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1. Responses of globally important phytoplankton groups to olivine dissolution products and implications for carbon dioxide removal via ocean alkalinity enhancement

Author: Hutchins, David, Fu, Fei-Xue, Yang, Shun-Chung, John, Seth, Romaniello, Stephen, Andrews, Grace, and Walworth, Nathan
Abstract: Anthropogenic greenhouse gas emissions are leading to global temperature increases, ocean acidification, and significant ecosystem impacts. Given current emissions trajectories, the IPCC calls for both the rapid abatement of CO2emissions and development of carbon dioxide removal (CDR) strategies that can address legacy emissions and difficult to abate emissions sources. These CDR methods must efficiently and safely sequester gigatons of atmospheric CO2. Coastal Enhanced Weathering (CEW) via the addition of the common mineral olivine to coastal waters is one promising approach to enhance ocean alkalinity for large-scale CDR. As olivine weathers, it releases several biologically active dissolution products, including alkalinity, trace metals, and the nutrient silicate. Released trace metals can serve as micronutrients but may also be toxic at high concentrations to marine biota including phytoplankton that lie at the base of marine food webs. We grew several globally important phytoplankton functional groups under elevated concentrations of olivine dissolution products using a synthetic olivine leachate (OL) based on olivine elemental composition, and monitored their physiological and biogeochemical responses. This allowed us to determine physiological impacts and thresholds at elevated olivine leachate concentrations, in addition to individual effects of specific constituents. We found both positive and neutral responses but no evident toxic effects for two silicifying diatoms, a calcifying coccolithophore, and three cyanobacteria. In both single and competitive co-cultures, silicifiers and calcifiers benefited from olivine dissolution products like iron and silicate or enhanced alkalinity, respectively. The non-N2-fixing picocyanobacterium could use synthetic olivine-derived iron for growth, while N2-fixing cyanobacteria could not. However, other trace metals like nickel and cobalt supported cyanobacterial growth across both groups. Growth benefits to particular phytoplankton groupsin situwill depend on species-specific responses and ambient concentrations of other required nutrients. Results suggest olivine dissolution products appear unlikely to cause negative effects for marine phytoplankton, even at high concentrations, and may support growth of particular taxa under some conditions. Future studies can shed light on long-term evolutionary responses to olivine exposure, and on the potential effects that marine microbes may in turn have on olivine dissolution rates and regional biogeochemistry.
Published: 2023

2. Co-occurrence of Fe and P stress in natural populations of the marine diazotroph Trichodesmium

Author: Held, Noelle A., Webb, Eric A., McIlvin, Matthew M., Hutchins, David A., Cohen, Natalie R., Moran, Dawn M., Kunde, Korinna, Lohan, Maeve C., Mahaffey, Claire, Woodward, E. Malcolm S., and Saito, Mak A.
Abstract: Trichodesmium is a globally important marine microbe that provides fixed nitrogen (N) to otherwise N-limited ecosystems. In nature, nitrogen fixation is likely regulated by iron or phosphate availability, but the extent and interaction of these controls are unclear. From metaproteomics analyses using established protein biomarkers for nutrient stress, we found that iron–phosphate co-stress is the norm rather than the exception for Trichodesmium colonies in the North Atlantic Ocean. Counterintuitively, the nitrogenase enzyme was more abundant under co-stress as opposed to single nutrient stress. This is consistent with the idea that Trichodesmium has a specific physiological state during nutrient co-stress. Organic nitrogen uptake was observed and occurred simultaneously with nitrogen fixation. The quantification of the phosphate ABC transporter PstA combined with a cellular model of nutrient uptake suggested that Trichodesmium is generally confronted by the biophysical limits of membrane space and diffusion rates for iron and phosphate acquisition in the field. Colony formation may benefit nutrient acquisition from particulate and organic sources, alleviating these pressures. The results highlight that to predict the behavior of Trichodesmium, both Fe and P stress must be evaluated simultaneously.
Published: 2020

3. Light availability modulates the effects of warming in a marine N2 fixer

Author: Yi, Xiangqi, Fu, Fei-Xue, Hutchins, David A., and Gao, Kunshan
Abstract: Trichodesmium species, as a group of photosynthetic N2 fixers (diazotrophs), play an important role in the marine biogeochemical cycles of nitrogen and carbon, especially in oligotrophic waters. How ongoing ocean warming may interact with light availability to affect Trichodesmium is not yet clear. We grew Trichodesmium erythraeum IMS 101 at three temperature levels of 23, 27, and 31∘C under growth-limiting and growth-saturating light levels of 50 and 160 µmol quanta m−2 s−1, respectively, for at least 10 generations and then measured physiological performance, including the specific growth rate, N2 fixation rate, and photosynthesis. Light availability significantly modulated the growth response of Trichodesmium to temperature, with the specific growth rate peaking at ∼27∘C under the light-saturating conditions, while growth of light-limited cultures was non-responsive across the tested temperatures (23, 27, and 31∘C). Short-term thermal responses for N2 fixation indicated that both high growth temperature and light intensity increased the optimum temperature (Topt) for N2 fixation and decreased its susceptibility to supra-optimal temperatures (deactivation energy – Eh). Simultaneously, all light-limited cultures with low Topt and high Eh were unable to sustain N2 fixation during short-term exposure to high temperatures (33–34∘C) that are not lethal for the cells grown under light-saturating conditions. Our results imply that Trichodesmium spp. growing under low light levels while distributed deep in the euphotic zone or under cloudy weather conditions might be less sensitive to long-term temperature changes that occur on the timescale of multiple generations but are more susceptible to abrupt (less than one generation time span) temperature changes, such as those induced by cyclones and heat waves.
Published: 2020

4. Trapped air metamaterials for ultrasonic sub-wavelength imaging in water

Author: Laureti, Stefano, Hutchins, David A., Astolfi, Lorenzo, Watson, Richard L., Thomas, Peter J., Burrascano, Pietro, Nie, Luzhen, Freear, Steven, Askari, Meisam, Clare, Adam T., and Ricci, Marco
Subjects: Physics - Instrumentation and Detectors, Physics::Optics, FOS: Physical sciences, Physics - Applied Physics, Applied Physics (physics.app-ph), Instrumentation and Detectors (physics.ins-det)
Abstract: Acoustic metamaterials constructed from conventional base materials can exhibit exotic phenomena such as negative refractive index, extraordinary transmission-absorption and sub-wavelength imaging. These are typically achieved by combining geometrical and resonance effects. Holey-structured acoustic metamaterials have already shown potential for sub-wavelength acoustic imaging in air, where it is relatively simple to achieve the required difference in acoustic impedance needed to create resonances within the holes. However, the use of polymers for metamaterial operation in water is difficult, due to the much lower difference in acoustic impedance between water and the many polymers used, for example, in additive manufacturing. Hence, metals are commonly used. Here we show that this can be overcome by trapping air layers so that they surround each water-filled channel, making sub-wavelength imaging in water possible. The operation of such a Trapped air design is confirmed at 200-300 kHz ultrasonic frequencies via both finite element modelling and experimental measurements in a water tank. It is also shown quantitatively that the trapped air design outperforms its metal counterpart. The results indicate a way forward for exploiting additive-manufacturing for realising acoustic metamaterials in water at ultrasonic frequencies., Comment: 29 pages, 14 figures
Published: 2020
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5. Cranial and Spinal Subdural Hygroma Following Lumbar Epidural for Labour Analgesia

Author: Nicholas Haden, Elizabeth Thompson, and Hutchins David
Subjects: Labour analgesia, Lumbar, business.industry, Subdural hygroma, Anesthesia, Medicine, General Medicine, business, medicine.disease
Published: 2019
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6. Individual and interactive effects of warming and CO2 on Pseudo-nitzschia subcurvata and Phaeocystis antarctica, two dominant phytoplankton from the Ross Sea, Antarctica

Author: Zhu, Zhi, Qu, Pingping, Gale, Jasmine, Fu, Feixue, and Hutchins, David A.
Subjects: lcsh:Geology, lcsh:QH501-531, lcsh:QH540-549.5, lcsh:QE1-996.5, lcsh:Life, lcsh:Ecology
Abstract: We investigated the effects of temperature and CO2 variation on the growth and elemental composition of cultures of the diatom Pseudo-nitzschia subcurvata and the prymnesiophyte Phaeocystis antarctica, two ecologically dominant phytoplankton species isolated from the Ross Sea, Antarctica. To obtain thermal functional response curves, cultures were grown across a range of temperatures from 0 to 14 °C. In addition, a co-culturing experiment examined the relative abundance of both species at 0 and 6 °C. CO2 functional response curves were conducted from 100 to 1730 ppm at 2 and 8 °C to test for interactive effects between the two variables. The growth of both phytoplankton was significantly affected by temperature increase, but with different trends. Growth rates of P. subcurvata increased with temperature from 0 °C to maximum levels at 8 °C, while the growth rates of P. antarctica only increased from 0 to 2 °C. The maximum thermal limits of P. subcurvata and P. antarctica where growth stopped completely were 14 and 10 °C, respectively. Although P. subcurvata outgrew P. antarctica at both temperatures in the co-incubation experiment, this happened much faster at 6 than at 0 °C. For P. subcurvata, there was a significant interactive effect in which the warmer temperature decreased the CO2 half-saturation constant for growth, but this was not the case for P. antarctica. The growth rates of both species increased with CO2 increases up to 425 ppm, and in contrast to significant effects of temperature, the effects of CO2 increase on their elemental composition were minimal. Our results suggest that future warming may be more favorable to the diatom than to the prymnesiophyte, while CO2 increases may not be a major factor in future competitive interactions between Pseudo-nitzschia subcurvata and Phaeocystis antarctica in the Ross Sea.
Published: 2017

7. The NDE of pultruded GRP composites using air-coupled ultrasound and EMAT-based guided wave inspection

Author: Vyas, Jaishree, Jasiuniene, Elena, Kažys, Rymantas Jonas, Amato, Silvio, Dixon, Steven, and Hutchins, David A.
Subjects: Pulse compression, Non-destructive testing, food and beverages, Air-coupled ultrasound, capacitive transducers
Abstract: Air-coupled ultrasonic measurement techniques can be used for contactless measurements. Here, we demonstrate that they can be used to detect defects caused by impact damage in a pultruded glass fiber composite, which has a highly scattering structure. The images of damage have been analyzed, and the relationship to impact energy determined. The technique is also compared to signals generated via an EMAT device and a nondamaging metal patch attached to the surface of the sample.
Published: 2019
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8. How will the key marine calcifier Emiliania huxleyi respond to a warmer and more thermally variable ocean?

Author: Wang, Xinwei, Fu, Feixue, Qu, Pingping, Kling, Joshua D., Jiang, Haibo, Gao, Yahui, and Hutchins, David A.
Subjects: fungi
Abstract: Global warming will be combined with predicted increases in thermal variability in the future surface ocean, but how temperature dynamics will affect phytoplankton biology and biogeochemistry is largely unknown. Here, we examine the responses of the globally important marine coccolithophore Emiliania huxleyi to thermal variations at two frequencies (1 d and 2 d) at low (18.5 ∘C) and high (25.5 ∘C) mean temperatures. Elevated temperature and thermal variation decreased growth, calcification and physiological rates, both individually and interactively. The 1 d thermal variation frequencies were less inhibitory than 2 d variations under high temperatures, indicating that high-frequency thermal fluctuations may reduce heat-induced mortality and mitigate some impacts of extreme high-temperature events. Cellular elemental composition and calcification was significantly affected by both thermal variation treatments relative to each other and to the constant temperature controls. The negative effects of thermal variation on E. huxleyi growth rate and physiology are especially pronounced at high temperatures. These responses of the key marine calcifier E. huxleyi to warmer, more variable temperature regimes have potentially large implications for ocean productivity and marine biogeochemical cycles under a future changing climate.
Published: 2019

9. Interactive network configuration maintains bacterioplankton community structure under elevated CO2 in a eutrophic coastal mesocosm experiment

Author: Lin, Xin, Huang, Ruiping, Li, Yan, Li, Futian, Wu, Yaping, Hutchins, David A., Dai, Minhan, and Gao, Kunshan
Abstract: There is increasing concern about the effects of ocean acidification on marine biogeochemical and ecological processes and the organisms that drive them, including marine bacteria. Here, we examine the effects of elevated CO2 on the bacterioplankton community during a mesocosm experiment using an artificial phytoplankton community in subtropical, eutrophic coastal waters of Xiamen, southern China. Through sequencing the bacterial 16S rRNA gene V3-V4 region, we found that the bacterioplankton community in this high-nutrient coastal environment was relatively resilient to changes in seawater carbonate chemistry. Based on comparative ecological network analysis, we found that elevated CO2 hardly altered the network structure of high-abundance bacterioplankton taxa but appeared to reassemble the community network of low abundance taxa. This led to relatively high resilience of the whole bacterioplankton community to the elevated CO2 level and associated chemical changes. We also observed that the Flavobacteria group, which plays an important role in the microbial carbon pump, showed higher relative abundance under the elevated CO2 condition during the early stage of the phytoplankton bloom in the mesocosms. Our results provide new insights into how elevated CO2 may influence bacterioplankton community structure.
Published: 2019

10. SCOR WG149 Handbook to support the SCOR Best Practice Guide for ‘Multiple Drivers’ Marine Research

Author: Boyd, Philip, Collins, Sinead, Dupont, Sam, Fabricius, Katharina, Gattuso, Jean-Pierre, Havenhand, Jonathan, Hutchins, David, McGraw, Christina, Riebesell, Ulf, Vichi, Marcello, Aurea, Ciotti, Dillingham, P, Gao, Kunshan, Gehlen, Marion, Hurd, Catriona, Kurihawa, Haruko, Navarro, J, Nilsson, GE, Passow, U, and Portner, H-O
Subjects: sense organs, skin and connective tissue diseases
Abstract: Marine species and ecosystems are exposed to a wide range of environmental change – both detrimental (threats) and beneficial – due to human activities. Some of the changes are global, whereas others are regional or local. It is important to distinguish the scale of each threat, as the solutions will differ as they are scale dependent. For example, the mitigation of a global problem requires a global response, which is more difficult to achieve than addressing a local problem with a local response. These wide-ranging changes are often referred to drivers or stressors.
Published: 2019
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11. THE USE OF PULSE COMPRESSION TECHNIQUE IN NON-DESTRUCTIVE TESTING: A REVIEW

Author: Rizwan, Muhammad Khalid, Malekmohammadi, Hamed, Laureti, Stefano, Burrascano, Pietro, Hutchins, David A. Hutchins, Tian, Gui Yun, Zhu, Junzhen, Yi, Qiuji, and Ricci, Marco
Subjects: GeneralLiterature_MISCELLANEOUS
Abstract: In the presentation, anintroductionto the use of pulse-compression techniques in different NDT techniques, particularly in Ultrasonic testing, the Eddy current testing and thermography has been presented. Examples of the coded signals with their pros and cons are presented. Also, examplesof the practical implementation of the techniqueand the tests results have been discussed.&nbsp
Published: 2018
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12. Effects of ultraviolet radiation on photosynthetic performance and N2 fixation in Trichodesmium erythraeum IMS 101

Author: Cai, Xiaoni, Hutchins, David A., Fu, Feixue, and Gao, Kunshan
Abstract: Biological effects of ultraviolet radiation (UVR; 280–400 nm) on marine primary producers are of general concern, as oceanic carbon fixers that contribute to the marine biological CO2 pump are being exposed to increasing UV irradiance due to global change and ozone depletion. We investigated the effects of UV-B (280–320 nm) and UV-A (320–400 nm) on the biogeochemically critical filamentous marine N2-fixing cyanobacterium Trichodesmium (strain IMS101) using a solar simulator as well as under natural solar radiation. Short exposure to UV-B, UV-A, or integrated total UVR significantly reduced the effective quantum yield of photosystem II (PSII) and photosynthetic carbon and N2 fixation rates. Cells acclimated to low light were more sensitive to UV exposure compared to high-light-grown ones, which had more UV-absorbing compounds, most likely mycosporine-like amino acids (MAAs). After acclimation under natural sunlight, the specific growth rate was lower (by up to 44 %), MAA content was higher, and average trichome length was shorter (by up to 22 %) in the full spectrum of solar radiation with UVR, than under a photosynthetically active radiation (PAR) alone treatment (400–700 nm). These results suggest that prior shipboard experiments in UV-opaque containers may have substantially overestimated in situ nitrogen fixation rates by Trichodesmium, and that natural and anthropogenic elevation of UV radiation intensity could significantly inhibit this vital source of new nitrogen to the current and future oligotrophic oceans.
Published: 2018

13. Combined effects of elevated pCO2 and temperature on biomass and carbon fixation of phytoplankton assemblages in the northern South China Sea

Author: Gao, Guang, Jin, Peng, Liu, Nana, Li, Futian, Tong, Shanying, Hutchins, David A., and Gao, Kunshan
Abstract: The individual influences of ocean warming and acidification on marine organisms have been investigated intensively, but studies regarding the combined effects of both global change variables on natural marine phytoplankton assemblages are still scarce. Even fewer studies have addressed possible differences in the responses of phytoplankton communities in pelagic and coastal zones to ocean warming and acidification. We conducted shipboard microcosm experiments at both off-shore (SEATS) and near-shore (D001) stations in the northern South China Sea (NSCS) under three treatments, low temperature (30.5 °C at SEATS and 28.5 °C at D001) and low pCO2 (390.0 µatm at SEATS and 420.0 µatm at D001) (LTLC), high temperature (33.5 °C at SEATS and 31.5 °C at D001) and low pCO2 (390 µatm at SEATS and 420 µatm at D001) (HTLC), and high temperature (33.5 °C at SEATS and 31.5 °C at D001) and high pCO2 (1000 µatm at SEATS and 1030 µatm at D001) (HTHC). Biomass of phytoplankton at both stations were enhanced by HT. HTHC did not affect phytoplankton biomass at station D001 but decreased it at station SEATS. At this offshore station HT alone increased daily primary productivity (DPP, µgC (µg chl a)−1 d−1) by ~ 64 %, and by ~ 117 % when higher pCO2 was added. In contrast, HT alone did not affect DPP and HTHC reduced it by ~ 15 % at station D001. HT enhanced the dark respiration rate (µg C (µg chl a)-1 d−1) by 64 % at station SEATS, but had no significant effect at station D001, and did not change the ratio of respiration to photosynthesis at either station. HTHC did not affect dark respiration rate (µg C (µg chl a)−1 d−1) at either station compared to LTLC. HTHC reduced the respiration to photosynthesis ratio by ~ 41 % at station SEATS but increased it ~ 42 % at station D001. Overall, our findings indicate that responses of coastal and offshore phytoplankton assemblages in NSCS to ocean warming and acidification are contrasting, with the pelagic phytoplankton communities being more sensitive to these two global change factors.
Published: 2018

14. Biosynthesis of the neurotoxin domoic acid in a bloom-forming diatom

Author: Brunson, John K, McKinnie, Shaun MK, Chekan, Jonathan R, McCrow, John P, Miles, Zachary D, Bertrand, Erin M, Bielinski, Vincent A, Luhavaya, Hanna, Oborník, Miroslav, Smith, G Jason, Hutchins, David A, Allen, Andrew E, and Moore, Bradley S
Subjects: Diatoms, Kainic Acid, Rare Diseases, General Science & Technology, Multigene Family, Neurotoxins, Genetics, Eutrophication, Recombinant Proteins, Biotechnology
Abstract: Oceanic harmful algal blooms of Pseudo-nitzschia diatoms produce the potent mammalian neurotoxin domoic acid (DA). Despite decades of research, the molecular basis for its biosynthesis is not known. By using growth conditions known to induce DA production in Pseudo-nitzschia multiseries, we implemented transcriptome sequencing in order to identify DA biosynthesis genes that colocalize in a genomic four-gene cluster. We biochemically investigated the recombinant DA biosynthetic enzymes and linked their mechanisms to the construction of DA's diagnostic pyrrolidine skeleton, establishing a model for DA biosynthesis. Knowledge of the genetic basis for toxin production provides an orthogonal approach to bloom monitoring and enables study of environmental factors that drive oceanic DA production.
Published: 2018

15. MODELING NON-LINEAR SYSTEMS BY PULSE COMPRESSION TECHNIQUES

Author: Burrascano, Pietro, Ricci, Marco, Senni, Luca, Tomasello, Riccardo, Hutchins, David A, Laureti, Stefano, Piazza, Francesco, Cecchi, Stefania, and Terenzi, Alessandro
Published: 2017

16. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries The International Surgical Outcomes Study group

Author: Ahmad, T, Bouwman, RA, Grigoras, I, Aldecoa, C, Hofer, C, Hoeft, A, Holt, P, Fleisher, LA, Buhre, W, Pearse, RM, Ferguson, Marissa, MacMahon, Michael, Shulman, Mark, Cherian, Ritchie, Currow, Helen, Kanathiban, Kathirgamanathan, Gillespie, David, Pathmanathan, Edward, Phillips, Katherine, Reynolds, Jenifer, Rowley, Joanne, Douglas, Jeanene, Kerridge, Ross, Garg, Sameer, Bennett, Michael, Jain, Megha, Alcock, David, Terblanche, Nico, Cotter, Rochelle, Leslie, Kate, Stewart, Marcelle, Zingerle, Nicolette, Clyde, Antony, Hambidge, Oliver, Rehak, Adam, Cotterell, Sharon, Huynh, Wilson Binh Quan, McCulloch, Timothy, Ben-Menachem, Erez, Egan, Thomas, Cope, Jennifer, Halliwell, Richard, Fellinger, Paul, Haisjackl, Markus, Haselberger, Simone, Holaubek, Caroline, Lichtenegger, Paul, Scherz, Florian, Schmid, Werner, Hoffer, Franz, Cakova, Veronika, Eichwalder, Andreas, Fischbach, Norbert, Klug, Reinhold, Schneider, Elisabeth, Vesely, Martin, Wickenhauser, Reinhart, Grubmueller, Karl Gernot, Leitgeb, Marion, Lang, Friedrich, Toro, Nancy, Bauer, Marlene, Laengle, Friedrich, Haberl, Claudia, Mayrhofer, Thomas, Trybus, Christoph, Buerkle, Christian, Forstner, Karin, Germann, Reinhard, Rinoesl, Harald, Schindler, Elke, Trampitsch, Ernst, Bogner, Gerhard, Dankl, Daniel, Duenser, Martin, Fritsch, Gerhard, Gradwohl-Matis, Ilse, Hartmann, Andreas, Hoelzenbein, Thomas, Jaeger, Tarkan, Landauer, Franz, Lindl, Gregor, Lux, Michael, Steindl, Johannes, Stundner, Ottokar, Szabo, Christian, Bidgoli, Jawad, Verdoodt, Hans, Forget, Patrice, Kahn, David, Lois, Fernande, Momeni, Mona, Pregardien, Caroline, Pospiech, Audrey, Steyaert, Arnaud, Veevaete, Laurent, De Kegel, Dirk, De Jongh, Karen, Foubert, Luc, Smitz, Carine, Vercauteren, Marcel, Poelaert, Jan, Van Mossevelde, Veerle, Abeloos, Jacques, Bouchez, Stefaan, Coppens, Marc, De Baerdemaeker, Luc, Deblaere, Isabel, De Bruyne, Ann, De Hert, Stefan, Fonck, Kristine, Heyse, Bjorn, Jacobs, Tom, Lapage, Koen, Moerman, Anneliese, Neckebroek, Martine, Parashchanka, Aliaksandra, Roels, Nathalie, Van Den Eynde, Nancy, Vandenheuvel, Michaël, van Limmen, Jurgen, Vanluchene, Ann, Vanpeteghem, Caroline, Wouters, Patrick, WYFFELS, PIET, Huygens, Christel, Vandenbempt, Punitha, Van de Velde, Marc, Dylst, Dimitri, Janssen, Bruno, Schreurs, Evelien, Aleixo, Fabia Berganton, Candido, Keulle, Batista, Hugo Dias, Guimaraes, Mario, Guizeline, Jaqueline, Hoffmann, Joao, Lobo, Suzana, Marques Lobo, Francisco Ricardo, Nascimento, Vinicius, Nishiyama, Katia, Pazetto, Lucas, Souza, Daniela, Rodrigues, Rodrigo Souza, Vilela dos Santos, Ana Maria, Jardim, Jaquelline, Sa Malbouisson, Luiz Marcelo, Silva, Joao, do Nascimento Junior, Paulo, Baio, Thalissa Herminia, Pereira de Castro, Gabriel Isaac, Watanabe Oliveira, Henri Roger, Amendola, Cristina Prata, Cardoso, Gutemberg, Ortega, Daniela, Brotto, Ana Flavia, De Oliveira, Mirella Cristine, Rea-Neto, Alvaro, Dias, Fernando, Travi, Maria Eduarda, Zerman, Luiza, Azambuja, Pedro, Knibel, Marcos Freitas, Martins, Antonio, Almeida, William, Neder Neto, Calim, Tardelli, Maria Angela, Caser, Eliana, Machado, Marcio, Aguzzoli, Crisitiano, Baldisserotto, Sergio, Tabajara, Fernanda Beck, Bettega, Fernanda, Rodrigues Junior, La Hore Correa, de Gasperi, Julia, Faina, Lais, Nolasco, Marcos Farias, da Costa Fischer, Bruna Ferreira, de Campos Ferreira, Mariana Fosch, Hartmann, Cristina, Kliemann, Marta, Ribeiro, Gustavo Luis Hubert, Fraga, Julia Merladete, Netto, Thiago Motta, Pozza, Laura Valduga, Wendling, Paulo Rafael, Azevedo, Caroline, Garcia, Juliana, Lopes, Marcel, Maia, Bernardo, Maselli, Paula, Melo, Ralph, Mendes, Weslley, Neves, Matheus, Ney, Jacqueline, Piras, Claudio, Applewhaite, Christopher, Carr, Adrienne, Chow, Lorraine, Duttchen, Kaylene, Foglia, Julena, Greene, Michael, Hinther, Ashley, Houston, Kendra, McCormick, Thomas Jared, Mikhayel, Jennifer, Montasser, Sam, Ragan, Alex, Suen, Andrew, Woolsey, Adrianna, Yu, Hai Chuan, Funk, Duane, Kowalski, Stephen, Legaspi, Regina, McDonald, Heather, Siddiqui, Faisal, Pridham, Jeremy, Rowe, Bernadette, Sampson, Sonia, Thiessen, Barton, Zbitnew, Geoff, Bernard, Andre, George, Ronald, Jones, Philip, Moor, Rita, Siddiqui, Naveed, Wolfer, Alexandra, Tran, Diem, Winch, Denyse, Dobson, Gary, McCormick, Thomas, Montasser, Osama, Hall, Richard, Baghirzada, Leyla, Curley, Gerard, Dai, Si Yuan, Hare, Gregory, Lee, Esther, Shastri, Uma, Tsui, Albert, Yagnik, Anmol, Alvares, Danielle, Choi, Stephen, Dwyer, Heather, Flores, Kathrina, McCartney, Colin, Somascanthan, Priya, Beattie, Scott, Carroll, Jo, Pazmino-Canizares, Janneth, Wijeysundera, Duminda, Ami, Noam, Chan, Vincent, Perlas, Anahi, Argue, Ruth, Huang, Yang, Lavis, Katie, Mayson, Kelly, Cao, Ying, Gao, Hong, Hu, Tingju, Lv, Jie, Yang, Jian, Yang, Yang, Zhong, Yi, Zhou, Jing, Zou, Xiaohua, He, Miao, Li, Xiaoying, Luo, Dihuan, Wang, Haiying, Yu, Tian, Chen, Liyong, Wang, Lijun, Cai, Yunfei, Cao, Zhongming, Li, Yanling, Lian, Jiaxin, Sun, Haiyun, Wang, Sheng, Wang, Zhipeng, Wang, Kenru, Zhu, Yi, Du, Xindan, Fan, Hao, Fu, Yunbin, Huang, Lixia, Huang, Yanming, Hwan, Haifang, Luo, Hong, Qu, Pi-Sheng, Tao, Fan, Wang, Zhen, Wang, Guoxiang, Wang, Shun, Zhang, Yan, Zhang, Xiaolin, Chen, Chao, Wang, Weixing, Liu, Zhengyuan, Fan, Lihua, Tang, Jing, Chen, Yijun, Chen, Yongjie, Han, Yangyang, Huang, Changshun, Liang, Guojin, Shen, Jing, Wang, Jun, Yang, Qiuhong, Zhen, Jungang, Zhou, Haidong, Chen, Junping, Chen, Zhang, Li, Xiaoyu, Meng, Bo, Ye, Haiwang, Zhang, Xiaoyan, Bi, Yanbing, Cao, Jianqiao, Guo, Fengying, Lin, Hong, Liu, Yang, Lv, Meng, Shi, Pengcai, Song, Xiumei, Sun, Chuanyu, Sun, Yongtao, Wang, Yuelan, Wang, Shenhui, Zhang, Min, Chen, Rong, Hou, Jiabao, Leng, Yan, Meng, Qing-tao, Qian, Li, Shen, Zi-ying, Xia, Zhong-yuan, Xue, Rui, Zhang, Yuan, Zhao, Bo, Zhou, Xian-jin, Chen, Qiang, Guo, Huinan, Guo, Yongqing, Qi, Yuehong, Wang, Zhi, Wei, Jianfeng, Zhang, Weiwei, Zheng, Lina, Bao, Qi, Chen, Yaqiu, Chen, Yijiao, Fei, Yue, Hu, Nianqiang, Hu, Xuming, Lei, Min, Li, Xiaoqin, Lv, Xiaocui, Miao, Fangfang, Ouyang, Lingling, Qian, Lu, Shen, Conyu, Sun, Yu, Wang, Yuting, Wang, Dong, Wu, Chao, Xu, Liyuan, Yuan, Jiaqi, Zhang, Lina, Zhang, Huan, Zhang, Yapping, Zhao, Jinning, Zhao, Chong, Zhao, Lei, Zheng, Tianzhao, Zhou, Dachun, Zhou, Haiyan, Zhou, Ce, Lu, Kaizhi, Zhao, Ting, He, Changlin, Chen, Hong, Chen, Shasha, Cheng, Baoli, He, Jie, Jin, Lin, Li, Caixia, Li, Hui, Pan, Yuanming, Shi, Yugang, Wen, Xiao Hong, Wu, Shuijing, Xie, Guohao, Zhang, Kai, Zhao, Bing, Lu, Xianfu, Chen, Feifei, Liang, Qisheng, Lin, Xuewu, Ling, Yunzhi, Liu, Gang, Tao, Jing, Yang, Lu, Zhou, Jialong, Chen, Fumei, Cheng, Zhonggui, Dai, Hanying, Feng, Yunlin, Hou, Benchao, Gong, Haixia, Hu, Chun Hua, Huang, Haijin, Huang, Jian, Jiang, Zhangjie, Li, Mengyuan, Lin, Jiamei, Liu, Mei, Liu, Weicheng, Liu, Zhen, Liu, Zhiyi, Luo, Foquan, Ma, Longxian, Min, Jia, Shi, Xiaoyun, Song, Zhiping, Wan, Xianwen, Xiong, Yingfen, Xu, Lin, Yang, Shuangjia, Zhang, Qin, Zhang, 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Kruse, Carl-Heinz, Lee, Carolyn, Marais, Leonard, Naidoo, Thinagrin Dhasarthun, Rajah, Chantal, Rodseth, Reitze Nils, Ryan, Lisa, von Rhaden, Richard, Adam, Suwayba, Alphonsus, Christella, Ameer, Yusuf, Anderson, Frank, Basanth, Sujith, Bechan, Sudha, Bhula, Chettan, Biccard, Bruce M, Biyase, Thuli, Buccimazza, Ines, Cardosa, Jorge, Chen, James, Daya, Bhavika, Drummond, Leanne, Elabib, Ali, Goad, Ehab Helmy Abdel, Goga, Ismail E, Goga, Riaz, Harrichandparsad, R, Hodgson, Richard E, Jordaan, J, Kalafatis, Nicky, Kampik, Christian, Landers, AT, Loots, Emil, Madansein, Rajhmum, Madaree, Anil, Madiba, Thandinkosi E, Manzini, Vukani T, Mbuyisa, Mbali, Moodley, Rajan, Msomi, Mduduzi, Mukama, Innocent, Naidoo, Desigan, Naidoo, Rubeshan, Naidu, Tesuven K, Ntloko, Sindiswa, Padayachee, Eneshia, Padayachee, Lucelle, Phaff, Martijn, Pillay, Bala, Pillay, Desigan, Pillay, Lutchmee, Ramnarain, Anupa, Ramphal, Suren R, Ryan, Paul, Saloojee, Ahmed, Sebitloane, Motshedisi, Sigcu, Noluyolo, Taylor, Jenna L, Torborg, Alexandra, Visser, Linda, Anderson, Philip, Conradie, Alae, de Swardt, Mathew, de Villiers, Martin, Eikman, Johan, Liebenberg, Riaan, Mouton, Johan, Paton, Abbey, van der Merwe, Louwrence, Wilscott-Davids, Candice, Barrett, Wendy Joan, Bester, Marlet, de Beer, Johan, Geldenhuys, Jacques, Gouws, Hanni, Potgieter, Jan-Hendrik, Strydom, Magdel, Turton, Edwin Wilberforce, Chetty, Rubendraj R, Chirkut, Subash, Cronje, Larissa, de Vasconcellos, Kim, Dube, Nokukhanya Z., Gama, N Sibusiso, Green, Garyth M, Green-Thompson, Randolph, Kinoo, Suman Mewa, Kistnasami, Prenolin, Maharaj, Kapil, Moodley, Manogaran S., Mothae, Sibongile J, Naidoo, Ruvashni, Noorbhai, M Aslam F, Rughubar, Vivesh, Reddy, Jenendhiran, Singh, Avesh, Skinner, David L, Smith, Murray J, Singh, Bhagwan, Misra, Ravi, Naidoo, Maheshwar, Ramdharee, Pireshin, Selibea, Yvonne, Sewpersad, Selina, Sham, Shailendra, Wessels, Joseph D, Africander, Cucu, Bejia, Tarek, Blakemore, Stephen P, Botes, Marisa, Bunwarie, Bimalshakth, Hernandez, Carlos B, Jeeraz, Mohammud A., Legutko, Dagmara A, Lopez, Acela G, De Meyer, Jenine N, Muzenda, Tanaka, Naidoo, Noel, Patel, Maryam, Pentela, Rao, Junge, Marina, Mansoor, Naj, Rademan, Lana, Scislowski, Pawel, Seedat, Ismail, van den Berg, Bianca, van der Merwe, Doreen, van Wyk, Steyn, Govender, Komalan, Naicker, Darshan, Ramjee, Rajesh, Saley, Mueen, Kuhn, Warren Paul, Matos-Puig, Roel, Moolla, Zaheer, Lisi, Alberto, Perez, Gisela, Valle Beltran, Anna, Lozano, Angels, Delgado Navarro, Carlos, Duca, Alejandro, Martinez Ernesto, Ernesto Pastor, Ferrando, Carlos, Fuentes, Isabel, Luisa Garcia-Perez, Maria, Gracia, Estefania, Izquierdo Palomares, Ana, Katime, Antonio, Minana, Amanda, Raul Incertis, Raul, Romero, Esther, Romero Garcia, Carolina Soledad, Rubio, Concepcion, Socorro Artiles, Tania, Soro, Marina, Valls, Paola, Alaman Laguarda, Gisela, Benavent, Pau, Chisbert Cuenca, Vicente, Cueva, Andreu, Lafuente, Matilde, Marques Parra, Asuncion, Romero Rodrigo, Alejandra, Sanchez-Morcillo, Silvia, Tormo, Sergi, Javier Redondo, Francisco, De Andres Ibanez, Jose Antonio, Gomez Diago, Lorena, Hernandez Cadiz, Maria Jose, Gil Manuel, Granell, Peris, Raquel, Saiz, Cristina, Tatay Vivo, Jose, Tebar Soto, Maria Teresa, Brunete, Tamara, Cancho, David, Delgado Garcia, David R, Zamudio, Diana, Garcia Del Valle, Santiago, Luz Serrano, M, Alonso, Eduardo, Anillo, Victor, Maseda, Emilio, Salgado, Patricia, Suarez, Luis, Suarez-de-la-Rica, Alejandro, Jose Villagran, Maria, Aldecoa, Cesar, Ignacio Alonso, Jose, Cabezuelo, Estefania, Garcia-Saiz, Irene, Lopez del Moral, Olga, Martin, Silvia, Perez Gonzalez, Alba, Tovar Doncel, M Sherezade, Aguero Vera, Martin, Avila Sanchez, Francisco Jose, Castano, Beatriz, Castano Moreira, Beatriz, Flores Risco, Sahely, Paz Martin, Daniel, Perez Martin, Fernando, Poza, Paloma, Ruiz, Adela, Serna Martinez, Wilson Fabio, Vazquez Vicente, Barbara, Velaz Dominguez, Saul, Fernandez, Salvador, Munoz-Lopez, Alfonso, Jose Bernat, Maria, Mas, Arantxa, Planas, Kenneth, Jawad, Monir, Saeed, Yousif, Hedin, Annika, Levander, Helena, Chew, Michelle, Holmstrom, Sandra, Lonn, David, Zoerner, Frank, Akring, Irene, Widmark, Carl, Zettergren, Jan, Liljequist, Victor Aspelund, Nystrom, Lena, Odeberg-Wernerman, Suzanne, Oldner, Anders, Fagerlund, Malin Jonsson, Reje, Patrik, Lyckner, Sara, Sperber, Jesper, Adolfsson, Anne, Klarin, Bengt, Ogren, Katrin, Barras, Jean-Pierre, Buhrer, Thomas, Despotidis, Vasileios, Helmy, Naeder, Holliger, Stephan, Raptis, Dimitri Aristotle, Schmid, Roger, Meyer, Antoine, Jaquet, Yves, Kessler, Ulf, Muradbegovic, Mirza, Nahum, Solange R., Rotunno, Teresa, Schiltz, Boris, Voruz, Francois, Worreth, Marc, Christoforidis, Dimitri, Popeskou, Sotirios Georgios, Furrer, Markus, Prevost, Gian Andrea, Stocker, Andrea, Lang, Klaus, Breitenstein, Stefan, Ganter, Michael T., Geisen, Martin, Soll, Christopher, Korkmaz, Michelle, Lubach, Iris, Schmitz, Michael, Schwabedissen, Moritz Meyer zu, Moritz, Meyer zu Schwabedissen, Zingg, Urs, Hillermann, Thomas, Wildi, Stefan, Hofer, Christoph, Pinto, Bernardo Bollen, Walder, Bernhard, Hubner, Martin, Mariotti, Giustina, Slankamenac, Ksenija, Namuyuga, Mirioce, Kyomugisha, Edward, Kituuka, Olivia, Shikanda, Anne Wesonga, Kakembo, Nasser, Tom, Charles Otim, Antonina, Webombesa, Bua, Emmanuel, Ditai, James, Ssettabi, Eden Michael, Epodoi, Joseph, Kabagenyi, Fiona, Kirya, Fred, Dempsey, Ged, Seasman, Colette, Khan, Raja Basit Nawaz, Kurasz, Claire, Macgregor, Mark, Shawki, Burhan, Francis, Daren, Hariharan, Vimal, Chau, Simon, Ellis, Kate, Butt, Georgina, Chicken, Dennis-Wayne, Christmas, Natasha, Allen, Samantha, Daniel, Gayatri Daniel, Dempster, Angie, Kemp, Juliette, Matthews, Lewis, Mcglone, Philip, Tambellini, Joanne, Trodd, Dawn, Freitas, Katie, Garg, Atul, Gupta, Janesh Kumar, Karpate, Shilpaja, Kulkarni, Aditi, O'Hara, Chloe, Troko, Jtroko, Angus, Kirsty, Bradley, Jacqueline, Brennan, Emma, Brooks, Carolyn, Brown, Janette, Brown, Gemma, 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Steve, Faulds, Matthew, Harris, Meredyth, Kelly, Carrie, Nicol, Scott, Pearson, Sally Anne, Chukkambotla, Srikanth, Andrew, Alyson, Attrill, Elizabeth, Campbell, Graham, Datson, Amanda, Fouracres, Anna, Graterol, Juan, Graves, Lynne, Hong, Bosun, Ishimaru, Alexander, Karthikeyan, Arvind, King, Helen, Lawson, Tom, Lee, Gregory, Lyons, Saoirse, Hall, Andrew Macalister, Mathoulin, Sophie, Mcintyre, Eilidh, Mclaughlin, Danny, Mulcahy, Kathleen, Paddle, Jonathan, Ratcliffe, Anna, Robbins, James, Sung, Weilin, Tayo, Adeoluwa, Trembath, Lisa, Venugopal, Suneetha, Walker, Robert, Wigmore, Geoffrey, Boereboom, Catherine, Downes, Charlotte, Humphries, Ryan, Melbourne, Susan, Smith, Coral, Tou, Samson, Ullah, Shafa, Batchelor, Nick, Boxall, Leigh, Broomby, Rupert, Deen, Tariq, Hellewell, Alistair, Helliwell, Laurence, Hutchings, Melanie, Hutchins, David, Keenan, Samantha, Mackie, Donna, Potter, Alison, Smith, Frances, Stone, Lucy, Thorpe, Kevin, Wassall, Richard, Woodgate, Andrew, Baillie, 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Owen, Thomas, Williams, Alexandra, Daniel, Hull, Gregory, Peter, Husain, Tauqeer, Kirk-Bayley, Justin, Mathers, Edward, Montague, Laura, Harper, Mark, White, Stuart, Jack, James, Ridley, Carrie, Avis, Joanne, Cook, Tim, Dali-Kemmery, Lola, Kerslake, Ian, Lambourne, Victoria, Pearson, Annabel, Boyd, Christine, Callaghan, Mark, Lawson, Cathy, McCrossan, Roopa, Nesbitt, Vanessa, O'connor, Laura, Scott, Julia, Sinclair, Rhona, Farid, Nahla, Morgese, Ciro, Bhatia, Kailash, Karmarkar, Swati, Ahmed, Jamil, Branagan, Graham, Hutton, Monica, Swain, Andrew, Brookes, Jamie, Cornell, Jonathan, Dolan, Rachael, Hulme, Jonathan, van Vuuren, Amanda Jansen, Jowitt, Tom, Kalashetty, Gunasheela, Lloyd, Fran, Patel, Kiran, Sherwood, Nicholas, Brown, Lynne, Chandler, Ben, Deighton, Kerry, Emma, Temlett, Haunch, Kirsty, Cheeseman, Michelle, Dent, Kathy, Garg, Sanjeev, Gray, Carol, Hood, Marion, Jones, Dawn, Juj, Joanne, Rao, Roshan, Walker, Tara, Al Anizi, Mashel, Cheah, Clarissa, Cheing, Yushio, Coutinho, 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Jacob, Rela, Mariam, Reyes, Anna, Stephens, Robert, Rooms, Martin, Shah, Karishma, Simons, Henry, Solanki, Shalil, Spowart, Emma, Stevens, Amy, Thomas, Christopher, Waggett, Helena, Yassaee, Arrash, Kennedy, Anthony, Scott, Sara, Somanath, Sameer, Berg, Andrew, Hernandez, Miguel, Nanda, Rajesh, Tank, Ghanshyambhai, Wilson, Natalie, Wilson, Debbie, Al-Soudaine, Yassr, Baldwin, Matthew, Cornish, Julie, Davies, Zoe, Davies, Leigh, Edwards, Marc, Frewer, Natasha, Gallard, Sian, Glasbey, James, Harries, Rhiannon, Hopkins, Luke, Kim, Taeyang, Koompirochana, Vilavan, Lawson, Simon, Lewis, Megan, Makzal, Zaid, Scourfield, Sarah, Ahmad, Yousra, Bates, Sarah, Blackwell, Clare, Bryant, Helen, Collins, Hannah, Coulter, Suzanne, Cruickshank, Ross, Daniel, Sonya, Daubeny, Thomas, Edwards, Mark, Golder, Kim, Hawkins, Lesley, Helen, Bryant, Hinxman, Honor, Levett, Denny, Salmon, Karen, Seaward, Leanne, Skinner, Ben, Tyrell, Bryony, Wadams, Beverley, Walsgrove, Joseph, Dickson, Jane, Constantin, Kathryn, Karen, Markwell, O'Brien, Peter, O'Donohoe, Lynn, Payne, Hannah, Sundayi, Saul, Walker, Elaine, Brooke, Jenny, Cardy, Jon, Humphreys, Sally, Kessack, Laura, Kubitzek, Christiane, Kumar, Suhas, Cotterill, Donna, Hodzovic, Emil, Hosdurga, Gurunath, Miles, Edward, Saunders, Glenn, Campbell, Marta, Chan, Peter, Jemmett, Kim, Raj, Ashok, Naik, Aditi, Oshowo, Ayo, Ramamoorthy, Rajarajan, Shah, Nimesh, Sylvan, Axel, Blyth, Katharine, Burtenshaw, Andrew, Freeman, David, Johnson, Emily, Lo, Philip, Martin, Terry, Plunkett, Emma, Wollaston, Julie, Allison, Joanna, Carroll, Christine, Craw, Nicholas, Craw, Sarah, Pitt-Kerby, Tressy, Rowland-Axe, Rebecca, Spurdle, Katie, McDonald, Andrew, Simon, Davies, Sinha, Vivek, Smith, Thomas, Banner-Goodspeed, Valerie, Boone, Myles, Campbell, Kathleen, Lu, Fengxin, Scannell, Joseph, Sobol, Julia, Balajonda, Naraida, Clemmons, Karen, Conde, Carlos, Elgasim, Magdi, Funk, Bonita, Hall, Roger, Hopkins, Thomas, Olaleye, Omowunmi, Omer, Omer, Pender, Michelle, Porto, Angelo, Stevens, Alice, Waweru, Peter, Yeh, Erlinda, Bodansky, Daniella, Evans, Adam, Kleopoulos, Steven, Maril, Robert, Mathney, Edward, Sanchez, Angela, Tinuoye, Elizabeth, Bateman, Brian, Eng, Kristen, Jiang, Ning, Ladha, Karim, Needleman, Joseph, Chen, Lee-lynn, Lane, Rondall, Robinowitz, David, Ghushe, Neil, Irshad, Mariam, O'Connor, John, Patel, Samir, Takemoto, Steven, Wallace, Art, Mazzeffi, Michael, Rock, Peter, Wallace, Karin, Zhu, Xiaomao, Chua, Pandora, Fleisher, Lee, Mattera, Matthew, Sharar, Rebecca, Thilen, Stephan, Treggiari, Miriam, Morgan, Angela, Sofjan, Iwan, Subramaniam, Kathirvel, Avidan, Michael, Maybrier, Hannah, Muench, Maxwell, and Wildes, Troy
Subjects: surgery, postoperative care/methods, cohort studies, operative/mortality, data, postoperative care/statistics and numerical, Medicine and Health Sciences, critical care/utilisation, surgical procedures
Abstract: Background: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. Methods: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. Results: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with amedian hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. Conclusions: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care.
Published: 2016

17. MODELING OF NON-LINEAR SYSTEMS BY MEANS OF PULSE COMPRESSION TECHNIQUES

Author: Burrascano, Pietro, Ricci, Marco, Senni, Luca, Tomasello, Riccardo, David A. Hutchins, David A, and Laureti, Stefano
Published: 2016

18. SEGNALI CODIFICATI IN AMBITO ULTRASONORO E ACUSTICO: APPLICAZIONE DELLA COMPRESSIONE D'IMPULSO ALLA DIAGNOSTICA NON DISTRUTTIVA E ALLA CARATTERIZZAZIONE DI SISTEMI

Author: Burrascano, Pietro, Ricci, Marco, Senni, Luca, Hutchins, David A, Laureti, Stefano, Callegari, Sergio, and Setti, Gianluca
Published: 2015

19. State Diabetes Prevention and Control Program Participation in the Health Disparities Collaborative: Evaluating the First 5 Years

Author: Larsen, Barbara A, Martin, Maurice 'Bud', Hutchins, David, Alfaro-Correa, Ana, and Shea, Laura
Subjects: Cross-Sectional Studies, Health Care Surveys, Diabetes Mellitus, Humans, Community Health Services, Centers for Disease Control and Prevention, U.S, Models, Theoretical, Community Case Study, United States
Abstract: Background Approximately 20.8 million people in the United States, or 7% of the population, have diabetes mellitus. Treatment for this disease costs Americans more than $130 billion yearly, and it is the sixth leading cause of death. The prevalence of diabetes has grown substantially in recent decades and is expected to continue to rise. Context The medically underserved and poor are at greater risk of developing diabetes and its complications than are other members of the U.S. population. The Health Resources and Services Administration makes health care resources and services available to economically disadvantaged populations through the Health Disparities Collaborative (HDC), a consortium formed to pool resources and services from state- and community-level donors. Since 1999, many of the Centers for Disease Control and Prevention's Division of Diabetes Translation State Diabetes Prevention and Control Programs (DPCPs) have joined the HDC to leverage resources and services. Methods The purpose of a 2004 evaluation was to examine the impact that DPCP involvement with the Collaborative had on aspects of diabetes care at Federally Qualified Health Centers (FQHCs). An electronic survey was administered to DPCP coordinators. They were asked about 1) their roles and experience as participants in the Collaborative; 2) the skills and expertise most useful in developing and maintaining an effective collaboration for improved health care for diabetes; 3) which DPCP contributions were viewed as being routine and which were perceived to be essential; 4) the effects of DPCP contributions on the use of the chronic care model under which FQHCs operate; and 5) which health systems improvements played the greatest role in enhancing components of the chronic care model. Consequences Most respondents identified themselves as DPCP coordinators with 3 years of experience in that position. Organizational skills, such as communication, leadership, conflict resolution, negotiation, and meeting management, were cited as necessary to develop and maintain collaborative partnerships. DPCP contributions to FQHCs were perceived to be training, technical assistance with clinical care and patient education, financial resources, linkages to other diabetes partners, educational materials, and improved linkages with community resources. Interpretation DPCPs contribute resources, skills, knowledge, and varied perspectives to the Collaborative that FQHCs may not have otherwise.
Published: 2006

20. Particulate iron dynamics during FeCycle in subantarctic waters southeast of New Zealand

Author: Frew, Russell D., Hutchins, David A., Nodder, Scott D., Sañudo-Wilhelmy, Sergio A., Tovar-Sánchez, Antonio, Leblanc, Karine, Hare, Clinton E., and Boyd, Philip W.
Subjects: Chlorophyll, iron, Australasia, Arid regions, Soils, Dust, Particulate emissions, Atmospheric aerosols, Biogeochemical cycles, New Zealand, particulate flux
Abstract: The FeCycle experiment provided an SF6 labeled mesoscale patch of high-nitrate low-chlorophyll (HNLC) water in austral summer 2003. These labeled waters enabled a comparison of the inventory of particulate iron (PFe) in the 45-m-deep surface mixed layer with the concurrent downward export flux of PFe at depths of 80 and 120 m. The partitioning of PFe between four size fractions (0.2-2, 2-5, 5-20, and >20 μm) was assessed, and PFe was mainly found in the >20-μm size fraction throughout FeCycle. Estimates of the relative contribution of the biogenic and lithogenic components to PFe were based on an Al:Fe molar ratio (0.18) derived following analysis of dust/soil from the nearest source of aerosol Fe: the semi-arid regions of Australia. The lithogenic component dominated each of the four PFe size fractions, with medians ranging from 68 to 97% of PFe during the 10-day experiment. The Fe:C ratios for mixed-layer particles were ∼40 μmol/mol. PFe export was ∼300 nmol m-2 d-2 at 80 m depth representing a daily loss of ∼1% from the mixed-layer PFe inventory. There were pronounced increases in the Fe:C particulate ratios with depth, with a five-fold increase from the surface mixed layer to 80 m depth, consistent with scavenging of the remineralized Fe by sinking particles and concurrent solubilization and loss of particulate organic carbon. Significantly, the lithogenic fraction of the sinking PFe intercepted at both 80 in and 120 m was >40%; that is, there was an approximately twofold decrease in the proportion of lithogenic iron exported relative to that in the mixed-layer lithogenic iron inventory. This indicates that the transformation of lithogenic to biogenic PFe takes place in the mixed layer, prior to particles settling to depth. Moreover, the magnitude of lithogenic Fe supply from dust deposition into the waters southeast of New Zealand is comparable to that of the export of PFe from the mixed layer, suggesting that a large proportion of the deposited dust eventually exits the surface mixed layer as biogenic PFe in this HNLC region. Copyright 2006 by the American Geophysical Union.
Published: 2006

21. The optical display of ultrasonic waves in liquids

Author: Hutchins, David A.
Published: 1978
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22. Multi-spectral near infrared NDE of polymer composites

Author: Senni, Luca, Laureti, Stefano, Rizwan, Muhammad Khalid, Burrascano, Pietro, Hutchins, David A., Davis, Lee. A. J., and Ricci, Marco
Subjects: 7. Clean energy
Abstract: Near infrared signals have been used to generate images of the internal structure of fibre-reinforced polymer and foam-filled honeycomb samples. Several different measurement configurations have been investigated, including the use of both modulated light-emitting diodes at discrete wavelengths and broad bandwidth illumination. It is shown that transmission through the samples is wavelength-dependent, and that artificial defects can be detected within polymer composite materials. In addition, wavelength-dependent properties have been used to detect changes due to water ingress into both composite materials and a solar panel structure, leading to a non-contact NDE technique.

23. Multi-spectral near infrared NDE of polymer composites

Author: Senni, Luca, Laureti, Stefano, Rizwan, Muhammad Khalid, Burrascano, Pietro, Hutchins, David A., Davis, Lee. A. J., and Ricci, Marco
Subjects: 7. Clean energy
Abstract: Near infrared signals have been used to generate images of the internal structure of fibre-reinforced polymer and foam-filled honeycomb samples. Several different measurement configurations have been investigated, including the use of both modulated light-emitting diodes at discrete wavelengths and broad bandwidth illumination. It is shown that transmission through the samples is wavelength-dependent, and that artificial defects can be detected within polymer composite materials. In addition, wavelength-dependent properties have been used to detect changes due to water ingress into both composite materials and a solar panel structure, leading to a non-contact NDE technique.

24. Multi-spectral near infrared NDE of polymer composites

Author: Senni, Luca, Laureti, Stefano, Rizwan, Muhammad Khalid, Burrascano, Pietro, Hutchins, David A., Davis, Lee. A. J., and Ricci, Marco
Subjects: 7. Clean energy
Abstract: Near infrared signals have been used to generate images of the internal structure of fibre-reinforced polymer and foam-filled honeycomb samples. Several different measurement configurations have been investigated, including the use of both modulated light-emitting diodes at discrete wavelengths and broad bandwidth illumination. It is shown that transmission through the samples is wavelength-dependent, and that artificial defects can be detected within polymer composite materials. In addition, wavelength-dependent properties have been used to detect changes due to water ingress into both composite materials and a solar panel structure, leading to a non-contact NDE technique.

25. [Untitled]

Author: Woodward, David I., Purssell, C. P., Billson, Duncan R., Hutchins, David A., and Leigh, Simon J.
Subjects: Materials science, business.industry, TK, Surfaces and Interfaces, Condensed Matter Physics, Piezoelectricity, Spherical shell, Surfaces, Coatings and Films, Electronic, Optical and Magnetic Materials, law.invention, Transducer, law, visual_art, Materials Chemistry, PMUT, visual_art.visual_art_medium, Optoelectronics, Ceramic, Electrical and Electronic Engineering, Material properties, business, Reduction (mathematics), Stereolithography
Abstract: A low-cost micro-stereolithography technique with the ability to additively manufacture dense piezoelectric ceramic components is reported. This technique enables the layer-wise production of functional devices with a theoretical in-plane resolution of ∼20 μm and an out-of-plane resolution of

26. Multi-spectral near infrared NDE of polymer composites

Author: Senni, Luca, Laureti, Stefano, Rizwan, Muhammad Khalid, Burrascano, Pietro, Hutchins, David A., Davis, Lee. A. J., and Ricci, Marco
Subjects: 7. Clean energy
Abstract: Near infrared signals have been used to generate images of the internal structure of fibre-reinforced polymer and foam-filled honeycomb samples. Several different measurement configurations have been investigated, including the use of both modulated light-emitting diodes at discrete wavelengths and broad bandwidth illumination. It is shown that transmission through the samples is wavelength-dependent, and that artificial defects can be detected within polymer composite materials. In addition, wavelength-dependent properties have been used to detect changes due to water ingress into both composite materials and a solar panel structure, leading to a non-contact NDE technique.

27. Critical care admission following elective surgery was not associated with survival benefit

Author: Kahan, Brennan C., Desponia, Koulenti, Kostoula, Arvaniti, Vanessa, Beavis, Douglas, Campbell, Matthew, Chan, Rui, Moreno, Pearse, Rupert M., Scott, Beattie, Pierre-Alain, Clavien, Nicolas, Demartines, Lee, A Fleisher, Mike, Grocott, James, Haddow, Andreas, Hoeft, Peter, Holt, Naomi, Pritchard, Andrew, Rhodes, Duminda, Wijeysundera, Matt, Wilson, Tahania, Ahmed, Kirsty, Everingham, Russell, Hewson, Marta, Januszewska, Rupert, M Pearse, Mandeep-Kaur, Phull, Richard, Halliwell, Mark, Shulman, Paul, Myles, Werner, Schmid, Michael, Hiesmayr, Patrick, Wouters, Stefan de Hert, Suzana, Lobo, Xiangming, Fang, Lars, Rasmussen, Emmanuel, Futier, Matthieu, Biais, Aurélien, Venara, Karem, Slim, Michael, Sander, Despoina, Koulenti, Mathew, Chan, Atul, Kulkarni, Susilo, Chandra, Aida, Tantri, Emad, Geddoa, Muntadhar, Abbas, Giorgio Della Rocca, Datin, Sivasakthi, Marzida, Mansor, Pastor, Luna, Arthur, Bouwman, Wolfgang, Buhre, Tim, Short, Tunde, Osinaike, Ricardo, Matos, Ioana, Grigoras, Mikhail, Kirov, Denis, Protsenko, Bruce, Biccard, Cesar, Aldecoa, Michelle, Chew, Christoph, Hofer, Martin, Hubner, James, Ditai, Tamas, Szakmany, Lee, Fleisher, Marissa, Ferguson, Michael, Macmahon, Ritchie, Cherian, Helen, Currow, Kathirgamanathan, Kanathiban, David, Gillespie, Edward, Pathmanathan, Katherine, Phillips, Jenifer, Reynolds, Joanne, Rowley, Jeanene, Douglas, Ross, Kerridge, Sameer, Garg, Michael, Bennett, Megha, Jain, David, Alcock, Nico, Terblanche, Rochelle, Cotter, Kate, Leslie, Marcelle, Stewart, Nicolette, Zingerle, Antony, Clyde, Oliver, Hambidge, Adam, Rehak, Sharon, Cotterell, Wilson Binh Quan Huynh, Timothy, Mcculloch, Erez, Ben-Menachem, Thomas, Egan, Jennifer, Cope, Paul, Fellinger, Simone, Haselberger, Caroline, Holaubek, Paul, Lichtenegger, Florian, Scherz, Franz, Hoffer, Veronika, Cakova, Andreas, Eichwalder, Norbert, Fischbach, Reinhold, Klug, Elisabeth, Schneider, Martin, Vesely, Reinhart, Wickenhauser, Karl Gernot Grubmueller, Marion, Leitgeb, Friedrich, Lang, Nancy, Toro, Marlene, Bauer, Friedrich, Laengle, Thomas, Mayrhofer, Christian, Buerkle, Karin, Forstner, Reinhard, Germann, Harald, Rinoesl, Elke, Schindler, Ernst, Trampitsch, Gerhard, Fritsch, Christian, Szabo, Jawad, Bidgoli, Hans, Verdoodt, Patrice, Forget, David, Kahn, Fernande, Lois, Mona, Momeni, Caroline, Prégardien, Audrey, Pospiech, Arnaud, Steyaert, Laurent, Veevaete, Dirk De Kegel, Karen De Jongh, Luc, Foubert, Carine, Smitz, Marcel, Vercauteren, Jan, Poelaert, Veerle Van Mossevelde, Jacques, Abeloos, Stefaan, Bouchez, Marc, Coppens, Luc De Baerdemaeker, Isabel, Deblaere, Ann De Bruyne, Stefan De Hert, Kristine, Fonck, Bjorn, Heyse, Tom, Jacobs, Koen, Lapage, Anneliese, Moerman, Martine, Neckebroek, Aliaksandra, Parashchanka, Nathalie, Roels, Nancy Van Den Eynde, Michael, Vandenheuvel, Jurgen Van Limmen, Ann, Vanluchene, Caroline, Vanpeteghem, Piet, Wyffels, Christel, Huygens, Punitha, Vandenbempt, Marc Van de Velde, Dimitri, Dylst, Bruno, Janssen, Evelien, Schreurs, Fábia Berganton Aleixo, Keulle, Candido, Hugo Dias Batista, Mario, Guimarães, Jaqueline, Guizeline, João, Hoffmann, Suzana, M Lobo, Francisco Ricardo Lobo, Vinícius, Nascimento, Katia, Nishiyama, Lucas, Pazetto, Daniela, Souza, Rodrigo Souza Rodrigues, Ana Maria Vilela Dos Santos, Jaquelline, Jardim, Joao, Silva, Paulo do Nascimento Junior, Thalissa Hermínia Baio, Gabriel Isaac Pereira de Castro, Henri Roger Watanabe Oliveira, Cristina Prata Amendola, Gutemberg, Cardoso, Daniela, Ortega, Ana Flavia Brotto, Mirella Cristine De Oliveira, Álvaro, Réa-Neto, Fernando, Dias, Pedro, Azambuja, Marcos Freitas Knibel, Antonio, Martins, William, Almeida, Calim Neder Neto, Maria Angela Tardelli, Eliana, Caser, Marcio, Machado, Crisitiano, Aguzzoli, Sérgio, Baldisserotto, Fernanda Beck Tabajara, Fernanda, Bettega, La Hore Correa Rodrigues Júnior, Julia de Gasperi, Lais, Faina, Marcos Farias Nolasco, Bruna Ferreira da Costa Fischer, Mariana Fosch de Campos Ferreira, Cristina, Hartmann, Marta, Kliemann, Gustavo Luis Hubert Ribeiro, Julia Merladete Fraga, Thiago Motta Netto, Laura Valduga Pozza, Paulo Rafael Wendling, Caroline, Azevedo, Juliana, Garcia, Marcel, Lopes, Bernardo, Maia, Paula, Maselli, Ralph, Melo, Weslley, Mendes, Matheus, Neves, Jacqueline, Ney, Claudio, Piras, Christopher, Applewhaite, Adrienne, Carr, Lorraine, Chow, Kaylene, Duttchen, Julena, Foglia, Michael, Greene, Ashley, Hinther, Kendra, Houston, Thomas Jared McCormick, Jennifer, Mikhayel, Sam, Montasser, Alex, Ragan, Andrew, Suen, Adrianna, Woolsey, Hai Chuan Yu, Duane, Funk, Stephen, Kowalski, Regina, Legaspi, Heather, Mcdonald, Faisal, Siddiqui, Jeremy, Pridham, Bernadette, Rowe, Sonia, Sampson, Barton, Thiessen, Geoff, Zbitnew, Andre, Bernard, Ronald, George, Philip, Jones, Rita, Moor, Naveed, Siddiqui, Alexandra, Wolfer, Diem, Tran, Denyse, Winch, Gary, Dobson, Thomas, Mccormick, Osama, Montasser, Richard, Hall, Leyla, Baghirzada, Si Yuan Dai, Gregory, Hare, Esther, Lee, Uma, Shastri, Albert, Tsui, Anmol, Yagnik, Danielle, Alvares, Stephen, Choi, Heather, Dwyer, Kathrina, Flores, Colin, Mccartney, Priya, Somascanthan, Carroll, Jo, Janneth, Pazmino-Canizares, Noam, Ami, Vincent, Chan, Anahi, Perlas, Ruth, Argue, Katie, Lavis, Kelly, Mayson, Ying, Cao, Hong, Gao, Tingju, Hu, Jie, Lv, Jian, Yang, Yang, Yang, Zhong, Yi, Jing, Zhou, Xiaohua, Zou, Miao, He, Xiaoying, Li, Dihuan, Luo, Haiying, Wang, Tian, Yu, Liyong, Chen, Lijun, Wang, Yunfei, Cai, Zhongming, Cao, Yanling, Li, Jiaxin, Lian, Haiyun, Sun, Sheng, Wang, Zhipeng, Wang, Kenru, Wang, Zhu, Yi, Xindan, Du, Hao, Fan, Yunbin, Fu, Lixia, Huang, Yanming, Huang, Haifang, Hwan, Hong, Luo, Pi-Sheng, Qu, Fan, Tao, Zhen, Wang, Guoxiang, Wang, Shun, Wang, Yan, Zhang, Xiaolin, Zhang, Chao, Chen, Weixing, Wang, Zhengyuan, Liu, Lihua, Fan, Jing, Tang, Yijun, Chen, Yongjie, Chen, Yangyang, Han, Changshun, Huang, Guojin, Liang, Jing, Shen, Jun, Wang, Qiuhong, Yang, Jungang, Zhen, Haidong, Zhou, Junping, Chen, Zhang, Chen, Xiaoyu, Li, Meng, Bo, Haiwang, Ye, Xiaoyan, Zhang, Yanbing, Bi, Jianqiao, Cao, Fengying, Guo, Hong, Lin, Yang, Liu, Meng, Lv, Pengcai, Shi, Xiumei, Song, Chuanyu, Sun, Yongtao, Sun, Yuelan, Wang, Shenhui, Wang, Min, Zhang, Rong, Chen, Jiabao, Hou, Yan, Leng, Qing-Tao, Meng, Qian, Li, Zi-Ying, Shen, Zhong-Yuan, Xia, Rui, Xue, Yuan, Zhang, Zhao, Bo, Xian-Jin, Zhou, Qiang, Chen, Huinan, Guo, Yongqing, Guo, Yuehong, Qi, Zhi, Wang, Jianfeng, Wei, Weiwei, Zhang, Lina, Zheng, Bao, Qi, Yaqiu, Chen, Yijiao, Chen, Yue, Fei, Nianqiang, Hu, Xuming, Hu, Min, Lei, Xiaoqin, Li, Xiaocui, Lv, Fangfang, Miao, Lingling, Ouyang, Qian, Lu, Conyu, Shen, Sun, Yu, Yuting, Wang, Dong, Wang, Chao, Wu, Liyuan, Xu, Jiaqi, Yuan, Lina, Zhang, Huan, Zhang, Yapping, Zhang, Jinning, Zhao, Chong, Zhao, Lei, Zhao, Tianzhao, Zheng, Dachun, Zhou, Haiyan, Zhou, Zhou, Ce, Kaizhi, Lu, Ting, Zhao, Changlin, He, Hong, Chen, Shasha, Chen, Baoli, Cheng, Jie, He, Lin, Jin, Caixia, Li, Hui, Li, Yuanming, Pan, Yugang, Shi, Xiao Hong Wen, Shuijing, Wu, Guohao, Xie, Kai, Zhang, Bing, Zhao, Xianfu, Lu, Feifei, Chen, Qisheng, Liang, Xuewu, Lin, Yunzhi, Ling, Gang, Liu, Jing, Tao, Yang, Lu, Jialong, Zhou, Fumei, Chen, Yunlin, Feng, Benchao, Hou, Jiamei, Lin, Mei, Liu, Foquan, Luo, Xiaoyun, Shi, Yingfen, Xiong, Lin, Xu, Shuangjia, Yang, Qin, Zhang, Huaigen, Zhang, Weihong, Zhao, Weilu, Zhao, Yun, Bai, Linbi, Chen, Sijia, Chen, Qinxue, Dai, Wujun, Geng, Kunyuan, Han, Xin, He, Luping, Huang, Binbin, Ji, Danyun, Jia, Shenhui, Jin, Qianjun, Li, Dongdong, Liang, Shan, Luo, Lulu, Lwang, Yunchang, Mo, Yuanyuan, Pan, Xinyu, Qi, Meizi, Qian, Jinling, Qin, Yelong, Ren, Yiyi, Shi, Junlu, Wang, Junkai, Wang, Leilei, Wang, Junjie, Xie, Yixiu, Yan, Yurui, Yao, Mingxiao, Zhang, Jiashi, Zhao, Xiuxiu, Zhuang, Yanqiu, Ai, Fang, Du, Long, He, Ledan, Huang, Zhisong, Li, Huijuan, Li, Yetong, Li, Liwei, Li, Meng, Su, Yazhuo, Yuan, Enman, Zhang, Jie, Zhang, Shuna, Zhao, Zhenrong, Ji, Ling, Pei, Wang, Li, Chen, Chen, Beibei, Dong, Jing, Li, Ziqiang, Miao, Hongying, Mu, Chao, Qin, Lin, Su, Zhiting, Wen, Keliang, Xie, Yonghao, Yu, Fang, Yuan, Xianwen, Hu, Zhang, Ye, Wangpin, Xiao, Zhipeng, Zhu, Qingqing, Dai, Kaiwen, Fu, Rong, Hu, Xiaolan, Hu, Song, Huang, Yaqi, Li, Yingping, Liang, Shuchun, Yu, Zheng, Guo, Yan, Jing, Tang, Na, Jie, Wu, Dajiang, Yuan, Ruilin, Zhang, Xiaoying, Zhao, Yuhong, Li, Hui-Ping, Bai, Chun-Xiao, Liu, Fei-Fei, Liu, Wei, Ren, Xiu-Li, Wang, Guan-Jie, Xu, Na, Hu, Bo, Li, Yangwen, Ou, Yongzhong, Tang, Shanglong, Yao, Shihai, Zhang, Cui-Cui, Kong, Bei, Liu, Tianlong, Wang, Wei, Xiao, Bo, Lu, Yanfei, Xia, Jiali, Zhou, Fang, Cai, Pushan, Chen, Shuangfei, Hu, Hongfa, Wang, Qiong, Xu, Liu, Hu, Liang, Jing, Bin, Li, Qiang, Liu, Yuejiang, Liu, Xinjian, Lu, Zhen Dan Peng, Xiaodong, Qiu, Quan, Ren, Youliang, Tong, Jin, Wang, Yazhou, Wen, Qiong, Wu, Jiangyan, Xia, Jue, Xie, Xiapei, Xiong, Shixia, Xu, Tianqin, Yang, Hui, Ye, Ning, Yin, Jing, Yuan, Qiuting, Zeng, Baoling, Zhang, Kang, Zheng, Jing, Cang, Shiyu, Chen, Fan, Yu, Shuying, Fu, Xiaodong, Ge, Baolei, Guo, Wenhui, Huang, Linghui, Jiang, Xinmei, Jiang, Liu, Yi, Yan, Pan, Yun, Ren, Shan, Qi, Jiaxing, Wang, Fei, Wang, Chi, Wu, Xiaoguang, Zhang, Ida Cecilie Christiansen, Simon Nørgaard Granum, Bodil Steen Rasmussen, Morten, Daugaard, Rajiv, Gambhir, Guðný Erla Steingrímsdóttir, Peter, Jensen-Gadegaard, Karsten Skovgaard Olsen, Hanna, Siegel, Katrine Zwicky Eskildsen, Mona Ring Gätke, Ida, Wibrandt, Simon Bisgaard Heintzelmann, Kai Henrik Wiborg Lange, Rune Sarauw Lundsgaard, Louise, Amstrup-Hansen, Claus, Hovendal, Michael, Larsen, Mette, Lenstrup, Tina, Kobborg, Jens Rolighed Larsen, Anette Barbre Pedersen, Søren Hübertz Smith, Rebecca Monett Oestervig, Arash, Afshari, Cheme, Andersen, Kim, Ekelund, Erik Lilja Secher, Birgitte, Brandsborg, Helene, Beloeil, Sigismond, Lasocki, Alexandre, Ouattara, Marlene, Sineus, Serge, Molliex, Marie Lim Legouge, Florent, Wallet, Antoine, Tesniere, Christophe, Gaudin, Paul, Lehur, Emma, Forsans, Stéphane de Rudnicki, Valerie Serra Maudet, Didier, Mutter, Ghassan, Sojod, Mehdi, Ouaissi, Jean-Marc, Regimbeau, Jacques, Desbordes, Nicolas, Comptaer, Diae El Manser, Sabine, Ethgen, Gilles, Lebuffe, Patrick, Auer, Christine, Härtl, Maria, Deja, Kirill, Legashov, Susanne, Sonnemann, Carola, Wiegand-Loehnert, Elke, Falk, Marit, Habicher, Stefan, Angermair, Beatrix, Laetsch, Katrin, Schmidt, Christian Von Heymann, Axel, Ramminger, Florian, Jelschen, Svenja, Pabel, Andreas, Weyland, Elke, Czeslick, Jochen, Gille, Michael, Malcharek, Armin, Sablotzki, Katharina, Lueke, Peter, Wetzel, Joerg, Weimann, Franz-Peter, Lenhart, Florian, Reichle, Frederike, Schirmer, Michael, Hüppe, Karl, Klotz, Carla, Nau, Julika, Schön, Thomas, Mencke, Christina, Wasmund, Carla, Bankewitz, Georg, Baumgarten, Andreas, Fleischer, Vera, Guttenthaler, Yvonne, Hack, Katharina, Kirchgaessner, Olja, Männer, Marlen, Schurig-Urbaniak, Rafael, Struck, Rebekka van Zyl, Maria, Wittmann, Ulrich, Goebel, Sarah, Harris, Siegfried, Veit, Evangelia, Andreadaki, Flora, Souri, Ioannis, Katsiadramis, Anthi, Skoufi, Maria, Vasileiou, Eleni, Aimoniotou-Georgiou, Anastasios, Katsourakis, Fotini, Veroniki, Glyceria, Vlachogianni, Konstantina, Petra, Dimitra, Chlorou, Eirini, Oloktsidou, Vasileios, Ourailoglou, Konstantinos, Papapostolou, Georgia, Tsaousi, Panagoula, Daikou, Georgia, Dedemadi, Ioannis, Kalaitzopoulos, Christos, Loumpias, Sotirios, Bristogiannis, Nikolaos, Dafnios, Georgios, Gkiokas, Elissaios, Kontis, Dimitra, Kozompoli, Aspasia, Papailia, Theodosios, Theodosopoulos, Christol, Bizios, Anastasia, Koutsikou, Aleaxandra, Moustaka, Ioannis, Plaitakis, Apostolos, Armaganidis, Theodora, Christodoulopoulou, Mihail, Lignos, Maria, Theodorakopoulou, Andreas, Asimakos, Eleni, Ischaki, Angeliki, Tsagkaraki, Spyros, Zakynthinos, Eleni, Antoniadou, Ioannis, Koutelidakis, Dimitrios, Lathyris, Irene, Pozidou, Nikolaos, Voloudakis, Maria, Dalamagka, Elena, Gkonezou, Christos, Chronis, Dimitra, Manolakaki, Dimitris, 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Diaconescu, Ciresica, Iosep, Gabriel Florin, Pulbere, Dorin, Ursu, Irina, Balanescu, Andreea, Grintescu, Ioana, Mirea, Liliana, Rentea, Irina, Vartic, Mihaela, Lupu, Mary-Nicoleta, Stanescu, Dorin, Streanga, Lavinea, Antal, Oana, Hagau, Natalia, Patras, Dumitru, Petrisor, Cristina, Tosa, Flaviu, Tranca, Sebastian, Copotoiu, Sanda Maria, Ungureanu, Liviu Lucian, Harsan, Cristian Remu, Papurica, Mariu, Cernea, Daniela Denisa, Dragoescu, Nicoleta Alice, Aflori, Laura, Vaida, Carmen, Ciobotaru, Oana Roxana, Aignatoaie, Mariana, Carp, Cristina Paula, Cobzaru, Isabelle, Mardare, Oana, Purcarin, Bianca, Tutunaru, Valentin, Ionita, Victor, Arustei, Mirela, Codita, Anisoara, Busuioc, Mihai, Chilinciuc, Ion, Ciobanu, Cristina, Belciu, Ioana, Tincu, Eugen, Blaj, Mihaela, Grosu, Ramona-Mihaela, Sandu, Gigel, Bruma, Dana, Corneci, Dan, Dutu, Madalina, Krepil, Adriana, Copaciu, Elena, Dumitrascu, Clementina Oana, Jemna, Ramona, Mihaescu, Florentina, Petre, Raluca, Tudor, Cristina, Ursache, Elena, Kulikov, Alexander, Lubnin, Andrey, Grigoryev, Evgeny, Pugachev, Stanislav, Tolmasov, Alexander, Hussain, Ayyaz, Ilyina, Yana, Roshchina, Anna, Iurin, Aleksandr, Chazova, Elena, Dunay, Artem, Karelov, Alexey, Khvedelidze, Irina, Voldaeva, Olga, Belskiy, Vladislav, Dzhamullaev, Parvin, Grishkowez, Elena, Kretov, Vladimir, Levin, Valeriy, Molkov, Aleksandr, Puzanov, Sergey, Samoilenko, Aleksandr, Tchekulaev, Aleksandr, Tulupova, Valentina, Utkin, Ivan, Allorto, Nikki Leigh, Bishop, David Gray, Builu, Pierre Monji, Cairns, Carel, Dasrath, Ashish, de Wet, Jacque, den Hoedt, Marielle, Grey, Ben, Hayes, Morgan Philip, Küsel, Belinda Senta, Shangase, Nomcebo, Wise, Robert, Cacala, Sharon, Farina, Zane, Govindasamy, Vishendran, Kruse, Carl-Heinz, Lee, Carolyn, Marais, Leonard, Naidoo, Thinagrin Dhasarthun, Rajah, Chantal, Rodseth, Reitze Nil, Ryan, Lisa, von Rhaden, Richard, Adam, Suwayba, Alphonsus, Christella, Ameer, Yusuf, Anderson, Frank, Basanth, Sujith, Bechan, Sudha, Bhula, Chettan, Biccard, Bruce M., Biyase, Thuli, Buccimazza, Ine, Cardosa, Jorge, Chen, Jame, Daya, Bhavika, Drummond, Leanne, Elabib, Ali, Goad, Ehab Helmy Abdel, Goga, Ismail E., Goga, Riaz, Harrichandparsad, R., Hodgson, Richard E., Jordaan, J., Kalafatis, Nicky, Kampik, Christian, Landers, At, Loots, Emil, Madansein, Rajhmum, Madaree, Anil, Madiba, Thandinkosi E., Manzini, Vukani T., Mbuyisa, Mbali, Moodley, Rajan, Msomi, Mduduzi, Mukama, Innocent, Naidoo, Desigan, Naidoo, Rubeshan, Naidu, Tesuven K., Ntloko, Sindiswa, Padayachee, Eneshia, Padayachee, Lucelle, Phaff, Martijn, Pillay, Bala, Pillay, Desigan, Pillay, Lutchmee, Ramnarain, Anupa, Ramphal, Suren R., Ryan, Paul, Saloojee, Ahmed, Sebitloane, Motshedisi, Sigcu, Noluyolo, Taylor, Jenna L., Torborg, Alexandra, Visser, Linda, Anderson, Philip, Conradie, Alae, de Swardt, Mathew, de Villiers, Martin, Eikman, Johan, Liebenberg, Riaan, Mouton, Johan, Paton, Abbey, van der Merwe, Louwrence, Wilscott-Davids, Candice, Barrett, Wendy Joan, Bester, 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Delgado García, David R., Zamudio, Diana, Garcia Del Valle, Santiago, Luz Serrano, M., Alonso, Eduardo, Anillo, Victor, Maseda, Emilio, Salgado, Patricia, Suarez, Lui, Suarez-de-la-Rica, Alejandro, Villagrán, María José, Alonso, José Ignacio, Cabezuelo, Estefania, Garcia-Saiz, Irene, Lopez del Moral, Olga, Martín, Silvia, Perez Gonzalez, Alba, Tovar Doncel, Sherezade, Vera, Martin Agüero, Ávila Sánchez, Francisco José, Castaño, Beatriz, Castaño Moreira, Beatriz, Flores Risco, Sahely, Paz Martín, Daniel, Pérez Martín, Fernando, Poza, Paloma, Ruiz, Adela, Serna Martínez, Wilson Fabio, Vicente, Bárbara Vázquez, Dominguez, Saul Velaz, Fernández, Salvador, Munoz-López, Alfonso, Bernat, Maria Jose, Mas, Arantxa, Planas, Kenneth, Jawad, Monir, Saeed, Yousif, Hedin, Annika, Levander, Helena, Holmström, Sandra, Lönn, David, Zoerner, Frank, Åkring, Irene, Widmark, Carl, Zettergren, Jan, Liljequist, Victor Aspelund, Nystrom, Lena, Odeberg-Wernerman, Suzanne, Oldner, Ander, Reje, Patrik, Lyckner, 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Rachel, Costelloe, Hannah, Coxwell Matthewman, Madeline, Dalton, Emma, Darko, Julia, Davari, Maria, Dave, Tejal, Deacon, Matthew, Deepak, Shantal, Edmond, Holly, Ellis, Jessica, El-Sayed, Ahmed, Eneje, Philip, English, Rose, Ewe, Renee, Foers, William, Franklin, John, Gallego, Laura, Garrett, Emily, Goldberg, Olivia, Goss, Harry, Greaves, Rosanna, Harris, Rudy, Hennings, Charle, Jones, Eleanor, Kamali, Nelson, Kokkinos, Naomi, Lewis, Cary, Lignos, Leda, Malgapo, Evaleen Victoria, Malik, Rizwana, Milne, Andrew, Mulligan, John-Patrick, Nicklin, Philippa, Palipane, Natasha, Parsons, Thoma, Piper, Rebecca, Prakash, Rohan, Ramesh, Byron, Rasip, Sarah, Reading, Jacob, Rela, Mariam, Reyes, Anna, Robert, Stephen, Rooms, Martin, Shah, Karishma, Simons, Henry, Solanki, Shalil, Spowart, Emma, Stevens, Amy, Thomas, Christopher, Waggett, Helena, Yassaee, Arrash, Kennedy, Anthony, Scott, Sara, Somanath, Sameer, Berg, Andrew, Hernandez, Miguel, Nanda, Rajesh, Tank, Ghanshyambhai, Wilson, Natalie, Wilson, Debbie, Al-Soudaine, Yassr, Baldwin, Matthew, Cornish, Julie, Davies, Zoe, Davies, Leigh, Edwards, Marc, Frewer, Natasha, Gallard, Sian, Glasbey, Jame, Harries, Rhiannon, Hopkins, Luke, Kim, Taeyang, Koompirochana, Vilavan, Lawson, Simon, Lewis, Megan, Makzal, Zaid, Scourfield, Sarah, Ahmad, Yousra, Bates, Sarah, Blackwell, Clare, Bryant, Helen, Coulter, Suzanne, Cruickshank, Ro, Daniel, Sonya, Daubeny, Thoma, Edwards, Mark, Golder, Kim, Hawkins, Lesley, Helen, Bryant, Hinxman, Honor, Levett, Denny, Skinner, Ben, Walsgrove, Joseph, Dickson, Jane, Constantin, Kathryn, Karen, Markwell, O’Brien, Peter, O’Donohoe, Lynn, Payne, Hannah, Sundayi, Saul, Walker, Elaine, Brooke, Jenny, Cardy, Jon, Humphreys, Sally, Kessack, Laura, Kubitzek, Christiane, Kumar, Suha, Cotterill, Donna, Hodzovic, Emil, Hosdurga, Gurunath, Miles, Edward, Saunders, Glenn, Campbell, Marta, Chan, Peter, Jemmett, Kim, Raj, Ashok, Naik, Aditi, Ramamoorthy, Rajarajan, Shah, Nimesh, Sylvan, Axel, Blyth, Katharine, Burtenshaw, Andrew, Freeman, David, Johnson, Emily, Lo, Philip, Martin, Terry, Plunkett, Emma, Wollaston, Julie, Allison, Joanna, Carroll, Christine, Craw, Nichola, Craw, Sarah, Pitt-Kerby, Tressy, Rowland-Axe, Rebecca, Spurdle, Katie, McDonald, Andrew, Simon, Davie, Sinha, Vivek, Smith, Thoma, Banner-Goodspeed, Valerie, Boone, Myle, Campbell, Kathleen, Lu, Fengxin, Scannell, Joseph, Sobol, Julia, Balajonda, Naraida, Clemmons, Karen, Conde, Carlo, Funk, Bonita, Hall, Roger, Hopkins, Thoma, Olaleye, Omowunmi, Omer, Omer, Pender, Michelle, Porto, Angelo, Stevens, Alice, Waweru, Peter, Yeh, Erlinda, Bodansky, Daniella, Evans, Adam, Kleopoulos, Steven, Maril, Robert, Mathney, Edward, Sanchez, Angela, Tinuoye, Elizabeth, Bateman, Brian, Eng, Kristen, Jiang, Ning, Ladha, Karim, Needleman, Joseph, Chen, Lee-lynn, Lane, Rondall, Robinowitz, David, Ghushe, Neil, Irshad, Mariam, Patel, Samir, Takemoto, Steven, Wallace, Art, Mazzeffi, Michael, Rock, Peter, Wallace, Karin, Zhu, Xiaomao, Chua, Pandora, Mattera, Matthew, Sharar, Rebecca, Thilen, Stephan, Treggiari, Miriam, Morgan, Angela, Sofjan, Iwan, Subramaniam, Kathirvel, Avidan, Michael, Maybrier, Hannah, Muench, Maxwell, Wildes, Troy, Kahan, Bc, Koulenti, D, Arvaniti, K, Beavis, V, Campbell, D, Chan, M, Moreno, R, Pearse RM (International Surgical Outcomes Study (ISOS), group), Zangrillo, A, Landoni, G, Beretta, L., Anesthesiology research group, Supporting clinical sciences, Intensive care medicine, International Surgical Outcomes Study (ISOS) group, Pearse, R.M., Beattie, S., Clavien, P.A., Demartines, N., Fleisher, L.A., Grocott, M., Haddow, J., Hoeft, A., Holt, P., Moreno, R., Pritchard, N., Rhodes, A., Wijeysundera, D., Wilson, M., Ahmed, T., Everingham, K., Hewson, R., Januszewska, M., Phull, M.K., Halliwell, R., Shulman, M., Myles, P., Schmid, W., Hiesmayr, M., Wouters, P., de Hert, S., Lobo, S., Fang, X., Rasmussen, L., Futier, E., Biais, M., Venara, A., Slim, K., Sander, M., Koulenti, D., Arvaniti, K., Chan, M., Kulkarni, A., Chandra, S., Tantri, A., Geddoa, E., Abbas, M., Della Rocca, G., Sivasakthi, D., Mansor, M., Luna, P., Bouwman, A., Buhre, W., Beavis, V., Campbell, D., Short, T., Osinaike, T., Matos, R., Grigoras, I., Kirov, M., Protsenko, D., Biccard, B., Aldecoa, C., Chew, M., Hofer, C., Hubner, M., Ditai, J., Szakmany, T., Fleisher, L., Ferguson, M., MacMahon, M., Cherian, R., Currow, H., Kanathiban, K., Gillespie, D., Pathmanathan, E., Phillips, K., Reynolds, J., Rowley, J., Douglas, J., Kerridge, R., Garg, S., Bennett, M., Jain, M., Alcock, D., Terblanche, N., Cotter, R., Leslie, K., Stewart, M., Zingerle, N., Clyde, A., Hambidge, O., Rehak, A., Cotterell, S., Binh Quan Huynh, W., McCulloch, T., Ben-Menachem, E., Egan, T., Cope, J., Fellinger, P., Haselberger, S., Holaubek, C., Lichtenegger, P., Scherz, F., Hoffer, F., Cakova, V., Eichwalder, A., Fischbach, N., Klug, R., Schneider, E., Vesely, M., Wickenhauser, R., Grubmueller, K.G., Leitgeb, M., Lang, F., Toro, N., Bauer, M., 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Al-Soudaine, Y., Baldwin, M., Cornish, J., Davies, Z., Davies, L., Edwards, M., Frewer, N., Gallard, S., Glasbey, J., Harries, R., Hopkins, L., Kim, T., Koompirochana, V., Lawson, S., Lewis, M., Makzal, Z., Scourfield, S., Ahmad, Y., Bates, S., Blackwell, C., Bryant, H., Coulter, S., Cruickshank, R., Daniel, S., Daubeny, T., Golder, K., Hawkins, L., Helen, B., Hinxman, H., Levett, D., Skinner, B., Walsgrove, J., Dickson, J., Constantin, K., Karen, M., O'Brien, P., O'Donohoe, L., Payne, H., Sundayi, S., Walker, E., Brooke, J., Cardy, J., Humphreys, S., Kessack, L., Kubitzek, C., Kumar, S., Cotterill, D., Hodzovic, E., Hosdurga, G., Miles, E., Saunders, G., Campbell, M., Chan, P., Jemmett, K., Raj, A., Naik, A., Ramamoorthy, R., Shah, N., Sylvan, A., Blyth, K., Burtenshaw, A., Freeman, D., Johnson, E., Lo, P., Martin, T., Plunkett, E., Wollaston, J., Allison, J., Carroll, C., Craw, N., Craw, S., Pitt-Kerby, T., Rowland-Axe, R., Spurdle, K., McDonald, A., Simon, D., Sinha, V., Banner-Goodspeed, V., Boone, M., Campbell, K., Lu, F., Scannell, J., Sobol, J., Balajonda, N., Clemmons, K., Conde, C., Funk, B., Hopkins, T., Olaleye, O., Omer, O., Pender, M., Porto, A., Waweru, P., Yeh, E., Bodansky, D., Evans, A., Kleopoulos, S., Maril, R., Mathney, E., Sanchez, A., Tinuoye, E., Bateman, B., Eng, K., Jiang, N., Ladha, K., Needleman, J., Chen, L.L., Lane, R., Robinowitz, D., Ghushe, N., Irshad, M., Patel, S., Takemoto, S., Wallace, A., Mazzeffi, M., Rock, P., Wallace, K., Zhu, X., Chua, P., Mattera, M., Sharar, R., Thilen, S., Treggiari, M., Morgan, A., Sofjan, I., Subramaniam, K., Avidan, M., Maybrier, H., Muench, M., and Wildes, T.
Subjects: Male, HSJ UCI, Critical Care and Intensive Care Medicine, law.invention, Perioperative Care/methods, 0302 clinical medicine, Surgical procedures, 030202 anesthesiology, law, Critical care/utilisation, Postoperative care/methods, Postoperative care/statistics and numerical data, Surgical procedures, operative/mortality, statistics and numerical data, Prospective Studies, Postoperative Period, Postoperative care/methods, education.field_of_study, Postoperative care/method, Elective Surgical Procedures/mortality, fluid output, Middle Aged, fluid administration, Intensive care unit, Hospitalization, Length of Stay/statistics & numerical data, operative/mortality, Intensive Care Units/statistics & numerical data, outcome, Female, Elective Surgical Procedure, Human, Adult, medicine.medical_specialty, Logistic Model, Postoperative care/statistics and numerical data, Critical care/utilisation, Population, Intensive Care Unit, Elective Surgical Procedures/statistics & numerical data, Hospitalization/statistics & numerical data, Humans, Logistic Models, Surgical procedures, operative/mortality, Postoperative care, methods, Perioperative Care, NO, 03 medical and health sciences, Anesthesiology, Intensive care, medicine, Elective surgery, Intensive care medicine, education, business.industry, 030208 emergency & critical care medicine, Perioperative, Length of Stay, Clinical trial, Prospective Studie, septic shock, business
Abstract: PURPOSE: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. METHODS: Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. RESULTS: 44,814 patients from 474 hospitals in 27 countries were available for analysis. Death was more frequent amongst patients admitted directly to critical care after surgery (critical care: 103/4317 patients [2%], standard ward: 99/39,566 patients [0.3%]; adjusted OR 3.01 [2.10-5.21]; p < 0.001). This association may differ with national income (high income countries OR 2.50 vs. low and middle income countries OR 4.68; p = 0.07). At hospital level, there was no association between mortality and critical care admission directly after surgery (p = 0.26), critical care admission to treat complications (p = 0.33), or provision of critical care beds (p = 0.70). Findings of the hospital-level analyses were not affected by national income status. A sensitivity analysis including only high-risk patients yielded similar findings. CONCLUSIONS: We did not identify any survival benefit from critical care admission following surgery. info:eu-repo/semantics/publishedVersion
Published: 2017
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28. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries

Author: Ahmad, T, Bouwman, RA, Grigoras, I, Aldecoa, C, Hofer, C, Hoeft, A, Holt, P, Fleisher, LA, Buhre, W, Pearse, RM, Ferguson, M, MacMahon, M, Shulman, M, Cherian, R, Currow, H, Kanathiban, K, Gillespie, D, Pathmanathan, E, Phillips, K, Reynolds, J, Rowley, J, Douglas, J, Kerridge, R, Garg, S, Bennett, M, Jain, M, Alcock, D, Terblanche, N, Cotter, R, Leslie, K, Stewart, M, Zingerle, N, Clyde, A, Hambidge, O, Rehak, A, Cotterell, S, Huynh, WBQ, McCulloch, T, Ben-Menachem, E, Egan, T, Cope, J, Halliwell, R, Fellinger, P, Haisjackl, M, Haselberger, S, Holaubek, C, Lichtenegger, P, Scherz, F, Schmid, W, Hoffer, F, Cakova, V, Eichwalder, A, Fischbach, N, Klug, R, Schneider, E, Vesely, M, Wickenhauser, R, Grubmueller, KG, Leitgeb, M, Lang, F, Toro, N, Bauer, M, Laengle, F, Haberl, C, Mayrhofer, T, Trybus, C, Buerkle, C, Forstner, K, Germann, R, Rinoesl, H, Schindler, E, Trampitsch, E, Bogner, G, Dankl, D, Duenser, M, Fritsch, G, Gradwohl-Matis, I, Hartmann, A, Hoelzenbein, T, Jaeger, T, Landauer, F, Lindl, G, Lux, M, Steindl, J, Stundner, O, Szabo, C, Bidgoli, J, Verdoodt, H, Forget, P, Kahn, D, Lois, F, Momeni, M, Pregardien, C, Pospiech, A, Steyaert, A, Veevaete, L, De Kegel, D, De Jongh, K, Foubert, L, Smitz, C, Vercauteren, M, Poelaert, J, Van Mossevelde, V, Abeloos, J, Bouchez, S, Coppens, M, De Baerdemaeker, L, Deblaere, I, De Bruyne, A, De Hert, S, Fonck, K, Heyse, B, Jacobs, T, Lapage, K, Moerman, A, Neckebroek, M, Parashchanka, A, Roels, N, Van Den Eynde, N, Vandenheuvel, M, Van Limmen, J, Vanluchene, A, Vanpeteghem, C, Wouters, P, Wyffels, P, Huygens, C, Vandenbempt, P, Van de Velde, M, Dylst, D, Janssen, B, Schreurs, E, Aleixo, FB, Candido, K, Batista, HD, Guimaraes, M, Guizeline, J, Hoffmann, J, Lobo, S, Marques Lobo, FR, Nascimento, V, Nishiyama, K, Pazetto, L, Souza, D, Rodrigues, RS, Vilela dos Santos, AM, Jardim, J, Sa Malbouisson, LM, Silva, J, Do Nascimento Junior, P, Baio, TH, Pereira de Castro, GI, Watanabe Oliveira, HR, Amendola, CP, Cardoso, G, 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Abdel Razzaq, Al Hussaini, Sabah, Albaj, Safauldeensalem, Kenber, Maithem, Bettinelli, Alessandra, Spadaro, Savino, Albertovolta, Carlo, Giancarlo, Luigi, Sottosanti, Vicari, Copetti, Elisa, Della Rocca, Giorgio, Spagnesi, Lorenzo, Toretti, Ilaria, Alloj, Chiara, Cardellino, Silvano, Carmino, Livio, Costanzo, Eleonora, Fanfani, Lucia Caterina, Novelli, Maria Teresa, Roasio, Agostino, Bellandi, Mattia, Beretta, Luigi, Bignami, Elena, Bocchino, Speranza, Cabrini, Luca, Corti, Daniele, Landoni, Giovanni, Meroni, Roberta, Moizo, Elena, Monti, Giacomo, Pintaudi, Margherita, Plumari, Valentina Paola, Taddeo, Daiana, Testa, Valentina, Winterton, Dario, Zangrillo, Alberto, Cloro, Luigi Maria, Colangelo, Chiara, Colangelo, Antonio, Rotunno, Giuseppe, Paludi, Miguel Angel, Maria, Cloro Paolo, Pata, Antonio, Parrini, Vieri, Gatta, Alessandro, Nastasi, Mauro, Tinti, Carla, Baroselli, Antonio, Arrigo, Mario, Benevento, Angelo, Bottini, Corrado, Cannavo, Maurizio, Gastaldi, Christian, Marchesi, 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Azam, Ummi Azmira Ahmad, Alias, Abdul Hafiz, Kesut, Saiful Aizar, Lee, Jun May, Ooi, Dar Vin, Sulaiman, Hetty Ayuni, Lih, Tengku Alini Tengku, Mansor, Marzida, Veerakumaran, Jeyaganesh, Luna, Pastor, Rojas, Eder, Resendiz, Gerardo Esteban Alvarez, Zapata, Darcy Danitza Mari, Lã³pez, Julio Cesar JesÃºs Aguilar, Flores, Armando Adolfo Alvarez, Amador, Juan Carlos Bravo, Avila, Erendira Jocelin Dominguez, Aquino, Laura Patricia GonzÃ¡lez, Rodriguez, Ricardo Lopez, Landa, Mariana Torre, Urias, Emma, Hollmann, Marku, Hulst, Abraham, Preckel, Osne Kirzner Benedikt, Koopman-Van Gemert, Ankie, Bouwman, Arthur, Buise, Marc, Tolenaar, Noortje, Weber, Eric, De Fretes, Jennifer, Houweling, Peter, Ormskerk, Patricia, Van Bommel, Jasper, Buhre, Wolfgang, Lance, Marcu, Smit-Fun, Valerie, Van Zundert, Tom, Baas, Peter, De Boer, Hans Donald, Sprakel, Joost, Elferink-Vonk, Renske, Noordzij, Peter, Van Zeggeren, Laura, Brand, Bastiaan, Spanjersberg, Rob, Ten Bokkel-Andela, Janneke, Numan, Sandra, Van Klei, Wilton, Van Zaane, Ba, Boer, Christa, Van Duivenvoorde, Yoni, Hering, Jens Peter, Van Rossum, Sylvia, Zonneveldt, Harry, Hoare, Siobhan, Santa, Sahayam, Ali, Marlynn, Allen, Sara Jane, Beavis, Vanessa, Bell, Rachel, Choi, Hyun-Min David, Drake, Matthew, Farrell, Helen, Hayes, Katia, Higgie, Kushlin, Holmes, Kerry, Jenkins, Nicole, Kim, Chang Joon, Kim, Steven, Law, Kiew Chai, Mcallister, Davina, Park, Karen, Pedersen, Karen, Pfeifer, Leesa, Pozaroszczyk, Anna, Salmond, Timothy, Steynor, Martin, Tan, Michael, Short, Tim, Waymouth, Ellen, Ab Rahman, Ahmad Sufian, Armstrong, John, Dudson, Rosie, Jenkins, Nia, Nilakant, Jayashree, Richard, Seigne, Virdi, Pardeep, Dixon, Liane, Donohue, Roana, Farrow, Mehreen, Kennedy, Ro, Marissa, Henderson, Mckellow, Margie, Nicola, Delany, Pascoe, Rebecca, Roberts, Stephen John, Rowell, George, Sumner, Matthew, Templer, Paul, Chandrasekharan, Shardha, Fulton, Graham, Jammer, Ib, More, Richard, Wilson, Leona, Chang, Yuan Hsuan, Foley, Julia, Fowler, 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Amabra, Echem, Richard, Obasuyi, Bright, Onajin-Obembe, Bisola, Bandeira, Maria Expedito, Martins, Alda, Tomã©, Miguel, Costa, Ana Cristina Miranda Martin, Krystopchuk, Andriy, Branco, Teresa, Esteves, Simao, Melo, Marco AntÃ³nio, Monte, Jãºlia, Rua, Fernando, Martins, Isabel, Pinho-Oliveira, VÃtor Miguel, Rodrigues, Carla Maria, Cabral, Raquel, Marques, Sofia, Rãªgo, Sara, Jesus, Joana Sofia Teixeira, Marques, Maria ConceiÃ§Ã£o, Romao, Cristina, Dias, Sandra, Santos, Ana Margarida, Alves, Maria Joao, Salta, Cristina, Cruz, Salome, Duarte, Cã©lia, Paiva, AntÃ³nio Armando Furtado, Do Nascimento Cabral, Tiago, Faria Maia, Dionisio, Correia Da Silva, Rui Freitas MendonÃ§a, Langner, Anuschka, Resendes, HernÃ¢ni Oliveira, Da ConceiÃ§Ã£o Soares, Maria, Abrunhosa, Alexandra, Faria, Filomena, Miranda, Lina, Pereira, Helena, Serra, Sofia, Ionescu, Daniela, Margarit, Simona, Mitre, Calin, Vasian, Horatiu, Manga, Gratiela, Stefan, Andreea, Tomescu, Dana, Filipescu, Daniela, Paunescu, Marilena-Alina, Stefan, Mihai, Stoica, Radu, Gavril, Laura, Pç trç å canu, Emilia, Ristescu, Irina, Rusu, Daniel, Diaconescu, Ciresica, Iosep, Gabriel Florin, Pulbere, Dorin, Ursu, Irina, Balanescu, Andreea, Grintescu, Ioana, Mirea, Liliana, Rentea, Irina, Vartic, Mihaela, Lupu, Mary-Nicoleta, Stanescu, Dorin, Streanga, Lavinea, Antal, Oana, Hagau, Natalia, Patras, Dumitru, Petrisor, Cristina, Tosa, Flaviu, Tranca, Sebastian, Copotoiu, Sanda Maria, Ungureanu, Liviu Lucian, Harsan, Cristian Remu, Papurica, Mariu, Cernea, Daniela Denisa, Dragoescu, Nicoleta Alice, Aflori, Laura, Vaida, Carmen, Ciobotaru, Oana Roxana, Aignatoaie, Mariana, Carp, Cristina Paula, Cobzaru, Isabelle, Mardare, Oana, Purcarin, Bianca, Tutunaru, Valentin, Ionita, Victor, Arustei, Mirela, Codita, Anisoara, Busuioc, Mihai, Chilinciuc, Ion, Ciobanu, Cristina, Belciu, Ioana, Tincu, Eugen, Blaj, Mihaela, Grosu, Ramona-Mihaela, Sandu, Gigel, Bruma, Dana, Corneci, Dan, Dutu, Madalina, Krepil, Adriana, Copaciu, Elena, 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T., Loots, Emil, Madansein, Rajhmum, Madaree, Anil, Madiba, Thandinkosi E., Manzini, Vukani T., Mbuyisa, Mbali, Moodley, Rajan, Msomi, Mduduzi, Mukama, Innocent, Naidoo, Desigan, Naidoo, Rubeshan, Naidu, Tesuven K., Ntloko, Sindiswa, Padayachee, Eneshia, Padayachee, Lucelle, Phaff, Martijn, Pillay, Bala, Pillay, Desigan, Pillay, Lutchmee, Ramnarain, Anupa, Ramphal, Suren R., Ryan, Paul, Saloojee, Ahmed, Sebitloane, Motshedisi, Sigcu, Noluyolo, Taylor, Jenna L., Torborg, Alexandra, Visser, Linda, Anderson, Philip, Conradie, Alae, De Swardt, Mathew, De Villiers, Martin, Eikman, Johan, Liebenberg, Riaan, Mouton, Johan, Paton, Abbey, Van Der Merwe, Louwrence, Wilscott-Davids, Candice, Barrett, Wendy Joan, Bester, Marlet, De Beer, Johan, Geldenhuys, Jacque, Gouws, Hanni, Potgieter, Jan-Hendrik, Strydom, Magdel, Wilberforceturton, Edwin, Chetty, Rubendraj R., Chirkut, Subash, Cronje, Larissa, De Vasconcellos, Kim, Dube, Nokukhanya Z., Gama, N. Sibusiso, Green, Garyth M., Green-Thompson, Randolph, Kinoo, Suman Mewa, Kistnasami, Prenolin, Maharaj, Kapil, Moodley, Manogaran S., Mothae, Sibongile J., Naidoo, Ruvashni, Noorbhai, M. Aslam F., Rughubar, Vivesh, Reddy, Jenendhiran, Singh, Avesh, Skinner, David L., Smith, Murray J., Singh, Bhagwan, Misra, Ravi, Naidoo, Maheshwar, Ramdharee, Pireshin, Selibea, Yvonne, Sewpersad, Selina, Sham, Shailendra, Wessels, Joseph D., Africander, Cucu, Bejia, Tarek, Blakemore, Stephen P., Botes, Marisa, Bunwarie, Bimalshakth, Hernandez, Carlos B., Jeeraz, Mohammud A., Legutko, Dagmara A., Lopez, Acela G., De Meyer, Jenine N., Muzenda, Tanaka, Naidoo, Noel, Patel, Maryam, Pentela, Rao, Junge, Marina, Mansoor, Naj, Rademan, Lana, Scislowski, Pawel, Seedat, Ismail, Van Den Berg, Bianca, Van Der Merwe, Doreen, Van Wyk, Steyn, Govender, Komalan, Naicker, Darshan, Ramjee, Rajesh, Saley, Mueen, Kuhn, Warren Paul, Matos-Puig, Roel, Moolla, Zaheer, Lisi, Alberto, Perez, Gisela, Beltran, Anna Valle, Lozano, Angel, Navarro, Carlos Delgado, Duca, Alejandro, Ernesto, Ernesto Pastor Martinez, Ferrando, Carlo, Fuentes, Isabel, GarcÃa-PÃ©rez, Maria Luisa, Gracia, Estefania, Palomares, Ana Izquierdo, Katime, Antonio, Miã±ana, Amanda, Incertis, Raul Raul, Romero, Esther, Garcia, Carolina Soledad Romero, Rubio, Concepcion, Artiles, Tania Socorro, Soro, Marina, Valls, Paola, Laguarda, Gisela Alaman, Benavent, Pau, Cuenca, Vicente Chisbert, Cueva, Andreu, Lafuente, Matilde, Parra, Asuncion Marque, Rodrigo, Alejandra Romero, Sanchez-Morcillo, Silvia, Tormo, Sergi, Redondo, Francisco Javier, De Andres, Jose, Diago, Lorena GÃ³mez, Cã¡diz, Maria JosÃ© HernÃ¡ndez, Manuel, Granell Gil, Peris, Raquel, Saiz, Cristina, Tatay, Jose, Soto, Maria Teresa Tebar, Brunete, Tamara, Cancho, David, Garcãa, David R. 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Andrew, Foot, Jayne, Large, Simon, Claxton, Andrew, Netke, Bhagyashree, Armstrong, Richard, Calderwood, Claire, Kwok, Andy, Mohr, Otto, Oyeniyi, Peter, Patnaik, Lisa, Post, Benjamin, Ali, Sarah, Arshad, Homa, Baker, Gerard, Brenner, Laura, Brincat, Maximilian, Brunswicker, Annemarie, Cox, Hannah, Cozar, Octavian Ionut, Cheong, Edward, Durst, Alexander, Fengas, Lior, Flatt, Jim, Glister, Georgina, Narwani, Vishal, Photi, Evangelo, Rankin, Adeline, Rosbergen, Melissa, Tan, Mark, Beaton, Ceri, Horn, Rachel, Hunt, Jane, Rousseau, Guy, Stancombe, Lucia, Absar, Mohammed, Allsop, Joanne, Drinkwater, Zoe, Hodgkiss, Tracey, Smith, Kirsty, Brown, Jamie, Alexander-Sefre, Farhad, Campey, Lorraine, Dudgeon, Lucy, Hall, Kathryn, Hitchcock, Rachael, James, Lynne, Smith, Kate, Winstone, Ulrika, Ahmad, Norfaizan, Bauchmuller, Kri, Harrison, Jonathan, Jeffery, Holly, Miller, Duncan, Pinder, Angela, Pothuneedi, Sailaja, Rosser, Jonathan, Sanghera, Sumayer, Swift, Diane, Walker, Rachel, Bester, Delia, Cavanagh, Sarah, Cripps, Heather, Daniel, Harvey, Lynch, Julie, Paton, Alison, Pyke, Shirley, Scholefield, John, Whitworth, Helen, Bottrill, Fiona, Ramalingam, Ganesh, Webb, Stephen, Akerman, Nik, Antill, Philip, Bourner, Lynsey, Buckley, Sarah, Castle, Gail, Charles, Rob, Eggleston, Christopher, Foster, Rebecca, Gill, Satwant, Lindley, Kate, Lklouk, Mohamed, Lowery, Tracey, Martin, Oliver, Milne, David, O'Connor, Patrick, Ratcliffe, Andrew, Rose, Alastair, Smith, Annie, Varma, Sandeep, Ward, Jackie, Barcraft-Barnes, Helena, Camsooksai, Julie, Colvin, Carolyn, Reschreiter, Henrik, Tbaily, Lee, Venner, Nicola, Hamilton, Caroline, Kelly, Lewi, Toth-Tarsoly, Piroska, Dodsworth, Kerry, Foord, Denise, Gordon, Paul, Hawes, Elizabeth, Lamb, Nikki, Mouland, Johanna, Nightingale, Jeremy, Rose, Steve, Schrieber, Joe, Al'Amri, Khalid, Aladin, Hafiz, Arshad, Mohammed Asif, Barraclough, Jame, Bentley, Conor, Bergin, Colin, Carrera, Ronald, Clarkson, Aisling, Collins, Michelle, Cooper, Lauren, Denham, Samuel, Griffiths, Ewen, Peter, Ip, Jeyanthan, Somasundaram, Joory, Kavita, Kaur, Satwant, Marriott, Paul, Mitchell, Natalie, Nagaiah, Sukumar, Nilsson, Annette, Parekh, Nilesh, Pope, Martin, Seager, Joseph, Serag, Hosam, Tameem, Alifia, Thomas, Anna, Thunder, Joanne, Torrance, Andrew, Vohra, Ravinder, Whitehouse, Arlo, Wong, Tony, Blunt, Mark, Wong, Kate, Giles, Julian, Reed, Isabelle, Weller, Debbie, Bell, Gillian, Birch, Julie, Damant, Rose, Maiden, Jane, Mewies, Clare, Prince, Claire, Radford, Jane, Reynolds, Tim, Balain, Birender, Banerjee, Robin, Barnett, Andrew, Burston, Ben, Davies, Kirsty, Edwards, Jayne, Evans, Chri, Ford, David, Gallacher, Pete, Hill, Simon, Jaffray, David, Karlakki, Sudheer, Kelly, Cormac, Kennedy, Julia, Kiely, Nigel, Lewthwaite, Simon, Marquis, Chri, Ockendon, Matthew, Phillips, Stephen, Pickard, Simon, Richardson, Jame, Roach, Richard, Smith, Tony, Spencer-Jones, Richard, Steele, Niall, Steen, Julie, Van Liefland, Marck, White, Steve, Faulds, Matthew, Harris, Meredyth, Kelly, Carrie, Nicol, Scott, Pearson, Sally Anne, Chukkambotla, Srikanth, Andrew, Alyson, Attrill, Elizabeth, Campbell, Graham, Datson, Amanda, Fouracres, Anna, Graterol, Juan, Graves, Lynne, Hong, Bosun, Ishimaru, Alexander, Karthikeyan, Arvind, King, Helen, Lawson, Tom, Lee, Gregory, Lyons, Saoirse, Hall, Andrew Macalister, Mathoulin, Sophie, Mcintyre, Eilidh, Mclaughlin, Danny, Mulcahy, Kathleen, Paddle, Jonathan, Ratcliffe, Anna, Robbins, Jame, Sung, Weilin, Tayo, Adeoluwa, Trembath, Lisa, Venugopal, Suneetha, Walker, Robert, Wigmore, Geoffrey, Boereboom, Catherine, Downes, Charlotte, Humphries, Ryan, Melbourne, Susan, Smith, Coral, Tou, Samson, Ullah, Shafa, Batchelor, Nick, Boxall, Leigh, Broomby, Rupert, Deen, Tariq, Hellewell, Alistair, Helliwell, Laurence, Hutchings, Melanie, Hutchins, David, Keenan, Samantha, Mackie, Donna, Potter, Alison, Smith, France, Stone, Lucy, Thorpe, Kevin, Wassall, Richard, Woodgate, Andrew, Baillie, Shelley, Campbell, Tara, James, Sarah, King, Chri, De Araujo, Daniela Marque, Martin, Danial, Morkane, Clare, Neely, Julia, Rajendram, Rajkumar, Burton, Megan, James, Kathryn, Keevil, Edward, Minik, Orsolya, Morgan, Jenna, Musgrave, Anna, Rajanna, Harish, Roberts, Tracey, Szakmany, Tama, Adamson, Michael, Jumbe, Sandra, Kendall, Jennie, Muthuswamy, Mohan Babu, Anderson, Charlotte, Cruikshanks, Andrew, Wrench, Ian, Zeidan, Lisa, Ardern, Diane, Harris, Benjamin, Hellstrom, Johanna, Martin, Jane, Thomas, Richard, Varsani, Nimu, Brown, Caroline Wrey, Docherty, Philip, Gillies, Michael, Mcgregor, Euan, Usher, Helen, Craig, Jayne, Smith, Andrew, Ahmad, Tahania, Bodger, Phoebe, Creary, Thai, Everingham, Kirsty, Fowler, Alexander, Hewson, Russell, Ijuo, Eke, Januszewska, Marta, Jones, Timothy, Kantsedikas, Ilya, Lahiri, Sumitra, Mclean, Aaron Lawson, Niebrzegowska, Edyta, Phull, Mandeep-Kaur, Wang, Difei, Wickboldt, Nadine, Baldwin, Jacqueline, Doyle, Donna, Mcmullan, Sean, Oladapo, Michelle, Owen, Thoma, Williams, Alexandra, Daniel, Hull, Gregory, Peter, Husain, Tauqeer, Kirk-Bayley, Justin, Mathers, Edward, Montague, Laura, Harper, Mark, White, Stuart, Jack, Jame, Ridley, Carrie, Avis, Joanne, Cook, Tim, Dali-Kemmery, Lola, Kerslake, Ian, Lambourne, Victoria, Pearson, Annabel, Boyd, Christine, Callaghan, Mark, Lawson, Cathy, Mccrossan, Roopa, Nesbitt, Vanessa, O'Connor, Laura, Scott, Julia, Sinclair, Rhona, Farid, Nahla, Morgese, Ciro, Bhatia, Kailash, Karmarkar, Swati, Ahmed, Jamil, Branagan, Graham, Hutton, Monica, Swain, Andrew, Brookes, Jamie, Cornell, Jonathan, Dolan, Rachael, Hulme, Jonathan, Van Vuuren, Amanda Jansen, Jowitt, Tom, Kalashetty, Gunasheela, Lloyd, Fran, Patel, Kiran, Sherwood, Nichola, Brown, Lynne, Chandler, Ben, Deighton, Kerry, Emma, Temlett, Haunch, Kirsty, Cheeseman, Michelle, Dent, Kathy, Garg, Sanjeev, Gray, Carol, Hood, Marion, Jones, Dawn, Juj, Joanne, Rao, Roshan, Walker, Tara, Al Anizi, Mashel, Cheah, Clarissa, Cheing, Yushio, Coutinho, Francisco, Gondo, Prisca, Hadebe, Bernard, Hove, Mazvangu Onie, Khader, Ahamed, Krishnachetty, Bobby, Rhodes, Karen, Sokhi, Jagdish, Baker, Katie-Anne, Bertram, Wendy, Looseley, Alex, Mouton, Ronelle, Hanna, George, Arnold, Glenn, Arya, Shobhit, Balfoussia, Danai, Baxter, Linden, Harris, Jame, Jones, Craig, Knaggs, Alison, Markar, Sheraz, Perera, Anisha, Scott, Alasdair, Shida, Asako, Sirha, Ravneet, Wright, Sally, Frost, Victoria, Gray, Catherine, Andrews, Emma, Arrandale, Lindsay, Barrett, Stephen, Cifra, Elna, Cooper, Mariese, Dragnea, Drago, Elna, Cifra, Maclean, Jennifer, Meier, Sonja, Milliken, Donald, Munns, Christopher, Ratanshi, Nadir, Ramessur, Suneil, Salvana, Abegail, Watson, Anthony, Hani, Ali, Campbell, Gill, Critchley, Rebecca, Endersby, Simon, Hicks, Catherine, Liddle, Alison, Pass, Marc, Ritchie, Charlotte, Thomas, Charlotte, Too, Lingxi, Welsh, Sarah, Gill, Talvinder, Johnson, Joanne, Reed, Joanne, Davis, Edward, Papadopoullos, Sam, Attwood, Clare, Biffen, Andrew, Boulton, Kerenza, Gray, Sophie, Hay, David, Mills, Sarah, Montgomery, Jane, Riddell, Rory, Simpson, Jame, Bhardwaj, Neeraj, Paul, Elaine, Uwubamwen, Nosakhare, Alexander, Maini, Arrich, Jame, Arumugam, Swarna, Blackwood, Dougla, Boggiano, Victoria, Brown, Robyn, Chan, Yik Lam, Chatterjee, Devnandan, Chhabra, Ashok, Christian, Rachel, Costelloe, Hannah, Matthewman, Madeline Coxwell, Dalton, Emma, Darko, Julia, Davari, Maria, Dave, Tejal, Deacon, Matthew, Deepak, Shantal, Edmond, Holly, Ellis, Jessica, El-Sayed, Ahmed, Eneje, Philip, English, Rose, Ewe, Renee, Foers, William, Franklin, John, Gallego, Laura, Garrett, Emily, Goldberg, Olivia, Goss, Harry, Greaves, Rosanna, Harris, Rudy, Hennings, Charle, Jones, Eleanor, Kamali, Nelson, Kokkinos, Naomi, Lewis, Cary, Lignos, Leda, Malgapo, Evaleen Victoria, Malik, Rizwana, Milne, Andrew, Mulligan, John-Patrick, Nicklin, Philippa, Palipane, Natasha, Parsons, Thoma, Piper, Rebecca, Prakash, Rohan, Ramesh, Byron, Rasip, Sarah, Reading, Jacob, Rela, Mariam, Reyes, Anna, Robert, Stephen, Rooms, Martin, Shah, Karishma, Simons, Henry, Solanki, Shalil, Spowart, Emma, Stevens, Amy, Thomas, Christopher, Waggett, Helena, Yassaee, Arrash, Kennedy, Anthony, Scott, Sara, Somanath, Sameer, Berg, Andrew, Miguel, Hernandez, Nanda, Rajesh, Tank, Ghanshyambhai, Wilson, Natalie, Wilson, Debbie, Al-Soudaine, Yassr, Baldwin, Matthew, Cornish, Julie, Davies, Zoe, Davies, Leigh, Edwards, Marc, Frewer, Natasha, Gallard, Sian, Glasbey, Jame, Harries, Rhiannon, Hopkins, Luke, Kim, Taeyang, Koompirochana, Vilavan, Lawson, Simon, Lewis, Megan, Makzal, Zaid, Scourfield, Sarah, Ahmad, Yousra, Bates, Sarah, Blackwell, Clare, Bryant, Helen, Collins, Hannah, Coulter, Suzanne, Cruickshank, Ro, Daniel, Sonya, Daubeny, Thoma, Edwards, Mark, Golder, Kim, Hawkins, Lesley, Helen, Bryant, Hinxman, Honor, Levett, Denny, Salmon, Karen, Seaward, Leanne, Skinner, Ben, Tyrell, Bryony, Wadams, Beverley, Walsgrove, Joseph, Dickson, Jane, Constantin, Kathryn, Karen, Markwell, O'Brien, Peter, O'Donohoe, Lynn, Payne, Hannah, Sundayi, Saul, Walker, Elaine, Brooke, Jenny, Cardy, Jon, Humphreys, Sally, Kessack, Laura, Kubitzek, Christiane, Kumar, Suha, Cotterill, Donna, Hodzovic, Emil, Hosdurga, Gurunath, Miles, Edward, Saunders, Glenn, Campbell, Marta, Chan, Peter, Jemmett, Kim, Raj, Ashok, Naik, Aditi, Oshowo, Ayo, Ramamoorthy, Rajarajan, Shah, Nimesh, Sylvan, Axel, Blyth, Katharine, Burtenshaw, Andrew, Freeman, David, Johnson, Emily, Philip, Lo, Martin, Terry, Plunkett, Emma, Wollaston, Julie, Allison, Joanna, Carroll, Christine, Craw, Nichola, Craw, Sarah, Pitt-Kerby, Tressy, Rowland-Axe, Rebecca, Spurdle, Katie, Mcdonald, Andrew, Simon, Davie, Sinha, Vivek, Smith, Thoma, Banner-Goodspeed, Valerie, Boone, Myle, Campbell, Kathleen, Fengxin, Lu, Scannell, Joseph, Sobol, Julia, Balajonda, Naraida, Clemmons, Karen, Conde, Carlo, Elgasim, Magdi, Funk, Bonita, Hall, Roger, Hopkins, Thoma, Olaleye, Omowunmi, Omer, Omer, Pender, Michelle, Porto, Angelo, Stevens, Alice, Waweru, Peter, Yeh, Erlinda, Bodansky, Daniella, Evans, Adam, Kleopoulos, Steven, Maril, Robert, Mathney, Edward, Sanchez, Angela, Tinuoye, Elizabeth, Bateman, Brian, Eng, Kristen, Jiang, Ning, Ladha, Karim, Needleman, Joseph, Chen, Lee-Lynn, Lane, Rondall, Robinowitz, David, Ghushe, Neil, Irshad, Mariam, O'Connor, John, Patel, Samir, Myles, Paul, Hiesmayr, Michael, Fang, Xiangming, Slim, Karem, Sander, Michael, Koulenti, Despoina, Chan, Mathew, Abbas, Muntadhar, Sivasakthi, Datin, Osinaike, Tunde, Matos, Ricardo, Grigoras, Ioana, Hubner, Martyn, Other departments, The International Surgical Outcomes Study, Group, Beretta, L, Landoni, G, and Zangrillo, A
Subjects: Critical Care/utilization, Postoperative Complications/epidemiology, Male, cohort studies, critical care/utilisation, operative/mortality, postoperative care/methods, postoperative care/statistics and numerical data, surgery, surgical procedures, Global Health, law.invention, surgery, Postoperative Complications, 0302 clinical medicine, Correction Notice, cohort studies, Anesthesiology, 030202 anesthesiology, law, cohort studiescritical care/utilisationoperative/mortalitypostoperative care/methodspostoperative care/statistics and numerical datasurgerysurgical procedures, 80 and over, Hospital Mortality, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, Aged, 80 and over, International Surgical Outcomes Study group, Elective Surgical Procedures/mortality, HCC NEF, Middle Aged, Elective Surgical Procedures/adverse effects, Intensive care unit, surgical procedure, 3. Good health, Treatment Outcome, Length of Stay/statistics & numerical data, operative/mortality, Elective Surgical Procedures, Female, Elective Surgical Procedure, Life Sciences & Biomedicine, Cohort study, Adult, medicine.medical_specialty, Adolescent, Critical Care, critical care/utilisation, postoperative care/methods, postoperative care/statistics and numerical data, surgical procedures, Aged, Humans, Length of Stay, Poverty, Socioeconomic Factors, Young Adult, Anesthesiology and Pain Medicine, NO, Clinical Practice, 03 medical and health sciences, Intensive care, Journal Article, medicine, postoperative care/method, Elective surgery, Science & Technology, business.industry, Postoperative complication, 030208 emergency & critical care medicine, 1103 Clinical Sciences, Surgery, Global Health/statistics & numerical data, Emergency medicine, business, cohort studie
Abstract: Background:As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. Methods:We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. Results:A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44814 patients with a median hospital stay of 4 (range 2–7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. Conclusions:Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. Study registration:ISRCTN51817007
Published: 2016
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29. Excitation and deconvolution in ultrasound nondestructive testing systems

Author: Pietro Burrascano, Sergio Callegari, Marco Ricci, Salvatore Caporale, David A. Hutchins, Stefano Laureti, Burrascano, Pietro, Callegari, Sergio, Montisci, Augusto, Ricci, Marco, Versaci, Mario, Caporale, Salvatore, Hutchins, David Arthur, and Laureti, Stefano
Subjects: Signal processing, Computer science, business.industry, Matched filter, Analytical chemistry, Nondestructive testing, Electronic engineering, Waveform, Deconvolution, Sensitivity (control systems), spread spectrum, ultrasonic testing, business, Energy (signal processing), Impulse response
Abstract: The pulse-echo (PuE) model based on short pulses is introduced as a starting point. Its limits in terms of signal-to-noise ratio (SNR) are reviewed, together with the tradeoff between the excitation energy and the time resolution. It is shown how signal processing can improve the overall performance in terms of system sensitivity and resolution as long as the exciting waveform is chosen taking into account the system characteristics and is in agreement with the adopted processing techniques. The degrees of freedom on which one can operate are the time evolution law of the excitation signal and the processing technique adopted on the receiving end. In their exploitation, the designer should consider the physical characteristics of the hardware devices being employed in order to optimize the overall performance. The importance of introducing merit factors is discussed. By offering a quantitative measure of system performance, they are indispensable tools to drive formal optimization strategies and for comparing different approaches. Application-related merit factors are introduced for trying to overcome some current limitations and to prepare the ground for the extension of ultrasonic techniques to multiple input, multiple output (MIMO) systems, which are considered in the following chapter.
Published: 2015

30. Industrial applications of noncontact ultrasonics techniques

Author: Luca Senni, Luigi Battaglini, Stefano Laureti, David A. Hutchins, Salvatore Caporale, L.A.J. Davis, Sergio Callegari, Burrascano, Pietro, Callegari, Sergio, Montisci, Augusto, Ricci, Marco, Versaci, Mario, Battaglini, Luigi, Caporale, Salvatore, Davis, Lee Andrew John, Laureti, Stefano, Senni, Luca, and Hutchins, David Arthur
Subjects: Coupling, Engineering, Signal processing, business.industry, Engineering (all), Computer Science (all), Physics and Astronomy (all), Mechanical engineering, Nondestructive evaluation, Context (language use), Transducer, Nondestructive testing, Chirp, business, Acoustic impedance, Energy (signal processing), Ultrasonic testing
Abstract: In many application environments, it is not possible to practice nondestructive evaluation (NDE) by physically contacting the material under test with probes. Examples include the evaluation of objects that are moving (e.g., on an assembly line), hot materials, materials that cannot risk contamination, and more. Lack of contact means that, typically, the coupling material is air. This poses specific requirements, due to the acoustic impedance mismatch that an air layer can provoke and the consequent energy losses. In this chapter, some examples of setups, transducer arrangements, and signal processing strategies capable of addressing such requirements are illustrated, showing how concepts presented in the previous chapters can be deployed in this particular context. Furthermore, some typical achievable results are illustrated, with respect to a few different testing scenarios, such as the testing of composite materials, the inspection of concrete, imaging of surfaces or thin materials, and food inspection.
Published: 2015

31. Assessing Prospective Students for Master's Level CACREP Counseling Programs: Evaluation of Personal-Emotional Characteristics

Author: Smith, Juliann, Counselor Education, Bodenhorn, Nancy E., Hutchins, David E., Forrest, Alan W., Allen, Katherine R., and Getz, Hilda M.
Subjects: Personal Emotional, education, Graduate Students, Effective Counselor Characteristics, Admission Requirements, Assessing
Abstract: The purpose of this study consisted of three main components: 1) to identify effective counselor characteristics in the literature; 2) to describe existing admission requirements of counseling programs; and, if a need was determined, 3) to develop a framework for a standard set of admission requirements, balanced between cognitive-behavioral characteristics and personal-emotional characteristics, to more thoroughly assess prospective master’s level counseling students. This study discusses the typical admission requirements of master's level CACREP (The Council for Accreditation of Counseling and Related Educational Programs) counseling programs and what the research indicates are characteristics of effective counselors. A literature review of effective counselor characteristics and graduate admission requirements was conducted, CACREP guidelines were examined, and admission requirements and procedures for all 129 CACREP counselor education programs were analyzed. The findings from the literature review were then compared with the data collected and analyzed from existing master’s level CACREP counseling programs to determine gaps between the literature-identified characteristics of effective counselors and current admission criteria of CACREP programs. Follow-up telephone interviews with a faculty of leadership stature from a sample of 20 CACREP counseling programs were conducted. After determining a need, information collected was used to develop a framework for a standard set of admission requirements. Results indicated that currently, a) there is no framework for a standard set of admission requirements for assessing prospective students for master’s level counseling programs that identify personal-emotional characteristics, b) there are gaps between what the literature identifies as effective counselor characteristics and what is typically assessed during admission, c) an agreement exists that the counseling profession must do a better job of gate-keeping, and d) that a framework of admission requirements is needed by counselor educators to assist in a more thorough screening and examination of personal characteristics of prospective students. Finally, e) this research established a foundation for this framework of a standard set of admission requirements that could be used by faculty to more exhaustively assess prospective master’ s level counseling students. Ph. D.
Published: 2004

32. Bilateral Art: An Integration of Marriage and Family Therapy, Art Therapy, and Neuroscience

Author: McNamee, Carole M., Marriage and Family Therapy, Johnson, Scott W., Driscoll, Lisa G., Benningfield, Anna Beth, McWey, Lenore M., and Hutchins, David E.
Subjects: supervision, neuroscience, bilateral art, art therapy, marriage and family therapy
Abstract: Bilateral art is a neurologically-based therapeutic intervention that engages both dominant and non-dominant hands in the creation of images in response to polarized beliefs, cognitions, or feelings. Advances in neuroscience that integrate attachment theory and experience with neuronal development argue for use of the intervention. Retrospective case studies using enhancements of the bilateral art intervention protocol for individuals support these arguments. These case studies demonstrate clinical application of the intervention to a range of presenting problems including differentiation from family of origin, parenting problems, loss, trauma, and self-esteem concerns and provide the first documented evidence of the effectiveness of the bilateral art intervention. Additional case studies reflect development of two different bilateral art intervention protocols that facilitate exploration of relationships. The first protocol adapts the use of bilateral art with individuals to use with couples and it has a dual purpose: to facilitate both openness and integration of polarized thoughts or feelings in one member of a couple and to increase empathy in the other. The second protocol facilitates exploration of and reflection upon a relationship and is applied in the case study to the supervisor-supervisee dyad that is an integral part of the training of marriage and family therapists. Experiences reveal possible contraindications as well as indications for the use of these protocols. Ph. D.
Published: 2004

33. Current and Preferred Academic Advising Styles of African American Students in the College of Engineering at Virginia Tech

Author: Byrd, Melendez O'Neal, Educational Leadership and Policy Studies, Madison-Colmore, Octavia D., Hohenshil, Thomas H., Moore, James L. III, Skaggs, Gary E., Hutchins, David E., and Bodenhorn, Nancy E.
Subjects: Developmental Advising, Engineering, education, Prescriptive Advising, African American, Academic Advising
Abstract: This study was designed to explore the advising styles that are currently perceived and preferred by African American and White students in the College of Engineering at Virginia Tech. The high attrition rate of African Americans in the engineering colleges both nationally and at Virginia Tech makes it critical to investigate what can be done to increase retention. The lack of awareness of academic advising preferences could be a major component in the high attrition of African American students in the College of Engineering at Virginia Tech. Moreover, increased awareness and understanding for advisors, faculty, administrators and even students will befall, and in turn strengthen retention. The purpose of this study was to determine; (a) the current advising African American and White students in the College of Engineering at Virginia Tech are perceiving; prescriptive versus developmental; and (b) what the preferences are for advising African American and White students in engineering; prescriptive versus developmental. This study specifically examined the comparisons between race, gender, classification, grade point average (GPA), and major. The instrument that was administered via the Internet is called the Academic Advising Inventory (Winston & Sander, 1984). This four-part instrument measures the level of the developmental or prescriptive advising that occurs between students and advisors and student satisfaction with advising in the College of Engineering. The sample consisted of a total of 373 undergraduate engineering students, 265 (71%) males and 108 (29%) females. African Americans made up 35% (n = 132) of the sample and Whites 65% (n = 241). The sample consisted of 25% (n = 93) African American males, 10% (n = 39) African American females, 46% (n = 172) White males, and 19% (n = 69) White females. A two-way analysis of variance (ANOVA) and t-tests were conducted to analyze differences in advising style when categorized by race, gender, classification, GPA, and major. The results revealed a significant difference between the style of academic advising currently perceived by African American and White engineering students. The majority of the African Americans reported receiving prescriptive advising and the majority of the Whites reported receiving a developmental style of advising. The results also indicated that the majority of the African American males (55%) perceived receiving a prescriptive style of advising. When looking at African Americans when categorized by classifications, all reported receiving a prescriptive style of advising. The junior class of African Americans was the only group that is borderline prescriptive/developmental. The ANOVA test also indicated a significant interaction between race and GPA. Results showed that African Americans engineering students in the GPA categories of 1.0-1.9 and 2.0-2.9 reported receiving prescriptive advising, while the 3.0-3.9 category of African Americans reported receiving developmental advising. This data was not consistent with White students in the GPA category of 1.0-1.9. All White students regardless of GPA reported receiving a developmental style of advising. All engineering students regardless of race, gender, classification, GPA, or major preferred a developmental style of advising. African American females significantly preferred a more developmental style of advising than the other groups. A Chi square test of independence also indicated that a significantly large portion of African American students felt that their academic advisor did not understand them. Ph. D.
Published: 2003

34. Surveying School Counselors via the Internet Regarding Their Experiences and Training Needs in Crisis Intervention

Author: Mathai, Christina McGrady, Educational Leadership and Policy Studies, Getz, Hilda M., Hutchins, David E., Skaggs, Gary E., Curcio, Claire Cole Vaught, and Moore, James
Subjects: School Crisis Intervention, Crisis Intervention, Counselor Training/Education, education, School Counseling, Web-based research
Abstract: Crisis intervention is a responsibility of school counselors. Specific training in crisis intervention skills is recommended for performing adequately in crisis situations, however, no generally accepted standards exist for training school counselors in crisis intervention. This exploratory study was conducted entirely online. Participants in the study were recruited via email and listservs and accessed a website to complete a survey. State certified school counselors (n=517) from across the United States (response rate 47%) participated. The following research questions were investigated: (1) Do these school counselors have training in situational crisis intervention skills? (2) What is the format and source of this training? (3) What situational crises have these counselors faced in their work? (4) Do these counselors feel adequately prepared for crisis situations? (5) Do these counselors differ in their preparedness according to demographic variables? (6) What additional training regarding crisis intervention do these counselors believe they need? Results indicate the majority of participants have had training in crisis intervention. Significant differences in level of training were found based on years of experience, age group, and ethnic group. The most frequently cited training topics previously received by respondents are stages of grief, suicide prevention and intervention, and assessment and referral. The most frequently encountered crisis situations are suicide ideation, child physical abuse, child sexual abuse, and suicide gesture. The average percentage of time spent by respondents on crisis intervention is 17%. Over 50% of respondents report being adequately prepared as the result of training for crises related to suicide, violence, accidents, and alcohol/drugs. Forty-six percent report being adequately prepared for crises involving disaster. For each of the five categories of crisis (suicide, violence, accidents, alcohol/drugs, disaster), respondents with 1-5 years of experience report lower perceptions of preparedness as the result of training than the other groups. Elementary counselors report lower levels of preparedness for suicide and alcohol/drug related crises. High school counselors report lower levels of preparedness for disaster. Eighty-nine percent of respondents wish to have additional training in crisis intervention. The most desired training topics are responding to violence, psychological first aid, crisis simulations, Critical Incident Stress Debriefing, and legal/ethical issues in crisis intervention. Ph. D.
Published: 2002

35. Mental Health and Substance Abuse Professionals' Attitudes Toward Dually Diagnosed Clients in a Community-Based Treatment Center

Author: Bullock, Joseph Edward, Educational Leadership and Policy Studies, Madison-Colmore, Octavia D., Lichtman, Marilyn V., Brown, Ruby, Hutchins, David E., and Maat, Mercedes ter
Subjects: Counseling, Attitudes, Dual Diagnosis, Mental Illness, Alcohol and Drug
Abstract: Mental health and substance abuse treatment systems have a history of incompatible philosophies and conflicts that have been associated with poor treatment outcomes for persons dually diagnosed. The purpose of this study was to determine whether or not there are differences in attitudes between mental health and substance abuse professionals toward the dually diagnosed client and whether or not academic discipline, levels of training and experience, occupation, and amount of contact affect the attitudes of these professional groups. A non-experimental survey research design was used for this study, and data were collected by means of a revised Opinions About Mental Illness (OMI) survey instrument and supplemental demographic questionnaire. The modified OMI instrument was piloted by a panel of subject matter experts experienced in the treatment of persons who are dually diagnosed in which they rated each item for favorableness to concepts of dual diagnosis. The modified OMI survey and a demographic questionnaire were administered to a sample consisting of mental health and substance abuse professionals employed at a local community mental health center. A total of 86 respondents representing 95% of the sample population completed the modified OMI survey and demographic questionnaire. Data were analyzed using descriptive, independent sample t-test, and multiple analysis of variance (MANOVA) statistics. Results revealed no statistically significant differences in attitude between mental health and substance abuse professionals toward dually diagnosed clients. Analysis of the independent variables academic discipline, level of training and experience, occupation, and amount of contact demonstrated no significant interaction effects between mental health and substance abuse professionals. Despite the absence of statistically significant differences in attitude between the mental health and substance abuse professionals, the similarities may be significant in terms of the psychological value for building positive relationships. The atmosphere of agency culture and the significance of co-location of mental health and substance abuse professionals were also potentially important factors in the outcome of the present study. Ed. D.
Published: 2002

36. Marital Quality in Dual-Career Couples: Impact of Role Overload and Coping Resources

Author: Schnurman-Crook, Abrina M., Educational Leadership and Policy Studies, Hutchins, David E., Hohenshil, Thomas H., Protinsky, Howard O. Jr., Getz, Hilda M., and Bird, Gloria W.
Subjects: coping, role overlead, marital quality
Abstract: An explanatory model of stress and coping among dual-career partners examined the influence of role overload on individual coping strategies and relational coping resources as mediators, using marital quality as the measured outcome. Individual coping strategies included problem-focused and emotion-focused coping. Relational coping resources included maintenance behaviors, cooperative negotiation, and coercive negotiation. Data from a sample of 226 married, dual-career partners were subjected to a path analysis using a series of multiple regressions. Findings generally supported the proposed model. Results suggest that both individual coping strategies and relational coping resources mediated the stressor effects of role overload on marital quality Ph. D.
Published: 2001

37. Job Satisfaction Among Elementary School Counselors in Virginia: Thirteen Years Later

Author: DeMato, Doris S., Counselor Education, Curcio, Claire Cole Vaught, Singh, Kusum, Agnew, Tom, Hutchins, David E., and Hohenshil, Thomas H.
Subjects: Role Conflict, Elementary School Counseling, Stress, Job Satisfaction
Abstract: This study was conducted to determine the current job satisfaction level of elementary school counselors in Virginia and compare it with elementary school counselors surveyed in 1995 and 1988. At the time of the 1988 survey, the Virginia Board of Education had passed a resolution to phase elementary guidance and counseling programs into the public schools over a four-year period beginning in the 1986-1987 school year. The elementary school counseling program was in full effect when the 1995 survey was conducted. In 2001 the program was no longer state mandated, but instead was a local option to be determined by school boards. An array of social and political changes have taken place since the first two studies were conducted by Kirk (1988) and Murray (1995) that may have impacted how satisfied counselors in Virginia are with their jobs. Because the job satisfaction level of elementary school counselors in Virginia in 2001 was undetermined, this study was undertaken . Two mailed questionnaires were used to collect the data. An Individual Information Form (IIF) and a modified version of the Minnesota SatisfactionQuestionnaire (MSQ) were sent to 444 elementary school counselors who were members of the Virginia School Counselor Association. The total response rate was 76.35%. In the current study, 90.9% of counselors surveyed indicated they were either satisfied or very satisfied with their jobs, while 9.1% were very dissatisfied or dissatisfied. Of the 20 aspects of work measured by the MSQ, counselors only indicated dissatisfaction with the compensation area. The two demographic variables of educational degree status and counselors' intent to remain in the current position were found to be predictors of job satisfaction for counselors in 2001. A majority of all counselors in the 2001 study responded affirmative to whether the current social and political climate affected their feelings about their jobs. Counselors expressed feeling dissatisfaction with the lack of a state mandated counseling program and feeling stress and pressure from conflicting role expectations and demands. Compared to counselors surveyed in 1995 and 1988, the overall level of job satisfaction in 2001 is similar. There were six areas of counselors' jobs that produced the most satisfaction in all three studies although the order varied somewhat. These areas were social service, moral values, creativity, activity, variety, and ability utilization. In all three studies, counselors were the least satisfied with the same three areas which included compensation, company policies, and advancement. Job security was the fourth area producing the most dissatisfaction in both the 2001 and 1995 studies, while it was eighth in 1988. There was an increase of about 5% in the number of counselors who are dissatisfied with their jobs in 2001 compared to 1995 and about a 2% increase from 1988. There has been a slight increase across all three studies in the percentage of counselors who are very satisfied with their jobs. Ph. D.
Published: 2001

38. A Meta-analysis of Research on the Influence of Leadership on Student Outcomes

Author: Brown, Launcelot Irving, Educational Leadership and Policy Studies, Fortune, Jimmie C., Doolittle, Peter E., Alexander, M. David, Gillespie, Diane Newkirk, Singh, Kusum, and Hutchins, David E.
Subjects: instructional leadership, education, school leadership, Academic achievement, school effectiveness
Abstract: Despite the fact that it is accepted that the role of the principal is central to the effectiveness of the school, the extent of that relationship remains a subject of continuing debate. Utilizing the statistical analytical approach of the meta-analysis, the study synthesized the quantitative data on the subject to determine the degree to which the level of school effectiveness reflects the influence of the school leadership. The review of the quantitative literature identified 38 studies that met the criteria for inclusion in the meta-analysis, providing 339 effect sizes that formed the sample for the study. The following research questions guided this study: 1.What empirical evidence is there to confirm or support the notion that there exists a relationship between leadership and school effectiveness 2.As identified in the quantitative analysis of the available research, what is the strength of the relationship between leadership and school effectiveness? 3.Based on empirical evidence, what aspects, dimensions or clusters of leadership behaviors relate to school effectiveness? 4.Related to the above, how do these dimensions compare in their relationship to school effectiveness? The results indicated that there is a significant and positive relationship between school leadership and the level of school effectiveness, and that while all the leadership approaches yielded significant results, the instructional leadership behaviors of the principal registered the strongest relationship. Ph. D.
Published: 2001

39. The School Counselor's Role in Alternative Education Programs in Virginia

Author: Helems, Darryl D., Counselor Education, Bradley, Worth, Curcio, Claire Cole Vaught, Hutchins, David E., Hohenshil, Thomas H., and Fortune, Jimmie C.
Subjects: alternative education, education, ComputingMilieux_COMPUTERSANDEDUCATION, school counselor
Abstract: This study was developed to answer the research questions 1) What services do school counselors provide in alternative education programs in Virginia? and 2) What are the reasons that students are participating in alternative education programs in Virginia? Alternative programs throughout Virginia were identified and data were randomly collected from a random sample of administrators and school counselors working in 15 of these programs. The data collected were then transcribed and analyzed in an effort to determine if any significant categories or themes related to the research questions. The data indicated that most counselors identified that they were involved in both direct counseling and administrative duties at their schools. Direct counseling duties consisted primarily of individual counseling, group counseling, and career counseling while the two primary administrative duties reported were test coordination and scheduling. The data indicated some consistent reasons for placement in alternative education programs. Seven schools reported that they served students for behavioral, academic, and other various reasons while only three reported that they served students specifically for behavioral or academic reasons. The areas of discipline/expulsion, failing grades, lack of credits to gain diploma, truancy, and teen pregnancy were identified as reasons for which placement in the alternative programs interviewed. The results of this study suggested a need for further studies relating to community involvement and direct counseling activities of school counselors working in alternative education. Recommendations were also made with regards to the future training of school counselors and the development of alternative education programs. Ph. D.
Published: 2001

40. Counseling and Computer Technology in the New Millennium--An Internet Delphi Study

Author: Cabaniss, Katherine, Educational Leadership and Policy Studies, Reilly, Virginia J., Lynch, Sherry K., Getz, Hilda M., Fortune, Jimmie C., and Hutchins, David E.
Subjects: mental health professionals, webcounselors, professional counselors, counselor computer skills training, future of computer technology in counseling, Internet counseling, webcounseling, counselor educators, computer skills, technology in counseling
Abstract: Computer technology is developing so rapidly that the extent to which it is being utilized by counselors and counselor educators in their work is virtually unknown. The purpose of this study was to assess how much and in what ways counselor experts believe computer-related technology (CRT) is being utilized by professional counselors today. An additional purpose of this study was to determine projected use of CRT by the year 2008.Data were collected by means of a modified futures Delphi method in which a panel of 21 counselor experts comprised of one group of counselor educators, three groups of counselor practitioners, and one group of computer technologists completed three rounds of questions. The study, which was conducted entirely on the World Wide Web, requested Likert-type ratings of 53 generic work-related tasks in eight task categories for frequency of CRT use to accomplish the tasks and reasons for the selections. In addition, panelists rated ten specific CRT tools for frequency of use, and supplied written examples of current and future CRT use by counseling professionals.The findings of the study indicate counselors and counselor educators are using a large variety of CRT tools, including word processors, spread sheets, a variety of software programs, e-mail, chatrooms, listservs, databases, and other web-related tools to assist them in over half of job-related tasks today. Experts forecast CRT use by counselors will significantly increase by the year 2008, when professional counselors are expected to utilize CRT for at least 90% of their work-related tasks.It is suggested that findings of this study may provide an important foundation for much needed research investigating potential differences between therapeutic work accomplished with the help of CRT and traditional therapy, i.e., face-to-face therapy, in which computer technology is not utilized. Finally, results establish the need to implement and promote computer skills training and competency assessments in counselor education programs. Ph. D.
Published: 2001

41. A Case Study of United States History Teachers in Virginia in an Era of the Standards of Learning Assessment

Author: Carroll, Jeffrey Damian, Educational Leadership and Policy Studies, Crockett, Jean B., Magliaro, Susan G., Janosik, Steven M., Hutchins, David E., and Spencer, Edward F. D.
Subjects: Standards of Learning, ComputingMilieux_COMPUTERSANDEDUCATION, United States History, Accountability, Instruction
Abstract: The purpose of this study was to investigate the quality of classroom instruction when a single criterion, the Virginia Standards of Learning (SOLs) United States history assessment scores, was used to assess academic outcomes for students. Policy implementation research frequently fails to include an analysis of teaching practice. The goal of this study, then, was to explore current instructional practices among a selected group of four United States History teachers and search for patterns of practice as these teachers enacted the SOLs within the United States history curriculum. A participant evaluation research approach was used for data collection in this study. This study compared and contrasted the instructional improvement and accountability literatures and situated the implementation of the SOLs within the context of the accountability movement. It described controversies and concerns surrounding the United States History SOL Assessment. Using Duke's (1987) vision of teaching excellence as a theoretical frame for exploring instructional practice, the study portrayed how these four United States history teachers enacted the SOLs within their classrooms. Virginia's SOLs share common characteristics with other accountability efforts to influence public school curriculum and instructional practice. This study extended the literature on teachers' classroom instruction in the context of state policy reforms. Individual portraits organized by Duke's (1987) vision of teaching excellence present the instructional practices of these four teachers. Using these portraits the study establishes three patterns of response by the participants in their curricular practice: (a) failure to ensure curriculum alignment; (b) teacher-centered and lecture-based instruction; and (c) a focus on content to the exclusion of skills. Based upon these instructional practices and curricular patterns nine implications for teaching practice related to Duke's (1987) teaching categories are identified. Ph. D.
Published: 2000

42. Male Anorexia Nervosa: an Exploratory Study

Author: Crosscope-Happel, Cindy, Counselor Education, Hutchins, David E., Fortune, Jimmie C., Getz, H. G., Hayes, G. L., and Curcio, Claire Cole Vaught
Subjects: Anorexia Nervosa, Males, mental disorders, Diagnosis, Body Image, Assessment
Abstract: Anorexia nervosa is a serious problem that affects over one million males yearly. It is often misdiagnosed and overlooked completely in clinical, medical and school settings because of the misperception that it is a disorder exclusively present in females. The DSM-IV largely contributes to this misnomer due to the gender-biased criteria. The purpose of this exploratory study was to identify the etiology and clinical characteristics of male anorexia and devise a more comprehensive definition of anorexia nervosa that encompasses both males and females. An additional purpose was to develop an instrument that identifies risk factors associated with anorexia nervosa in males and aid mental health and medical practitioners in making this diagnosis. A review of literature illuminated unique features of the male anorexic as well as characteristics shared with females. The Assessment of Anorexia Nervosa in Males Questionnaire (AANMQ) was developed for this study to assess an expert panel's clinical observations regarding potential misdiagnosis and treatment gaps among males with anorexia nervosa. This panel included one male anorexic, one parent of an anorexic male, and eight mental health and medical practitioners who were selected based on personal and clinical experiences working with male anorexics. Data were collected via face-to-face and telephone interviews. A compilation of literature and the expert panel's responses to the AANMQ resulted in the content suggested for the Assessment of Male Anorexia Nervosa (AMAN), a diagnostic inventory that provides a comprehensive profile specific to male anorexics. This instrument is to be used by mental health and medical practitioners for the diagnosis of this disorder. Even when anorexia nervosa is correctly diagnosed, services for males are selective and inadequate due to treatment models being geared toward a female population. The AMAN compensates for the missing elements and gender-biased nature of DSM-IV and permits accurate assessment and diagnosis of male anorexia. Ph. D.
Published: 1999

43. Perceptions of College Students Diagnosed with Panic Disorder with Agoraphobia: Academic, Psychosocial, and Environmental Views of their College Experience

Author: Angle, Susan Pugh, Counseling Services, Curcio, Claire Cole Vaught, Hutchins, David E., Keppel-Benson, Jane M., Hohenshil, Thomas H., Singh, Kusum, and Spencer, Edward F. D.
Subjects: education, Panic Disorder, Agoraphobia
Abstract: The number of reported students with psychiatric disabilities who are seeking services and/or accommodations is steadily increasing on college campuses. Much of the research and documentation that surround the study of college students with psychiatric disorders is extremely broad in focus and tends to group all psychiatric diagnoses together when reporting outcome studies. The research literature that is devoted to the study of the college student diagnoses with Panic Disorder with Agoraphobia is limited in scope and nature. The majority of the literature is devoted to the physiological and behavioral ramifications of the disorder or treatment modalities. a review of the extant literature reveals that there is no substantive research available that provides insight into the college experiences of the student diagnoses with Panic Disorder with Agoraphobia. In summary, it is safe to say that there is not enough pertinent information readily available to enlighten college and university faculty and staff about the experiences of college students diagnosed with Panic Disorder with Agoraphobia. specifically, little is known about: (1) the academic, psychosocial, and environmental needs of these students (2) what disability related barriers these student may have experienced (3) what coping mechanisms are typically employed, and (4) what services and accommodations these students have found to be the most effective while they were enrolled in college. The purpose of this study was to examine the nature and the scope of the college experiences of students who were diagnosed with Panic Disorder with Agoraphobia. The subjects for this study consisted of a select group of upperclassmen at Virginia Tech. Gender or age was not a factor in the selection process. For purposes of this study, the qualitative in-depth interview method was considered the most appropriate form of data collection. Analysis of the data revealed the following common experiences among the subjects in the study: (1) All subjects experienced difficulties in the classroom due to their Panic Disorder. (2) All of the subjects had concerns with the physical setting of the campus (i.e. preferential seating, avoidance of large classrooms and auditoriums, and anxiety-like symptoms as the result of bright or fluorescent lighting). (3) A lack of social contacts both in and out of the classroom was a common experience. (4) While all subjects had tried medication to control their Panic Disorder, two of the subjects stopped their medication even though they reported an improvement I their symptoms. The majority of the subjects stated that they did not want to remain on the medication for fear of addiction or using the medication as a "crutch." (5) All of the subjects sought out counseling while attending Virginia Tech. All of the subjects, with the exception of one, did not seek any treatment for their anxiety of Panic Attacks until after they arrived at Virginia Tech. (6) All of the subjects, with the exception of one suffered with either chronic anxiety, or Panic Attacks for over one year before seeking any medical relief or counseling. (7) All of the subjects reported that counseling was helpful and for the most part, they all tried to use relaxation techniques when experiencing a Panic Attack. (8) All of the subjects are still having difficulty with chronic anticipatory anxiety and occasional Panic Attacks. (9) While the majority of the subjects interviewed were optimistic about their career options, it was evident that all of the subjects have encountered significant anxiety-related barriers that have impacted their choice of major and possible future jobs. the majority of the subjects reported that it was important to have a job where the workload was not too stressful and the workplace was viewed as a "safe" environment. Ph. D.
Published: 1999

44. Academic Speed Bumps: Time to Completion of the Dissertation

Author: Pinson, Catherine Gaffney, Educational Administration, Earthman, Glen I., Hutchins, David E., Muffo, John A., Parks, David J., and Alexander, M. David
Subjects: dissertation, doctoral retention, graduate retention, LD5655.V856 1997.P567, time to degree
Abstract: The purpose of this study was to determine factors impeding rapid completion of the dissertation. The population studied was 1990-95 graduates of the Department of Leadership and Policy Studies (formerly the Division of Administrative and Educational Services) of the College of Education at Virginia Tech. Two hundred ninety-four surveys were mailed. The total of potential eligible responses was 263. The total of returned, usable surveys was 192, for a return rate of 73 percent. There was one primary research question, with four sub-questions: Are there any student characteristics that can be used as flags for potential problems with completion of the dissertation? 1.Are there any personal characteristics associated with time to completion of the dissertation? 2.Are there any student situational conditions associated with time to completion of the dissertation? 3.Are there any research capabilities associated with time to completion of the dissertation? 4.Are there any aspects of committee dynamics associated with time to completion of the dissertation? Two statistical procedures were followed: linear regression analysis to determine predictors of time to completion of the dissertation, and Chi-square analysis of the independent variables against speed of completion to determine which variables are most closely associated with relative time on the dissertation. Regression analysis showed four significant predictors of time to complete the dissertation: how dissertation writing time was scheduled, computer skills at the beginning of the dissertation, perceived difficulties caused by job demands, and changes in advisor or committee membership. These predictors had a total r2 of 189. Chi-square analysis showed that the following variables were significantly associated with time to completion of the dissertation: perceived difficulties caused by lack of access to resources; whether the subject changed full-time employment or took a new full-time position; whether the subject was a member of the Counselor Education Program; emotional support from the subject's employer; perceived difficulties caused by job demands; whether subjects were on-campus or off-campus, and relative distance from resources; how writing of the dissertation was scheduled; and whether the subject was employed full-time during the dissertation. Ph. D.
Published: 1998

45. Current Practices in General Hospital Group Psychotherapy

Author: Farley, Patrick N., Counselor Education, Hutchins, David E., Fortune, Jimmie C., Curcio, Claire Cole Vaught, Getz, Hilda M., and Wooten, Lynn
Subjects: Group Counseling, Inpatient Group Therapy, Group Pentagon
Abstract: The purpose of this survey study was to evaluate the current practice of inpatient group therapy in general hospital psychiatric units in a southeastern state and to determine whether there was a need for a more systematic method of designing, implementing, and evaluating general hospital group therapy. A second major purpose was to test a model to determine if it could be used to evaluate current practices of general hospital psychiatric group therapy on a more global basis. The history of group therapy and current nationwide statistical data relating to general hospital psychiatric units were summarized. A survey which addressed unit operations, unit staffing patterns, types of patients, and general practices regarding psychiatric unit group therapy was administered to 35 general hospital psychiatric unit administrators in a southeastern state. A standard interview protocol was developed and administered on-site to six group therapy practitioners. These interviews gathered information relative to specific unit group therapy practices, evaluated whether Group Pentagon components were utilized in group therapy practices, and identified factors influencing unit group therapy practice. An analysis of the available literature indicated there was little information relative to the practice of group therapy on general hospital psychiatric units. The literature analysis also revealed no consistent model or procedures for the design, implementation, and evaluation of group therapy in general hospital psychiatric units. The survey and interviews demonstrated that group therapy programs appeared fragmented, varied across units, and did not appear to be designed, implemented, or evaluated in a consistent manner. During the interviews, the practitioners described the lack of many of the conditions necessary for the provision of effective group therapy on their general hospital psychiatric units. The literature review analysis, survey, and interviews indicated the components of the Group Pentagon were not utilized in general hospital group therapy programs. The Group Pentagon provided a useful model for evaluating overall group therapy programs, as well as reviewing specific group therapy procedures. Finally, this research established a protocol for evaluating general hospital and potentially other group therapy practices. Ed. D.
Published: 1998

46. A Post-Treatment Evaluation of the Combined Effects of Imipramine Pharmacotherapy and Brief Psychotherapy in the Treatment of Childhood Anxiety Disorders

Author: Porter, Daniel B. III, Family and Child Development, Protinsky, Howard O. Jr., Benson, Mark J., Stremmel, Andrew J., Hutchins, David E., Houska, Charles R., and Taylor, Larry T.
Subjects: Psychotherapy, Childhood Anxiety Disorders, Pharmacotherapy
Abstract: This study evaluated a treatment program for anxiety disordered children, ages five to twelve years, utilizing both qualitative and quantitative methodologies. The treatment program integrated Imipramine pharmacotherapy and brief psychotherapy. The participants' nuclear and extended family histories were examined in terms of the occurrence of psychopathology and endemic transactional patterns. The examination of family patterns utilized Murray Bowen's Generational Model, as well as the T-F-A model of Hutchins and Cole, as a means of explaining the transmission of anxiety in the family. Ten children suspected of experiencing anxiety disorders were referred by pediatric physicians for treatment. Following an initial diagnostic assessment, children were placed on 25 milligrams of Imipramine per day for four to six weeks, while participating in weekly conjoint psychotherapy with their mothers for a six to eight-week period. A post-treatment evaluation was conducted by selecting ten prototypic participants. Selection was based upon age, diagnosis of overanxious disorder or separation anxiety disorder in childhood, and a time interval of no more than one year or less than one week following treatment. Semi-structured interviews were conducted with mother-child pairs separately to evaluate participants' perceptions of pre- and post-treatment symptom levels and family dynamics. DSM-III diagnostic criteria, Bowenian and T-F-A models served as the frameworks for organizing and evaluating qualitative data. All child participants experienced a dramatic and lasting resolution of both OAD and SAD symptomology. A quantitative analysis was performed utilizing the Wilcoxon sign rank to compare pre- and post-treatment symptom levels, with a significant effect by treatment occurring at the .005 level of significance. Cross-validation of treatment outcome was achieved through review of medical records, original psychotherapy notes, and videotapes of the interviews. Qualitative data regarding transgenerational medical and psychological disorders and family dynamics was generated. The data supported the Unitary model of generational family pathology. Six of seven Bowenian constructs were confirmed in this sample. The T-F-A model was used to demonstrate a cyclical pattern of reassurance, anxiety reduction, and child dependency between anxious children and their mothers. These results were discussed to provide a better understanding of the etiology and treatment of childhood anxiety disorders (OAD and SAD). The term "anxogenic family" was suggested to convey the interaction of genetics and generational learning in the families of anxiety disordered children. Implications for future research and modification of the DSM-IV regarding childhood anxiety disorders were discussed. Ph. D.
Published: 1998

47. An Exploratory Literature Review of Efforts to Help the Small-Scale, Resource Poor Farmer in International Agricultural Development

Author: Taylor, Jennifer E. II, Teaching and Learning, Fortune, Jimmie C., Hutchins, David E., Williams-Green, Joyce, Williams, Oscar, and De Datta, Surajit K.
Subjects: International Agricultural Research and Extension, Subsistence Farmer, Sustainable Development, 21st Century
Abstract: Since the 1979 World Conference on Agrarian Reform and Rural Development (WCARRD) and the 1992 United Nations Conference on Environment Development, international agricultural development organizations have been urged to strengthen their focus toward the sustainable development of the small-scale, resource poor farmer. A recent report from the Food and Agricultural Organization of the United Nations (FAO, 1996) indicated that many small-scale farmers were not being reached by agricultural extension, although approximately 75% of the worlds' farmers are small-scale, resource poor farmers. The report suggested that in some instances agricultural extension services reported reaching one out of three farmers in Africa. In other areas such as the Near East, the report stated that one out of seven farmers had been reached by the extension services. This study investigated the small-scale, resource poor farmer's ongoing level of participation, rate of adoption of agricultural technology, and the sustainable benefits of the implemented projects within the documents of several international agricultural development organizations to determine if the farmers can positively impact the forecasted food shortage expected during the early part of the 21st Century. To accomplish this, the methodology utilized the Light and Pillemer (1984) method of exploratory literature review. The Light and Pillemer method provided the foundation for data collection as well as numerical and narrative document analysis. Data collection: Eleven key governmental and non-governmental international agricultural development organizations were contacted by the researcher and supplied the following types of documents: (1) unpublished completed projects reports, (2) unpublished annual reports, and (3) published news reports. A planned systematic investigation of the documents was carried out (Girden, 1996). Numerical and Narrative Document Analysis: Both numerical and narrative data were collected from the documents. The Light and Pillemer (1984) method was used to determine the level of overall project change in those documents which provided numerical or quantitative data. Meta ethnography and the QSR NUD.ist computer software (Qualitative Solutions and Research Pty. Ltd., 1996) were used to investigate themes and characteristics of the narrative data within the documents. The findings of the study were placed in matrices which provided a systematic examination of the characteristics of the implemented projects of 51 international agricultural development organizations located within 38 developing countries. The narrative document analysis indicated the participation of the smal-lscale, resource poor farmers. The characteristic indicators of farmer participation were farmer participation in: farmers groups, select groups, community development, and in capacity building methods such as training, leadership development, and planning and decision making. The findings of the study suggest that though many international agricultural development organizations claim that they are making some progress there remains a grave need for international agricultural research and extension to provide more documentation of project outcomes especially those outcome which are concerned with more than 75% of the worlds' farmers, the small-scale, resource poor farmer. For example, of the study’s 51 projects, only six reported small-scale, resource poor farmers participation percentage. Seven projects reported numerical data on before and after rate of adoption of the technology. Sixteen of the 51 projects reported numerical data on sustainable benefits of the project to the small-scale, resource poor farmer. Only one document reported data on both the adoption of technology and sustainable benefits to the small-scale, resource poor farmer. However, in light of the world impacting Plan of Actions (i.e. 1979 World Conference on Agrarian Reform and Rural Development held in Rome, Italy; 1991 Plan of Action for Peoples’ Participation report of the Twenty-sixth Session held in Rome, Italy; 1992 Agenda 21 document a product of the United Nations Conference on Environment and Development held in Brazil; and the 1996 Plan of Action for Global Partnership in Agricultural Research held in Washington, D.C.) all of the documents should have indicated this type of essential data, and should be striving for a development which would be both productive and sustainable to the farmer. The results of this study suggested that the impending need for improved global food production as we move into the 21st century through the more than one million small-scale, resource poor farmer participants within the projects of this study may not be met due to the low amount of evidence in the implemented project reports of adoption of the technology, and the inadequate reporting of benefits essential to the small-scale, resource poor farmer. Ph. D.
Published: 1998

48. Case Studies of Exemplary Elementary School Guidance Programs in Southwest Virginia

Author: Loop, Patti Gaskins Jr., Student Personnel Services, McDaniels, Carl O., Curcio, Claire Cole Vaught, Hutchins, David E., Fortune, Jimmie C., and Fu, Victoria R.
Subjects: ComputingMilieux_COMPUTERSANDEDUCATION, Guidance Programs, Exemplary, Elementary School
Abstract: The Virginia Board of Education mandated that, by the Fall of 1989, all public elementary schools in the Commonwealth should establish elementary school guidance programs and employ an elementary school guidance counselor for every 500 students. Since that time, eight years have passed, and a review of successful programs was in order. The purpose of this research was to describe exemplary elementary school guidance practices and programs in Southwest Virginia. Based on the recommendations of three counselor educators from Virginia Tech, three elementary school divisions were identified for inclusion in the study. Rural, urban and suburban school divisions were chosen, so that the results would reflect a broader spectrum of exemplary elementary school guidance practices and programs. Specific school sites were selected by the school superintendent or guidance supervisor. During the Spring of 1997, the process of collecting data began. School counselors were asked to complete a questionnaire. Next, the researcher conducted site visits to each school, during which time ten structured interviews took place with those people who had interactions with the elementary school guidance program. While on the site, documents related to the elementary school guidance program were reviewed. Research results were presented in case study fashion. The most frequently cited examples of exemplary elementary school guidance practices and programs were summarized. Results showed that rural, urban, and suburban elementary school guidance programs had striking commonalities. All three elementary school guidance programs reported strengths in fifteen areas, which were grouped into three categories: (1) focus on student development and achievement, (2) staff collaboration, and (3) focus on parents and volunteers. A detailed description and discussion of each exemplary elementary school guidance practice and program concluded the study. Ph. D.
Published: 1997

49. Telling life stories and creating life books: a counseling technique for fostering resilience in children

Author: Davis, Tamara E., Counselor Education and Student Personnel Services, Curcio, Claire Cole Vaught, Lichtman, Marilyn V., Hutchins, David E., Paritzky, Richard S., and Rosen, Karen H.
Subjects: LD5655.V856 1997.D385, life stories, life books, education, counseling and resilience, humanities
Abstract: Research on storytelling in counseling and psychotherapy with children has typically involved literary and metaphoric techniques that foster client change. There is limited research on the efficacy of telling one's personal life story as a counseling technique, especially in the school setting. The purpose of this study was two-fold: (l) to describe and implement a technique for school counselors to use in individual counseling sessions to foster resilience in children and, more specifically, (2) to explore the effectiveness of telling one's life story and creating a personal life book as a counseling technique to improve two characteristics of resilience -- internal locus of control and perceived coping resources. The research question that guided this study was: To what extent is telling one's life story and creating a life book an effective counseling technique for fostering resilience in children who have experienced loss? A sample of fifty children from two elementary schools (grades 4-6) who had experienced a significant loss were randomly assigned to one of three groups: (1) the experimental group who received the life book technique, (2) a control group of students who received other individual counseling, or (3) a control group who received no counseling at all. Two constructs of resilience in children were measured: (1) internal/external locus of control (Children's Nowicki-Strickland Internal-External Locus of Control Scale) and (2) perceived coping resources (Coping Resources Inventory Scales for Educational Enhancement). Pre-test/Posttest analyses of data following the six-week experimental period were conducted using ANOVA statistical procedures. Quantitative results indicated that, statistically, the life book technique was no more or no less effective in improving internal locus of control or coping resources than either other individual counseling techniques or no counseling at all. However, qualitative evaluation of the technique offered support for the effectiveness of the life book technique as indicated by the life book participants who experienced change in a positive direction on both instruments and the unanimous positive evaluations of the life book participants and participating counselors. Therefore, while the life book technique was not found to be statistically significant in fostering resilience, the positive implications of qualitative analysis warrant further research to explore the life book technique as a school counseling practice to foster positive client change. Ed. D.
Published: 1997

50. Perceptions of School Counselors Towards Junior Reserve Officers' Training Corps (JROTC) in Virginia Public Schools

Author: Perusse, Rachelle, Educational Leadership and Policy Studies, Curcio, Claire Cole Vaught, Hohenshil, Thomas H., Fortune, Jimmie C., Lee, Elizabeth, and Hutchins, David E.
Subjects: school counseling, JROTC
Abstract: This study examined the perceptions that Virginia public high school counselors have towards the Junior Reserve Officers' Training Corps (JROTC) program in their schools. Specifically, four areas of research questions were addressed: (1) knowledge; (2) beliefs and attitudes about benefits to students; (3) the extent to which JROTC is recommended to all students; and (4) the appropriateness of JROTC for particular students. Data for this study were obtained from high school counselors in Virginia who were working in a school which offered JROTC as an elective. A questionnaire containing statements about the claims of JROTC was generated. The questionnaire contained a combination of true/false questions, Likert-type scale questions, a checklist of student characteristics, open-ended questions, and a final section on demographics. The investigator conducted follow-up interviews with school counselors at selected schools. Data analysis were relational and descriptive. Results indicated that school counselors were knowledgeable about the relationship between JROTC and the military. School counselors indicated that they were in general agreement with the claims of benefits to students by JROTC, and indicated a positive attitude about these benefits to students. School counselors identified specific characteristics of students for whom they would recommend JROTC. School counselors also indicated for whom JROTC is an appropriate elective, and for whom it may not be appropriate or feasible. It was concluded that school counselors have a generally positive perception towards JROTC in Virginia public schools. Recommendations for future research were presented. Ph. D.
Published: 1997

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