activity of several other enzymes, at concentrations similar to observed with mercury.
Vaccines containing thimerosal are solutions of extreme toxicity.
report2002_p5-6 http://world.casio.com/env/pdf/report2002_p5-6.pdf
Electronics, procurement, Environment, CO2, emissions, energy, wastes, design, Casio.
Solar energy Shift to transport by rail container (p. 16)
The Casio Group's business operations cover a broad range comprising development, design, procurement, production, sales, service, and recycling.
In development and design, we put new efforts into expanding solar-powered radio-controlled watches and credit-card-sized LCD digital camera as "Green Products" characterized by lightweight, compactness, and power saving.
their emissions of wastes and carbon dioxide (CO2), and also in community conservation activities.
Casio's operations are divided into an Electronic Component Division that manufactures liquid crystal displays and other electronic components, and an Electronics Equipment Division that manufactures various kinds of electronic equipment.
97mrc30
coupling, dihedral angles, H-1/C-5, Reson, Magn, mechanisms, coupling constants, bond, H-4/C-6.
As a general trend, an empirical range of 4.5 the dihedral angle between the CH bond and the plane of the double bond.
Furthermore, through-bond and throughspace substituent e ects also inÑuence the magnitude of the coupling constants in a similar way to that known for saturated systems.
Of the coupling constants, the vicinal ones are the most often (3JCH) used because of their Karplus relationship with the dihedral angle.1 In this case, the overlapping e ect of the p-bond orbitals are the dominant factor to be considered and, therefore, maximum values of are 3JCH expected for dihedral angles about 0¡ and 180¡.
wilson et al tree physiol 2000 20 565 http://www.atdd.noaa.gov/pdf/wilson et al tree physiol 2000 20 565.pdf
species, leaf, Vcmax, oak, drought, trees, photosynthesis, Rubisco, leaf age.
There was extensive variability in photosynthetic capacity as a result of vertical can opy position, species type, leaf age and drought.
Photosynthetic capacity is closely linked to nitrogen through the nitrogen-rich carbon-fixing enzyme ribulose-1,5-bisphos phate carboxylase/oxygenase (Rubisco).
This finding allowed us to estimate Vcmax by a second method (one-point method), using only the measurements of assimilation rate and concentration (360 mol Ci at the ambient external CO 2 mol--1) and a value of Rd.
Because respiration was greater during the short period of leaf expansion in early spring than for the other peri ods, A/Ci curves were always performed to estimate Rd during this period.
trade
IPRs, protection, CBD, TRIPs, biodiversity, benefit-sharing, communities, plant, agreement.
In decision IV/15 (on the relationship of the Convention with the Commission on Sustainable Development and biodiversity-related conventions, other international agreements, institutions and processes of relevance), COP4 stressed the need to ensure consistent implementation of the CBD and the World Trade Organisation (WTO) agreements, including the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPs) "to promote increased mutual supportiveness and integration of biological diversity concerns and the protection of intellectual property rights [IPRs]"
Protection and enforcement of IPRs should, according to TRIPs Article 7 (Objectives), promote technological innovation and the transfer and dissemination of technology, "to the mutual advantage of producers and users of technological knowledge and in a manner conducive to social and economic welfare, and to a balance of rights and obligations."
185
veterinarian, client, Veterinarian-client-patient relationship, therapy, diagnosis, treatment, patient, practicing veterinarian, Acts.
In order for a veterinarian to practice veterinary medicine, a relationship among the veterinarian, the client, and the patient shall be established and maintained.
"Veterinarian-client-patient relationship" means that: (a) The veterinarian has assumed the responsibility for making judgments regarding the health of the animal and the need for veterinary treatment, and the client, whether owner or other caretaker, has agreed to follow the instructions of the veterinarian; (b) There is sufficient knowledge of the animal by the veterinarian to initiate at least a general or preliminary diagnosis of the medical condition of the animal.
This means that the veterinarian has recently seen and is personally acquainted with the keeping and care of the animal by virtue of an examination of the animal and by medically appropriate and timely visits to the premises where the animal is kept; and (c) The practicing veterinarian is readily available or shall provide medical service for follow-up in case of adverse reactions or failure of the regimen of therapy.
Paper24Final http://www.sba.uconn.edu/OPIM/CIST/papers/Paper24Final.pdf
hierarchy, market, network, economy, business, interorganization, knowledge transaction, commodity, competitors.
Given the tremendous changes introduced by information technology (IT) into fundamental business procedures, a school of researchers focuses on the direct impacts of information systems on organizational forms.
Understanding what kind of interorganization arrangements is more suitable under specific circumstances (i.e. different patterns of knowledge exchange) helps us restructure the interorganizational relationships to better utilize knowledge.
Extending the arguments from within organization (where inter-organizations face a public good of knowledge transaction then mechanistic (e.g. hierarchy-like) structure is effective) to across organizations, the organic (e.g. market-like) structure is required given that interorganizations face commodity-like knowledge transactions.
When high innovation is associated with knowledge, the organization increases the range and complexity of the output and thereby knowledge transaction is more likely to become commodity adopting price mechanism to facilitate its increasing structural complexity and decentralization.
PRL-Rauch http://necsi.org/postdocs/rauch/downloads/PRL-Rauch.pdf
reproduction, time scales, pathogens, strains, selection, environments, mutation, selection acts, host.
The measure most often used to quantify fitness of a type is the net reproduction ratio R, the expected number of surviving offspring per organism over its lifetime (in an environment with other individuals and species present), or its differential analog, the "Malthusian parameter" r.
The difference between these two plots shows that selection against high- t mutants acts only on longer time scales; evolutionary dynamics are different at different time scales.
The time scale Ts t at which selection acts against strains of pathogens with transmissibility t.
S. Wright, Evolution and the Genetics of Populations: The Theory of Gene Frequencies (University of Chicago Press, Chicago, 1969); J. Maynard Smith, Evolutionary Genetics (Oxford University Press, London, 1989).
GoodnightKinship
allele, likelihood, kinship, paternity, parentage, relatedness, ecology, ratio, genetics.
Molecular techniques are making ever more genetic markers available for use in parentage assignment, and measures of relatedness.
We present a program, Kinship, designed to use likelihood techniques to test for any non-inbred pedigree relationship between pairs of individuals, using single-locus codominant genetic markers.
Using genetic markers for such assignments can yield information that would be difficult or impossible to obtain from behavioural observations, e.g. in cases where postmating mechanisms affect paternity (Fitzsimmons 1998) or where mating itself is difficult or impossible to observe (Coltman et al. 1998).
Parentage can be simply excluded or accepted based on the genotypes of the test individuals, because parents must share at least one allele with their offspring (barring mutation).
CRA17
actinide, chemistry, materials, fission product, electrons, heavy element, separations, molecular, understanding.
This activity addresses the scientific principles that form the basis for the understanding of actinide and fission product chemistry.
There is a close and synergistic relationship between the heavy element chemistry activity and the separations activity that deal with radioactive isotopes.
This activity represents the only source of funding for basic research in the underlying chemical and physical principles of the actinide and fission product materials in the United States.
Magnetic measurements have shown that the light actinide metals have delocalized 5f orbitals (i.e., the 5f electrons form bands), but the f electrons become localized at americium, element 95 in the periodic table.
CRA16
separations, molecular, support, understanding, analytical-scale, mass spectrometry, science, chemistry, interfaces.
This activity addresses the scientific principles that underlie energy-relevant chemical separations and analytical methods, capitalizing on the synergistic relationship between these two areas of chemistry.
The portfolio for separations science emphasizes, but is not limited to, the separation of radionuclides and other metal ions, and seeks molecular-level understanding to support advances in both large-scale and analytical-scale separations.
The analytical research portfolio emphasizes mass spectrometry and seeks to elucidate the chemical and physical principles that underlie ionization and excitation processes and modern approaches to mass discrimination.
A second major sector of the portfolio seeks to understand and use the interaction of electromagnetic radiation with matter in phenomena such as molecular fluorescence, laser ablation, surface-enhanced Raman scattering, and magnetic resonance.
